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
DORN FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1375 E NINTH ST SUITE 900
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CLEVELAND, OH44114
A Employer identification number

34-1653306
B Telephone number (see instructions)

(216) 696-4200
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$6,106,592J 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 55,068 45,730  
4 Dividends and interest from securities... 72,041 72,041  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 59,977
b Gross sales price for all assets on line 6a 327,473
7 Capital gain net income (from Part IV, line 2)... 59,977
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).......      
12 Total. Add lines 1 through 11........ 187,086 177,748  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment
List of Attached Documents:
// Content
17,785 8,893   8,892
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
28,584 14,292   14,292
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
1,449 349    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
200 200    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 48,018 23,734   23,184
25 Contributions, gifts, grants paid....... 271,500 271,500
26 Total expenses and disbursements. Add lines 24 and 25 319,518 23,734   294,684
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -132,432
b Net investment income (if negative, enter -0-) 154,014
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......... 240,699 53,913 53,913
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) right arrow  
Less: allowance for doubtful accounts right arrow        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 791,868 Click to see attachment
List of Attached Documents:
// Content
631,558 		588,510
b Investments—corporate stock (attach schedule)....... 1,254,952 Click to see attachment
List of Attached Documents:
// Content
1,235,622 		4,601,545
c Investments—corporate bonds (attach schedule)....... 407,530 Click to see attachment
List of Attached Documents:
// Content
646,524 		628,555
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 142,698 Click to see attachment
List of Attached Documents:
// Content
142,698 		234,069
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,837,747 2,710,315 6,106,592
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe right arrow)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here right arrow
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 2,837,747 2,710,315
29 Total net assets or fund balances (see instructions)..... 2,837,747 2,710,315
30 Total liabilities and net assets/fund balances (see instructions). 2,837,747 2,710,315
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
2,837,747
2
Enter amount from Part I, line 27a .....................
2
-132,432
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
5,000
4
Add lines 1, 2, and 3 ..........................
4
2,710,315
5
Decreases not included in line 2 (itemize) right arrow
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,710,315
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 25,000 BALTIMORE MD CITY 5.67% P 2014-10-30 2023-01-01
b 10,000 DANVILLE VA 4.27% P 2017-12-20 2023-10-01
c 6,111 PUERTO RICO COMMONWEALTH P 2022-12-08 2023-12-28
d 10,454 PUERTO RICO COMMONWEALTH P 2022-12-08 2023-12-28
e 9,404 PUERTO RICO COMMONWEALTH P 2022-12-08 2023-12-28
500 T ROWE PRICE GROUP P 2022-09-13 2023-11-28
100,000 WILL CN IL CHSD 5.27% P 2017-02-24 2023-01-01
200 ZEBRA TECHNOLOGIES P 2020-09-04 2023-11-28
200 MICROSOFT CORP P 2009-02-04 2023-11-28
.76 PUERTO RICO COMMONWEALTH P 2022-12-08 2023-01-12
.72 PUERTO RICO COMMONWEALTH P 2022-12-08 2023-01-12
.67 PUERTO RICO COMMONWEALTH P 2022-12-08 2023-01-12
(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 25,000   25,000  
b 10,000   10,001 -1
c 4,014   3,797 217
d 6,867   5,817 1,050
e 9,404   8,931 473
49,168   58,517 -9,349
100,000   100,000  
46,686   51,722 -5,036
76,331   3,703 72,628
    5 -5
    3 -3
3     3
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       -1
c       217
d       1,050
e       473
      -9,349
       
      -5,036
      72,628
      -5
      -3
      3
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 59,977
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 -5
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 2,141
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  
3 Add lines 1 and 2........................... 3 2,141
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 2,141
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 2,803
b Exempt foreign organizations—tax withheld at source...... 6b  
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 2,803
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 10 662
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow662 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
 
 
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 arrowOH
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 .Click to see attachment
List of Attached Documents:
// Content
8b
 
No
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 arrowCHARLES F ADLER Telephone no.right arrow (216) 696-4200

Located atright arrow1375 E NINTH ST SUITE 900CLEVELANDOH ZIP+4right arrow44114
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, did the foundation have an interest in or a signature or other authority over YesNo
a bank, securities, or other financial account in a foreign country? .................
16   No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
 
No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
 
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2023? .............
1d
 
 
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
ROBERT F DORN PRESIDENT
000.00 		0 0 0
1301 WINTERBERRY LANE
MEDINA,OH44256
CHARLES F ADLER SECRETARY TR
000.00 		0 0 0
1375 E NINTH ST SUITE 900
CLEVELAND,OH44114
DEBORAH K DORN VICE PRESIDE
000.00 		0 0 0
1301 WINTERBERRY LANE
MEDINA,OH44256
ELIZABETH BADILLO TRUSTEE
000.00 		0 0 0
995 TIVOLI DR
NAPLES,FL34104
PHILIP DORN TRUSTEE
000.00 		0 0 0
10009 BROADSWORD DRIVE
BRISTOW,VA20136
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  
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 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 N/A  
2  
All other program-related investments. See instructions.
3  
Total. Add lines 1 through 3.........................right arrow  
Form 990-PF (2023)
Form 990-PF (2023)
Page 8
Part IX
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities...................
1a
5,816,862
b
Average of monthly cash balances.......................
1b
83,347
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
5,900,209
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
 
2
Acquisition indebtedness applicable to line 1 assets..................
2
 
3
Subtract line 2 from line 1d.........................
3
5,900,209
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
88,503
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
5,811,706
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
290,585
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
290,585
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
2,141
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
2,141
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
288,444
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
288,444
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
288,444
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
294,684
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
 
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
294,684
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 7 288,444
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...... 25,166
b From 2019...... 26,843
c From 2020...... 24,057
d From 2021......  
e From 2022...... 15,145
f Total of lines 3a through e ........ 91,211
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 294,684
a Applied to 2022, but not more than line 2a  
b Applied to undistributed income of prior years
(Election required—see instructions)..... 		 
c Treated as distributions out of corpus (Election
required—see instructions)........ 		 
d Applied to 2023 distributable amount..... 288,444
e Remaining amount distributed out of corpus 6,240
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 97,451
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) ... 		25,166
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		72,285
10 Analysis of line 9:
a Excess from 2019.... 26,843
b Excess from 2020.... 24,057
c Excess from 2021....  
d Excess from 2022.... 15,145
e Excess from 2023.... 6,240
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

AMERICAN RED CROSS

3747 EUCLID AVE
CLEVELAND,OH44115 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 40,000

BECK CENTER FOR THE ARTS

17801 DETROIT AVE
LAKEWOOD,OH44107 		N/A 501(C)(3) GENERAL OPERATING SUPPORT 30,000

CHRISTIAN SCIENCE READING

OF GREATER CLEVELAND
CLEVELAND,OH44114 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 5,000

CITY MISSION

5310 CARNEGIE AVENUE
CLEVELAND,OH44103 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 20,000

CLEVELAND CHRISTIAN HOME

11401 LORAIN AVE
CLEVELAND,OH44111 		N/A 501(C)(3) UNRESTRICTED OPERATIN SUPPORT 20,000

CLEVELAND FOODBANK

15500 WATERLOO RD
CLEVELAND,OH44110 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 15,000

FLORIDA GULF COAST UNIVERSITY

10501 FGCU BLVD SOUTH
FORT MEYERS,FL33965 		N/A 501(C)(3) SCHOLARSHIP NON-TRADITIONAL STUDENTS 21,500

FRIENDS OF RICHFIELD HERITAGE
PRESERVE
100 WANDLE AVE
BEDFORD,OH44146 		N/A 501(C)(3) PRESERVE AMITY AND NORTH HOUSES 10,000

FUND FOR OUR ECONOMIC FUTURE

1360 E NINTH ST SUITE
CLEVELAND,OH44114 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 5,000

GREAT LAKES SCIENCE CENTER

601 ERIESIDE AVE
CLEVELAND,OH44114 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 10,000

HOSPICE OF THE WESTERN RESERVE

300 EAST 185TH ST
CLEVELAND,OH44119 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 21,000

LAKE ERIE NATURE & SCIENCE CENTER

28728 WOLF RD
BAY VILLAGE,OH44140 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 20,000

LAKE ERIE NATURE & SCIENCE CENTER

28728 WOLF RD
BAY VILLAGE,OH44140 		N/A 501(C)(3) WILDLIFE GARDENS 3,000

MUSICAL ARTS ASSOCIATION

11001 EUCLID AVE
CLEVELAND,OH44114 		N/A 501(C)(3) UNRESTRICTED OPER SUPPORT-ORCHESTRA 6,000

NATIONAL MUSEUM OF THE GREAT LAKES

1701 FRONT STREET
TOLEDO,OH43605 		N/A 501(C)(3) GENERAL OPERATING SUPPORT 10,000

PINE RIDGE MIDDLE SCHOOL

1515 PINE RIDGE RD
NAPLES,FL34109 		N/A 501(C)(3) STUD INCENTIVES, PROF DEV, SEC CAM 20,000

SALVATION ARMY

2507 EAST 22ND ST
CLEVELAND,OH44115 		N/A 501(C)(3) UNRESTRICTED OPERATING SUPPORT 15,000
Total .................................right arrow 3a 271,500
bApproved for future payment
Total ................................. right arrow 3b  
Form 990-PF (2023)
Form 990-PF (2023)
Page 12
Part XV-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(See instructions.)
1Program service revenue: (a)
Business code 		(b)
Amount 		(c)
Exclusion code 		(d)
Amount
a
b
c
d
e
f
gFees and contracts from government agencies          
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		    14 55,068  
4 Dividends and interest from securities ....     14 72,041  
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 59,977  
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) ..   187,086  
13Total. Add line 12, columns (b), (d), and (e)..................
13
187,086
(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 ExplnOfNonFilingWithAGStmt
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Statement:
ATTORNEY GENERAL OF OHIO NO LONGER REQUIRES A COPY OF FORM 990-PF TO BE FILED WITH THE STATE.

TY 2023 InvestmentsCorpBondsSchedule
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Name of Bond End of Year Book Value End of Year Fair Market Value
ALBERMARLE CORP; 3.45%; DUE 11/29 101,170 88,846
AVERY DENISON 4.875% DUE 8/6/28 75,540 75,759
B.A.T. INTERNET 5.931% DUE 1/2/29 74,550 77,615
HILLENBRAND, INC STEP 26; DUE 9/26 101,606 98,750
PFA WI MFH 5% DUE 5/1/24 90,015 87,512
TARGA RESOURCES 6.5% 103,250 101,500
VALSPAR CORP; 3.95%; DUE 1/15/26- 10 100,393 98,573

TY 2023 InvestmentsCorpStockSchedule
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Name of Stock End of Year Book Value End of Year Fair Market Value
ABBOTT LABS-500 SHARES 56,137 55,035
ACCENTURE PL C CL A-300 SHARES 46,539 105,273
ADOBE, INC.-200 SHARES 66,771 119,320
ALPHABET INC. CLASS A-1000 SHARES 13,268 139,690
AMAZON COM INC.-500 SHARES 30,796 75,970
ANSYS INC.-500 SHARES 37,067 181,440
BLACKROCK INC.-125 SHARES 23,497 101,475
CHARLES SCHWAB CORP.-750 SHARES 11,521 51,600
CHURCH & DWIGHT CO. INC.-2,000 SHARE 28,135 189,120
CSX CORP.-6,000 SHARES 19,017 208,020
ECOLAB INC.-400 SHARES 20,499 79,340
HUNTINGTON BANCSHARES-5000 SHARES 41,045 63,600
JOHNSON & JOHNSON-1,000 SHARES 52,105 156,740
JP MORGAN CHASE & CO.-1,500 SHARES 42,435 255,150
LINCOLN ELECTRIC HOLDINGS INC.-1500 26,966 326,190
MARSH & MCLENNAN CO. - 300 SHARES 53,079 56,841
MASTERCARD INC.-625 SHARES 33,463 213,255
MCCORMICK & CO. INC.-1,500 SHARES 42,835 102,630
METTLER TOLEDO INTL-75 SHARES 43,457 90,972
MICROSOFT CORP-675 SHARES 12,496 253,827
MID CAP SPDR TRUST-430 SHARES 70,676 218,173
NEXTERA ENERGY INC.-2,600 SHARES 34,719 157,924
NIKE INC. CLASS B-1,200 SHARES 33,042 130,284
NORFOLK SOUTHERN CO.-1,000 SHARES362 36,260 236,380
NORTHROP GRUMMAN CO.-350 SHARES 66,298 163,849
PAYPAL HOLDINGS, INC.-1,000 SHARES 36,412 61,410
PROGRESSIVE CO OHIO-750 SHARES 54,839 119,460
STRYKER CORP-600 SHARES 47,193 179,676
T ROWE PRICE GROUP - 0 SHARES    
TRADEWEB MKTS INC;-750 SHARES 46,644 68,160
WASTE MANAGEMENT INC.-1,--- SHARES 36,500 179,100
WATSCO INC - 150 SHARES 41,534 64,271
ZEBRA TECHNOLOGIES-0 SHARES    
ZOETIS INC.-1,000 SHARES 30,377 197,370

TY 2023 InvestmentsGovtObligationsSch
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
US Government Securities - End of Year Book Value:

 
US Government Securities - End of Year Fair Market Value:

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


631,558
State & Local Government Securities - End of Year Fair Market Value:


588,510


TY 2023 InvestmentsOtherSchedule2
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
AMERICAN TOWER CORP. - 500 SHARES FMV 38,513 107,940
REALTY INCOME CORP.-950 SHARES FMV 29,170 54,549
SARATOGA INVESTMENTS - 3,000 SHARES FMV 75,015 71,580

TY 2023 LegalFeesSchedule
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
SCHNEIDER SMELTZ SPIETH BELL LLP 17,785 8,893   8,892


TY 2023 OtherExpensesSchedule
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
EXPENSES        
TREASURER STATE OF OHIO 200 200    


TY 2023 OtherIncreasesSchedule
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Description Amount
NET CHANGE IN OUTSTANDING 12/31 CHECKS 5,000


TY 2023 OtherProfessionalFeesSchedule
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
CARNEGIE CAPITAL ASSET MANAGEMEN 28,584 14,292   14,292


TY 2023 TaxesSchedule
Name:
DORN FAMILY FOUNDATION
EIN:
34-1653306
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
EXCISE TAX 1,100      
FOREIGN TAX PAID 349 349