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
CARLSON FAMILY FOUNDATION
C/O JOHN A NORTON
Number and street (or P.O. box number if mail is not delivered to street address)1610 SKYE DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHAPEL HILL, NC27516
A Employer identification number

31-1678303
B Telephone number (see instructions)

(919) 604-0842
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$27,324,025
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check right arrow.............
3 Interest on savings and temporary cash investments 225 225  
4 Dividends and interest from securities... 154,864 154,864  
5a Gross rents............ 1,574,278 1,574,278  
b Net rental income or (loss) 840,649
6a Net gain or (loss) from sale of assets not on line 10 320,308
b Gross sales price for all assets on line 6a 589,074
7 Capital gain net income (from Part IV, line 2)... 320,308
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)....... 851 0  
12 Total. Add lines 1 through 11........ 2,050,526 2,049,675  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 245,000 24,500   220,500
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 47,504 46,632   872
b Accounting fees (attach schedule)....... 18,106 9,053   9,053
c Other professional fees (attach schedule).... 99,889 99,889   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 323,532 306,200   0
19 Depreciation (attach schedule) and depletion... 145,957 145,957  
20 Occupancy..............        
21 Travel, conferences, and meetings....... 20,964 6,289   14,675
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 141,207 138,500   2,708
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,042,159 777,020   247,808
25 Contributions, gifts, grants paid....... 964,350 964,350
26 Total expenses and disbursements. Add lines 24 and 25 2,006,509 777,020   1,212,158
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 44,017
b Net investment income (if negative, enter -0-) 1,272,655
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............. 394,867 271,232 271,232
2 Savings and temporary cash investments......... 1,025 140,111 140,111
3 Accounts receivable right arrow209,301
Less: allowance for doubtful accounts right arrow   433,602 209,301 209,301
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.......... 390,778 404,455 404,455
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 6,327,976 Click to see attachment
List of Attached Documents:
// Content
6,873,755
13,845,926
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow11,773,806
Less: accumulated depreciation (attach schedule) right arrow458,274 11,230,092 Click to see attachment
List of Attached Documents:
// Content
11,315,532
12,450,000
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis right arrow1,789
Less: accumulated depreciation (attach schedule) right arrow1,789      
15 Other assets (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
3,000
Click to see attachment
List of Attached Documents:
// Content
3,000
Click to see attachment
List of Attached Documents:
// Content
3,000
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 18,781,340 19,217,386 27,324,025
Liabilities 17 Accounts payable and accrued expenses.......... 297,958 258,107
18 Grants payable................. 3,500  
19 Deferred revenue................. 433,602 209,301
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)......... 735,060 467,408
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........ 18,046,280 18,749,978
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 18,046,280 18,749,978
30 Total liabilities and net assets/fund balances (see instructions). 18,781,340 19,217,386
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
18,046,280
2
Enter amount from Part I, line 27a .....................
2
44,017
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
659,681
4
Add lines 1, 2, and 3 ..........................
4
18,749,978
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
18,749,978
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 PUBLICLY TRADED SECURITIES      
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 589,074   268,766 320,308
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       320,308
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 2 320,308
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 17,690
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 17,690
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 17,690
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 13,320
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 13,320
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9 4,370
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10  
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow   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$ 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 arrowJOHN A NORTON Telephone no.right arrow (919) 604-0842

Located atright arrow1610 SKYE DRIVECHAPEL HILLNC ZIP+4right arrow27516
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, did the foundation have an interest in or a signature or other authority over YesNo
a bank, securities, or other financial account in a foreign country? .................
16   No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
Yes
 
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
No
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2023? .............
1d
 
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 20, 20, 20
b
Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement—see instructions.) ..............
2b
 
 
c
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
right arrow20, 20, 20, 20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2023 as a result of (1) any purchase by the foundation
or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2023.) .....................
3b
 
 
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
 
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
Page 6
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
b
If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
5b
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant? .................
5d
 
 
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract? .............................
6a
 
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
6b
 
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
7a
 
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
7b
 
 
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year? .........................
8
 
No
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a) Name and address (b) Title, and average
hours per week
devoted to position
(c) Compensation
(If not paid, enter
-0-)
(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
other allowances
JOHN A NORTON DIRECTOR
5.00
25,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
MICHAEL A NORTON DIRECTOR
5.00
25,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
MARY N OWEN DIRECTOR
2.00
25,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
PAUL S NORTON DIRECTOR
1.00
15,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
JAMES M NORTON DIRECTOR
1.00
25,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
LENORE TRILBY NORTON DIRECTOR
1.00
25,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
CHRISTINA N WINCEK DIRECTOR
1.00
15,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
KYLE P NORTON PRESIDENT
1.00
15,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
JOSEPH F NORTON VICE PRESIDENT/TREASURER
1.00
15,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
ANN E JACOBS DIRECTOR
1.00
15,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
LAUREN C NORTON DIRECTOR
1.00
15,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
KAITLYN NORTON DIRECTOR
1.00
15,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
TRILBY F NORTON SECRETARY
1.00
15,000 0 0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL,NC27516
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
12,473,817
b
Average of monthly cash balances.......................
1b
641,911
c
Fair market value of all other assets (see instructions)................
1c
13,148,603
d
Total (add lines 1a, b, and c).........................
1d
26,264,331
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
26,264,331
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
393,965
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
25,870,366
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
1,293,518
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
1,293,518
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
17,690
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
17,690
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
1,275,828
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
1,275,828
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
1,275,828
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
1,212,158
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
1,212,158
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 1,275,828
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 519,394
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018......  
b From 2019......  
c From 2020......  
d From 2021......  
e From 2022......  
f Total of lines 3a through e ........ 0
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 1,212,158
a Applied to 2022, but not more than line 2a 519,394
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..... 692,764
e Remaining amount distributed out of corpus 0
5 Excess distributions carryover applied to 2023. 0 0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6Enter the net total of each column as
indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
b Prior years’ undistributed income. Subtract
line 4b from line 2b ..........
0
c Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed......
0
d Subtract line 6c from line 6b. Taxable amount
—see instructions ...........
0
e Undistributed income for 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions .............
0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 ..........
583,064
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) .......
0
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ...
0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ......
0
10 Analysis of line 9:
a Excess from 2019....  
b Excess from 2020....  
c Excess from 2021....  
d Excess from 2022....  
e Excess from 2023....  
Form 990-PF (2023)
Form 990-PF (2023)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-A, question 9)
1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2023, enter the date of the ruling ...... right arrow
 
b Check box to indicate whether the organization is a private operating foundation described in section or
2a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part IX for each
year listed ..........
Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
line 4 for each year listed .....
         
d Amounts included in line 2c not used directly
for active conduct of exempt activities ..........
         
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c ....
         
3 Complete 3a, b, or c for the
alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......          
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)
         
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed ..
         
c “Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties) ....
         
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)....
         
(3) Largest amount of support
from an exempt organization
         
(4) Gross investment income          
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1Information Regarding Foundation Managers:
aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here right arrow
aThe name, address, and telephone number or 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

ALIVE

2723 KING STREET
ALEXANDRIA,VA22302
NONE PC DISCRETIONARY GRANT 2,000

ALZHEIMER'S ASSOCIATION

225 N MICHIGAN AVE 17TH FLOOR
CHICAGO,IL60601
NONE PC DISCRETIONARY GRANT 4,500

ALZHEIMER'S ASSOCIATION RALEIGH NC CHAPTER

5171 GLENWOOD AVE STE 101
RALEIGH,NC27612
NONE PC DISCRETIONARY GRANT 1,000

AMANDLA INC

469 BROOKHURST AVENUE
PENN VALLEY,PA19072
NONE PC MAJOR GRANT 10,000

AMERICAN DIABETES ASSOCIATION

2451 CRYSTAL DRIVE SUITE 900
ARLINGTON,VA22202
NONE PC DISCRETIONARY GRANT 2,000

AMERICAN JEWISH JOINT DISTRIBUTION COMMITTEE

220 EAST 42ND ST
NEW YORK,NY10017
NONE PC DISCRETIONARY GRANT 1,000

AMERICARES FOUNDATION

88 HAMILTON ST
STAMFORD,CT06902
NONE PC MATCHING GRANT 250

AMREF HEALTH AFRICA IN THE USA

75 BROAD ST STE 703
NEW YORK,NY10004
NONE PC MAJOR GRANT 5,000

APPALACHIA SERVICE PROJECT

4523 BRISTOL HIGHWAY
JOHNSON CITY,TN37601
NONE PC DISCRETIONARY GRANT 5,000

APSU FOUNDATION

PO BOX 4635
CLARKSVILLE,TN37040
NONE PC DISCRETIONARY GRANT 2,500

ARLINGTON FOOD ASSISTANCE CENTER (AFAC)

2708 S NELSON ST
ARLINGTON,VA22206
NONE PC MAJOR GRANT 8,000

ARLINGTON FREE CLINIC

2921 11TH STREET SOUTH
ARLINGTON,VA22204
NONE PC MAJOR GRANT 10,000

ASOCIACION ANIDAN AYUDA NINOS DE AFRICA

CALLE JULIAN HERNANDEZ N 9 2 4
MADRID   28043
SP
NONE PC MAJOR GRANT 20,000

BIG BROTHERS BIG SISTERS OF CLARKSVILLE

401 TINY TOWN RD STE A
CLARKSVILLE,TN37042
NONE PC MAJOR GRANT 5,000

BIG BROTHERS BIG SISTERS OF TRIANGLE

808 AVIATION PKWY SUITE 900
MORRISVILLE,NC27560
NONE PC MAJOR GRANT 15,000

BISHOPS ANNUAL APPEAL

7200 STONEHENGE DRIVE
RALEIGH,NC27613
NONE PC MATCHING GRANT 1,000

BOOTH HILL SCHOOL PTA

545 BOOTH HILL RD
TRUMBULL,CT06611
NONE PC MATCHING GRANT 250

BOYS & GIRLS CLUB OF DURHAM AND ORANGE COUNTIES

1010 MARTIN LUTHER KING JR PKWY
DURHAM,NC27713
NONE PC MAJOR GRANT 15,000

BROOKE'S HOUSE LLC

17670 TECHNOLOGY BLVD
HAGERSTOWN,MD21740
NONE PC MAJOR GRANT 40,000

BROTHERS RESTORING URBAN HOPE

337 LAURELWOOD DR
BOILING SPRINGS,SC29316
NONE PC MAJOR GRANT 5,000

BUILDING ONE COMMUNITY

417 SHIPPAN AVENUE
STAMFORD,CT06902
NONE PC MAJOR GRANT 25,000

CAROLINA PERFORMING ARTS

PO BOX 309
CHAPEL HILL,NC27514
NONE PC DISCRETIONARY GRANT 3,000

CENTER FOR CHILD AND FAMILY HEALTH

1121 W CHAPEL HILL ST SUITE 100
DURHAM,NC27701
NONE PC MAJOR GRANT 10,000

CHAPEL HILL CARRBORO YMCA

801 CORPORATE CENTER DR STE 200
RALEIGH,NC27607
NONE PC DISCRETIONARY GRANT 2,000

CHATHAM COUNTY PARTNERSHIP FOR CHILDREN

220 CHATHAM BUSINESS DRIVE
PITTSBORO,NC27312
NONE PC DISCRETIONARY GRANT 3,000

CHATHAM OUTREACH ALLIANCE

40 CAMP DRIVE
PITTSBORO,NC27312
NONE PC MAJOR GRANT 10,000

CHILDREN'S HOME SOCIETY OF VIRGINIA

4200 FITZHUGH AVE
RICHMOND,VA23230
NONE PC MAJOR GRANT 10,000

CITY OF HOPE

1500 E DUARTE RD
DUARTE,CA91010
NONE PC MATCHING GRANT 100

CRESTED BUTTE LAND TRUST

308 THIRD STREET
CRESTED BUITTE,CO81224
NONE PC DISCRETIONARY GRANT 1,500

DANA FARBER FOUNDATION

450 BROOKLINE AVENUE
BOSTON,MA02215
NONE PC DISCRETIONARY GRANT 2,000

DETROIT ACHIEVEMENT ACADEMY FOUNDATION

7000 W OUTER DRIVE
DETROIT,MI482353166
NONE PC MAJOR GRANT 15,000

DOCTORS WITHOUT BORDERS

40 HECTOR ST
NEW YORK,NY10006
NONE PC DISCRETIONARY GRANT 6,000

DURHAM LITERACY CENTER INC

1905 CHAPEL HILL RD
DURHAM,NC27707
NONE PC MAJOR GRANT 20,000

EAST BAY SAILING FOUNDATION

101 POPPASQUASH RD
BRISTOL,RI02809
NONE PC DISCRETIONARY GRANT, MATCHING GRANT 7,500

EL CENTRO HISPANO INC

2000 CHAPEL HILL RD
DURHAM,NC277071197
NONE PC MAJOR GRANT 17,000

EMANCIPATE NC INC

1803 CHAPEL HILL DR
DURHAM,NC27707
NONE PC MAJOR GRANT 10,000

EQUALITY NOW INC

125 MAIDEN LANE 9TH FLOOR STE B
NEW YORK,NY10038
NONE PC MAJOR GRANT, DISCRETIONARY GRANT 21,000

FEEDING AMERICA

161 NORTH CLARK ST STE 700
CHICAGO,IL60601
NONE PC MATCHING GRANT 100

FOOD BANK OF CENTRAL AND EASTERN NORTH CAROLINA INC

1924 CAPITAL BLVD
RALEIGH,NC27604
NONE PC MAJOR GRANT 10,000

FOUNDATION FOR FIGHTING BLINDNESS

6925 OAKLAND MILLS RD
COLUMBIA,MD21045
NONE PC DISCRETIONARY GRANT 5,000

FRED HUTCHINSON CANCER RESEARCH CENTER

1100 FAIRVIEW AVE N J5-200
SEATTLE,WA98109
NONE PC MAJOR GRANT 10,000

FRIENDS OF DUNCAN LIBRARY

2501 COMMONWEALTH AVE
ALEXANDRIA,VA22301
NONE PC DISCRETIONARY GRANT 1,000

FRIENDS OF DYKE MARSH

PO BOX 7183
ALEXANDRIA,VA22307
NONE PC DISCRETIONARY GRANT 1,000

FRIENDS OF KAREN

118 TITICUS RD
NORTH SALEM,NY10560
NONE PC MATCHING GRANT 50

HAVEN HOUSE INC

1008 BULLARD COURT
RALEIGH,NC27615
NONE PC MAJOR GRANT 15,000

HUMBLE DESIGN INC

180 N SAGINAW ST
PONTIAC,MI48342
NONE PC MAJOR GRANT, DISCRETIONARY GRANT 19,500

INTER-FAITH COUNCIL FOR SOCIAL SERVICE

110 WEST MAIN ST
CARRBORO,NC27510
NONE PC MAJOR GRANT 20,000

J FITHIAN TATEM ELEMENTARY PTA

1 GLOVER AVE
HADDONFIELD,NJ08033
NONE PC DISCRETIONARY GRANT 4,000

KECK SCHOOL OF MEDICINE USC

1149 SOUTH HILL ST STE 360
LOS ANGELES,CA90015
NONE PC MATCHING GRANT 3,000

KEEP GROWING DETROIT

1445 ADELAIDE STREET
DETROIT,MI48207
NONE PC DISCRETIONARY GRANT 5,000

LEAGUE TO SAVE LAKE TAHOE

2608 LAKE TAHOE BLVD
SOUTH LAKE TAHOE,CA96150
NONE PC MAJOR GRANT 25,000

LEUKEMIA & LYMPHOMA SOCIETY

3 INTERNATIONAL DRIVE STE 200
RYE BROOK,NY105737501
NONE PC MAJOR GRANT 25,000

LIFE SKILLS FOUNDATION

2670 DURHAM-CHAPEL HILL BLVD
DURHAM,NC27707
NONE PC DISCRETIONARY GRANT 2,000

MEALS ON WHEELS ORANGE COUNTY NC

632 LAUREL HILL RD
CHAPEL HILL,NC27514
NONE PC DISCRETIONARY GRANT 2,000

MEDICOS SIN FRONTERAS ESPANA

ZAMORA 54
BARCELONA   08008
SP
NONE PC MAJOR GRANT 30,000

MEL BORNSTEIN CLINIC FOR PSYCHOANALYSIS AND PSYCHOTHERAPY

32841 MIDDLEBELT RD STE 403
FARMINGTON HILLS,MI48334
NONE PC DISCRETIONARY GRANT 500

MIRACLEFEET

107 CONNER DRIVE STE 230
CHAPEL HILL,NC27514
NONE PC MAJOR GRANT 15,000

MOUNT VERNON COMMUNITY SCHOOL PTA

2601 COMMONWEALTH AVE
ALEXANDRIA,VA22305
NONE PC DISCRETIONARY GRANT 500

MUSIC MAKER RELIEF FOUNDATION

224 WEST CORBIN ST
HILLSBOROUGH,NC27278
NONE PC MAJOR GRANT 10,000

MY BROTHERS KEEPER SOUTH COAST

PO BOX 70273 N
DARTMOUTH,MA02747
NONE PC MATCHING GRANT 100

NEW HAVEN READS COMMUNITY BOOK BANK

45 BRISTOL STREET
NEW HAVEN,CT06511
NONE PC MAJOR GRANT 32,000

NICHOLS IMPROVEMENT ASSOCIATION INC

1773 HUNTINGTON TURNPIKE
TRUMBULL,CT06611
NONE PC DISCRETIONARY GRANT 5,000

NORTH CAROLINA COASTAL FEDERATION

3609 HIGHWAY 24 OCEAN
NEWPORT,NC28570
NONE PC DISCRETIONARY GRANT 4,000

ORANGE COUNTY RAPE CRISIS CENTER

1229 EAST FRANKLIN ST 1ST FLOOR
CHAPEL HILL,NC275143341
NONE PC MAJOR GRANT 7,000

ORPHAN DISEASE CENTER - UNIVERSITY OF PENNSYLVANIA

TRL SUITE 1200 125 SOUTH 31ST
STREET
PHILADELPHIA,PA19104
NONE PC MAJOR GRANT 10,000

ORPHANAID AFRICA

1110 N VIRGIL AVE PMB 97480
LOS ANGELES,CA90029
NONE PC MAJOR GRANT 5,000

PAUL C APAP ALS FOUNDATION

2330 BRENTHAVEN DR
BLOOMFIELD HILLS,MI48304
NONE PC DISCRETIONARY GRANT 1,000

PORCH CHAPEL HILL-CARRBORO

212 LAKE MANOR RD
CHAPEL HILL,NC27516
NONE PC DISCRETIONARY GRANT 2,000

POTOMAC RIVERKEEPER INC

3070 M ST NW
WASHINGTON,DC20007
NONE PC MAJOR GRANT, MATCHING GRANT 17,000

PREBLE STREET

55 PREBLE STREET
PORTLAND,ME04101
NONE PC DISCRETIONARY GRANT 5,000

ROCKING THE BOAT

812 EDGEWATER RD
BRONX,NY10474
NONE PC DISCRETIONARY GRANT 2,000

RONALD MCDONALD HOUSE OF CHAPEL HILL

101 OLD MASON FARM RD
CHAPEL HILL,NC27517
NONE PC DISCRETIONARY GRANT 2,000

SAFECHILD

2841 KIDD RD
RALEIGH,NC27610
NONE PC MAJOR GRANT 10,000

SAIL TO PREVAIL

360 THAMES ST UNIT 3A
NEWPORT,RI02840
NONE PC MAJOR GRANT 6,000

SALVATION ARMY DURHAM CHAPTER

501 ARCHDALE DRIVE
CHARLOTTE,NC28217
NONE PC DISCRETIONARY GRANT 2,000

SECU FAMILY HOUSE

123 OLD MASON FARM ROAD
CHAPEL HILL,NC27517
NONE PC DISCRETIONARY GRANT 2,000

SHEPHERD UNIVERSITY FOUNDATION INC

P O BOX 5000
SHEPHERDSTOWN,WV254435000
NONE PC DISCRETINARY GRANT 3,000

SILVER HILL HOSPITAL

208 VALLEY RD
NEW CANAAN,CT068403899
NONE PC DISCRETIONARY GRANT 2,000

SOCIETY OF ST ANDREW

3383 SWEET HOLLOW ROAD
BIG ISLAND,VA24526
NONE PC DISCRETIONARY GRANT 1,500

SOUND WATERS INC

1281 COVE ROAD
STAMFORD,CT06902
NONE PC MAJOR GRANT 50,000

SPECIAL OLYMPICS ORANGE COUNTY

200 PLANT RD
CHAPEL HILL,NC27514
NONE PC DISCRETIONARY GRANT 2,000

ST JUDES CHILDRENS HOSPITAL

262 DANNY THOMAS PLACE
MEMPHIS,TN38105
NONE PC DISCRETIONARY GRANT 6,500

STOP IT NOW

110 NORTH HILLSIDE RD ROOM 27
SOUTH DEERFIELD,MA01373
NONE PC MAJOR GRANT 5,000

SUZUKI MUSIC SCHOOL OF WESTPORT INC

246 POST RD EAST
WESTPORT,CT06880
NONE PC MATCHING GRANT 250

TABLE MINISTRIES INC

209 E MAIN ST
CARRBORO,NC27510
NONE PC MAJOR GRANT 10,000

THE ARC OF THE TRIANGLE

5121 HOLLYRIDGE DRIVE STE 100
RALEIGH,NC27612
NONE PC MAJOR GRANT 7,500

THE CLEAR FUND DBA GIVEWELL

1999 HARRISON ST
OAKLAND,CA94612
NONE PC MAJOR GRANT 12,000

THE EHE FOUNDATION

1561 HOPI CT
HOBART,WI54313
NONE PC MAJOR GRANT 12,000

THE GREEN CHAIR PROJECT INC

1853 CAPITAL BLVD
RALEIGH,NC27604
NONE PC MAJOR GRANT 5,000

THE HADDONFIELD FOUNDATION

PO BOX 555
HADDONFIELD,NJ08033
NONE PC DISCRETIONARY GRANT 1,000

THE NATURE CONSERVANCY NORTH CAROLINA CHAPTER

334 BLACKWELL ST STE 300
DURHAM,NC27701
NONE PC MAJOR GRANT 10,000

THE ROGERS-EUBANKS NEIGHBORHOOD ASSOC

101 EDGAR ST
CHAPEL HILL,NC27516
NONE PC DISCRETIONARY GRANT 2,000

THE SCHOLARSHIP FUND FOR INNER CITY CHILDREN

171 CLIFTON AVENUE
NEWARK,NJ071049500
NONE PC MAJOR GRANT 15,000

THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL FOUNDATION INC

208 W FRANKLIN ST
CHAPEL HILL,NC27516
NONE PC MATCHING GRANT 250

TOUCH FOUNDATION INC

18 WEST 18TH ST
NEW YORK,NY10011
NONE PC MAJOR GRANT 5,000

TRAMPLED ROSE INC

602 WILSON AVE
FLORENCE,CO81226
NONE PC MAJOR GRANT, DISCRETIONARY GRANT 21,000

ULMAN FOUNDATION- ULMAN CANCER FUND FOR YOUNG ADULTS

2118 E MADISON ST
BALTIMORE,MD21205
NONE PC MAJOR GRANT 8,000

UNC HEALTH FOUNDATION

123 W FRANKLIN ST STE 510
CHAPEL HILL,NC27516
NONE PC MAJOR GRANT 15,000

UNIVERSITY OF RHODE ISLAND URI FOUNDATION

79 UPPER COLLEGE ROAD
KINGSTON,RI02881
NONE PC DISCRETIONARY GRANT 3,000

UNIVERSITY OF SOUTHERN CALIFORNIA

UNIVERSITY GARDENS BULDING STE 205
LOS ANGELES,CA900898006
NONE PC MAJOR GRANT, DISCRETIONARY GRANT 63,000

URBAN MINISTRIES CLARKSVILLE AREA

217 S 3RD ST
CHARKSVILLE,TN37040
NONE PC DISCRETIONARY GRANT 2,500

VICENTE FERRER FOUNDATION

1100 15H ST NW 4TH FLOOR
WASHINGTON,DC20005
NONE PC MAJOR GRANT 5,000

VOLUNTEER ALEXANDRIA INC

2202 MT VERNON AVE STE 200
ALEXANDRIA,VA22301
NONE PC MAJOR GRANT 16,000

WASHINGTON AREA BICYCLE ASSOCIATION

2599 ONTARIO RD NW
WASHINGTON,DC20009
NONE PC DISCRETIONARY GRANT 500

WATERSIDE SCHOOL INC

770 PACIFIC ST
STAMFORD,CT06902
NONE PC MAJOR GRANT 25,000

WORLD CENTRAL KITCHEN

200 MASSACHUSETTS AVE NW 7TH FLOOR
WASHINGTON,DC20001
NONE PC DISCRETIONARY GRANT 2,000

YAIPAK OUTREACH

1881 BRADBURY RD
ADAMS,TN37010
NONE PC MAJOR GRANT 10,000

YOUTH VILLAGES INC

3310 PERIMETER HILL DRIVE
NASHVILLE,TN37211
NONE PC MAJOR GRANT 12,000
Total .................................right arrow 3a 964,350
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 ...........
    14 225  
4 Dividends and interest from securities ....     14 154,864  
5 Net rental income or (loss) from real estate:
aDebt-financed property......          
bNot debt-financed property.....     16 840,649  
6 Net rental income or (loss) from personal property          
7 Other investment income .....          
8 Gain or (loss) from sales of assets other than
inventory ............
    18 320,308  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
aMISCELLANEOUS
900001   01 851  
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) .. 0 1,316,897 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
1,316,897
(See worksheet in line 13 instructions to verify calculations.)
Part XV-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
DownArrow
Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form 990-PF (2023)
Form 990-PF (2023)
Page 13
Part XVI
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1) Cash...................................
1a(1)
 
No
(2) Other assets.................................
1a(2)
 
No
b
Other transactions:
(1) Sales of assets to a noncharitable exempt organization....................
1b(1)
 
No
(2) Purchases of assets from a noncharitable exempt organization..................
1b(2)
 
No
(3) Rental of facilities, equipment, or other assets.......................
1b(3)
 
No
(4) Reimbursement arrangements...........................
1b(4)
 
No
(5) Loans or loan guarantees.............................
1b(5)
 
No
(6) Performance of services or membership or fundraising solicitations................
1b(6)
 
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
1c
 
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
(a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
b
If "Yes," complete the following schedule.

(a) Name of organization (b) Type of organization (c) Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
right arrow right arrow
May the IRS discuss this return
with the preparer shown below?
See instructions.
Signature of officer or trustee Date Title
Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date Check if self-
employed right arrow
PTIN
Firm's name SmallBullet
Firm's EIN SmallBullet
Firm's address SmallBullet


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


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description

TY 2023 AccountingFeesSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
BRUNOTT CPA AND ASSOCIATES LLC 18,106 9,053   9,053

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TY 2023 DepreciationSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
Life (# of years)
Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
COMPUTER 2010-07-01 1,789 1,789 200DB 5.000000000000 0 0    
393 ROUTE 17 2010-07-01 3,350,000   L   0 0    
385 ROUTE 17 2010-07-01 2,400,000   L   0 0    
BUILDING 385 ROUTE 17 2017-10-01 1,262,279 168,573 SL 39.000000000000 32,366 32,366    
BUILDING 385 ROUTE 17 2019-04-30 288,511 27,434 SL 39.000000000000 7,398 7,398    
BUILDING 385 ROUTE 17 2020-11-07 10,226 557 SL 39.000000000000 262 262    
BUILDING 393 ROUTE 17 2021-11-09 4,012,784 115,753 SL 39.000000000000 102,892 102,892    
RENOVATION 393 2023-10-02 350,999   SL 39.000000000000 1,875 1,875    
RENOVATION 385 2023-07-31 99,007   SL 39.000000000000 1,164 1,164    

TY 2023 InvestmentsCorpStockSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Name of Stock End of Year Book Value End of Year Fair Market Value
INVESCO QQQ TRUST 6709 SHS 478,596 2,747,482
SPDR S&P 500 ETF 10,035 SHS 2,430,844 4,769,549
VANGUARD WORLD FUND 194317 SHS 3,964,315 6,328,895

TY 2023 InvestmentsLandSchedule2
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
393 ROUTE 17 3,350,000 0 3,350,000  
385 ROUTE 17 2,400,000 0 2,400,000  
BUILDING 385 ROUTE 17 1,262,279 200,939 1,061,340  
BUILDING 385 ROUTE 17 288,511 34,832 253,679  
BUILDING 385 ROUTE 17 10,226 819 9,407  
BUILDING 393 ROUTE 17 4,012,784 218,645 3,794,139  
RENOVATION 393 350,999 1,875 349,124  
RENOVATION 385 99,007 1,164 97,843  

TY 2023 LegalFeesSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
LEGAL FEES 1,744 872   872
LEGAL AND PROFESSIONAL 45,760 45,760   0


TY 2023 OtherAssetsSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
MISCELLANEOUS RECEIVABLE 3,000 3,000 3,000


TY 2023 OtherExpensesSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
OFFICE SUPPLIES & POSTAGE 2,133 0   2,133
GENERAL INSURANCE 2,101 2,101   0
BANK CHARGES 1,150 576   575
UTILITIES 30,314 30,314   0
INSURANCE 35,985 35,985   0
DUMPSTER SERVICE 17,971 17,971   0
REPAIRS AND MAINTENANCE 13,100 13,100   0
LANDSCAPING 38,453 38,453   0


TY 2023 OtherIncomeSchedule2
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
MISCELLANEOUS 851   851


TY 2023 OtherIncreasesSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Description Amount
INVESTMENT COST BASIS ADJUSTMENT 659,681


TY 2023 OtherProfessionalFeesSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
APPRAISAL 7,000 7,000   0
COMMISSION 92,889 92,889   0


TY 2023 TaxesSchedule
Name:
CARLSON FAMILY FOUNDATION
 
C/O JOHN A NORTON
EIN:
31-1678303
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
EXCISE 17,332 0   0
PROPERTY TAXES 306,200 306,200   0