Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
THE H GLENN SAMPLE JR MD MEMORIAL FUND
 
Number and street (or P.O. box number if mail is not delivered to street address)116 ALLEGHENY CENTER MALL P8YB3502L
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSBURGH, PA15212
A Employer identification number

91-6453143
B Telephone number (see instructions)

(412) 442-3927
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$5,532,390
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)  
2 Check right arrow.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 145,337 144,387  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -136,011
b Gross sales price for all assets on line 6a 3,612,312
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 4,817    
12 Total. Add lines 1 through 11........ 14,143 144,387  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 53,200 50,540   2,660
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 2,258 1,739   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 15,285 16   15,269
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 70,743 52,295 0 17,929
25 Contributions, gifts, grants paid....... 251,641 251,641
26 Total expenses and disbursements. Add lines 24 and 25 322,384 52,295 0 269,570
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -308,241
b Net investment income (if negative, enter -0-) 92,092
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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.............      
2 Savings and temporary cash investments......... 136,812 189,229 189,229
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow     0 0
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow0      
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).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 5,294,897 Click to see attachment
List of Attached Documents:
// Content
4,951,266
5,343,161
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,431,709 5,140,495 5,532,390
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 right arrow)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
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 right arrow
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 5,431,709 5,140,495
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 5,431,709 5,140,495
30 Total liabilities and net assets/fund balances (see instructions). 5,431,709 5,140,495
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
5,431,709
2
Enter amount from Part I, line 27a .....................
2
-308,241
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
25,192
4
Add lines 1, 2, and 3 ..........................
4
5,148,660
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
8,165
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
5,140,495
Form 990-PF (2023)
Form 990-PF (2023)
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 120.691 PZENA EMERG MKTS VALUE-INST   2022-11-07 2023-01-05
b 22.133 ALLIANCE BERNSTEIN CAP FUND INC CONCENTRATED GROWTH FUND   2022-12-30 2023-01-05
c 5945.437 BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO FD 0446   2022-01-25 2023-01-05
d 2624.785 DODGE & COX INCOME FUND FD 147   2020-12-15 2023-01-05
e 4381.232 DOUBLELINE FLEXIBLE INC-R6   2022-04-29 2023-01-05
13886.789 DOUBLELINE FLEXIBLE INC-R6   2020-12-15 2023-01-05
153.317 OAKMARK INTL SM CAP-R6   2022-01-25 2023-01-05
1. ISHARES RUSSELL 1000 VALUE ETF   2022-01-25 2023-01-05
2. ISHARES CORE MSCI EAFE ETF ETF   2019-09-11 2023-01-05
49.625 MFS EMERGING MKTS DEBT FD-R6   2018-07-18 2023-01-05
64.638 PIMCO INCOME FUND CLASS INS   2022-12-02 2023-01-05
403.564 PGIM HIGH YIELD FUND CLASS R6   2019-07-25 2023-01-05
14.431 TOUCHSTONE SANDS EM GR-R6   2022-04-29 2023-01-05
30.075 TOUCHSTONE SANDS EM GR-R6   2022-08-02 2023-01-05
51.145 VANGUARD INTERNATIONAL VALUE FUND 46   2019-05-01 2023-01-05
86.29 WESTERN ASSET CORE PLUS BOND FUND CLASS IS   2018-05-18 2023-01-05
175.438 AMG GW&K SC CORE-I   2022-02-14 2023-02-06
123.269 AMG RR SM CAP VAL-I   2022-02-14 2023-02-06
149.315 AMG RR SM CAP VAL-I   2022-11-30 2023-02-06
12.248 ALLIANCE BERNSTEIN CAP FUND INC CONCENTRATED GROWTH FUND   2022-12-30 2023-02-06
2039.07 BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO FD 0446   2022-01-25 2023-02-06
55. FIDELITY REAL ESTATE ETF ETF   2022-12-30 2023-02-06
113. FIDELITY REAL ESTATE ETF ETF   2020-05-28 2023-02-06
2204.442 SEAFARER OVERSEAS GROWTH & INCOME INSTL CLASS   2020-12-15 2023-02-06
76.48 OAKMARK INTL SM CAP-R6   2021-08-20 2023-02-06
34. ISHARES CORE S&P MID-CAP ETF   2022-12-02 2023-02-06
21. ISHARES RUSSELL 1000 GROWTH ETF   2022-04-29 2023-02-06
487. ISHARES RUSSELL 1000 GROWTH ETF   2021-02-01 2023-02-06
5. ISHARES MSCI EAFE SMALL-CAP ETF   2021-11-10 2023-02-06
12. ISHARES CORE MSCI EAFE ETF ETF   2019-09-11 2023-02-06
116.459 T ROWE PRICE VALUE FUND-I   2022-06-21 2023-02-06
226.452 T ROWE PRICE VALUE FUND-I   2022-12-30 2023-02-06
2254.878 T ROWE PRICE VALUE FUND-I   2021-09-23 2023-02-06
5079.602 T ROWE PRICE INSTITUTIONAL FLOATING RATE FUND   2021-02-18 2023-02-06
23.987 TOUCHSTONE SANDS EM GR-R6   2022-08-02 2023-02-06
1120.258 TRANSAMERICA SM CAP GROW-I2   2021-05-17 2023-02-06
404. WISDOMTREE U.S. QUALITY DIVI ETF   2022-12-02 2023-02-06
383. WISDOMTREE U.S. QUALITY DIVI ETF   2022-01-25 2023-02-06
2214.814 ALLIANCE BERNSTEIN CAP FUND INC CONCENTRATED GROWTH FUND   2022-12-30 2023-03-09
25.856 BAIRD MIDCAP INST   2022-08-02 2023-03-09
5341.755 BAIRD AGGREGATE BOND FUND FD 72   2014-10-10 2023-03-09
4223.073 DODGE & COX INCOME FUND FD 147   2020-12-15 2023-03-09
3898. FIDELITY REAL ESTATE ETF ETF   2020-05-28 2023-03-09
92. ISHARES CORE S&P MID-CAP ETF   2022-12-02 2023-03-09
328. ISHARES RUSSELL 1000 VALUE ETF   2022-04-29 2023-03-09
29. ISHARES RUSSELL 1000 VALUE ETF   2022-12-30 2023-03-09
979. ISHARES RUSSELL 1000 VALUE ETF   2021-05-04 2023-03-09
41. ISHARES RUSSELL 1000 GROWTH ETF   2022-05-10 2023-03-09
65. ISHARES RUSSELL 1000 GROWTH ETF   2022-11-30 2023-03-09
342. ISHARES RUSSELL 1000 GROWTH ETF   2021-02-01 2023-03-09
25. ISHARES MSCI EAFE SMALL-CAP ETF   2021-11-10 2023-03-09
1238. ISHARES CORE MSCI EAFE ETF ETF   2019-09-11 2023-03-09
16.042 PGIM HIGH YIELD FUND CLASS R6   2019-07-25 2023-03-09
2694.004 VANGUARD TOTAL BD MKT INDX 584 ADM   2019-08-27 2023-03-09
683.242 VANGUARD INTERNATIONAL VALUE FUND 46   2023-02-06 2023-03-09
23.085 VANGUARD INTERNATIONAL VALUE FUND 46   2019-05-01 2023-03-09
2550.176 WESTERN ASSET CORE PLUS BOND FUND CLASS IS   2018-05-18 2023-03-09
63. WISDOMTREE U.S. QUALITY DIVI ETF   2022-06-21 2023-03-09
922. WISDOMTREE U.S. QUALITY DIVI ETF   2022-11-30 2023-03-09
325. WISDOMTREE U.S. QUALITY DIVI ETF   2022-01-25 2023-03-09
81.759 PZENA EMERG MKTS VALUE-INST   2023-02-06 2023-04-11
475.971 BAIRD AGGREGATE BOND FUND FD 72   2014-10-10 2023-04-11
2996.738 BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO FD 0446   2022-04-29 2023-04-11
5355.127 BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO FD 0446   2022-01-25 2023-04-11
4289.245 DODGE & COX INCOME FUND FD 147   2020-12-15 2023-04-11
436.586 DOUBLELINE FLEXIBLE INC-R6   2022-06-21 2023-04-11
8596.664 DOUBLELINE FLEXIBLE INC-R6   2023-02-06 2023-04-11
49.78 DOUBLELINE FLEXIBLE INC-R6   2020-12-15 2023-04-11
57.29 SEAFARER OVERSEAS GROWTH & INCOME INSTL CLASS   2020-12-15 2023-04-11
17.541 HARDING LOEVNER INTERNATIONAL EQUITY PORTFOLIO   2023-02-06 2023-04-11
175. ISHARES CORE S&P 500 ETF   2022-04-29 2023-04-11
183. ISHARES CORE S&P MID-CAP ETF   2022-12-02 2023-04-11
32. ISHARES MSCI USA QUALITY FACTOR ETF   2023-03-09 2023-04-11
42. ISHARES CORE MSCI EMERGING MARKETS   2023-02-06 2023-04-11
2228.774 MFS EMERGING MKTS DEBT FD-R6   2018-07-18 2023-04-11
41.013 PIMCO INCOME FUND CLASS INS   2022-12-02 2023-04-11
964.533 T ROWE PRICE INSTITUTIONAL FLOATING RATE FUND   2022-08-02 2023-04-11
2911.293 T ROWE PRICE INSTITUTIONAL FLOATING RATE FUND   2022-12-30 2023-04-11
9950.503 T ROWE PRICE INSTITUTIONAL FLOATING RATE FUND   2021-02-18 2023-04-11
30. WISDOMTREE U.S. QUALITY DIVI ETF   2022-06-21 2023-04-11
1774.451 AMG GW&K SC CORE-I   2022-02-14 2023-06-02
1116.605 BAIRD MIDCAP INST   2022-08-02 2023-06-02
4942.253 BAIRD AGGREGATE BOND FUND FD 72   2014-10-10 2023-06-02
8648.173 BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO FD 0446   2022-06-21 2023-06-02
2605.46 BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO FD 0446   2023-03-09 2023-06-02
5489.676 DOUBLELINE FLEXIBLE INC-R6   2022-10-17 2023-06-02
3768.072 DOUBLELINE FLEXIBLE INC-R6   2023-03-09 2023-06-02
1043.611 HARDING LOEVNER INTERNATIONAL EQUITY PORTFOLIO   2022-12-30 2023-06-02
4176.076 HARDING LOEVNER INTERNATIONAL EQUITY PORTFOLIO   2022-04-29 2023-06-02
160.812 OAKMARK INTL SM CAP-R6   2023-03-09 2023-06-02
1426.787 OAKMARK INTL SM CAP-R6   2021-02-01 2023-06-02
140. ISHARES CORE S&P MID-CAP ETF   2022-12-02 2023-06-02
278. ISHARES CORE S&P MID-CAP ETF   2023-01-05 2023-06-02
445. ISHARES MSCI EAFE SMALL-CAP ETF   2018-01-09 2023-06-02
51. ISHARES MSCI USA QUALITY FACTOR ETF   2023-03-09 2023-06-02
1140. ISHARES CORE MSCI EAFE ETF ETF   2023-04-11 2023-06-02
28. ISHARES CORE MSCI EAFE ETF ETF   2019-09-11 2023-06-02
14430.4 PIMCO INCOME FUND CLASS INS   2022-12-02 2023-06-02
571.82 PIMCO INCOME FUND CLASS INS   2023-02-06 2023-06-02
3773.625 TRANSAMERICA SM CAP GROW-I2   2020-01-07 2023-06-02
156.98 WESTERN ASSET CORE PLUS BOND FUND CLASS IS   2022-08-02 2023-06-02
10944.018 WESTERN ASSET CORE PLUS BOND FUND CLASS IS   2023-02-06 2023-06-02
7886.479 WESTERN ASSET CORE PLUS BOND FUND CLASS IS   2018-05-18 2023-06-02
38. WISDOMTREE U.S. QUALITY DIVI ETF   2022-06-21 2023-06-02
1. NAVIENT CORP 63938C108 CLASS ACTION   2001-01-01 2023-06-08
131.311 AMG GW&K SC CORE-I   2022-02-14 2023-07-19
367.227 AMG RR SM CAP VAL-I   2022-02-14 2023-07-19
551.173 PZENA EMERG MKTS VALUE-INST   2023-03-09 2023-07-19
216.378 BAIRD MIDCAP INST   2022-08-02 2023-07-19
159.246 SEAFARER OVERSEAS GROWTH & INCOME INSTL CLASS   2020-12-15 2023-07-19
112.288 OAKMARK INTL SM CAP-R6   2021-02-01 2023-07-19
37. ISHARES MSCI USA QUALITY FACTOR ETF   2023-03-09 2023-07-19
1054. ISHARES CORE MSCI EMERGING MARKETS   2023-02-06 2023-07-19
7168.138 METROPOLITAN WEST UNCONSTRAINED BOND FUND CLASS I   2023-06-02 2023-07-19
5274.16 PGIM HIGH YIELD FUND CLASS R6   2019-07-25 2023-07-19
1105.263 T ROWE PR MID-CAP VALUE-I   2021-05-17 2023-07-19
108.391 TOUCHSTONE MID CAP-R6   2023-06-02 2023-07-19
72.219 VANGUARD INTERNATIONAL VALUE FUND 46   2023-04-11 2023-07-19
82. WISDOMTREE U.S. QUALITY DIVI ETF   2022-06-21 2023-07-19
4.896 AMG RR SM CAP VAL-I   2022-02-14 2023-09-11
128.061 PZENA EMERG MKTS VALUE-INST   2023-03-09 2023-09-11
890.242 BAIRD MIDCAP INST   2022-08-02 2023-09-11
90.023 BAIRD AGGREGATE BOND FUND FD 72   2014-10-10 2023-09-11
211.952 DODGE & COX INCOME FUND FD 147   2020-12-15 2023-09-11
32. ISHARES CORE S&P 500 ETF   2023-07-19 2023-09-11
236. ISHARES MSCI EAFE GROWTH ETF   2023-06-02 2023-09-11
1065. ISHARES CORE MSCI EMERGING MARKETS   2023-02-06 2023-09-11
11. ISHARES CORE MSCI EMERGING MARKETS   2023-06-02 2023-09-11
169.59 METROPOLITAN WEST UNCONSTRAINED BOND FUND CLASS I   2023-06-02 2023-09-11
318.137 PGIM HIGH YIELD FUND CLASS R6   2019-07-25 2023-09-11
406. WISDOMTREE U.S. QUALITY DIVI ETF   2022-06-21 2023-09-11
140.289 VANGUARD TOTAL BD MKT INDX 584 ADM   2019-08-27 2023-09-12
589.647 VANGUARD INTERNATIONAL VALUE FUND 46   2023-04-11 2023-09-12
226.045 AMG RR SM CAP VAL-I   2022-02-14 2023-11-14
72.894 PZENA EMERG MKTS VALUE-INST   2023-03-09 2023-11-14
472.345 BAIRD AGGREGATE BOND FUND FD 72   2014-10-10 2023-11-14
673.239 BLACKROCK CORE BOND PORTFOLIO CL INSTL FUND 332   2023-04-11 2023-11-14
242.69 DODGE & COX INCOME FUND FD 147   2020-12-15 2023-11-14
278.07 DOUBLELINE TOTAL RETURN BOND FUND CLASS R6   2023-07-19 2023-11-14
83.388 SEAFARER OVERSEAS GROWTH & INCOME INSTL CLASS   2020-12-15 2023-11-14
41.287 OAKMARK INTL SM CAP-R6   2023-09-11 2023-11-14
25. ISHARES CORE S&P 500 ETF   2023-06-02 2023-11-14
96. ISHARES CORE S&P 500 ETF   2022-04-29 2023-11-14
25. ISHARES MSCI EAFE SMALL-CAP ETF   2018-01-09 2023-11-14
35. ISHARES MSCI EAFE GROWTH ETF   2023-06-02 2023-11-14
81. ISHARES MSCI USA QUALITY FACTOR ETF   2023-09-11 2023-11-14
102. ISHARES CORE MSCI EAFE ETF ETF   2023-07-19 2023-11-14
129. ISHARES MSCI INTL QUALITY FACTOR ETF   2023-06-02 2023-11-14
54.644 MFS EMERGING MKTS DEBT FD-R6   2018-07-18 2023-11-14
190.307 METROPOLITAN WEST UNCONSTRAINED BOND FUND CLASS I   2023-06-02 2023-11-14
300.175 PGIM HIGH YIELD FUND CLASS R6   2019-07-25 2023-11-14
170.462 TOUCHSTONE SANDS EM GR-R6   2023-06-02 2023-11-14
6.898 TOUCHSTONE SANDS EM GR-R6   2022-08-02 2023-11-14
1.159 TOUCHSTONE MID CAP-R6   2023-06-02 2023-11-14
802.124 VANGUARD TOTAL BD MKT INDX 584 ADM   2019-08-27 2023-11-14
24.073 VANGUARD INTERNATIONAL VALUE FUND 46   2023-04-11 2023-11-14
16.307 VANGUARD INTERNATIONAL VALUE FUND 46   2019-05-01 2023-11-14
112. WISDOMTREE U.S. QUALITY DIVI ETF   2022-06-21 2023-11-14
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS 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 1,320   1,214 106
b 984   989 -5
c 54,876   59,482 -4,606
d 32,311   39,267 -6,956
e 36,802   39,279 -2,477
116,649   133,035 -16,386
2,609   2,890 -281
153   162 -9
125   122 3
573   703 -130
672   686 -14
1,848   2,216 -368
185   208 -23
386   410 -24
1,876   1,844 32
818   973 -155
5,468   5,433 35
1,863   1,803 60
2,256   2,247 9
584   547 37
19,065   20,493 -1,428
1,497   1,365 132
3,075   2,606 469
26,321   31,612 -5,291
1,383   1,487 -104
9,062   8,691 371
4,963   5,220 -257
115,095   121,842 -6,747
301   376 -75
792   732 60
4,584   4,653 -69
8,913   8,697 216
88,752   113,253 -24,501
47,596   49,628 -2,032
326   327 -1
7,226   8,503 -1,277
25,258   25,442 -184
23,945   23,983 -38
99,777   98,958 819
589   613 -24
51,388   58,612 -7,224
52,028   63,177 -11,149
100,136   89,912 10,224
23,718   23,517 201
49,907   51,613 -1,706
4,412   4,501 -89
148,960   154,342 -5,382
9,594   9,343 251
15,210   13,926 1,284
80,026   83,698 -3,672
1,488   1,822 -334
81,389   75,567 5,822
73   88 -15
25,512   30,200 -4,688
25,704   26,400 -696
868   832 36
23,895   28,721 -4,826
3,875   3,575 300
56,706   56,634 72
19,989   19,400 589
941   910 31
4,698   5,145 -447
27,750   29,095 -1,345
49,588   53,817 -4,229
53,658   64,167 -10,509
3,689   3,833 -144
72,642   72,574 68
421   477 -56
679   822 -143
442   442  
72,161   73,581 -1,420
45,598   46,778 -1,180
3,985   3,871 114
2,068   2,075 -7
25,765   31,558 -5,793
428   435 -7
8,951   8,951  
27,017   27,096 -79
92,341   96,824 -4,483
1,878   1,702 176
50,057   54,955 -4,898
26,095   26,464 -369
47,940   53,426 -5,486
79,477   81,807 -2,330
23,944   24,022 -78
45,949   45,862 87
31,539   31,803 -264
26,716   26,137 579
106,908   102,909 3,999
2,930   2,826 104
25,996   25,316 680
34,505   35,787 -1,282
68,517   67,362 1,155
26,622   30,159 -3,537
6,600   6,170 430
77,348   76,911 437
1,900   1,709 191
149,932   153,107 -3,175
5,941   6,037 -96
23,963   25,829 -1,866
1,479   1,590 -111
103,093   105,461 -2,368
74,291   88,703 -14,412
2,422   2,156 266
16     16
4,000   4,067 -67
5,563   5,373 190
6,890   6,193 697
5,429   5,128 301
1,991   2,284 -293
2,175   1,926 249
5,133   4,476 657
53,474   52,072 1,402
73,688   73,832 -144
24,525   28,955 -4,430
35,192   40,541 -5,349
5,385   5,000 385
2,970   2,817 153
5,574   4,653 921
72   72  
1,591   1,424 167
20,582   21,099 -517
853   973 -120
2,590   3,171 -581
14,428   14,647 -219
21,402   22,573 -1,171
52,310   51,759 551
540   542 -2
1,723   1,747 -24
1,463   1,747 -284
26,977   23,037 3,940
1,312   1,573 -261
23,055   22,937 118
3,416   3,307 109
884   811 73
4,454   5,106 -652
5,406   5,346 60
2,934   3,631 -697
2,358   2,466 -108
996   1,196 -200
754   756 -2
11,258   10,781 477
43,231   40,364 2,867
1,436   1,658 -222
3,151   3,339 -188
11,354   11,169 185
6,749   6,878 -129
4,508   4,636 -128
611   774 -163
1,914   1,960 -46
1,366   1,648 -282
2,298   2,328 -30
93   94 -1
56   54 2
7,444   8,992 -1,548
940   936 4
636   588 48
7,444   6,355 1,089
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
      21,098
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       106
b       -5
c       -4,606
d       -6,956
e       -2,477
      -16,386
      -281
      -9
      3
      -130
      -14
      -368
      -23
      -24
      32
      -155
      35
      60
      9
      37
      -1,428
      132
      469
      -5,291
      -104
      371
      -257
      -6,747
      -75
      60
      -69
      216
      -24,501
      -2,032
      -1
      -1,277
      -184
      -38
      819
      -24
      -7,224
      -11,149
      10,224
      201
      -1,706
      -89
      -5,382
      251
      1,284
      -3,672
      -334
      5,822
      -15
      -4,688
      -696
      36
      -4,826
      300
      72
      589
      31
      -447
      -1,345
      -4,229
      -10,509
      -144
      68
      -56
      -143
       
      -1,420
      -1,180
      114
      -7
      -5,793
      -7
       
      -79
      -4,483
      176
      -4,898
      -369
      -5,486
      -2,330
      -78
      87
      -264
      579
      3,999
      104
      680
      -1,282
      1,155
      -3,537
      430
      437
      191
      -3,175
      -96
      -1,866
      -111
      -2,368
      -14,412
      266
      16
      -67
      190
      697
      301
      -293
      249
      657
      1,402
      -144
      -4,430
      -5,349
      385
      153
      921
       
      167
      -517
      -120
      -581
      -219
      -1,171
      551
      -2
      -24
      -284
      3,940
      -261
      118
      109
      73
      -652
      60
      -697
      -108
      -200
      -2
      477
      2,867
      -222
      -188
      185
      -129
      -128
      -163
      -46
      -282
      -30
      -1
      2
      -1,548
      4
      48
      1,089
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 -136,011
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  
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 right arrow 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) 1 1,280
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 1,280
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 1,280
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 1,039
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  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,039
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9 241
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10  
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow0 Refundedright arrow 11 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
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. right arrow$   (2) On foundation managers.right arrow$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$  
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:
round bullet By language in the governing instrument, or
round bullet 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)
right arrowPA
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 2023 or the taxable year beginning in 2023? 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
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 addressright arrowSEE FOOTNOTES
14
The books are in care ofright arrowPNC BANK NA Telephone no.right arrow (412) 442-3927

Located atright arrow116 ALLEGHENY CENTER MALLPITTSBURGHPA ZIP+4right arrow15212
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
Yes
 
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
No
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
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 2023? .............
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
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
Organizations relying on a current notice regarding disaster assistance check .........right arrow
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
PNC BANK N A TRUSTEE
13
53,200    
116 ALLEGHENY CENTER MALL
PITTSBURGH,PA15212
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...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
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.............right arrow0
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.........................right arrow  
Form 990-PF (2023)
Form 990-PF (2023)
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
5,332,767
b
Average of monthly cash balances.......................
1b
0
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
5,332,767
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
5,332,767
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
79,992
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
5,252,775
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
262,639
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
262,639
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
1,280
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
1,280
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
261,359
4
Recoveries of amounts treated as qualifying distributions................
4
3,194
5
Add lines 3 and 4............................
5
264,553
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
264,553
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
269,570
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
0
b
Cash distribution test (attach the required schedule) .................
3b
0
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
269,570
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus
(b)
Years prior to 2022
(c)
2022
(d)
2023
1 Distributable amount for 2023 from Part X, line 7 264,553
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 251,641
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 0
b From 2019...... 0
c From 2020...... 0
d From 2021...... 0
e From 2022...... 0
f Total of lines 3a through e ........ 0
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 269,570
a Applied to 2022, but not more than line 2a 251,641
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 2023 distributable amount..... 17,929
e Remaining amount distributed out of corpus 0
5 Excess distributions carryover applied to 2023. 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 0
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 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions .............
0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 ..........
246,624
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 2018 not
applied on line 5 or line 7 (see instructions) ...
0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ......
0
10 Analysis of line 9:
a Excess from 2019.... 0
b Excess from 2020.... 0
c Excess from 2021.... 0
d Excess from 2022.... 0
e Excess from 2023.... 0
Form 990-PF (2023)
Form 990-PF (2023)
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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed ..........
Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
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 right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
CHARITABLE TRUST GRANT REVIEW COMMI
THE TOWER AT PNC PLAZA 300 FIFTH A
PITTSBURGH,PA15222
(412) 762-5157
bThe form in which applications should be submitted and information and materials they should include:
SEE FOOTNOTE
cAny submission deadlines:
SEE FOOTNOTE
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SEE FOOTNOTE
Form 990-PF (2023)
Form 990-PF (2023)
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

Second Chance Animal Services Inc

PO BOX 136
E Brookfield,ME01515
NONE PC GENERAL SUPPORT 10,000

Dress for Success Pittsburgh

5001 BAUM BLVD
Pittsburgh,PA15213
NONE PC GENERAL SUPPORT 2,788

Penna Association for the Blind Chester

71 S 1ST AVE
Coatesville,PA19320
NONE PC GENERAL SUPPORT 15,000

YORK COUNTY FOOD BANK

254 W PRINCESS STREET
YORK,PA17401
NONE PC GENERAL OPERATING 15,000

Alder Health Services Inc

100 N CAMERON ST
Harrisburg,PA17101
NONE PC GENERAL SUPPORT 10,000

Water Street Ministries

210 SOUTH PRINCE STREET
Lancaster,PA17603
NONE PC GENERAL SUPPORT 20,000

Cray Youth and Family Services Inc

44 S BEAVER ST
New Castle,PA16101
NONE PC GENERAL SUPPORT 15,000

Pittsburgh Youth Symphony Orchestra Asso

600 PENN AVE HEINZ HALL
Pittsburgh,PA15222
NONE PC GENERAL SUPPORT 10,000

Prima Arts Inc

941 WHEATLAND AVE
Lancaster,PA17603
NONE PC GENERAL SUPPORT 15,000

Christian Laymans Corps

258 E PITTSBURGH ST
Greensburg,PA15601
NONE PC GENERAL SUPPORT 10,353

Shriners Hospitals for Children

2900 ROCKY POINT DRIVE
Tampa,DC33607
NONE PC GENERAL SUPPORT 12,000

Camp Rainbow Foundation

108 MATRIX COMMONS DR
Fenton,MO63026
NONE PC GENERAL SUPPORT 7,000

Beverlys Birthdays

11065 PARKER DR
N Huntingdon,PA15642
NONE PC GENERAL SUPPORT 25,000

Leaf Project Inc

554 WARM SPRINGS RD
Landisburg,PA17040
NONE PC GENERAL SUPPORT 10,000

Phoenixville Womens Outreach

201 STARR ST
Phoenixville,PA19460
NONE PC GENERAL SUPPORT 10,000

James Dick Foundation for the Performing
Arts
PO BOX 89
Round Top,TX78954
NONE PC GENERAL SUPPORT 12,000

The Mentoring Alliance

1909 S BROADWAY AVENUE
Tyler,TX75701
NONE PC GENERAL SUPPORT 5,000

Childrens Transplant Initiative

23718 CREEKVIEW DR
Spring,TX77389
NONE PC GENERAL SUPPORT 7,500

A Call to Care Inc

336 4TH AVENUE
Pittsburgh,PA15222
NONE PC GENERAL SUPPORT 15,000

Pittsburgh Hardball Academy Inc

6506 BARTLETT ST
Pittsburgh,PA15217
NONE PC GENERAL SUPPORT 15,000

Arizona Pet Project

3905 N 7TH AVE UNIT 7611
Phoenix,AZ85011
NONE PC GENERAL SUPPORT 10,000
Total .................................right arrow 3a 251,641
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2023)
Form 990-PF (2023)
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 ....     14 145,337  
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 -136,011  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aFEDERAL TAX REFUND
    1 4,817  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   14,143  
13Total. Add line 12, columns (b), (d), and (e)..................
13
14,143
(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 (2023)
Form 990-PF (2023)
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.
right arrow right arrow
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 Check if self-
employed right arrow
PTIN
Firm's name SmallBullet
Firm's EIN SmallBullet
Firm's address SmallBullet


Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description

TY 2023 InvestmentsOtherSchedule2
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
256210105 DODGE & COX INCOME F AT COST 228,309 216,772
316092857 FIDELITY REAL ESTATE      
317609295 SEAFARER OVERSEAS GR AT COST 137,151 138,561
464287200 ISHARES CORE S&P 500 AT COST 1,188,877 1,464,891
464288273 ISHARES MSCI EAFE SM AT COST 85,476 82,884
552746364 MFS EMERGING MKTS DE AT COST 95,065 83,017
921937603 VANGUARD TOTAL BD MK AT COST 465,829 434,545
921939203 VANGUARD INTERNATION AT COST 96,419 108,605
46090E103 INVESCO QQQ TRUST ET      
46432F842 ISHARES CORE MSCI EA AT COST 197,697 218,015
74440Y884 PGIM HIGH YIELD FUND AT COST 91,480 80,825
89355J656 TRANSAMERICA SM CAP AT COST 112,286 111,619
97717X669 WISDOMTREE U.S. QUAL AT COST 128,260 189,194
057071854 BAIRD AGGREGATE BOND AT COST 280,482 271,524
258620533 DOUBLELINE FLEXIBLE      
413838566 OAKMARK INTL SM CAP- AT COST 74,541 84,915
464287598 ISHARES RUSSELL 1000      
464287614 ISHARES RUSSELL 1000      
779578301 T ROWE PRICE VALUE F      
77957Y403 T ROWE PR MID-CAP VA AT COST 116,656 110,078
77958B402 T ROWE PRICE INSTITU      
957663669 WESTERN ASSET CORE P      
00170K869 AMG GW&K SC CORE-I AT COST 58,096 58,710
00171A852 AMG RR SM CAP VAL-I AT COST 101,879 107,104
00770X675 PZENA EMERG MKTS VAL AT COST 87,525 104,001
057071813 BAIRD MIDCAP INST AT COST 82,812 87,179
09260B382 BLACKROCK STRATEGIC      
412295107 HARDING LOEVNER INTE      
464287507 ISHARES CORE S&P MID      
72201F490 PIMCO INCOME FUND CL      
89154M702 TOUCHSTONE SANDS EM AT COST 75,586 80,782
09260B309 BLACKROCK CORE BOND AT COST 380,862 378,830
258620566 DOUBLELINE TOTAL RET AT COST 216,834 216,350
464288885 ISHARES MSCI EAFE GR AT COST 108,562 110,215
46432F339 ISHARES MSCI USA QUA AT COST 178,441 215,266
46434V456 ISHARES MSCI INTL QU AT COST 103,967 109,901
592905749 METROPOLITAN WEST UN AT COST 105,949 106,463
89155T490 TOUCHSTONE MID CAP-R AT COST 152,225 172,915

TY 2023 OtherDecreasesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Description Amount
RETURN OF CAPITAL ADJUSTMENT 949
2023 TRANSACTION POSTED IN 2024 7,205
ADJUSTMENT TO INCOME 11


TY 2023 OtherExpensesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
GRANTMAKING FEES 15,269 0   15,269
CLASS ACTION FILING FEES 16 16   0


TY 2023 OtherIncomeSchedule2
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
FEDERAL TAX REFUND 4,817 0  


TY 2023 OtherIncreasesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Description Amount
2022 TRANSACTIONS POSTED IN 2023 7,758
PY WASH SALES ADJUSTMENT 9,576
2022 SALES POSTED IN 2023 4,664
RECOVERY OF PRIOR YEAR GRANTS 3,194


TY 2023 TaxesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FEDERAL ESTIMATES - PRINCIPAL 519 0   0
FOREIGN TAXES ON QUALIFIED FOR 1,227 1,227   0
FOREIGN TAXES ON NONQUALIFIED 512 512   0