TY 2018 Form 990PF

- TIN:

Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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
THOMAS AND SANDRA USHER CAMP

Number and street (or P.O. box number if mail is not delivered to street address)421 WEAVER MILL ROAD
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
RECTOR, PA15677

A Employer identification number

30-0337978

B Telephone number (see instructions)

(814) 629-9744

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$17,310,737J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)		(a) Revenue and expenses per books		(b) Net investment income	(c) Adjusted net income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)		955,422
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...		24,995		24,995	24,995
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10			26,690
b	Gross sales price for all assets on line 6a 389,032
7	Capital gain net income (from Part IV, line 2)...				26,827
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances	6,734
b	Less: Cost of goods sold....	8,438
c	Gross profit or (loss) (attach schedule).....			-1,704		-1,704
11	Other income (attach schedule).......			45,760		45,760
12	Total. Add lines 1 through 11........		1,051,163		51,822	69,051
13	Compensation of officers, directors, trustees, etc.
14	Other employee salaries and wages......		293,746				293,746
15	Pension plans, employee benefits.......		117,241				117,285
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......			8,072			8,072
c	Other professional fees (attach schedule)....			8,556	6,160	6,160	2,346
17	Interest...............
18	Taxes (attach schedule) (see instructions)...			452	452
19	Depreciation (attach schedule) and depletion...			880,203
20	Occupancy..............		80,952				83,114
21	Travel, conferences, and meetings.......		1,278				1,265
22	Printing and publications..........		767				1,366
23	Other expenses (attach schedule).......			195,811		62,891	153,659
24	Total operating and administrative expenses.
	Add lines 13 through 23..........		1,587,078		6,612	69,051	660,853
25	Contributions, gifts, grants paid.......		0				0
26	Total expenses and disbursements. Add lines 24 and 25		1,587,078		6,612	69,051	660,853
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements		-535,915
b	Net investment income (if negative, enter -0-)				45,210
c	Adjusted net income (if negative, enter -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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	388,056	759,681	759,681
	2	Savings and temporary cash investments.........	9,648	8,765	8,765
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule) 3,251
		Less: allowance for doubtful accounts	9,806	3,251	3,251
	8	Inventories for sale or use..............	9,728	6,942	6,942
	9	Prepaid expenses and deferred charges..........	15,461	14,548	14,548
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	1,051,855	909,323	909,323
	14	Land, buildings, and equipment: basis 25,035,175
		Less: accumulated depreciation (attach schedule) 9,426,948	16,447,880	15,608,227	15,608,227
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	17,932,434	17,310,737	17,310,737
	17	Accounts payable and accrued expenses..........	15,492	21,518
	18	Grants payable.................
	19	Deferred revenue.................	13,153	25,285
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......	15,000
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........	43,645	46,803
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted..................	17,888,789	17,263,934
	25	Temporarily restricted...............
	26	Permanently restricted...............
		Foundations that do not follow SFAS 117, check here
		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).....	17,888,789	17,263,934
	31	Total liabilities and net assets/fund balances (see instructions).	17,932,434	17,310,737

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

17,888,789

Enter amount from Part I, line 27a .....................

-535,915

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

17,352,874

Decreases not included in line 2 (itemize) bullet

88,940

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .

17,263,934

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	397.818 AQR EQUITY MARKET NEUTRAL-I	P	2017-01-01	2018-02-01
b	139.398 AQR EQUITY MARKET NEUTRAL-I	P	2017-07-17	2018-05-21
c	11.205 AQR LONG-SHORT EQUITY-I	P	2018-05-21	2018-08-09
d	27.475 AQR MANAGED FUTURESW STRATEGY FUND CLASS	P	2018-05-21	2018-08-09
e	96.469 BLACKROCK EVENT DRIVEN EQ-IS	P	2018-05-21	2018-08-09
	246.58 DIAMOND HILL LONG-SHORT FUND CL I	P	2018-02-01	2018-05-21
	57.657 EATON VANCE GLOBAL MACRO ABSOLUTE RETURN	P	2018-05-21	2018-08-09
	279.443 FEDERATED STRATEGIC VALUE DIVIDEND FD CL	P	2017-12-06	2018-01-17
	45.713 GOTHAM ABSOLUTE RETURN-INS	P	2018-05-21	2018-08-09
	3177.621 GOLDMAN SACHS ABASOLUTE RETURN TRACKER F	P	2018-02-01	2018-05-21
	100 ISHARES CORE MSCI EAFE ETF	P	2018-02-01	2018-08-09
	55 ISHARES CORE MSCI EMERGING MKTS	P	2018-02-01	2018-08-09
	44.028 LAZARD GLOBAL LISTED INFRASTRUCTURE PORT	P	2017-12-22	2018-01-17
	3.957 LAZARD GLOBAL LISTED INFRASTRUCTURE PORT	P	2018-03-22	2018-08-09
	77.39 BRANDYWINE GLOBAL ALTERNATIVE CREDIT FUN	P	2018-05-21	2018-08-09
	2793.561 ASG GLOBAL ALATERNATIVES FUND CL Y	P	2017-07-17	2018-02-01
	4760.023 T ROWE PRICE INSTITUTIONAL FLOATING RATE	P	2017-01-01	2018-12-12
	235 VANGUARD TOTAL BOND MARKET ETF	P	2017-09-13	2018-02-01
	393.206 AQR EQUITY MARKET NEUTRAL-I	P	2016-07-26	2018-05-21
	184.52 DIAMOND HILL LONG-SHORT FUND CL I	P	2014-10-24	2018-05-21
	2272.727 FEDERATED STRATEGIC VALUE DIVIDEND FD CL	P	2011-01-11	2018-02-01
	234.295 FEDERATED STRATEGIC VALUE DIVIDEND FD CL	P	2011-01-01	2018-08-09
	384.51 GOLDMAN SACHS ABSOLUTE RETURN TRACKER FU	P	2016-07-26	2018-05-21
	175 ISHARES RUSSELL 1000 ETF	P	2010-12-15	2018-08-09
	35 ISHARES TR S&P SMALLCAP 600 INDEX FD	P	2010-12-15	2018-08-09
	60 ISHARES CORE MSCI EAFE ETF	P	2016-02-25	2018-08-09
	142.423 LAZARD GLOBAL LISTED INFRASTRUCTURE PORT	P	2014-06-03	2018-07-17
	104.542 LAZARD GLOBAL LISTED INFRASTRUCTURE PORT	P	2014-03-06	2018-08-09
	17.287 T ROWE PRICE REAL ESTATE FUND FD 122	P	2015-07-24	2018-02-01
	40.118 T ROWE PRICE REAL ESTATE FUND FD 122	P	2015-07-24	2018-05-21
	50 SPDR TRUST UNIT SER 1	P	2004-09-30	2018-08-09
	16 SPDR MIDCAP TRUST SERIES 1 ETF	P	2010-12-15	2018-08-09
	65.0021 VANGUARD TOTAL BOND MARKET ETF	P	2014-10-28	2018-01-29
	679.9979 VANGUARD TOTAL BOND MARKET ETF	P	2017-01-01	2018-01-29
	388 VANGUARD TOTAL BOND MARKET ETF	P	2017-01-01	2018-02-01
	252 VANGUARD TOTAL BOND MARKET ETF	P	2014-10-07	2018-02-27
	80 VANGUARD TOTAL BOND MARKET ETF	P	2014-10-07	2018-03-21
	300 VANGUARD TOTAL BOND MARKET ETF	P	2014-10-07	2018-08-09
	20 VANGUARD REAL ESTATE ETF	P	2012-11-06	2018-08-09
	Capital Gain Dividends
	Wash Sale

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	4,993	4,986	7
b	1,650	1,702	-52
c	143	152	-9
d	242	247	-5
e	889	880	9
	6,446	6,672	-226
	579	586	-7
	1,718	1,705	13
	673	668	5
	30,918	31,204	-286
	6,434	6,944	-510
	2,940	3,347	-407
	708	705	3
	66	61	5
	803	801	2
	32,210	30,606	1,604
	45,203	46,767	-1,564
	18,877	19,308	-431
	4,656	4,591	65
	4,824	4,047	777
	14,000	9,886	4,114
	1,380	1,019	361
	3,741	3,503	238
	27,857	12,097	15,760
	3,067	1,402	1,665
	3,860	2,983	877
	2,292	1,995	297
	1,734	1,465	269
	468	457	11
	1,075	1,055	20
	14,287	9,588	4,699
	5,866	3,438	2,428
	5,235	5,372	-137
	54,759	57,015	-2,256
	31,168	31,828	-660
	20,064	20,762	-698
	6,337	6,591	-254
	23,679	24,717	-1,038
	1,649	1,190	459
			1,542
			137

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			7
b			-52
c			-9
d			-5
e			9
			-226
			-7
			13
			5
			-286
			-510
			-407
			3
			5
			2
			1,604
			-1,564
			-431
			65
			777
			4,114
			361
			238
			15,760
			1,665
			877
			297
			269
			11
			20
			4,699
			2,428
			-137
			-2,256
			-660
			-698
			-254
			-1,038
			459

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	26,827
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3	-292

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? Yes No

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	589,153	1,197,862	0.49184
2016	522,812	1,363,591	0.38341
2015	376,880	1,715,547	0.21969
2014	413,022	1,634,007	0.25277
2013	406,985	1,539,972	0.26428

Total of line 1, column (d) .....................

1.611977

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 ......

0.322395

Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......

1,297,184

Multiply line 4 by line 3......................

418,206

Enter 1% of net investment income (1% of Part I, line 27b)...........

452

Add lines 5 and 6........................

418,658

Enter qualifying distributions from Part XII, line 4,.............

660,853

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)

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 and enter “N/A" on line 1.
	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	452
	hereand 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	452
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	452
6	Credits/Payments:

a	2018 estimated tax payments and 2017 overpayment credited to 2018	6a	1,414
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	1,414
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.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	962
11	Enter the amount of line 10 to be: Credited to 2019 estimated tax962	Refunded	11

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Yes

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2018)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

KENT A BIERY Telephone no. bullet

(814) 629-9744

Located at bullet

111 LAKE GLORIA ROADBOSWELLPA ZIP+4 bullet

15531

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

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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?.............

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)):

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?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

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.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

Form 990-PF (2018)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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? .................YesNo

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
REV JAMES S WELCH	President 20.00	0
111 LAKE GLORIA ROAD BOSWELL,PA15531	President 20.00	0
ARTHUR E PRACK III	Secretary 1.00	0
501 BEAR TREE CREEK CHAPEL HILL,NC27517	Secretary 1.00	0
KENT A BIERY	Treasurer 5.00	0
111 LAKE GLORIA ROAD BOSWELL,PA15531	Treasurer 5.00	0

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...................

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............. 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	FULL TIME PERSONNEL AND 61 PART TIME AND SEASONAL COUNSELORS USED THE FACILITIES, INCLUDING 10 CABINS, SPORTS PAVILION, POOL, LAKE, ARTS & CRAFTS PAVILION, AND DINING HALL TO SERVE 585 DISADVANTAGED KIDS FROM THE INNER CITY OF PITTSBURGH AND SURROUNDING AREAS DURING 8 WEEKLY CAMP SESSIONS DURING THE SUMMER MONTHS.	0
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)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

1,018,300

Average of monthly cash balances.......................

298,638

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

1,316,938

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

1,316,938

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

19,754

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

1,297,184

Minimum investment return. Enter 5% of line 5..................

64,859

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.)

Minimum investment return from Part X, line 6....................

Tax on investment income for 2018 from Part VI, line 5......

Income tax for 2018. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

Distributable amount before adjustments. Subtract line 2c from line 1............

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

660,853

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

660,853

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.................

452

Adjusted qualifying distributions. Subtract line 5 from line 4..............

660,401

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)

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
2 Undistributed income, if any, as of the end of 2018:
a Enter amount for 2017 only.......
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2018:
a From 2013......
b From 2014......
c From 2015......
d From 2016......
e From 2017......
fTotal of lines 3a through e........
4Qualifying distributions for 2018 from Part
XII, line 4: $
a Applied to 2017, but not more than line 2a
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........
d Applied to 2018 distributable amount.....
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2018.
(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
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........
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......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2017. Subtract line 4a from line 2a. Taxable amount—see instructions .............
f Undistributed income for 2018. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2019 ..........
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) .......
8 Excess distributions carryover from 2013 not applied on line 5 or line 7 (see instructions) ...
9Excess distributions carryover to 2019. Subtract lines 7 and 8 from line 6a ......
10 Analysis of line 9:
a Excess from 2014....
b Excess from 2015....
c Excess from 2016....
d Excess from 2017....
e Excess from 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 section4942(j)(3) or4942(j)(5)

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	(e) Total
	0				0
b 85% of line 2a .........
c Qualifying distributions from Part XII, line 4 for each year listed .....	660,853	589,522	522,981	376,880	2,150,236
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 ....	660,853	589,522	522,981	376,880	2,150,236
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...	43,239	39,929	45,453	57,185	185,806
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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

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)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year

Total ................................. 3a

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
aFACILITIES RENTALS					80
bPROGRAM FEES					45,680
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	24,995
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	26,690
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory			1	-1,704
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..				49,981	45,760

13Total. Add line 12, columns (b), (d), and (e)..................

95,741

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)
1a	The facilities rentals were received from organizations using the camp facilities for retreats and the funds were used to pay for leadership facilitators, meals, utilities and wages of Camp personnel. The retreats were spiritual retreats that accomplishes the religious purpose of the Foundation.
1b	Program fees are tuition for campers and leaders which is used to help defray the cost of the 8 weekly summer camps for disadvantaged inner city kids. Providing the weekly summer camps accomplishes the religious and educational purpose of the Foundation.

Form 990-PF (2018)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2018)

Additional Data

Software ID:	18007218
Software Version:	2018v3.1

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

THOMAS AND SANDRA USHER CAMP

Employer identification number

30-0337978

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 THOMAS AND SANDRA USHER CAMP			Employer identification number 30-0337978

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	CHRISTIAN CAMPS OF PITTSBURGH 111 LAKE GLORIA ROAD BOSWELL, PA15531	$ 605,294		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
2	BENJAMIN STEPHANI PRICE 1651 NW PROFESSIONAL PLAZA COLUMBUS, OH43220	$ 50,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
3	BERGSTROM FOUNDATION 6225 WILSHIRE PINE CIRCLE NAPLES, FL34109	$ 20,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
4	KYLE ERIN WELCH 36 RIVER STONE TRAIL ASHEVILLE, NC28805	$ 10,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
5	ROY PAM LEUKHARDT 271 HECLA ROAD MT PLEASANT, PA15666	$ 30,561		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
6	STEVE SHARON LEE 209 RIVERFRONT ST OAKMONT, PA15139	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Name of organization THOMAS AND SANDRA USHER CAMP			Employer identification number 30-0337978
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
7	COMMUNITY FOUNDATION OF THE ALLEGHE 116 MARKET STREET 4 JOHNSTOWN, PA15901	$ 7,500		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
8	R K MELLON FOUNDATION 500 GRANT STREET PITTSBURGH, PA15219	$ 150,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
9	STEVE BETSY BELL 628 OAKLAND HILLS DR ARNOLD, MD21012	$ 5,052		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
10	DR RUSSELL KATIE CASELLA 1211 CLAREMONT AVE FLORENCE, SC29501	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
11	CLIFFORD BARBARA HELLBURG 207 BUCKINGHAM RD PITTSBURGH, PA15215	$ 10,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
		$		Person Payroll Noncash (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 THOMAS AND SANDRA USHER CAMP		Employer identification number 30-0337978

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 THOMAS AND SANDRA USHER CAMP			Employer identification number 30-0337978
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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:	18007218
Software Version:	2018v3.1

- TIN:

TY 2018 AccountingFeesSchedule

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
ACCOUNTING & AUDITING FEE	7,788	0	0	7,788
PAYROLL PREPARATION FEES	284	0	0	284

- TIN:

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

TY 2018 DepreciationSchedule

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense
STONE LODGE	2006-01-01	124,121	74,472	SL	20.0000	6,206
STONE LODGE	2007-01-01	146	79	SL	20.0000	7
STONE LODGE	2009-01-01	14,862	6,687	SL	20.0000	743
CHESTNUT LODGE	2006-01-01	159,793	95,878	SL	20.0000	7,990
CHESTNUT LODGE	2007-01-01	176	98	SL	20.0000	9
CEDAR LODGE	2006-01-01	107,009	64,203	SL	20.0000	5,350
CEDAR LODGE	2007-01-01	9,108	5,007	SL	20.0000	455
MAINTENANCE BLDG 381	2006-01-01	124,956	74,975	SL	20.0000	6,248
MAINTENANCE BLDG 381	2007-01-01	29,423	16,182	SL	20.0000	1,471
2376 HOUSE	2006-01-01	125,349	75,207	SL	20.0000	6,267
2376 HOUSE	2007-01-01	115,168	63,340	SL	20.0000	5,758
2376 HOUSE	2008-01-01	20,980	10,490	SL	20.0000	1,049
2376 HOUSE	2009-01-01	11,450	5,155	SL	20.0000	573
509 WEAVER MILL	2007-01-01	178,784	98,330	SL	20.0000	8,939
509 WEAVER MILL	2009-01-01	36,108	16,247	SL	20.0000	1,805
509 WEAVER MILL	2011-01-01	16,524	5,782	SL	20.0000	826
DINING HALL	2007-01-01	8,495	4,674	SL	20.0000	425
DINING HALL	2008-01-01	1,661,208	830,602	SL	20.0000	83,060
DINING HALL	2009-01-01	739,676	332,855	SL	20.0000	36,984
CABINS	2007-01-01	16,320	8,976	SL	20.0000	816
CABINS	2008-01-01	823,290	411,648	SL	20.0000	41,165
CABINS	2009-01-01	506,790	228,058	SL	20.0000	25,340
UNIT DIRECTOR'S CABIN	2007-01-01	4,772	2,627	SL	20.0000	239
STORE	2007-01-01	13,030	7,169	SL	20.0000	652
SPORTS PAVILION	2007-01-01	49,602	27,281	SL	20.0000	2,480
SPORTS PAVILION	2008-01-01	1,460,928	730,462	SL	20.0000	73,046
SPORTS PAVILION	2009-01-01	2,059,433	926,747	SL	20.0000	102,972
POOL	2007-01-01	5,209	2,863	SL	20.0000	260
POOL	2008-01-01	348,910	174,457	SL	20.0000	17,446
POOL	2009-01-01	531,588	239,213	SL	20.0000	26,579
POOL LOCKER ROOM	2007-01-01	5,361	2,948	SL	20.0000	268
POOL LOCKER ROOM	2008-01-01	46,464	23,231	SL	20.0000	2,323
POOL LOCKER ROOM	2009-01-01	8,152	3,670	SL	20.0000	408
WATER TREATMENT FACILITY	2008-01-01	46,559	23,280	SL	20.0000	2,328
WATER TREATMENT FACILITY	2009-01-01	7,251	3,265	SL	20.0000	363
FIRE PUMP HOUSE	2008-01-01	103,577	51,789	SL	20.0000	5,179
FIRE PUMP HOUSE	2009-01-01	7,612	3,427	SL	20.0000	381
421 WEAVER MILL HOUSE	2008-01-01	235,083	117,541	SL	20.0000	11,754
421 WEAVER MILL HOUSE	2009-01-01	197,564	88,903	SL	20.0000	9,878
421 WEAVER MILL HOUSE	2010-01-01	461,205	184,481	SL	20.0000	23,060
421 WEAVER MILL HOUSE	2011-01-01	4,130	1,448	SL	20.0000	207
OPEN PAVILION	2009-01-01	15,286	6,877	SL	20.0000	764
BUILDING IMPROV. MGMT.	2007-01-01	513,279	282,304	SL	20.0000	25,664
BUILDING IMPROV. MGMT.	2008-01-01	822,227	411,112	SL	20.0000	41,111
BUILDING IMPROV. MGMT.	2009-01-01	417,163	187,723	SL	20.0000	20,858
BUILDING: A&E	2007-01-01	372,620	204,941	SL	20.0000	18,631
BUILDING :A&E	2008-01-01	160,255	80,129	SL	20.0000	8,013
BUILDING:A&E	2009-01-01	71,153	32,021	SL	20.0000	3,558
BUILDING:A&E	2010-01-01	11,241	4,496	SL	20.0000	562
2006 IMPROVEMENTS	2006-01-01	230,198	55,248	SL	50.0000	4,604
SITE-WELL	2007-01-01	15,249	3,385	SL	50.0000	305
SITE-WELL	2009-01-01	8,494	1,530	SL	50.0000	170
SITE-MASTER PLAN	2007-01-01	203,053	44,671	SL	50.0000	4,061
SITE-MASTER PLAN	2008-01-01	991,587	198,319	SL	50.0000	19,832
SITE-MASTER PLAN	2009-01-01	712,983	128,339	SL	50.0000	14,260
SITE-WATER	2007-01-01	8,475	1,867	SL	50.0000	170
SITE-WATER	2008-01-01	643,525	128,708	SL	50.0000	12,871
SITE-SEWAGE	2007-01-01	24,276	5,343	SL	50.0000	486
SITE-SEWAGE	2008-01-01	1,222,518	244,502	SL	50.0000	24,450
SITE-SEWAGE	2009-01-01	5,143	926	SL	50.0000	103
SITE-ELECTRIC & PHONE	2007-01-01	3,343	736	SL	50.0000	67
SITE-ELECTRIC & PHONE	2008-01-01	1,853,883	370,778	SL	50.0000	37,078
SITE-ELECTRIC & PHONE	2009-01-01	440,750	79,335	SL	50.0000	8,815
SITE-GRADING/ROADS	2007-01-01	4,746	1,044	SL	50.0000	95
SITE-GRADING/ROADS	2008-01-01	1,004,695	200,939	SL	50.0000	20,094
SITE-GRADING/ROADS	2009-01-01	79,038	14,228	SL	50.0000	1,581
SITE-E&S	2007-01-01	16,007	3,521	SL	50.0000	320
SITE-E&S	2008-01-01	172,794	34,559	SL	50.0000	3,456
POND & BRIDGE #1	2007-01-01	377,417	83,030	SL	50.0000	7,548
POND & BRIDGE #1	2008-01-01	108,484	21,698	SL	50.0000	2,170
POND & BRIDGE #1	2009-01-01	506	90	SL	50.0000	10
BRIDGE #2	2007-01-01	2,247	495	SL	50.0000	45
BRIDGE #2	2008-01-01	25,087	5,019	SL	50.0000	502
BRIDGE #2	2009-01-01	192,412	34,633	SL	50.0000	3,848
LANDSCAPING	2007-01-01	3,530	779	SL	50.0000	71
LANDSCAPING	2008-01-01	2,072	412	SL	50.0000	41
LANDSCAPING	2009-01-01	42,719	7,688	SL	50.0000	854
ENTRY ROAD RELOCATION	2007-01-01	146	32	SL	50.0000	3
FIRE PROTECTION	2007-01-01	2,210	485	SL	50.0000	44
SITE-DEMOLITION	2007-01-01	31,104	6,842	SL	50.0000	622
SITE-DEMOLITION	2008-01-01	99,471	19,892	SL	50.0000	1,989
LAND IMPROVEMENT MGMT.	2007-01-01	518,685	114,112	SL	50.0000	10,374
LAND IMPROVEMENT MGMT.	2008-01-01	296,166	59,232	SL	50.0000	5,923
LAND IMPROVEMENT MGMT.	2009-01-01	178,784	32,183	SL	50.0000	3,576
RESIDENCES-WASHER & DRYER	2013-12-16	2,960	1,692	SL	7.0000	423
BRUSH HOG MOWER	2013-10-10	100	60	SL	7.0000	14
SPORTS EQUIPMENT	2013-05-21	3,297	2,159	SL	7.0000	471
WATER TREATMENT EQUIP	2013-07-20	627	397	SL	7.0000	90
PROPANE TANK	2013-02-12	100	69	SL	7.0000	14
ROAD/GRADING	2013-05-31	23,565	5,399	SL	20.0000	1,178
TRACK	2013-06-19	72,503	16,313	SL	20.0000	3,625
ROPE COURSE	2013-07-17	1,625	358	SL	20.0000	81
WATER LINES	2013-04-18	1,172	275	SL	20.0000	59
RESIDENCES - APPLIANCE	2014-01-27	1,201	470	SL	10.0000	120
SPORTS EQUIPMENT	2014-07-17	629	307	SL	7.0000	90
ROAD PAVING	2014-05-19	8,071	1,928	SL	15.0000	538
ARENA SOCCER FIELD	2014-07-30	140,719	24,040	SL	20.0000	7,036
FOOTBALL FIELD	2014-08-08	85,497	14,606	SL	20.0000	4,275
IMPROV - 509 WEAVER MILL	2014-06-13	5,531	992	SL	20.0000	277
VAN	2014-06-13	9,100	6,522	SL	5.0000	1,820
RESIDENCES - CITIKIDZ	2015-12-14	2,898	863	SL	7.0000	414
EQUIPMENT & TOOLS	2015-10-22	1,593	494	SL	7.0000	228
2009 CABIN IMPROVEMENTS	2015-07-13	46,985	5,873	SL	20.0000	2,349
TELEPHONE SYSTEM	2015-10-06	4,050	1,303	SL	7.0000	579
COMPUTER - LAPTOP	2016-09-20	1,467	611	SL	3.0000	489
ROADS - STONE	2016-07-05	1,284	275	SL	7.0000	183
ARENA SOCCER	2016-08-08	2,519	357	SL	10.0000	252
RESIDENCES -STAFF (2)	2016-08-01	629,559	29,729	SL	30.0000	20,985
CAMERA EQUIPMENT	2016-11-21	1,000	217	SL	5.0000	200
BICYCLES	2017-06-05	4,495	375	SL	7.0000	642
RESIDENCES-IMPROV	2017-09-01	27,944	466	SL	20.0000	1,397
2008 PONTIAC G6	2017-05-09	2,750	367	SL	5.0000	550
BLEACHERS	2018-04-23	3,326		SL	20.0000	111
WRESTLING MATS	2018-05-29	8,962		SL	10.0000	523
ARCHERY & OTHER	2018-07-24	2,761		SL	10.0000	115
TRACK IMPROVEMENTS	2018-06-16	4,722		SL	20.0000	118
IMPROV - RESIDENCE	2018-04-25	1,458		SL	20.0000	49

- TIN:

TY 2018 InvestmentsOtherSchedule2

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
ISHARES TIPS BOND	FMV	43,806	43,806
ISHARES CORE MSCI EAFE	FMV	66,000	66,000
VANGUARD TOTAL BOND MARKET	FMV	190,104	190,104
ISHARES CORE MSCI EMERGING	FMV	18,860	18,860
ISHARES RUSSELL 1000	FMV	173,362	173,362
ISHARES CORE S&P SMALL CAP	FMV	20,796	20,796
SPDR S&P 500 ETF TRUST	FMV	99,968	99,968
SPDR MIDCAP TRUST SERIES 1	FMV	36,320	36,320
VANGUARD REAL ESTATE	FMV	9,694	9,694
FEDERATED STRATEGIC VALUE	FMV	9,141	9,141
BLACKROCK STRATEGIC INCOME	FMV	61,603	61,603
LAZARD GLOBAL LISTED INFRASTRUCTURE	FMV	11,696	11,696
BAIRD AGGREGATE BOND FUND	FMV	60,661	60,661
BLACKROCK LOW DURATION BOND	FMV	60,404	60,404
AQR LONG-SHORT EQUITY-I	FMV	6,421	6,421
AQR MANAGED FUTURES STRATEGY	FMV	4,829	4,829
BLACKROCK EVENT DRIVEN EQ - IS	FMV	10,189	10,189
EATON VANCE GLOBAL MACRO	FMV	8,547	8,547
GOTHAM ABSOLUTE RETURN - INS	FMV	7,097	7,097
BRANDYWINE GLOBAL ALTERNATIVE	FMV	9,825	9,825

- TIN:

TY 2018 LandEtcSchedule2

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
Auto./Transportation Equip.	20,341	17,462	2,879	2,879
Furniture and Fixtures	304,303	274,746	29,557	29,557
Buildings	13,540,187	6,958,805	6,581,382	6,581,382
Improvements	9,863,472	2,175,935	7,687,537	7,687,537
Land	1,306,872		1,306,872	1,306,872

- TIN:

TY 2018 OtherExpensesSchedule

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Description	Revenue and Expenses per Books	Adjusted Net Income	Disbursements for Charitable Purposes
ADMINISTRATION	9,947		2,445
CAMPER AWARDS	6,977	6,977
CASUAL LABOR	320		320
CONTRACTED SERVICES	4,500	4,500
FIXED ASSETS PURCHASED			31,991
FOOD COSTS	72,665	50,885	19,265
INSURANCE	44,042		43,581
MAINTENANCE & REPAIRS	24,596		23,505
OFFICE EXPENSE	8,015		8,200
STAFF DEVELOPMENT & RECRUITMENT	3,393		3,619
SUPPLIES - CAMP PROGRAMS	9,501		9,423
SUPPLIES - KITCHEN	529	529
VEHICLE EXPENSE	11,326		11,310

- TIN:

TY 2018 OtherIncomeSchedule2

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
FACILITIES RENTALS	80		80
PROGRAM FEES	45,680		45,680

- TIN:

TY 2018 OtherProfessionalFeesSchedule

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
OTHER CONTRACTED SERVICES	2,396	0	0	2,346
PNC (HAWTHORN) ADVISORY FEES	6,160	6,160	6,160	0

- TIN:

TY 2018 SalesOfInventoryList

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Category	Gross Sales	Cost of Goods Sold	Net (Gross Sales Minus Cost of Goods Sold)
CAMP STORE	6,734	8,438	-1,704

- TIN:

TY 2018 TaxesSchedule

Name:

THOMAS AND SANDRA USHER CAMP

EIN:

30-0337978

Software ID:

18007218

Software Version:

2018v3.1

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
EXCISE TAX	452	452