| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| AUDIT & TAX PREP | 21,626 | 0 | 21,626 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| TELEPHONE SYSTEM | 1996-09-20 | 1,363 | 1,363 | SL | 10.000000000000 | 0 | 0 | ||
| ADDITIONAL LINES | 1997-01-22 | 310 | 310 | SL | 10.000000000000 | 0 | 0 | ||
| LOCKING FILE CABINET | 1996-09-20 | 266 | 266 | SL | 10.000000000000 | 0 | 0 | ||
| METAL SHELVING | 1996-10-03 | 119 | 119 | SL | 10.000000000000 | 0 | 0 | ||
| USED COMPUTER TABLE | 1996-11-06 | 51 | 51 | SL | 10.000000000000 | 0 | 0 | ||
| LOCKING FILE CABINET | 1999-02-17 | 224 | 224 | SL | 10.000000000000 | 0 | 0 | ||
| 4 FILE SHELVES | 2004-11-23 | 1,698 | 1,698 | SL | 10.000000000000 | 0 | 0 | ||
| AVAYA ACS UNIT & 18 DISPLAY SET | 2005-01-12 | 1,679 | 1,679 | SL | 10.000000000000 | 0 | 0 | ||
| OFFICE FURNITURE - ACCOUNTANT | 2005-02-16 | 4,700 | 4,700 | SL | 10.000000000000 | 0 | 0 | ||
| OFFICE FURNITURE - RECEPTIONIST | 2005-02-16 | 3,351 | 3,351 | SL | 10.000000000000 | 0 | 0 | ||
| OFFICE FURNITURE - RECEPTIONIST CHAIR | 2005-02-18 | 167 | 167 | SL | 10.000000000000 | 0 | 0 | ||
| 16 HON BOARD ROOM CHAIRS | 2005-02-24 | 6,480 | 6,480 | SL | 10.000000000000 | 0 | 0 | ||
| PAOLI EXECUTIVE FURNITURE | 2005-03-21 | 6,995 | 6,995 | SL | 10.000000000000 | 0 | 0 | ||
| HON EXEC HIGHBACK CHAIR | 2005-03-25 | 415 | 415 | SL | 10.000000000000 | 0 | 0 | ||
| PAOLI 16' CONFERENCE TABLE | 2005-04-04 | 5,562 | 5,562 | SL | 10.000000000000 | 0 | 0 | ||
| PAOLI BUFFET CREDENZA | 2005-04-04 | 3,294 | 3,294 | SL | 10.000000000000 | 0 | 0 | ||
| HON KEYBOARD TRAY | 2005-04-04 | 54 | 54 | SL | 10.000000000000 | 0 | 0 | ||
| WORK ROOM CABINETS | 2005-05-05 | 2,950 | 2,950 | SL | 10.000000000000 | 0 | 0 | ||
| HON STORAGE CABINET | 2006-08-24 | 932 | 932 | SL | 10.000000000000 | 0 | 0 | ||
| REFRIGERATOR W/ ICEMAKER 14CU | 2012-02-08 | 563 | 560 | SL | 10.000000000000 | 0 | 0 | ||
| HON EXEC HIGHBACK CHAIR | 2014-05-30 | 436 | 356 | SL | 10.000000000000 | 44 | 0 | ||
| SAVIN MP2501SP B/W COPIER | 2015-01-29 | 3,465 | 3,465 | SL | 5.000000000000 | 0 | 0 | ||
| IPAD AIR2 1 LEFT | 2015-01-14 | 686 | 686 | SL | 5.000000000000 | 0 | 0 | ||
| IPAD AIR2 | 2015-02-17 | 687 | 687 | SL | 5.000000000000 | 0 | 0 | ||
| DELL OPTIPLEX 7050 MFF COMPUTERS W ACCESSORIES | 2017-07-07 | 3,812 | 3,812 | SL | 5.000000000000 | 0 | 0 | ||
| MEDICAL OFFICE BUILDING | 2008-07-01 | 5,280,876 | 1,884,428 | SL | 39.000000000000 | 135,407 | 135,407 | ||
| IMPROVEMENTS - TENANT X | 2009-06-30 | 23,185 | 8,322 | SL | 39.000000000000 | 594 | 594 | ||
| IMPROVEMENTS - UROLOGY CENTER | 2008-07-01 | 283,991 | 283,991 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - HEART & VASCULAR | 2008-12-01 | 74,826 | 74,826 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - OLIVR | 2008-12-01 | 136,191 | 136,191 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - SUNGA | 2008-12-01 | 104,288 | 104,288 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - PAPIN | 2008-12-01 | 64,308 | 64,308 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - GILMORE | 2008-12-01 | 119,806 | 119,806 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - ARDMORE SURGICAL | 2008-12-01 | 298,151 | 298,151 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - MELTON | 2008-12-01 | 369,513 | 369,513 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - BENSON | 2011-10-06 | 123,500 | 123,500 | SL | 7.000000000000 | 0 | 0 | ||
| IMPROVEMENTS - SAVAGE | 2015-09-22 | 1,195,038 | 1,166,586 | SL | 7.000000000000 | 28,452 | 28,452 | ||
| IMPROVEMENTS - ARDMORE PEDIATRICS (LANDIS) | 2016-10-05 | 474,280 | 389,586 | SL | 7.000000000000 | 67,754 | 67,754 | ||
| IMPROVEMENTS - 2ND FLOOR ORTHO | 2019-09-01 | 926,716 | 375,099 | SL | 7.000000000000 | 132,388 | 132,388 | ||
| IMPROVEMENTS - 1ST FLOOR SPINE BUILD-OUT | 2019-11-15 | 697,279 | 261,479 | SL | 7.000000000000 | 99,611 | 99,611 | ||
| LAND | 2008-07-01 | 873,375 | L | 0 | 0 | ||||
| COMMERCE CLINIC BUILDING | 2017-01-01 | 4,645,824 | 654,417 | SL | 39.000000000000 | 119,124 | 119,124 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| OWNERSHIP OF ENTITIES WITH CERTAIN FOREIGN REPORTING REQUIREMENTS | FORM 990-PF | THE FOUNDATION OWNS AN INTEREST IN THE FOLLOWING PASSTHROUGH ENTITIES WITH CERTAIN FOREIGN REPORTING REQUIREMENTS:LEXINGTON CAPITAL PARTNERS VI-A, LP (EIN 34-2047994)PORTFOLIO ADVISORS PRIVATE EQUITY FUND V LP (EIN 01-0895788)WP GG EUROPA (CAYMAN-B), L.P. (EIN 98-1458202)HARRISON STREET REAL ESTATE PARTNERS V, L.P. (EIN 30-0836497)HARRISON STREET REAL ESTATE PARTNERS VI, L.P. (EIN 61-1793926)HARRISON STREET REAL ESTATE PARTNERS VIII, L.P. (EIN XXX-XX-XXXX)EACH OF THESE ENTITIES HAS MADE A TIMELY QUALIFIED ELECTING FUND ("QEF") ELECTION WITH RESPECT TO ITS INVESTMENT IN UNDERLYING PASSIVE FOREIGN INVESTMENT COMPANIES ("PFIC"), EFFECTIVE FOR EACH YEAR OF OWNERSHIP, AND HAS FILED THE REQUIRED FORMS 8621. ACCORDINGLY, THE FOUNDATION HAS NOT FURTHER REPORTED THE FOREIGN ACTIVITIES FROM THESE INVESTMENTS ON AN ADDITIONAL FORM 8621, AS IT DOES NOT BELIEVE IT TO BE NECESSARY. |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE BONDS & POOLED INVESTMENTS - FIXED INCOME PORTION | 21,940,374 | 19,572,113 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| COMMON STOCK & POOLED INVESTMENTS - EQUITY PORTION | 39,958,511 | 44,326,821 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| MEDICAL OFFICE BUILDING | 5,280,876 | 2,019,835 | 3,261,041 | |
| IMPROVEMENTS - TENANT X | 23,185 | 8,916 | 14,269 | |
| IMPROVEMENTS - UROLOGY CENTER | 283,991 | 283,991 | 0 | |
| IMPROVEMENTS - HEART & VASCULAR | 74,826 | 74,826 | 0 | |
| IMPROVEMENTS - OLIVR | 136,191 | 136,191 | 0 | |
| IMPROVEMENTS - SUNGA | 104,288 | 104,288 | 0 | |
| IMPROVEMENTS - PAPIN | 64,308 | 64,308 | 0 | |
| IMPROVEMENTS - GILMORE | 119,806 | 119,806 | 0 | |
| IMPROVEMENTS - ARDMORE SURGICAL | 298,151 | 298,151 | 0 | |
| IMPROVEMENTS - MELTON | 369,513 | 369,513 | 0 | |
| IMPROVEMENTS - BENSON | 123,500 | 123,500 | 0 | |
| IMPROVEMENTS - SAVAGE | 1,195,038 | 1,195,038 | 0 | |
| IMPROVEMENTS - ARDMORE PEDIATRICS (LANDIS) | 474,280 | 457,340 | 16,940 | |
| IMPROVEMENTS - 2ND FLOOR ORTHO | 926,716 | 507,487 | 419,229 | |
| IMPROVEMENTS - 1ST FLOOR SPINE BUILD-OUT | 697,279 | 361,090 | 336,189 | |
| LAND | 873,375 | 0 | 873,375 | |
| COMMERCE CLINIC BUILDING | 4,645,824 | 773,541 | 3,872,283 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| ALTERNATIVE INVESTMENTS | AT COST | 32,649,226 | 45,668,472 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| TELEPHONE SYSTEM | 1,363 | 1,363 | 0 | |
| ADDITIONAL LINES | 310 | 310 | 0 | |
| LOCKING FILE CABINET | 266 | 266 | 0 | |
| METAL SHELVING | 119 | 119 | 0 | |
| USED COMPUTER TABLE | 51 | 51 | 0 | |
| LOCKING FILE CABINET | 224 | 224 | 0 | |
| 4 FILE SHELVES | 1,698 | 1,698 | 0 | |
| AVAYA ACS UNIT & 18 DISPLAY SET | 1,679 | 1,679 | 0 | |
| OFFICE FURNITURE - ACCOUNTANT | 4,700 | 4,700 | 0 | |
| OFFICE FURNITURE - RECEPTIONIST | 3,351 | 3,351 | 0 | |
| OFFICE FURNITURE - RECEPTIONIST CHAIR | 167 | 167 | 0 | |
| 16 HON BOARD ROOM CHAIRS | 6,480 | 6,480 | 0 | |
| PAOLI EXECUTIVE FURNITURE | 6,995 | 6,995 | 0 | |
| HON EXEC HIGHBACK CHAIR | 415 | 415 | 0 | |
| PAOLI 16' CONFERENCE TABLE | 5,562 | 5,562 | 0 | |
| PAOLI BUFFET CREDENZA | 3,294 | 3,294 | 0 | |
| HON KEYBOARD TRAY | 54 | 54 | 0 | |
| WORK ROOM CABINETS | 2,950 | 2,950 | 0 | |
| HON STORAGE CABINET | 932 | 932 | 0 | |
| REFRIGERATOR W/ ICEMAKER 14CU | 563 | 560 | 3 | |
| HON EXEC HIGHBACK CHAIR | 436 | 400 | 36 | |
| SAVIN MP2501SP B/W COPIER | 3,465 | 3,465 | 0 | |
| IPAD AIR2 1 LEFT | 686 | 686 | 0 | |
| IPAD AIR2 | 687 | 687 | 0 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| CONTRACT EMPLOYEES | 134,744 | 33,686 | 101,058 | |
| DUES & SUBSCRIPTIONS | 7,635 | 0 | 7,635 | |
| EDUCATION & TRAINING | 359 | 0 | 359 | |
| INSURANCE | 16,004 | 0 | 16,004 | |
| INVESTMENT EXPENSES | 102,044 | 102,044 | 0 | |
| MEALS | 852 | 0 | 852 | |
| MISCELLANEOUS | 600 | 0 | 600 | |
| OFFICE SUPPLIES | 5,467 | 1,368 | 4,099 | |
| POSTAGE & DELIVERY | 691 | 0 | 691 | |
| REPAIRS & MAINTENANCE | 496 | 124 | 372 | |
| COMPUTER/WEBSITE EXPENSE | 9,748 | 0 | 9,748 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| STATE TAX REFUND | 2,550 | 2,550 | 2,550 |
| ALLOCATION OF PARTNERSHIP INVESTMENTS | 3,643,211 | 3,227,398 | 3,643,211 |
| PFIC INCOME | 1,266,205 | 1,266,205 | 1,266,205 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK SERVICES CHARGES | 25 | 25 | 0 | |
| CUSTODY FEES | 60,580 | 60,580 | 0 | |
| INVESTMENT CONSULTING | 209,173 | 209,173 | 0 | |
| OTHER CONSULTING | 6,500 | 6,500 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL EXCISE TAX | 149,584 | 0 | 0 | |
| FOREIGN TAX | 99,771 | 99,771 | 0 | |
| STATE UBI TAX | 7,822 | 0 | 0 | |
| TAX PENALTY | 1,107 | 0 | 0 | |
| FEDERAL UBI TAX | 64,426 | 0 | 0 |