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
Capital City Bank Group Foundation Inc
 
Number and street (or P.O. box number if mail is not delivered to street address)217 N Monroe Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Tallahassee, FL32301
A Employer identification number

59-2276367
B Telephone number (see instructions)

(850) 402-8450
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$2,521,239
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) 138,849
2 Check bullet.............
3 Interest on savings and temporary cash investments 10 10  
4 Dividends and interest from securities... 55,684 54,636  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 34,453
b Gross sales price for all assets on line 6a 561,739
7 Capital gain net income (from Part IV, line 2)... 34,317
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances 0
b Less: Cost of goods sold.... 0
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... 0 0 0
12 Total. Add lines 1 through 11........ 228,996 88,963 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0 0 0 0
b Accounting fees (attach schedule)....... 0 0 0 0
c Other professional fees (attach schedule).... 0 0 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 9,566 594 0 0
19 Depreciation (attach schedule) and depletion... 0 0 0
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 220 0 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 9,786 594 0 0
25 Contributions, gifts, grants paid....... 195,692 194,692
26 Total expenses and disbursements. Add lines 24 and 25 205,478 594 0 194,692
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 23,518
b Net investment income (if negative, enter -0-) 88,369
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............. 0 0 0
2 Savings and temporary cash investments......... 105,789 240,083 240,083
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet   0 0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet   0 0 0
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)..... 0 0 0
7 Other notes and loans receivable (attach schedule) bullet0
Less: allowance for doubtful accounts bullet0 0 0 0
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 0 0 0
b Investments—corporate stock (attach schedule)....... 1,947,979 Click to see attachment1,821,703 1,991,611
c Investments—corporate bonds (attach schedule)....... 313,979 Click to see attachment301,509 289,545
11 Investments—land, buildings, and equipment: basis bullet0
Less: accumulated depreciation (attach schedule) bullet0 0   0
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 0 0 0
14 Land, buildings, and equipment: basis bullet0
Less: accumulated depreciation (attach schedule) bullet0 0   0
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,367,747 2,363,295 2,521,239
Liabilities 17 Accounts payable and accrued expenses.......... 475 0
18 Grants payable................. 33,350 5,855
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons 0 0
21 Mortgages and other notes payable (attach schedule)...... 0 0
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 33,825 5,855
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.................. 2,333,922 2,357,440
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........    
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)..... 2,333,922 2,357,440
31 Total liabilities and net assets/fund balances (see instructions). 2,367,747 2,363,295
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
2,333,922
2
Enter amount from Part I, line 27a .....................
2
23,518
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,357,440
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
2,357,440
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 ST GAIN/LOSS ON SALE OF SECURITIES P    
b LT GAIN/LOSS ON SALE OF SECURITIES P    
c CAPITAL GAIN DISTRIBUTIONS P    
d CAPITAL GAIN FORM 1099, BOX 5 ITEM P    
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 160,000   162,651 -2,651
b 398,284   364,635 33,649
c 3,455   0 3,455
d 24,864   25,000 -136
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     0 -2,651
b     0 33,649
c     0 3,455
d     0 -136
e
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 34,317
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 0
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 263,153 2,596,075 0.101366
2016 233,673 2,436,190 0.095917
2015 207,024 2,499,696 0.082820
2014 238,210 2,603,233 0.091505
2013 248,079 2,424,950 0.102303
2
Total of line 1, column (d) .....................
2
0.473911
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
0.094782
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
2,744,243
5
Multiply line 4 by line 3......................
5
260,105
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
884
7
Add lines 5 and 6........................
7
260,989
8
Enter qualifying distributions from Part XII, line 4,.............
8
194,692
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 1,767
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  
3 Add lines 1 and 2........................... 3 1,767
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,767
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 6,000
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 6,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
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 4,233
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet4,233 RefundedBullet 11 0
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)
    bulletFL
    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 addressbulletwww.ccbgfoundation.org
    14
    The books are in care ofbulletJep Larkin Telephone no.bullet (850) 402-7764

    Located atbullet217 N Monroe StTallahasseeFL ZIP+4bullet32301
    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
     
    No
    .........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). Click to see attachment
    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
    Jeff Wahlen Director
    1.000
    0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Dr Alma Littles Director
    1.000
    0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Amy Geiger Director
    1.000
    0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    William G Smith Jr Chairman
    1.000
    0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Brooke Hallock Secretary
    1.000
    0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    Jep Larkin Treasurer
    1.000
    0 0 0
    217 N Monroe Street
    Tallahassee,FL32301
    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
     
    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
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    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.........................bullet0
    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
    2,577,687
    b
    Average of monthly cash balances.......................
    1b
    208,346
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,786,033
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    2,786,033
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    41,790
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,744,243
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    137,212
    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
    137,212
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    1,767
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,767
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    135,445
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    135,445
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    135,445
    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
    194,692
    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
     
    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
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    194,692
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    194,692
    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 7 135,445
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 2015, 2014 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 129,036
    b From 2014...... 110,854
    c From 2015...... 85,364
    d From 2016...... 115,982
    e From 2017...... 144,673
    fTotal of lines 3a through e........ 585,909
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 194,692
    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..... 135,445
    e Remaining amount distributed out of corpus 59,247
    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 5 645,156
    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) ...
    129,036
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    516,120
    10 Analysis of line 9:
    a Excess from 2014.... 110,854
    b Excess from 2015.... 85,364
    c Excess from 2016.... 115,982
    d Excess from 2017.... 144,673
    e Excess from 2018.... 59,247
    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
    0 0 0 0 0
    b 85% of line 2a ......... 0 0 0 0 0
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
    194,692 0 233,673 0 428,365
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
            0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
    194,692 0 233,673 0 428,365
    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 e-mail address of the person to whom applications should be addressed:
    Online only
    217 N MONROE STREET
    TALLAHASSEE,FL32301
    www.ccbgfoundation.org
    bThe form in which applications should be submitted and information and materials they should include:
    Applications will only be accepted online using the submission form on the organization's website. Applications are only accepted from those organizations that are Non-Profit, Charitable Organizations under Section 501(c)(3).
    cAny submission deadlines:
    APRIL 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Grants are provided only to non-profit, charitable organizations exempt under section 501(c)(3). Further, grants are not given for requests of the following nature: Advertising, Association memberships, Athletic team/event sponsorship, fundraising sponsorship, ticket to attend community functions/fundraisers, professional telephone solicitations, those with religious/political affiliations, those located outside of CCBG's market area.
    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
    A Better Body
    1412 FL GA Hwy
    Havana,FL32333
    None PC Social Services 750
    A Women's Pregnancy Center
    919 W Pensacola St
    Tallahassee,FL32304
    None PC Matching Gift 475
    ACORN Clinic
    23320 N State Road 235
    Broker,FL326225266
    None PC Health/Wellness 1,000
    Advocates for Alzheimer's Care Inc
    PO Box 344
    Dublin,GA31040
    None PC Social Services 2,500
    American Cancer Society - Gainesville
    2119 SW 16th Street
    Gainesville,FL32608
    None PC Matching Gift 1,765
    American Heart Association Inc
    7272 Greenville Ave
    Dallas,TX75231
    None PC Matching Gift 1,270
    America's Second Harvest of the Big Bend
    4446 Entrepot Blvd
    Tallahassee,FL32310
    None PC Family/Children 2,500
    AMIKids Gainesville
    6815 SW Archer Rd
    Gainesville,FL32608
    None PC Social Services 2,000
    AMIkids Tallahassee
    2514 W Tharpe Street
    Tallahassee,FL32309
    None PC Social Services 1,000
    Big Bend Habitat for Humanity
    2921 Roberts Avenue
    Tallahassee,FL32310
    None PC Family/Children 5,000
    Boy Scouts of America Suwannee Area
    2032 Thomasville Road
    Tallahassee,FL32308
    None PC Matching Gift 690
    Boys and Girls Club of Central Georgia
    277 Martin Luther King Jr Blvd Suit
    e 202
    Macon,GA31208
    None PC Family/Children 2,500
    Boys and Girls Club of Citrus County
    PO Box 907
    Homosassa,FL34448
    None PC Family/Children 1,250
    Bradford County Education Foundation
    501 Washington Street
    Starke,FL32091
    None PC Education 2,600
    Bread Basket Club
    PO Box 1111
    Valley,AL36854
    None PC Family/Children 1,250
    Bring Me A Book Franklin Inc
    PO Box 160
    Apalachicola,FL32329
    None PC Family/Children 1,000
    Capital City Youth Services
    2407 Roberts Avenue
    Tallahassee,FL32310
    None PC Family/Children 5,000
    Catholic Charities of Northwest Florida
    11 N B Street
    Pensacola,FL32502
    None PC Matching Gift 250
    Chambers County Council for Neglected & Dep
    Dependent Children Youth PO Box 94
    6
    Valley,AL36854
    None PC Family/Children 1,000
    Chi Omega Social Action Scholarship Found
    PO Box 6252
    Tallahassee,FL32314
    None PC Social Services 500
    Chiefland Middle or High School Running
    2155 NW 21st St
    Chiefland,FL32626
    None PC Education 1,500
    Children's Home Society of FL Mid-FL Div
    711 NW 1st Street
    Gainesville,FL32601
    None PC Family/Children 2,000
    Citrus County Assoc for Retarded Citizens
    5399 W Gulf to Lake Hwy
    Lecanto,FL34461
    None PC Social Services 2,000
    Citrus Hearing Impaired Program Services
    109 NE Crystal Street Suite B
    Crystal River,FL34428
    None PC Social Services 1,500
    Communities in Schools of Bradford Cnty
    113 E Call St
    Starke,FL32091
    None PC Education 2,600
    Concert on the Green Inc
    1432 Course View Dr
    Fleming Island,FL32003
    None PC Social Services 500
    Dixie Education Foundation Inc
    PO Box 2655
    Cross City,FL32628
    None PC Education 2,000
    Early Learning Coalition of the Big Bend
    2639 N Monroe Street Bldg Suite C-3
    00
    Tallahassee,FL32309
    None PC Social Services 2,000
    Easter Seals Middle Georgia
    PO Box 847
    Dublin,GA31040
    None PC Social Services 5,000
    Education Foundation of Gilchrist County
    PO Box 1816
    Trenton,FL32693
    None PC Education 2,000
    Elder Care Services Inc (Big Bend Area)
    2518 W Tennessee St
    Tallahassee,FL32304
    None PC Social Services 3,000
    Embrace Community Center Inc
    294 SE 43rd Street Suite 100
    Keystone Heights,FL32656
    None PC Social Services 500
    Everhart Excellence Foundation
    1203 Thomasville Road
    Tallahassee,FL32303
    None PC Matching Gift 100
    Family Promise of Gainesville Florida
    PO Box 5189
    Gainesville,FL32627
    None PC Social Services 2,000
    Florida Guardian ad Litem Foundation
    PO Box 10688
    Tallahassee,FL32302
    None PC Family/Children 2,000
    Florida Housing Coalition
    1367 E lafayette ST Suite C
    Tallahassee,FL32301
    None PC Social Services 2,500
    Florida Kiwanis Foundation Inc
    Quincy Kiwanis PO Box 448 Quincy FL
    32353-0448
    Quincy,FL32311
    None PC Family/Children 1,000
    Forest Capital Humane Society
    PO Box 1563
    Perry,FL32348
    None PC Environment/Community Needs/Animals 250
    Friends of the Chambers County Drug Court
    205 Jarrett Street
    Valley,AL36854
    None PC Social Services 500
    Gadsden Arts Inc
    13 N Madison Street
    Quincy,FL32351
    None PC Arts 2,500
    Girls on the Run of the Big Bend
    PO Box 13686
    Tallahassee,FL32317
    None PC Family/Children 1,000
    Goodsell United Methodist Church
    PO Box 525
    West Point,GA31833
    None PC Social Services 1,000
    Goodwood Museum and Gardens Inc
    1600 Miccosukee Road
    Tallahassee,FL32308
    None PC Matching Gift 125
    Grace Mission Episcopal Church
    PO Box 10472
    Tallahassee,FL32301
    None PC Social Services 1,000
    Grady County Fine Arts Project
    175 Smith Road
    Cairo,GA39828
    None PC Arts 500
    Grady County Help Agencies Inc
    PO Box 1452
    Cairo,GA39828
    None PC Social Services 3,000
    Gulf Specimen Marine Lab
    PO Box 237
    Panacea,FL32346
    None PC Environment/Community Needs/Animals 1,700
    H Grady Bradshaw Chambers Co Library
    and Codd Memorial Archives 3419 20t
    h Avenue
    Valley,AL36854
    None POF Social Services 750
    Habitat for Humanity of Citrus County
    PO Box 1041
    Crystal River,FL34423
    None PC Social Services 5,000
    Hampton Veteran S Memorial Fund Inc
    9749 Hampton Villas Place
    Hampton,FL32044
    None PC Social Services 400
    Hang Tough Foundaiton Inc
    1400 Village Square Blvd Suite 3-27
    2
    Tallahassee,FL32312
    None PC Social Services 1,500
    Harmony Pregnancy & Resource Center
    PO Box 2557
    Chiefland,FL32626
    None PC Health/Wellness 2,000
    Havana Main Street
    PO Box 346
    Havana,FL32333
    None PC Family/Children 2,500
    Hearts for Hometown Dogs
    3317 Courtney Grade
    Perry,FL32348
    None PC Family/Children 250
    Historic Macon Foundation
    PO Box 13358
    Macon,GA31208
    None PC Arts 1,500
    Holy Comforter Episcopal School Inc
    1400 Village Square Blvd Suite 3-27
    2
    Tallahassee,FL32308
    None PC Education 1,500
    Independence Landing Inc
    2910 Kerry Forest Pkwy Suite 231
    Tallahassee,FL32309
    None PC Environment/Community Needs/Animals 1,000
    Independence Landing Inc
    2910 Kerry Forest Pkwy Suite 231
    Tallahassee,FL32309
    None PC Matching Gift 250
    Interfaith Food Closet
    PO Box 541
    Lanett,AL36863
    None PC Social Services 2,000
    Jefferson Senior Citizens Center
    1155 North Jefferson Street
    Monticello,FL32347
    None PC Social Services 2,000
    Junior Achievement Big Bend
    2840 Pablo Ave
    Tallahassee,FL32308
    None PC Matching Gift 250
    Junior League of Tallahassee
    1848 Thomasville Road
    Tallahassee,FL32317
    None PC Matching Gift 152
    Kiwanis Club of Starke Foundation Inc
    PO Box 125
    Starke,FL32091
    None PC Matching Gift 355
    Kiwanis Club of Valley Alabama
    6301 26th Avenue
    Valley,AL36854
    None PC Education 500
    Lee Conlee Harvest Inc
    PO Box 2558
    Palatka,FL32177
    None PC Matching Gift 250
    Leon County 4-H Association
    615 Paul Russell Road
    Tallahassee,FL32301
    None PC Education 500
    Levy County Education Foundation
    PO Box 1386
    Bronson,FL32621
    None PC Education 7,500
    Live Oak Theatre Inc
    PO Box 12285
    Brooksville,FL34503
    None PC Arts 6,000
    Living Stones International
    PO Box 6747
    Tallahassee,FL323146747
    None PC Social Services 500
    Lutheran Social Services of North Florida
    606 W 4th Avenue Suite 11
    Tallahassee,FL32303
    None PC Social Services 2,500
    Macon Area Habitat for Humanity
    690 Holt Avenue
    Macon,GA31204
    None PC Social Services 2,500
    Making Light Productions
    2720 S Blair Stone Rd Suite G
    Tallahassee,FL32301
    None PC Matching Gift 225
    Matheson History Museum
    513 E University Ave
    Gainesville,FL32601
    None PC Social Services 2,000
    Miccosukee Youth Education Foundation
    PO Box 5452
    Tallahassee,FL32314
    None PC Education 500
    Mount Olive Primitive Baptist Church
    510 NE 15 Street
    Gainesville,FL32641
    None PC Social Services 1,000
    Nature Coast Ministries Inc
    7655 W Gulf to Lake Hwy Suite 8
    Crystal River,FL34429
    None PC Social Services 500
    Navicent Health Foundation
    777 Hemlock St Msc 78
    Macon,GA31201
    None PC Social Services 2,500
    North Central Florida YMCA Inc
    5201 NW 34th Blvd
    Gainesville,FL32605
    None PC Family/Children 2,500
    Operation Santa Cause Inc
    192 Evergreen Ln
    Middleburg,FL32068
    None PC Family/Children 400
    Palaver Tree Theater
    PO Box 541
    Crawfordville,FL32326
    None PC Arts 2,000
    Panacea Waterfronts Florida Partnership
    PO Box 212
    Panacea,FL32346
    None PC Environment/Community Needs/Animals 1,000
    Path of Citrus County Inc
    PO Box 3024
    Inverness,FL34451
    None PC Environment/Community Needs/Animals 1,500
    Pilot Club of Dublin
    PO Box 4461
    Dublin,GA31021
    None PC Health/Wellness 1,500
    Pilot Club of St Augustine
    PO Box 3761
    St Augustine,FL32080
    None PC Health/Wellness 1,750
    Port Theatre Art & Culture Center
    PO Box 1141
    Port St Joe,FL32456
    None PC Arts 1,000
    Pregnancy Help & Information Center (PHI)
    1710 Gadsden Street
    Tallahassee,FL32301
    None PC Matching Gift 50
    Putnam Habitat for Humanity
    PO Box 2433
    Palatka,FL32177
    None PC Environment/Community Needs/Animals 1,660
    Red Hills Wounded Warrior Group Inc
    1111 Brookwood Dr
    Tallahassee,FL32308
    None PC Social Services 1,000
    Robert F Munroe Day School
    91 Old Mt Pleasant Rd
    Quincy,FL32352
    None PC Education 2,500
    Rotary District 6940
    2633 Centennial Blvd Suite 200
    Tallahassee,FL32308
    None PC Social Services 500
    Rotary Youth Camp
    PO Box 10426
    Tallahassee,FL32302
    None PC Education 1,000
    Sav-a-Life Lanett Valley Inc
    PO Box 46
    Lanett,AL36863
    None PC Social Services 1,000
    Southwood Museum & Gardens
    1600 Miccosuekee Road
    Tallahassee,FL32308
    None PC Matching Gift 50
    St Anne's Counseling Center
    9870 W Fort Island Trail
    Crystal River,FL34429
    None PC Social Services 1,250
    St Augustine Society Inc
    1375 Arapaho Ave
    St Augustine,FL320844921
    None PC Social Services 1,200
    Suwannee Foundation for Excellence in Education
    1314 Pine Avenue SW
    Live Oak,FL32060
    None PC Education 2,000
    Suwannee River Area Council Boy Scouts
    2032 Thomasville Road
    Tallahassee,FL32308
    None PC Matching Gift 200
    Tall Timbers Research Inc
    13093 Henry Beadel Dr
    Tallahassee,FL32312
    None PC Environment/Community Needs/Animals 3,000
    Tallahassee Community Chorus
    PO Box 13083
    Tallahassee,FL32317
    None PC Matching Gift 250
    Tallahassee Friends of Our Parks
    912 Myers Park Dr
    Tallahassee,FL32301
    None PC Environment/Community Needs/Animals 2,000
    Tallahassee Senior Center and Foundation
    1400 N Monroe Street
    Tallahassee,FL32303
    None PC Education 1,000
    Tallahassee Youth Orchestras
    PO Box 21104
    Tallahassee,FL32303
    None PC Social Services 2,500
    The ARC of Chattahoochee Valley Inc
    PO Box 416 6345 Fairfax Bypass
    Valley,AL36854
    None PC Education 1,250
    The Living Harvest Inc
    1219 West Tharpe Street
    Tallahasse,FL32303
    None PC Matching Gift 250
    The Tallahassee Community Chorus
    PO Box 13083
    Tallahasse,FL32317
    None PC Education 500
    The Tallahssee Bach Parley Inc
    PO Box 1202
    Tallahassee,FL32303
    None PC Social Services 500
    Tallahassee Memorial Healthcare Foundation Int
    1331 E Sixth Avenue
    Tallahassee,FL32303
    None PC Social Services 10,250
    Tri County Pregnancy Center
    PO Box 743
    Williston,FL32696
    None PC Matching Gift 250
    Tri-County Outreach
    PO Box 2194
    Chiefland,FL32644
    None PC Social Services 2,000
    True Vine Ministries
    PO Box 1259
    Starke,FL32091
    None PC Social Services 500
    Tubman African American Museum
    310 Cherry Street
    Macon,GA31210
    None PC Education 2,500
    United Methodist Church Hastings Homebou
    200 Lattin St
    Hastings,FL32145
    None PC Social Services 1,400
    United Way of Hernando County
    4028 Commercial Way
    Spring Hill,FL34606
    None PC Social Services 2,500
    Unity Family Community Center
    20030 NE 23rd Place
    Williston,FL32696
    None PC Family/Children 1,000
    University of Georgia Foundation
    394 S Milledge Ave Milledge Center
    Suite 100
    Athens,GA30602
    None PC Matching Gift 250
    Veterans Assistance
    5254 state road 54
    New Port Richey,FL34652
    None PC Matching Gift 100
    Wakulla Pregnancy Center
    PO Box 1121
    Crawfordville,FL32327
    None PC Social Services 300
    Washington County Teen Court Inc
    PO Box 30
    Chipley,FL32428
    None PC Social Services 1,500
    We Care Food Pantry
    PO Box 331
    Homosassa,FL34448
    None PC Social Services 2,000
    World Class Schools of Leon County Inc
    300 East Park Ave
    Tallahassee,FL32301
    None PC Education 3,375
    Beach Care Services Inc
    1717 Thomas Drive RM/Ste 31
    Panama City Beach,FL32408
    None PC Social Services 5,000
    Total .................................bullet 3a 194,692
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ...........
        14 10  
    4 Dividends and interest from securities....     14 55,684  
    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 34,453  
    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 90,147 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    90,147
    (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: 18007697
    Software Version: 2018v3.1


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    Capital City Bank Group Foundation Inc
     
    Employer identification number

    59-2276367
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    Capital City Bank Group Foundation Inc
     
    Employer identification number
    59-2276367
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    Capital City Bank
     
    217 N Monroe St
     
    Tallahassee, FL32301

    $ 138,849


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    Capital City Bank Group Foundation Inc
     
    Employer identification number

    59-2276367
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    Capital City Bank Group Foundation Inc
     
    Employer identification number

    59-2276367
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


    Software ID: 18007697
    Software Version: 2018v3.1

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2018 GainLossSaleOtherAssetsSch
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    18007697
    Software Version:
    2018v3.1
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    ST GAIN/LOSS ON SALE OF SECURITIES   P     160,000 162,651 COST   -2,651  
    LT GAIN/LOSS ON SALE OF SECURITIES   P     398,284 364,635 COST   33,649  
    CAPITAL GAIN DISTRIBUTIONS   P     3,455 0 COST   3,455  

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    18007697
    Software Version:
    2018v3.1
    Name of Bond End of Year Book Value End of Year Fair Market Value
    PIMCO Inv Grade Corp INSTL 81,918 74,107
    PIMCO Low Dur INSTL Fund 124,061 120,374
    Vanguard Inflat-Prot Sec Fund IV 0 0
    Goldman Sachs Sht Dur Instl Fund 0 0
    Federated Ultrashort Instl bond fund 75,000 74,670
    Vanguard S/T Inflation Protected Index Fund 20,530 20,394

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    18007697
    Software Version:
    2018v3.1
    Name of Stock End of Year Book Value End of Year Fair Market Value
    Investments - Corporate Stock 1,821,703 1,991,611

    TY 2018 OtherExpensesSchedule
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    18007697
    Software Version:
    2018v3.1
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Misc Expenses 159      
    Filing Fees 61      


    TY 2018 TaxesSchedule
    Name:
    Capital City Bank Group Foundation Inc
    EIN:
    59-2276367
    Software ID:
    18007697
    Software Version:
    2018v3.1
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Excise Tax 8,972      
    Foreign taxes paid 594 594