A TO Z IMPACT FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- A TO Z IMPACT FOUNDATION (EIN 47-1982106)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202203199349107375
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- All Oth Prog Rltd Investments Sch
- Depreciation Schedule
- Expenditure Responsibility Stmt
- General Explanation Attachment
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T15:05:07-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3333 New Hyde Park Rd Ste 406 | AddressLine1Txt |
| City | New Hyde Park | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471982106 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A to Z Impact Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | ATOZ | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeffrey Kaplan | PersonNm |
| Person Title | Founder and Chairman | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Jeffrey | PersonFirstNm |
| Person Last | Kaplan | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $14,975,106 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $3,133,750 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $625 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $625 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $13,663 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $13,663 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,074,773 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,092,843 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $1,810,617 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $144,229 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $145,004 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $36,493 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $4,367,040 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,969,909 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $36,493 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $211,923 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $10,788 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $201,135 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $47,785 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $1,895 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $45,890 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $13,841 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $13,841 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $788 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $300 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $488 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $21,010 | TaxesRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $2,567 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $199 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $2,368 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $125,993 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $76,043 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $49,934 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $423,907 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $89,225 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $313,656 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $313,240 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $313,240 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $737,147 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $89,225 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $626,896 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $3,629,893 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,880,684 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $36,493 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $1,419,785 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $3,101,005 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $3,101,005 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $417,717 | CorporateStockBOYAmt |
| Corporate Stock EOY | $417,717 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $415,712 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $7,279,480 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $8,518,094 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $9,660,439 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $1,128,000 | OtherAssetsBOYAmt |
| Other Assets EOY | $1,838,059 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $1,797,950 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $10,244,982 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,874,875 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $14,975,106 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $10,244,982 | RetainedEarningBOYAmt |
| Retained Earning EOY | $13,874,875 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $10,244,982 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $13,874,875 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $10,244,982 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $13,874,875 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $10,244,982 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $3,629,893 | ExcessRevenueOverExpensesAmt |
| Subtotal | $13,874,875 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $13,874,875 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt |
|---|---|---|---|---|---|---|---|
| Publicly-traded Securities | $1,088,889 | $397,905 | $690,984 | $690,984 | |||
| Passthrough K1 Capital Gain/(Loss) | $1,138,130 | ||||||
| DEERFIELD - DEERFIELD SPECIAL SITUATIONS FUND L.P | $3,954 | $22,451 | -$18,497 | -$18,497 | P | 2015-01-01 | 2021-11-19 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $1,810,617 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $26,142 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $26,142 | SubtotalAmt |
| Tax Based On Investment Income | $26,142 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $21,800 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $5,400 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $27,200 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,058 | OverpaymentAmt |
| Applied To ES Tax | $1,058 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | DE | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | Yes (true) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (true) | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| Andrea Kaplan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, VP | 1.0 | $0 | $0 | $0 |
| Jeffrey Kaplan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Pres, Dir, Sec, Treas | 20.0 | $0 | $0 | $0 |
| Michael Kaplan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 40.0 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt |
|---|---|---|---|---|---|---|---|
| ALEXANDER JOHN EVANGELIDES | |||||||
| 1354 GRASSY BROOK RD | BROOKLINE | VT | 05345 | Foundation Person | 40.0 | $71,923 | $6,269 |
| MICHAEL KAPLAN | |||||||
| 117 MAIN ST | SEYMOUR | CT | 06483 | EXECUTIVE DIR | 40.0 | $140,000 | $23,780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | MY AGRO PRI- TO FUND EXPENSES DIRECTLY RELATED TO RELIEVING POVERTY BY TRANSFORMING THE LIVES OF SMALL-SCALE FARMERS | Description1Txt |
| Expenses1 | $625,000 | Expenses1Amt |
| Description2 | MY AGRO PRI - TO FUND EXPENSES DIRECTLY RELATED TO RELIEVING POVERTY BY TRANSFORMING THE LIVES OF SMALL-SCALE FARMERS; ORIGINAL AMOUNT OF $500,000 WAS RECOVERED DURING YEAR 1 | Description2Txt |
| Expenses2 | $0 | Expenses2Amt |
| All Other Program Rltd Invst Tot | $851,500 | AllOtherProgramRltdInvstTotAmt |
| Total | $1,476,500 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $416,282 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,850,586 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $8,016,594 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $10,283,462 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $10,283,462 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $154,252 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $10,129,210 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $506,461 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $506,461 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $26,142 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $26,142 | TotalTaxAmt |
| Distributable Before Adj | $480,319 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $766,441 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,246,760 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $1,246,760 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $626,896 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $1,476,500 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $2,103,396 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,246,760 | DistributableAsAdjustedAmt |
| Prior Year1 | 2019 | PriorYear1Yr |
| Prior Year2 | 2018 | PriorYear2Yr |
| Prior Year3 | 2017 | PriorYear3Yr |
| Excess Distribution Cyov Yr4 | $25,973 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $1,299,754 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $680,570 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $2,006,297 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $2,103,396 | QualifyingDistributionsAmt |
| Applied To Current Year | $1,246,760 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $856,636 | RemainingDistriFromCorpusAmt |
| Total Corpus | $2,862,933 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $2,862,933 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $25,973 | ExcessFromYear4Amt |
| Excess From Year3 | $1,299,754 | ExcessFromYear3Amt |
| Excess From Year1 | $680,570 | ExcessFromYear1Amt |
| Excess From Current Year | $856,636 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | Jeffrey Kaplan | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| C Dieu- Nalio | |||||||
| 463 West Street Apt A628 | New York | NY | 10014 | NONE | I | Short-term Emergency Assistance Grant | $3,000 |
| COMMUNITY ANIMAL RESCUE EFFORT INC | |||||||
| PO BOX 691 | SKOKIE | IL | 60076 | N/A | PC | General & Unrestricted | $1,875 |
| CONSERVATIVE SYNAGOGUE OF FIFTH AVENUE | |||||||
| FIFTH AVE 11 EAST 11TH STREET | NEW YORK | NY | 10003 | N/A | PC | Sam Swartz Wheelchair Fund | $1,180 |
| DASRA | |||||||
| ONE RIVERWAY STE 1900 | HOUSTON | TX | 77056 | N/A | PC | General & Unrestricted | $50,000 |
| DECORAH COVENANT CHURCH DECORAH IA | |||||||
| 115 WASHINGTON ST | DECORAH | IA | 52101 | N/A | PC | Nan Akou Cumberland Presbyterian Church in Haiti for Earthquake Relief run by Pastor Sheslaire | $5,000 |
| DENVER RESCUE MISSION | |||||||
| PO BOX 5206 | DENVER | CO | 80217 | N/A | PC | General & Unrestricted | $1,176 |
| FRIENDS OF SIVANANDA ASHRAM YOGA IN THE CARIBBEAN | |||||||
| 555 THEODORE FREMD AVE | RYE | NY | 10580 | N/A | PC | Help the Ashram Reopen Initiative | $1,000 |
| J Beeks | |||||||
| 413 W 16th Street 2D | New York | NY | 10011 | NONE | I | Short-term Emergency Assistance Grant | $2,500 |
| KING BAUDOUIN FOUNDATION UNITED STATES INC | |||||||
| 10 ROCKEFELLER PL 16TH FL | NEW YORK | NY | 10020 | N/A | PC | American Friends of the Rachel Swart Fund | $10,530 |
| LIFE HOUSE FOUNDATION FOR CHILDREN | |||||||
| PO BOX 1005 | GLENDORA | CA | 91740 | N/A | PC | Little Dreamers Academy, Uganda. | $3,570 |
| LONG ISLAND COUNCIL OF CHURCHES | |||||||
| 1644 DENTON GREEN | HEMPSTEAD | NY | 11550 | N/A | PC | The Freeport Food Pantry February Food Drive | $750 |
| LTP FOUNDATION INC | |||||||
| 360 MADISON AVE | NEW YORK | NY | 10017 | N/A | PC | General & Unrestricted | $150,000 |
| M Solomon | |||||||
| 515 W 42ND ST NYNY | Bronx | NY | 10453 | NONE | I | Short-term Emergency Assistance Grant | $2,500 |
| NYAYA HEALTH A NONPROFIT CORPORATION - POSSIBLE | |||||||
| 99 WALL ST 4100 | NEW YORK | NY | 10005 | N/A | PC | COVID Relief Fund | $10,000 |
| QUEENS COMMUNITY HOUSE INC | |||||||
| 10825 62ND DR | FOREST HILLS | NY | 11375 | N/A | PC | General & Unrestricted | $1,000 |
| RED DOOR COMMUNITY INC | |||||||
| 195 W HOUSTON ST | NEW YORK | NY | 10014 | N/A | PC | Charitable Event | $29,204 |
| SPREAD THE LOVE | |||||||
| 25797 CONIFER RD | CONIFER | CO | 80433 | N/A | PC | General & Unrestricted | $1,080 |
| THE WATER TRUST INC | |||||||
| PO BOX 4668 75942 | NEW YORK | NY | 10163 | N/A | PC | General & Unrestricted | $25,000 |
| THE WATER TRUST INC | |||||||
| PO BOX 4668 75942 | NEW YORK | NY | 10163 | N/A | PC | Charitable Event | $5,000 |
| WOMEN FOR AFGHAN WOMEN INC | |||||||
| 15824 73RD AVE | FRESH MEADOWS | NY | 11366 | N/A | PC | General & Unrestricted | $1,875 |
| ZANMI BENI FOUNDATION INC | |||||||
| 6201 RIVIERA DR | CORAL GABLES | FL | 33146 | N/A | PC | General & Unrestricted | $2,000 |
| ZANMI BENI FOUNDATION INC | |||||||
| 6201 RIVIERA DR | CORAL GABLES | FL | 33146 | N/A | PC | Charitable Event | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $313,240 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $625 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $13,663 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 525990 | BusinessCd |
| Unrelated Business Taxbl Incm | $1 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,074,772 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | BusinessBusinessCd | Unrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmt | ExclusionExclusionCd | ExclusionExclusionAmt | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt |
|---|---|---|---|---|---|
| K-1 Inc/Loss | 525990 | -$775 | 14 | $108,511 | |
| INTEREST INCOME FROM PRIS | $36,493 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | -$774 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $1,197,571 | ExclusionAmt |
| Related Or Exempt Function Incm | $36,493 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,233,290 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (5 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 11 | Interest income from Program Related Investment, COMMUNITY INVESTMENT PRI 5YR - TO ADDRESS THE SOCIAL AND ECONOMIC HEALTH NEEDS OF THE DISADVANTAGED |
| 11 | Interest income from program related investment, ONE ACRE FUND PRI - TO PROVIDE FARM FAMILES WITH TOOLS AND FINANCING TO GROW THEIR WAY OUT OF HUNGER AND POVERTY BY OFFERING BASIC AGRICULTURAL TRAINING IN SUB-SAHARAN AFRICA |
| 11 | Interest Income from program related investment, Community investment PRI 1y- TO ADDRESS THE SOCIAL AND ECONOMIC NEEDS OF THE DISADVANTAGED IN COMMUNITY DEVELOPMENT |
| 11 | Interest income from program related investment, community housing capital Inc- TO FUND LOANS TO ANY ORGANIZATIONS DEVELOPING AFFORDABLE HOUSING & PROTECTING THE ENVIRONMENT. |
| 11 | Interest income from Program Related Investment MyAgro Farms, See Part IX-B for a description of this program-related investment |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | Kaplan Jeffrey | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 117 Main St | AddressLine1Txt |
| City | Seymour | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06483 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $3,133,750 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | DEERFIELD PARTNERS, L.P | $1,000,000 | 2021-07-01 |
| 1 | MANKIND CORP. MNKD, 250000 sh. | $1,133,750 | 2021-12-28 |
All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch
All Other Program Related Invst AllOtherProgramRelatedInvstGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| OPEN ROAD IMPACT FUND 4% PRI- TO PROVIDE FINANCIAL P&S TO ESTABLISHED SOCIAL ENT AND NON-PROFIT, DOM&INT, WHO REQUIRE SHORT-TERM BRIDGE FINANCING WHILE WAITING FOR COMMITED FUND | $350,000 |
| RH CAPITAL FUND II PRI-TO ACCELERATE INNOVATION&AVAILABILITY OF REPRODUCTIVE HEALTH SOLUTIONS FOR WOMEN IN UNDERSERVED COMMUNITIES, WOMEN OF COLOR, MEDICAID PATIENTS & LOW INCOME | $175,000 |
| COLLAB FUND PRI- TO PROVIDE ACCESS TO CAPITAL TO UNDERRESSOURCED & UNDERNETWORKED BLACK BUSINESS OWNERS WITH RESPECT TO VENTURE CAPITAL & GROWTH OPPORTUNITIES IN USA | $166,500 |
| GLOBAL PTN/ELEOS SOCAL VENTURE PRI- TO EXPAND OPPORTUNITY FOR PEOPLE LIVING IN POVERTY | $10,000 |
| OPEN ROAD IMPACT FUND 2% PRI- TO PROVIDE FINANCIAL PRODUCTS & SVCS TO SOCIAL ENTERPRISES AND NON-PROFITS WHO REQUIRE SHORT-TERM BRIDGE FINANCING WHILE WAITING FOR COMMITED FUNDS | $150,000 |
Depreciation Schedule DepreciationSchedule
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | GrantGrantDt | GrantGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Any Diversion By GranteeAnyDiversionByGranteeTxt | Dates Of Reports By GranteeDatesOfReportsByGranteeTxt | Results Of VerificationResultsOfVerificationTxt |
|---|---|---|---|---|---|---|---|---|---|
| RH CAPITAL FUND II LP | |||||||||
| 47 Kearny Street | San Francisco | CA | 94108 | 2021-02-09 | $175,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | None necessary |
| Collab Fund I LLC | |||||||||
| 384 Northyards Blvd NW | Atlanta | GA | 30313 | 2021-03-25 | $166,500 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | None necessary |
| Open Road Impact Fund LLC | |||||||||
| 301 Commerce Street Suite 301 | Fort Worth | TX | 76102 | 2021-11-09 | $150,000 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | None necessary |
| Open Road Impact Fund LLC | |||||||||
| 301 Commerce Street Fort | Fort Worth | TX | 76102 | 2021-11-09 | $350,000 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | None necessary |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp (6 entries)
| IdentifierIdentifierTxt | Form And Line ReferenceFormAndLineReferenceDesc | Medium ExplanationMediumExplanationTxt |
|---|---|---|
| FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: RH CAPITAL FUND II, L.P. TOTAL AMOUNT OF PRI FUNDS DISBURSED: $175,000 DATES OF PRI: This PRI was made in multiple installments on the following dates: 2/9/2021 - $50,000 3/9/2021 - $75,000 11/3/2021 - $50,000 PURPOSE OF PRI: To accelerate innovation and increase the availability of reproductive health solutions for all women, and in particular for women in underserved communities, women of color, Medicaid patients and low-income women. REPORTS OF AMOUNTS EXPENDED: Recipient submitted a full and complete financial report of the type ordinarily required by commercial investors under similar circumstances and a statement that it has complied with the terms of the investment FOR ITS FISCAL YEARS INDICATED BELOW: DATE OF REPORT:10/13/2022 FOR FYE 12/31/2021 This investment remained on the foundation's books as of 12/31/2021. Diversions: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: Collab Fund I, LLC DATE OF PRI: 3/25/2021 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $166,500 PURPOSE OF PRI: To provide access to capital to black business owners who have historically been under-resourced and under-networked with respect to venture capital funding and growth opportunities in the United States REPORTS OF AMOUNTS EXPENDED: Recipient submitted a full and complete financial report of the type ordinarily required by commercial investors under similar circumstances and a statement that it has complied with the terms of the investment FOR ITS FISCAL YEARS INDICATED BELOW: DATE OF REPORT:10/12/2022 FOR FYE 12/31/2021 This investment remained on the foundation's books as of 12/31/2021. Diversions: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| PART I LINE 6A (990-PF) | PART I LINE 6A (990-PF) | PART I LINE 6A (990-PF) - RECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $1,074,771 TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $1 TOTAL PART I, LINE 6A: $1,074,772 DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRAIDED SECURITIES GROSS SALES PRICE: $1,088,889 BOOK BASIS: $1,133,750 NET GAIN/(LOSS): $(40,861) PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $1,138,130 SALES OF OTHER ITEMIZED ASSETS GROSS SALES PRICE: $3,954 BOOK BASIS: $22,452 NET GAIN/(LOSS): $(18,498) |
| FORM 990-PF | FORM 990-PF | One or more partnerships in which the foundation was invested in 2021 have provided a Schedule K-1 indicating that a Schedule K-3 would be provided, but it was not provided. As a result, there is insufficient information to allow Foundation Source, as tax preparer, to ascertain whether there is missing information about direct or indirect foreign investments that might have affected any item on this return or required additional forms to be filed. The Foundation has prepared this return to the best of its ability and without any foreign filings for such partnerships based on the information provided to it by these partnerships and on the basis of having received no information to the contrary. Any missing or incomplete information is due to the Foundation's inability to obtain such information and is not a willful attempt to withhold such information. |
| FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: Open Road Impact Fund LLC DATE OF PRI: 11/9/2021 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $150,000 PURPOSE OF PRI: To provide financial products and services to established social enterprises and non-profits, domestically and internationally, who require short-term bridge financing while waiting for committed funding. REPORTS OF AMOUNTS EXPENDED: Recipient is expected to submit a full and complete financial report of the type ordinarily required by commercial investors under similar circumstances and a statement that it has complied with the terms of the investment in 2022. This investment remained on the foundation's books as of 12/31/2021. Diversions: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
| FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: Open Road Impact Fund LLC DATE OF PRI: 11/9/2021 TOTAL AMOUNT OF PRI FUNDS DISBURSED: $350,000 PURPOSE OF PRI: To provide financial products and services to established social enterprises and non-profits, domestically and internationally, who require short-term bridge financing while waiting for committed funding. REPORTS OF AMOUNTS EXPENDED: Recipient is expected to submit a full and complete financial report of the type ordinarily required by commercial investors under similar circumstances and a statement that it has complied with the terms of the investment in 2022. This investment remained on the foundation's books as of 12/31/2021. Diversions: TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED TO ANY ACTIVITY OTHER THAN THE ACTIVITY FOR WHICH THE INVESTMENT WAS ORIGINALLY MADE. |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MAINSTAY SHORT DURATION HIGH Y | $416,088 | $411,193 |
| UNITEDHEALTH GROUP INC | $1,629 | $4,519 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| CONTEXT PARTNERS OFFSHORE, L.P | $1,000,000 | $1,495,728 |
| DEERFIELD PARTNERS, L.P | $6,784,930 | $6,367,404 |
| ELEVAR EQUITY IV, L.P | $349,023 | $1,289,668 |
| ILLUMEN CAPITAL LP | $212,173 | $318,014 |
| IMPACT VENTURES IV, LP | $171,968 | $189,625 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp (2 entries)
| CategoryCategoryTxt | Legal FeesLegalFeesAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| Document Review/Drafting | $12,978 | $12,978 |
| General Consultations | $863 | $863 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (8 entries)
| DescDesc | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| COMMUNITY INVESTMENT NOTE, 5 Y | $250,000 | $250,000 |
| GLOBAL PTN/ELEOS SOCIAL VENTUR | $61,559 | $61,559 |
| PRI - COLLAB FUND I, LLC - 0% | $166,500 | $147,214 |
| PRI - MYAGRO FARMS - 5% - 09/3 | $625,000 | $625,000 |
| PRI - ONE ACRE FUND - 2% | $60,000 | $60,000 |
| PRI - OPEN ROAD IMPACT FUND LL | $150,000 | $150,000 |
| PRI - OPEN ROAD IMPACT FUND SU | $350,000 | $350,000 |
| PRI - RH CAPITAL FUND II, L.P. | $175,000 | $154,177 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (17 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $35,613 | $35,613 | |
| Bank Charges | $90 | $90 | |
| Cell Phone Expense | $1,743 | $1,686 | $57 |
| Computers/Electronic Devices | $1,976 | $1,976 | |
| Equipment/Furniture Purchase | $321 | $321 | |
| Foundation Dues & Memberships | $7,299 | $7,299 | |
| K-1 Exp DEERFIELD PARTNERS, L. | $33,004 | $32,992 | |
| K-1 Exp DEERFIELD SPECIAL SITU | $259 | $259 | |
| K-1 Exp ELEVAR EQUITY IV, L.P | $9,952 | $9,951 | |
| K-1 Exp ILLUMEN CAPITAL LP | $16,962 | $16,959 | |
| K-1 Exp IMPACT VENTURES IV, LP | $15,725 | $15,725 | |
| OFFICE SUPPLIES | $484 | $484 | |
| EQUIPMENT MAINTENANCE | $137 | $137 | |
| DIGITAL SUBSCRIPTIONS | $221 | $211 | $10 |
| Payroll Processing Fees | $982 | $982 | |
| State or Local Filing Fees | $25 | $25 | |
| Training & Professional Develo | $1,200 | $1,200 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| K-1 Inc/Loss DEERFIELD PARTNERS, L.P | $105,126 | $105,901 | |
| K-1 Inc/Loss DEERFIELD SPECIAL SITUATIONS FUND L.P | $781 | $781 | |
| K-1 Inc/Loss ELEVAR EQUITY IV, L.P | $1,436 | $1,436 | |
| K-1 Inc/Loss ILLUMEN CAPITAL LP | $287 | $287 | |
| K-1 Inc/Loss IMPACT VENTURES IV, LP | $106 | $106 | |
| Interest Income from PRIs | $36,493 | $36,493 | $36,493 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Investment Management Services | $300 | $300 | |
| Website Development | $488 | $488 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt |
|---|---|
| 990-PF Estimated Tax for 2021 | $4,500 |
| 990-PF Extension for 2020 | $16,510 |
Comments