2020-08-27T15:11:11-05:00 2019-12-31 571157523 APRIO LLP PO BOX 10949 GREENSBORO NC 27404 990PF 2019-01-01 561116935 THE JACK LEVIN FOUNDATION INC JACK 3364022617 1006 BRIDGEWATER DRIVE GREENSBORO NC 27410 JACK LEVIN PRESIDENT 3364022617 2020-08-27 1 JOHNNY C WOOD CPA P00370070 3362863204 2020-08-27 208.87.238.180 2020-08-27 15:11:07 ED P D4C2D816B2402C40BF0152D72F81A50798C39FC5 614941E913F9B511CBBDBCF2EA05BD59459B3661 2019 2020-11-19 02:30:22Z X X 4085908 X X 1335 1335 92626 32500 646180 1890013 1137938 740141 1171773 0 0 0 5900 2950 2950 20813 20813 0 2882 788 0 29595 24551 2950 212225 212225 241820 24551 215175 498321 1147222 4882 6547 6547 165578 78599 78599 3512 3436 3512 3512 9194 9810 9810 3157160 3740103 3987440 3340250 3838571 4085908 0 0 X 0 0 0 0 3340250 3838571 3340250 3838571 3340250 3838571 3340250 498321 0 3838571 0 3838571 PUBLICLY TRADED SECURITIES P 2019-12-31 675255 719575 -44320 -44320 PUBLICLY TRADED SECURITIES D 2019-12-31 1206580 32500 1174080 1174080 CAPITAL GAINS DIVIDENDS P 8178 8178 8178 1137938 0 187935 4194431 0.044806 169742 3974145 0.042712 166410 3572245 0.046584 141344 3424677 0.041272 62901 3223081 0.019516 0.194890 0.038978 3965599 154571 11472 166043 215175 X 11472 0 11472 0 11472 39810 0 0 39810 0 28338 10000 18338 0 0 0 0 0 0 0 0 0 0 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 3865716 150404 9869 4025989 0 0 4025989 60390 3965599 198280 198280 11472 11472 186808 0 186808 0 186808 215175 0 215175 11472 203703 186808 203274 0 0 215175 203274 0 0 11901 0 0 0 0 0 0 0 0 174907 0 0 0 JANIS L FIELDS X AMERICAN CANCER SOCIETY PO BOX 41912 RALEIGH NC 27629 PC UNRESTRICTED 1000 AMERICAN FARMLAND TRUST 1150 CONNECTICUT AVE NW STE 600 WASHINGTON DC 20036 PC UNRESTRICTED 200 AMERICAN FRIENDS OF ALYN HOSPITAL 51 EAST 42ND STREET STE 308 NEW YORK NY 10017 PC UNRESTRICTED 200 AMERICAN FRIENDS OF MAGEN DAVID PO BOX 3098 NEW YORK NY 10117 PC UNRESTRICTED 100 AMERICAN HEART ASSOCIATION INC PO BOX 78851 PHOENIX AZ 85062 PC UNRESTRICTED 100 AMERICAN KIDNEY FUND INC PO BOX 1837 MERRIFIELD VA 22116 PC UNRESTRICTED 100 AMERICAN PARKINSON DISEASE ASSOCIATION 135 PARKINSON AVENUE STATON ISLAND NY 10305 PC UNRESTRICTED 100 AMERICAN RED CROSS PO BOX 14710 GREENSBORO NC 27415 PC UNRESTRICTED 50 AMYOTROPHIC LATERAL SCLEROSIS (ALS) ASSOCIATION PO BOX 8178 PUEBLO CO 81008 PC UNRESTRICTED 100 ARTHRITIS FOUNDATION PO BOX 96280 WASHINGTON DC 20077 PC UNRESTRICTED 100 BETH DAVID SYNAGOGUE 804 WINVIEW DRIVE GREENSBORO NC 27410 PC UNRESTRICTED 31325 CONSUMER REPORTS FOUNDATION PO BOX 96552 WASHINGTON DC 20090 PC UNRESTRICTED 50 CROHN'S & COLITIS FOUNDATION 386 PARK AVENUE SOUTH 17TH FLOOR NEW YORK NY 10016 PC UNRESTRICTED 100 CYSTIC FIBROSIS FOUNDATION PO BOX 96305 WASHINGTON DC 20090 PC UNRESTRICTED 50 EASTER SEAL SOCIETY PO BOX 28239 RALEIGH NC 27611 PC UNRESTRICTED 50 EPILEPSY FOUNDATION PO BOX 96546 WASHINGTON DC 20077 PC UNRESTRICTED 200 FRIENDS OF THE IDF 350 5TH AVENUE STE 2011 NEW YORK NY 10117 PC UNRESTRICTED 250 FRIENDS OF THE SMITHSONIAN PO BOX 9016 PITTSFIELD MA 01202 PC UNRESTRICTED 75 GEORGIA TECH FOUNDATION 190 NORTH AVENUE NW ATLANTA GA 30313 PC UNRESTRICTED 1000 GRAY'S HARBOR HISTORICAL SEAPORT AUTHORITY 712 HAGARA STREET ABERDEEN WA 98520 PC UNRESTRICTED 1000 GREENSBORO JEWISH FEDERATION 5509-C WEST FRIENDLY AVENUE GREENSBORO NC 27410 PC UNRESTRICTED 5000 HADASSAH 50 WEST 58TH STREET NEW YORK NY 10019 PC UNRESTRICTED 100 HOSPICE & PALLIATIVE CARE OF ALAMANCE-CASWELL 914 CHAPEL HILL ROAD BURLINGTON NC 27215 PC UNRESTRICTED 500 HOSPICE & PALLIATIVE CARE OF GREENSBORO 2500 SUMMIT AVENUE GREENSBORO NC 27405 PC UNRESTRICTED 500 MACCABI USA SPORTS FOR ISRAEL PO BOX 96462 WASHINGTON DC 20090 PC UNRESTRICTED 50 MAZON 10495 SANTA MONICA BLVD STE 100 LOS ANGELES CA 90025 PC UNRESTRICTED 50 METROPOLITAN MUSEUM OF MODERN ART 1000 FIFTH AVENUE NEW YORK NY 10130 PC UNRESTRICTED 100 MUSCULAR DYSTROPHY ASSOCIATION PO BOX 79069 PHOENIX AZ 85062 PC UNRESTRICTED 200 NC ZOO SOCIETY 4403 ZOO PARKWAY ASHEBORO NC 27205 PC UNRESTRICTED 100 NATIONAL PARK FOUNDATION PO BOX 17394 BALTIMORE MD 21298 PC UNRESTRICTED 100 POST 21 CLUB PO BOX 221 TENAFLY NJ 07670 PC UNRESTRICTED 500 SALVATION ARMY PO BOX 5363 GREENSBORO NC 27435 PC UNRESTRICTED 500 SHRINERS HOSPITALS FOR CHILDREN PO BOX 1510 RANSON VA 25438 PC UNRESTRICTED 100 SIMON WIESENTHAL CENTER 1399 SOUTH ROXBURY DRIVE STE 100 LOS ANGELES CA 90035 PC UNRESTRICTED 1000 ST JUDE CHILDREN'S RESEARCH HOSPITAL PO BOX 50 MEMPHIS TN 38101 PC UNRESTRICTED 200 STONY CREEK PRESBYTERIAN CHURCH 2140 STONY CREEK CHURCH ROAD BURLINGTON NC 27217 PC UNRESTRICTED 100 UNITED SERVICES ORGANIZATION PO BOX 96860 WASHINGTON DC 20077 PC UNRESTRICTED 100 UNITED STATES HOLOCAUST MEMORIAL MUSEUM PO BOX 90988 WASHINGTON DC 20090 PC UNRESTRICTED 50 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER DRIVE WINSTONSALEM NC 27157 PC UNRESTRICTED 125000 WILSON DISEASE ASSOCIATION 5572 NORTH DIVERSEY BLVD MILWAUKEE WI 53217 PC UNRESTRICTED 41675 WOUNDED WARRIORS PROJECT 4899 BELFORD ROAD SUITE 300 JACLSONVILLE FL 32256 PC UNRESTRICTED 150 212225 0 14 1335 14 92626 18 646180 0 740141 0 740141 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 5900 2950 2950 BARON EMERGING MKTS CLASS N/L 121892 119981 BLACKROCK LOW DURATION BOND FD 157676 159504 BLACKROCK STRAT INCOME FD 278058 279725 CLEARBRIDGE LRG CAP GRWTH FD 161814 187393 DWS RREEF REAL ASSET CL N/L 222680 244111 EATON VANCE SHORT DURATION GOVT INCOME 80240 79605 ISHARES INCORP CORE MSCI EMKT 59229 61201 ISHARES TR CORE MSCI EAFE 138078 141585 ISHARES TR CORE S&P SCP 137075 140224 ISHARES TR MSCI MIN VOL USA 211380 242751 JOHN HANCOCK INT'L GRWTH FD 272298 302019 JOHN HANCOCK MULTIFACTOR MID CAP 226017 261136 MFS VALUE FD 161207 181002 PIMCO INCOME FD 427047 419788 VANGUARD S&P 500 INDEX FD 468483 544381 VANGUARD TOTAL BOND INDEX FD 215974 219552 WESTERN ASSET CORE BD FD 400955 403482 INVESTMENT MANAGEMENT FEES 20378 20378 0 INTEREST EXENSE 435 435 0 FEDERAL FORM 990-PF, 2017 2094 0 0 FOREIGN TAX WITHHELD 788 788 0