Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
FLORENCE BULLOCK RAGAN FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1501 NJ2-130-03-31
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PENNINGTON, NJ085341501
A Employer identification number

87-0903217
B Telephone number (see instructions)

(609) 274-6834
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$856,107
J Accounting method:
 
(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)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 31,533 31,502  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -5,535
b Gross sales price for all assets on line 6a 953,613
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain......... 0
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........ 25,998 31,502  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 2,500 0 0 2,500
c Other professional fees (attach schedule).... 9,924 5,954   3,970
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 8,860 330   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 4     4
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 21,288 6,284 0 6,474
25 Contributions, gifts, grants paid....... 180,500 180,500
26 Total expenses and disbursements. Add lines 24 and 25 201,788 6,284 0 186,974
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -175,790
b Net investment income (if negative, enter -0-) 25,218
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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
Assets 1 Cash—non-interest-bearing............. 1,389 2,135 2,135
2 Savings and temporary cash investments......... 103,916 133,184 133,184
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet0      
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)....... 156,635 Click to see attachment186,427 174,971
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 836,222 Click to see attachment600,648 545,817
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,098,162 922,394 856,107
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,098,162 922,394
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 1,098,162 922,394
31 Total liabilities and net assets/fund balances (see instructions). 1,098,162 922,394
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 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,098,162
2
Enter amount from Part I, line 27a .....................
2
-175,790
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
22
4
Add lines 1, 2, and 3 ..........................
4
922,394
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
922,394
Form 990-PF (2018)
Form 990-PF (2018)
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 28. AT& T INC   2008-06-24 2018-09-24
b 56. AT& T INC   2016-01-27 2018-09-24
c 47. AT& T INC   2017-11-09 2018-09-24
d 11. AT& T INC   2017-11-13 2018-09-24
e 73. ABBOTT LABORATORIES   2017-11-09 2018-09-24
7. ABBOTT LABORATORIES   2017-11-13 2018-09-24
134. ASTRAZENECA PLC SPONS ADR   2015-01-10 2018-09-24
14. ASTRAZENECA PLC SPONS ADR   2015-01-14 2018-09-24
1138. BLACKROCK MULTI ASSET   2017-11-09 2018-09-24
106. BLACKROCK MULTI ASSET   2017-11-13 2018-09-24
.9 BLACKROCK MULTI ASSET   2017-11-13 2018-09-24
32. CME GROUP INC   2017-11-09 2018-09-24
3. CME GROUP INC   2017-11-13 2018-09-24
766. AMERICAN CAPITAL INCOME   2017-11-09 2018-09-24
1. AMERICAN CAPITAL INCOME   2017-11-13 2018-09-24
72. AMERICAN CAPITAL INCOME   2017-11-13 2018-09-24
.42 AMERICAN CAPITAL INCOME   2017-11-13 2018-09-24
96. COCA-COLA CO USD   2017-11-09 2018-09-24
8. COCA-COLA CO USD   2017-11-13 2018-09-24
897. DAVIS GLOBAL FUND   2017-11-09 2018-09-24
88. DAVIS GLOBAL FUND   2017-11-13 2018-09-24
.3 DAVIS GLOBAL FUND   2017-11-13 2018-09-24
1. DAVIS GLOBAL FUND   2017-11-13 2018-09-24
63. DOWDUPONT INC COM   2017-11-09 2018-09-24
6. DOWDUPONT INC COM   2017-11-13 2018-09-24
3498. FEDERATED TOTAL RETURN   2017-11-09 2018-09-24
.99 FEDERATED TOTAL RETURN   2017-11-13 2018-09-24
335. FEDERATED TOTAL RETURN   2017-11-13 2018-09-24
1200. FIDELITY ADVISOR REAL   2017-11-09 2018-09-24
111. FIDELITY ADVISOR REAL   2017-11-13 2018-09-24
.87 FIDELITY ADVISOR REAL   2017-11-13 2018-09-24
.7 GARRETT MOTION INC   2018-09-24 2018-10-05
.02 HARTFORD WORLD BOND FUND   2017-11-09 2018-09-24
2826. HARTFORD WORLD BOND FUND   2017-11-09 2018-09-24
.45 HARTFORD WORLD BOND FUND   2017-11-13 2018-09-24
1568. HARTFORD MUT FDS INC   2017-11-09 2018-09-24
.32 HARTFORD MUT FDS INC   2017-11-09 2018-09-24
.15 HARTFORD MUT FDS INC   2017-11-13 2018-09-24
96. INTEL CORPORATION   2017-11-09 2018-09-24
10. INTEL CORPORATION   2017-11-13 2018-09-24
29. INTERNATIONAL BUSINESS MACHINES CORP   2017-11-09 2018-09-24
3. INTERNATIONAL BUSINESS MACHINES CORP   2017-11-13 2018-09-24
175. ISHARES MSCI CANADA ETF   2017-11-09 2018-09-24
17. ISHARES MSCI CANADA ETF   2017-11-13 2018-09-24
195. ISHARES MSCI EUROZONE ETF   2017-11-09 2018-09-24
20. ISHARES MSCI EUROZONE ETF   2017-11-13 2018-09-24
237. ISHARES MSCI PACIFIC EX JAPAN ETF   2017-11-09 2018-09-24
22. ISHARES MSCI PACIFIC EX JAPAN ETF   2017-11-13 2018-09-24
127. ISHARES MSCI SWITZERLAND ETF   2017-11-09 2018-09-24
11. ISHARES MSCI SWITZERLAND ETF   2017-11-13 2018-09-24
40. ISHARES MSCI SWEDEN ETF   2017-11-09 2018-09-24
4. ISHARES MSCI SWEDEN ETF   2017-11-13 2018-09-24
133. ISHARES TIPS BOND ETF   2017-11-09 2018-09-24
13. ISHARES TIPS BOND ETF   2017-11-13 2018-09-24
174. ISHARES CORE U.S. AGGREGATE BOND ETF   2017-11-09 2018-09-24
17. ISHARES CORE U.S. AGGREGATE BOND ETF   2017-11-13 2018-09-24
57. ISHARES NASDAQ BIOTECH ETF   2017-11-09 2018-09-24
6. ISHARES NASDAQ BIOTECH ETF   2017-11-13 2018-09-24
66. ISHARES US UTILITIES ETF   2017-11-09 2018-09-24
6. ISHARES US UTILITIES ETF   2017-11-13 2018-09-24
303. ISHARES CORE MSCI EMERGING MARKETS ETF   2017-11-09 2018-09-24
29. ISHARES CORE MSCI EMERGING MARKETS ETF   2017-11-13 2018-09-24
127. ISHARES MSCI JAPAN ETF   2017-11-09 2018-09-24
13. ISHARES MSCI JAPAN ETF   2017-11-13 2018-09-24
381. ISHARES MSCI U K ETF SHS   2017-11-09 2018-09-24
39. ISHARES MSCI U K ETF SHS   2017-11-13 2018-09-24
2964. JP MORGAN INCOME BUILDER   2017-11-09 2018-09-24
.87 JP MORGAN INCOME BUILDER   2017-11-13 2018-09-24
278. JP MORGAN INCOME BUILDER   2017-11-13 2018-09-24
1. JP MORGAN INCOME BUILDER   2017-11-13 2018-09-24
39. KIMBERLY-CLARK CORP COM   2016-01-27 2018-09-24
3. KIMBERLY-CLARK CORP COM   2016-01-31 2018-09-24
56. KRAFT (THE) HEINZ CO SHS   2017-11-09 2018-09-24
4. KRAFT (THE) HEINZ CO SHS   2017-11-13 2018-09-24
.02 LORD ABBETT BOND-DEBENTURE FUND INC   2017-11-09 2018-09-24
2105. LORD ABBETT BOND-DEBENTURE FUND INC   2017-11-09 2018-09-24
.68 LORD ABBETT BOND-DEBENTURE FUND INC   2017-12-15 2018-09-24
.97 LORD ABBETT BOND-DEBENTURE FUND INC   2017-12-29 2018-09-24
.98 LORD ABBETT BOND-DEBENTURE FUND INC   2017-11-09 2018-12-17
4833. LORD ABBETT BOND-DEBENTURE FUND INC   2017-11-09 2018-12-17
647. LORD ABBETT BOND-DEBENTURE FUND INC   2017-11-13 2018-12-17
1. LORD ABBETT BOND-DEBENTURE FUND INC   2017-11-13 2018-12-17
17. LORD ABBETT BOND-DEBENTURE FUND INC   2017-11-30 2018-12-17
45. LORD ABBETT BOND-DEBENTURE FUND INC   2017-12-15 2018-12-17
27. LORD ABBETT BOND-DEBENTURE FUND INC   2017-12-29 2018-12-17
1501. MFS DIVERSIFIED INCOME   2017-11-09 2018-09-24
140. MFS DIVERSIFIED INCOME   2017-11-13 2018-09-24
.6 MFS DIVERSIFIED INCOME   2017-11-13 2018-09-24
1. MFS DIVERSIFIED INCOME   2017-11-13 2018-09-24
3. MICROSOFT CORP COM   2017-11-09 2018-09-24
550. AMER FUNDS NEW   2018-09-24 2018-12-17
.02 AMER FUNDS NEW   2018-09-24 2018-12-17
65. OCCIDENTAL PETROLEUM CORPORATION COMMON   2017-11-09 2018-09-24
6. OCCIDENTAL PETROLEUM CORPORATION COMMON   2017-11-13 2018-09-24
64. PACCAR INC   2017-11-09 2018-09-24
6. PACCAR INC   2017-11-13 2018-09-24
3117. PIMCO INTERNATIONAL BOND FD (USD HEDGED) I2   2018-09-24 2018-12-17
.3 PIMCO INTERNATIONAL BOND FD (USD HEDGED) I2   2018-09-24 2018-12-17
.19 PIONEER BOND FUND   2017-11-09 2018-09-24
733. PIONEER BOND FUND   2017-11-09 2018-09-24
.02 PIONEER BOND FUND   2017-11-13 2018-09-24
.81 PIONEER BOND FUND   2017-11-09 2018-12-17
3216. PIONEER BOND FUND   2017-11-09 2018-12-17
1. PIONEER BOND FUND   2017-11-13 2018-12-17
377. PIONEER BOND FUND   2017-11-13 2018-12-17
51. PROCTER & GAMBLE CO COM   2017-11-09 2018-09-24
3. PROCTER & GAMBLE CO COM   2017-11-13 2018-09-24
3149. PRUDENTIAL TOTAL RETURN   2017-11-09 2018-09-24
.05 PRUDENTIAL TOTAL RETURN   2017-11-13 2018-09-24
304. PRUDENTIAL TOTAL RETURN   2017-11-13 2018-09-24
1. PRUDENTIAL TOTAL RETURN   2017-11-13 2018-09-24
.17 RESIDEO TECHNOLOGIES INC   2018-09-24 2018-11-05
167. CONSUMER DISCRETIONARY SPDR   2017-11-09 2018-09-24
14. CONSUMER DISCRETIONARY SPDR   2017-11-13 2018-09-24
49. ENERGY SELECT SECTOR SPDR FUND   2017-11-09 2018-09-24
4. ENERGY SELECT SECTOR SPDR FUND   2017-11-13 2018-09-24
196. SPDR US FINANCIAL SECTOR ETF   2017-11-09 2018-09-24
18. SPDR US FINANCIAL SECTOR ETF   2017-11-13 2018-09-24
75. REAL ESTATE SELECT   2017-11-09 2018-09-24
7. REAL ESTATE SELECT   2017-11-13 2018-09-24
962. THORNBURG INVSMT INCOME   2017-11-09 2018-09-24
.75 THORNBURG INVSMT INCOME   2017-11-13 2018-09-24
92. THORNBURG INVSMT INCOME   2017-11-13 2018-09-24
1. THORNBURG INVSMT INCOME   2017-11-13 2018-09-24
1. TORONTO-DOMINION BANK (NEW)   2017-11-09 2018-09-24
24. VANGUARD CONSUMER   2017-11-09 2018-09-24
2. VANGUARD CONSUMER   2017-11-13 2018-09-24
95. VANGUARD INDUSTRIAL ETF   2017-11-09 2018-09-24
9. VANGUARD INDUSTRIAL ETF   2017-11-13 2018-09-24
49. VANGUARD INFORMATION   2017-11-09 2018-09-24
19. VANGUARD MATERIALS ETF   2017-11-09 2018-09-24
2. VANGUARD MATERIALS ETF   2017-11-13 2018-09-24
68. VENTAS INC   2017-11-09 2018-09-24
6. VENTAS INC   2017-11-13 2018-09-24
98. VERIZON COMMUNICATIONS INC   2016-01-27 2018-09-24
6. VERIZON COMMUNICATIONS INC   2016-01-31 2018-09-24
4. VERIZON COMMUNICATIONS INC   2017-11-13 2018-09-24
4. VISA INC CL A SHRS   2017-11-09 2018-09-24
5033. WELLS FARGO ADVANTAGE   2017-11-09 2018-09-24
480. WELLS FARGO ADVANTAGE   2017-11-13 2018-09-24
.93 WELLS FARGO ADVANTAGE   2017-11-13 2018-09-24
.66 WELLS FARGO ADV ULTRA   2018-09-24 2018-12-17
6589. WELLS FARGO ADV ULTRA   2018-09-24 2018-12-17
3546. WELLS FARGO ADV ULTRA   2018-09-24 2018-12-17
3. WELLS FARGO ADV ULTRA   2018-09-28 2018-12-17
.01 WELLS FARGO ADV ULTRA   2018-10-31 2018-12-17
1. WELLS FARGO ADV ULTRA   2018-10-31 2018-12-17
8. WELLS FARGO ADV ULTRA   2018-10-31 2018-12-17
10. WELLS FARGO ADV ULTRA   2018-12-03 2018-12-17
2989. WESTERN ASSET CORE PLUS   2018-09-24 2018-12-17
.15 WESTERN ASSET CORE PLUS   2018-09-24 2018-12-17
129. WISDOMTREE EUROPE HEDGED   2017-11-09 2018-09-24
13. WISDOMTREE EUROPE HEDGED   2017-11-13 2018-09-24
3. MEDTRONIC PLC SHS   2017-11-09 2018-09-24
26. CHUBB LTD   2017-11-09 2018-09-24
3. CHUBB LTD   2017-11-13 2018-09-24
CAPITAL GAIN DIVIDENDS P    
(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 948   996 -48
b 1,896   2,034 -138
c 1,592   1,599 -7
d 373   376 -3
e 5,203   4,025 1,178
499   385 114
5,071   4,646 425
530   482 48
12,245   12,586 -341
1,141   1,169 -28
10   10  
5,604   4,379 1,225
525   417 108
46,282   48,235 -1,953
60   63 -3
4,350   4,514 -164
25   26 -1
4,406   4,427 -21
367   374 -7
22,945   22,891 54
2,251   2,226 25
8   8  
26   25 1
4,298   4,426 -128
409   419 -10
36,694   38,163 -1,469
10   11 -1
3,514   3,645 -131
14,088   14,688 -600
1,303   1,360 -57
10   11 -1
12   12  
       
30,266   29,701 565
5   5  
22,642   23,206 -564
5   5  
2   2  
4,491   4,418 73
468   457 11
4,340   4,368 -28
449   445 4
5,064   5,140 -76
492   498 -6
8,155   8,399 -244
836   856 -20
10,783   11,274 -491
1,001   1,049 -48
4,428   4,340 88
384   376 8
1,325   1,396 -71
132   139 -7
14,696   15,189 -493
1,436   1,479 -43
18,327   19,035 -708
1,791   1,853 -62
6,801   5,885 916
716   621 95
8,906   9,204 -298
810   838 -28
15,616   16,930 -1,314
1,495   1,618 -123
7,591   7,512 79
777   763 14
13,000   13,189 -189
1,331   1,338 -7
31,152   31,478 -326
9   9  
2,922   2,947 -25
11   11  
4,461   4,893 -432
343   382 -39
3,160   4,450 -1,290
226   320 -94
       
16,840   17,366 -526
5   6 -1
8   8  
7   8 -1
36,827   39,872 -3,045
4,930   5,331 -401
8   8  
130   141 -11
343   370 -27
206   222 -16
18,312   18,883 -571
1,708   1,758 -50
7   8 -1
12   13 -1
343   250 93
22,407   25,729 -3,322
1   1  
5,277   4,438 839
487   410 77
4,496   4,438 58
422   414 8
33,414   33,445 -31
3   3  
2   2  
6,824   7,081 -257
       
7   8 -1
29,812   31,067 -1,255
9   10 -1
3,495   3,631 -136
4,306   4,460 -154
253   268 -15
43,834   45,786 -1,952
1   1  
4,232   4,402 -170
14   15 -1
4   5 -1
19,390   15,308 4,082
1,626   1,297 329
3,730   3,411 319
305   278 27
5,572   5,101 471
512   469 43
2,431   2,535 -104
227   237 -10
21,241   20,972 269
16   16  
2,031   1,991 40
22   22  
61   57 4
3,382   3,292 90
282   279 3
14,072   12,712 1,360
1,333   1,201 132
9,856   8,036 1,820
2,559   2,497 62
269   262 7
3,708   4,418 -710
327   391 -64
5,252   4,674 578
322   285 37
214   180 34
598   446 152
62,409   64,875 -2,466
5,952   6,168 -216
12   12  
6   6  
55,677   55,743 -66
29,964   29,999 -35
25   25  
       
8   8  
68   152 -84
85     85
33,268   33,447 -179
2   2  
8,204   8,395 -191
827   839 -12
295   242 53
3,566   3,911 -345
411   453 -42
      6,970
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       -48
b       -138
c       -7
d       -3
e       1,178
      114
      425
      48
      -341
      -28
       
      1,225
      108
      -1,953
      -3
      -164
      -1
      -21
      -7
      54
      25
       
      1
      -128
      -10
      -1,469
      -1
      -131
      -600
      -57
      -1
       
       
      565
       
      -564
       
       
      73
      11
      -28
      4
      -76
      -6
      -244
      -20
      -491
      -48
      88
      8
      -71
      -7
      -493
      -43
      -708
      -62
      916
      95
      -298
      -28
      -1,314
      -123
      79
      14
      -189
      -7
      -326
       
      -25
       
      -432
      -39
      -1,290
      -94
       
      -526
      -1
       
      -1
      -3,045
      -401
       
      -11
      -27
      -16
      -571
      -50
      -1
      -1
      93
      -3,322
       
      839
      77
      58
      8
      -31
       
       
      -257
       
      -1
      -1,255
      -1
      -136
      -154
      -15
      -1,952
       
      -170
      -1
      -1
      4,082
      329
      319
      27
      471
      43
      -104
      -10
      269
       
      40
       
      4
      90
      3
      1,360
      132
      1,820
      62
      7
      -710
      -64
      578
      37
      34
      152
      -2,466
      -216
       
       
      -66
      -35
       
       
       
      -84
      85
      -179
       
      -191
      -12
      53
      -345
      -42
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 -5,535
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 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2017 187,234 1,124,062 0.166569
2016 222,353 1,102,499 0.201681
2015 221,227 1,118,376 0.197811
2014 222,187 1,289,403 0.172318
2013 211,678 1,137,133 0.186151
2
Total of line 1, column (d) .....................
2
0.92453
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.184906
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
1,062,740
5
Multiply line 4 by line 3......................
5
196,507
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
252
7
Add lines 5 and 6........................
7
196,759
8
Enter qualifying distributions from Part XII, line 4,.............
8
186,974
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
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 Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 504
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% 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........................... 3 504
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- ..... 5 504
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 4,340
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,340
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,836
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet504 RefundedBullet 11 3,332
Part VII-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 Instructions
for 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. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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 XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletUT
    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 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    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 (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-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 addressbullet  
    14
    The books are in care ofbulletUS TRUST FIDUCIARY TAX SERVICES Telephone no.bullet (609) 274-6834

    Located atbullet1300 AMERICAN BOULEVARDPENNINGTONNJ ZIP+4bullet08534
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    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 bullet  
    Part VII-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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?...............
    (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.).......
    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
     
     
    ........bullet
    c
    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 2018?.............
    1c
     
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 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.
    bullet20, 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?......................
    b
    If "Yes," did it have excess business holdings in 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    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
     
     
    .........bullet
    c
    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?..........
    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?.....................
    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?
    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? .................
    Part VIII
    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
    JOANN BULLOCK LOSEE DIRECTOR
    2
    0    
    3923 NORTH RIVERWOOD DRIVE
    PROVO,UT84604
    NICOLAS A ALORD DIRECTOR
    1
    0    
    3923 NORTH RIVERWOOD DRIVE
    PROVO,UT84604
    MICHAEL W STRATTON DIRECTOR
    1
    0    
    3923 NORTH RIVERWOOD DRIVE
    PROVO,UT84604
    WARREN B STRATTON DIRECTOR
    1
    0    
    3923 NORTH RIVERWOOD DRIVE
    PROVO,UT84604
    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...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    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.............bullet0
    Part IX-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 IX-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.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    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
    983,507
    b
    Average of monthly cash balances.......................
    1b
    95,417
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,078,924
    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
    1,078,924
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    16,184
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,062,740
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    53,137
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    53,137
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    504
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    504
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    52,633
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    52,633
    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 XIII, line 1 ...
    7
    52,633
    Part XII
    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
    186,974
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    186,974
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    186,974
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 52,633
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 155,975
    b From 2014...... 159,039
    c From 2015...... 167,220
    d From 2016...... 167,526
    e From 2017...... 135,370
    fTotal of lines 3a through e........ 785,130
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 186,974
    a Applied to 2017, 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 2018 distributable amount..... 52,633
    e Remaining amount distributed out of corpus 134,341
    5 Excess distributions carryover applied to 2018. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 919,471
    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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    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 2013 not
    applied on line 5 or line 7 (see instructions) ...
    155,975
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    763,496
    10 Analysis of line 9:
    a Excess from 2014.... 159,039
    b Excess from 2015.... 167,220
    c Excess from 2016.... 167,526
    d Excess from 2017.... 135,370
    e Excess from 2018.... 134,341
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-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 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    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 X, 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 XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList 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).)
    bList 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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    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)
    aPaid during the year
    CIRQUE LODGE FOUNDATION
    777 N PALISADES DR
    OREM,UT84097
    N/A PC UNRESTRICTED GENERAL 30,000
    AMERICAN NATIONAL RED CROSS
    431 18TH ST NW
    WASHINGTON,DC20006
    N/A PC UNRESTRICTED GENERAL 30,000
    CROSSNORE SCHOOL INC
    PO BOX 249
    CROSSNORE,NC28616
    N/A PC UNRESTRICTED GENERAL 1,000
    UNIVERSITY OF NORTH CAROLINA
    AT CHAPEL HILL
    PO BOX 309
    CHAPEL HILL,NC27599
    N/A PC UNRESTRICTED GENERAL 2,500
    INTERMOUNTAIN HEALTHCARE FOUNDATION INC
    36 S STATE ST STE 2200
    PROVO,UT84111
    N/A PC UNRESTRICTED GENERAL 10,000
    ROCKY MOUNTAIN ELK FOUNDATION INC
    5705 GRANT CREEK RD
    MISSOULA,MT59808
    N/A PC UNRESTRICTED GENERAL 30,000
    BOY SCOUTS OF AMERICA
    748 N 1340 W
    OREM,UT84067
    N/A PC UNRESTRICTED GENERAL 4,000
    SUNSHINE ACRES CHILDREN'S HOME INC
    3405 N HIGLEY RD
    MESA,AZ85215
    N/A PC UNRESTRICTED GENERAL 2,000
    BRIGHAM YOUNG UNIVERSITY
    PO BOX 21128
    PROVO,UT84602
    N/A PC UNRESTRICTED GENERAL 10,000
    CORP OF THE PRESIDING BISHOP OF CHURCH
    OF JESUS CHRIST OF LDS
    120 N 200 W
    SALT LAKE CITY,UT84103
    N/A PC UNRESTRICTED GENERAL 30,000
    CENTER FOR WOMEN AND CHILDREN IN CRISIS
    1073 E 1200 N
    OREM,UT84097
    N/A PC UNRESTRICTED GENERAL 10,000
    FRIENDS OF UTAH COUNTY CHILDREN'S
    JUSTICE CENTER
    315 S 100 EAST
    PROVO,UT84606
    N/A PC UNRESTRICTED GENERAL 10,000
    JUAN DIEGO CATHOLIC HIGH SCHOOL
    300 E 11800 S
    DRAPER,UT84020
    N/A PC UNRESTRICTED GENERAL 10,000
    PROVO ELKS LODGE BENEVOLENT TRUST
    FUND
    1000 S UNIVERSITY AVE
    PROVO,UT84601
    N/A PC UNRESTRICTED GENERAL 1,000
    Total .................................bullet 3a 180,500
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-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.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 31,533  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot 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 -5,535  
    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)..   25,998  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    25,998
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-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 (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    FLORENCE BULLOCK RAGAN FAMILY FOUNDATION
    EIN:
    87-0903217
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE 2,500     2,500

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    FLORENCE BULLOCK RAGAN FAMILY FOUNDATION
    EIN:
    87-0903217
    Name of Stock End of Year Book Value End of Year Fair Market Value
    437076102 HOME DEPOT INC USD 0 4,732 4,983
    254687106 DISNEY (WALT) COMPAN 5,658 5,921
    780259107 ROYAL DUTCH SHEL PLC 5,822 5,215
    22160K105 COSTCO WHSL CORP NEW 4,442 5,296
    191216100 COCA-COLA CO USD    
    92276F100 VENTAS INC    
    26078J100 DOWDUPONT INC COM    
    674599105 OCCIDENTAL PETROLEUM    
    500754106 KRAFT (THE) HEINZ CO    
    907818108 UNION PACIFIC CORP 4,445 5,253
    742718109 PROCTER & GAMBLE CO    
    693718108 PACCAR INC    
    580135101 MC DONALDS CORPORATI 6,135 6,570
    253868103 DIGITAL RLTY TR INC 4,796 4,155
    12572Q105 CME GROUP INC    
    H1467J104 CHUBB LTD    
    891160509 TORONTO-DOMINION BAN 4,823 4,176
    438516106 HONEYWELL INTL INC 5,238 4,888
    037833100 APPLE COMPUTER INC C 4,943 4,417
    00206R102 AT& T INC    
    G5960L103 MEDTRONIC PLC SHS 4,260 4,821
    92826C839 VISA INC CL A SHRS 3,899 4,618
    92343V104 VERIZON COMMUNICATIO    
    539830109 LOCKHEED MARTIN CORP 5,671 4,713
    494368103 KIMBERLY-CLARK CORP    
    46625H100 J P MORGAN CHASE & C 5,128 5,076
    458140100 INTEL CORPORATION    
    046353108 ASTRAZENECA PLC SPON    
    594918104 MICROSOFT CORP COM 4,586 5,586
    459200101 INTERNATIONAL BUSINE    
    09247X101 BLACKROCK INC CL A 5,617 4,714
    002824100 ABBOTT LABORATORIES    
    913017109 UNITED TECHNOLOGIES 5,131 4,579
    595017104 MICROCHIP TECHNOLOGY 5,084 4,459
    76118Y104 RESIDEO TECHNOLOGIES 153 123
    883556102 THERMO ELECTRON CORP 5,044 4,700
    03027X100 AMERICAN TOWER REIT 5,116 5,537
    871829107 SYSCO CORP 6,149 5,263
    053015103 AUTOMATIC DATA PROCE 6,105 5,376
    11135F101 BROADCOM LTD 4,954 5,086
    031162100 AMGEN INC 5,979 5,645
    036752103 ANTHEM INC 4,896 4,727
    30231G102 EXXON MOBIL CORP 6,150 4,841
    366505105 GARRETT MOTION INC 46 37
    98978V103 ZOETIS INC 5,089 4,876
    00287Y109 ABBVIE INC SHS 6,166 6,085
    882508104 TEXAS INSTRUMENTS IN 6,136 5,292
    023135106 AMAZON COM INC 9,604 7,510
    931142103 WAL MART STORES INC 6,098 5,962
    009158106 AIR PRODUCTS AND CHE 6,114 5,762
    172967424 CITIGROUP INC COM NE 6,108 4,321
    867914103 SUNTRUST BANKS INC 6,110 4,388

    TY 2018 InvestmentsOtherSchedule2
    Name:
    FLORENCE BULLOCK RAGAN FAMILY FOUNDATION
    EIN:
    87-0903217
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    277923637 EATON VANCE FLOATING AT COST 49,970 47,541
    81369Y860 REAL ESTATE SELECT      
    81369Y506 SECTOR SPDR TR      
    552982811 MFS DIVERSIFIED INCO      
    464287226 ISHARES TR      
    316389444 FIDELITY ADVISOR REA      
    92204A702 VANGUARD INFORMATION AT COST 8,533 8,675
    81369Y605 SECTOR SPDR TR      
    518416102 HARTFORD MULTIFACTOR AT COST 20,308 18,215
    46435G334 ISHARES MSCI U K ETF      
    464286756 ISHARES INC MSCI SWE      
    464286749 ISHARES INC MSCI SWI      
    464286665 ISHARES INC      
    239080849 DAVIS GLOBAL FUND      
    140194101 AMERICAN CAPITAL INC      
    09256H336 BLACKROCK MULTI ASSE      
    46434G822 ISHARES MSCI JAPAN E      
    41664M821 HARTFORD MUT FDS INC AT COST 22,747 19,959
    41664M235 HARTFORD WORLD BOND AT COST 32,812 32,750
    94975J581 WELLS FARGO ADVANTAG      
    81369Y209 HEALTH CARE SELECT S AT COST 13,718 14,188
    92204A207 VANGUARD CONSUMER      
    81369Y407 SECTOR SPDR TR SHS B      
    74440B405 PRUDENTIAL TOTAL RET      
    464287697 ISHARES TR DOW JONES      
    464286608 ISHARES INC MSCI EMU      
    464286509 ISHARES INC MSCI CDA      
    97717X701 WISDOMTREE EUROPE HE      
    92204A603 VANGUARD INDUSTRIAL      
    885215467 THORNBURG INVSMT INC      
    46434G103 ISHARES INC CORE MSC      
    464287176 ISHARES TR      
    33734X192 FIRST TR ISE CLOUD C AT COST 9,011 8,870
    92204A801 VANGUARD MATERIALS E      
    544004609 LORD ABBETT BOND      
    4812A3254 JP MORGAN INCOME BUI      
    33733E302 FIRST TR EXCHANGE TR AT COST 13,832 12,716
    31428Q101 FEDERATED TOTAL RETU      
    723622403 PIONEER BOND FUND      
    464287556 ISHARES TR      
    19765L694 COLUMBIA STRATEGIC AT COST 44,598 43,366
    779917103 T ROWE PRICE DIVERSI AT COST 20,584 15,947
    921908844 VANGUARD DIVIDEND AT COST 19,994 17,533
    19765P430 COLUMBIA BALANCED FD AT COST 22,299 19,388
    40168W483 GUGGENHEIM LIMITED AT COST 40,101 39,971
    77957L104 T ROWE PRICE PERSONA AT COST 22,299 19,208
    412295107 HARDING LOEVNER FDS AT COST 25,730 21,546
    245914817 DELAWARE EMERGING AT COST 15,438 14,190
    92206C409 VANGUARD SHORT-TERM AT COST 50,102 50,037
    091928861 BLACKROCK MID CAP GR AT COST 25,730 20,549
    246097208 DELAWARE SMALL CAP V AT COST 15,438 11,314
    518416409 HARTFORD MF US EQTY AT COST 25,695 21,517
    72388E605 PIONEER MULTI ASSET AT COST 40,086 39,804
    922908629 VANGUARD MID-CAP ETF AT COST 15,390 12,851
    922908751 VANGUARD SMALL CAP AT COST 25,649 20,722
    47803W406 JOHN HANCOCK DISCIPL AT COST 20,584 14,960

    TY 2018 OtherExpensesSchedule
    Name:
    FLORENCE BULLOCK RAGAN FAMILY FOUNDATION
    EIN:
    87-0903217
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSE (NON-DEDUCTIBLE 4 0   4


    TY 2018 OtherIncreasesSchedule
    Name:
    FLORENCE BULLOCK RAGAN FAMILY FOUNDATION
    EIN:
    87-0903217
    Description Amount
    TIMING DIFFERENCE & ROUNDING 22


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    FLORENCE BULLOCK RAGAN FAMILY FOUNDATION
    EIN:
    87-0903217
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 9,924 5,954   3,970


    TY 2018 TaxesSchedule
    Name:
    FLORENCE BULLOCK RAGAN FAMILY FOUNDATION
    EIN:
    87-0903217
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 299 299   0
    EXCISE TAX - PRIOR YEAR 4,190 0   0
    EXCISE TAX ESTIMATES 4,340 0   0
    FOREIGN TAXES ON NONQUALIFIED 31 31   0