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
YAFFA FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)27 CEDAR CREST RD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SOUTHAMPTON, NY11968
A Employer identification number

82-3804160
B Telephone number (see instructions)

(212) 840-3456
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$2,956,729
J 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) 0
2 Check bullet.............
3 Interest on savings and temporary cash investments 12,728 12,728  
4 Dividends and interest from securities... 50,642 50,642  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 318,470
b Gross sales price for all assets on line 6a 2,790,466
7 Capital gain net income (from Part IV, line 2)... 318,470
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........ 381,840 381,840  
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)....... 6,250 3,125   3,125
c Other professional fees (attach schedule).... 23,472 23,472   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 3,250 0   250
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 54 54   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 33,026 26,651   3,375
25 Contributions, gifts, grants paid....... 1,040,185 1,040,185
26 Total expenses and disbursements. Add lines 24 and 25 1,073,211 26,651   1,043,560
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -691,371
b Net investment income (if negative, enter -0-) 355,189
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............. 223,948 37,123 37,123
2 Savings and temporary cash investments.........   257 257
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) 216,930 Click to see attachment496,189 470,851
b Investments—corporate stock (attach schedule)....... 2,170,997 Click to see attachment1,615,994 2,005,107
c Investments—corporate bonds (attach schedule)....... 224,437 Click to see attachment284,111 272,333
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 445,050 Click to see attachment156,317 171,058
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) 3,281,362 2,589,991 2,956,729
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........ 3,793,830 3,793,830
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds -512,468 -1,203,839
29 Total net assets or fund balances (see instructions)..... 3,281,362 2,589,991
30 Total liabilities and net assets/fund balances (see instructions). 3,281,362 2,589,991
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
3,281,362
2
Enter amount from Part I, line 27a .....................
2
-691,371
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,589,991
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
2,589,991
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 CAPITAL GAIN DISTRIBUTIONS P 2022-01-01 2022-11-30
b SANDS CAPITAL GLOBAL GROWTH FUND INVESTOR CL FUND P 2018-08-15 2021-12-07
c SANDS CAPITAL GLOBAL GROWTH FUND INVESTOR CL FUND P 2018-12-20 2021-12-07
d SANDS CAPITAL GLOBAL GROWTH FUND INVESTOR CL FUND P 2019-12-19 2021-12-07
e SANDS CAPITAL GLOBAL GROWTH FUND INVESTOR CL FUND P 2020-12-22 2021-12-07
MELROSE INDUSTRIES PLC ORD P 2021-07-14 2021-12-16
MELROSE INDUSTRIES PLC ORD P 2021-07-15 2021-12-16
TOUCHSTONE LARGE COMPANY FUND CLASS Y P 2021-12-09 2022-02-17
TOUCHSTONE LARGE COMPANY FUND CLASS Y P 2021-12-09 2022-02-17
TOUCHSTONE LARGE COMPANY FUND CLASS Y P 2020-12-10 2022-02-17
TOUCHSTONE LARGE COMPANY FUND CLASS Y P 2020-12-10 2022-02-17
TOUCHSTONE LARGE COMPANY FUND CLASS Y P 2020-02-20 2022-02-17
AON PLC P 2021-02-05 2022-02-23
AON PLC P 2020-08-12 2022-02-23
BROWN ADVISORY SUSTAINABLE GROWTH FD INST SHS P 2021-12-14 2022-02-23
BROWN ADVISORY SUSTAINABLE GROWTH FD INST SHS P 2021-12-14 2022-02-23
BROWN ADVISORY SUSTAINABLE GROWTH FD INST SHS P 2019-12-16 2022-02-23
BROWN ADVISORY SUSTAINABLE GROWTH FD INST SHS P 2018-08-15 2022-02-23
BROWN ADVISORY SUSTAINABLE GROWTH FD INST SHS P 2018-12-17 2022-02-23
BROWN ADVISORY SUSTAINABLE GROWTH FD INST SHS P 2018-12-17 2022-02-23
SPDR S&P 500 ETF TR TR UNIT P 2021-12-07 2022-02-28
APPLE INC P 2019-02-01 2022-02-28
MICROSOFT CORP P 2018-08-22 2022-02-28
MICROSOFT CORP P 2018-09-18 2022-02-28
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-03-02 2022-03-24
BUILDERS FIRSTSOURCE INC P 2021-08-17 2022-04-18
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-03-02 2022-04-26
CME GROUP INC P 2020-09-21 2022-04-27
JP MORGAN CHASE & CO PFD 5.75% P 2019-02-08 2022-05-03
JP MORGAN CHASE & CO PFD 5.75% P 2019-02-08 2022-05-04
APPLE INC P 2019-02-01 2022-05-12
AMERICAN EXPRESS CO P 2018-08-15 2022-05-12
GRAPHIC PACKAGING HOLDING CO P 2021-03-08 2022-05-23
GRAPHIC PACKAGING HOLDING CO P 2021-03-05 2022-05-24
GRAPHIC PACKAGING HOLDING CO P 2021-03-08 2022-05-24
SHERWIN WILLIAMS CO SR GLBL NT P 2019-06-12 2022-06-01
CNX RESOURCES CORP P 2020-12-03 2022-06-14
WAL-MART STORES INC P 2020-12-15 2022-07-20
WAL-MART STORES INC P 2021-02-05 2022-07-20
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-03-02 2022-07-27
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-03-02 2022-08-08
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-03-02 2022-08-12
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-03-15 2022-08-12
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-04-18 2022-08-12
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-05-16 2022-08-12
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-06-15 2022-08-12
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-07-15 2022-08-12
CME GROUP INC P 2020-09-21 2022-08-24
SPDR S&P 500 ETF TR TR UNIT P 2021-12-07 2022-08-25
CONSTELLIUM SE P 2021-05-11 2022-09-26
CONSTELLIUM SE P 2021-05-05 2022-09-27
CONSTELLIUM SE P 2021-05-11 2022-09-27
CITIGROUP INC P 2018-08-15 2022-10-03
GODADDY INC CL A P 2021-11-22 2022-10-11
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-10-13 2022-11-09
SCHWAB TREASURY OBLIGATIONS MONEY FUND P 2022-10-13 2022-11-14
JPMORGAN CHASE & CO P 2018-08-15 2022-11-22
PFIZER INC P 2018-09-18 2021-11-29
(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 28,377     28,377
b 173,722   106,237 67,485
c 16,112   7,901 8,211
d 11,336   6,956 4,380
e 6,687   5,987 700
52,826   65,794 -12,968
23,366   28,455 -5,089
21,484   24,828 -3,344
3,400   3,929 -529
547   614 -67
13,638   15,293 -1,655
103,970   114,500 -10,530
35,902   27,465 8,437
34,193   23,226 10,967
559   683 -124
2,905   3,549 -644
1,373   963 410
176,807   106,281 70,526
359   190 169
6,197   3,282 2,915
113,224   122,093 -8,869
65,638   16,627 49,011
44,306   15,971 28,335
14,769   5,634 9,135
300,000   300,000 0
54,736   45,032 9,704
20,000   20,000 0
27,134   19,888 7,246
46,797   49,017 -2,220
24,685   25,873 -1,188
42,265   12,470 29,795
85,835   56,450 29,385
40,587   34,358 6,229
29,448   24,616 4,832
36,930   31,994 4,936
75,000   75,000 0
46,747   20,812 25,935
40,903   45,259 -4,356
65,549   71,674 -6,125
70,000   70,000 0
100,000   100,000 0
210,000   210,000 0
2   2 0
4   4 0
51   51 0
142   142 0
381   381 0
2,967   2,486 481
78,746   88,412 -9,666
11,548   20,390 -8,842
7,758   12,801 -5,043
8,837   15,127 -6,290
64,715   104,201 -39,486
97,939   90,398 7,541
20,000   20,000 0
80,000   80,000 0
68,476   57,603 10,873
80,587   61,097 19,490
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       28,377
b       67,485
c       8,211
d       4,380
e       700
      -12,968
      -5,089
      -3,344
      -529
      -67
      -1,655
      -10,530
      8,437
      10,967
      -124
      -644
      410
      70,526
      169
      2,915
      -8,869
      49,011
      28,335
      9,135
      0
      9,704
      0
      7,246
      -2,220
      -1,188
      29,795
      29,385
      6,229
      4,832
      4,936
      0
      25,935
      -4,356
      -6,125
      0
      0
      0
      0
      0
      0
      0
      0
      481
      -9,666
      -8,842
      -5,043
      -6,290
      -39,486
      7,541
      0
      0
      10,873
      19,490
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 2 318,470
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 4,937
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 4,937
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 3,307
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 3,307
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,630
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
 
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)
    bulletNY
    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 ofbulletKATHLEEN KING Telephone no.bullet (212) 840-3456

    Located atbullet27 CEDAR CREST ROADSOUTHAMPTONNY ZIP+4bullet11968
    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
    KATHLEEN KING PRESIDENT
    1.00
    0 0 0
    27 CEDAR CREST ROAD
    SOUTHAMPTON,NY11968
    JUSTIN FRIEDMAN TREASURER
    1.00
    0 0 0
    2 NORTHSIDE PIERS 8A
    BROOKLYN,NY11249
    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
    3,267,810
    b
    Average of monthly cash balances.......................
    1b
    149,855
    c
    Fair market value of all other assets (see instructions)................
    1c
    162,584
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,580,249
    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
    3,580,249
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    53,704
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    3,526,545
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    176,327
    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
    176,327
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,937
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,937
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    171,390
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    171,390
    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
    171,390
    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 7 171,390
    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......  
    b From 2017...... 159,066
    c From 2018......  
    d From 2019......  
    e From 2020...... 383,713
    f Total of lines 3a through e ........ 542,779
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,043,560
    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..... 171,390
    e Remaining amount distributed out of corpus 872,170
    5 Excess distributions carryover applied to 2021. 0 0
    (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 1,414,949
    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) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    1,414,949
    10 Analysis of line 9:
    a Excess from 2017.... 159,066
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020.... 383,713
    e Excess from 2021.... 872,170
    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).)
    KATHLEEN KING
    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
    ADVENTURE CYCLING ASSOCIATION
    PO BOX 8308
    MISSOULA,MT59807
    NONE PC GENERAL PURPOSE 1,000
    ANIMAL RESCUE FUND OF THE HAMPTONS
    124 DANIELS HOLE RD 2616
    EAST HAMPTON,NY11937
    NONE PC GENERAL PURPOSE 10,000
    BAY STREET THEATER
    PO BOX 810
    SAG HARBOR,NY11963
    NONE PC GENERAL PURPOSE 10,000
    BELLA ABZUG LEADERSHIP INSTITUTE
    1 BOND STREET 5A
    NEW YORK,NY10012
    NONE PC GENERAL PURPOSE 50,000
    BPEACE
    1959 N PEACE HAVEN RD 314
    WINSTON,NC11932
    NONE PC GENERAL PURPOSE 10,000
    BRIDGEHAMPTON CHILD CARE & RECREATIONAL CENTER
    PO BOX 1197
    BRIDGEHAMPTON,NY11932
    NONE PC GENERAL PURPOSE 10,000
    CITIZENS 4 HUMANITY
    73 FOSTER AVENUE
    HAMPTON BAYS,NY11946
    NONE PC GENERAL PURPOSE 10,000
    EAST END FOOD INSTITUTE
    PO BOX 356
    SOUTHAMPTON,NY11969
    NONE PC GENERAL PURPOSE 78,700
    EAST END HOSPICE
    481 WESTHAMPTON-RIVERHEAD ROAD
    WESTHAMPTON BEACH,NY11978
    NONE PC GENERAL PURPOSE 10,000
    FAMILY SERVICE LEAGUE
    790 PARK AVE
    HUNTINGTON,NY11743
    NONE PC GENERAL PURPOSE 50,000
    FLYING POINT FOUNDATION FOR AUTISM
    25 FARMSTEAD LANE
    WATER MILL,NY11976
    NONE PC GENERAL PURPOSE 5,000
    FRIENDS OF ROGERS MEMORIAL LIBRARY
    PO BOX 210
    SOUTHAMPTON,NY11969
    NONE PC GENERAL PURPOSE 2,500
    GIMME SHELTER ANIMAL RESCUE
    PO BOX 578
    SAGAPONACK,NY11962
    NONE PC GENERAL PURPOSE 5,000
    HAMPTONS COMMUNITY OUTREACH
    PO BOX 838
    BRIDGEHAMPTON,NY11932
    NONE PC GENERAL PURPOSE 10,000
    HEART OF THE HAMPTONS
    1 ROSES GROVE ROAD
    SOUTHAMPTON,NY11968
    NONE PC GENERAL PURPOSE 20,000
    HEARTSPACE MOAB
    125 EAST 200 NORTH
    MOAB,UT84532
    NONE PC GENERAL PURPOSE 1,000
    HERO FUND AMERICA INC
    PO BOX 81
    SHARON SPRINGS,NY13459
    NONE PC GENERAL PURPOSE 5,000
    INSPIRATIONAL TRIATHLON RACING INTERNATIONAL ORG
    PO BOX 567
    EAST HAMPTON,NY11937
    NONE PC GENERAL PURPOSE 100,000
    MAKING HEADWAY FOUNDATION
    115 KING STREET
    CHAPPAQUA,NY10514
    NONE PC GENERAL PURPOSE 1,000
    NEW YORK MARINE RESCUE CENTER
    467 E MAIN STREET
    RIVERHEAD,NY11901
    NONE PC GENERAL PURPOSE 10,000
    NORTH SEA FIRE DEPARTMENT
    PO BOX 209
    WATER MILL,NY11976
    NONE PC GENERAL PURPOSE 5,000
    OLA OF EASTERN LONG ISLAND
    PO BOX 278
    SAGAPONACK,NY11962
    NONE PC GENERAL PURPOSE 10,000
    PARRISH ART MUSEUM
    279 MONTAUK HWY
    WATER MILL,NY11976
    NONE PC GENERAL PURPOSE 10,000
    PAUL KOSTER MEMORIAL FUND
    35 ROBIN HOOD LANE
    SOUTHAMPTON,NY11968
    NONE PC GENERAL PURPOSE 1,000
    PECONIC COMMUNITY SCHOOL
    PO BOX 273
    AQUEBOGUE,NY11931
    NONE PC GENERAL PURPOSE 10,000
    PECONIC LAND TRUST INC
    296 HAMPTON ROAD
    SOUTHAMPTON,NY11968
    NONE PC GENERAL PURPOSE 247,985
    PROJECT MOST INC
    PO BOX 1486
    EAST HAMPTON,NY11937
    NONE PC GENERAL PURPOSE 10,000
    QUOGUE WILDFIRE REFUGE
    3 OLD COUNTRY ROAD PO BOX 492
    QUOGUE,NY11959
    NONE PC GENERAL PURPOSE 2,500
    RETREAT INC
    13 GOODFRIEND DRIVE
    EAST HAMPTON,NY11937
    NONE PC GENERAL PURPOSE 11,000
    SAG HARBOR CINEMA ARTS CENTER
    PO BOX 152
    SAG HARBOR,NY11963
    NONE PC GENERAL PURPOSE 10,000
    SAG HARBOR PARTNERSHIP
    PO BOX 182
    SAG HARBOR,NY11963
    NONE PC GENERAL PURPOSE 100,000
    SHINNECOCK SUBSTANCE ABUSE MOBILIZATION PROJECT
    PO BOX 5006 100 CHURCH ST
    SOUTHAMPTON,NY11969
    NONE PC GENERAL PURPOSE 25,000
    SOUTH FORK BAKERY FOR THE SPECIAL NEEDS LLC
    3333 NOYAC ROAD
    SAG HARBOR,NY11963
    NONE PC GENERAL PURPOSE 10,000
    SOUTHAMPTON AFRICAN AMERICAN MUSEUM
    245 NORTH SEA ROAD PO BOX 2263
    SOUTHAMPTON,NY11969
    NONE PC GENERAL PURPOSE 1,000
    SOUTHAMPTON ANIMAL SHELTER
    PO BOX 696
    HAMPTON BAYS,NY11946
    NONE PC GENERAL PURPOSE 5,000
    SOUTHAMPTON ARTS CENTER
    25 JOBS LANE
    SOUTHAMPTON,NY11968
    NONE PC GENERAL PURPOSE 10,000
    SOUTHAMPTON FRESH AIR HOME
    36 BARKERS ISLAND ROAD
    SOUTHAMPTON,NY11968
    NONE PC GENERAL PURPOSE 10,000
    SOUTHAMPTON HISTORY MUSEUM
    17 MEETING HOUSE LANE
    SOUTHAMPTON,NY11968
    NONE PC GENERAL PURPOSE 10,000
    SOUTHAMPTON TOWN AQUATICS &RECREATION CORP
    PO BOX 939
    SOUTHAMPTON,NY11969
    NONE PC GENERAL PURPOSE 50,000
    SPOONS ACROSS AMERICA
    630 NINTH AVE SUITE 212
    NEW YORK,NY10036
    NONE PC GENERAL PURPOSE 5,000
    STONE BARNS CENTER FOR FOOD AND AGRICULTURE
    630 BEDFORD RD
    TARRYTOWN,NY10591
    NONE PC GENERAL PURPOSE 2,500
    STONY BROOK FOUNDATION
    239 MONTAUK HWY
    SOUTHAMPTON,NY10591
    NONE PC GENERAL PURPOSE 50,000
    SUN RIVER HEALTH FOUNDATION
    55 SOUTH BROADWAY
    TARRYTOWN,NY10591
    NONE PC GENERAL PURPOSE 2,500
    SUNY COBLESKILL FOUNDATION
    KNAPP HALL 211
    COBLESKILL,NY12043
    NONE PC GENERAL PURPOSE 20,000
    THE ELLEN HERMANSON FOUNDATION
    PO BOX 4098
    EAST HAMPTON,NY11937
    NONE PC GENERAL PURPOSE 10,000
    THE WATERMILL MUSEUM
    PO BOX 63
    WATER MILL,NY11976
    NONE PC GENERAL PURPOSE 1,000
    WORLD CENTRAL KITCHEN
    200 MASSACHUSETTS AVE NW 7THFLOOR
    WASHINGTON,WA20001
    NONE PC GENERAL PURPOSE 10,000
    YMCA OF GREATER ROCHESTER
    444 EAST MAIN STREET
    ROCHESER,NY14604
    NONE PC GENERAL PURPOSE 1,500
    Total .................................bullet 3a 1,040,185
    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 ...........
        14 12,728  
    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 ............
        18 318,470  
    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) .. 0 381,840 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    381,840
    (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:
    YAFFA FOUNDATION INC
    EIN:
    82-3804160
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING, CONSULTING & TAX PREPARATION FEES 6,250 3,125   3,125

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    YAFFA FOUNDATION INC
    EIN:
    82-3804160
    Name of Bond End of Year Book Value End of Year Fair Market Value
    GOLDMAN SACHS GROUP INC FIXED TO FLOAT 74,453 72,750
    ORACLE CORP 74,638 71,434
    THE GOLDMAN SACHS G 4%23 70,010 68,417
    DOW CHEMICAL CO 5.05%52 DUE DATE 08/15/52 65,010 59,732

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    YAFFA FOUNDATION INC
    EIN:
    82-3804160
    Name of Stock End of Year Book Value End of Year Fair Market Value
    BANK AMER CORP PFD 5.375% 80,015 71,872
    BERKSHIRE HATHAWAY CLASS B 91,214 126,166
    GOLDMAN SACHS GROUP INC 44,915 84,953
    JOHNSON & JOHNSON 106,282 145,960
    AMAZON.COM INC 138,759 96,540
    MASTERCARD INC CL A 26,661 44,906
    VISA INC COM CL A 29,654 44,268
    MONDELEZ INTL INC CL A 78,986 121,698
    ALPHABET INC CL C 121,305 202,900
    JPMORGAN CHASE & CO PFD 4.55% 80,010 62,400
    META PLATFORMS INC 84,166 55,743
    U.S. BANCORP 4% PFD 87,510 62,685
    AMERICAN EXPRESS CO 43,524 67,921
    APPLE INC 37,411 133,227
    CHARLES SCHWAB CORP 44,741 45,232
    JPMORGAN CHASE & CO 56,012 68,123
    MICROSOFT CORP 79,856 191,355
    MOHAWK INDUSTRIES 98,975 79,240
    O REILLY AUTOMOTIVE 30,226 35,446
    T-MOBILE US INC 91,043 94,208
    UNITEDHEALTH GRP INC 132,760 135,297
    VERISIGN INC 31,969 34,967

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    YAFFA FOUNDATION INC
    EIN:
    82-3804160
    US Government Securities - End of Year Book Value:

    496,189
    US Government Securities - End of Year Fair Market Value:

    470,851
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    YAFFA FOUNDATION INC
    EIN:
    82-3804160
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SPDR BLOOMBERG BARCLAYS CONV SECURITIES ETF AT COST 76,843 86,632
    SPDR S&P OIL & GAS EXPL & PROD ETF AT COST 79,474 84,426

    TY 2021 OtherExpensesSchedule
    Name:
    YAFFA FOUNDATION INC
    EIN:
    82-3804160
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SERVICE FEE 54 54   0


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    YAFFA FOUNDATION INC
    EIN:
    82-3804160
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEE 23,472 23,472   0


    TY 2021 TaxesSchedule
    Name:
    YAFFA FOUNDATION INC
    EIN:
    82-3804160
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DEPARTMENT OF LAW (CHAR 500) 250 0   250
    IRS 3,000 0   0