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
SUSAN AND DAVID SAMRICK
FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)435 ROYAL PLAZA DRIVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FORT LAUDERDALE, FL33301
A Employer identification number

38-3507526
B Telephone number (see instructions)

(954) 523-4991
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$2,401,843J 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... 53,641 53,641  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 11,052
b Gross sales price for all assets on line 6a 867,014
7 Capital gain net income (from Part IV, line 2)... 11,052
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
4,382 4,082  
12 Total. Add lines 1 through 11........ 69,075 68,775  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
18,660 9,330   9,330
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
2,008 264   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
5,204 61   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 25,872 9,655   9,330
25 Contributions, gifts, grants paid....... 192,630 192,630
26 Total expenses and disbursements. Add lines 24 and 25 218,502 9,655   201,960
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -149,427
b Net investment income (if negative, enter -0-) 59,120
c Adjusted net income (if negative, enter -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......... 430,743 112,633 112,633
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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 arrow        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 207,944 Click to see attachment
List of Attached Documents:
// Content
214,395 		202,002
b Investments—corporate stock (attach schedule)....... 1,169,551 Click to see attachment
List of Attached Documents:
// Content
1,195,458 		1,340,045
c Investments—corporate bonds (attach schedule)....... 193,231 Click to see attachment
List of Attached Documents:
// Content
221,753 		221,386
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).......... 365,414 Click to see attachment
List of Attached Documents:
// Content
525,777 		525,777
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
52,560 		Click to see attachment
List of Attached Documents:
// Content
0 		Click to see attachment
List of Attached Documents:
// Content
0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,419,443 2,270,016 2,401,843
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 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........... 2,419,443 2,270,016
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........    
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)..... 2,419,443 2,270,016
30 Total liabilities and net assets/fund balances (see instructions). 2,419,443 2,270,016
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
2,419,443
2
Enter amount from Part I, line 27a .....................
2
-149,427
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,270,016
5
Decreases not included in line 2 (itemize) right arrow
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,270,016
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 JEFFERIES - 3056 SHORT TERM P    
b JEFFERIES - 4114 SHORT TERM P    
c JEFFERIES - 4114 LONG TERM P    
d JEFFERIES - 9493 SHORT TERM P    
e JEFFERIES - 9493 LONG TERM P    
JEFFERIES - 1102 SHORT TERM P    
JEFFERIES - 1102 LONG TERM P    
JEFFERIES - 1102 CAPITAL GAIN DISTRIBUTIONS 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 652     652
b 46,825   46,966 -141
c 121,823   127,627 -5,804
d 18,084   17,927 157
e 41,936   51,223 -9,287
317,151   317,730 -579
320,477   294,489 25,988
66     66
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       652
b       -141
c       -5,804
d       157
e       -9,287
      -579
      25,988
      66
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 11,052
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) 1 822
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........................... 3 822
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- ..... 5 822
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 2,900
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld .......... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,900
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 24
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 2,054
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow2,054 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$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
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 arrow
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 arrowSUSAN SAMRICK Telephone no.right arrow (954) 523-4991

Located atright arrow435 ROYAL PLAZA DRIVEFT LAUDERDALEFL ZIP+4right arrow33301
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)
 
No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
 
c
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
SUSAN SAMRICK DIRECTOR
2.00 		0 0 0
435 ROYAL PLAZA DRIVE
FT LAUDERDALE,FL33301
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 arrow0
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
1,824,113
b
Average of monthly cash balances.......................
1b
196,031
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
2,020,144
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
2,020,144
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
30,302
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
1,989,842
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
99,492
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
99,492
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
822
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
822
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
98,670
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
98,670
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
98,670
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
201,960
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
 
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
 
b
Cash distribution test (attach the required schedule) .................
3b
 
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
201,960
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 98,670
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 263,309
b From 2019...... 261,046
c From 2020...... 130,421
d From 2021...... 13,014
e From 2022...... 307,345
f Total of lines 3a through e ........ 975,135
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 201,960
a Applied to 2022, but not more than line 2a 0
b Applied to undistributed income of prior years
(Election required—see instructions)..... 		0
c Treated as distributions out of corpus (Election
required—see instructions)........ 		0
d Applied to 2023 distributable amount..... 98,670
e Remaining amount distributed out of corpus 103,290
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 1,078,425
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 .......... 		0
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) ....... 		0
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ... 		263,309
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		815,116
10 Analysis of line 9:
a Excess from 2019.... 261,046
b Excess from 2020.... 130,421
c Excess from 2021.... 13,014
d Excess from 2022.... 307,345
e Excess from 2023.... 103,290
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).)
SUSAN SAMRICK
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 email address of the person to whom applications should be addressed:
bThe form in which applications should be submitted and information and materials they should include:
cAny submission deadlines:
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF (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

B'NAI AVIV

1410 INDIAN TRCE
WESTON,FL33326 		  PC GENERAL SUPPORT 360

DA BLODGETT - ST JOHN'S

2355 KNAPP ST NE
GRAND RAPIDS,MI49505 		  PC GENERAL SUPPORT 84,788

JEWISH FEDERATION OF GRAND RAPIDS

2727 MICHIGAN ST NE
GRAND RAPIDS,MI49506 		  PC GENERAL SUPPORT 35,000

UNITED JEWISH COMMUNITY OF BROWARD COUNTY

5890 S PINE ISLAND RD
DAVIE,FL33328 		  PC GENERAL SUPPORT 10,000

HILLEL OF BROWARD AND PALM BEACH

777 GLADES ROAD BLDG LY NO 3A
BOCA RATON,FL33431 		  PC GENERAL SUPPORT 15,000

CONGREGATION CHABAD HOUSE OF WESTERN MICHIGAN

2615 MICHIGAN ST NE
GRAND RAPIDS,MI49506 		  PC GENERAL SUPPORT 30,622

FOUNDATION FOR THE DEFENSE OFDEMOCRACIES

PO BOX 33249
WASHINGTON,DC20033 		  PC GENERAL SUPPORT 10,000

HARMEL ACADEMY INC

PO BOX 150264
GRAND RAPIDS,MI49515 		  PC GENERAL SUPPORT 5,000

CONGREGATION B'NAI ZION

C/O FDN 435 ROYAL PLAZA DR
FT LAUDERDALE,FL33301 		  PC GENERAL SUPPORT 1,860
Total .................................right arrow 3a 192,630
bApproved for future payment
Total ................................. right arrow 3b 0
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 53,641  
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 11,052  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aNET ORDINARY LOSS FROM KI FLORIDA FUND II 		    14 -2,901  
bNET RRE LOSS FROM KI FLORIDA FUND II     14 -301  
cJEFFERIES - 1102 NONDIVIDEND DISTRIBUTIONS       300  
dPFIC INCOME - MONROE CAPITAL OPPORTUNISTIC     14 7,284  
e
12 Subtotal. Add columns (b), (d), and (e) .. 0 69,075 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
69,075
(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 InvestmentsCorpBondsSchedule
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
Name of Bond End of Year Book Value End of Year Fair Market Value
ARES CAP CORP NT 2.875% 06/15/28 B/E DTD 06/10/21 30/360 10,642 10,641
BANK AMER CORP SR NT FIXED / FLTG RATE 1.658% 03/11/27 9,837 10,179
BANK AMER CORP SR NT FIXED/FLTG 4.827% 07/22/26 10,009 9,926
CHARTER COMMUNICATIONS OPER LLC / CHARTER 10,552 9,907
CHENIERE CORPUS CHRISTI HLDGS LLC GTD FXD RT SR SECD NT 10,251 10,022
CHENIERE ENERGY INC SR SECD NT 4.625% 10/15/28 B/E DTD 10,151 10,725
CITIGROUP INC AFFORDABLE HSG SR NT FIXED / FLTG RATE 0.000% 10,488 11,006
DIGITAL RLTY TR LP GTD NT 3.600% 07/01/29 B/E DTD 06/14/19 10,530 11,265
ENERGY TRANSFER OPER L P 5.500% 06/01/27 B/E DTD 12/01/18 10,568 10,129
GNMA GTD MTG PASS THRU CTFS POOL # 510989 7.000% 78 78
GNMA GTD MTG PASS THRU CTFS POOL # 544853 7.000% 1,964 1,964
GNMA GTD MTG PASS THRU CTFS POOL # 781289 8.500% 553 553
GNMA GTD REMIC PASS-THROUGH SECS 2005-003 REMIC 846 846
GOLDMAN SACHS GROUP INC SR NT FIXED/FLTG 0.000% 10/21/24 20,455 20,974
JPMORGAN CHASE & CO NT FIXED TO FLTG RATE 2.301% 10/15/25 10,515 10,720
M & T BK CORP SR NT FIXED/FLTG 7.413% 10/30/29 B/E DTD 10,231 10,767
MORGAN STANLEY GLOBAL MED TERM NT SER I FXD/FLTG 1.164% 11,000 10,587
MYLAN N V 3.950% 06/15/26 B/E DTD 12/15/16 23,121 21,267
PFIZER INVT ENTERPRISES PTE LTD NT 4.650% 05/19/30 B/E DTD 10,004 10,083
RAYTHEON TECHNOLOGIES CORP NT 5.750% 11/08/26 B/E DTD 9,991 10,271
TRANSCANADA TR TR NT SER 2016-A 10,274 9,453
WELLS FARGO & CO MEDIUM TERM SR NTS 3.908% 04/25/26 B/E 9,693 9,802
WELLS FARGO & CO MEDIUM TERM SR NTS 5.574% 07/25/29 B/E 10,000 10,221

TY 2023 InvestmentsCorpStockSchedule
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
Name of Stock End of Year Book Value End of Year Fair Market Value
ACCENTURE PLC IRELAND CLASS SHS 2,702 4,562
ADVANTEST CORP SPONSORED ADR NEW 6,943 5,528
AIR LEASE CORP NON CUM PERP PFD SER A 2,768 2,913
AIR PRODS & CHEMS INC COM 13,950 15,333
AKAMAI TECHNOLOGIES INC COM 4,911 5,444
ALLSTATE CORP 3,752 3,807
ALLSTATE CORP SUB DEB FIXED TO FLTG RATE 1,580 1,559
ALPHABET INC CAP STK CL C 6,640 10,288
ALPHABET INC CL A 8,831 20,674
ALTRIA GROUP INC COM 10,335 8,229
AMAZON COM INC COM 21,660 25,526
AMERICAN FINL GROUP INC OHIO SUB DEB EXP 09/15/60 897 644
AMERICAN FINL GROUP INC OHIO SUB DEB EXP 09/15/60 718 602
AMERICAN FINL GROUP INC OHIO SUB DEB EXP 12/15/59 2,430 1,999
AMERICAN INTL GROUP INC DEP SH 756 824
AMERICAN TOWER CORP NEW COM 6,363 11,442
AMGEN INC COM 3,542 3,456
AON PLC REGISTERED SHS CL A 3,639 4,365
APOLLO GLOBAL MGMT INC NEW FIXED RATE RESETTABLE SUB 6,304 6,418
APPLE INC COM 23,956 46,785
APTIV PLC SHS COM 6,876 6,550
ARCH CAP GROUP LTD DEP SHS REPSTG 1/1000TH PFD NON CUM 2,124 1,672
ARCH CAPITAL GROUP LTD SHS 2,655 2,971
ASM INTERNATIONAL NV NY REGISTERED SHS 2,862 4,673
ASML HLDG N V N Y REGISTRY SHS 1,111 4,542
ASPEN INS HLDGS LTD VAR NON CUM PREF SHS DIV-5.95% 1,586 1,460
ASTRAZENECA PLC SPONSORED ADR 3,395 3,435
AT&T INC DEP SHS REPSTG 1/1000TH PERP PFDS SER C 4 75% 1,616 1,263
ATHENE HLDG LTD C/A EFF 01/02/24 1 OLD / 1 NEW CU 04686J861 2,990 2,585
ATHENE HLDG LTD DEP SHS REPSTG 1/1000TH INT FXD RESET PERP 775 786
ATHENE HLDG LTD DEPOSITARY SH REPSTG 1/1000TH INT SH FXD 2,989 2,882
ATLAS COPCO AB SPONSORED ADR 1,166 2,840
ATLASSIAN CORP CL A 6,149 5,947
BAE SYS PLC SPONSORED ADR 4,113 4,568
BANK AMER CORP DEP SHS REPSTG 1/1000TH 3,329 2,991
BANK AMER CORP DEP SHS REPSTG 1/1000TH INT NON CUM PFD 1,124 875
BANK AMER CORP DEP SHS REPSTG 1/1000TH INT SHS PFD SER LL 3,477 3,402
BERKSHIRE HATHAWAY INC DEL CL B NEW 15,746 17,833
BLACKROCK INC COM 17,224 17,860
BOEING CO COM 15,124 13,033
BROADCOM INC COM 6,152 7,814
CANADIAN NATURAL RES LTD 2,727 2,752
CANADIAN PACIFIC KANSAS CITY LTD 6,885 11,371
CAPITAL ONE FINL CORP DEP SHS 5,280 4,557
CBRE GROUP INC CL A 4,476 5,306
CHEVRON CORP NEW COM 12,314 13,275
CINCINNATI FINL CORP COM 9,969 8,173
CISCO SYS INC COM 12,480 11,721
CITIGROUP INC DEP SHS REPSTG 1/1000TH NONCUM PFD STK SER J 3,243 3,152
CITIZENS FINL GROUP INC DEP SHS REPSTG 1,116 974
CITIZENS FINL GROUP INC DEPOSITARY SHS REPSTG 1/40TH PFD SER 2,892 2,808
CMS ENERGY CORP DEPOSITARY SH REPSTG 1/1000 INT SH 1,738 1,351
COHERENT CORP COM 6,552 8,314
COMCAST CORP NEW CL A 17,747 16,795
COMPASS GROUP PLC SPONSORED ADR NEW JUNE 2017 2,791 2,753
CRH PLC SHS 377 415
CROWN CASTLE INC COM 14,790 10,713
CROWN HLDGS INC COM 6,533 7,275
DANAHER CORP COM 2,268 7,403
DIAGEO PLC SPONSORED ADR NEW 14,834 10,925
DISNEY WALT CO DISNEY COM 8,389 7,855
DOLLAR TREE INC COM 3,400 4,404
DOMINION ENERGY INC COM 14,241 8,554
DTE ENERGY CO JR SUB DEB 2020 SER G EXP 10/15/80 1,658 1,281
DUKE ENERGY CORP NEW DEP SHS EACH REPSTG 1/1000TH INT SH 2,567 2,318
DUKE ENERGY CORP NEW JR SUB DEB 5.625% MTY 09/15/2078 CLLB 1,092 987
EPAM SYS INC COM 4,429 2,676
EQUITABLE HLDGS INC DEP SHS 3,112 2,814
EVOLUTION AB ADR 4,412 2,866
EXPERIAN PLC SPON ADR 1,730 3,422
F&G ANNUITIES & LIFE INC NTS 7.95% FREQ SEMI ANNUAL CPN 1,268 1,291
F5 INC COM 6,006 7,696
FASTENAL CO COM 10,538 13,084
FERGUSON PLC NEW REGISTERED SHS 4,149 5,020
FERRARI N V SHS 2,645 5,056
FIDELITY NATL INFORMATION SVCS INC COM 16,241 12,254
FIFTH THIRD BANCORP DEPOSITARY SHS 4,606 4,126
GENPACT LTD SHS 4,916 4,755
GLOBAL PMTS INC COM 8,518 10,160
GOLDMAN SACHS GROUP INC DEP SHS REPSTG 1/1000 INT SH 733 733
HARTFORD FINL SVCS GROUP INC DEL DEP SHS REPSTG 1/1000TH 1,508 1,450
HCA HEALTHCARE INC COM 6,276 7,579
HUNTINGTON BANCSHARES INC DEP SHS REPSTG 1/40TH INT NON 2,923 2,939
HUNTINGTON BANCSHARES INC DEPOSITARY SH REPSTG 1/40TH 1,828 1,323
ICICI BK LTD ADR 3,622 3,886
ICON PLC LTD SHS 2,655 6,228
INTUIT COM 4,032 9,375
INVESCO EXCHANGE-TRADED FD TR S&P 500 EQUAL WEIGHT ETF 33,917 34,400
IQVIA HLDGS INC COM 8,189 8,792
ISHARES TR RUSSELL 2000 ETF 119,007 125,243
JOHNSON & JOHNSON COM 18,084 16,928
JPMORGAN CHASE & CO DEP SHS EPSTG 1/400TH INT NON CUM PFD 1,527 1,305
JPMORGAN CHASE & CO DEP SHS REPSTG 1/400TH INT NON CUM 788 814
JPMORGAN CHASE & CO DEPOSITARY SH REPSTG 1/400TH PFD SER 6,729 6,378
KEYCORP NEW DEP SHS REPSTG 1/40TH INT PERP NON CUM PFD 4,163 4,335
KEYCORP NEW DEP SHS REPSTG 1/40TH OWNERSHIP INT SH 2,794 2,873
LILLY ELI & CO COM 4,776 9,327
LINCOLN NATL CORP IND SER D NON CUM PFD DEP SHS REPSTG 607 655
LINDE PLC NEW SHS 8,410 9,446
LOREAL CO ADR 3,515 3,778
LOWES COS INC COM 16,571 16,469
LVMH MOET HENNESSY LOUIS VUITTON ADR 967 3,574
MARVELL TECHNOLOGY INC COM 5,140 7,659
MASTERCARD INC CL A 4,002 4,265
MERCADOLIBRE INC COM 4,406 4,715
MERCK & CO INC NEW COM 17,757 22,022
METLIFE INC PFD SER A FLTG RATE 553 553
MICROSOFT CORP COM 25,431 45,877
MORGAN STANLEY DEP SHS FIXED/FLTG PFD 7.125% PERP MATY 3,002 2,860
MORGAN STANLEY DEP SHS REPSTG 1/1000 SH NON-CUM PFD STK 779 799
MORGAN STANLEY DEP SHS REPSTG 1/1000 SH NON-CUMULATIVE 1,631 1,623
MORGAN STANLEY DEP SHS REPSTG 1/1000TH INT PFD SER F FXD 3,304 3,002
MORGAN STANLEY DEPOSITARY SH REPSTG 1/1000TH PFD SER I 625 569
NATIONAL RURAL UTILS COOP FIN CORP SUB NT FXD EXP 05/15/64 1,583 1,585
NESTLE SA SPONSORED ADR REPSTG REG SHS 13,118 12,257
NEXTERA ENERGY CAP HLDGS INC GTD JR SUB DEB SER N 1,232 1,165
NINTENDO LTD ADR 9,193 9,418
NISOURCE INC DEP SHS REPSTG 1/1000TH PERP PFD SER B & SER B-1 3,715 3,395
NORFOLK SOUTHN CORP COM 17,877 17,019
NORTHROP GRUMMAN CORP COM 13,095 13,108
NOVO NORDISK A.S. ADR FORMERLY NOVO 19,471 32,839
NXP SEMICONDUCTORS NV COM STK 2,905 7,579
PHILIP MORRIS INTL INC COM 18,989 17,311
PROGRESSIVE CORP OH COM 9,376 14,017
PROSHARES TR SHORT S&P 500 NEW 22,590 20,719
PRUDENTIAL FINL INC JR SUB NT 1,377 1,044
PRUDENTIAL FINL INC JR SUB NT EXP 08/15/58 2,405 2,321
PRUDENTIAL FINL INC JR SUB NTS 5.95% CPN QLTY FREQUENCY 2,529 2,567
PUBLIC STORAGE DEP SHS REPSTG 1/1000 4 625% CUM PFD BEN INT 769 706
PUBLIC STORAGE DEP SHS REPSTG 1/1000TH CUM PFD SHS BEN INT 2,936 2,874
PUBLIC STORAGE DEPOSITARY SHS REPSTG 1/1000TH PFD SHS BEN 580 411
QUALCOMM INC COM 4,286 8,099
REGIONS FINL CORP NEW DEPOSITARY SHS REPSTG 1/40TH PERP 4,440 4,667
REINSURANCE GROUP AMER INC SUB DEB FIXED RATE RESET 7.125 2,933 3,025
REINSURANCE GROUP AMER INC SUB DEBENTURE FXD/FLTG EXP 3,429 3,135
S&P GLOBAL INC COM 5,859 6,608
SAFRAN S A ADR 4,183 4,192
SCE TR VII TR PREF SECS CPN 7.50% FREQ QUARTERLY PERPETUAL 2,462 2,478
SCHNEIDER UNSP ADR SHS UNSPONSORED AMERICAN DEPOSIT RCP 2,456 3,057
SCHWAB CHARLES CORP NEW COM 20,448 26,213
SCHWAB CHARLES CORP NEW DEP SHS REPSTG 1/40TH INT NON 1,524 1,581
SELECTIVE INS GROUP INC DEPOSITARY SH REPSTG 1/1000 INT SH 1,676 1,117
SEMPRA JR SUB NT 1,519 1,574
SOUTHERN CO JR SUB NT SER 2020C EXP 10/15/60 992 794
SOUTHERN CO SER 2020A JR SUB NT 4.95% CPN QUARTERLY 799 674
SPDR SER TR SPDR BLOOMBERG 1-3 MNTH T 57,590 57,484
STARBUCKS CORP COM 12,857 14,113
STATE STR CORP DEP SHS REPSTG 1/4000TH PERP PFD SER D 5 9% 7,572 7,209
STERIS PLC REGISTERED SHS 1,746 3,298
TAKE-TWO INTERACTIVE SOFTWARE INC CDT-COM 4,617 6,599
TEXAS INSTRS INC COM 18,392 18,921
TEXTRON INC COM 6,270 7,399
THOMSON REUTERS CORP REGISTERED SHS 2,127 2,645
T-MOBILE US INC COM 6,385 7,696
TRUIST FINL CORP DEP SHS REPSTG 1/1000TH NON CUM PERP PFD 3,410 2,575
UBS GROUP AG SHS 3,194 3,183
UNITED PARCEL SVC INC CL B 14,653 13,207
UNITEDHEALTH GROUP INC COM 3,400 8,950
UNUM GROUP JR SUB NT 1,455 1,413
US BANCORP DEL DEPOSITARY SH REPSTG 1/1000TH INT PERP PFD 1,341 1,387
VERISK ANALYTICS INC COM 2,269 4,299
VERIZON COMMUNICATIONS INC COM 18,758 16,173
VISA INC COM CL A 12,009 14,059
VOYA FINL INC DEP SH REPSTG 1/40TH PFD SER B 5 35% 5,387 5,250
WASTE CONNECTIONS INC COM 2,643 2,985
WELLS FARGO & CO NEW DEP SHS REPSTG 1,921 1,674
WELLS FARGO & CO NEW DEPOSITARY SHS REPSTG 1/1000TH INT 6,853 6,256
ZOETIS INC COM 6,255 6,711
ZSCALER INC COM 5,168 6,204

TY 2023 InvestmentsGovtObligationsSch
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
US Government Securities - End of Year Book Value:

214,395
US Government Securities - End of Year Fair Market Value:

202,002
State & Local Government Securities - End of Year Book Value:


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


0


TY 2023 InvestmentsOtherSchedule2
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
CAPITAL DYNAMICS GLOBAL SECONDARIES V AT COST 122,834 122,834
MONROE CAPITAL OPPORTUNISTIC PRIVATE CREDIT (CAYMAN) FEEDER FUND LP AT COST 104,448 104,448
SOUND POINT STRATEGIC CAPITAL OFFSHORE FUND II, LP AT COST 91,559 91,559
DAWSON PORTFOLIO FINANCE (OFFSHORE) 5 LP FKA WHITEHORSE LIQUIDITY PARTNERS AT COST 95,104 95,104
KI FLORIDA FUND II LLC AT COST 111,832 111,832

TY 2023 OtherAssetsSchedule
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
OTHER RECEIVABLES 52,560    


TY 2023 OtherExpensesSchedule
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
OTHER DEDUCTIONS FROM KI FLORIDA FUND II 61 61   0
NON DEDUCTIBLE EXPENSES 5,143 0   0


TY 2023 OtherIncomeSchedule2
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
NET ORDINARY LOSS FROM KI FLORIDA FUND II -2,901 -2,901 -2,901
NET RRE LOSS FROM KI FLORIDA FUND II -301 -301 -301
JEFFERIES - 1102 NONDIVIDEND DISTRIBUTIONS 300   300
PFIC INCOME - MONROE CAPITAL OPPORTUNISTIC 7,284 7,284 7,284


TY 2023 OtherProfessionalFeesSchedule
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMENT MANAGEMENT FEES 18,660 9,330   9,330


TY 2023 TaxesSchedule
Name:
SUSAN AND DAVID SAMRICK
 
FAMILY FOUNDATION
EIN:
38-3507526
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAX 264 264   0
EXCISE TAX 1,744 0   0