2022-12-20T19:04:29-06:00 2021-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2021-05-21 871067148 Gadomski Family Foundation % Foundation Source FOUN 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 JAY HEALY SECRETARY 8008391754 2022-11-01 true JAY HEALY 999009999 Jeffrey D Haskell P01345770 8008391754 2021 2022-09-23 18:48:47Z X X X 784142 X 1026823 9 9 394 394 -4262 300000 111547 1022964 111950 0 6566 6566 6566 0 6566 250000 250000 256566 0 256566 766398 111950 53837 53837 712561 730305 0 766398 784142 0 0 X 766398 0 766398 0 766398 0 766398 766398 766398 Publicly-traded Securities 300000 188453 111547 111547 111547 1556 1556 1556 0 1600 1600 44 44 false false false false false false true true true DE true false true false false true Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false false false false false false false false false false false false false false false false false false Richard T Gadomski Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Pres 1.0 0 0 0 Jay Healy Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Sec 1.0 0 0 0 Regina G Healy Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Treas 1.0 0 0 0 91288 5083 0 96371 0 96371 1446 94925 2926 2926 1556 1556 1370 1370 1370 256566 0 0 0 0 256566 1370 2019 2018 2017 256566 1370 255196 255196 0 255196 255196 Jay Healy Regina G Healy Richard T Gadomski X DIOCESE OF MEMPHIS ROMAN CATHOLIC CHURCH 5825 SHELBY OAKS DR MEMPHIS TN 38134 N/A PC Church of Holy Spirit; St. Paul's School via Sister Mary Laurence 200000 ST PATRICK HIGH SCHOOL 5900 W BELMONT AVE CHICAGO IL 60634 N/A PC General & Unrestricted 50000 250000 14 9 14 394 18 -4262 -3859 -3859 false false false false false false false false false false X X 1 Gadomski Richard T 6841 Honey Locust Cove Memphis TN 38119 10000 X 2 Healy Jay 3462 Wynmont Grove Cv Collierville TN 38017 1016823 X 2 VANGUARD 500 INDEX FUND ADM VFIAX, 256.652 sh. 109796 2021-12-17 2 DFA INTERNATIONAL CORE EQUITY FUND DFIEX, 7050.14 sh. 109559 2021-12-17 2 DFA INVT DIMENSIONS GROUP INC U S CORE DFQTX, 3597.351 sh. 114863 2021-12-17 2 ISHARES EDGE MSCI MULTIFACTOR EMERGING EMGF, 2825 sh. 141857 2021-12-17 2 ISHARES MSCI USA MIN VOLATILITY USMV, 1705 sh. 134678 2021-12-17 2 ISHARES MSCI USA MOMENTUM FACTOR MTUM, 730 sh. 128991 2021-12-17 2 DFA EMERGING MARKETS CORE EQ PRTFL MUTU DFCEX, 9799.422 sh. 240772 2021-12-17 2 BERKSHIRE HATHAWAY INC. CLASS B BRK-B, 123 sh. 36307 2021-12-17 BERKSHIRE HATHAWAY INC. CLASS 36307 36777 DFA EMERGING MARKETS CORE EQ P 88274 89963 DFA INTERNATIONAL CORE EQUITY 59253 61388 DFA INVT DIMENSIONS GROUP INC 64182 66393 ISHARES EDGE MSCI MULTIFACTOR 141856 144441 ISHARES MSCI USA MIN VOLATILIT 134678 137935 ISHARES MSCI USA MOMENTUM FACT 128991 132729 VANGUARD 500 INDEX FUND ADM 59020 60679 As explained below, the Foundation has no plans for dissolution. This statement is submitted to report the distribution of certain assets during the year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: Typically, a finding of a substantial contraction of assets is made by reference to the fair market value of a foundation's net assets on the first day of its calendar year. However, the taxable year ending December 31, 2021 was the year in which the Foundation received its initial endowment and the finding of a substantial contraction in this case was made by reference to the fair market value of the Foundation's assets on the date that it received its initial endowment. Accordingly, the degree of contraction of the Foundation's net assets may have been exaggerated. During the taxable year ending December 31, 2021, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $250,000. This amount represents 25% or more of the Foundation's net assets of $10,000 (as measured by fair market value) on the day that the Foundation received its initial endowment in the Foundation's taxable year ending December 31, 2021. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XiV, Line 3a; each such grant was made solely for the charitable purpose specified therein. Administrative Fees 66 66 Administrative Set-Up Fee 5400 5400 Delaware Incorporation Fees 500 500 IRS Application Fees 600 600 This Form 990-PF was originally electronically filed timely by 11/15/22 and was rejected by the IRS because the foundation has not yet received its determination as an exempt organization. Although we contacted the IRS within the 10 day perfection period, an analyst did not respond to us until today. As such, we respectfully request that no late filing penalties be assessed. Gadomski Richard T 6841 Honey Locust Cove Memphis TN 38119 Healy Jay 3462 Wynmont Grove Cv Collierville TN 38017 Healy Regina G 3462 Wynmont Grove Cv Collierville TN 38017 Gadomski Florence 6841 Honey Locust Cove Memphis TN 38119