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
LAKE CHARITABLE
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

90-0244306
B Telephone number (see instructions)

(888) 730-4933
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$3,461,216
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... 74,756 74,756  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 255,500
b Gross sales price for all assets on line 6a 1,317,334
7 Capital gain net income (from Part IV, line 2)... 255,500
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)....... 693    
12 Total. Add lines 1 through 11........ 330,949 330,256  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 38,944 29,208   9,736
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)....... 1,070 0 0 1,070
c Other professional fees (attach schedule).... 14,702 3,852   10,850
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 343 343   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).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 55,059 33,403 0 21,656
25 Contributions, gifts, grants paid....... 163,000 163,000
26 Total expenses and disbursements. Add lines 24 and 25 218,059 33,403 0 184,656
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 112,890
b Net investment income (if negative, enter -0-) 296,853
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............. 244 282 282
2 Savings and temporary cash investments......... 71,284 240,927 240,927
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)....... 816,894 Click to see attachment
List of Attached Documents:
// Content
579,493
1,707,435
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).......... 1,337,676 Click to see attachment
List of Attached Documents:
// Content
1,530,158
1,512,572
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) 2,226,098 2,350,860 3,461,216
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........ 2,226,098 2,350,860
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)..... 2,226,098 2,350,860
30 Total liabilities and net assets/fund balances (see instructions). 2,226,098 2,350,860
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
2,226,098
2
Enter amount from Part I, line 27a .....................
2
112,890
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
16,000
4
Add lines 1, 2, and 3 ..........................
4
2,354,988
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
4,128
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,350,860
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 829.859 INV OPP DEVELOP MRKTS-R6 7038   2018-10-01 2023-02-02
b 225. ISHARES RUSSELL 2000 VALUE ETF   2013-04-11 2023-02-02
c 176. ISHARES CORE MSCI EAFE ETF   2018-10-30 2023-02-02
d 3329.936 LAZARD EMERGING MKTS PTFL 638   2009-02-26 2023-02-02
e 8081.584 PIMCO HIGH YIELD FD-INST #108   2009-02-26 2023-02-02
2871.657 PIMCO FOREIGN BD FD USD H-INST #103   2015-01-02 2023-02-02
20. ALIGN TECHNOLOGY INC   2022-03-11 2023-02-03
5. ALIGN TECHNOLOGY INC   2020-06-05 2023-02-03
95. ALPHABET INC CL C   2014-08-28 2023-02-03
100. AMAZON COM INC COM   2021-09-02 2023-02-03
10. APPLE INC   2022-03-11 2023-02-03
80. APPLE INC   2010-10-25 2023-02-03
25. ARISTA NETWORKS INC   2018-10-10 2023-02-03
10. BROADCOM INC   2018-02-09 2023-02-03
2. CHIPOTLE MEXICAN GRILL INC   2022-03-11 2023-02-03
3. CHIPOTLE MEXICAN GRILL INC   2021-10-14 2023-02-03
18. DEXCOM INC   2022-05-13 2023-02-03
12. DEXCOM INC   2021-02-11 2023-02-03
65. META PLATFORMS INC   2013-12-10 2023-02-03
45. FIDELITY NATL INFORMATION SVCS INC   2021-02-11 2023-02-03
20. FLEETCOR TECHNOLOGIES INC   2021-03-05 2023-02-03
50. FORTUNE BRANDS INNOVATIONS INC   2021-04-14 2023-02-03
10. LULULEMON ATHLETICA INC   2021-10-14 2023-02-03
15. MICROSOFT CORP   2022-05-13 2023-02-03
50. MICROSOFT CORP   2016-02-05 2023-02-03
35. MORGAN STANLEY   2017-12-26 2023-02-03
15. NVIDIA CORP   2018-11-26 2023-02-03
40. OKTA INC   2022-03-11 2023-02-03
20. PALO ALTO NETWORKS INC   2017-11-30 2023-02-03
10. POOL CORPORATION   2018-05-09 2023-02-03
10. S&P GLOBAL INC   2015-01-06 2023-02-03
20. SALESFORCE INC   2014-09-24 2023-02-03
10. SERVICENOW INC   2021-08-05 2023-02-03
55. TRIMBLE NAV LTD   2022-03-11 2023-02-03
10. ULTA BEAUTY INC   2020-06-05 2023-02-03
75. XPO INC   2022-12-21 2023-02-03
15. ACCENTURE PLC   2012-03-08 2023-02-03
110. NORWEGIAN CRUISE LINE HOLDING   2016-03-29 2023-02-03
55. ARISTA NETWORKS INC   2018-10-10 2023-02-21
40. NVIDIA CORP   2018-11-26 2023-02-21
15. TRANSDIGM GROUP INC   2015-12-22 2023-02-21
35. AGCO CORP COM   2021-04-14 2023-03-24
85. ALPHABET INC CL C   2023-02-21 2023-03-24
85. APPLE INC   2010-10-25 2023-03-24
20. ARISTA NETWORKS INC   2018-11-26 2023-03-24
1. BOOKING HOLDINGS INC   2013-01-10 2023-03-24
65. BOSTON SCIENTIFIC CORP COM   2020-06-05 2023-03-24
40. CANADIAN PAC RY LTD   2019-10-31 2023-03-24
35. CENTENE CORP DEL   2019-09-30 2023-03-24
15. CONSTELLATION BRANDS INC   2015-01-06 2023-03-24
10. COSTCO WHOLESALE CORP   2022-10-18 2023-03-24
15. DANAHER CORP   2012-03-08 2023-03-24
25. DEXCOM INC   2022-05-13 2023-03-24
20. ECOLAB INC   2022-03-11 2023-03-24
15. INTUITIVE SURGICAL INC   2022-08-09 2023-03-24
1382.853 JPMORGAN MID CAP VALUE-R6 #2335   2016-01-11 2023-03-24
20. ESTEE LAUDER COMPANIES INC   2022-05-13 2023-03-24
10. ELI LILLY & CO COM   2020-07-14 2023-03-24
5. LULULEMON ATHLETICA INC   2022-12-21 2023-03-24
5. LULULEMON ATHLETICA INC   2021-10-14 2023-03-24
15. MICROSOFT CORP   2016-02-05 2023-03-24
15. NETFLIX.COM INC   2022-03-11 2023-03-24
15. NVIDIA CORP   2018-11-26 2023-03-24
15. TRACTOR SUPPLY CO COM   2013-01-10 2023-03-24
1628.654 VANGUARD INFLAT-PROT SECS-ADM 5119   2009-06-08 2023-03-24
15. VERTEX PHARMACEUTICALS INC COM   2018-09-12 2023-03-24
25. VISA INC-CLASS A SHRS   2014-05-27 2023-03-24
95. BOSTON SCIENTIFIC CORP COM   2015-04-15 2023-05-01
5. BROADCOM INC   2018-02-09 2023-05-01
30. INTERCONTINENTAL EXCHANGE INC   2019-03-26 2023-05-01
10. MICROSOFT CORP   2016-02-05 2023-05-01
25. AGCO CORP COM   2021-04-14 2023-05-25
25. ALPHABET INC CL C   2023-02-21 2023-05-25
78. ALPHABET INC CL C   2014-08-28 2023-05-25
165. AMAZON COM INC COM   2012-11-06 2023-05-25
110. APPLE INC   2010-10-25 2023-05-25
2. BOOKING HOLDINGS INC   2013-01-10 2023-05-25
64. BOSTON SCIENTIFIC CORP COM   2015-04-15 2023-05-25
8. BROADCOM INC   2018-02-09 2023-05-25
13. CADENCE DESIGN SYSTEMS INC   2023-02-21 2023-05-25
35. CANADIAN PACIFIC KANSAS CITY L   2019-10-31 2023-05-25
44. CENTENE CORP DEL   2016-06-01 2023-05-25
84. CHEWY INC   2021-04-14 2023-05-25
2. CHIPOTLE MEXICAN GRILL INC   2022-03-11 2023-05-25
12. CONSTELLATION BRANDS INC   2015-01-06 2023-05-25
12. DANAHER CORP   2012-03-08 2023-05-25
1179.245 DELAWARE SMALL CAP CORE-R6   2022-07-15 2023-05-25
49. DEXCOM INC   2018-09-12 2023-05-25
40. META PLATFORMS INC   2013-12-10 2023-05-25
50. FIDELITY NATL INFORMATION SVCS INC   2021-02-11 2023-05-25
19. FLEETCOR TECHNOLOGIES INC   2021-03-05 2023-05-25
40. FORTUNE BRANDS INNOVATIONS INC   2022-12-21 2023-05-25
5. FORTUNE BRANDS INNOVATIONS INC   2021-04-14 2023-05-25
55. GXO LOGISTICS INC   2022-08-09 2023-05-25
25. INTERCONTINENTAL EXCHANGE INC   2019-03-26 2023-05-25
1218. ISHARES RUSSELL MID-CAP ETF   2016-01-11 2023-05-25
14. ESTEE LAUDER COMPANIES INC   2020-06-05 2023-05-25
7. ELI LILLY & CO COM   2020-10-22 2023-05-25
31140.643 METROPOLITAN WEST T/R BD-PLN #712   2018-10-30 2023-05-25
59. MICROSOFT CORP   2001-09-17 2023-05-25
58. MORGAN STANLEY   2017-12-26 2023-05-25
8. NETFLIX.COM INC   2022-03-11 2023-05-25
7. NVIDIA CORP   2018-11-26 2023-05-25
34. OKTA INC   2021-12-21 2023-05-25
6025.456 PIMCO HIGH YIELD FD-INST #108   2009-02-26 2023-05-25
42. PALO ALTO NETWORKS INC   2017-11-30 2023-05-25
10. S&P GLOBAL INC   2015-01-06 2023-05-25
30. SALESFORCE INC   2014-09-24 2023-05-25
6. SERVICENOW INC   2020-06-29 2023-05-25
17. TRACTOR SUPPLY CO COM   2013-01-10 2023-05-25
4. TRANSDIGM GROUP INC   2016-02-05 2023-05-25
57. TRIMBLE NAV LTD   2020-06-05 2023-05-25
72. TWILIO INC   2021-12-21 2023-05-25
6. ULTA BEAUTY INC   2018-04-04 2023-05-25
8. VERTEX PHARMACEUTICALS INC COM   2018-09-12 2023-05-25
13. VISA INC-CLASS A SHRS   2014-05-08 2023-05-25
219. FIDELITY NATL INFORMATION SVCS INC   2016-06-01 2023-06-05
40. MORGAN STANLEY   2017-12-26 2023-06-05
10. ALIGN TECHNOLOGY INC   2020-06-05 2023-07-21
95. XPO INC   2017-06-05 2023-07-21
28. ARISTA NETWORKS INC   2018-11-26 2023-09-13
1. BOOKING HOLDINGS INC   2013-01-10 2023-09-13
.6667 VERALTO CORP   2012-03-08 2023-10-23
50. APPLE INC   2010-10-25 2023-11-29
7. BROADCOM INC   2018-02-09 2023-11-29
21. TRACTOR SUPPLY CO COM   2013-01-10 2023-11-29
27. VERALTO CORP   2012-03-08 2023-11-29
650. NORWEGIAN CRUISE LINE HOLDING   2016-11-17 2023-11-29
4. BROADCOM INC   2018-07-13 2023-12-21
9. COSTCO WHOLESALE CORP   2022-06-21 2023-12-21
14. LULULEMON ATHLETICA INC   2019-06-28 2023-12-21
16. PALO ALTO NETWORKS INC   2017-11-30 2023-12-21
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(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 32,174   34,061 -1,887
b 35,054   18,884 16,170
c 11,876   10,212 1,664
d 53,279   36,351 16,928
e 63,683   59,792 3,891
27,482   30,934 -3,452
6,964   8,391 -1,427
1,741   1,439 302
10,169   2,697 7,472
10,766   17,308 -6,542
1,561   1,552 9
12,484   885 11,599
3,322   1,431 1,891
6,066   2,318 3,748
3,414   3,020 394
5,121   5,522 -401
1,956   1,490 466
1,304   1,228 76
12,477   4,098 8,379
3,417   6,076 -2,659
4,400   5,602 -1,202
3,333   4,402 -1,069
3,226   4,069 -843
3,947   3,903 44
13,158   2,500 10,658
3,478   1,832 1,646
3,229   564 2,665
3,184   6,372 -3,188
3,218   973 2,245
4,084   1,649 2,435
3,753   860 2,893
3,469   2,635 834
4,818   5,946 -1,128
3,356   3,640 -284
5,205   2,538 2,667
3,287   2,646 641
4,326   905 3,421
1,849   4,656 -2,807
7,438   3,132 4,306
8,398   1,505 6,893
11,082   2,736 8,346
4,370   5,287 -917
8,976   7,868 1,108
13,551   940 12,611
3,357   1,134 2,223
2,497   652 1,845
3,132   2,550 582
2,993   1,816 1,177
2,241   1,519 722
3,264   2,711 553
4,946   4,715 231
3,696   605 3,091
2,844   2,069 775
3,190   3,242 -52
3,833   3,565 268
45,178   44,229 949
4,825   4,814 11
3,362   1,485 1,877
1,574   1,600 -26
1,574   2,034 -460
4,186   750 3,436
4,924   5,242 -318
3,987   564 3,423
3,419   697 2,722
38,941   37,617 1,324
4,694   2,670 2,024
5,519   3,250 2,269
4,983   1,928 3,055
3,153   1,159 1,994
3,262   2,213 1,049
3,069   500 2,569
2,840   3,776 -936
3,097   2,314 783
9,664   2,214 7,450
18,943   12,363 6,580
19,070   1,217 17,853
5,194   1,303 3,891
3,312   1,157 2,155
5,781   1,855 3,926
2,925   2,502 423
2,700   1,589 1,111
2,780   1,510 1,270
2,552   7,277 -4,725
4,146   3,020 1,126
2,788   1,210 1,578
2,756   484 2,272
29,611   30,000 -389
5,592   2,562 3,030
10,157   2,018 8,139
2,663   6,732 -4,069
4,401   5,321 -920
2,486   2,257 229
311   440 -129
3,079   2,609 470
2,625   1,844 781
82,161   46,090 36,071
2,671   2,885 -214
2,981   993 1,988
263,761   309,843 -46,082
19,227   1,954 17,273
4,784   3,036 1,748
2,907   2,796 111
2,670   263 2,407
2,883   7,693 -4,810
45,673   38,670 7,003
8,696   2,043 6,653
3,584   860 2,724
6,318   1,728 4,590
3,194   2,958 236
3,661   790 2,871
3,152   711 2,441
2,649   2,885 -236
4,275   19,436 -15,161
2,926   1,381 1,545
2,651   1,424 1,227
2,911   693 2,218
11,889   15,508 -3,619
3,358   2,083 1,275
3,388   2,879 509
6,350   2,056 4,294
5,305   1,499 3,806
3,139   652 2,487
47   9 38
9,504   553 8,951
6,590   1,480 5,110
4,269   976 3,293
2,007   381 1,626
9,593   18,561 -8,968
4,493   813 3,680
5,958   4,196 1,762
7,115   2,525 4,590
4,779   778 4,001
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
      254
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       -1,887
b       16,170
c       1,664
d       16,928
e       3,891
      -3,452
      -1,427
      302
      7,472
      -6,542
      9
      11,599
      1,891
      3,748
      394
      -401
      466
      76
      8,379
      -2,659
      -1,202
      -1,069
      -843
      44
      10,658
      1,646
      2,665
      -3,188
      2,245
      2,435
      2,893
      834
      -1,128
      -284
      2,667
      641
      3,421
      -2,807
      4,306
      6,893
      8,346
      -917
      1,108
      12,611
      2,223
      1,845
      582
      1,177
      722
      553
      231
      3,091
      775
      -52
      268
      949
      11
      1,877
      -26
      -460
      3,436
      -318
      3,423
      2,722
      1,324
      2,024
      2,269
      3,055
      1,994
      1,049
      2,569
      -936
      783
      7,450
      6,580
      17,853
      3,891
      2,155
      3,926
      423
      1,111
      1,270
      -4,725
      1,126
      1,578
      2,272
      -389
      3,030
      8,139
      -4,069
      -920
      229
      -129
      470
      781
      36,071
      -214
      1,988
      -46,082
      17,273
      1,748
      111
      2,407
      -4,810
      7,003
      6,653
      2,724
      4,590
      236
      2,871
      2,441
      -236
      -15,161
      1,545
      1,227
      2,218
      -3,619
      1,275
      509
      4,294
      3,806
      2,487
      38
      8,951
      5,110
      3,293
      1,626
      -8,968
      3,680
      1,762
      4,590
      4,001
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 255,500
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 4,126
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 4,126
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 4,126
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 1,488
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 1,488
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 2,638
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 arrowCT
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 arrowN/A
14
The books are in care ofright arrowWELLS FARGO BANK NA Telephone no.right arrow (800) 352-3705

Located atright arrow100 N MAIN ST FL 5D4001-052WINSTON SALEMNC ZIP+4right arrow27101
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)
Yes
 
(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
 
No
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
WELLS FARGO BANK N A TRUSTEE
1
38,944    
100 N MAIN ST FL 5D4001-052
WINSTONSALEM,NC27101
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
2,999,625
b
Average of monthly cash balances.......................
1b
193,789
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
3,193,414
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
3,193,414
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
47,901
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
3,145,513
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
157,276
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
157,276
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
4,126
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
4,126
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
153,150
4
Recoveries of amounts treated as qualifying distributions................
4
16,000
5
Add lines 3 and 4............................
5
169,150
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
169,150
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
184,656
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
184,656
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 7 169,150
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 152,210
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$ 184,656
a Applied to 2022, but not more than line 2a 152,210
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..... 32,446
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 ..........
136,704
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).)
NONE
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.
NONE
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:
Catherine Basso
43 Clapboard Ridge Road
DANBURY,CT06811
(203) 797-4808
bThe form in which applications should be submitted and information and materials they should include:
Scholarship application form
cAny submission deadlines:
MAY 1
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
$8000 ANNUALLY TO A GRADUATING STUDENT FROM DANBURY HIGH SCHOOL WHO WILL ATTEND AN ACCREDITED 4-YEAR COLLEGE.
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

VASSAR COLLEGE FBO NADIA ALAM

124 RAYMOND AVE BOX 8
POUGHKEEPSIE,NY12604
NONE I SCHOLARSHIP 14,140

UNIV OF CONNECTICUT FBO NATALIE
BENALCAZAR
233 GLENBROOK RD UNIT 4100
STORRS,CT06269
NONE I SCHOLARSHIP 14,140

UNIV OF CONNECTICUT FBO TRISHA BULSARA

233 GLENBROOK RD UNIT 4100
STORRS,CT06269
NONE I SCHOLARSHIP 8,000

ROGER WILLIAMS UNIV FBO BRANDON
CALDERON
1 OLD FERRY RD
BRISTOL,RI02809
NONE I SCHOLARSHIP 14,140

NORTHEASTERN UNIV FBO AVERY CANNING

360 HUNTINGTON AVE
BOSTON,MA02115
NONE I SCHOLARSHIP 14,140

UNIV OF CONNECTICUT FBO ALICE CHEN

233 GLENBROOK RD UNIT 4100
STORRS,CT06269
NONE I SCHOLARSHIP 14,140

FAIRFIELD UNIV FBO JANE COPPOLA

PO BOX 320455
FAIRFIELD,CT06825
NONE I SCHOLARSHIP 8,000

UNIV OF THE ARTS FBO JULIANNA HADDAD

320 S BROAD ST
PHILADELPHIA,PA19120
NONE I SCHOLARSHIP 8,000

UNIV OF CONNECTICUT FBO CHRISTOPHER
LUNA
233 GLENBROOK RD UNIT 4100
STORRS,CT06269
NONE I SCHOLARSHIP 14,160

ROGER WILLIAMS UNIV FBO JENISE LYRA

1 OLD FERRY RD
BRISTOL,RI02809
NONE I SCHOLARSHIP 14,140

GEORGE WASHINGTON UNIV FBO
MALI NEPEMAN
2122 EYE ST NW
WASHINGTON,DC20052
NONE I SCHOLARSHIP 8,000

UNIV OF CONNECTICUT FBO KAIKE NEVES

233 GLENBROOK RD UNIT 4100
STORRS,CT06269
NONE I SCHOLARSHIP 8,000

UNIV OF CONNECTICUT FBO JESSICA
SANGPHET
233 GLENBROOK RD UNIT 4100
STORRS,CT06269
NONE I SCHOLARSHIP 8,000

MERCY COLLEGE FBO TANIYA WHITE

555 BROADWAY
DOBBS FERRY,NY10522
NONE I SCHOLARSHIP 8,000

ROCHESTER INSTITUTE OF TECHNOLOGY

46 LOMB MEMORIAL DR
ROCHESTER,NY146235604
NONE PC GENERAL OPERATING 8,000
Total .................................right arrow 3a 163,000
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 74,756  
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 ............
    18 255,500  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aFEDERAL TAX REFUND
    1 693  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   330,949  
13Total. Add line 12, columns (b), (d), and (e)..................
13
330,949
(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 AccountingFeesSchedule
Name:
LAKE CHARITABLE
EIN:
90-0244306
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC 1,070     1,070

TY 2023 InvestmentsCorpStockSchedule
Name:
LAKE CHARITABLE
EIN:
90-0244306
Name of Stock End of Year Book Value End of Year Fair Market Value
023135106 AMAZON COM INC COM 11,246 103,167
45866F104 INTERCONTINENTAL EXC 5,292 24,402
235851102 DANAHER CORP 9,440 25,910
92826C839 VISA INC-CLASS A SHR 10,362 51,289
81762P102 SERVICENOW INC 16,509 37,444
13645T100 CANADIAN PAC RY LTD    
016255101 ALIGN TECHNOLOGY INC 5,193 13,700
697435105 PALO ALTO NETWORKS I 4,646 30,962
101137107 BOSTON SCIENTIFIC CO 8,963 28,674
31620M106 FIDELITY NATL INFORM    
11135F101 BROADCOM INC 9,348 51,348
040413106 ARISTA NETWORKS INC 6,333 28,968
037833100 APPLE INC 8,560 149,018
G1151C101 ACCENTURE PLC 3,318 19,300
79466L302 SALESFORCE INC 8,130 40,787
78409V104 S&P GLOBAL INC 5,161 26,431
92532F100 VERTEX PHARMACEUTICA 11,018 27,262
550021109 LULULEMON ATHLETICA 10,956 27,098
532457108 ELI LILLY & CO COM 7,947 32,644
21036P108 CONSTELLATION BRANDS 11,855 22,241
34964C106 FORTUNE BRANDS INNOV 9,506 22,842
893641100 TRANSDIGM GROUP INC 3,733 21,244
892356106 TRACTOR SUPPLY CO CO 3,718 17,202
252131107 DEXCOM INC 16,958 42,315
64110L106 NETFLIX INC 9,445 26,778
983793100 XPO INC 7,379 21,898
67066G104 NVIDIA CORP 27,591 83,197
15135B101 CENTENE CORP DEL 12,173 22,560
339041105 FLEETCOR TECHNOLOGIE 24,455 27,131
169656105 CHIPOTLE MEXICAN GRI 10,000 29,730
617446448 MORGAN STANLEY 10,692 19,769
09857L108 BOOKING HOLDINGS INC 3,258 17,736
278865100 ECOLAB INC 11,644 18,843
G66721104 NORWEGIAN CRUISE LIN    
594918104 MICROSOFT CORP 18,167 159,817
896239100 TRIMBLE INC 11,891 14,045
73278L105 POOL CORPORATION 6,752 18,341
90384S303 ULTA BEAUTY INC 13,025 26,949
30303M102 META PLATFORMS INC 16,891 69,022
02079K107 ALPHABET INC CL C 15,673 110,912
518439104 ESTEE LAUDER COMPANI 6,963 14,040
90138F102 TWILIO INC 21,062 10,470
36262G101 GXO LOGISTICS INC 8,303 16,819
16679L109 CHEWY INC 22,676 9,688
001084102 AGCO CORP COM 22,984 19,426
679295105 OKTA INC 29,004 15,933
46120E602 INTUITIVE SURGICAL I 17,824 25,302
22160K105 COSTCO WHOLESALE COR 14,248 20,462
127387108 CADENCE DESIGN SYSTE 12,897 18,249
13646K108 CANADIAN PACIFIC KAN 14,524 22,611
88339J105 TRADE DESK INC/THE 21,780 23,459

TY 2023 InvestmentsOtherSchedule2
Name:
LAKE CHARITABLE
EIN:
90-0244306
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
46432F842 ISHARES CORE MSCI EA AT COST 53,609 65,003
256210105 DODGE & COX INCOME F AT COST 280,000 251,844
52106N889 LAZARD EMERGING MKTS      
31641Q755 FIDELITY NEW MRKTS I AT COST 50,000 37,849
464287630 ISHARES RUSSELL 2000      
464287499 ISHARES RUSSELL MID- AT COST 35,646 73,222
592905764 METROPOLITAN WEST T/      
922031737 VANGUARD INFLAT-PROT      
722005667 PIMCO COMMODITY REAL AT COST 157,577 116,416
00143W859 INV OPP DEVELOP MRKT AT COST 65,946 61,974
693390882 PIMCO INTL BND USD H      
872365713 TCW EMRG MRKTS INC-P AT COST 74,612 60,488
24610B826 DELAWARE SMALL CAP C      
693390841 PIMCO HIGH YIELD FD-      
46647B404 JPMORGAN MID CAP VAL      
057071854 BAIRD AGGREGATE BOND AT COST 192,555 194,968
693390700 PIMCO TOTAL RET FD-I AT COST 224,652 227,270
72201R833 PIMCO ENHANCED SHORT AT COST 95,430 95,699
74440Y884 PGIM HIGH YIELD-Q 10 AT COST 96,989 99,448
89155T490 TOUCHSTONE MID CAP-R AT COST 77,004 95,323
921937793 VANGUARD LONG-TERM B AT COST 62,773 60,484
922908629 VANGUARD MIDCAP VIPE AT COST 63,365 72,584

TY 2023 OtherDecreasesSchedule
Name:
LAKE CHARITABLE
EIN:
90-0244306
Description Amount
MUTUAL FUND TIMING ADJ 1,786
PY RETURN OF CAPITAL ADJUSTMENT 279
TAX LOT BASIS ADJUSTMENT 1,737
BOOK VALUE ADJUSTMENT 189
COST BASIS ADJUSTMENT 137


TY 2023 OtherIncomeSchedule2
Name:
LAKE CHARITABLE
EIN:
90-0244306
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
FEDERAL TAX REFUND 693 0  


TY 2023 OtherIncreasesSchedule
Name:
LAKE CHARITABLE
EIN:
90-0244306
Description Amount
RECOVERY OF GRANTS PAID 16,000


TY 2023 OtherProfessionalFeesSchedule
Name:
LAKE CHARITABLE
EIN:
90-0244306
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMNT MNGMNT FEES (NON-DED 3,852 3,852    
SCHOLARSHIP ADMIN FEES 10,850     10,850


TY 2023 TaxesSchedule
Name:
LAKE CHARITABLE
EIN:
90-0244306
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAXES 330 330   0
FOREIGN TAXES ON NONQUALIFIED 13 13   0