2019-08-13T13:35:29-05:00 2018-12-31 112674705 KWM CPAS LLP 100 JERICHO QUADRANGLE - STE 220 JERICHO NY 11753 990PF 2018-01-01 465451651 THE LACEY FAMILY FOUNDATION LACE 2122330661 73 WORTH STREET NO 5F NEW YORK NY 10013 BETH ANN LACEY TRUSTEE 2122330661 2019-08-13 1 MITCHELL KAHN P01231570 5163336881 108.162.8.250 2019-08-13 08:55:07 ED P 70B312827C3FE7EF6B8AF98FDCA504449D490772 F8848F60CBEA369C44B61CB92D4B3A6CC701390F 2018 2019-02-21 02:37:17Z X 159337 X 9305 X 5145 5145 5145 1907 73623 1907 16357 7052 5145 0 0 0 0 79 29 79 0 1229 1179 1229 0 1308 1208 1308 0 10000 10000 11308 1208 1308 10000 5049 5844 3837 3168 8042 8042 89 89 89 33 33 33 36477 28298 29454 122420 125880 121719 162098 162342 159337 4805 4805 0 X 157293 162342 157293 162342 162098 162342 157293 5049 0 162342 0 162342 AMERN EXPRESS CO P 2014-03-25 2018-11-16 9911 8179 1732 1732 BRCLY BLMBRG CMDTY P 2018-02-01 2018-07-17 482 528 -46 -46 BRCLY BLMBRG CMDTY P 2017-12-04 2018-08-01 517 522 -5 -5 ISHS PAC EX JPN P 2017-11-15 2018-07-17 551 564 -13 -13 ISHS PAC EX JPN P 2017-11-15 2018-08-01 511 517 -6 -6 ISHS TIPS BD P 2017-10-03 2018-02-01 563 567 -4 -4 ISHS INVSTMNT BD P 2017-10-03 2018-02-01 718 723 -5 -5 ISHS INVSTMNT BD P 2018-08-01 2018-11-01 447 460 -13 -13 ISHS 20+ TRSY P 2018-02-01 2018-03-12 1184 1223 -39 -39 ISHS 20+ TRSY P 2018-02-01 2018-06-01 1564 1590 -26 -26 ISHS 20+ TRSY P 2018-08-01 2018-10-01 3617 3756 -139 -139 ISHS 20+ TRSY P 2018-08-01 2018-11-01 566 593 -27 -27 ISHS 7-10Y TRSY P 2018-02-01 2018-06-01 4383 4458 -75 -75 ISHS 7-10Y TRSY P 2018-02-01 2018-10-01 2420 2473 -53 -53 ISHS 1-3YR TRS P 2018-02-01 2018-06-01 1915 1928 -13 -13 ISHS 1-3YR TRS P 2018-02-01 2018-10-01 995 1002 -7 -7 ISHS MSCI EAFE INDX ETF P 2017-07-05 2018-02-01 2291 2012 279 279 ISHS MSCI EAFE INDX ETF P 2018-06-01 2018-07-02 2379 2518 -139 -139 ISHS MSCI EAFE INDX ETF P 2018-06-01 2018-08-01 1235 1259 -24 -24 ISHS JPM USD E/M BD ETF P 2017-10-03 2018-02-01 1036 1024 12 12 ISHS JPM USD E/M BD ETF P 2017-07-05 2018-02-16 564 568 -4 -4 ISHS JPM USD E/M BD ETF P 2017-07-05 2018-07-02 848 908 -60 -60 ISHS JPM USD E/M BD ETF P 2018-06-01 2018-08-01 432 432 0 0 ISHS IBOX $ H/Y CORP ETF P 2017-10-03 2018-02-01 4954 5019 -65 -65 ISHS IBOX $ H/Y CORP ETF P 2017-07-05 2018-02-16 775 792 -17 -17 ISHS IBOX $ H/Y CORP ETF P 2017-07-05 2018-07-02 847 880 -33 -33 ISHS IBOX $ H/Y CORP ETF P 2018-06-01 2018-08-01 514 511 3 3 ISHS 3-7Y TRSY ETF P 2017-12-04 2018-06-01 479 490 -11 -11 ISHS 3-7Y TRSY ETF P 2018-02-01 2018-10-01 951 969 -18 -18 ISHS 3-7Y TRSY ETF P 2018-02-01 2018-11-01 119 120 -1 -1 SPDR S&P 500 ETF P 2017-10-03 2018-02-01 2816 2443 373 373 SPDR S&P 500 ETF P 2018-06-25 2018-07-02 2160 2186 -26 -26 SPDR S&P 500 ETF P 2018-06-01 2018-08-01 1972 1902 70 70 SPDR S&P 500 ETF P 2018-10-12 2018-12-03 1114 1137 -23 -23 VNGRD FTSE EMG MKTS ETF P 2017-10-03 2018-02-01 1390 1188 202 202 VNGRD FTSE EMG MKTS ETF P 2018-02-16 2018-05-04 761 826 -65 -65 VNGRD FTSE EMG MKTS ETF P 2018-06-01 2018-06-25 548 596 -48 -48 VNGRD FTSE EMG MKTS ETF P 2018-06-01 2018-07-02 955 950 5 5 VNGRD REAL EST INDX ETF P 2017-12-04 2018-02-01 475 509 -34 -34 VNGRD REAL EST INDX ETF P 2017-12-04 2018-08-01 82 85 -3 -3 WSDMTR JPN HEDG EQ ETF P 2017-07-14 2018-02-01 912 786 126 126 BRCLY BLMBRG CMDTY P 2017-09-11 2018-10-01 24 23 1 1 COLUMBIA ADPT RSK I P 2016-03-15 2018-02-01 187 167 20 20 COLUMBIA ADPT RSK I P 2016-03-15 2018-05-01 379 343 36 36 COLUMBIA ADPT RSK I P 2016-03-15 2018-08-01 631 564 67 67 COLUMBIA ADPT RSK I P 2016-03-15 2018-11-01 105 96 9 9 COLUMBIA ALT BETA I P 2016-03-15 2018-05-01 37 38 -1 -1 ISHS TIPS BD P 2016-04-04 2018-02-01 359 352 7 7 ISHS TIPS BD P 2016-03-15 2018-02-16 470 466 4 4 ISHS TIPS BD P 2016-03-15 2018-07-02 914 932 -18 -18 ISHS TIPS BD P 2016-03-15 2018-11-01 671 699 -28 -28 ISHS MSCI EAFE INDX ETF P 2017-07-05 2018-08-01 3226 3051 175 175 ISHS JPM USD E/M BD ETF P 2017-07-05 2018-08-01 649 681 -32 -32 ISHS IBOX $ H/Y CORP ETF P 2017-07-05 2018-08-01 1628 1671 -43 -43 SPDR S&P 500 ETF P 2017-07-05 2018-12-03 278 242 36 36 VNGRD MTG BKD SEC ETF P 2016-06-01 2018-02-01 1035 1068 -33 -33 VNGRD MTG BKD SEC ETF P 2016-06-01 2018-02-16 565 588 -23 -23 VNGRD REAL EST INDX ETF P 2017-07-05 2018-08-01 1061 1089 -28 -28 ISHS TIPS BD P 2017-01-04 2018-02-01 451 453 -2 -2 P 0 0 1907 28 0 10000 166709 0.059985 10000 155651 0.064246 9975 58600 0.170222 10300 76935 0.133879 0.428332 0.107083 168572 18051 58 18109 10000 117 0 117 0 117 32 71 0 103 0 14 0 0 0 0 0 0 0 0 0 0 0 1 NY 1 0 0 0 0 1 N/A TAXPAYER 2122330661 73 WORTH STREET 5F NEW YORK NY 10013 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BETH ANN LACEY 73 WORTH STREET APT 5F NEW YORK NY 10013 TRUSTEE 0.00 0 0 0 BRIAN LACEY 773 UPPER MIDDLE CREEK ROAD KUNKLETOWN PA 18058 TRUSTEE 0.00 0 0 0 NONE 0 NONE 0 DONATIONS TO OTHER CHARITABLE ORGANIZATIONS AS PER PART XV. 10000 0 165618 5521 0 171139 0 0 171139 2567 168572 8429 8429 117 117 8312 0 8312 0 8312 10000 0 10000 0 10000 8312 0 0 7568 7095 2272 1853 18788 10000 0 0 0 8312 1688 0 0 20476 0 0 0 0 0 0 0 20476 7568 7095 2272 1853 1688 BETH ANN LACEY 73 WORTH STREET 5F NEW YORK NY 10013 2122330661 MAIL. INFORMATION REGARDING PURPOSE AND NATURE OF CHARITY. NONE NONE PET PARTNERS 345 118TH AVE SE 200 BELLEVUE WA 98005 NONE PUBLIC CHARITY PROMOTE ANIMAL ASSISTED ACTIVITIES 2000 ALLIANCE OF THERAPY DOGS 5750 DTC PKWY 170 GREENWOOD VILLAGE CO 80111 NONE PUBLIC CHARITY PROMOTE ANIMAL ASSISTED ACTIVITIES 2500 HORSES HEALING HUMANS 340 NEW LONDON TURNPIKE STONINGTON CT 06378 NONE PUBLIC CHARITY HELPING PEOPLE WITH VARIOUS AILMENTS 3000 PETS FOR VETS PO BOX 10860 WILMINGTON NC 28404 NONE PUBLIC CHARITY HELP VETERANS EASE BACK TO CIVILIAN LIFE 2500 10000 0 14 5145 18 1907 0 7052 0 7052 1 SUPPORT IS PROVIDED TO DESERVING PUBLIC CHARITY 0 0 0 0 0 0 0 0 0 0 AMERICAN EXPRESS COMPANY 28298 29454 GUGGENHEIM MACRO OPPTYS CL A FMV 23190 22369 ISHARES TIPS BOND EFT FMV 3270 3176 ISHARES IBOXX $INVESTMENT GRADE CORP BOND ETF FMV 1036 1015 ISHARES JPMORGAN USD EMERGING MARKETS BOND FMV 1075 1039 ISHARES IBOXX $ HIGH YIELD CORP BOND FMV 2155 2028 SPDR S&P 500 ETF FMV 8236 8497 VANGUARD FTSE EMERGING MKTS ETF FMV 2147 2019 VANGUARD FTSE MORTGAGE BACKED SECURITIES ETF FMV 1094 1081 VANGUARD REIT INDEX ETF FMV 1049 969 COLUMBIA ADAPTIVE RISK ALLOC CL W FMV 40874 40689 COLUMBIA ALTERNATIVE BETA CL W FMV 11686 9691 ISHARES MSCI EAFE EFT FMV 7796 6877 ISHARES 7-10YR TREASURY BOND ETF FMV 12966 13233 ISHARES 1-3 YR TREASURY BOND ETF FMV 2912 2927 ISHARES 3-7YR TREASURY BOND ETF FMV 1319 1335 BARCLAYS BANK PLC IPATH BLOOMBERG COMMODITY INDEX TOTAL RETURN ETN FMV 1046 955 ISHARES 20+ YR TREASURY BOND ETF FMV 1897 1944 ISHARES RUSSELL 2000 ETF FMV 2132 1875 MANAGEMENT FEES 1179 1179 1179 0 MISCELLANEOUS EXPENSES 50 0 50 0 FOREIGN TAXES 29 29 29 0 NYS CHAR500 FILING FEE 50 0 50 0