2020-05-12T13:01:10-05:00 2019-12-31 250997271 SHARKEY PICCIRILLO & KEEN LLP 991 BEAVER DRIVE DUBOIS PA 15801 990PF 2019-01-01 204373954 FAIRMAN FAMILY FOUNDATION FAIR 8143718863 414 RANDALL COURT DUBOIS PA 15801 JOYCE FAIRMAN PRESIDENT 8143718863 2020-05-12 1 PATRICK R KEEN CPA P00121273 8143718340 2020-05-12 71.60.7.198 2020-05-12 14:00:55 ED P 6AB40517D696F7445F9ED8E476DE063D61E87F98 639AEEF18E3877B9026AB15323CC0B0976306A4D 2019 2021-04-22 16:20:28Z X 1532096 X X 1929 1929 34638 34624 34232 232104 34232 70799 70785 0 0 0 1325 0 1325 2714 0 0 10909 10909 0 14948 10909 1325 49000 49000 63948 10909 50325 6851 59876 1173 3134 3134 66767 94514 94514 257187 224023 597024 47884 47884 49984 690537 700844 787440 1063548 1070399 1532096 0 0 X 1063548 1070399 0 0 0 0 1063548 1070399 1063548 1070399 1063548 6851 0 1070399 0 1070399 2579.979 SH COLUMBIA LIMITED DURATION CREDIT FD P 2018-05-31 2019-02-27 25103 25000 103 103 22 SH BOEING CO P 2011-10-17 2019-05-24 7854 1379 6475 6475 76 SH CVS/CAREMARK CORP P 2011-10-17 2019-10-22 5076 2658 2418 2418 791.580 SH FEDERATED #110 INTL LEADERS FD P 2018-02-14 2019-02-27 25228 30000 -4772 -4772 2726.281 SH FEDERATED #303 INTER CORP BD FD P 2017-12-28 2019-02-27 24237 25000 -763 -763 1573.977 SH FEDERATED SELECT TOTAL RETURN BD FD P 2017-12-28 2019-02-27 14811 15000 -189 -189 225 SH ISHARES MSCI EAFE SMALL-CAP ETF P 2015-06-05 2019-08-21 12436 11717 719 719 75 SH MOODYS CORP P 2017-12-28 2019-05-24 13852 11059 2793 2793 695.733 SH VANGUARD INT TERM TREASURY INDEX #1943 P 2017-12-28 2019-02-27 14937 15000 -63 -63 732.057 SH ARTISAN MID CAP FD P 2011-02-07 2019-02-27 25651 25713 -62 -62 28 SH BOEING CO P 2017-01-01 2019-05-24 9996 1831 8165 8165 197 SH CVS/CAREMARK CORP P 2017-01-01 2019-10-22 13159 6229 6930 6930 362.131 SH NEUBERGER BERMAN GENESIS FD P 2010-06-24 2019-02-27 19997 17277 2720 2720 65 SH L3 HARRIS TECHNOLOGIES INC P 2017-12-28 2019-09-05 13824 10009 3815 3815 CAPITAL GAINS DIVIDENDS P 5943 5943 5943 34232 0 97837 1380056 0.070893 77250 1413192 0.054663 68250 1350205 0.050548 71450 1354991 0.052731 58795 1390173 0.042293 0.271128 0.054226 1429649 77524 599 78123 50325 1198 0 1198 0 1198 900 0 0 900 X 0 298 0 0 0 0 0 0 0 0 0 0 1 1 PA 1 0 0 0 0 1 N/A THE ORGANIZATION 8143718863 414 RANDALL COURT DUBOIS PA 15801 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOYCE FAIRMAN 414 RANDALL COURT DUBOIS PA 15801 PRESIDENT 2.00 0 0 0 LISA PFINGSTLER 414 RANDALL COURT DUBOIS PA 15801 VICE-PRESIDENT 1.00 0 0 0 DEREK FAIRMAN 414 RANDALL COURT DUBOIS PA 15801 SECRETARY/TREASURER 1.00 0 0 0 NONE 0 NONE 0 0 1386693 64727 0 1451420 0 0 1451420 21771 1429649 71482 71482 1198 1198 70284 0 70284 0 70284 50325 0 50325 0 50325 70284 0 0 4073 1616 7856 31928 45473 50325 0 0 0 50325 0 19959 19959 25514 0 0 0 0 0 0 0 25514 25514 JOYCE FAIRMAN JOYCE FAIRMAN 414 RANDALL COURT DUBOIS PA 15801 8143718863 THE FOUNDATION WILL ACCEPT WRITTEN REQUESTS FROM POTENTIAL RECIPIENT ORGANIZATIONS. THE REQUEST MUST INCLUDE PROOF THAT THE POTENTIAL RECIPIENT ORGANIZATION IS A TAX EXEMPT ORGANIZATION UNDER PROVISIONS OF THE INTERNAL REVENUE CODE. NO THE FOUNDATION WAS FORMED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC PURPOSES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. SPECIFICALLY, THE FOUNDATION WILL PROVIDE FUNDING FOR MUNICIPAL, EDUCATIONAL, RELIGIOUS, AND CHARITABLE PURPOSES TO RECIPIENTS WHO QUALIFY AS TAX EXEMPT ORGANIZATIONS UNDER PROVISIONS OF THE INTERNAL REVENUE CODE. IN ADDITION, THE FOUNDATION WILL PROVIDE FUNDING FOR PUBLIC PURPOSES WHICH QUALIFY AS MUNICIPAL GIVING OR TAX EXEMPT UNDER PROVISIONS OF THE INTERNAL REVENUE CODE. DUBOIS AREA UNITED WAY 223 SOUTH JARED STREET DUBOIS PA 15801 N/A PC GENERAL 1500 DUBOIS AREA YMCA 25 PARKWAY DRIVE DUBOIS PA 15801 N/A PC CAPITAL CAMPAIGN 20000 THE BOB PERKS FUND PO BOX 313 STATE COLLEGE PA 16804 N/A PC GENERAL 5000 THE PENN STATE UNIVERSITY 201 OLD MAIN UNIVERSITY PARK PA 16802 N/A PC EDUCATIONAL 20000 BEN FRANKLIN TECHNOLOGY PARTNERS 200 INNOVATION BLVD SUITE 150 STATE COLLEGE PA 16803 N/A PC EDUCATIONAL 2500 49000 0 14 1929 14 34638 18 34232 0 70799 0 70799 0 0 0 0 0 0 0 0 0 0 PREPARATION OF FORM 990-PF AND STATE CHARITABLE REGISTRATION STATEMENT 1325 0 1325 IBM CORP 47884 49984 88 SH MCDONALDS CORP 4959 17390 153 SH TARGET CORP 7198 19616 97 SH CHEVRON CORPORATION 6861 11689 136 SH EXXON MOBIL CORP 9596 9490 130 SH THERMO FISHER SCIENTIFIC INC 4875 42233 55 SH FEDEX CORP 2990 8317 152 SH APPLE INC 3075 44635 208 SH MICROSOFT CORP 5190 32802 384 SH ORACLE CORP 7620 20344 246 SH AT&T INC 5933 9614 160 SH VERIZON COMMUNICATIONS 4348 9824 265 SH GENERAL MILLS INC 7015 14193 129 SH CONOCOPHILLIPS 4892 8389 86 SH ZIMMER BIOMET HLDGS INC 3927 12872 182 SH QUALCOMM INC 8245 16058 180 SH VISA INC 3015 33822 307 SH XCEL ENERGY INC 6132 19491 173 SH WAL-MART STORES INC 8836 20559 250 SH INTEL CORP 5141 14962 77 SH HUMANA INC 3709 28222 68 SH CUMMINS ENGINE INC 4645 12169 419 SH CISCO SYSTEMS 7457 20095 213 SH DISNEY WALT CO 8313 30806 100 SH JP MORGAN CHASE & CO 9438 13940 234 SH METLIFE INC 10507 11927 26 SH ALPHABET INC - CL A 5652 34824 390 SH MASCO CORP 10834 18716 75 SH PNC BANK CORP 11986 11972 50 SH BECTON DICKINSON & CO 10950 13598 75 SH JOHNSON & JOHNSON 9881 10940 50 SH NVIDIA CORP 12424 11765 50 SH AIR PRODS & CHEMS INC 8379 11750 11530.106 SH FEDERATED STRATEGIC VALUE DIVIDEND FUND FMV 51106 66068 1209.978 SH FIDELITY ADVISOR INTERNATIONAL DISCOVERY FUND FMV 35442 54812 3184.200 SH FIDELITY FLOATING RATE HIGH INCOME FUND FMV 31014 30218 1050 SH AB GLOBAL REAL ESTATE INVESTMENT FUND FMV 14711 16023 2423.283 SH HARDING LOEVNER INST EMER M-I FMV 48689 54718 715 SH ISHARES SELECT DIVIDEND ETF FMV 59404 75547 300 SH ISHARES MSCI EAFE INDEX FUND FMV 19672 20832 80 SH ISHARES RUSSELL 2000 INDEX FD ETF FMV 9966 13254 320 SH ISHARES INTERNATIONAL DEV R/E ETF FMV 9798 9664 1635 SH MUNDER VICTORY TRIVALENT INTL SMALL CAP FD-Y FMV 19571 23119 200 SH PROSHARES S&P 500 DIVIDEND A ETF FMV 9541 15118 976.389 SH VANGUARD SHORT-TERM CORP BD INDEX FUND FMV 21000 21510 1987.766 SH FEDERATED #221 INSTL HI YIELD BD FMV 19818 19758 3846.758 SH FEDERATED #108 ULTRASHORT BOND FUND FMV 35000 35198 1906.614 SH FIDELITY NEW MARKETS INC FMV 29099 28752 2283.105 SH JP MORGAN MTG-BACKED SEC #1273 FMV 25000 25845 150 SH SPDR CONSUMER DISCRETIONARY SECT ETF FMV 15721 18813 1750 SH SPDR FINANCIALS SECTOR ETF FMV 50343 53865 125 SH SPDR MATERIALS SECTOR ETF FMV 7425 7678 400 SH ISHARES INTERNATIONAL SELECT ETF FMV 13524 13428 3089.144 SH JP MORGAN CORE BOND #3720 FMV 35000 36514 3064.799 SH WESTERN ASSET CORE PLUS BOND FD FMV 35000 36655 3330.162 SH VANGUARD TOTAL BOND MKT INDEX FD FMV 35000 36798 2316.602 SH DFA INTL CORE EQUITY #5306 FMV 30000 31992 358.230 SH JP MORGAN SM-CAP EQUITY SEL #367 FMV 20000 21444 315.956 SH JP MORGAN UNDISCOVERED MANAGERS BEHAVIORAL VALUE FD FMV 20000 19817 INVESTMENT FEES 10416 10416 0 FOREIGN TAXES - DIVIDENDS 418 418 0 BANK FEES 75 75 0 EXCISE TAX BASED ON INVESTMENT INCOME 2714 0 0