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
ADDISON HINES CHARITABLE TR
 
% ROBERT J LISZEWSKI
Number and street (or P.O. box number if mail is not delivered to street address)932 TILLINGHAST DRIVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OXFORD, CT064781092
A Employer identification number

20-1679943
B Telephone number (see instructions)

(954) 614-7867
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$21,212,637J 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 15 15  
4 Dividends and interest from securities... 449,803 449,803  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment
List of Attached Documents:
// Content
-158,192
b Gross sales price for all assets on line 6a 4,650,398
7 Capital gain net income (from Part IV, line 2)...  
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)..... 0  
11 Other income (attach schedule)....... 0    
12 Total. Add lines 1 through 11........ 291,626 449,818  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 103,500 72,450   31,050
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0      
b Accounting fees (attach schedule)....... 0      
c Other professional fees (attach schedule).... 0      
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 0      
19 Depreciation (attach schedule) and depletion... 0    
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
151,416 150,593   823
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 254,916 223,043   31,873
25 Contributions, gifts, grants paid....... 1,142,500 1,142,500
26 Total expenses and disbursements. Add lines 24 and 25 1,397,416 223,043   1,174,373
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,105,790
b Net investment income (if negative, enter -0-) 226,775
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......... 183,309 134,583 134,583
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).....   0  
7 Other notes and loans receivable (attach schedule) right arrow  
Less: allowance for doubtful accounts right arrow     0  
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 2,724,078 Click to see list of attachments
List of Attached Documents:
// Content
1,784,344 		1,786,113
b Investments—corporate stock (attach schedule)....... 12,990,390 Click to see attachment
List of Attached Documents:
// Content
12,145,551 		17,306,868
c Investments—corporate bonds (attach schedule)....... 619,833 Click to see attachment
List of Attached Documents:
// Content
906,261 		881,549
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow     0  
12 Investments—mortgage loans............. 886,699 1,322,354 1,067,476
13 Investments—other (attach schedule)..........   0  
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow     0  
15 Other assets (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
30,622 		Click to see attachment
List of Attached Documents:
// Content
36,048 		Click to see attachment
List of Attached Documents:
// Content
36,048
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 17,434,931 16,329,141 21,212,637
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 17,434,931 16,329,141
29 Total net assets or fund balances (see instructions)..... 17,434,931 16,329,141
30 Total liabilities and net assets/fund balances (see instructions). 17,434,931 16,329,141
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
17,434,931
2
Enter amount from Part I, line 27a .....................
2
-1,105,790
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
16,329,141
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
16,329,141
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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 -158,192
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 -158,192
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 3,152
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 3,152
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 3,152
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 16,257
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld .......... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 16,257
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
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 13,105
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow13,105 Refundedright arrow 11  
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
 
No
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 arrowFL, GA, CT
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 arrowROBERT J LISZEWSKI Telephone no.right arrow (954) 614-7867

Located atright arrow932 TILLINGHAST DRIVEOXFORDCT ZIP+4right arrow064781092
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
 
No
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
 
No
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
 
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
 
No
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
 
No
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
ROBERT J LISZEWSKIClick to see attachment
List of Attached Documents:
// Content
COTRUSTEE
5.000 		63,500    
932 TILLINGHAST DRIVE
OXFORD,CT064781092
JAMES B MURRAY COTRUSTEE
4.000 		40,000    
110 FLINTLOCK ROAD
SOUTHPORT,CT06890
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
 
Total number of other employees paid over $50,000...................right arrow  
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
EDGE WEALTH MANAGEMENT LLC INVESTMENT ADVISORY 65,713
805 3RD AVE 12TH FLOOR
NEW YORK,NY10022
Total number of others receiving over $50,000 for professional services.............right arrow  
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 0
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
20,437,621
b
Average of monthly cash balances.......................
1b
340,769
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
20,778,390
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
0
2
Acquisition indebtedness applicable to line 1 assets..................
2
 
3
Subtract line 2 from line 1d.........................
3
20,778,390
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
311,676
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
20,466,714
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
1,023,336
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
1,023,336
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
3,152
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
3,152
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
1,020,184
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
1,020,184
6
Deduction from distributable amount (see instructions).................
6
 
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
7
1,020,184
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
1,174,373
b
Program-related investments—total from Part VIII-B..................
1b
 
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
 
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
 
b
Cash distribution test (attach the required schedule) .................
3b
0
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
1,174,373
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 1,020,184
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only.......  
b Total for prior years:20 , 20, 20  
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 183,164
b From 2019...... 171,574
c From 2020...... 77,489
d From 2021...... 43,753
e From 2022...... 167,929
f Total of lines 3a through e ........ 643,909
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 1,174,373
a Applied to 2022, but not more than line 2a  
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..... 1,020,184
e Remaining amount distributed out of corpus 154,189
5 Excess distributions carryover applied to 2023.    
(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 5 798,098
b Prior years’ undistributed income. Subtract
line 4b from line 2b .......... 		 
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...... 		 
d Subtract line 6c from line 6b. Taxable amount
—see instructions ........... 		 
e Undistributed income for 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		 
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) ....... 		 
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ... 		183,164
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		614,934
10 Analysis of line 9:
a Excess from 2019.... 171,574
b Excess from 2020.... 77,489
c Excess from 2021.... 43,753
d Excess from 2022.... 167,929
e Excess from 2023.... 154,189
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
0       0
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
line 4 for each year listed ..... 		        0
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 ......         0
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)		         0
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed .. 		        0
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) .... 		        0
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii).... 		        0
(3) Largest amount of support
from an exempt organization		         0
(4) Gross investment income         0
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1Information Regarding Foundation Managers:
aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here right arrow
aThe name, address, and telephone number or 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

ALZHEIMER'S COMMUNITY CARE

800 NORTHPOINT PKWY Ste 101-B
WEST PALM BEACH,FL33407 		  PC ALZHEIMERS DAY CARE CAREGIVER ED 135,000

AMERICAN HEART ASSOCIATION

11207 BLUE HERON BLVD NORTH
SAINT PETERSBURG,FL33716 		  PC SUPPORT AHA HEROES SUMMER CAMP 52,500

AMERICAN RED CROSS

1250 NORTHPOINT PKWY
WEST PALM BEACH,FL33407 		  PC AID PALM BCH CNTY DISASTER VICTIMS 100,000

ELIZABETH H FAULK FOUNDATION

22455 BOCA RIO BLVD
BOCA RATON,FL33433 		  PC SUPPORT APA APPROVED INTERNSHIP PROG 65,000

FOUNDCARE INC

2330 SOUTH CONGRESS AVENUE
PALM SPRINGS,FL33406 		  PC TOMORROW STARTS TODAY CAPITAL CAMP 50,000

FRIENDS OF WLRN INC

172 NE 15TH STREET
MIAMI,FL33132 		  PC 2024 PUBLIC RADIO CLASSICAL MUSIC 50,000

GULF STREAM COUNCIL OF BSA

8335 N MILITARY TRAIL
PALM BEACH GARDENS,FL33410 		  PC SUPPORT SCOUT CAMPS 50,000

MASONIC HOME ENDOWMENT FUND INC

220 NORTH OCEAN STREET
JACKSONVILLE,FL32202 		  PC SUPPORT TREE OF LIFE PROGRAM 25,000

NORTON MUSEUM OF ART

1450 S DIXIE HIGHWAY
WEST PALM BEACH,FL33401 		  PC ART AFTER DARK 20232024 SEASON 50,000

PALM BEACH SYMPHONY

700 S DIXIE HIGHWAY Ste 100
WEST PALM BEACH,FL33401 		  PC MAESTRO GRAND BENEFACTORGALA SPON 35,000

PATH TO COLLEGE

313 DATURA STREET Ste 200
WEST PALM BEACH,FL33401 		  PC SUPPORT CREATION OF CATAPULT 25,000

SCHOOL OF THE ARTS FOUNDATION

501 S SAPODILLA AVENUE
WEST PALM BEACH,FL33401 		  PC SUPPORT MUSE MAG VISUAL ARTS BLDG 50,000

SHRINERS HOSPITALS FOR CHILDREN

3551 N BROAD STREET
PHILADELPHIA,PA19140 		  PC URODYNAMIC MACHINE AND MT EQUIP 150,000

SOUTH FLORIDA PBS INC

32401 S CONGRESS AVENUE
BOYNTON BEACH,FL33426 		  PC UNDERWRITE PUBLIC TV FOR 2024 155,000

ST JUDE CHILDREN'S HOSPITAL

501 ST JUDE PLACE
MEMPHIS,TN38105 		  PC FUND HEMATOLOGY CLINIC EXAM ROOM 50,000

TRUSTBRIDGE HOSPICE FOUNDATION

5300 EAST AVENUE
WEST PALM BEACH,FL33407 		  PC MUSIC THERAPY INTERNSHIP PROGRAM 75,000

UPPER CHICHESTER LIBRARY

3374 CHICHESTER AVENUE Ste 19
UPPER CHICHESTER,PA19061 		  PC SUPPORT NEW BUILDING PROJECT 25,000
Total .................................right arrow 3a 1,142,500
bApproved for future payment

AMERICAN RED CROSS
1250 NORTHPOINT PKWY
WEST PALM BEACH,FL33407 		  PC AID PALM BCH CNTY DISASTER VICTIMS 500,000

ELIZABETH H FAULK FOUNDATION
22455 BOCA RIO BLVD
BOCA RATON,FL33433 		  PC SUPPORT APA APPROVED INTERNSHIP PROG 270,000

UPPER CHICHESTER LIBRARY
3374 CHICHESTER AVENUE Ste 19
UPPER CHICHESTER,PA19061 		  PC SUPPORT NEW BUILDING PROGRAM 25,000
Total ................................. right arrow 3b 795,000
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 ........... 		    14 15  
4 Dividends and interest from securities ....     14 449,803  
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 -158,192  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   291,626  
13Total. Add line 12, columns (b), (d), and (e)..................
13
291,626
(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: 23017732
Software Version: ta23mefv1.0


Form 990PF - Special Condition Description:
Special Condition Description

TY 2023 CompensationExplanation
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
Person Name Explanation
ROBERT J LISZEWSKI COMPENSATION INCLUDES EXTRA AMOUNTS FOR FIDUCIARY ACCOUNTING TAX FILINGS GRANT PROCESSING AND RECORDS MAINTENANCE

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2023 GainLossSaleOtherAssetsSch
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
PUBLIC SEC PART IV         4,650,398 4,808,590     -158,192  

TY 2023 InvestmentsCorpBondsSchedule
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
Name of Bond End of Year Book Value End of Year Fair Market Value
CS DOUBLELINE TOTAL RETURN BD FD 641,476 633,296
NT MFB NORTHERN HI YLD FXD INC FD 264,785 248,253

TY 2023 InvestmentsCorpStockSchedule
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
Name of Stock End of Year Book Value End of Year Fair Market Value
CS ALPHABET INC CL A 72,148 279,380
CS APPLE INC 23,671 192,530
CS BANK OF AMERICA PFD 125,008 107,650
CS BERKSHIRE HATHAWAY 119,838 149,797
CS CHEVRON CORP 119,403 149,160
CS DOLLAR TREE 76,299 98,725
CS GENERAL DYNAMICS CORP 76,626 207,736
CS HONEYWELL INTL INC 93,647 127,923
CS ISHARES PREF INCOME SEC 729,952 600,408
CS ISHARES RUSSELL 2000 313,521 358,267
CS ISHARES 13 YR TREAS BD ETF 414,238 420,045
CS JOHNSON AND JOHNSON 147,804 235,110
CS JP MORGAN CHASE CO 69,781 204,120
CS JP MORGAN CHASE CO PFD 222,823 227,790
CS MCDONALDS CORP 84,400 148,255
CS MERCK CO INC 95,473 185,334
CS MICROSOFT CORP 49,180 451,248
CS PFIZER 82,723 86,370
CS PROCTOR AND GAMBLE 124,819 146,540
CS SALESFORCE 165,755 164,463
CS SCHWAB MMKT 223,306 223,306
CS SPDR SP BIOTECH ETF IV 180,902 139,292
CS WALMART 132,961 157,650
CS WALT DISNEY CO 112,377 90,290
CS WASTER MANAGEMENT 91,684 179,100
EW ACCENTURE PLC CL A 140,908 175,455
EW ADOBE INC 111,131 208,810
EW ALPHABET INC CL A 83,169 209,535
EW AMAZON 140,898 227,910
EW AMERICAN TOWER CORP REIT 116,480 129,528
EW APPLE INC 79,286 192,530
EW APTIV PLC 69,079 89,720
EW AVANTOR INC 159,021 108,443
EW BLACKROCK INC CL A 84,811 162,360
EW BLACKSTONE INC 77,412 196,380
EW CHEVRON CORP 111,516 119,328
EW COSTCO WHOLESALE CORP NEW 149,583 198,024
EW FT BHVRL SM CAP EQ INST 500,000 599,629
EW GENERAC HOLDINGS 139,282 161,550
EW HOME DEPOT INC 86,602 173,275
EW JP MORGAN CHASE CO 87,132 170,100
EW MASTERCARD INC CL A 77,924 149,278
EW META PLATFORMS INC CL A 120,061 212,376
EW MICROSOFT CORP 77,785 188,020
EW MORGAN STANLEY 32,297 93,250
EW NETFLIX INC 72,008 158,236
EW NIKE INC CL B 68,699 108,570
EW NVIDIA CORP 45,749 148,566
EW SP GLOBAL INC 121,798 143,169
EW SPDR GOLD TRUST 725,665 955,850
EW TESLA INC 167,622 173,936
EW THERMO FISHER SCIENTIFIC INC 132,614 145,967
EW UNITED PARCEL SERVICE CL B 99,067 78,615
EW ZOETIS INC 159,448 167,765
NT ABBOTT LABS 177,897 173,360
NT ADVANCED MICRO DEVICES INC 197,718 261,653
NT ALPHABET INC CL A 207,003 332,462
NT AMAZON 144,689 202,840
NT APPLE INC 86,750 224,297
NT BERKSHIRE HATHAWAY INC CL B 131,384 231,829
NT COCA COLA CO 78,685 99,886
NT ENVISTA HLDGS CORP 165,570 98,646
NT EXXON MOBIL CORP 96,136 149,970
NT GENERAL DYNAMICS CORP 84,034 162,294
NT HOME DEPOT INC 91,651 124,758
NT MASTERCARD INC CL A 127,980 172,736
NT MICROSOFT CORP 184,371 312,113
NT NORFOLK SOUTHERN CORP 195,370 200,923
NT PAYPAL HLDGS INC 238,445 101,019
NT SPDR GOLD TRUST 1,865,755 3,154,305
NT TJX COS INC 86,727 127,113

TY 2023 InvestmentsGovtObligationsSch
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
US Government Securities - End of Year Book Value:

582,180
US Government Securities - End of Year Fair Market Value:

582,180
State & Local Government Securities - End of Year Book Value:


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


 


TY 2023 InvestmentsGovtObligationsSch
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
US Government Securities - End of Year Book Value:

582,180
US Government Securities - End of Year Fair Market Value:

582,180
State & Local Government Securities - End of Year Book Value:


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


 


TY 2023 InvestmentsGovtObligationsSch
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
US Government Securities - End of Year Book Value:

582,180
US Government Securities - End of Year Fair Market Value:

582,180
State & Local Government Securities - End of Year Book Value:


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


 


TY 2023 InvestmentsGovtObligationsSch
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
US Government Securities - End of Year Book Value:

582,180
US Government Securities - End of Year Fair Market Value:

582,180
State & Local Government Securities - End of Year Book Value:


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


 


TY 2023 OtherAssetsSchedule
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
EW FORM 1099 DIV RECD NEXT YEAR 775 1,853 1,853
NT FORM 1099 DIV RECD NEXT YEAR 36 73 73
CS FORM 1099 OID ACCRUED INTEREST 29,811 30,561 30,561
CS FORM 1099 PROCEEDS RECD NEXT YEAR   1,072 1,072
CS FORM 1099 NET INT RECD NEXT YEAR   2,489 2,489


TY 2023 OtherExpensesSchedule
Name:
ADDISON HINES CHARITABLE TR
EIN:
20-1679943
Software ID:
23017732
Software Version:
ta23mefv1.0
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
IA ACCT FEES NORTHERN TR 33,724 33,724    
IA FEES EDGE WEALTH MGMT 65,713 65,713    
IA FEES EVERCORE WEALTH 31,623 31,623    
ACCT FEES SCHWAB 25 25    
GLD SHS INVEST EXP NORTHERN 12,173 12,173    
GLD SHS INVEST EXP EVERCORE 3,580 3,580    
SLV SHS INVEST EXP EVERCORE 1,213 1,213    
DO LIABILITY INSURANCE 2,742 1,919   823
GNMA POOL INVEST EXP SCHWAB 623 623