Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2025
Open to Public Inspection
For calendar year 2025, or tax year beginning 01 - 01 2025, and ending 12 - 31, 20 25
Name of foundation
THE H GLENN SAMPLE JR MD MEMORIAL FUND
 
Number and street (or P.O. box number if mail is not delivered to street address) 500 FIRST AVE P7-PFSC-03-Z
  Room/suite
City or town
PITTSBURGH
State or province
PA
Country  
ZIP or foreign postal code
15219
A Employer identification number

91-6453143
B Telephone number (see instructions)

4124423927
C
G Check all that apply:

D 1. Foreign organizations, check here.............
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
H Check type of organization:
F
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)$6,382,750J 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 .................
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 158,938 158,706  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 185,395
b Gross sales price for all assets on line 6a 3,644,528
7 Capital gain net income (from Part IV, line 2)... 185,395
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 344,333 344,101  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 58,758 47,006   11,752
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
17,500     17,500
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
9,646 2,446   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
25 25    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 85,929 49,477 0 29,252
25 Contributions, gifts, grants paid....... 263,202 263,202
26 Total expenses and disbursements. Add lines 24 and 25 ................ 349,131 49,477 0 292,454
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -4,798
b Net investment income (if negative, enter -0-) 294,624
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2025)
Form 990-PF (2025)
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......... 246,876 160,927 160,927
3 Accounts receivable  
Less: allowance for doubtful accounts     0 0
4 Pledges receivable  
Less: allowance for doubtful accounts        
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)  
Less: allowance for doubtful accounts 0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis  
Less: accumulated depreciation (attach schedule)        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,925,050 Click to see attachment
List of Attached Documents:
// Content
5,017,280 		6,221,823
14 Land, buildings, and equipment: basis  
Less: accumulated depreciation (attach schedule)        
15 Other assets (describe )      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,171,926 5,178,207 6,382,750
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 )    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here
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
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 5,171,926 5,178,207
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 5,171,926 5,178,207
30 Total liabilities and net assets/fund balances (see instructions). 5,171,926 5,178,207
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
5,171,926
2
Enter amount from Part I, line 27a .....................
2
-4,798
3
Other increases not included in line 2 (itemize) Click to see attachment
List of Attached Documents:
// Content
3
11,124
4
Add lines 1, 2, and 3 ..........................
4
5,178,252
5
Decreases not included in line 2 (itemize) Click to see attachment
List of Attached Documents:
// Content
5
45
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, line 29, column (b) ..
6
5,178,207
Form 990-PF (2025)
Form 990-PF (2025)
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 158.083 PZENA EMERG MKTS VALUE-INST   2024-12-12 2025-01-13
b 6496.86 PZENA EMERG MKTS VALUE-INST   2022-11-07 2025-01-13
c 754.348 ARTISAN INTL SM/MID-INST   2024-09-11 2025-01-13
d 793.706 BAIRD AGGREGATE BOND FUND   2014-10-10 2025-01-13
e 486.372 BLACKROCK HIGH YIELD PORTFOLIO   2024-08-01 2025-01-13
1670.958 DODGE & COX INTERNATIONAL   2024-11-11 2025-01-13
4731.363 DODGE & COX INCOME FUND   2024-09-11 2025-01-13
5953.12 DODGE & COX INCOME FUND   2020-12-15 2025-01-13
279. ISHARES MSCI USA QUALITY FACTOR   2024-08-01 2025-01-13
520. ISHARES MSCI USA QUALITY FACTOR   2023-03-09 2025-01-13
1397.829 MFS EMERGING MKTS DEBT FD-R6   2018-07-18 2025-01-13
279.607 PIMCO INCOME FUND   2024-11-11 2025-01-13
1011.453 VANGUARD TOTAL BD MKT INDX 584   2024-10-15 2025-01-13
2360.997 VANGUARD TOTAL BD MKT INDX 584   2023-07-19 2025-01-13
3244.906 ARTISAN INTL SM/MID-INST   2024-09-11 2025-03-17
57.04 ARTISAN INTL SM/MID-INST   2024-12-12 2025-03-17
2099.269 BAIRD AGGREGATE BOND FUND   2014-10-10 2025-03-17
95.912 BARON SMALL CAP FUND   2024-09-11 2025-03-17
16.689 BARON SMALL CAP FUND   2024-12-12 2025-03-17
2170.859 BLACKROCK HIGH YIELD PORTFOLIO   2024-04-01 2025-03-17
13762.293 BLACKROCK HIGH YIELD PORTFOLIO   2024-03-04 2025-03-17
657.211 DOUBLELINE TOTAL RETURN BOND   2024-09-11 2025-03-17
185.651 SEAFARER OVERSEAS GROWTH &   2024-05-02 2025-03-17
130.392 SEAFARER OVERSEAS GROWTH &   2022-01-25 2025-03-17
191.482 WCM FOCUSED INTL GROWTH-INS   2024-11-11 2025-03-17
188. ISHARES RUSSELL MID-CAP GROWTH   2024-12-12 2025-03-17
139. ISHARES CORE MSCI EMERGING   2025-01-13 2025-03-17
366. ISHARES MSCI INTL QUALITY   2024-03-04 2025-03-17
1220.895 MFS EMERGING MKTS DEBT FD-R6   2018-07-18 2025-03-17
76.468 TCW METROPOLITAN WEST   2025-01-13 2025-03-17
3362.918 MOERUS WORLDWIDE VALUE FUND   2024-04-01 2025-03-17
93.543 MOERUS WORLDWIDE VALUE FUND   2025-01-13 2025-03-17
181.161 PIMCO INCOME FUND   2024-11-11 2025-03-17
186.947 T ROWE PR MID-CAP VALUE-I   2024-12-12 2025-03-17
633.789 T ROWE PR MID-CAP VALUE-I   2021-09-17 2025-03-17
4748.632 TOUCHSTONE SANDS EM GR-R6   2024-09-11 2025-03-17
1217.304 TOUCHSTONE SANDS EM GR-R6   2024-12-12 2025-03-17
218.192 VANGUARD TOTAL BD MKT INDX 584   2023-07-19 2025-03-17
260. WISDOMTREE U.S. QUALITY DIVI   2024-11-11 2025-03-17
420. WISDOMTREE U.S. QUALITY DIVI   2022-06-21 2025-03-17
3543.941 AMG RR SM CAP VAL-I   2024-11-11 2025-04-22
3416.957 BAIRD AGGREGATE BOND FUND   2024-08-01 2025-04-22
6616.756 BAIRD AGGREGATE BOND FUND   2014-10-10 2025-04-22
762.897 BARON SMALL CAP FUND   2024-09-11 2025-04-22
130. DIMENSIONAL INTERNATIONAL VA   2025-03-17 2025-04-22
2303.67 DODGE & COX INCOME FUND   2024-08-01 2025-04-22
5031.058 DODGE & COX INCOME FUND   2022-04-29 2025-04-22
692. ISHARES RUSSELL MID-CAP GROWTH   2024-12-12 2025-04-22
17. ISHARES RUSSELL MID-CAP GROWTH   2025-01-13 2025-04-22
112. ISHARES MSCI INTL QUALITY   2024-08-01 2025-04-22
194. ISHARES MSCI INTL QUALITY   2024-11-11 2025-04-22
481. ISHARES MSCI INTL QUALITY   2023-06-02 2025-04-22
189.849 MFS EMERGING MKTS DEBT FD-R6   2022-04-29 2025-04-22
11009.504 TCW METROPOLITAN WEST   2025-01-13 2025-04-22
368.079 PIMCO INCOME FUND   2024-11-11 2025-04-22
672.601 PGIM HIGH YIELD FUND   2025-03-17 2025-04-22
1060.584 T ROWE PR MID-CAP VALUE-I   2024-12-12 2025-04-22
1709.623 T ROWE PR MID-CAP VALUE-I   2022-06-21 2025-04-22
2966.512 BARON SMALL CAP FUND   2024-09-11 2025-08-12
2175.415 SEAFARER OVERSEAS GROWTH &   2023-09-11 2025-08-25
2692. ISHARES MSCI INTL QUALITY   2023-06-02 2025-08-25
537.847 PRINCIPAL MIDCAP FUND-R6   2024-09-11 2025-08-25
706.73 PRINCIPAL MIDCAP FUND-R6   2025-03-17 2025-08-25
7081.631 VANGUARD TOTAL BD MKT INDX 584   2023-06-02 2025-08-25
32. WISDOMTREE U.S. QUALITY DIVI   2025-04-22 2025-08-25
333. WISDOMTREE U.S. QUALITY DIVI   2020-06-26 2025-08-25
1805. WISDOMTREE U.S. QUALITY DIVI   2020-06-26 2025-09-23
238.06 SEAFARER OVERSEAS GROWTH &   2024-12-12 2025-09-25
1951.517 SEAFARER OVERSEAS GROWTH &   2025-04-22 2025-09-25
4644.61 SEAFARER OVERSEAS GROWTH &   2022-08-02 2025-09-25
301.638 MFS EMERGING MKTS DEBT FD-R6   2024-11-11 2025-09-25
6606.913 MFS EMERGING MKTS DEBT FD-R6   2022-04-29 2025-09-25
23139.186 PGIM HIGH YIELD FUND   2025-03-17 2025-09-25
7841.89 DOUBLELINE TOTAL RETURN BOND   2024-11-11 2025-10-01
1386.297 DOUBLELINE TOTAL RETURN BOND   2025-04-22 2025-10-01
30951.663 DOUBLELINE TOTAL RETURN BOND   2023-06-02 2025-10-01
4711.812 BAIRD AGGREGATE BOND FUND   2023-02-06 2025-11-04
271. ISHARES CORE S&P 500   2024-12-12 2025-11-04
241. ISHARES CORE S&P 500   2025-09-23 2025-11-04
1062.795 PRINCIPAL MIDCAP FUND-R6   2024-09-11 2025-11-04
55. ISHARES CORE S&P 500   2025-03-17 2025-11-18
24905.227 VANGUARD TOTAL BD MKT INDX 584   2025-04-22 2025-12-03
7753.431 VANGUARD TOTAL BD MKT INDX 584   2022-11-30 2025-12-03
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,835   2,114 -279
b 75,429   65,358 10,071
c 12,786   13,782 -996
d 7,580   8,580 -1,000
e 3,439   3,491 -52
82,228   90,081 -7,853
57,817   62,028 -4,211
72,747   86,490 -13,743
49,042   49,016 26
91,404   62,907 28,497
16,536   19,793 -3,257
2,914   2,967 -53
9,477   9,826 -349
22,123   22,689 -566
58,311   59,284 -973
1,025   1,034 -9
20,594   22,693 -2,099
2,984   3,363 -379
519   655 -136
15,348   15,186 162
97,299   96,611 688
5,803   5,987 -184
2,284   2,298 -14
1,604   1,698 -94
4,642   4,952 -310
22,749   25,397 -2,648
7,771   7,052 719
15,007   14,296 711
14,724   17,234 -2,510
792   779 13
57,371   51,554 5,817
1,596   1,513 83
1,938   1,922 16
5,846   6,180 -334
19,819   21,410 -1,591
72,369   71,704 665
18,552   17,299 1,253
2,097   2,097  
20,855   22,099 -1,244
33,689   23,580 10,109
52,309   63,997 -11,688
33,144   34,278 -1,134
64,183   70,706 -6,523
21,392   26,747 -5,355
5,075   5,276 -201
28,589   29,818 -1,229
62,435   64,541 -2,106
77,550   93,483 -15,933
1,905   2,141 -236
4,493   4,314 179
7,783   7,440 343
19,298   17,965 1,333
2,229   2,360 -131
112,847   112,187 660
3,876   3,905 -29
3,148   3,222 -74
29,877   34,590 -4,713
48,160   51,535 -3,375
98,251   102,377 -4,126
30,173   26,799 3,374
116,537   95,651 20,886
25,688   25,306 382
33,753   31,174 2,579
68,621   67,983 638
2,797   2,393 404
29,111   17,007 12,104
161,095   80,070 81,025
3,373   2,753 620
27,653   23,633 4,020
65,814   54,607 11,207
3,773   3,665 108
82,652   80,035 2,617
112,919   110,837 2,082
70,028   67,720 2,308
12,380   12,116 264
276,398   272,465 3,933
47,071   46,575 496
183,821   160,592 23,229
163,472   161,469 2,003
48,134   46,614 1,520
36,592   31,417 5,175
244,320   237,098 7,222
76,061   73,273 2,788
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
      34,803
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       -279
b       10,071
c       -996
d       -1,000
e       -52
      -7,853
      -4,211
      -13,743
      26
      28,497
      -3,257
      -53
      -349
      -566
      -973
      -9
      -2,099
      -379
      -136
      162
      688
      -184
      -14
      -94
      -310
      -2,648
      719
      711
      -2,510
      13
      5,817
      83
      16
      -334
      -1,591
      665
      1,253
       
      -1,244
      10,109
      -11,688
      -1,134
      -6,523
      -5,355
      -201
      -1,229
      -2,106
      -15,933
      -236
      179
      343
      1,333
      -131
      660
      -29
      -74
      -4,713
      -3,375
      -4,126
      3,374
      20,886
      382
      2,579
      638
      404
      12,104
      81,025
      620
      4,020
      11,207
      108
      2,617
      2,082
      2,308
      264
      3,933
      496
      23,229
      2,003
      1,520
      5,175
      7,222
      2,788
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 185,395
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 and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions) 1 4,095
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 4,095
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,095
6 Credits/Payments:
a 2025 estimated tax payments and 2024 overpayment credited to 2025 6a 4,240
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld .......... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,240
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....... 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid... 10 145
11 Enter the amount of line 10 to be: Credited to 2026 estimated tax145 Refunded 11 0
For Refunded amount, also complete and attach Form 8050. See instructions.
Form 990-PF (2025)
Form 990-PF (2025)
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. $   (2) On foundation managers.$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.$  
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)
PA
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 2025 or the taxable year beginning in 2025? 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 addressSEE FOOTNOTES
14
The books are in care ofPNC BANK NA Telephone no. (412) 442-3927

Located at500 FIRST AVE P7-PFSC-03-ZPITTSBURGHPA ZIP+415219
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........
and enter the amount of tax-exempt interest received or accrued during the year ........
15
 
16 At any time during calendar year 2025, 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
Form 990-PF (2025)
Form 990-PF (2025)
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 ........
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 2025? .............
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 2025, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2025?....................
2a
 
No
If "Yes," list the years 20, 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.
20, 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 2025 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 Form 4720, Schedule C, to determine
if the foundation had excess business holdings in 2025.).....................
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 2025? ..
4b
 
No
Form 990-PF (2025)
Form 990-PF (2025)
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 .........
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
PNC BANK N A TRUSTEE
1 		58,758    
500 FIRST AVE P7-PFSC-03-Z
PITTSBURGH,PA15219
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................... 0
Form 990-PF (2025)
Form 990-PF (2025)
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.........................  
Form 990-PF (2025)
Form 990-PF (2025)
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
5,946,457
b
Average of monthly cash balances.......................
1b
184,621
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, 1b, and 1c).......................
1d
6,131,078
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
6,131,078
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
91,966
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
6,039,112
6
Minimum investment return. Enter 5% (0.05) of line 5 ................
6
301,956
Part X
Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here and do not complete this part.)
1
Minimum investment return from Part IX, line 6..................
1
301,956
2a
Tax on investment income for 2025 from Part V, line 5 .......
2a
4,095
b
Income tax for 2025. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
4,095
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
297,861
4
Recoveries of amounts treated as qualifying distributions................
4
10,000
5
Add lines 3 and 4............................
5
307,861
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
307,861
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, line 26, column (d) ..........
1a
292,454
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
0
b
Cash distribution test (attach the required schedule) .................
3b
0
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
292,454
Form 990-PF (2025)
Form 990-PF (2025)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2024 		(c)
2024 		(d)
2025
1 Distributable amount for 2025 from Part X, line 7 307,861
2 Undistributed income, if any, as of the end of 2025:
a Enter amount for 2024 only....... 253,202
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2025:
a From 2020...... 0
b From 2021...... 0
c From 2022...... 0
d From 2023...... 0
e From 2024...... 0
f Total of lines 3a through e ........ 0
4Qualifying distributions for 2025 from Part
XI, line 4: $ 292,454
a Applied to 2024, but not more than line 2a 253,202
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 2025 distributable amount..... 39,252
e Remaining amount distributed out of corpus 0
5 Excess distributions carryover applied to 2025. 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 2024. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2025. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2026 .......... 		268,609
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 2020 not
applied on line 5 or line 7 (see instructions) ... 		0
9 Excess distributions carryover to 2026.
Subtract lines 7 and 8 from line 6a ...... 		0
10 Analysis of line 9:
a Excess from 2021 .... 0
b Excess from 2022 .... 0
c Excess from 2023 .... 0
d Excess from 2024 .... 0
e Excess from 2025 .... 0
Form 990-PF (2025)
Form 990-PF (2025)
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 2025, enter the date of the ruling ......
 
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) 2025 (b) 2024 (c) 2023 (d) 2022
         
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, 3b, or 3c 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 if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, 2b, 2c, and 2d. See instructions
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
CHARITABLE TRUST GRANT REVIEW COMMI
THE TOWER AT PNC PLAZA 300 FIFTH A
PITTSBURGH,PA15222
(412) 762-5157
bThe form in which applications should be submitted and information and materials they should include:
SEE FOOTNOTE
cAny submission deadlines:
SEE FOOTNOTE
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SEE FOOTNOTE
Form 990-PF (2025)
Form 990-PF (2025)
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

VIRTUA HEALTH FOUNDATION INC

20 W STOW RD STE 5
MARLTON,NJ080533197 		NONE   GENERAL SUPPORT 10,000

SUPPORT CENTER FOR CHILD ADVOCATES

1617 JFK BLVD STE 1200
Philadelphia,PA19103 		NONE   GENERAL OPERATING 12,008

CHILDREN S CRISIS TREATMENT CENTER

1080 N DELAWARE AVE
PHILADELPHIA,PA191254330 		NONE   GENERAL SUPPORT 10,000

MATERNITY CARE COALITION

3401 I ST STE 407
PHILADELPHIA,PA191341442 		NONE   GENERAL SUPPORT 15,000

HOMELESS ADVOCACY PROJECT

1101 MARKET STREET 11TH
PHILADELPHIA,PA191072911 		NONE   GENERAL SUPPORT 10,000

FAMILY PROMISE OF PHILADELPHIA

7047 GERMANTOWN AVE
PHILADELPHIA,PA191191865 		NONE   GENERAL SUPPORT 10,000

RONALD MCDONALD HOUSE CHARITIES
OF THE PHILADELPHIA REGION
3925 CHESTNUT ST
PHILADELPHIA,PA191043110 		NONE   GENERAL SUPPORT 15,000

NORTH SIDE CHRISTIAN HEALTH CENTER

816 MIDDLE STREET
PITTSBURGH,PA15212 		NONE   GENERAL SUPPORT 20,000

CAMP JAMISON INC

9251 WOODENBRIDGE RD
PHILADELPHIA,PA191143512 		NONE   GENERAL SUPPORT 7,500

PLAYERS PHILANTHROPY FUND

1122 KENILWORTH DR STE 201
TOWSON,MD212042143 		NONE   GENERAL SUPPORT 10,000

MD REENTRY RESOURCE CENTER

77 WEST STREET
ANNAPOLIS,MD21401 		NONE   GENERAL SUPPORT 10,000

THE UNITED COVENANT UNION

305 S 9TH ST
GLADSTONE,MI498371608 		NONE   GENERAL SUPPORT 10,000

HORSES WITH HOPE

1054 VAL ST
BETHEL PARK,PA151021930 		NONE   TRACTOR PURCHASE 4,175

SAINT JAMES SCHOOL

3217 WEST CLEARFIELD STREET
PHILADELPHIA,PA19132 		NONE   GENERAL SUPPORT 10,000

PATHWAYS TO HOUSING PA

5201 OLD YORK RD
PHILADELPHIA,PA191412985 		NONE   GENERAL SUPPORT 10,000

ALLEGHENY COUNTY AIRPORT AUTHORITY

LANDSIDE TERMINAL 4TH FLOOR MEZZ
PITTSBURGH,PA152310000 		NONE   GENERAL SUPPORT 2,869

ORDINARIE HEROES

828 S ALDEN ST
PHILADELPHIA,PA191432714 		NONE   GENERAL SUPPORT 10,000

YORK FRESH FOOD FARMS

150 WILLIS RD
YORK,PA174042743 		NONE   GENERAL SUPPORT 12,500

BRIDGE OF HOPE HARRISBURG AREA

PO BOX 15212
HARRISBURG,PA171055212 		NONE   GENERAL SUPPORT 15,000

BALTIMORE SYMPHONY ORCHESTRA INC

1212 CATHEDRAL ST
BALTIMORE,MD212015556 		NONE   GENERAL SUPPORT 15,000

EMANCIPET

7010 EASY WIND DR STE 260
AUSTIN,TX787522423 		NONE   GENERAL SUPPORT 7,500

WILDLIFE LEADERSHIP ACADEMY

7 E WATER ST
LOCK HAVEN,PA177451316 		NONE   GENERAL SUPPORT 5,000

NEIGHBORHOOD NORTH MUSEUM OF PLAY

716 14TH ST
BEAVER FALLS,PA150104271 		NONE   GENERAL SUPPORT 15,000

ROSIE S HOUSE A MUSIC ACADEMY FOR
CHILDREN
PO BOX 13446
PHOENIX,AZ850023446 		NONE   GENERAL SUPPORT 10,000

RONALD MCDONALD HOUSE CHARITIES

2620 N COMMERCIAL AVE
PORTLAND,OR972271631 		NONE   GENERAL SUPPORT 6,650
Total ................................. 3a 263,202
bApproved for future payment
Total ................................. 3b  
Form 990-PF (2025)
Form 990-PF (2025)
Page 12
Part XV-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(See instructions.)
1Program service revenue: (a)
Business code 		(b)
Amount 		(c)
Exclusion code 		(d)
Amount
a
b
c
d
e
f
gFees and contracts from government agencies          
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		         
4 Dividends and interest from securities ....     14 158,938  
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 ............ 		    18 185,395  
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) ..   344,333  
13Total. Add line 12, columns (b), (d), and (e)..................
13
344,333
(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 (2025)
Form 990-PF (2025)
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.
May the IRS discuss this return
with the preparer shown below?
See instructions.
Signature of officer or trustee Date Title
Paid Preparer Use Only Preparer's name Preparer's Signature Date Check if self-
employed 		PTIN
Firm's name
Firm's EIN
Firm's address


Phone no.
Form 990-PF (2025)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description

TY 2025 InvestmentsOtherSchedule2
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
256210105 DODGE & COX INCOME F AT COST 313,768 319,169
317609295 SEAFARER OVERSEAS GR      
464287200 ISHARES CORE S&P 500 AT COST 1,687,135 2,739,760
552746364 MFS EMERGING MKTS DE      
921937603 VANGUARD TOTAL BD MK      
97717X669 WISDOMTREE U.S. QUAL      
057071854 BAIRD AGGREGATE BOND AT COST 252,683 258,288
77957Y403 T ROWE PR MID-CAP VA      
00171A852 AMG RR SM CAP VAL-I AT COST 84,444 84,410
00770X675 PZENA EMERG MKTS VAL AT COST 86,015 102,236
72201F490 PIMCO INCOME FUND AT COST 186,815 192,898
89154M702 TOUCHSTONE SANDS EM      
258620566 DOUBLELINE TOTAL RET      
46432F339 ISHARES MSCI USA QUA      
46434V456 ISHARES MSCI INTL QU      
04314H576 ARTISAN INTL SM/MID-      
068278803 BARON SMALL CAP FUND      
09260B630 BLACKROCK HIGH YIELD      
25434V807 DIMENSIONAL INTERNAT AT COST 227,592 310,178
256206103 DODGE & COX INTERNAT      
461418444 WCM FOCUSED INTL GRO AT COST 267,310 269,318
464287481 ISHARES RUSSELL MID-      
66538H880 MOERUS WORLDWIDE VAL      
74256W584 PRINCIPAL MIDCAP FUN AT COST 125,227 123,163
02631W607 AMER FND MULTI-SEC I AT COST 130,115 129,794
092528603 ISHARES FLEXIBLE INC AT COST 86,432 85,751
37954Y632 GLOBAL X ART INTEL & AT COST 258,262 254,300
411512460 HARBOR MID CAP VALUE AT COST 97,230 94,479
46138E800 INVESCO CHINA TECHNO AT COST 98,793 88,140
464287648 ISHARES RUSSELL 2000 AT COST 97,624 106,593
46432F842 ISHARES CORE MSCI EA AT COST 237,968 261,223
46434G103 ISHARES CORE MSCI EM AT COST 101,810 127,046
74440B884 PRUDENTIAL TOTAL RET AT COST 358,002 357,122
922020839 VANGUARD CORE BOND F AT COST 320,055 317,955

TY 2025 OtherDecreasesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Description Amount
ROC ON CY SALES 3
PY RETURN OF CAPITAL ADJUSTMENT 42


TY 2025 OtherExpensesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
CLASS ACTION FILING FEES 25 25   0


TY 2025 OtherIncreasesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Description Amount
RECOVERY OF GRANTS PAID 10,000
MUTUAL FUND TIMING ADJ 1,124


TY 2025 OtherProfessionalFeesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
GRANTMAKING FEES 17,500     17,500


TY 2025 TaxesSchedule
Name:
THE H GLENN SAMPLE JR MD MEMORIAL FUND
EIN:
91-6453143
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAXES 1,691 1,691   0
FEDERAL TAX PAYMENT - PRIOR YE 2,960 0   0
FEDERAL ESTIMATES - PRINCIPAL 4,240 0   0
FOREIGN TAXES ON NONQUALIFIED 755 755   0