DAVID AND JANET POLAK FOUNDATION: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- DAVID AND JANET POLAK FOUNDATION (EIN 45-4797578)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-12
- IRS object ID
- 202323169349100462
- Schema version
- 2022v5.0
- 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
- Compensation Explanation
- Depreciation Schedule
- Expenditure Responsibility Stmt
- General Explanation Attachment
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-12T16:01:42-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | 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 | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454797578 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David & Janet Polak Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | DAVI | 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 Polak | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2023-11-07 | 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 | Polak | 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 | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $80,733,214 | 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 | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $87,745 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $87,745 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $810,321 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $810,321 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $3,459,673 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $49,486,786 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $3,376,604 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $883,610 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $951,901 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $5,241,349 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $5,226,571 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $247,768 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $247,768 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $74,000 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $74,000 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $44,042 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $44,042 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $17,923 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $17,923 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $561,570 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $409,834 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $151,736 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $1,006 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $1,006 | InterestNetInvstIncmAmt |
| Taxes Rev And Expnss | $161,872 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $17,659 | TaxesNetInvstIncmAmt |
| Occupancy Rev And Expnss | $71,319 | OccupancyRevAndExpnssAmt |
| Occupancy Dsbrs Chrtbl | $71,319 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $205,881 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $205,881 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $9,483 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Dsbrs Chrtbl | $9,483 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $809,768 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $678,386 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $105,556 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $2,204,632 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,106,885 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $927,708 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,654,600 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,654,600 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,859,232 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,106,885 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $3,582,308 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $382,117 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $4,119,686 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $5,727,416 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $4,714,004 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $4,714,004 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $25,956,247 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $26,201,842 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $26,302,681 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $11,487,851 | CorporateStockBOYAmt |
| Corporate Stock EOY | $12,232,803 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $14,336,017 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,000,149 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $1,000,149 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $818,390 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $22,141,023 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $22,047,005 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $30,033,861 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $4,150,100 | OtherAssetsBOYAmt |
| Other Assets EOY | $4,650,100 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $4,528,261 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $70,462,786 | TotalAssetsBOYAmt |
| Total Assets EOY | $70,845,903 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $80,733,214 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $70,462,786 | RetainedEarningBOYAmt |
| Retained Earning EOY | $70,845,903 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $70,462,786 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $70,845,903 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $70,462,786 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $70,845,903 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $70,462,786 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $382,117 | ExcessRevenueOverExpensesAmt |
| Other Increases | $1,000 | OtherIncreasesAmt |
| Subtotal | $70,845,903 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $70,845,903 | 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 |
|---|---|---|---|---|
| Publicly-traded Securities | $49,486,786 | $47,470,162 | $2,016,624 | $2,016,624 |
| Passthrough K1 Capital Gain/(Loss) | $1,304,675 | |||
| DISTRIBUTIONS IN EXCESS OF BASIS | $55,305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $3,376,604 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $57,264 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $57,264 | SubtotalAmt |
| Tax Based On Investment Income | $57,264 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $56,430 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $13,100 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $69,530 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $12,266 | OverpaymentAmt |
| Applied To ES Tax | $12,266 | 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 | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|
| David Polak | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 1.0 | $0 | $0 | $0 |
| Janet Polak | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 1.0 | $0 | $0 | $0 |
| Jeff Polak | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Pres, Executive Dir | 40.0 | $247,768 | $11,000 | $0 |
| Robert Polak | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 1.0 | $0 | $0 | $0 |
| Jonathan Seltzer | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir | 1.0 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Noreen L Rubio | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3850 N WILKE RD | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | ADMINISTRATIVE ASST | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 40.0 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $74,000 | CompensationAmt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Polak Investors LLC | |||||
| 1880 Century Park East Suite 811 | Los Angeles | CA | 90067 | Investment Mgmt | $394,893 |
| POP 403 Productions LLC | |||||
| 15057 Greenleaf Street | Sherman Oaks | CA | 91403 | Philanthropic | $115,873 |
| Foundation Source | |||||
| 55 Walls Drive 3rd Fl | Fairfield | CT | 06824 | Administrative | $93,698 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | AKLA PROGRAM - WILL INTRODUCE PARTICIPANTS TO EXCITING & INSPIRING NEW WAYS OF LOOKING AT THEIR JEWISH VALUES & CONNECT THEM WITHIN THEIR OWN LIVES & LA JEWISH COMMUNITY | Description1Txt |
| Expenses1 | $321,880 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | YAMO PHARMACEUTICALS LLC - TO PROMOTE HEALTH BY FINDING AN EFFECTIVE CURE FOR AUTISM | Description1Txt |
| Expenses1 | $250,000 | Expenses1Amt |
| Description2 | NEUROVISION IMAGING INC - TO PROMOTE HEALTH AND REDUCE SUFFERING OF THOSE AFFECTED WITH NEUROGENERATIVE CONDITIONS INCLUDING ALZHEIMERS | Description2Txt |
| Expenses2 | $250,000 | Expenses2Amt |
| Total | $500,000 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $42,432,240 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $6,405,475 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $30,067,976 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $78,905,691 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $78,905,691 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,183,585 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $77,722,106 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $3,886,105 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $3,886,105 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $57,264 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $4,150 | IncomeTaxAmt |
| Total Tax | $61,414 | TotalTaxAmt |
| Distributable Before Adj | $3,824,691 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $1,000 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $3,825,691 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $3,825,691 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $3,582,308 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $500,000 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $4,082,308 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $3,825,691 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $3,858,101 | UndistributedIncomePYAmt |
| Prior Year1 | 2020 | PriorYear1Yr |
| Prior Year2 | 2019 | PriorYear2Yr |
| Prior Year3 | 2018 | PriorYear3Yr |
| Qualifying Distributions | $4,082,308 | QualifyingDistributionsAmt |
| Applied To Year1 | $3,858,101 | AppliedToYear1Amt |
| Applied To Current Year | $224,207 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Undistributed Income CY | $3,601,484 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (72 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMCHA INITIATIVE | |||||||
| 517 BETHANY CURVE | SANTA CRUZ | CA | 95060 | N/A | PC | General & Unrestricted | $20,000 |
| AMERICAN FRIENDS OF ISRAELI NAVY SEALS INC | |||||||
| 138 W 133RD ST | NEW YORK | NY | 10030 | N/A | PC | funds for Three scholarships each be "repaid" with 120 hours of community service to impactful partner organizations;(800 NIS) Passover gift vouchers for Israel Navy SEAL unit soldiers in financial need | $15,100 |
| AMERICAN FRIENDS OF SHEBA MEDICAL CENTER INC | |||||||
| 6505 WILSHIRE BLVD STE 615 | LOS ANGELES | CA | 90048 | N/A | PC | General & Unrestricted | $10,000 |
| AMERICAN FRIENDS OF THE ISRAEL MUSEUM | |||||||
| 545 5TH AVE RM 920 | NEW YORK | NY | 10017 | N/A | PC | General & Unrestricted | $5,000 |
| AMERICAN FRIENDS OF THE ISRAEL PHILHARMONIC ORCHES | |||||||
| 555 W 5TH ST 35TH FL | LOS ANGELES | CA | 90013 | N/A | PC | General & Unrestricted | $10,000 |
| AMERICAN SOCIETY FOR TECHNION- ISRAEL INSTITUTE OF | |||||||
| 55 EAST 59TH ST 14TH FLOOR | NEW YORK | NY | 10022 | N/A | PC | General & Unrestricted | $10,000 |
| AMERICAN YOUTH SYMPHONY INC | |||||||
| 841 APOLLO ST STE 344 | EL SEGUNDO | CA | 90245 | N/A | PC | General & Unrestricted | $5,000 |
| AMERICANS FOR BEN-GURION UNIVERSITY INC | |||||||
| 1001 AVE OF THE AMERICAS FL 19 | NEW YORK | NY | 10018 | N/A | PC | Israel's National Artificial Intelligence Resilience Laboratory | $800,000 |
| AMERICANS FOR BEN-GURION UNIVERSITY INC | |||||||
| 1001 AVE OF THE AMERICAS FL 19 | NEW YORK | NY | 10018 | N/A | PC | General & Unrestricted | $2,500 |
| AYN RAND INSTITUTE THE CENTER FOR THE ADVANCEMENT | |||||||
| 6 HUTTON CENTRE DR STE 600 | SANTA ANA | CA | 92707 | N/A | PC | General & Unrestricted | $30,000 |
| AYN RAND INSTITUTE THE CENTER FOR THE ADVANCEMENT | |||||||
| 6 HUTTON CENTRE DR STE 600 | SANTA ANA | CA | 92707 | N/A | PC | Free Books Program for Teachers in Los Angeles County | $25,000 |
| BAYIT SHELANU SYNAGOGUE | |||||||
| 10825 ASHBY AVE | LOS ANGELES | CA | 90064 | N/A | PC | General & Unrestricted | $1,800 |
| BEIT TSHUVAH | |||||||
| 8831 VENICE BLVD | LOS ANGELES | CA | 90034 | N/A | PC | General & Unrestricted | $5,000 |
| BUCKLEY SCHOOL | |||||||
| 3900 STANSBURY AVE | SHERMAN OAKS | CA | 91423 | N/A | PC | General & Unrestricted | $10,000 |
| CEDARS-SINAI MEDICAL CENTER | |||||||
| 8700 BEVERLY BLVD | W HOLLYWOOD | CA | 90048 | N/A | PC | Board of Governors Innovation Center | $100,000 |
| CEDARS-SINAI MEDICAL CENTER | |||||||
| 8700 BEVERLY BLVD | W HOLLYWOOD | CA | 90048 | N/A | PC | General & Unrestricted | $25,000 |
| CENTRAL FUND OF ISRAEL | |||||||
| 461 CENTRAL AVE | CEDARHURST | NY | 11516 | N/A | PC | General & Unrestricted | $35,000 |
| COMMITTEE FOR ACCURACY IN MIDDLE EAST REPORTING IN | |||||||
| PO BOX 35040 | BOSTON | MA | 02135 | N/A | PC | General & Unrestricted | $20,000 |
| CONCERN FOUNDATION | |||||||
| 11111 W OLYMPIC BLVD STE 214 | LOS ANGELES | CA | 90064 | N/A | PC | General & Unrestricted | $6,000 |
| CROHN'S & COLITIS FOUNDATION OF AMERICA - THE GREA | |||||||
| 10350 SANTA MONICA BLVD STE 120 | LOS ANGELES | CA | 90025 | N/A | PC | General & Unrestricted | $10,000 |
| CUFI CHURCH ASSOCIATION | |||||||
| PO BOX 1307 | SAN ANTONIO | TX | 78295 | N/A | PC | General & Unrestricted | $10,000 |
| DAVID HOROWITZ FREEDOM CENTER | |||||||
| 28494 WESTINGHOUSE PL STE 212 | VALENCIA | CA | 91355 | N/A | PC | General & Unrestricted | $15,000 |
| ENDOWMENT FOR MIDDLE EAST TRUTH | |||||||
| 700 STONINGTON RD | SILVER SPRING | MD | 20902 | N/A | PC | General & Unrestricted | $20,000 |
| FOUNDATION FOR ECONOMIC EDUCATION INC | |||||||
| 1819 PEACHTREE RD NE STE 300 | ATLANTA | GA | 30309 | N/A | PC | General & Unrestricted | $5,000 |
| FOUNDATION FOR INDIVIDUAL RIGHTS AND EXPRESSION IN | |||||||
| 510 WALNUT ST STE 1250 | PHILADELPHIA | PA | 19106 | N/A | PC | General & Unrestricted | $5,000 |
| FRIENDS OF ELNET | |||||||
| 5215 OLD ORCHARD RD STE 880 | SKOKIE | IL | 60077 | N/A | PC | General & Unrestricted | $100,000 |
| FRIENDS OF ISRAEL SCI-TECH SCHOOLS INC | |||||||
| 477 MADISON AVE 6TH FL | NEW YORK | NY | 10022 | N/A | PC | General & Unrestricted | $5,000 |
| FRIENDS OF THE ISRAEL DEFENSE FORCES - LOS ANGELES | |||||||
| 6505 WILSHIRE BLVD STE 625 | LOS ANGELES | CA | 90048 | N/A | PC | sponsor 13 additional IMPACT! Scholarship students | $52,000 |
| HAROLD GRINSPOON FOUNDATION | |||||||
| 67 HUNT ST STE 100 | AGAWAM | MA | 01001 | N/A | SO I | PJ Library fund | $15,000 |
| HILLSDALE COLLEGE | |||||||
| 33 E COLLEGE ST | HILLSDALE | MI | 49242 | N/A | PC | General & Unrestricted | $10,000 |
| HONEST REPORTING COM INC | |||||||
| 165 E 56TH ST 2ND FL | NEW YORK | NY | 10022 | N/A | PC | General & Unrestricted | $10,000 |
| IMAGINATION PRODUCTIONS INC | |||||||
| 11110 W OAKLAND PARK BLVD STE 288 | SUNRISE | FL | 33351 | N/A | PC | Initial research phase for film project | $25,000 |
| IMAGINATION PRODUCTIONS INC | |||||||
| 11110 W OAKLAND PARK BLVD STE 288 | SUNRISE | FL | 33351 | N/A | PC | General & Unrestricted | $10,000 |
| IMERMAN ANGELS | |||||||
| 2001 N HALSTED ST STE 302 | CHICAGO | IL | 60614 | N/A | PC | General & Unrestricted | $5,000 |
| ISRAEL CANCER RESEARCH FUND INC | |||||||
| 52 VANDERBILT AVE S1510 | NEW YORK | NY | 10017 | N/A | PC | Research Career Development Program | $49,500 |
| ISRAEL EMERGENCY ALLIANCE - STANDWITHUS | |||||||
| PO BOX 341069 | LOS ANGELES | CA | 90034 | N/A | PC | General & Unrestricted | $200,000 |
| ISRAEL TENNIS CENTERS FOUNDATION INC | |||||||
| 165 E 56TH ST 2ND FL | NEW YORK | NY | 10022 | N/A | PC | General & Unrestricted | $5,000 |
| JEWBELONG INC | |||||||
| 45 AFTERGLOW WAY | VERONA | NJ | 07044 | N/A | PC | General & Unrestricted | $5,000 |
| JEWISH FEDERATION COUNCIL OF GREATER LOS ANGELES | |||||||
| 6505 WILSHIRE BLVD STE 800 | LOS ANGELES | CA | 90048 | N/A | PC | PJ Library fund in Los Angeles | $18,000 |
| JEWISH FEDERATION COUNCIL OF GREATER LOS ANGELES | |||||||
| 6505 WILSHIRE BLVD STE 800 | LOS ANGELES | CA | 90048 | N/A | PC | expanding the Community Security Initiative (CSI) through the new CSI Public Outreach Program | $75,000 |
| JEWISH FEDERATION COUNCIL OF GREATER LOS ANGELES | |||||||
| 6505 WILSHIRE BLVD STE 800 | LOS ANGELES | CA | 90048 | N/A | PC | General & Unrestricted | $140,000 |
| JEWISH FUNDERS NETWORK | |||||||
| 150 W 30TH ST RM 900 | NEW YORK | NY | 10001 | N/A | PC | General & Unrestricted | $3,600 |
| JEWISH NEWS SERVICE INC | |||||||
| 40 NONANTUM ST | NEWTON | MA | 02458 | N/A | PC | General & Unrestricted | $10,000 |
| JEWISH WOMENS THEATRE | |||||||
| 3435 OCEAN PARK BLVD STE 107 PMB 85 | SANTA MONICA | CA | 90405 | N/A | PC | General & Unrestricted | $2,500 |
| LAWFARE PROJECT INC | |||||||
| 633 THIRD AVE 21ST FLOOR | NEW YORK | NY | 10017 | N/A | PC | General & Unrestricted | $25,000 |
| LOS ANGELES JEWISH HOME FOR THE AGING | |||||||
| 7150 TAMPA AVE | RESEDA | CA | 91335 | N/A | PC | General & Unrestricted | $25,000 |
| LOS ANGELES PHILHARMONIC ASSOCIATION | |||||||
| 151 S GRAND AVE | LOS ANGELES | CA | 90012 | N/A | PC | General & Unrestricted | $5,000 |
| LOS ANGELES SHERIFFS FOUNDATION | |||||||
| 10960 WILSHIRE BLVD 5TH FL | LOS ANGELES | CA | 90024 | N/A | PC | General & Unrestricted | $5,000 |
| MANHATTAN INSTITUTE FOR POLICY RESEARCH INC | |||||||
| 52 VANDERBILT AVE | NEW YORK | NY | 10017 | N/A | PC | General & Unrestricted | $5,000 |
| MASSACHUSETTS INSTITUTE OF TECHNOLOGY | |||||||
| 600 MEMORIAL DR BLDG W98-300 | CAMBRIDGE | MA | 02139 | N/A | PC | MISTI MIT-Israel fund to support student internships | $40,000 |
| MIDDLE EAST FORUM | |||||||
| 1650 MARKET ST STE 3600 | PHILADELPHIA | PA | 19103 | N/A | PC | to fund approximately 10 percent of annual Israel Victory Project | $40,000 |
| MIDDLE EAST MEDIA AND RESEARCH INSTITUTE INC | |||||||
| PO BOX 27837 | WASHINGTON | DC | 20038 | N/A | PC | General & Unrestricted | $5,000 |
| MOISHE HOUSE | |||||||
| 441 SAXONY RD BARN 2 | ENCINITAS | CA | 92024 | N/A | PC | funds for Sherman Oaks and the other LA Moishe Houses | $50,000 |
| MUSEUM ASSOCIATES | |||||||
| 5905 WILSHIRE BLVD | LOS ANGELES | CA | 90036 | N/A | PC | General & Unrestricted | $5,000 |
| PACIFIC LEGAL FOUNDATION | |||||||
| 555 CAPITOL MALL STE 1290 | SACRAMENTO | CA | 95814 | N/A | PC | General & Unrestricted | $5,000 |
| PARDES INSTITUTE OF JEWISH STUDIES NORTH AMERICA I | |||||||
| 54 W 40TH ST | NEW YORK | NY | 10018 | N/A | PC | General & Unrestricted | $5,000 |
| PRAGER UNIVERSITY FOUNDATION | |||||||
| 15021 VENTURA BLVD 552 | SHERMAN OAKS | CA | 91403 | N/A | PC | General & Unrestricted | $50,000 |
| PROCLAIMING JUSTICE TO THE NATIONS INC | |||||||
| PO BOX 682711 | FRANKLIN | TN | 37068 | N/A | PC | General & Unrestricted | $20,000 |
| REMEMBER US THE HOLOCAUST BNAI MITZVAH PROJECT | |||||||
| 1112 MONTANA AVE 182 | SANTA MONICA | CA | 90403 | N/A | PC | General & Unrestricted | $3,600 |
| REPORT INC - RESEARCH EVALUATION PROMOTING OR | |||||||
| PMB 225 1121 N BETHLEHEM PIKE STE 6 | SPRING HOUSE | PA | 19477 | N/A | PC | General & Unrestricted | $50,000 |
| ROAD RUNNERS CLUB OF AMERICA | |||||||
| 9854 NATIONAL BLVD 534 | LOS ANGELES | CA | 90034 | N/A | PC | Track Permits program | $5,000 |
| SIMON WIESENTHAL CENTER INC | |||||||
| 1399 S ROXBURY 2ND FL | LOS ANGELES | CA | 90035 | N/A | PC | Moriah Films' comprehensive documentary about the life and legacy of David Ben-Gurion | $70,000 |
| STUDENTS RUN AMERICA | |||||||
| 5252 CREBS AVE | TARZANA | CA | 91356 | N/A | PC | General & Unrestricted | $5,000 |
| THE JEWISH INSTITUTE FOR NATIONAL SECURITY OF AMER | |||||||
| 1101 14TH ST NW STE 1030 | WASHINGTON | DC | 20005 | N/A | PC | General & Unrestricted | $100,000 |
| THE MAPLE COUNSELING CENTER | |||||||
| 439 N CANON DR STE 209 | BEVERLY HILLS | CA | 90210 | N/A | PC | General & Unrestricted | $5,000 |
| THE OPEN TEMPLE | |||||||
| 1422 ELECTRIC AVE | VENICE | CA | 90291 | N/A | PC | General & Unrestricted | $5,000 |
| TRIBE MEDIA CORP | |||||||
| 1800 CENTURY PARK E STE 200 | LOS ANGELES | CA | 90067 | N/A | PC | General & Unrestricted | $75,000 |
| TURNING POINT USA INC | |||||||
| 4940 EAST BEVERLY RD | PHOENIX | AZ | 85044 | N/A | PC | Jewish Programs in the 2022-2023 academic year | $25,000 |
| UNITED STATES HOLOCAUST MEMORIAL MUSEUM | |||||||
| 100 RAOUL WALLENBERG PL SW | WASHINGTON | DC | 20024 | N/A | PC | General & Unrestricted | $5,000 |
| UNIVERSITY OF SOUTHERN CALIFORNIA | |||||||
| 3551 TROUSDALE PKWY ADM 160 | LOS ANGELES | CA | 90089 | N/A | PC | Furthering the mission of the "USC Center for the Political Future" | $50,000 |
| WASHINGTON INSTITUTE FOR NEAR EAST POLICY | |||||||
| 1111 19TH ST NW STE 500 | WASHINGTON | DC | 20036 | N/A | PC | General & Unrestricted | $5,000 |
| YOUNG AMERICA'S FOUNDATION | |||||||
| 11480 COMMERCE PARK DR STE 600 | RESTON | VA | 20191 | N/A | PC | to sponsor 10 students to our 2023 High School conferences at the Reagan Ranch | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,654,600 | 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 | $87,745 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $810,321 | 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 | $278,967 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $3,180,706 | 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 (4 entries)
| DescDesc | BusinessBusinessCd | Unrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmt | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|---|---|
| K-1 Inc/Loss | 525990 | -$223,920 | 14 | $953,155 |
| Federal Tax Refund | 01 | $117,578 | ||
| STATE TAX REFUND | 01 | $38,051 | ||
| FOREIGN CURRENCY LOSS | 01 | -$1,254 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $55,047 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $5,186,302 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $5,241,349 | TotalIncomeProducingActyAmt |
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 |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeff Polak | PersonNm |
| Short Explanation | * DAVID POLAK (DIRECTOR), JANET POLAK (DIRECTOR) AND JEFF POLAK PRESIDENT/DIRECTOR/EXECUTIVE DIRECTOR), OF DAVID & JANET POLAK FOUNDATION (THE "FOUNDATION"), ARE PRINCIPALS AT THE INVESTMENT MANAGEMENT FIRM POLAK INVESTORS, LLC, A DISQUALIFIED PERSON WHICH PROVIDES INVESTMENT MANAGEMENT SERVICES TO THE FOUNDATION. IN THE TAXABLE YEAR ENDING DECEMBER 31, 2022, THE FOUNDATION PAID $394,893 FOR INVESTMENT MANAGEMENT SERVICES RENDERED BY SUCH DISQUALIFIED PERSON, AS REPORTED IN PART I, LINE 16C. THE REASONABLENESS OF THE PROFESSIONAL FEES WAS ESTABLISHED BY AN OUTSIDE COMPENSATION COMMITTEE, WHICH REVIEWED THE RATES CHARGED BY COMPARABLE INVESTMENT MANAGEMENT FIRMS. | ShortExplanationTxt |
Depreciation Schedule DepreciationSchedule
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp (18 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 | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEUROVISION IMAGING INC | |||||||||||||
| 1395 GARDEN HIGHWAY SUITE 250 | SACRAMENTO | CA | 95833 | 2014-12-17 | $250,000 | PRI INVEST-SEE GEN EXPLAN FOR PURPOSE & ADDTL DETAILS RE AMT, AMT EXPENDED, & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| BRUIN BIOMETRICS LLC | |||||||||||||
| 10960 WILSHIRE BLVD SUITE 950 | LOS ANGELES | CA | 90024 | 2015-05-13 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| BIOP MEDICAL LTD | |||||||||||||
| 2017-04-21 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | 10 Ohaliav St | RAMAT GAN | IS | 5252263 | ||||
| ONLINE DISRUPTIVE TECHNOLOGIES INC | |||||||||||||
| 2017-04-21 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | MATAM ADV TECH PK BLD 23 POBX 15050 | HAIFA | IS | 3190501 | ||||
| ORGENESIS LTD | |||||||||||||
| 2017-04-21 | $305,498 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ARAD STREET 9 | TEL AVIV | IS | |||||
| BRYN PHARMA LLC FKA EPI-NOW LLC | |||||||||||||
| 518 NORTH HILLCREST ROAD | BEVERLY HILLS | CA | 90210 | 2018-07-13 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| CYWAT TECHNOLOGIES LTD | |||||||||||||
| 2018-11-26 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | 168 JABOTINSKY ST | BNEI BRAK | IS | |||||
| BIO-ACTIVES SYNERYGIO LTD FKA YB MO CHO | |||||||||||||
| 2018-04-20 | $250,000 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | HITECH VIL 4/9 GIVAT RAM POB 39231 | JERUSALEM | IS | 9129102 | ||||
| BIO-ACTIVES SYNERYGIO LTD FKA YB MO CHO | |||||||||||||
| 2018-07-19 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | HITECH VIL 4/9 GIVAT RAM POB 39231 | JERUSALEM | IS | 9129102 | ||||
| MAXQ AI LTD | |||||||||||||
| 2019-03-19 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | 96 YIGAL ALON STREET ENTRANCE A | TEL AVIV | IS | 6789140 | |||||
| EXTHERA MEDICAL CORPORATION | |||||||||||||
| 757 ARNOLD DRIVE SUITE B | MARTINEZ | CA | 94553 | 2019-12-19 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| YONALINK LTD | |||||||||||||
| 2019-11-12 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | HADASSAH EIN KEREM HOSP POB 12000 | JERUSALEM | IS | 9112001 | ||||
| AMICROBE INC | |||||||||||||
| 3142 TIGER RUN COURT 103 | CARLSBAD | CA | 92010 | 2019-10-31 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORTS FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | ||||
| OCTHEALTH LLC | |||||||||||||
| 1395 GARDEN HIGHWAY SUITE 250 | SACRAMENTO | CA | 95833 | 2021-06-08 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE. | ||||
| BIO-ACTIVES SYNERGIO LTD | |||||||||||||
| 2021-10-12 | $100,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE. | HI-TECH VILLAGE UNIT 4/9 POB39231 | GIVAT RAM | IS | 9129102 | ||||
| CYWAT TECHNOLOGIES LTD | |||||||||||||
| 2021-06-15 | $100,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORTS WERE MADE. | 168 JABOTINSKY ST | BNEI BRAK | IS | |||||
| NEUROVISION IMAGING INC | |||||||||||||
| 1395 Garden Highway Suite 250 | sacramento | CA | 95833 | 2022-06-17 | $250,000 | PRI LOAN-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE. | ||||
| YAMO PHARMACEUTICALS LLC | |||||||||||||
| 400 Madison Ave Ste 11A | NEW YORK | NY | 10017 | 2022-07-13 | $250,000 | PRI INVEST-SEE GENERAL EXPLANATION FOR PURPOSE & ADDTL DETAILS RE AMT EXPENDED & LACK OF DIVERSION | NO | See General Explanation for Report Dates | THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE. | ||||
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp (10 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: NEUROVISION IMAGING, INC. DATES AND AMOUNTS OF PRI: 12/17/2014 $250,000 5/17/2018 $37,502 PURPOSE OF PRI: RESEARCH AND DEVELOPMENT OF DIAGNOSTIC TOOLS FOR EARLY-STAGE DETECTION OF ALZHEIMER'S DISEASE AND OTHER DEGENERATIVE NEUROLOGICAL DISORDERS. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS SUBMITTED FULL AND COMPLETE FINANCIAL REPORTS 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: 3/25/2015 FOR FYE 12/31/2014 DATE OF REPORT: 5/18/2016 FOR FYE 12/31/2015 DATE OF REPORT: 6/7/2017 FOR FYE 12/31/2016 DATE OF REPORT: 5/11/2018 FOR FYE 12/31/2017 DATE OF REPORT: 11/1/2019 FOR FYE 12/31/2018 DATE OF REPORT: 6/2/2020 FOR FYE 12/31/2019 DATE OF REPORT: 6/28/2021 FOR FYE 12/31/2020 DATE OF REPORT: 8/25/2023 FOR FYE 12/31/2021 DATE OF REPORT: 8/25/2023 FOR FYE 12/31/2022 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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: BRUIN BIOMETRICS, LLC DATE AND AMOUNT OF PRI: 5/13/2015 $250,000 PURPOSE OF PRI: TO PROMOTE THE HEALTH AND REDUCE THE SUFFERING OF THOSE AFFECTED BY EARLY-STAGE PRESSURE ULCERS DURING THEIR HOSPITAL STAYS AND TO ADVANCE SCIENTIFIC UNDERSTANDING THROUGH RESEARCH IN THE PUBLIC INTEREST. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS SUBMITTED A FULL AND COMPLETE FINANCIAL REPORTS 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: 5/24/2016 FOR FYE 12/31/2015 DATE OF REPORT: 6/29/2017 FOR FYE 12/31/2016 DATE OF REPORT: 5/15/2018 FOR FYE 12/31/2017 DATE OF REPORT: 6/14/2019 FOR FYE 12/31/2018 DATE OF REPORT: 4/22/2020 FOR FYE 12/31/2019 DATE OF REPORT: 8/25/2022 FOR FYE 12/31/2020 DATE OF REPORT: 8/11/2022 FOR FYE 12/31/2021 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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: BIOP MEDICAL LTD DATES AND AMOUNTS OF PRI: 4/21/2017 $250,000 PURPOSE OF PRI: TO PROMOTE THE HEALTH AND REDUCE THE SUFFERING OF THOSE AFFECTED BY DISEASE AND TO ADVANCE SCIENTIFIC UNDERSTANDING THROUGH RESEARCH IN THE PUBLIC INTEREST. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS 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: 6/4/2018 FOR FYE 12/31/2017 DATE OF REPORT: 2/12/2019 FOR FYE 12/31/2018 DATE OF REPORT: 11/13/2021 FOR FYE 12/31/2019 DATE OF REPORT: 11/13/2021 FOR FYE 12/31/2020 Although the foundation has made multiple attempts to obtain formal reports for 2021 and 2022, it has been unable to do so. However, BIOP has informally indicated that it has neither funds available nor working staff, and that its activities have been reduced to the bare minimum from the onset of the pandemic and have not since recovered. Per Section 53.4945-5(e)(2) of the Treasury Regulations, the failure of PRI Recipient to submit an annual report will not result in a taxable expenditure for the Foundation because the Foundation (i) made the grant in accordance with paragraph (b) of said section of the Regulations, (ii) has complied with the reporting requirements contained in paragraph (d) of said section of the Regulations, (iii) made a reasonable effort to obtain the required report, and (iv) will withhold all future payments on any grant to this grantee until such report is furnished. THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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: ONLINE DISRUPTIVE TECHNOLOGIES, INC. DATE AND AMOUNT OF PRI: 4/21/2017 $250,000 PURPOSE OF PRI: TO PROMOTE THE HEALTH AND REDUCE THE SUFFERING OF THOSE AFFECTED BY CANCER AND TO ADVANCE SCIENTIFIC UNDERSTANDING THROUGH RESEARCH IN THE PUBLIC INTEREST. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS 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: 6/6/2018 FOR FYE 12/31/2017 DATE OF REPORT: 2/12/2019 FOR FYE 12/31/2018 DATE OF REPORT: 6/1/2020 FOR FYE 12/31/2019 DATE OF REPORT: 8/18/2021 FOR FYE 12/31/2020 DATE OF REPORT: 3/20/2023 FOR FYE 12/31/2021 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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: BRYN PHARMA LLC F/K/A EPI-NOW LLC DATE AND AMOUNT OF PRI: 7/13/2018 $250,000 PURPOSE OF PRI: TO PROMOTE THE HEALTH OF THOSE WHO REQUIRE EPINEPHRINE AND TO ADVANCE SCIENTIFIC UNDERSTANDING THROUGH RESEARCH IN THE PUBLIC INTEREST. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS 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: 8/23/2019 FOR FYE 12/31/2018 DATE OF REPORT: 10/24/2020 FOR FYE 12/31/2019 DATE OF REPORT: 8/2/2021 FOR FYE 12/21/2020 DATE OF REPORT: 5/16/2023 FOR FYE 12/21/2021 DATE OF REPORT: 4/25/2023 FOR FYE 12/21/2022 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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. APPRECIATION OF PROPERTY. |
| FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY | PRI RECIPIENT: ORGENESIS LTD. DATE AND AMOUNT OF PRI: 4/21/2017 $305,498 PURPOSE OF PRI: TO PROMOTE THE HEALTH AND REDUCE THE SUFFERING OF THOSE AFFECTED BY DIABETES BY WAY OF RESEARCHING AND BRINGING TO CLINICAL TRIAL THE COMPANY TECHNOLOGY SOLUTION. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS SUBMITTED FULL AND COMPLETE FINANCIAL REPORTS 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: 9/9/2018 FOR FYE 12/31/2017 DATE OF REPORT: 10/20/2020 FOR FYE 12/31/2018 DATE OF REPORT: 10/20/2020 FOR FYE 12/31/2019 DATE OF REPORT: 5/20/2021 FOR FYE 12/31/2020 DATE OF REPORT: 5/14/2023 FOR FYE 12/31/2021 DATE OF REPORT: 5/14/2023 FOR FYE 12/31/2022 THE FOUNDATION EXERCISED AN OPTION TO EXCHANGE ITS INTEREST IN THE INVESTEE FOR THE STOCK IN THE PARENT COMPANY OF THE INVESTED. THIS WAS DONE TO PRESERVE THE PRI AND NOT TO GENERATE INCOME OR FOR THE APPRECIATION OF PROPERTY. THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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: CYWAT TECHNOLOGIES LTD DATES AND AMOUNTS OF PRI: 11/26/2018 $250,000 3/3/2021 $7,101 PURPOSE OF PRI: TO PROMOTE THE HEALTH OF PEOPLE WHO ARE AFFECTED BY POLLUTED DRINKING WATER BY FUNDING THE DEVELOPMENT OF A WATER MONITORING SYSTEM THAT IS DISTRIBUTED THROUGHOUT THE ENTIRE WATER GRID AND WHICH CAN IMMEDIATELY DETECT POTENTIAL DANGERS. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS 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: 6/18/2019 FOR FYE 12/31/2018 DATE OF REPORT: 1/13/2020 FOR FYE 12/31/2019 DATE OF REPORT: 1/20/2022 FOR FYE 12/31/2020 DATE OF REPORT: 1/16/2022 FOR FYE 12/31/2021 DATE OF REPORT: 6/13/2023 FOR FYE 12/31/2022 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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: BIO-ACTIVES SYNERGIO LTD. F/K/A Y&B MOTHERS CHOICE LTD. DATE AND AMOUNT OF PRI: 4/20/2018 $250,000 PURPOSE OF PRI: TO PROMOTE HEALTH BY FUNDING RESEARCH INTO DEVELOPING NON HAZARDOUS, NATURAL PRODUCTS THAT DO NOT ENDANGER HUMAN HEALTH. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS 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: 10/29/2020 FOR FYE 12/31/2018 DATE OF REPORT: 10/29/2020 FOR FYE 12/31/2019 DATE OF REPORT: 11/13/2022 FOR FYE 12/31/2020 DATE OF REPORT: 9/18/2023 FOR FYE 12/31/2021 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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: BIO-ACTIVES SYNERGIO LTD. F/K/A Y&B MOTHERS CHOICE LTD. DATE AND AMOUNT OF PRI: 7/19/2018 $250,000 PURPOSE OF PRI: TO PROMOTE HEALTH BY FUNDING RESEARCH INTO DEVELOPING NON HAZARDOUS, NATURAL PRODUCTS THAT DO NOT ENDANGER HUMAN HEALTH. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS 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: 10/29/2020 FOR FYE 12/31/2018 DATE OF REPORT: 10/29/2020 FOR FYE 12/31/2019 DATE OF REPORT: 11/13/2022 FOR FYE 12/31/2020 DATE OF REPORT: 9/18/2023 FOR FYE 12/31/2021 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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: MAXQ AI, LTD DATE OF PRI: 3/19/2019 $250,000 PURPOSE OF PRI: TO PROMOTE THE DEVELOPMENT OF A PRODUCT THAT WILL SUBSTANTIALLY BENEFIT THE PUBLIC BY INCORPORATING SOPHISTICATED ARTIFICIAL INTELLIGENCE INTO DIAGNOSTIC RADIOLOGY. REPORTS OF AMOUNTS EXPENDED: RECIPIENT HAS 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: 10/13/2020 FOR FYE 12/31/2019 DATE OF REPORT: 7/20/2021 FOR FYE 12/31/2020 DATE OF REPORT: 3/24/2023 FOR FYE 12/31/2021 DATE OF REPORT: 7/7/2023 FOR FYE 12/31/2022 THIS INVESTMENT REMAINED ON THE FOUNDATION'S BOOKS AS OF 12/31/2022. 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 Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | EDISON INTL BOND PERPETUAL - 5 | BondNm |
| EOY Book Value | $1,000,149 | EOYBookValueAmt |
| EOYFMV | $818,390 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (67 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AGNICO EAGLE MINES LTD | $735,250 | $816,503 |
| AMERICAN AXLE & MFG HOLDINGS I | $263,446 | $204,102 |
| ARCH COAL, INC | $84,323 | $142,790 |
| ARDAGH METAL PACKAGING SA | $76,117 | $48,100 |
| B2 GOLD CORP COM NPV | $150,587 | $150,654 |
| BARRICK GOLD CORPORATION | $757,500 | $429,500 |
| BAYER A G SPONSORED ADR | $198,370 | $102,880 |
| BERRY PLASTICS GROUP INC | $274,208 | $362,580 |
| BLOOM ENERGY CORP | $19,368 | $19,120 |
| BP PLC SPONSORED ADR | $102,249 | $104,790 |
| CAMECO CORPORATION | $19,784 | $22,670 |
| CENTERRA GOLD INC | $88,332 | $51,800 |
| CENTURY ALUMINUM COMPANY | $134,168 | $81,800 |
| CHENIERE ENERGY INC | $262,699 | $524,860 |
| CITIGROUP INC | $248,049 | $226,150 |
| CLIFFS NATURAL RESOURCES INC. | $94,101 | $96,660 |
| COMPASS MINERALS INTERNATIONAL | $82,086 | $82,000 |
| COMSTOCK RES INC | $139,670 | $287,910 |
| CONSOL ENERGY, INC | $177,409 | $390,000 |
| CONSTELLIUM NV | $136,767 | $70,980 |
| COPPER MOUNTAIN MINI NG CORP | $66,822 | $151,200 |
| COTERRA ENERGY INC | $425,563 | $590,024 |
| CVS CAREMARK CORP | $466,000 | $931,900 |
| DANA HOLDING CP | $137,340 | $121,040 |
| ELDORADO GOLD CORP COM NPV | $308,509 | $234,080 |
| ENDEAVOUR MINING CORP | $206,264 | $213,907 |
| FIDELITY CONSERV INC BD FD | $8,731 | $8,694 |
| FIRST MAJESTIC SILVER CORP | $109,720 | $83,400 |
| FIRST QUANTUM MINERALS LTD | $17,953 | $41,720 |
| FLUTTER ENTERTAINMENT ORD SHS | $90,356 | $94,325 |
| GENERAL MOTORS | $361,740 | $336,400 |
| GOLD FIELDS LTD ADS | $140,581 | $269,100 |
| GRAFTECH INTERNATIONAL LTD | $391,515 | $166,600 |
| GRAPHIC PACKAGING CORP COM STK | $41,828 | $66,750 |
| HALLIBURTON COMPANY | $226,736 | $236,100 |
| HESS CORP | $190,621 | $283,640 |
| HOLCIM LTD SPON ADS | $57,245 | $102,900 |
| HOLCIM N | $491,587 | $517,510 |
| HUDBAY MINERALS INC | $186,121 | $152,100 |
| IVANHOE MINES LTD | $60,260 | $237,000 |
| JAPAN SMALLER CAPITALIZATION F | $403,984 | $329,184 |
| JET2 PLC | $78,926 | $115,286 |
| JOHNSON & JOHNSON | $231,728 | $441,625 |
| KAZATOMPROM JSC NAC GDR | $147,503 | $281,400 |
| MARKET VECTORS VIETNAM ETF | $40,705 | $23,680 |
| MERCK & CO INC | $226,844 | $554,750 |
| MICRON TECHNOLOGY | $300,822 | $549,780 |
| NEWCREST MINING LTD | $109,012 | $134,830 |
| NEWMONT GOLDCORP CORPORATION | $574,088 | $748,403 |
| NEXGEN ENERGY LTD | $115,963 | $155,050 |
| NOVAGOLD RESOURCES | $108,485 | $119,600 |
| NUVEEN MLT STR I&G | $9,760 | $7,280 |
| OCEANAGOLD CORPORATION COM | $142,250 | $114,000 |
| ORGANON & CO | $18,170 | $22,344 |
| PEABODY ENERGY CORP | $111,551 | $132,100 |
| PFIZER INC | $294,452 | $614,880 |
| PHILIP MORRIS INTL | $8,916 | $10,121 |
| SHELL ADR EACH REPRESENTING 2 | $202,042 | $227,800 |
| TEVA PHARMACEUTICAL INDUSTRIES | $36,513 | $9,120 |
| THE MOSAIC CO | $306,123 | $350,960 |
| TOREX GOLD RESOURCES | $181,332 | $172,500 |
| TPG RE FINANCE TRUST INC | $2,013 | $679 |
| TRUIST FINANCIAL CORPORATION | $30,848 | $43,030 |
| UNITED STATES STEEL CORP | $48,470 | $50,100 |
| VALARIS LTD WTS EXP 04/29/2028 | $220,170 | $1,142 |
| VALARIS PLC COM CL A | $161,969 | |
| VIATRIS ORD SHS | $90,189 | $72,134 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $23,699,318 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $23,846,633 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $2,502,524 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $2,456,048 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (36 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AIR U.S. LIFE FUND III, LP | $2,091,530 | $2,156,858 |
| AIR US LIFE FUND IV, LP | $1,996,407 | $2,149,384 |
| ALPHA WAVE (F/K/A FALCON EDGE) | $551,806 | $1,332,337 |
| ALTAIR - PACIFIC COAST CPTL PT | $467,684 | $365,083 |
| ALTAIR DIRECT LENDING FUND, LL | $166,151 | $149,222 |
| ALTAIR EUROPEAN R E OPPORTUNIT | $659,098 | $226,593 |
| ALTAIR SENIOR HOUSING FUND (AE | $49,830 | $451,866 |
| ANAGENESIS CAPITAL PARTNERS SB | $1,247,114 | $2,139,296 |
| ASM CONNAUGHT HOUSE FUND III L | $1,000,000 | $1,278,344 |
| AVANTE CAPITAL PARTNERS SBIC I | $229,509 | $234,765 |
| BROAD ST REAL ESTATE CREDIT PT | $139,481 | |
| BW GAS & CONVENIENCE ONSHORE F | $1 | $3,040,428 |
| DORCHESTER CAPITAL SECONDARIES | $810,630 | $1,063,452 |
| ENLIGHTENMENT CAP SOLUTION III | $1,385,602 | $3,163,935 |
| ENLIGHTENMENT CAP SOLUTION IV | $440,192 | $449,928 |
| FIRST EAGLE CLO EQUITY FUND I, | $280,004 | $176,406 |
| FOURTHSTONE SMALL-CAP FINANCIA | $353,864 | $414,152 |
| GOLDMAN SACHS VINTAGE FUND V L | $302,066 | $82,615 |
| GRANITE CREEK FLEXCAP II, L.P | $1,030,020 | $1,113,908 |
| GS DISTRESSED OPPORTUNITIES FU | $133,187 | $135,718 |
| GSO CAPITAL SOLUTIONS FD II 1 | $6,008 | $2,678 |
| GSO CAPITAL SOLUTIONS FD II 2 | $77,804 | $26,952 |
| GSO CAPITAL SOLUTIONS FD II LP | $266,762 | $118,905 |
| GSO ENERGY SELECT OPP FD AIV-2 | $74,433 | $86,351 |
| GSO ENERGY SELECT OPP FD AIV-3 | $57,108 | $53,389 |
| GSO ENERGY SELECT OPP FD AIV-5 | $1,287 | $1,203 |
| GSO ENERGY SELECT OPP FUND | $14,932 | $13,400 |
| LATITUDE MGMT RE CAP III | $40,000 | $22,479 |
| LATITUDE MGMT RE CAP IV | $2,000,000 | $2,022,277 |
| PCCP EQUITY VII, LP | $1,818,674 | $2,812,522 |
| PCCP EQUITY VIII, LP | $685,393 | $933,217 |
| QS CAPITAL STRATEGIES II, L.P | $686,664 | $713,701 |
| SILVERVIEW CREDIT OPP FUND LP | $55,573 | $90,230 |
| SILVERVIEW CREDIT OPP OFFSHORE | $1,300,213 | $1,300,213 |
| THE EDGBASTON ASIAN EQUITY TRU | $1,421,237 | $1,226,351 |
| BERNIE L MADOFF - CLAIM RECEIV | $346,222 | $346,222 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp (2 entries)
| CategoryCategoryTxt | Legal FeesLegalFeesAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| Document Review/Drafting | $12,453 | $12,453 |
| General Consultations | $5,470 | $5,470 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (20 entries)
| DescDesc | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| PRI - AMICROBE, INC | $250,000 | $250,000 |
| PRI - BARAK BALLET | $200,000 | $200,000 |
| PRI - BIOP MEDICAL | $250,000 | $250,000 |
| PRI - BRUIN_BIOMETRICS | $250,000 | $250,000 |
| PRI - BRYN PHARMA LLC F/K/A EP | $250,000 | $250,000 |
| PRI - CYWAT TECH | $507,100 | $507,101 |
| PRI - EXTHERA MEDICAL CORP | $250,000 | $250,000 |
| PRI - MAXQ AI, LTD | $250,000 | $250,000 |
| PRI - MOTHERS CHOICE | $250,000 | $250,000 |
| PRI - MOTHERS CHOICE (2) | $250,000 | $250,000 |
| PRI - NEUROVISION IMAGING, INC | $250,000 | $250,000 |
| PRI - OCTHEALTH LLC - 15,000 U | $250,000 | $250,000 |
| PRI - ONLINE DISRUPTIVE | $250,000 | $250,000 |
| PRI - ORGENESIS - 32,052 SHARE | $294,398 | $183,658 |
| PRI - ORGENESIS WTS - 32,052 U | $11,100 | |
| PRI - SER A1 PFD (82,175 UNITS | $250,000 | $250,000 |
| PRI - SER A2 PFD (15,408 UNITS | $37,502 | $37,502 |
| PRI - SYNERGIO BIO ACTIVES LTD | $100,000 | $100,000 |
| PRI - YAMO PHARMACEUTICALS LLC | $250,000 | $250,000 |
| PRI - YONALINK LTD | $250,000 | $250,000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (35 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $93,698 | $93,698 | |
| Bank Charges | $1,091 | $1,091 | |
| Cell Phone Expense | $822 | $822 | |
| Insurance Premiums | $1,129 | $1,129 | |
| K-1 Exp AIR U.S. LIFE FUND III | $131,124 | $131,124 | |
| K-1 Exp AIR US LIFE FUND IV, L | $84,930 | $84,930 | |
| K-1 Exp ALPHA WAVE (F/K/A FALC | $7,931 | $7,931 | |
| K-1 Exp ALTAIR - PACIFIC COAST | $12,873 | $12,871 | |
| K-1 Exp ALTAIR DIRECT LENDING | $1,057 | $1,047 | |
| K-1 Exp ALTAIR SENIOR HOUSING | $3,259 | $3,209 | |
| K-1 Exp ANAGENESIS CAPITAL PAR | $152,411 | $151,900 | |
| K-1 Exp AVANTE CAPITAL PARTNER | $56,039 | $50,467 | |
| K-1 Exp BW GAS & CONVENIENCE O | $434 | $172 | |
| K-1 Exp ENLIGHTENMENT CAPITAL | $50,232 | $50,145 | |
| K-1 Exp ENLIGHTENMENT CAPITAL | $37,316 | $37,216 | |
| K-1 Exp FIRST EAGLE CLO EQUITY | $8,607 | $8,607 | |
| K-1 Exp FOURTHSTONE SMALL-CAP | $6,117 | $6,117 | |
| K-1 Exp GRANITE CREEK FLEXCAP | $8,190 | $8,070 | |
| K-1 Exp GSO CAPITAL SOLUTIONS | $2,540 | -$14 | |
| K-1 Exp GSO CAPITAL SOLUTIONS | $2,050 | $2,050 | |
| K-1 Exp GSO ENERGY SELECT OPPO | $17,700 | $1,643 | |
| K-1 Exp GSO ENERGY SELECT OPPO | $955 | $854 | |
| K-1 Exp GSO ENERGY SELECT OPPO | $122 | $122 | |
| K-1 Exp GSO ENERGY SELECT OPPO | $646 | $646 | |
| K-1 Exp PCCP EQUITY VII, LP | $34,364 | $34,283 | |
| K-1 Exp PCCP EQUITY VIII, LP | $5,671 | $5,663 | |
| K-1 Exp QS CAPITAL STRATEGIES | $71,205 | $71,175 | |
| K-1 Exp SILVERVIEW CREDIT OPPO | $2,147 | $2,147 | |
| K-1 Exp THE EDGBASTON ASIAN EQ | $5,201 | $4,920 | |
| PARKING FEES | $3,180 | $3,180 | |
| OFFICE SUPPLIES | $5,708 | $5,708 | |
| Postage/Delivery Service | $68 | $68 | |
| Registered Agent Fee | $125 | $125 | |
| State or Local Filing Fees | $250 | $250 | |
| Website Hosting/Support | $576 | $576 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (26 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| K-1 Inc/Loss AIR U.S. LIFE FUND III, LP | $51 | $51 |
| K-1 Inc/Loss AIR US LIFE FUND IV, LP | $71 | $71 |
| K-1 Inc/Loss ALTAIR - PACIFIC COAST CPTL PTNRS EQ | -$9,724 | -$6,856 |
| K-1 Inc/Loss ALTAIR DIRECT LENDING FUND, LLC | $461 | $461 |
| K-1 Inc/Loss ALTAIR SENIOR HOUSING FUND (AEW), LL | -$24,794 | -$549 |
| K-1 Inc/Loss ANAGENESIS CAPITAL PARTNERS SBIC FUN | $227,787 | $281,248 |
| K-1 Inc/Loss AVANTE CAPITAL PARTNERS SBIC III, LP | $47,540 | $44,641 |
| K-1 Inc/Loss BW GAS & CONVENIENCE ONSHORE FUND, L | -$248,550 | |
| K-1 Inc/Loss ENLIGHTENMENT CAPITAL SOLUTIONS FUND | $157,552 | $130,810 |
| K-1 Inc/Loss ENLIGHTENMENT CAPITAL SOLUTIONS FUND | $18,743 | $10,286 |
| K-1 Inc/Loss FIRST EAGLE CLO EQUITY FUND I, LP | $42,210 | $42,210 |
| K-1 Inc/Loss FOURTHSTONE SMALL-CAP FINANCIALS FD | $6,573 | $5,939 |
| K-1 Inc/Loss GRANITE CREEK FLEXCAP II, L.P | $60,368 | $60,368 |
| K-1 Inc/Loss GSO CAPITAL SOLUTIONS FUND II AIV-1 | -$19 | -$19 |
| K-1 Inc/Loss GSO CAPITAL SOLUTIONS FUND II AIV-2 | -$10,435 | $8 |
| K-1 Inc/Loss GSO CAPITAL SOLUTIONS FUND II LP | $26,906 | $26,857 |
| K-1 Inc/Loss GSO ENERGY SELECT OPPORTUNITIES FUND | $26,282 | $81 |
| K-1 Inc/Loss GSO ENERGY SELECT OPPORTUNITIES FUND | $9 | $8 |
| K-1 Inc/Loss PCCP EQUITY VII, LP | $132,484 | $38,657 |
| K-1 Inc/Loss PCCP EQUITY VIII, LP | -$11,146 | $1,706 |
| K-1 Inc/Loss QS CAPITAL STRATEGIES II, L.P | $81,245 | $111,556 |
| K-1 Inc/Loss SILVERVIEW CREDIT OPPORTUNITES OFFSH | $138,430 | $138,430 |
| K-1 Inc/Loss THE EDGBASTON ASIAN EQUITY TRUST | $67,191 | $67,191 |
| Federal Tax Refund | $117,578 | |
| Foreign Currency Loss | -$1,254 | -$1,254 |
| State Tax Refund | $38,051 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RETURNED GRANT | Desc |
| Amt | $1,000 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (8 entries)
| CategoryCategoryTxt | AmtAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| PROGRAMMER SERVICES | $1,000 | $1,000 | |
| EMPLOYEE RECRUITING SERVICES | $32,500 | $32,500 | |
| Investment Management Services | $409,834 | $409,834 | |
| DESIGNER SERVICES | $3,000 | $3,000 | |
| Philanthropic Consulting Srvcs | $101,600 | $101,600 | |
| PROJECT MANAGEMENT SERVICES | $1,000 | $1,000 | |
| PHOTO SERVICES | $500 | $500 | |
| VIDEO PRODUCTION | $12,136 | $12,136 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (6 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 990-PF Estimated Tax for 2022 | $41,900 | |
| 990-T Extension for 2021 | $70,100 | |
| 990-T Income Tax for 2021 | $1,104 | |
| Foreign Tax Paid | $17,659 | $17,659 |
| IRS MISCELLANEOUS FEE | $9 | |
| STATE INCOME TAX 2021 | $31,100 |