2024-05-20T15:45:43-05:00 2022-08-31 851365484 ANDERSEN & SOUZA TAX SERVICES LLC PO BOX 487 24 SPRING BARS RD - 3-A EAST FALMOUTH MA 02536 990PF 2021-09-01 363712655 HARKEN FOUNDATION HARK 8478311133 332 SKOKIE VALLEY ROAD 223 HIGHLAND PARK IL 60035 JAN C GRANT PRESIDENT 8478311133 2024-05-20 1 JAN GRANT 999009999 PAMELA J SOUZA CPA P00469779 7747636590 2024-05-20 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X X 1018778 X 206454 11 11 26648 26648 111338 177121 111338 344451 137997 0 0 0 6525 0 0 3516 0 0 10041 0 0 295101 295101 305142 0 295101 39309 137997 137497 89388 89388 598267 561739 929390 735764 651127 1018778 0 0 X 0 0 0 0 735764 651127 735764 651127 735764 651127 735764 39309 0 775073 123946 651127 100 SHRS ILLINOIS TOOL WORKS INC D 2022-01-13 24266 16900 7366 7366 229 SHRS JP MORGAN CHASE & CO D 2022-01-13 38147 5737 32410 32410 1,000 SHRS OLD REPUBLIC INTL CORP D 2022-01-13 25467 12620 12847 12847 72 SHRS ORGANON & CO D 2022-01-13 2334 886 1448 1448 219 SHRS UNION PAC CORP D 2022-01-13 53847 4106 49741 49741 750 SHRS PFIZER INC D 2021-09-24 33060 25534 7526 7526 111338 1918 0 1918 0 1918 2256 0 0 0 2256 0 338 0 338 0 0 0 0 0 0 0 0 0 0 0 1 IL 1 0 0 0 0 1 N/A RONALD FOREMAN 8478311133 332 SKOKIE VALLEY ROAD SUITE 223 HIGHLAND PARK IL 60035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RONALD FOREMAN 332 SKOKIE VALLEY RD HIGHLAND PARK IL 60035 PRESIDENT & DIRECTOR 1.00 0 0 0 JAN GRANT 332 SKOKIE VALLEY RD HIGHLAND PARK IL 60035 SECRETARY & DIRECTOR 1.00 0 0 0 KENNETH FOREMAN 332 SKOKIE VALLEY RD HIGHLAND PARK IL 60035 VICE PRESIDENT & DIRECTOR 1.00 0 0 0 NONE 0 NONE 0 0 911241 104580 0 1015821 0 0 1015821 15237 1000584 50029 50029 1918 1918 48111 0 48111 0 48111 295101 0 295101 48111 0 0 106241 104861 189648 84167 234711 719628 295101 0 0 0 48111 246990 0 0 966618 0 0 0 0 0 0 106241 860377 104861 189648 84167 234711 246990 RONALD FOREMAN KENNETH FOREMAN RONALD FOREMAN 332 SKOKIE VALLEY ROAD HIGHLAND PARK IL 60035 8478311133 THERE IS NO STANDARD SUBMISSION FORM. A LETTER REQUESTING A CONTRIBUTION IS SUFFICIENT. NONE ORGANIZATIONS MUST BE EDUCATIONAL, RELIGIOUS OR CHARITABLE AS DEFINED UNDER IRC SEC 501(C)(3). ALIGHT 1325 QUINCY ST MINNEAPOLIS MN 554131540 N/A PC GENERAL 10000 ALS ASSOC IL 5315 N CLARK ST CHICAGO IL 60640 N/A PC GENERAL 100 ADR FOUNDATION PO BOX 118953 CARROLLTON TX 750118953 N/A PC GENERAL 100 AMERICAN BRAIN TUMOR ASSOC 8550 W BRYN MAWR AVE CHICAGO IL 60631 N/A PC GENERAL 418 AMERICAN HEART ASSN 300 5TH AVE S WALTHAM MA 02451 N/A PC GENERAL 215 AMNESTY INTL 1 N LASALLE STREET CHICAGO IL 60602 N/A PC GENERAL 1000 ASSOCIATION TO PRESERVE CAPE COD 482 MAIN STREET DENNIS MA 02638 N/A PC GENERAL 250 KESHET 284 AMORY STREET BOSTON MA 02130 N/A PC GENERAL 1000 BUZZARDS BAY COALITION 114 FRONT STREET NEW BEDFORD MA 02740 N/A PC GENERAL 1500 CAMP FOR ALL KIDS PO BOX 50194 ST LOUIS MO 63105 N/A PC GENERAL 614 CAPE ABILITIES 895 MARY DUNN RD HYANNIS MA 02601 N/A PC GENERAL 750 CAPE COD HEALTH CARE PO BOX 370 HYANNIS MA 02601 N/A PC GENERAL 1000 CARE 151 ELLIS ST NE ATLANTA GA 20303 N/A PC GENERAL 1000 DEPAUL UNIVERSITY 2250 N SHEFFIELD CHICAGO IL 60614 N/A PC GENERAL 2000 DOCTORS WITHOUT BORDERS 40 RECTOR STREET NEW YORK NY 10006 N/A PC GENERAL 5500 EVAN SCHOLARS FOUNDATION ONE BRIAR PLACE GOLF IL 60029 N/A PC GENERAL 250 FALMOUTH HOUSING TRUST 200 MAIN STREET FALMOUTH MA 02540 N/A PC GENERAL 3000 FALMOUTH SERVICE CENTER 613 GIFFORD STREET FALMOUTH MA 02540 N/A PC GENERAL 2000 FEEDING AMERICA PO BOX 96749 WASHINGTON DC 20006 N/A PC GENERAL 1500 FALMOUTH WATER STEWARDS PO BOX 156 FALMOUTH MA 02541 N/A PC GENERAL 100 FINCA 1201 15ST NW WASHINGTON DC 20005 N/A PC HAITI EMERGENCY RESPONSE 1000 FINCA 1201 15ST NW WASHINGTON DC 20005 N/A PC GENERAL 500 FRIENDS OF NOTRE DAME DE PARIS INC 3 SCHOOL HOUSE LN ETNA NH 03750 N/A PC GENERAL 500 GIORDANO DANCE CHICAGO 1754 N CLARK ST CHICAGO IL 60614 N/A PC GENERAL 103 GOSNOLD 200 TER HEUN DR FALMOUTH MA 02540 N/A PC GENERAL 500 GREATER BOSTON FOOD BANK 70 S BAY ST BOSTON MA 02118 N/A PC GENERAL 500 GULF OF MAINE INSTITUTE 117 MAIN ST WEST NEWBURY MA 01985 N/A PC GENERAL 10000 H FRANK CAREY HIGH SCHOOL 230 POPPY AVE FRANKLIN SQ NY 11011 N/A PC GENERAL 3500 HABITAT FOR HUMANITY CAPE COD 411 MA - 6A 6 YARMOUTH MA 02675 N/A PC SOLAR PROGRAM 40000 HIGHFIELD HALL AND GARDENS 56 HIGHFIELD DRIVE FALMOUTH MA 02540 N/A PC GENERAL 250 HUBBARD BROOK RESEARCH FOUNDATION 234 MIRROR LAKE RD NORTH WOODSTOCK NH 03262 N/A PC GENERAL 250 KESHET 5610 ACADEMY DRIVE NORTHBROOK IL 60062 N/A PC GENERAL 371 LAKE FOREST COLLEGE 555 N SHERIDAN LAKE FOREST IL 60045 N/A PC 3RD PLANET SUSTAINING FUND 50000 LAKE FOREST COLLEGE 555 N SHERIDAN LAKE FOREST IL 60045 N/A PC 3RD PLANT FUND 50000 MARINE BIOLOGICAL LAB 7 MBL STREET WOODS HOLE MA 02543 N/A PC GENERAL 2500 LAKE FOREST COLLEGE 555 N SHERIDAN LAKE FOREST IL 60045 N/A PC GENERAL 2000 GOFUNDMECOM 855 JEFFERSON AVE REDWOOD CITY CA 94061 N/A PC GENERAL 500 HUMBLE DESIGNS 431 W PERSHING RD CHICAGO IL 60609 N/A PC GENERAL 100 VARIOUS SMALL DONATIONS 332 SKOKIE VALLEY ROAD HIGHLAND PARK IL 60035 N/A PC GENERAL 500 JDRF 200 VESEY ST 28TH FLOOR NEW YORK NY 10281 N/A PC GENERAL 2300 MACULAR DEGENERATION RESEARCH PO BOX 515 NORTHAMPTON MA 01061 N/A PC GENERAL 100 PARENTS HELPING PARENTS 1400 PARKMOOR SAN JOSE CA 95126 N/A PC GENERAL 250 MASSACHUSETTS AUDUBON 208 SOUTH GREAT RD LINCOLN MA 01773 N/A PC GENERAL 500 MERCY CORPS PO BOX 37800 BOONE IA 500374800 N/A PC GENERAL 1000 NATIONAL GLAUCOMA RESEARCH 22512 GATEWAY CENTER DR CLARKSBURG MD 20781 N/A PC GENERAL 200 RAVINIA 200 RAVINIA PARK HIGHLAND PARK IL 60035 N/A PC GENERAL 4000 RENSSELAER POLYTECHNIC INSTITUTE 110 8TH STREET TROY NY 12144 N/A PC GENERAL 3500 NATIONAL PARK FOUNDATIONS 1500 K STREET NW WASHINGTON DC 20005 N/A PC GENERAL 250 NEW ENGLAND ACQUARIUM 1 CENTRAL WHARF BOSTON MA 02110 N/A PC GENERAL 250 NRDC 40 WEST 20TH ST 11TH FLOOR NEW YORK NY 10011 N/A PC GENERAL 4000 OXFORD AMERICA PO BOX 3235 LITTLE ROCK AR 722033235 N/A PC GENERAL 1000 PARKINSONS FOUNDATION 1359 BROADWAY NEW YORK NY 10018 N/A PC GENERAL 1000 SPECIAL GIFTS THEATER PO BOX 2231 NORTHBROOK IL 60062 N/A PC GENERAL 514 JUF WEB BEN GURION WAY 30 S WELLS ST CHICAGO IL 60606 N/A PC GENERAL 750 LDCRF DONATION 6801 WILSON BLVD FALLS CHURCH VA 22044 N/A PC GENERAL 103 LEUK & LYMPHOMA SOCIETY 3 INTERNATIONAL DRIVE RYE BROOK NY 10573 N/A PC GENERAL 200 JDRF 200 VESEY ST 28TH FLOOR NEW YORK NY 10281 N/A PC GENERAL 465 LINCOLN PARK ZOO 2001 NORTH CLARK ST CHICAGO IL 60614 N/A PC GENERAL 450 MISERICORDIA HOME 6300 N RIDGE AVE CHICAGO IL 60660 N/A PC GENERAL 2500 NFG CHILDREN FIRST FUN 200 W MADISON ST CHICAGO IL 60606 N/A PC GENERAL 103 SCLERODERMA FOUNDATION 300 ROSEWOOD DRIVE DANVERS MA 01923 N/A PC GENERAL 200 RANCHO MIRAGE HIGH 31001 RATTLER RD RANCHO MIRAGE CA 92270 N/A PC GENERAL 1000 MARINE BIOLOGICAL LABATORY 7 MBL STREET WOODS HOLE MA 02543 N/A PC GENERAL 30000 WOMEN FOR WOMEN INTL 2000 M STREET NW WASHINGTON DC 20036 N/A PC GENERAL 250 ZACHARINS SEXUAL ABUSE CENTER 4275 OLD GRAND AVE GURNEE IL 60031 N/A PC GENERAL 1250 PARTNERS IN HEALTH 800 BOYLSTON ST BOSTON MA 02189 N/A PC GENERAL 4000 PROJECT HOPE 550 DUDLEY ST ROXBURY MA 02119 N/A PC GENERAL 1000 PROSTATE CANCER FOUNDATION 1250 FOURTH ST SANTA MONICA CA 90401 N/A PC GENERAL 250 SAVE THE CHILDREN PO BOX 97132 FAIRFIELD CT 20090 N/A PC UKRAINE 2000 SPOHR GARDENS CHARITABLE TRUST 45 FELLS FALMOUTH MA 02540 N/A PC GENERAL 250 STANFORD UNIVERSITY 450 SERRA MALL STANFORD CA 94305 N/A PC HOPKINS MARINE STATION 300 THE FALMOUTH COMMODORES PO BOX 808 FALMOUTH MA 02541 N/A PC GENERAL 100 THE FREDERICK GUNN SCHOOL 22 KIRBY RD WASHINGTON CT 06793 N/A PC GENERAL 2000 MARINE BIOLOGICAL LAB 7 MBL STREET WOODS HOLE MA 02543 N/A PC MELILLO FUND 25000 THE NATURE CONSERVANCY 4845 NORTH FAIRFAX DR ARLINGTON VA 222031606 N/A PC GENERAL 1000 UNION OF CONCERNED SCIENTISTS TWO BRATTLE SQUARE CAMBRIDGE MA 021383780 N/A PC GENERAL 1000 UNITARIAN UNIVERSALIST FELLOWSHIP OF FALMOUTH 840 SANDWICH RD EAST FALMOUTH MA 02536 N/A PC ANNUAL 1500 UNITARIAN UNIVERSALIST FELLOWSHIP OF FALMOUTH 840 SANDWICH RD EAST FALMOUTH MA 02536 N/A PC HVAC UPGRADE 1500 USA FOR UNHCR 1310 L ST NW 450 WASHINGTON DC 20005 N/A PC GENERAL 2000 WBUR 890 COMMONWEALTH AVE BOSTON MA 02215 N/A PC GENERAL 365 WCAIPUBLIC RADIO 3 WATER ST WOODS HOLE MA 02543 N/A PC GENERAL 365 WGBH EDUCATIONAL FOUNDATION ONE GUEST ST BOSTON MA 02135 N/A PC GENERAL 365 WOODS HOLE PUBLIC LIBRARY 581 WOODS HOLE RD FALMOUTH MA 02540 N/A PC GENERAL 100 WOODWELL CLIMATE RESEARCH CENTER 149 WOODS HOLE RD FALMOUTH MA 02540 N/A PC GENERAL 500 295101 0 14 11 14 26648 14 111338 0 137997 0 137997 0 0 0 0 0 0 0 0 0 0 X X 1 ANNE GIBLIN 108 SIPPEWISSETT ROAD FALMOUTH MA 02540 13775 X 2 KENNETH FOREMAN 108 SIPPEWISSETT ROAD FALMOUTH MA 02540 67473 X 3 KENNETH FOREMAN 108 SIPPEWISSETT ROAD FALMOUTH MA 02540 36500 X 4 KENNETH FOREMAN 108 SIPPEWISSETT ROAD FALMOUTH MA 02540 18975 X 5 KENNETH FOREMAN 108 SIPPEWISSETT ROAD FALMOUTH MA 02540 24931 X 6 KENNETH FOREMAN 108 SIPPEWISSETT ROAD FALMOUTH MA 02540 44800 X 1 80 SHRS APPLE 13775 2022-01-10 2 920 SHRS ENVIVA 67473 2022-01-10 4 445 SHRS INVITATION HOMES INC 18975 2022-01-10 5 149 SHRS JP MORGAN 24931 2022-01-10 6 179 SHRS UNION PAC 44800 2022-01-10 AMENDING 2021 FORM 990PF FORM 990PF: PART 1, LINE 4 AND PART III WHEN PREPARING THE 2022 RETURN, WE BECAME AWARE OF AN ADJUSTMENT TO CHANGE DIVIDEND INCOME DUE TO A RETURN OF CAPITAL. THE NEGATIVE ADJUSTMENT OF $24,075 REDUCES THE DIVIDEND INCOME ON PART I, LINE 4 AND REDUCES THE TAX ON PART V, LINE 1A BY $338. WE ALSO NEED TO MAKE AN ADJUSTMENT TO THE COST BASIS OF INVESTMENTS DUE TO A BOOK/TAX DIFFERENCE ON CONTRIBUTIONS IN PART III, LINE 5. THE REDUCTION OF DIVIDEND INCOME RESULTED IN A REFUND DUE OF $338. OLD REPUBLIC INT'L 37860 65520 ALPS ETF 125878 149587 ILLINOIS TOOL WORKS INC 51545 59423 COMPASS DIVERSIFIED SH BEN INY 89426 114647 UNION PAC CORP 65028 179608 JP MORGAN CHASE & CO 10020 45492 MERCK & CO INC 15236 52923 BLACKSTONE REAL ESTATE 127826 169509 APPLE INC 268 12578 ENVIVA INC 29900 63958 INVITATION HOMES INC 8752 16145 BOOK/TAX DIFFERENCE ON CONTRIBUTIONS AND RETURN OF CAPITAL 123946 FEES 3516 0 0 FEDERAL TAXES 6500 0 0 ILLINOIS PUBLIC CHARITIES 15 0 0 ILLINOIS SECRETARY OF STATE 10 0 0