Instrumentl eFile Render
Object ID: 202223019349100317 - Rendered 2024-09-08
TIN: 82-1223618
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
For calendar year 2021, or tax year beginning
07-01-2021
, and ending
06-30-2022
Name of foundation
PCSB COMMUNITY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
2651 STRANG BLVD SUITE 100
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
YORKTOWN HEIGHTS
,
NY
10598
A Employer identification number
82-1223618
B
Telephone number (see instructions)
(914) 246-7272
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
6,437,356
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
87
87
4
Dividends and interest from securities
...
84,676
84,676
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
135,059
b
Gross sales price for all assets on line 6a
285,059
7
Capital gain net income (from Part IV, line 2)
...
135,059
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
219,822
219,822
0
13
Compensation of officers, directors, trustees, etc.
0
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
2,314
0
0
0
b
Accounting fees (attach schedule)
.......
2,588
1,294
0
0
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
2,000
0
0
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
311
0
0
0
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
7,213
1,294
0
0
25
Contributions, gifts, grants paid
.......
377,901
377,901
26
Total expenses and disbursements.
Add lines 24 and 25
385,114
1,294
0
377,901
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-165,292
b
Net investment income
(if negative, enter -0-)
218,528
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2021)
Form 990-PF (2021)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
273,177
257,885
257,885
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
3,237,020
Less: accumulated depreciation (attach schedule)
3,387,020
3,237,020
6,179,471
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
3,660,197
3,494,905
6,437,356
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
0
0
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
3,660,197
3,494,905
29
Total net assets or fund balances
(see instructions)
.....
3,660,197
3,494,905
30
Total liabilities and net assets/fund balances
(see instructions)
.
3,660,197
3,494,905
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
3,660,197
2
Enter amount from Part I, line 27a
.....................
2
-165,292
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
3,494,905
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
3,494,905
Form
990-PF
(2021)
Form 990-PF (2021)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
PROCEEDS FROM STOCK SALE
P
2017-04-21
2022-06-21
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
285,059
150,000
135,059
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
135,059
b
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
135,059
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
0
Form
990-PF
(2021)
Form 990-PF (2021)
Page
4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
3,038
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
3,038
6
Credits/Payments:
a
2021 estimated tax payments and 2020 overpayment credited to 2021
6a
1,166
b
Exempt foreign organizations—tax withheld at source
......
6b
0
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
1,166
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
1,872
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2022 estimated tax
Refunded
11
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
.........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XIV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
DE
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
If "Yes," complete Part XIII
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2021)
Form 990-PF (2021)
Page
5
Part VI-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
PCSB.COM/ABOUT/WHAT-S-NEW/COMMUNITY-FOUNDATION
14
The books are in care of
PCSB BANK
Telephone no.
(914) 248-7272
Located at
2651 STRANG BLVD PO BOX 712
YORKTOWN HEIGHTS
NY
ZIP+4
10598
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
...........
1a(1)
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
..............................
1a(2)
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
...........
1a(3)
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
............
1a(4)
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
......................
1a(5)
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
...............
1a(6)
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
..........
1b
c
Organizations relying on a current notice regarding disaster assistance check here
........
d
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2021?
.............
1d
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2021, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2021?
....................
2a
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
..............................
3a
No
b
If "Yes," did it have excess business holdings in 2021 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2021.)
.....................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021?
..
4b
No
Form
990-PF
(2021)
Form 990-PF (2021)
Page
6
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
..........
5a(1)
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
....................
5a(2)
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
.............
5a(3)
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
........................
5a(4)
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.............
5a(5)
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
........
5b
c
Organizations relying on a current notice regarding disaster assistance check
.........
d
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
.................
5d
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.............................
6a
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
7a
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
.....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.........................
8
No
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
JEFFREY KELLOGG
PRESIDENT
1.00
0
0
0
2651 STRANG BLVD SUITE 100
YORKTOWN HEIGHTS
,
NY
10598
SCOTT NOGLES
VP & TREASURER
1.00
0
0
0
2651 STRANG BLVD SUITE 100
YORKTOWN HEIGHTS
,
NY
10598
CLIFFORD WEBER
SECRETARY
1.00
0
0
0
2651 STRANG BLVD SUITE 100
YORKTOWN HEIGHTS
,
NY
10598
CHISTOPHER SCLAFANI
DIRECTOR
1.00
0
0
0
2651 STRANG BLVD SUITE 100
YORKTOWN HEIGHTS
,
NY
10598
DOMINICK PETRAMALE
DIRECTOR
1.00
0
0
0
2651 STRANG BLVD SUITE 100
YORKTOWN HEIGHTS
,
NY
10598
MICHELLE NICHOLAS
DIRECTOR
1.00
0
0
0
2651 STRANG BLVD SUITE 100
YORKTOWN HEIGHTS
,
NY
10598
JOSEPH ROBERTO
DIRECTOR
1.00
0
0
0
2651 STRANG BLVD SUITE 100
YORKTOWN HEIGHTS
,
NY
10598
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2021)
Form 990-PF (2021)
Page
7
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part VIII-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part VIII-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2021)
Form 990-PF (2021)
Page
8
Part IX
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
6,057,301
b
Average of monthly cash balances
.......................
1b
176,198
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
6,233,499
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
6,233,499
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions)
.............................
4
93,502
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3.
............
5
6,139,997
6
Minimum investment return.
Enter 5% (0.05) of line 5
................
6
307,000
Part X
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part IX, line 6
..................
1
307,000
2a
Tax on investment income for 2021 from Part V, line 5
.......
2a
3,038
b
Income tax for 2021. (This does not include the tax from Part V.)
...
2b
c
Add lines 2a and 2b
............................
2c
3,038
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
303,962
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
303,962
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1
...
7
303,962
Part XI
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
377,901
b
Program-related investments—total from Part VIII-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part XII, line 4.
4
377,901
Form
990-PF
(2021)
Form 990-PF (2021)
Page
9
Part XII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2020
(c)
2020
(d)
2021
1
Distributable amount for 2021 from Part X, line 7
303,962
2
Undistributed income, if any, as of the end of 2021:
a
Enter amount for 2020 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2021:
a
From 2016
......
b
From 2017
......
c
From 2018
......
d
From 2019
......
20,704
e
From 2020
......
7,591
f
Total
of lines 3a through e
........
28,295
4
Qualifying distributions for 2021 from Part
XI, line 4:
$
377,901
a
Applied to 2020, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2021 distributable amount
.....
303,962
e
Remaining amount distributed out of corpus
73,939
5
Excess distributions carryover applied to 2021.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
102,234
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2019. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2021. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2022
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2016 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2022.
Subtract lines 7 and 8 from line 6a
......
102,234
10
Analysis of line 9:
a
Excess from 2017
....
b
Excess from 2018
....
c
Excess from 2019
....
20,704
d
Excess from 2020
....
7,591
e
Excess from 2021
....
73,939
Form
990-PF
(2021)
Form 990-PF (2021)
Page
10
Part XIII
Private Operating Foundations
(see instructions and Part VI-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2021, enter the date of the ruling
......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part IX for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2021
(b)
2020
(c)
2019
(d)
2018
b
85% (0.85) of line 2a
.........
c
Qualifying distributions from Part XI,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed
..
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
CLIFF WEBER
2651 STRANG BLVD SUITE 100
YORKTOWN HEIGHTS
,
NY
10598
(914) 248-7272
b
The form in which applications should be submitted and information and materials they should include:
WRITTEN REQUEST, INCLUDING DETAILS ON REQUESTING PERSONS OR ORGANIZATIONS, AS WELL AS AMOUNT AND USE OF REQUESTED FUNDS. THE FOLLOWING ITEMS MAY BE INCLUDED WITH THE GRANT APPLICATION: - COMPLETE BUDGET FOR THE PROJECT OR PROGRAM - CURRENT ANNUAL OPERATING BUDGET - CURRENT BOARD OF DIRECTORS - CURRENT AUDITED FINANCIAL REPORT - IRS 501 (C)(3) DETERMINATION LETTER
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
ELIGIBILITY FOR GRANTS: - AWARDS WILL INCLUDE SUPPORT FOR PROGRAM DEVELOPMENT AS WELL AS FOR NEW AND EXPANDED FACILITIES AND EQUIPMENT. - GRANTS OR AWARDS ARE GENERALLY LIMITED TO USE IN THE MARKET AREAS ENCOMPASSED BY THE COMMUNITY. - GRANT RECIPIENTS MUST DEMONSTRATE SECTION 501(C)(3) OR OTHER NON-PROFIT STATUS, A NEED FOR PRIVATE FINANCIAL SUPPORT AND A DIRECT RELEVANCE TO THE FOUNDATION'S AREAS OF GIVING INTEREST. - THE FOUNDATION DOES NOT PROVIDE FINANCIAL SUPPORT FOR POLITICAL ORGANIZATIONS OR CANDIDATES FOR POLITICAL OFFICE OR ACTIVITIES FOR SECTARIAN PURPOSES. - THE FOUNDATION DOES NOT GENERALLY MAKE CONTRIBUTIONS TO INDIVIDUAL ENDEAVORS OTHER THAN SCHOLARSHIPS, - OFFICERS, DIRECTORS AND EMPLOYEES OF THE BANK, AND ANY AFFILIATES THEREOF SHALL NOT BE ELIGIBLE TO RECEIVE GRANTS FROM THE FOUNDATION.
Form
990-PF
(2021)
Form 990-PF (2021)
Page
11
Part XIV
Supplementary Information
(continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
A NEW CHANCE ANIMAL RESCUE
PO BOX 215
BEDFORD HILLS
,
NY
105070215
NONE
PC
CHARITABLE SUPPORT
500
ACADEMY OF MOUNT ST URSULA
330 BEDFORD PARK BLVD
BRONX
,
NY
104582402
NONE
PC
CHARITABLE SUPPORT
500
AFRICAN AMERICAN MEN OF WESTCHESTER INC
333 MAMARONECK AVE
WHITE PLAINS
,
NY
106051440
NONE
PC
CHARITABLE SUPPORT
1,500
AMERICAN HEART ASSOCIATIOM
NATIONAL CENTER 7272 GREENVILLE
AVENUE
DALLAS
,
TX
75231
NONE
PC
CHARITABLE SUPPORT
10,000
ANDERSON CENTER FOR AUTISM
4885 ROUTE 9 PO BOX 367
STAATSBURG
,
NY
12580
NONE
PC
CHARITABLE SUPPORT
5,000
ARTS ON THE LAKE INC
640 ROUTE 52
CARMEL
,
NY
10512
NONE
PC
CHARITABLE SUPPORT
1,000
BLUEPATH SERVICE DOGS INC
8 COUNTRY CLUB ROAD
HOPEWELL JUNCTION
,
NY
12533
NONE
PC
CHARITABLE SUPPORT
2,500
BOYS & GIRLS CLUB OF MOUNT VERNON
C/O HOSPITALITY RESOURCE GROUP INC
237 MAMARONECK AVENUE SUITE 201
WHITE PLAINS
,
NY
10606
NONE
PC
CHARITABLE SUPPORT
12,000
BREWSTER CARES
31 PROSPECT ST
BREWSTER
,
NY
10509
NONE
PC
CHARITABLE SUPPORT
2,500
BREWSTER FIRE DEPARTMENT INC
501 N MAIN ST
BREWSTER
,
NY
10509
NONE
PC
CHARITABLE SUPPORT
250
BREWSTER ROTARY FOUNDATION
PO BOX 162
BREWSTER
,
NY
105090162
NONE
PC
CHARITABLE SUPPORT
2,500
BREWSTER-CARMEL GARDEN CLUB INC
334 MILLTOWN RD
BREWSTER
,
NY
105095220
NONE
PC
CHARITABLE SUPPORT
100
CAREERS SUPPORT SOLUTIONS INC
400 COLUMBUS AVE STE 123
VALHALLA
,
NY
10595
NONE
PC
CHARITABLE SUPPORT
2,500
CCM OF WESTCHESTER INC
4102 VILLA AT THE WOODS
PEEKSKILL
,
NY
105664970
NONE
PC
CHARITABLE SUPPORT
800
CENTER FOR DISCOVERY INC
PO BOX 840
HARRIS
,
NY
127420840
NONE
PC
CHARITABLE SUPPORT
1,360
CHAMPIONS4CURES INC
90 STATE ST STE 815
ALBANY
,
NY
12207
NONE
PC
CHARITABLE SUPPORT
2,500
CHILD ABUSE PREVENTION CENTER INC
35 VAN WAGNER RD
POUGHKEEPSIE
,
NY
126031619
NONE
PC
CHARITABLE SUPPORT
250
CHOICE OF NEW ROCHELLE INC
200 EAST POST ROAD
WHITE PLAINS
,
NY
106014959
NONE
PC
CHARITABLE SUPPORT
5,000
COMMUNITY CENTER OF NORTHERN WESTCHESTER INC
84 BEDFORD RD
KATONAH
,
NY
105362102
NONE
PC
CHARITABLE SUPPORT
3,500
COMMUNITY HOUSING INNOVATIONS INC
75 S BROADWAY STE 340
WHITE PLAINS
,
NY
10601
NONE
PC
CHARITABLE SUPPORT
2,500
COMMUNITY RESOURCES & SERVICE
90-04 161ST ST 4TH FL
JAMAICA
,
NY
11432
NONE
PC
CHARITABLE SUPPORT
2,500
CONGREGATION LINKED IN URBAN STRATEGY TO EFFECT RENEWAL INCCLUSTER INC
28 WELLS AVE STE 4
YONKERS
,
NY
10701
NONE
PC
CHARITABLE SUPPORT
250
CORNERSTONE FAMILY HEALTHCARE
2570 US HIGHWAY 9W STE 10
CORNWALL
,
NY
125181370
NONE
PC
CHARITABLE SUPPORT
500
COVECARE CENTER
1808 ROUTE 6
CARMEL
,
NY
10512
NONE
PC
CHARITABLE SUPPORT
22,585
CYSTIC FIBROSIS FOUNDATION
200 MAMARONECK AVENUE SUITE 603
WHITE PLAINS
,
NY
10601
NONE
PC
CHARITABLE SUPPORT
5,000
EASTCHESTER ROTARY CLUB FOUNDATIONS INC
173 FISHER AVE
EASTCHESTER
,
NY
107092605
NONE
PC
CHARITABLE SUPPORT
1,350
FEEDING WESTCHESTER INC
200 CLEARBROOK ROAD
ELMSFORD
,
NY
10523
NONE
PC
CHARITABLE SUPPORT
250
FRIENDS OF KENT LIBRARY INC
17 SYBILS XING
KENT LAKES
,
NY
10512
NONE
PC
CHARITABLE SUPPORT
500
FRIENDS OF MOUNT VERNON ARTS RECREATION AND YOUTH PROGRAMS
1 ROOSEVELT SQUARE STE 11
MOUNT VERNON
,
NY
105502011
NONE
PC
CHARITABLE SUPPORT
1,000
FRIENDS OF THE MAHOPAC LIBRARY
668 ROUTE 6
MAHOPAC
,
NY
10541
NONE
PC
CHARITABLE SUPPORT
1,200
FULFILLING A DREAM FUND INC
506 S 9TH AVE
MOUNT VERNON
,
NY
105504319
NONE
PC
CHARITABLE SUPPORT
7,500
FULLER CENTER FOR HOUSING INC
659 MAIN STREET
NEW ROCHELLE
,
NY
10801
NONE
PC
CHARITABLE SUPPORT
1,000
GIRLS INCORPORATED OF WESTCHESTER COUNTY
901 N BROADWAY STE 6
WHITE PLAINS
,
NY
10603
NONE
PC
CHARITABLE SUPPORT
2,000
GREEN CHIMNEYS CHILDREN'S SERVICES INC
400 DOANSBURG ROAD BOX 719
BREWSTER
,
NY
105095902
NONE
PC
CHARITABLE SUPPORT
2,400
GREYSTONE PROGRAMS INC
700 SOUTH DR STE 203
HOPEWELL JUNCTION
,
NY
125334026
NONE
PC
CHARITABLE SUPPORT
500
HOPE FOR YOUTH FOUNDATION INC
PO BOX 8
BUCHANAN
,
NY
10511
NONE
PC
CHARITABLE SUPPORT
13,350
HEARING LOSS ASSOCIATION OF AMERICA INC
PO BOX 294
VLY COTTAGE
,
NY
109890294
NONE
PC
CHARITABLE SUPPORT
500
HOLOCAUST & HUMAN RIGHTS EDUCATION CENTER
4 W RED OAK LN STE 330
WHITE PLAINS
,
NY
106043606
NONE
PC
CHARITABLE SUPPORT
5,000
HOPE'S DOOR INC
POB 262 HOPES DOOR
HAWTHORNE
,
NY
10532
NONE
PC
CHARITABLE SUPPORT
2,500
INNOVATIVE CHARITABLE INITIATIVES INC
521 PINE AVE
ALBANY
,
GA
317012401
NONE
PC
CHARITABLE SUPPORT
25,000
JAWONIO INC
260 N LITTLE TOR RD
NEW CITY
,
NY
10956
NONE
PC
CHARITABLE SUPPORT
1,800
LAKEVIEW ELEMENTARY SCHOOL
CO JOSEPH CATALLI - 138 HILL ST
MAHOPAC
,
NY
10541
NONE
PC
CHARITABLE SUPPORT
3,130
LOFT THE LESBIAN AND GAY COMMUNITY SERVICES CENTER INC
252 BRYANT AVE
WHITE PLAINS
,
NY
10605
NONE
PC
CHARITABLE SUPPORT
7,500
MAKE-A-WISH FOUNDATION OF THE HUDSON VALLEY INC
832 SOUTH BROADWAY
TARRYTOWN
,
NY
10591
NONE
PC
CHARITABLE SUPPORT
16,360
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVE SUITE 100
WHITE PLAINS
,
NY
10605
NONE
PC
CHARITABLE SUPPORT
5,000
MATT HERRING FOUNDATION INC
146 OLD ROUTE 9
FISHKILL
,
NY
12524
NONE
PC
CHARITABLE SUPPORT
600
MIZZENTOP DAY SCHOOL
64 EAST MAIN STREET
PAWLING
,
NY
12564
NONE
PC
CHARITABLE SUPPORT
3,500
MOUNT KISCO CHILD CARE CENTER INC
95 RADIO CIRCLE DR
MOUNT KISCO
,
NY
10549
NONE
PC
CHARITABLE SUPPORT
500
MT TREMPER OUTDOOR MINISTRIES INC
101 DEACON SMITH HILL ROAD
PATTERSON
,
NY
12563
NONE
PC
CHARITABLE SUPPORT
950
NONPROFIT ASSOCIATION OF WESTCHESTER INC
237 MAMARONECK AVENUE SUITE 201NUE
SUITE 201
WHITE PLAINS
,
NY
106051319
NONE
PC
CHARITABLE SUPPORT
2,500
NORTH ROCKLAND COMMUNITY FAMILY DAY
42R MAIN ST
GARNERVILLE
,
NY
109231327
NONE
PC
CHARITABLE SUPPORT
500
OPENGATE INC
PO BOX 419
ARMONK
,
NY
10504
NONE
PC
CHARITABLE SUPPORT
1,000
PATTERSON LIBRARY
40 S PORTAGE ST
WESTFIELD
,
NY
14787
NONE
PC
CHARITABLE SUPPORT
2,500
PAWLING COMMUNITY FOUNDATION
PO BOX 657
PAWLING
,
NY
12564
NONE
PC
CHARITABLE SUPPORT
2,500
PAWLING FREE LIBRARY
11 BROAD ST
PAWLING
,
NY
12564
NONE
PC
CHARITABLE SUPPORT
1,324
PUTNAM CHORALE LTD
PO BOX 982
CARMEL
,
NY
10512
NONE
PC
CHARITABLE SUPPORT
950
PUTNAM COMMUNITY CARES INC
692 ROUTE 6
MAHOPAC
,
NY
105416613
NONE
PC
CHARITABLE SUPPORT
1,000
PUTNAM COUNTY HOUSING CORP
11 SEMINARY HILL RD
CARMEL
,
NY
105121801
NONE
PC
CHARITABLE SUPPORT
2,500
PUTNAM COUNTY LAND TRUST
PO BOX 36
BREWSTER
,
NY
10509
NONE
PC
CHARITABLE SUPPORT
500
PUTNAM COUNTY VOLUNTEER FIREMAN'S ASSOCIATION
103 PARK DR
DOVER PLAINS
,
NY
12522
NONE
PC
CHARITABLE SUPPORT
250
PUTNAM HOSPITAL CENTER FOUNDATION
670 STONLEIGH AVENUE
CARMEL
,
NY
10512
NONE
PC
CHARITABLE SUPPORT
25,000
PUTNAM SERVICE DOGS INC
PO BOX 573
BREWSTER
,
NY
10509
NONE
PC
CHARITABLE SUPPORT
685
REGIONAL FOOD BANK OF NE NY INC
965 ALBANY-SHAKER RD
LATHAM
,
NY
12110
NONE
PC
CHARITABLE SUPPORT
12,500
ROCKLAND COUNTY YMCA
35 SOUTH BROADWAY
NYACK
,
NY
10960
NONE
PC
CHARITABLE SUPPORT
3,000
ROTARY CLUB OF CARMEL NEW YORK CHARITABLE FD
70 GLENEIDA AVE
CARMEL
,
NY
10512
NONE
PC
CHARITABLE SUPPORT
250
ROTARY CLUB OF PATTERSON
PO BOX 24
PATTERSON
,
NY
125630024
NONE
PC
CHARITABLE SUPPORT
250
SOCIETY OF THE FRIENDLY SONS OF ST PATRICK
PO BOX 645
YONKERS
,
NY
107030645
NONE
PC
CHARITABLE SUPPORT
770
SOMERS HISTORICAL SOCIETY
PO BOX 336
SOMERS
,
NY
10589
NONE
PC
CHARITABLE SUPPORT
300
SOMERS LIBRARY FOUNDATION INC
PO BOX 235
SOMERS
,
NY
105890235
NONE
PC
CHARITABLE SUPPORT
500
SOMERS LIONS CLUB INC
PO BOX 95
SOMERS
,
NY
10590
NONE
PC
CHARITABLE SUPPORT
2,700
SOMERS TRACK & FIELD BOOSTER CLUB INC
PO BOX 665
SOMERS
,
NY
105890665
NONE
PC
CHARITABLE SUPPORT
300
SOMERS WOMEN'S CLUB INC
PO BOX 108
SOMERS
,
NY
105890108
NONE
PC
CHARITABLE SUPPORT
750
SPARC INC
40 TRIANGLE CTR STE 205
YORKTOWN HTS
,
NY
105984100
NONE
PC
CHARITABLE SUPPORT
1,000
SPECIAL OLYMPICS NEW YORK INC
94 NEW KARNER ROAD SUITE 208
ALBANY
,
NY
12208
NONE
PC
CHARITABLE SUPPORT
1,000
ST CHRISTOPHER'S INN INC
21 FRANCISCAN WAY
GARRISON
,
NY
10524
NONE
PC
CHARITABLE SUPPORT
5,000
STUDENT ADVOCACY INC
3 WEST MAIN STREET SUITE 212
ELMSFORD
,
NY
10523
NONE
PC
CHARITABLE SUPPORT
7,500
SUPPORT CONNECTION
40 TRIANGLE CTR STE 100
YORKTOWN HTS
,
NY
105984100
NONE
PC
CHARITABLE SUPPORT
200
TY LOUIS CAMPBELL FOUNDATION INC
23 BRIDLE WAY
CARMEL
,
NY
125642220
NONE
PC
CHARITABLE SUPPORT
500
UJAMAA COMMUNITY DEVELOPMENT CORPORATION
5076 WEST FLORISSANT AVE
ST LOUIS
,
MO
63115
NONE
PC
CHARITABLE SUPPORT
15,000
UNITED SPECIAL SPORTSMEN ALLIANCE INC
N7864 SHOTWELL LN
PITTSVILLE
,
WI
544669123
NONE
PC
CHARITABLE SUPPORT
5,000
UNITED WAY OF WESTCHESTER AND PUTNAM INC
336 CENTRAL PARK AVENUE
WHITE PLAINS
,
NY
10606
NONE
PC
CHARITABLE SUPPORT
8,150
VOLUNTEER NEW YORK
220 WHITE PLAINS ROAD
TARRYTOWN
,
NY
10591
NONE
PC
CHARITABLE SUPPORT
9,000
WAKANDA CELEBRATION INC
374 HAWTHORNE TER
MOUNT VERNON
,
NY
105522426
NONE
PC
CHARITABLE SUPPORT
2,000
WARTBURGH HOME FOUNDATION INC
WARTBURG PLACE
MOUNT VERNON
,
NY
10552
NONE
PC
CHARITABLE SUPPORT
2,000
WASHINGTON INSTITUTE FOR NEAR EAST POLICY
WASHINGTON INSTITUTE FOR NEAR EAST
POLICY SUITE 500
WASHINGTON
,
DC
20036
NONE
PC
CHARITABLE SUPPORT
3,000
ARTS WESTCHESTER
31 MAMARONECK AVE
WHITE PLAINS
,
NY
10601
NONE
PC
CHARITABLE SUPPORT
4,000
WESTCHESTER COMMUNITY OPPORTUNITY PROGRAM INC
2 WESTCHESTER PLAZA STE 137
ELMSFORD
,
NY
10523
NONE
PC
CHARITABLE SUPPORT
1,500
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS RD TAYLOR PAVILION STE C3
VALHALLA
,
NY
10595
NONE
PC
CHARITABLE SUPPORT
987
WESTCHESTER PARKS FOUNDATION INC
155 LAFAYETTE AVE
WHITE PLAINS
,
NY
106031602
NONE
PC
CHARITABLE SUPPORT
500
WESTHAB INC
8 BASHFORD S
YONKERS
,
NY
107012743
NONE
PC
CHARITABLE SUPPORT
550
WHITE PLAINS HOSPITAL MEDICAL CENTER
41 E POST RD
WHITE PLAINS
,
NY
10601
NONE
PC
CHARITABLE SUPPORT
6,500
WOMAN'S ENTERPRISE DEVELOPMENT CENTER INC
901 N BROADWAY STE 23
WHITE PLAINS
,
NY
10603
NONE
PC
CHARITABLE SUPPORT
5,000
WOODLAWN CONSERVANCY INC
4199 WEBSTER AVE
BRONX
,
NY
104702471
NONE
PC
CHARITABLE SUPPORT
5,000
Y-COP OF MOUNT VERNON INC
227 E LINCOLN AVE
MOUNT VERNON
,
NY
10552
NONE
PC
CHARITABLE SUPPORT
3,800
YMCA
250 MAMARONECK AVE
WHITE PLAINS
,
NY
10605
NONE
PC
CHARITABLE SUPPORT
5,000
YMCA OF CENTRAL AND NORTHERN WESTCHESTER
148 HAMILTON AVE
WHITE PLAINS
,
NY
106011702
NONE
PC
CHARITABLE SUPPORT
2,500
YONKERS PARTNERS IN EDUCATION INC
92 MAIN STREET
YONKERS
,
NY
107017066
NONE
PC
CHARITABLE SUPPORT
5,000
YWCA OF WHITE PLAINS AND
515 NORTH ST
WHITE PLAINS
,
NY
10605
NONE
PC
CHARITABLE SUPPORT
4,000
ASSOCIATION OF DEVELOPMENT OFFICERS INC
333 MAMARONECK AVENUE NO 221
WHITE PLAINS
,
NY
106051440
NONE
PC
CHARITABLE SUPPORT
3,000
Total
.................................
3a
360,201
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2021)
Form 990-PF (2021)
Page
12
Part XV-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
14
84,676
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
87
4
Dividends and interest from securities
....
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
135,059
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
219,822
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
219,822
(See worksheet in line 13 instructions to verify calculations.)
Part XV-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2021)
Form 990-PF (2021)
Page
13
Part XVI
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below?
See instructions.
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2021)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description