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 04-01-2021 , and ending 03-31-2022
Name of foundation
HANNAH S & SAMUEL COHN MEMORIAL FNDN
C/O ESSA BANK & TRUST
Number and street (or P.O. box number if mail is not delivered to street address)1065 HIGHWAY 315
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILKES BARRE, PA18702
A Employer identification number

23-2500519
B Telephone number (see instructions)

(570) 455-4731
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$7,626,744J 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) 8,100
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 242,073 242,073  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 104,471
b Gross sales price for all assets on line 6a 164,467
7 Capital gain net income (from Part IV, line 2)... 104,471
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........ 354,644 346,544  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 15,879 15,879   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,909 855   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 34,140 34,140   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 51,928 50,874   0
25 Contributions, gifts, grants paid....... 185,580 185,580
26 Total expenses and disbursements. Add lines 24 and 25 237,508 50,874   185,580
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 117,136
b Net investment income (if negative, enter -0-) 295,670
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............. 302,313 342,111 342,111
2 Savings and temporary cash investments.........      
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)....... 2,116,748 Click to see attachment2,137,449 3,428,657
c Investments—corporate bonds (attach schedule)....... 100,877 Click to see attachment100,877 115,944
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,305,575 Click to see attachment2,362,212 3,740,032
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) 4,825,513 4,942,649 7,626,744
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 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........ 1,458,493 1,458,493
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 3,367,020 3,484,156
29 Total net assets or fund balances (see instructions)..... 4,825,513 4,942,649
30 Total liabilities and net assets/fund balances (see instructions). 4,825,513 4,942,649
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
4,825,513
2
Enter amount from Part I, line 27a .....................
2
117,136
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,942,649
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,942,649
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 NOBLE MIDSTREAM PARTNERS LP P 2017-06-01 2021-05-11
b CHEVRON P 2017-06-01 2021-05-25
c AG MRG INVT TR INC P 2018-08-03 2021-07-29
d GERALD LLC - EXCESS DISTRIBUTION P    
e MAGELLAN MIDSTREAM PARTNERS - EXCESS DISTRIBUTION P    
CHOP SUEY P    
  P    
K-1 SHORT TERM GAIN/LOSS P    
1231 GAIN FROM K-1 P    
K-1 LONG TERM GAIN/LOSS P    
K-1 - OTHER INCOME/LOSS P    
K-1 ORDINARY LOSS P    
K-1 RENTAL LOSS P    
LITIGATION SETTLEMENT P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 22,193   47,500 -25,307
b 97     97
c 11     11
d 1,861     1,861
e 17,346     17,346
376     376
      0
36,656     36,656
36,559     36,559
1,963     1,963
12,225     12,225
34,842     34,842
    12,496 -12,496
338     338
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       -25,307
b       97
c       11
d       1,861
e       17,346
      376
      0
      36,656
      36,559
      1,963
      12,225
      34,842
      -12,496
      338
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 2 104,471
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 4,110
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,110
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,160
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,160
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 5
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,955
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 taxBullet   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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletPA
    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 ofbulletESSA BANK Telephone no.bullet (570) 408-8038

    Located atbullet1065 HIGHWAY 315WILKES BARREPA ZIP+4bullet18702
    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
     
    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
    SHELLEY COHN PRESIDENT
    0.00     		0 0 0
    12 EAST BROAD STREET
    HAZLETON,PA18201
    LARRY COHN TREASURER
    0.00     		0 0 0
    12 EAST BROAD STREET
    HAZLETON,PA18201
    CINDY COHN DIRECTOR
    0.00     		0 0 0
    12 EAST BROAD STREET
    HAZLETON,PA18201
    SANDY COHN THAU DIRECTOR
    0.00     		0 0 0
    12 EAST BROAD STREET
    HAZLETON,PA18201
    MARTIN COHN EMERITUS DIRECTOR
    0.00     		0 0 0
    12 EAST BROAD STREET
    HAZLETON,PA18201
    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.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    6,669,181
    b
    Average of monthly cash balances.......................
    1b
    322,209
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,991,390
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    6,991,390
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    104,871
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    6,886,519
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    344,326
    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
    344,326
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,110
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
    1,215
    c
    Add lines 2a and 2b............................
    2c
    5,325
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    339,001
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    339,001
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    339,001
    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 7 339,001
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 169,866
    b From 2017...... 56,239
    c From 2018...... 32,296
    d From 2019...... 105,615
    e From 2020...... 34,936
    f Total of lines 3a through e ........ 398,952
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 185,580
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 185,580
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 153,421 153,421
    (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 5 245,531
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		16,445
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		229,086
    10 Analysis of line 9:
    a Excess from 2017.... 56,239
    b Excess from 2018.... 32,296
    c Excess from 2019.... 105,615
    d Excess from 2020.... 34,936
    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 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
    ABRAMSON SENIOR CARE
    1425 HORSHAM ROAD
    NORTH WALES,PA19454     		NONE PUBLIC UNRESTRICTED 1,000
    ALZHEIMER'S ASSOCIATION
    1100 LIBERTY AVENUE SUITE E201
    PHILADELPHIA,PA15222     		NONE PUBLIC UNRESTRICTED 500
    AMERICAN JEWISH JOINT DISTRIBUTION COMMITTEE
    PO BOX 4124
    NEW YORK,NY10163     		NONE PUBLIC UNRESTRICTED 15,000
    AMERICAN JEWISH WORLD SERVICE
    45 WEST 36TH STREET
    NEW YORK,NY10018     		NONE PUBLIC UNRESTRICTED 2,500
    AMERICAN TECHNION SOCIETY
    55 EAST 59TH STREET
    NEW YORK,NY10022     		NONE PUBLIC UNRESTRICTED 2,500
    ANNE FRANK CENTER FOR MUTUAL RESPECT
    1325 AVENUE OF THE AMERICAS 28TH
    FLOOR
    NEW YORK,NY10019     		NONE PUBLIC UNRESTRICTED 500
    ANTI-DEFAMATION LEAGUE
    605 THIRD AVENUE
    NEW YORK,NY101583560     		NONE PUBLIC UNRESTRICTED 3,700
    ASPCA
    520 EIGHTH AVE 7TH FLOOR
    NEW YORK,NY10018     		NONE PUBLIC UNRESTRICTED 900
    BIRTHRIGHT ISRAEL FOUNDATION
    PO BOX 21615
    NEW YORK,NY10087     		NONE PUBLIC UNRESTRICTED 2,500
    BOULDER JEWISH COMMUNITY CENTER
    6007 OREG AVENUE
    BOULDER,CO80303     		NONE PUBLIC UNRESTRICTED 500
    CAMO RESCUE
    PO BOX 921
    PINEHURST,TX77362     		NONE PUBLIC UNRESTRICTED 1,800
    CAMP RAMAH IN THE POCONOS
    2100 ARCH ST
    PHILADELPHIA,PA19103     		NONE PUBLIC UNRESTRICTED 2,500
    CEO WEINBERG NORTHEAST REGIONAL FOOD BANK
    165 AMBER LANE PO BOX 1127
    WILKES BARRE,PA187031127     		NONE PUBLIC UNRESTRICTED 1,000
    CHABAD OF LAGUNA BEACH
    30804 SOUTH COAST HIGHWAY
    LAGUNA BEACH,CA92651     		NONE PUBLIC UNRESTRICTED 500
    COLORECTAL CANCER ALLIANCE INC
    1025 VERMONT AVENUE NW SUITE 1066
    WASHINGTON,DC20005     		NONE PUBLIC UNRESTRICTED 900
    DANA FARBER CANCER INSTITUTE
    10 BROOKLINE PLACE WEST
    BROOKLINE,MA024457226     		NONE PUBLIC UNRESTRICTED 2,000
    DOWNTOWN HAZLETON ALLIANCE FOR PROGRESS - BANKING ON THE ARTS CAMPAIGN
    8 WEST BROAD STREET SUITE M-1490
    HAZLETON,PA18201     		NONE PUBLIC UNRESTRICTED 2,500
    EASTER SEALS OF EASTERN PENNSYLVANIA
    1501 LEHIGH STREET SUITE 201
    ALLENTOWN,PA18103     		NONE PUBLIC UNRESTRICTED 1,800
    EMMA'S TORCH
    257 15TH STREET - SUITE 404
    BROOKLYN,NY11215     		NONE PUBLIC UNRESTRICTED 2,800
    EXPONENT PHILANTHROPY
    PO BOX 65607
    WASHINGTON,DC200355607     		NONE PUBLIC UNRESTRICTED 780
    FACING HISTORY AND OURSELVES
    16 HURD ROAD
    BROOKLINE,MA02445     		NONE PUBLIC UNRESTRICTED 1,000
    FAMILY SERVICE ASSOCIATION OF NORTHEASTERN PENNSYLVANIA
    31 WEST MARKET STREET
    WILKES BARRE,PA187012492     		NONE PUBLIC UNRESTRICTED 1,000
    FEEDING AMERICA
    PO BOX 96749
    WASHINGTON,DC200777746     		NONE PUBLIC UNRESTRICTED 2,500
    FOOTSTEPS INC
    114 JOHN STREET 930
    NEW YORK,NY10272     		NONE PUBLIC UNRESTRICTED 3,000
    HAZLETON INTEGRATION PROJECT
    225 EAST 4TH STREET
    HAZLETON,PA18201     		NONE PUBLIC UNRESTRICTED 2,500
    HIAS DEVELOPMENT DEPARTMENT
    411 FIFTH AVENUE SUITE 1006
    NEW YORK,NY10016     		NONE PUBLIC UNRESTRICTED 5,000
    HILLEL JEWISH UNIVERSITY CENTER
    4607 FORBES AVENUE
    PITTSBURGH,PA15213     		NONE PUBLIC UNRESTRICTED 1,800
    UNITED SYNAGOGUE YOUTH CO USCJ
    3080 BROADWAY
    NEW YORK,NY10025     		NONE PUBLIC UNRESTRICTED 2,500
    JEWISH FAMILY SERVICE OF NORTHEAST PENNSLVANIA
    615 JEFFERSON AVE SUITE 204
    SCRANTON,PA18510     		NONE PUBLIC UNRESTRICTED 1,000
    JEWISH HOUSING COUNCIL FOUNDATION
    1951 NORTH HONORE AVENUE
    SARASOTA,FL342359117     		NONE PUBLIC UNRESTRICTED 5,000
    JEWISH PARTISAN EDUCATIONAL FOUNDATION
    PO BOX 159004
    SAN FRANCISCO,CA94115     		NONE PUBLIC UNRESTRICTED 1,000
    JEWISH THEOLOGICAL SEMINARY DEVELOPMENT OFFICE
    3080 BROADWAY
    NEW YORK,NY10027     		NONE PUBLIC UNRESTRICTED 20,000
    JEWISH UNITED FUND OF METROPOLITAN CHICAGO
    30 SOUTH WELLS STREET
    CHICAGO,IL60606     		NONE PUBLIC UNRESTRICTED 900
    JFREJ COMMUNITY
    PO BOX 180220
    BROOKLYN,NY11218     		NONE PUBLIC UNRESTRICTED 3,600
    KESHET THE SANDY & GLENDA MASON ADMIN OFFICES
    600 ACADEMY DRIVE SUITE 130
    NORTHBROOK,IL60062     		NONE PUBLIC UNRESTRICTED 500
    LAGUNA FOOD PANTRY
    32036 SUNSET AVE
    LAGUNA BEACH,CA92651     		NONE PUBLIC UNRESTRICTED 500
    LUBAVITCH OF BUCKS COUNTY ATTN RABBI PRUS
    300 EAST SWAMP ROAD
    DOYLESTOWN,PA18901     		NONE PUBLIC UNRESTRICTED 1,000
    MASORTI FOUNDATION FOR CONSERVATIVE JUDAISM IN ISRAEL
    475 RIVERSIDE DRIVE SUITE 832
    NEW YORK,NY100150122     		NONE PUBLIC UNRESTRICTED 1,000
    MAZON
    PO BOX 96119
    WASHINGTON,DC20090     		NONE PUBLIC UNRESTRICTED 8,600
    MECHON HADAR ATTN ELSIE KAUNFER
    190 AMSTERDAM AVENUE
    NEW YORK,NY10023     		NONE PUBLIC UNRESTRICTED 1,800
    MMI PREPARATORY SCHOOL
    154 CENTRE STREET
    FREELAND,PA18224     		NONE PUBLIC UNRESTRICTED 1,000
    MOISHE HOUSE
    5802 MONROE ROAD
    CHARLOTTE,NC28212     		NONE PUBLIC UNRESTRICTED 2,500
    NECHAMA - JEWISH DISASTER RECOVERY
    4330 CEDAR LAKE ROAD SOUTH
    ST LOUIS PARK,MN55416     		NONE PUBLIC UNRESTRICTED 1,000
    NER ISRAEL RABBINCAL COLLEGE
    400 MOUNT WILSON LANE
    BALTIMORE,MD21208     		NONE PUBLIC UNRESTRICTED 1,000
    PENN STATE HAZLETON
    2583 GATEWAY DRIVE SUITE 130
    STATE COLLEGE,PA168013098     		NONE PUBLIC UNRESTRICTED 10,000
    PENN STATE HILLEL
    114-117 PASQUERILLA SPIRITUAL
    CENTER
    UNIVERSITY PARK,PA16802     		NONE PUBLIC UNRESTRICTED 5,000
    PJ LIBRARY
    67 HUNT STREET SUITE 100
    AGAWAM,MA01001     		NONE PUBLIC UNRESTRICTED 4,300
    PLANNED PARENTHOOD FEDERATION OF AMERICA
    PO BOX 91766
    WASHINGTON,DC200907166     		NONE PUBLIC UNRESTRICTED 900
    SAY THE STUTTERING ASSOCIATION FOR THE YOUNG
    247 WEST 37TH STREET 5TH FLOOR
    NEW YORK,NY10018     		NONE PUBLIC UNRESTRICTED 2,500
    SCHECHTER INSTITUTE
    BOX 3566 PO BOX 8500
    PHILADELPHIA,PA191783566     		NONE PUBLIC UNRESTRICTED 9,500
    SCOPE
    108 WEST 39TH STREETSTE 1500
    NEW YORK,NY10018     		NONE PUBLIC UNRESTRICTED 2,500
    SIMON WEISENTHAL CENTER
    1399 SOUTH ROXBURY DRIVE
    LOS ANGELES,CA90035     		NONE PUBLIC UNRESTRICTED 900
    THE CAN DO COMMUNITY FOUNDATION
    1 SOUTH CHURCH STREET 200 RENAISSAN
    E CTR
    HAZLETON,PA182016288     		NONE PUBLIC UNRESTRICTED 2,500
    THE FRESH AIR FUND
    633 THIRD AVENUE 14TH FLOOR
    NEW YORK,NY10017     		NONE PUBLIC UNRESTRICTED 1,000
    THE ISRAEL FREE LOAN ASSOCIATION
    2330 MILTON ROAD
    UNIVERSITY HEIGHTS,OH44118     		NONE PUBLIC UNRESTRICTED 2,500
    THE JEWISH HOME OF EASTERN PENNSYLVANIA
    1101 VINE STREET
    SCRANTON,PA18510     		NONE PUBLIC UNRESTRICTED 2,500
    THE TREE OF LIFE OR L'SIMCHA CONGREGATION
    5898 WILKINS AVENUE
    PITTSBURGH,PA15217     		NONE PUBLIC UNRESTRICTED 1,000
    UJA MODEL SEDER ATTN DINA SHUSTER
    6900 JERICHO TURNPIKE
    SYOSSET,NY11791     		NONE PUBLIC UNRESTRICTED 500
    UNITED WAY OF GREATER HAZLETON
    134 SOUTH WYOMING STREET
    HAZLETON,PA182017083     		NONE PUBLIC UNRESTRICTED 5,000
    UNIVERSITY OF COLORADO - PROGRAM OF JEWISH STUDIES
    PO BOX 17126
    DENVER,CO802179155     		NONE PUBLIC UNRESTRICTED 500
    VISIBLE MEN ACADEMY
    921 63RD AVENUE EAST
    BRADENTON,FL34203     		NONE PUBLIC UNRESTRICTED 1,000
    VOLUNTEERS IN MEDICINE
    190 NORTH PENNSYLVANIA AVENUE
    WILKES BARRE,PA187012492     		NONE PUBLIC UNRESTRICTED 1,500
    YIDDISH BOOK CENTER ATTN AARON LANSKY
    1021 WEST STREET
    AMHERST,MA010023375     		NONE PUBLIC UNRESTRICTED 500
    AMERICAN FRIENDS OF THE ISRAEL DEFENSE FORCES (IDF)
    PO BOX 4224
    NEW YORK,NY10163     		NONE PUBLIC UNRESTRICTED 2,500
    DOROT INC
    171 WEST 85TH STREET
    NEW YORK,NY10024     		NONE PUBLIC UNRESTRICTED 900
    ESHEL
    115 EAST 23RD STREET 3RD FLOOR -
    1547
    NEW YORK,NY10018     		NONE PUBLIC UNRESTRICTED 1,800
    LAKEVIEW FOOD PANTRY
    3945 NORTH SHERIDAN ROAD
    CHICAGO,IL60613     		NONE PUBLIC UNRESTRICTED 900
    MARTHA'S TABLE
    PO BOX 70970
    WASHINGTON,DC20024     		NONE PUBLIC UNRESTRICTED 900
    NATIONAL INDEPENDENT VENUE FOUNDATION
    1 PENN PLAZA 6263
    NEW YORK,NY10119     		NONE PUBLIC UNRESTRICTED 1,800
    NEW ISRAEL FUND
    PO BOX 70358
    PHILADELPHIA,PA191760358     		NONE PUBLIC UNRESTRICTED 1,800
    NEW YORK RAMBLERS SCHOLARSHIP
    320 WEST 30 STREET APT 7J
    NEW YORK,NY10001     		NONE PUBLIC UNRESTRICTED 1,800
    ROCHESTER EDUCATION FOUNDATION - DOLLY PARTON'S IMAGINATION LIBRARY
    250 MILL STREET SUITE 400
    ROCHESTER,NY14614     		NONE PUBLIC UNRESTRICTED 1,800
    ST JUDE'S
    501 ST JUDE PLACE
    MEMPHIS,TN38105     		NONE PUBLIC UNRESTRICTED 900
    UNIVERSITY OF COLORADO HILLEL IN MEMORY OF SANDY COHN
    2795 COLORADO AVE
    DENVER,CO80302     		NONE PUBLIC UNRESTRICTED 500
    Total .................................bullet 3a 185,580
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    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 ............     		        104,471
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 242,073 104,471
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    346,544
    (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.)
    11 INVESTMENTS IN PASSTHROUGH ENTITIES TO GENERATE REVENUE
    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 InvestmentsCorpBondsSchedule
    Name:
    HANNAH S & SAMUEL COHN MEMORIAL FNDN
     
    C/O ESSA BANK & TRUST
    EIN:
    23-2500519
    Name of Bond End of Year Book Value End of Year Fair Market Value
    115,000 AMERICAN EXPRESS 100,877 115,944

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HANNAH S & SAMUEL COHN MEMORIAL FNDN
     
    C/O ESSA BANK & TRUST
    EIN:
    23-2500519
    Name of Stock End of Year Book Value End of Year Fair Market Value
    1,203 SHS BANK OF AMERICA CORP 28,179 49,588
    24,800 KINDER MORGAN 349,106 468,968
    1,978 TARGA RESOURCE PARTNERS LP 64,917 149,280
    750 HOME DEPOT INC 116,168 224,498
    1,000 JP MORGAN CHASE 85,104 136,320
    1,500 MGM GROWTH PROPERTIES 42,435 58,050
    500 MERCK & CO INC 31,117 41,025
    2,000 MICROSOFT CORP 141,538 616,620
    500 BRISTOL MYERS SQUIBB 27,804 36,515
    2,000 BLACKSTONE GROUP LP 65,674 253,880
    499 AG MTG 28,904 4,641
    1000 AMERICAN POWER 77,319 99,770
    1892 ANTERO 28,003 20,566
    500 BLACKSTONE MTG TRUST 16,708 15,895
    500 DIGITAL REALTY TRUST 61,535 70,900
    1000 FIRST ENEGRY CORP 36,605 45,860
    2000 HESS MIDSTREAM 35,147 60,000
    1000 MCDONALDS CORP 152,939 247,280
    1000 ONEOK 62,071 70,630
    2000 PP&L CORP 62,739 57,120
    1500 VERIZON 82,384 76,410
    7840 WILLIAMS PIPELINE 236,904 261,934
    SPIRIT REALTY CAPITAL INC 54,867 51,773
    1000 AMGEN INC 168,244 241,820
    1500 AT&T 58,845 35,445
    208 CHEVRON CORP 22,193 33,869

    TY 2021 InvestmentsOtherSchedule2
    Name:
    HANNAH S & SAMUEL COHN MEMORIAL FNDN
     
    C/O ESSA BANK & TRUST
    EIN:
    23-2500519
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    126,733 GERALD III FMV 25,054 26,046
    7,609 ENERGY TRANFER PARTNERS FMV 65,406 85,145
    188,000 GERALD II LLC FMV 7,741 1,316
    25,000 FAMILY PARTNERSHIP @ KNBT FMV 25,243 12,823
    202,125 GERALD L COHN II LP FMV 30,832 107,323
    291,000 100 WYOMING FMV 20,479 12,368
    185,900 COHN II FMV 306 113
    188,000 CHOP SUEY FMV 0 3,854
    14 VANGUARD NATURAL RESOURCES FMV 9,161 0
    185,000 GERALD IV FMV 124,073 142,820
    96,250 GEMS I LLC FMV 36,966 41,147
    204,408 GEMS II LLC FMV 103,535 111,055
    150,000 GEMS III LLC FMV 78,310 91,365
    150,000 GEMS IV LLC FMV 102,040 103,560
    125,000 GEMS V LLV FMV 116,047 125,000
    2,500 CHENIERE ENERGY PARTNERS FMV 14,757 140,900
    100 WYOMING II FMV 96,696 101,904
    500 CRESTWOOD FMV 5,107 14,960
    1000 DCP MIDSTREAM FMV 16,264 33,560
    5840 ENBRIDGE FMV 195,339 269,166
    2300 ENLINK MIDSTREAM FMV 24,587 22,195
    1250 ENVIVA FMV 15,860 98,938
    1000 GASLOG PARTNERS FMV 20,368 5,750
    3770 MPLX LP FMV 28,999 125,089
    2000 ROYAL DUTCH SHELL FMV 125,246 109,860
    1525 WESTERN GAS FMV 17,192 38,461
    TC ENERGY CORP FMV 49,648 174,902
    RATTLER MIDSTREAM LP FMV 15,368 13,970
    1000 CENTERPOINT ENERGY INC FMV 29,449 30,640
    GEMS VI FMV 59,911 126,098
    GEMS VII FMV 183,154 194,140
    GEMS VIII FMV 214,365 224,378
    GEMS IX FMV 117,842 119,858
    GERALD V FMV 133,758 159,762
    6100 EQUITRANS MIDSTREAM CORP FMV 88,814 51,484
    141,000 COHN TRUST AT KNBT FMV 0 10,448
    15,000 ENTERPRISE PRODUCTS FMV 0 387,150
    149,998 GEMS X LLC FMV 152,659 158,983
    10,000 GEMS XI LLC FMV 10,144 0
    GERALD LLC FMV 0 1,860
    4,200 MAGELLAN MIDSTREAM PARTNERS FMV 0 206,094
    50 ORGANON & CO CORP COMMON FMV 1,492 1,747
    PLAINS ALL AMERICAN PIPELINE FMV 0 53,800

    TY 2021 OtherExpensesSchedule
    Name:
    HANNAH S & SAMUEL COHN MEMORIAL FNDN
     
    C/O ESSA BANK & TRUST
    EIN:
    23-2500519
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSE 31,785 31,785   0
    NON DEDUCTIBLE EXPENSES 2,355 2,355   0


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    HANNAH S & SAMUEL COHN MEMORIAL FNDN
     
    C/O ESSA BANK & TRUST
    EIN:
    23-2500519
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TRUSTEE FEES 15,879 15,879   0


    TY 2021 TaxesSchedule
    Name:
    HANNAH S & SAMUEL COHN MEMORIAL FNDN
     
    C/O ESSA BANK & TRUST
    EIN:
    23-2500519
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX 855 855   0
    EXCISE TAX 1,054 0   0