2021-09-15T10:09:33-05:00 2020-12-31 571157523 APRIO LLP PO BOX 10949 GREENSBORO NC 27404 990PF 2020-01-01 561116935 THE JACK LEVIN FOUNDATION INC JACK 3364022617 7105 BLUE SPRINGS STREET GIBSONVILLE NC 27249 JACK LEVIN PRESIDENT 3364022617 2021-08-18 1 JACK LEVIN 999009999 JOHNNY C WOOD CPA P00370070 3362863204 2021-08-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X X 0 X X 165 165 66043 66043 -16739 1644501 0 49469 66208 0 0 0 12500 6250 6250 28412 28412 0 12195 773 0 53107 35435 6250 175693 175693 228800 35435 181943 -179331 30773 6547 78599 3512 9810 3740103 0 0 3838571 0 0 0 0 X 0 0 0 0 3838571 0 3838571 0 3838571 0 3838571 -179331 0 3659240 3659240 0 PUBLICLY TRADED SECURITIES P 2020-12-31 1634687 1661240 -26553 -26553 CAPITAL GAINS DIVIDENDS P 9814 9814 9814 -16739 428 0 428 0 428 10000 0 0 0 10000 0 9572 0 9572 0 0 0 0 0 0 0 0 0 1 1 1 NC 1 0 0 0 0 1 N/A JANIS FIELDS 3364022617 1006 BRIDGEWATER DRIVE GREENSBORO NC 27410 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JANIS L FIELDS 1006 BRIDGEWATER DRIVE GREENSBORO NC 27410 PRESIDENT / DIR 1.00 0 0 0 LINDA L HYSON 510 NORTH MERIDIAN STREET TALLAHASSEE FL 32301 VICE PRES / DIR 1.00 0 0 0 KAREN L BAUERSFELD 5838 FRED LINEBERRY ROAD RANDLEMAN NC 27317 SEC / TREAS / DIR 1.00 0 0 0 NONE 0 NONE 0 0 0 0 0 0 0 0 0 0 0 0 0 428 428 0 0 0 0 0 181943 0 181943 0 181943 0 174907 0 0 181943 174907 0 0 0 7036 0 0 7036 0 0 0 0 0 0 0 7036 7036 JANIS L FIELDS X ACLU FOUNDATION 125 BROAD STREET 18TH FLOOR NEW YORK NY 10004 PC UNRESTRICTED 1000 ALS ASSOCIATION 4 N BLOUNT ST 200 RALEIGH NC 27601 PC UNRESTRICTED 100 AMERICAN FRIENDS OF ALYN HOSPITAL 51 EAST 42ND STREET STE 308 NEW YORK NY 10017 PC UNRESTRICTED 2000 AMERICAN HEART ASSOCIATION INC PO BOX 78851 PHOENIX AZ 85062 PC UNRESTRICTED 100 AMERICAN UNIVERSITY 4400 MASSACHUSETTS AVE NW WASHINGTON DC 20016 PC UNRESTRICTED 5000 ARTS GREENSBORO 200 N DAVIE ST GREENSBORO NC 27401 PC UNRESTRICTED 1000 AUTHORACARE FOUNDATION 2500 SUMMIT AVENUE GREENSBORO NC 27405 PC UNRESTRICTED 500 BARNARD COLLEGE ANNUAL FUND 3009 BROADWAY NEW YORK NY 10027 PC UNRESTRICTED 250 BETH DAVID SYNAGOGUE 804 WINVIEW DRIVE GREENSBORO NC 27410 PC UNRESTRICTED 55593 BIG BEND HOMELESS COALITION 2729 W PENSACOLA ST TALLAHASSEE FL 32304 PC UNRESTRICTED 9600 B'NAI SHALOM DAY SCHOOL 804 WINVIEW DRIVE GREENSBORO NC 27410 PC UNRESTRICTED 12000 CHABAD OF GREENSBORO 5203 W FRIENDLY AVE GREENSBORO NC 27401 PC UNRESTRICTED 500 CONGREGATION SHOMREI TORAH 2600 BENNETT VALLEY ROAD SANTA ROSA CA 95404 PC UNRESTRICTED 5000 COUNCIL ON CULTURE & ARTS 816 S MARTIN LUTHER KING JR BLVD TALLAHASSEE FL 32301 PC UNRESTRICTED 1500 ECKERD COLLEGE 4200 54TH AVE S ST PETERSBURG FL 33711 PC UNRESTRICTED 250 EPILEPSY ALLIANCE OF NORTH CAROLINA 1920 W 1ST ST WINSTONSALEM NC 27104 PC UNRESTRICTED 200 FSU FOUNDATION 325 W COLLEGE AVE TALLAHASSEE FL 32301 PC UNRESTRICTED 3000 GREENPEACE 702 H STREET NW SUITE 300 WASHINGTON DC 20001 PC UNRESTRICTED 500 GREENSBORO JEWISH FEDERATION 5509-C WEST FRIENDLY AVENUE GREENSBORO NC 274104211 PC UNRESTRICTED 29400 GREENSBORO URBAN MINISTRIES 305 WEST LEE STREET GREENSBORO NC 27406 PC UNRESTRICTED 1000 HADASSAH 50 WEST 58TH STREET NEW YORK NY 10019 PC UNRESTRICTED 1000 HILLEL AT FSU FOUNDATION 834 ST AUGUSTINE ST 2 TALLAHASSEE FL 32304 PC UNRESTRICTED 500 HOLOCAUST EDUCATION RESOURCE COUNCIL PO BOX 16282 TALLAHASSEE FL 32317 PC UNRESTRICTED 1000 HUMANE SOCIETY OF THE PIEDMONT 4527 W WENDOVER AVE GREENSBORO NC 27409 PC UNRESTRICTED 500 INTERACTIVE RESOURCE CENTER 407 E WASHINGTON ST GREENSBORO NC 27401 PC UNRESTRICTED 100 JEWISH NATIONAL FUND 78 RANDALL AVENUE ROCKVILLE CENTER NY 11570 PC UNRESTRICTED 500 LEMOYNE ARTS 125 N GADSDEN ST TALLAHASSEE FL 32301 PC UNRESTRICTED 300 MAZON 10495 SANTA MONICA BLVD STE 100 LOS ANGELES CA 90025 PC UNRESTRICTED 1000 NC MEDASSIST 4428 TAGGART CREEK RD 101 CHARLOTTE NC 28208 PC UNRESTRICTED 100 NC MUSEUM OF ART FOUNDATION 2110 BLUE RIDGE RD RALEIGH NC 27607 PC UNRESTRICTED 1000 NC ZOO SOCIETY 4403 ZOO PARKWAY ASHEBORO NC 27205 PC UNRESTRICTED 200 NCCJ OF THE PIEDMONT TRIAD 713 NORTH GREENE STREET GREENSBORO NC 27401 PC UNRESTRICTED 250 PENLAND SCHOOL OF THE ARTS 67 DORAS TRAIL BAKERSVILLE NC 28705 PC UNRESTRICTED 100 PLANNED PARENTHOOD SOUTH ATLANTIC 3000 MAPLEWOOD AVE STE 112 STE 112 WINSTONSALEM NC 27103 PC UNRESTRICTED 1000 SECOND HARVEST FOOD BANK OF NORTHEAST NC 3655 REED ST WINSTONSALEM NC 27107 PC UNRESTRICTED 250 SECOND HARVEST OF BIG BEND 4446 ENTREPOT BLVD TALLAHASSEE FL 32310 PC UNRESTRICTED 1000 SEMINOLE BOOSTERS INC 403 STADIUM DR BUILDING C SUITE 5100 TALLAHASSEE FL 32304 PC UNRESTRICTED 600 SOUTHERN POVERTY LAW CENTER 403 WASHINGTON AVE MONTGOMERY AL 36104 PC UNRESTRICTED 100 ST FRANCIS WILDLIFE ASSOCIATION 5580 SALEM RD QUINCY FL 32352 PC UNRESTRICTED 200 ST JUDE CHILDREN'S RESEARCH HOSPITAL PO BOX 50 MEMPHIS TN 38101 PC UNRESTRICTED 200 TALLAHASSEE JEWISH FEDERATION PO BOX 14825 TALLAHASSEE FL 32317 PC UNRESTRICTED 5000 TALLAHASSEE SYMPHONY ORCHESTRA 515 E PARK AVE TALLAHASSEE FL 32301 PC UNRESTRICTED 1100 TEMPLE ISRAEL 901 PROVIDENCE RD CHARLOTTE NC 28226 PC UNRESTRICTED 1500 THE SALVATION ARMY 1311 S EUGENE ST GREENSBORO NC 27406 PC UNRESTRICTED 1000 TRIAD STAGE 232 S ELM ST GREENSBORO NC 27401 PC UNRESTRICTED 500 UNCG 1400 SPRING GARDEN ST GREENSBORO NC 27412 PC UNRESTRICTED 100 UNITED WAY OF GREATER GREENSBORO 1500 YANCEYVILLE ST GREENSBORO NC 27405 PC UNRESTRICTED 1000 UNIVERSITY OF COLORADO FOUNDATION 1800 GRANT ST DENVER CO 80203 PC UNRESTRICTED 5000 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER DRIVE WINSTONSALEM NC 27157 PC UNRESTRICTED 15000 WILSON DISEASE ASSOCIATION 5572 NORTH DIVERSEY BLVD MILWAUKEE WI 53217 PC UNRESTRICTED 5000 WORD OF SOUTH FESTIVAL 1001 S GADSDEN ST TALLAHASSEE FL 32301 PC UNRESTRICTED 2000 WUMC 13901 PROVIDENCE RD WEDDINGTON NC 28104 PC UNRESTRICTED 100 175693 0 14 165 14 66043 18 -16739 0 49469 0 49469 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 12500 6250 6250 JEWISH FOUNDATION OF GREENSBORO 5509C W FRIENDLY AVE GREENSBORO NC 27410 ASSETS INCLUDE CASH AND MUTUAL FUNDS. 4211236 THE JACK LEVIN FOUNDATION TRANSFERED ALL ASSETS AS OF DECEMBER 31ST, 2020 TO THE JEWISH FOUNDATION OF GREENSBORO. ASSETS TRANSFERED 3659240 INVESTMENT MANAGEMENT FEES 28412 28412 0 FEDERAL EXCISE TAX 11422 0 0 FOREIGN TAX WITHHELD 773 773 0