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 12-01-2021 , and ending 11-30-2022
Name of foundation
THE SAM S BLOOM FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 2413
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LITTLETON, CO801612413
A Employer identification number

84-0929690
B Telephone number (see instructions)

(303) 771-2266
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$10,316,460J 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 51 51  
4 Dividends and interest from securities... 133,317 133,317  
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 384,278
b Gross sales price for all assets on line 6a 1,383,104
7 Capital gain net income (from Part IV, line 2)... 239,300
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........ 517,646 372,668  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 58,729      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 2,675 2,675    
c Other professional fees (attach schedule).... Click to see attachment 52,364 52,364    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 10,633 10,628   5
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 3,359 1,680   1,679
22 Printing and publications.......... 627 313   314
23 Other expenses (attach schedule)....... Click to see attachment 11,362 5,682   5,680
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 139,749 73,342   7,678
25 Contributions, gifts, grants paid....... 449,500 449,500
26 Total expenses and disbursements. Add lines 24 and 25 589,249 73,342   457,178
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -71,603
b Net investment income (if negative, enter -0-) 299,326
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............. 26,334 17,635 26,334
2 Savings and temporary cash investments......... 194 195 195
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)....... 8,601,961 Click to see attachment8,539,056 10,289,931
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) 8,628,489 8,556,886 10,316,460
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...........    
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........ 48,379 48,379
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 8,580,110 8,508,507
29 Total net assets or fund balances (see instructions)..... 8,628,489 8,556,886
30 Total liabilities and net assets/fund balances (see instructions). 8,628,489 8,556,886
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
8,628,489
2
Enter amount from Part I, line 27a .....................
2
-71,603
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
8,556,886
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
8,556,886
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 2 239,300
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 4,161
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 4,161
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 10,784
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 10,784
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 6,623
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet6,623 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)
    bulletCO
    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 addressbulletHTTP://WWW.GUIDESTAR.ORG
    14
    The books are in care ofbulletC CROWLEY Telephone no.bullet (303) 771-2266

    Located atbulletPO BOX 2413LITTLETONCO ZIP+4bullet801612413
    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)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
     
    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
    DONALD R JACOBS PRESIDENT
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    JON LUDWIGSON VICE PRES
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    NEIL KESSELMAN SECRETARY
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    ZACHARY FELDMAN TREASURER
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    CHERYL CALDWELL DIRECTOR
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    MARY T CARRAHER DIRECTOR
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    DEBBIE STRAIT GONZALES DIRECTOR
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    SASHA JACOBS-LOWRY DIRECTOR
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    DEANA LEMOS-GARCIA DIRECTOR
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    JODIE LESS DIRECTOR
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    PENNY MCFARLAND DIRECTOR
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    NANCY J SALTZMAN DIRECTOR
    000.00     		0 0 0
    PO BOX 2413
    LITTLETON,CO80161
    C CROWLEY FDN MGR
    27.00     		58,729 0 807
    PO BOX 2413
    LITTLETON,CO80161
    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
    11,201,554
    b
    Average of monthly cash balances.......................
    1b
    23,277
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    11,224,831
    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
    11,224,831
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    168,372
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    11,056,459
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    552,823
    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
    552,823
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,161
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,161
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    548,662
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    548,662
    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
    548,662
    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 7 548,662
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 449,194
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 457,178
    a Applied to 2020, but not more than line 2a 449,194
    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..... 7,984
    e Remaining amount distributed out of corpus  
    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  
    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 ..........     		540,678
    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) ...     		 
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    C CROWLEY
    PO BOX 2413
    LITTLETON,CO801612413
    (303) 771-2266
    bThe form in which applications should be submitted and information and materials they should include:
    SEE ATTACHED GUIDELINES AND APPLICATIONS PROCEDURES.
    cAny submission deadlines:
    SEE ATTACHED GUIDELINES AND APPLICATIONS PROCEDURES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE ATTACHED GUIDELINES AND APPLICATIONS PROCEDURES.
    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
    ABILITY CONNECTION COLORADO
    801 YOSEMITE STREET
    DENVER,CO80230     		    EARLY CHILDHOOD EDUCATION 4,000
    BAL SWAN CHILDREN'S CENTER
    1145 EAST 13TH AVENUE
    BROOMFIELD,CO80020     		    SERVICES TO HELP AT-RISK SPECIAL NEE 3,500
    BEYOND HOME
    PO BOX 740130
    ARVADA,CO80006     		    TRANSITIONAL HOUSING & SUPPORTIVE SE 30,000
    BOULDER HOUSING PARTNERS FDN
    4800 N BROADWAY
    BOULDER,CO80304     		    EARLY CHILDHOOD EDUCATION 3,000
    BRIGHT BY TEXT
    PO BOX 7038
    DENVER,CO802070038     		    PARENTING PROGRAM FOR LOW-INCOME PAR 9,000
    BRIGHT FUTURES
    PO BOX 4216
    TELLURIDE,CO81435     		    PARENTING EDUCATION 5,000
    CATHOLIC CHARITIES AND COMMUNITY SE
    6240 SMITH ROAD
    DENVER,CO802164632     		    EARLY CHILDHOOD EDUCATION AND CHILD 6,500
    CENTER FOR WORK EDUCATION EMPLOYMEN
    1175 OSAGE ST SUTE 300
    DENVER,CO80204     		    JOB TRAINING PROGRAM 4,000
    CLAYTON EARLING LEARNING
    3801 MARTIN LUTHER KING B
    DENVER,CO80205     		    EARLY CHILDHOOD EDUCATION 5,000
    COLORADO COALITION FOR THE HOMELESS
    2111 CHAMPA STREET
    DENVER,CO80205     		    EARLY CHILDHOOD EDUCATION 4,500
    COMMUNITY PARTNER FAMILY RESOURCE
    701 GOLD HILL PLACE
    WOODLAND PARK,CO80863     		    EARLY CHILDHOOD AND PARENTING EDUCAT 5,000
    COMMUNITY PARTNERSHIP FOR CHILD DEV
    2330 ROBINSON ST
    COLORADO SPRINGS,CO80904     		    COLORADO PRESCHOOL PROGRAM 6,500
    COURT CARE OF THE PIKES PEAK REGION
    PO BOX 68
    COLORADO SPRINGS,CO80091     		    EARLY CHILDHOOD EDUCATION 2,000
    CREEDE EARLY LEARNING CENTER
    P O BOX 191
    CREEDE,CO81130     		    EARLY CHILDHOOD EDUCATION 4,500
    DENVER PUBLIC LIBRARY FRIENDS FOUND
    10 WEST 14TH AVENUE PARKW
    DENVER,CO80204     		    READ ALOUD PROGRAM LOW-INCOME 4,500
    DENVER PUBLIC SCHOOLS FOUNDATION
    1860 LINCOLN ST 10TH FL
    DENVER,CO80203     		    FAMILY & COMMUNITY ENGAGEMENT CTR 5,500
    DENVER ZOO
    2300 STEELE STREET
    DENVER,CO80205     		    NATURE EDUCATION PROGRAM LOW INCOME 3,000
    DRESS FOR SUCCESS
    2425 S COLORADO BLVD
    DENVER,CO80222     		    SUPPORT SERVICES, EMPLOYMENT AND JOB 5,500
    DURANGO ADULT EDUCATION CENTER
    701 CAMINO DEL RIO 301
    DURANGO,CO81301     		    ADULT EDUCATION CLASSES 5,000
    EARLY CONNECTIONS LEARNING CENTER
    104 E RIO GRANDE
    COLORADO SPRINGS,CO80903     		    EARLY CHILDHOOD EDUCATION 4,000
    EARLY CONNECTIONS LEARNING CENTER
    104 E RIO GRANDE
    COLORADO SPRINGS,CO80903     		    MEMORIAL HONORARIUM 2,500
    EARLY EXCELLENCE PROGRAM OF DENVER
    3580 FRANKLIN STREET
    DENVER,CO80205     		    EARLY CHILDHOOD EDUCATION FOR AT-RIS 7,500
    EMILY GRIFFITH FOUNDATION INC
    1860 LINCOLN STREET 605
    DENVER,CO80203     		    STIPENDS FOR ADULT STUDENTS 5,500
    FAMILY PROMISE OF GREATER DENVER
    PO BOX 40550
    DENVER,CO80204     		    SUPPORT SERVICES FOR HOMELESS 3,000
    FAMILY RESOURCE CENTER
    2543 CALIFORNIA ST
    DENVER,CO80205     		    SUPPORT SERVICES 3,000
    FAMILY TREE
    3805 MARSHALL ST 100
    WHEAT RIDGE,CO80033     		    PARENTING EDUCATION 3,500
    FAMILY VISITOR PROGRAMS
    PO BOX 1845
    GLENWOOD SPRINGS,CO81602     		    PARENTING EDUCATION PROGRAMS 6,000
    FLORENCE CRITTENTON SERVICES OF COL
    96 SOUTH ZUNI STREET
    DENVER,CO80223     		    EARLY CHILDHOOD ED & FAMILY SUPPORT 30,000
    FOCUS POINTS FAMILY RESOURCE CENTER
    2501 E 48TH AVENUE
    DENVER,CO80216     		    EARLY CHILDHOOD EDUCATION AND PARENT 6,000
    GOODWILL OF COLORADO
    1460 GARDEN OF THE GODS R
    COLORADO SPRINGS,CO80907     		    BANKWORK JOB TRAINING LOW INCOME 5,000
    GROWING HOME
    3489 W 72ND AVENUE SUIT
    WESTMINSTER,CO80030     		    EARLY CHILDHOOD AND PARENTING EDUCAT 7,000
    HIGHLINE ACADEMY CHARTER SCHOOL
    19451 E MAXWELL PLACE
    DENVER,CO80249     		    EARLY CHILDHOOD EDUCATION 3,000
    HILLTOP COMMUNITY RESOURCES INC
    1331 HERMOSA AVENUE
    GRAND JUNCTION,CO81506     		    PARENTING EDUCATION PROGRAM 6,000
    HOPE COMMUNITIES INC
    2543 CALIFORNIA STREET
    DENVER,CO80205     		    ECONOMIC STABILITY PROGRAMS 7,000
    INN BETWEEN OF LONGMONT INC
    515 KIMBARK STREET SUITE
    LONGMONT,CO80501     		    SUPPORTIVE HOUSING PROGRAM-HOMELESS 4,500
    INTERCAMBIO UNITING COMMUNITIES
    4735 WALNUT STREET SUITE
    BOULDER,CO80301     		    ENGLISH LANGUAGE CLASSES AND LIFE SK 5,000
    JEFFERSON COUNTY LIBRARY FOUNDATION
    10790 W 50TH AVE
    WHEAT RIDGE,CO80033     		    1000 BOOKS BEFORE KINDERGARTEN 3,000
    LA PLATA FAMILY CENTERS COALITION
    150 TECH CENTER DRIVE A
    DURANGO,CO81301     		    PARENTING EDUCATION PROGRAMS 4,000
    LA PUENTE HOME INC
    P O BOX 1235
    ALAMOSA,CO81101     		    ADELANTE SELF-SUFFICIENCY PROGRAM 30,000
    METROPOLITAN STATE UNIVERSITY OF DE
    P O BOX 173362/CAMPUS B
    DENVER,CO802173362     		    PARENTING EDUCATION PROGRAMS 3,500
    MI CASA RESOURCE CENTER
    345 S GROVE STREET
    DENVER,CO80219     		    CAREER DEVELOPMENT PROGRAM 6,000
    MILE HIGH WORKSHOP
    13280 E MISSISSIPPI AVE
    AURORA,CO80012     		    JOB TRAINING PROGRAM 2,500
    MOUNTAIN RESOURCE CENTER INC
    P O BOX 425
    CONIFER,CO80433     		    PARENTING EDUCATION PROGRAM 5,000
    NEW LEGACY CHARTER SCHOOL
    2091 DAYTON ST
    AURORA,CO80010     		    EARLY LEARNING & PARENTING PROGRAM 4,000
    PARTNERS IN HOUSING
    455 GOLD PASS HEIGHTS
    COLORADO SPRINGS,CO80906     		    FAMILY SELF-SUFFICIENCY PROGRAM 6,500
    PEAK EDUCATION
    145 S MURRAY BLVD
    COLORADO SPRINGS,CO80916     		    MEMORIAL HONORARIUM 2,500
    PEAK VISTA COMMUNITY HEALTH CENTERS
    3205 N ACADEMY BLVD SU
    COLORADO SPRINGS,CO80917     		    PARENTING EDUCATION 5,000
    PHILLIPS COUNTY FAMILY EDUCATION SE
    PO BOX 365
    HOLYOKE,CO80734     		    ADULT EDUCATION 2,000
    PROJECT SELF-SUFFICIENCY OF LOVELAN
    375 WEST 37TH STREET SUI
    LOVELAND,CO80538     		    LIFE SKILLS TRAINING AND JOB READY 30,000
    REACH OUT AND READ
    3705 MARTIN LUTHER KING B
    DENVER,CO80205     		    EARLY CHILDHOOD EDUCATION 3,500
    READ TO ME
    P O BOX 1654
    CASTLE ROCK,CO80104     		    EARLY READING EDUCATIONAL MATERIALS 3,500
    ROCKY MOUNTAIN MICROFINANCE INST
    PO BOX 48138
    DENVER,CO80204     		    SUPPORT SERVICES BUSINESS DEVELOP 5,500
    SAFEHOUSE DENVER
    1649 DOWNING STREET
    DENVER,CO80218     		    SELF-SUFFICIENCY AND PARENTING SUPPO 4,500
    SISTER CARMEN COMMUNITY CENTER
    655 ASPEN RIDGE DRIVE
    LAFAYETTE,CO80026     		    PARENTING PROGRAM & SUPPORT SERVICES 3,500
    SPRING INSTITUTE FOR INTERCULTURAL
    1373 GRANT STREET
    DENVER,CO80203     		    EARLY CHILDHOOD EDUCATION AND PARENT 7,000
    TEACHING TREE EARLY CHILDHOOD LEARN
    424 PINE STREET SUITE 10
    FORT COLLINS,CO80524     		    TUITION ASSISTANCE PROGRAM FOR CHILD 7,000
    THE FAMILY LEARNING CENTER
    3164 34TH ST
    BOULDER,CO80301     		    EARLY CHILDHOOD EDUCATION 3,000
    THE LEARNING SOURCE
    777 S WADSWORTH BLVD 2
    LAKEWOOD,CO80226     		    ADULT EDUCATION 4,000
    THE MATTHEWS HOUSE
    415 MASON COURT 1
    FORT COLLINS,CO80524     		    EARLY CHILDHOOD PROGRAM AND PARENTIN 5,000
    THE PINON PROJECT FAMILY RESOURCE C
    P O BOX 1510
    CORTEZ,CO81321     		    SUPPORTIVE SERVICES FOR FAMILIES WOR 30,000
    THE RECIPROCITY CENTER
    1043 E 20TH AVE
    DENVER,CO80205     		    FAMILY CASE MANAGEMENT 3,000
    THOMPSON VALLEY PRESCHOOL INC
    803 EAST 16TH STREET
    LOVELAND,CO80538     		    SCHOLARSHIPS AND SERVICES LOW INCOME 3,000
    THRIVE-TRANSFORMATION AT WORK
    400 W SOUTH BOULDER 1700
    LAFAYETTE,CO80026     		    JOB READINESS 3,000
    TRI-COUNTY FAMILY CARE CENTER INC
    512 1/2 N MAIN STREET
    ROCKY FORD,CO81067     		    CASE MANAGEMENT AND SUPPORTIVE SERVI 4,000
    VOLUNTEERS OF AMERICA
    2660 LARIMER STREET
    DENVER,CO80205     		    EARLY CHILDHOOD EDUCATION 2,500
    WARREN VILLAGE
    1323 GILPIN STREET
    DENVER,CO80218     		    JOB READINESS AND LIFE SKILLS TRAINI 18,000
    WOMEN'S BEAN PROJECT
    3201 CURTIS STREET
    DENVER,CO80205     		    TRANSITIONAL EMPLOYMENT PROGRAM 5,000
    WOMEN'S RESOURCE CENTER IN DURANGO
    679 EAST SECOND AVENUE U
    DURANGO,CO81301     		    RESOURCE AND REFERRAL PROGRAM 3,000
    YWCA OF BOULDER COUNTY
    2222 14TH STREET
    BOULDER,CO80302     		    EARLY CHILDHOOD AND PARENTING EDUC 3,000
    Total .................................bullet 3a 449,500
    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 51  
    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 ............     		    18 384,278  
    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) ..   517,646  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    517,646
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    THE SAM S BLOOM FOUNDATION
    EIN:
    84-0929690
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 2,675 2,675    

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

    TY 2021 GainLossSaleOtherAssetsSch
    Name:
    THE SAM S BLOOM FOUNDATION
    EIN:
    84-0929690
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    VANGUARD 500 INDEX FUND   PURCHASE 2022-01   28,000 8,790     19,210  
    VANGUARD 500 INDEX FUND   PURCHASE 2022-03   55,000 18,337     36,663  
    VANGUARD 500 INDEX FUND   PURCHASE 2022-10   125,000 49,458     75,542  
    HARDING LOEVNER EMERGING MKT   PURCHASE 2022-03   520,304 450,304     70,000  
    VANGUARD EXTENDED MKT FUND   PURCHASE 2022-03   30,000 14,588     15,412  
    BLACKSTONE ALT MULTI-STRATEGY   PURCHASE 2022-10   145,000 152,384     -7,384  
    ARTISAN GLOBAL VALUE FUND   PURCHASE 2022-10   25,000 27,647     -2,647  
    METROPOLITAN WEST   PURCHASE 2022-07   33,000 39,593     -6,593  
    METROPOLITAN WEST   PURCHASE 2022-10   28,000 35,616     -7,616  
    METROPOLITAN WEST   PURCHASE 2022-10   154,500 202,109     -47,609  

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE SAM S BLOOM FOUNDATION
    EIN:
    84-0929690
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ARTISAN GLOBAL VALUE INST FUND 2,345,139 2,246,050
    BLACKSTONE ALTERNATIVE MULTI-STRATEG 807,405 774,456
    HARDING LOEVNER EMERGING MKT    
    METROPOLITAN WEST TR BOND 2,752,000 2,185,468
    NEW PERSPECTIVE FUND 1,333,309 1,977,692
    VANGUARD 500 INDEX FUND 892,921 2,382,794
    VANGUARD EXTENDED MKT INDEX FND 408,282 723,471

    TY 2021 OtherExpensesSchedule
    Name:
    THE SAM S BLOOM FOUNDATION
    EIN:
    84-0929690
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    ARCHIVAL 4,526 2,263   2,263
    BANK CHARGES 50 25   25
    DUES 2,740 1,370   1,370
    INSURANCE 739 370   369
    OFFICE EXPENSE 1,065 532   533
    POSTAGE & DELIVERY 1,001 501   500
    TELEPHONE 942 471   471
    WEBSITE 299 150   149


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE SAM S BLOOM FOUNDATION
    EIN:
    84-0929690
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORY FEES 47,267 47,267    
    INVESTMENT CUSTODIAL FEES 5,097 5,097    


    TY 2021 TaxesSchedule
    Name:
    THE SAM S BLOOM FOUNDATION
    EIN:
    84-0929690
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ANNUAL LICENSE 10 5   5
    EXCISE TAX 10,623 10,623