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
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
PETERSEN BRUCE & CECILIA FDN-MAIN
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

82-2622856
B Telephone number (see instructions)

(888) 730-4933
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$16,662,622
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) 11,257,989
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 200,497 196,376  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,120,984
b Gross sales price for all assets on line 6a 7,041,512
7 Capital gain net income (from Part IV, line 2)... 1,120,984
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 12,579,470 1,317,360  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 85,249 63,937   21,312
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 4,100 0 0 4,100
b Accounting fees (attach schedule)....... 995 0 0 995
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 7,912 6,926   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 8,593 73   8,520
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 106,849 70,936 0 34,927
25 Contributions, gifts, grants paid....... 65,500 65,500
26 Total expenses and disbursements. Add lines 24 and 25 172,349 70,936 0 100,427
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 12,407,121
b Net investment income (if negative, enter -0-) 1,246,424
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.............      
2 Savings and temporary cash investments......... 166,747 2,065,699 2,065,699
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,709,971 Click to see attachment15,116,105 14,596,923
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,876,718 17,181,804 16,662,622
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 4,876,718 17,181,804
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)..... 4,876,718 17,181,804
31 Total liabilities and net assets/fund balances (see instructions). 4,876,718 17,181,804
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
4,876,718
2
Enter amount from Part I, line 27a .....................
2
12,407,121
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
3,316
4
Add lines 1, 2, and 3 ..........................
4
17,287,155
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
105,351
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
17,181,804
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 6345. MANULIFE FINANCIAL CORP   2016-12-13 2018-02-12
b 100. TJX COMPANIES INC   2016-12-06 2018-02-14
c 670. FACEBOOK INC   2016-12-06 2018-02-15
d 690. AFFILIATED MANAGERS GROUP, INC COM   2016-12-13 2018-03-16
e 990. ALIGN TECHNOLOGY INC   2016-12-06 2018-03-16
26. AMERICAN INTERNATIONAL GROU 1/19/21     2018-03-16
4775. BOSTON SCIENTIFIC CORP COM   2016-12-06 2018-03-16
675. CELANESE CORP   2016-12-06 2018-03-16
25000. CLARK CNTY NV 4.000% 6/01/19     2018-03-16
440. CONSTELLATION BRANDS INC     2018-03-16
100. DIAGEO PLC - ADR   2016-12-06 2018-03-16
100. WALT DISNEY CO   2016-12-06 2018-03-16
1188. DUKE ENERGY HOLDING CORP. COM     2018-03-16
770. ENBRIDGE INC     2018-03-16
25000. FLORIDA KEYS FL AQUE 5.000% 9/01/21   2016-12-06 2018-03-16
1625. FORTUNE BRANDS HOME & SECURITY   2016-12-06 2018-03-16
275. HOME DEPOT INC   2016-12-06 2018-03-16
600. ESTEE LAUDER COMPANIES INC   2016-12-06 2018-03-16
25000. MATANUSKA-SUSITNA BO 5.000% 11/01/19   2016-12-06 2018-03-16
1525. MERCK & CO INC NEW     2018-03-16
25000. MIAMI-DADE CNTY FLA 5.000% 7/01/19     2018-03-16
1000. NIKE INC CL B     2018-03-16
1125. PNC FINANCIAL SERVICES GROUP   2016-12-13 2018-03-16
3580. ROCHE HOLDINGS LTD - ADR   2016-12-13 2018-03-16
1345. SCHLUMBERGER LTD     2018-03-16
1405. SPIRIT AEROSYTSEMS HOLD-CL A   2016-12-13 2018-03-16
705. STARBUCKS CORP COM   2016-12-06 2018-03-16
4010. SUNCOR ENERGY INC NEW F   2016-12-13 2018-03-16
25000. TACOMA WA 4.000% 12/01/19   2016-12-06 2018-03-16
25000. TARRANT CNTY TX CULT 5.000% 8/15/18   2016-12-06 2018-03-16
25000. TEXAS ST TECH UNIV 4.000% 2/15/20   2016-12-06 2018-03-16
137. THERMO FISHER SCIENTIFIC INC   2016-12-06 2018-03-16
200. TOTAL S.A. - ADR   2016-12-06 2018-03-16
800. TRACTOR SUPPLY CO COM     2018-03-16
1. US BANCORP   2016-12-06 2018-03-16
25000. UTAH ST UNIV REVENUE 5.000% 12/01/20   2016-12-06 2018-03-16
25000. WASHINGTON CNTY UT 4.000% 12/01/18     2018-03-16
25000. WASHINGTON CNTY UT 4.500% 10/01/18     2018-03-16
25000. WICHITA FALLS TX 4.000% 9/01/21   2016-12-06 2018-03-16
95. ALPHABET INC/CA   2016-12-06 2018-03-20
27. AMAZON COM INC COM   2016-12-06 2018-03-20
1157. APPLE INC     2018-03-20
534. BOEING CO     2018-03-20
54. BOOKING HOLDINGS INC   2016-12-06 2018-03-20
1776. CISCO SYSTEMS INC   2016-12-13 2018-03-20
2748. CISCO SYSTEMS INC   2018-02-15 2018-03-20
1577. CITIGROUP INC     2018-03-20
1176. COGNIZANT TECH SOLUTIONS CRP COM   2016-12-13 2018-03-20
1601. COMCAST CORP CLASS A   2016-12-13 2018-03-20
367. FACEBOOK INC   2016-12-06 2018-03-20
100. GILEAD SCIENCES INC   2016-12-06 2018-03-20
109. JPMORGAN CHASE & CO   2016-12-06 2018-03-20
184. LAS VEGAS SANDS CORP   2016-12-13 2018-03-20
646. MICROSOFT CORP     2018-03-20
45. UNITED PARCEL SERVICE-CL B   2016-12-13 2018-03-20
554. VISA INC-CLASS A SHRS     2018-03-20
31. BROADCOM LTD   2018-02-14 2018-03-20
153. APPLE INC   2016-12-06 2018-04-10
15. MICROSOFT CORP   2016-12-06 2018-04-10
364. APPLE INC   2016-12-06 2018-04-20
17. BOOKING HOLDINGS INC   2016-12-06 2018-04-20
768. CISCO SYSTEMS INC     2018-04-20
718. CITIGROUP INC     2018-04-20
889. COGNIZANT TECH SOLUTIONS CRP COM   2016-12-13 2018-04-20
1479. COMCAST CORP CLASS A     2018-04-20
232. FACEBOOK INC   2016-12-06 2018-04-20
686. JPMORGAN CHASE & CO   2016-12-06 2018-04-20
696. LAS VEGAS SANDS CORP     2018-04-20
116. MICROSOFT CORP   2016-12-06 2018-04-20
321. VISA INC-CLASS A SHRS     2018-04-20
800. AMERICAN TOWER REIT     2018-04-23
101. AVALONBAY CMNTYS INC   2016-12-06 2018-04-23
149. BOSTON PROPERTIES INC COM   2016-12-06 2018-04-23
191. CORESITE REALTY CORP   2018-03-16 2018-04-23
187. DIGITAL RLTY TR INC   2018-03-16 2018-04-23
344. EPR PROPERTIES   2018-03-16 2018-04-23
1600. EXTRA SPACE STORAGE INC   2016-12-06 2018-04-23
2000. PROLOGIS INC     2018-04-23
100. SIMON PROPERTY GROUP INC   2016-12-06 2018-04-23
2. ALPHABET INC/CA   2018-03-20 2018-05-02
200. MCKESSON CORP   2016-12-06 2018-05-02
154. MCKESSON CORP   2018-03-20 2018-05-02
17. AMAZON COM INC COM   2016-12-06 2018-06-18
27. BERSHIRE HATHAWAY INC.   2018-03-20 2018-06-18
16. BLACKROCK INC   2018-03-20 2018-06-18
52. BOEING CO   2016-12-13 2018-06-18
117. MICROSOFT CORP   2016-12-06 2018-06-18
170. TARGET CORP   2016-12-06 2018-06-18
189. CORESITE REALTY CORP   2018-03-16 2018-06-21
193. DIGITAL RLTY TR INC   2018-03-16 2018-06-25
142.0519 SKYBRIDGE MULTI-ADVISER HF LLC (RF)     2018-06-29
5.361 SKYBRIDGE MULTI-ADVISER HF LLC (RF)   2017-12-29 2018-06-29
9032.04 SKYBRIDGE MULTI-ADVISER 5% HOLDBACK   2018-06-29 2018-06-30
153. ALEXION PHARMACEUTICALS INC   2018-03-20 2018-07-18
43. ALPHABET INC/CA   2018-03-20 2018-07-18
3. AMAZON COM INC COM   2016-12-06 2018-07-18
35. BLACKROCK INC   2018-03-20 2018-07-18
2. BLACKROCK INC   2016-12-06 2018-07-18
56. CME GROUP INC   2018-03-20 2018-07-18
166. CVS HEALTH CORPORATION   2018-03-20 2018-07-18
108. CELGENE CORP COM   2016-12-06 2018-07-18
93. CHEVRON CORP   2018-03-20 2018-07-18
34. CONSTELLATION BRANDS INC   2018-03-20 2018-07-18
111. WALT DISNEY CO   2018-03-20 2018-07-18
73. ECOLAB INC   2018-03-20 2018-07-18
163. EXXON MOBIL CORPORATION   2018-03-20 2018-07-18
147. FORTIVE CORP   2018-03-20 2018-07-18
272. HALLIBURTON CO   2018-03-20 2018-07-18
45. ESTEE LAUDER COMPANIES INC   2018-03-20 2018-07-18
166. ELI LILLY & CO COM   2018-03-20 2018-07-18
74. NETFLIX.COM INC   2018-03-20 2018-07-18
439. SALESFORCE COM INC   2018-03-20 2018-07-18
75. TRANSDIGM GROUP INC   2018-03-20 2018-07-18
54. UNITEDHEALTH GROUP INC   2018-03-20 2018-07-18
27. VERTEX PHARMACEUTICALS INC COM   2018-04-10 2018-07-18
88. BLACKROCK INC   2016-12-06 2018-07-20
44. PPG INDUSTRIES INC   2018-03-20 2018-07-20
60. CELGENE CORP COM   2016-12-06 2018-08-15
64. ELI LILLY & CO COM   2018-03-20 2018-08-15
67. MICROSOFT CORP   2016-12-06 2018-08-15
50. APPLE INC   2018-07-18 2018-08-27
365. CHEVRON CORP   2018-03-20 2018-08-27
145. CISCO SYSTEMS INC     2018-08-27
495. COCA COLA CO   2018-07-18 2018-08-27
541. EXXON MOBIL CORPORATION   2018-03-20 2018-08-27
55. TARGET CORP   2016-12-06 2018-08-27
3. AMAZON COM INC COM   2016-12-06 2018-09-12
21. BERSHIRE HATHAWAY INC.   2018-03-20 2018-09-12
64. CVS HEALTH CORPORATION   2018-03-20 2018-09-12
32. CELGENE CORP COM   2016-12-06 2018-09-12
685. CELGENE CORP COM   2018-03-20 2018-09-12
71. FORTIVE CORP   2018-03-20 2018-09-12
1481. HALLIBURTON CO   2018-03-20 2018-09-12
12. BOOKING HOLDINGS INC     2018-10-05
2046. OUTFRONT MEDIA INC   2018-03-16 2018-10-31
600. TJX COMPANIES INC     2018-11-02
248. US BANCORP   2016-12-06 2018-11-02
600. UNITED PARCEL SERVICE-CL B   2016-12-13 2018-11-02
349. ALEXION PHARMACEUTICALS INC   2018-11-02 2018-11-20
38. ALPHABET INC/CA   2018-03-20 2018-11-20
20. AMAZON COM INC COM   2018-11-02 2018-11-20
320. APPLE INC   2018-11-02 2018-11-20
95. BOEING CO   2018-11-02 2018-11-20
989. CISCO SYSTEMS INC   2018-11-02 2018-11-20
661. COGNIZANT TECH SOLUTIONS CRP COM   2018-07-18 2018-11-20
296. CONCHO RESOURCES INC   2018-11-02 2018-11-20
208. CONSTELLATION BRANDS INC   2018-03-20 2018-11-20
422. EOG RESOURCES, INC     2018-11-20
761. FACEBOOK INC     2018-11-20
71. FACEBOOK INC   2016-12-06 2018-11-20
586. FORTIVE CORP   2018-03-20 2018-11-20
1475. LAS VEGAS SANDS CORP     2018-11-20
469. ELI LILLY & CO COM     2018-11-20
424. MICROSOFT CORP   2018-11-02 2018-11-20
1834. MORGAN STANLEY     2018-11-20
98. NETFLIX.COM INC   2018-03-20 2018-11-20
535. SALESFORCE COM INC     2018-11-20
88. THERMO FISHER SCIENTIFIC INC   2016-12-06 2018-11-20
125. TRANSDIGM GROUP INC   2018-11-02 2018-11-20
351. US BANCORP   2016-12-06 2018-11-20
132. VERTEX PHARMACEUTICALS INC COM   2018-09-12 2018-11-20
85. VERTEX PHARMACEUTICALS INC COM   2018-11-02 2018-11-20
1982. RLJ LODGING TRUST   2018-03-16 2018-11-29
8. ALPHABET INC/CA   2018-03-02 2018-12-19
7. AMAZON COM INC COM   2018-11-02 2018-12-19
95. SALESFORCE COM INC   2018-03-20 2018-12-19
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 125,258   118,175 7,083
b 7,624   7,732 -108
c 120,057   78,432 41,625
d 131,470   110,608 20,862
e 270,986   93,609 177,377
426   578 -152
132,742   99,010 33,732
71,346   54,206 17,140
25,635   25,725 -90
100,093   65,300 34,793
13,570   10,069 3,501
10,329   10,027 302
91,426   87,805 3,621
24,378   31,629 -7,251
27,364   27,256 108
99,984   89,359 10,625
48,993   35,587 13,406
86,782   46,335 40,447
26,234   26,323 -89
84,071   94,339 -10,268
25,982   26,063 -81
66,278   50,680 15,598
178,320   129,224 49,096
103,163   101,742 1,421
87,880   115,672 -27,792
120,956   83,573 37,383
41,961   40,481 1,480
129,640   134,175 -4,535
25,915   25,991 -76
25,324   25,376 -52
25,981   26,071 -90
29,123   19,570 9,553
11,434   9,665 1,769
50,567   60,988 -10,421
53   51 2
26,956   27,129 -173
25,388   25,411 -23
25,361   25,403 -42
26,589   26,500 89
104,342   74,034 30,308
42,591   20,594 21,997
203,078   131,935 71,143
180,779   83,587 97,192
116,040   81,056 34,984
79,013   54,397 24,616
122,256   120,963 1,293
115,436   94,046 21,390
99,221   66,755 32,466
55,556   56,115 -559
61,046   42,962 18,084
7,719   7,231 488
12,544   9,060 3,484
13,870   10,676 3,194
60,381   38,844 21,537
4,865   5,405 -540
69,200   42,846 26,354
7,511   7,623 -112
26,524   16,796 9,728
1,387   902 485
60,317   39,958 20,359
36,071   25,518 10,553
33,664   23,348 10,316
50,097   42,200 7,897
72,697   50,464 22,233
49,013   50,781 -1,768
38,606   27,159 11,447
76,133   57,020 19,113
51,517   40,383 11,134
10,981   6,975 4,006
39,638   24,826 14,812
109,695   81,580 28,115
16,270   16,662 -392
17,641   18,711 -1,070
20,101   20,084 17
19,160   19,663 -503
18,373   19,405 -1,032
137,905   113,392 24,513
130,171   101,570 28,601
14,701   18,064 -3,363
2,072   2,201 -129
31,183   28,830 2,353
24,011   21,886 2,125
29,288   12,967 16,321
5,162   5,548 -386
8,428   8,921 -493
18,448   8,140 10,308
11,796   7,035 4,761
13,096   13,016 80
20,806   19,874 932
20,853   20,255 598
174,071   160,483 13,588
6,569   6,279 290
9,032   9,032  
20,755   18,452 2,303
51,379   47,314 4,065
5,541   2,288 3,253
17,753   19,516 -1,763
1,014   747 267
9,573   9,228 345
11,232   10,456 776
9,258   12,669 -3,411
11,187   10,675 512
7,201   7,757 -556
12,242   11,240 1,002
10,499   9,994 505
13,319   12,078 1,241
11,407   11,512 -105
12,172   12,400 -228
6,320   6,667 -347
14,890   13,051 1,839
28,059   23,536 4,523
64,455   55,260 9,195
27,060   23,173 3,887
13,793   12,270 1,523
4,897   4,361 536
44,317   32,858 11,459
4,641   5,044 -403
5,426   7,039 -1,613
6,562   5,032 1,530
7,184   4,029 3,155
10,917   9,519 1,398
43,888   41,895 1,993
6,731   4,265 2,466
22,613   22,330 283
43,475   40,088 3,387
4,768   4,211 557
5,937   2,288 3,649
4,514   4,315 199
4,935   4,031 904
2,771   3,754 -983
59,321   60,845 -1,524
6,055   5,560 495
56,767   67,519 -10,752
23,041   24,513 -1,472
36,438   39,999 -3,561
65,620   46,391 19,229
12,864   12,524 340
63,790   72,072 -8,282
40,841   42,864 -2,023
38,638   41,813 -3,175
29,861   33,290 -3,429
56,387   66,200 -9,813
29,996   34,143 -4,147
43,790   45,143 -1,353
44,678   54,293 -9,615
39,799   42,201 -2,402
39,689   47,452 -7,763
43,026   49,935 -6,909
100,339   126,745 -26,406
9,361   8,311 1,050
42,540   45,890 -3,350
74,479   95,449 -20,970
53,807   51,378 2,429
42,982   45,105 -2,123
78,894   88,372 -9,478
26,076   31,169 -5,093
64,421   71,084 -6,663
20,511   12,571 7,940
40,994   43,247 -2,253
19,003   17,726 1,277
21,123   23,526 -2,403
13,602   14,767 -1,165
40,040   40,472 -432
8,448   9,159 -711
10,948   11,652 -704
12,833   11,958 875
      17,031
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       7,083
b       -108
c       41,625
d       20,862
e       177,377
      -152
      33,732
      17,140
      -90
      34,793
      3,501
      302
      3,621
      -7,251
      108
      10,625
      13,406
      40,447
      -89
      -10,268
      -81
      15,598
      49,096
      1,421
      -27,792
      37,383
      1,480
      -4,535
      -76
      -52
      -90
      9,553
      1,769
      -10,421
      2
      -173
      -23
      -42
      89
      30,308
      21,997
      71,143
      97,192
      34,984
      24,616
      1,293
      21,390
      32,466
      -559
      18,084
      488
      3,484
      3,194
      21,537
      -540
      26,354
      -112
      9,728
      485
      20,359
      10,553
      10,316
      7,897
      22,233
      -1,768
      11,447
      19,113
      11,134
      4,006
      14,812
      28,115
      -392
      -1,070
      17
      -503
      -1,032
      24,513
      28,601
      -3,363
      -129
      2,353
      2,125
      16,321
      -386
      -493
      10,308
      4,761
      80
      932
      598
      13,588
      290
       
      2,303
      4,065
      3,253
      -1,763
      267
      345
      776
      -3,411
      512
      -556
      1,002
      505
      1,241
      -105
      -228
      -347
      1,839
      4,523
      9,195
      3,887
      1,523
      536
      11,459
      -403
      -1,613
      1,530
      3,155
      1,398
      1,993
      2,466
      283
      3,387
      557
      3,649
      199
      904
      -983
      -1,524
      495
      -10,752
      -1,472
      -3,561
      19,229
      340
      -8,282
      -2,023
      -3,175
      -3,429
      -9,813
      -4,147
      -1,353
      -9,615
      -2,402
      -7,763
      -6,909
      -26,406
      1,050
      -3,350
      -20,970
      2,429
      -2,123
      -9,478
      -5,093
      -6,663
      7,940
      -2,253
      1,277
      -2,403
      -1,165
      -432
      -711
      -704
      875
       
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 1,120,984
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2017 5,833 4,136,550 0.00141
2016 0 0 0.0
2015 0 0 0.0
2014 0 0 0.0
2013 0 0 0.0
2
Total of line 1, column (d) .....................
2
0.00141
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
0.00141
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
8,825,357
5
Multiply line 4 by line 3......................
5
12,444
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
12,464
7
Add lines 5 and 6........................
7
24,908
8
Enter qualifying distributions from Part XII, line 4,.............
8
100,427
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 12,464
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 12,464
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 12,464
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 493
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 19,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 19,493
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 7,029
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet7,029 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)
    bulletUT
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    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 addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    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
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Wells Fargo Bank NA TRUSTEE
    1
    85,249    
    100 N Main St MAC D4001-117
    WINSTON SALEM,NC27101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    7,410,142
    b
    Average of monthly cash balances.......................
    1b
    1,549,611
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,959,753
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    8,959,753
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    134,396
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    8,825,357
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    441,268
    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
    441,268
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    12,464
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    12,464
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    428,804
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    428,804
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    428,804
    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
    100,427
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    100,427
    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
    12,464
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    87,963
    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 7 428,804
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 65,072
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 0
    b From 2014...... 0
    c From 2015...... 0
    d From 2016...... 0
    e From 2017...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 100,427
    a Applied to 2017, but not more than line 2a 65,072
    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..... 35,355
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........
    393,449
    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) ...
    0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 0
    c Excess from 2016.... 0
    d Excess from 2017.... 0
    e Excess from 2018.... 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    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.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF U
    322 E 300 S
    SALT LAKE CITY,UT84111
    NONE PC GENERAL OPERATING 10,000
    UTAH YOUTH VILLAGE
    5800 HIGHLAND DR
    HOLLADAY,UT84121
    NONE PC GENERAL OPERATING 20,000
    THE ROAD HOME
    210 S RIO GRANDE ST
    SALT LAKE CITY,UT84101
    NONE PC GENERAL OPERATING 3,000
    MOUNTAINLANDS COMMUNITY HEALTH CENTER
    589 S STATE
    PROVO,UT84606
    NONE PC GENERAL OPERATING 10,000
    KOSTOPULOS DREAM FOUNDATION
    4180 EMIGRATION CANYON RD
    SALT LAKE CITY,UT84108
    NONE PC GENERAL OPERATING 5,000
    JUNIOR ACHIEVEMENT OF UTAH
    515 SOUTH 700 EAST
    SALT LAKE CITY,UT84102
    NONE PC GENERAL OPERATING 5,000
    THERAPEUTIC PRESCHOOL PROGRAM
    350 SOUTH 400 EAST
    SALT LAKE CITY,UT84111
    NONE PC GENERAL OPERATING 5,000
    ASSISTANCE LEAGUE OF SALT LAKE CITY
    2090 E 3300 S
    SALT LAKE CITY,UT84109
    NONE PC GENERAL OPERATING 7,500
    Total .................................bullet 3a 65,500
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 200,497  
    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 1,120,984  
    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)..   1,321,481  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,321,481
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    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
    PETERSEN BRUCE & CECILIA FDN-MAIN
     
    Employer identification number

    82-2622856
    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
    PETERSEN BRUCE & CECILIA FDN-MAIN
     
    Employer identification number
    82-2622856
    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
    PETERSON JERRY BRUCE ESTATE  
    4801 SOUTHWEST PARKWAY
     
    AUSTIN, TX78735

    $ 11,257,989


    (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
    PETERSEN BRUCE & CECILIA FDN-MAIN
     
    Employer identification number

    82-2622856
    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
    1
    VARIOUS PUBLICLY TRADED SECURITIES $ 675,895 2018-10-01
    (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
    PETERSEN BRUCE & CECILIA FDN-MAIN
     
    Employer identification number

    82-2622856
    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:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 995     995

    TY 2018 GeneralExplanationAttachment
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Identifier Return Reference Explanation
    The compensation reported in column (c) is calculated based on periodic market values and/or the applicable fee agreement. It is not determined on an hourly basis and the reference to one hour per week is an estimate only. Corporate trustee services include, but are not limited to, administrative services such as fiduciary accounting, custody of assets, complying with tax filing requirements, complying with distribution provisions, and complying with federal and state laws applicable to private foundations, plus asset management services such as creating asset allocation strategies, investments reporting and reallocating and rebalancing of portfolios as necessary.

    TY 2018 InvestmentsOtherSchedule2
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    89114QBU1 TORONTO-DOMINION BAN AT COST 49,521 49,570
    72201F516 PIMCO EMERGING LOCAL AT COST 20,760 19,939
    922031737 VANGUARD INFLAT-PROT AT COST 279,004 271,032
    053484101 AVALONBAY CMNTYS INC AT COST 16,333 17,231
    000843201 ACAP STRATEGIC FUND- AT COST 250,000 245,143
    893641100 TRANSDIGM GROUP INC AT COST 76,225 81,614
    77957P105 T ROWE PRICE SHORT T AT COST 374,195 374,195
    126650100 CVS/CAREMARK CORPORA AT COST 108,415 101,622
    192446102 COGNIZANT TECH SOLUT AT COST 91,955 74,526
    34959J108 FORTIVE CORP AT COST 86,729 74,494
    70299PGP6 PARTNERS GROUP PRIVA AT COST 228,797 264,214
    45866F104 INTERCONTINENTALEXCH AT COST 80,104 75,179
    693390593 PIMCO MODERATE DURAT AT COST 553,340 553,893
    606822BA1 MITSUBISHI UFJ FIN AT COST 49,941 50,231
    961214BK8 WESTPAC BANKING CORP AT COST 50,774 50,776
    458140AR1 INTEL CORP AT COST 49,612 50,053
    00206RAX0 AT&T INC 4.450% 5/15 AT COST 50,921 51,083
    46625HJD3 JPMORGAN CHASE & CO AT COST 51,232 51,520
    046353AF5 ASTRAZENECA PLC 1.95 AT COST 49,606 49,640
    907818108 UNION PACIFIC CORP AT COST 76,295 74,506
    79466L302 SALESFORCE COM INC AT COST 55,943 78,895
    26884U109 EPR PROPERTIES AT COST 20,815 23,627
    90267B682 ETRACS ALERIAN MLP E AT COST 40,199 35,938
    98978V103 ZOETIS INC AT COST 79,937 77,157
    9128283H1 US TREASURY NOTE AT COST 396,703 396,860
    693391559 PIMCO EMERG MKTS BD- AT COST 20,863 20,444
    89152UAB8 TOTAL CAPITAL SA 4.2 AT COST 51,435 51,533
    166764AH3 CHEVRON CORP 3.191% AT COST 49,125 49,922
    097023105 BOEING COMPANY AT COST 53,002 81,593
    87612E106 TARGET CORP AT COST 90,329 77,127
    21036P108 CONSTELLATION BRANDS AT COST 138,031 101,317
    56063N600 MAINSTAY CONVERTIBLE AT COST 99,315 87,964
    00287YBC2 ABBVIE INC AT COST 49,313 49,748
    9128285P1 US TREASURY NOTE AT COST 502,813 508,710
    277911491 EATON VANCE FLOATING AT COST 80,000 76,733
    14040HBM6 VR CAPITAL ONE FIN 2 AT COST 49,375 49,192
    38141GWG5 GOLDMAN SACHS GROUP AT COST 48,990 49,064
    172967FT3 CITIGROUP INC 4.500% AT COST 50,954 51,087
    17275R102 CISCO SYSTEMS INC AT COST 57,597 76,954
    532457108 ELI LILLY & CO COM AT COST 62,582 81,120
    74460D109 PUBLIC STORAGE INC C AT COST 106,988 101,205
    26875P101 EOG RESOURCES, INC AT COST 130,561 100,553
    20030N101 COMCAST CORP CLASS A AT COST 78,378 75,523
    609207105 MONDELEZ INTERNATION AT COST 120,123 109,802
    12572Q105 CME GROUP INC AT COST 92,289 108,169
    92826C839 VISA INC-CLASS A SHR AT COST 105,410 118,218
    9128285Q9 US TREASURY NOTE AT COST 800,477 803,624
    002824BD1 ABBOTT LABORATORIES AT COST 48,904 49,566
    377373AD7 GLAXOSMITHKLINE CAPI AT COST 48,926 49,394
    278865100 ECOLAB INC AT COST 79,751 81,190
    437076102 HOME DEPOT INC AT COST 79,478 80,412
    693475105 PNC FINANCIAL SERVIC AT COST 129,941 114,689
    92276F100 VENTAS INC COM AT COST 39,973 47,399
    015351109 ALEXION PHARMACEUTIC AT COST 85,263 68,736
    91324P102 UNITEDHEALTH GROUP I AT COST 116,785 131,286
    29444U700 EQUINIX INC AT COST 40,484 34,198
    464287234 ISHARES TR MSCI EMER AT COST 1,133,570 1,048,253
    58463J304 MEDICAL PPTYS TR INC AT COST 40,362 50,234
    00206R102 AT & T INC AT COST 118,588 114,588
    370334CE2 GENERAL MILLS INC AT COST 49,072 49,709
    14149YAZ1 CARDINAL HEALTH INC AT COST 49,701 49,647
    89236TFN0 TOYOTA MOTOR CREDIT AT COST 49,538 50,084
    037833BF6 APPLE INC AT COST 49,316 49,443
    278642AC7 EBAY INC 3.250% 10/1 AT COST 49,855 49,954
    828807CG0 SIMON PROPERTY GROUP AT COST 50,871 51,184
    254687106 WALT DISNEY CO AT COST 115,061 115,790
    32054K103 FIRST INDL RLTY TR I AT COST 40,142 39,192
    191216100 COCA COLA CO AT COST 113,770 114,208
    46625H100 JPMORGAN CHASE & CO AT COST 127,141 113,044
    58933Y105 MERCK & CO INC NEW AT COST 139,598 142,275
    02079K107 ALPHABET INC/CA AT COST 109,910 114,953
    20605P101 CONCHO RESOURCES INC AT COST 122,831 90,044
    71943U104 PHYSICIANS REALTY TR AT COST 40,204 42,624
    126650DD9 VR CVS HEALTH CORP AT COST 49,983 49,597
    61746BED4 MORGAN STANLEY AT COST 48,427 48,802
    101121101 BOSTON PROPERTIES IN AT COST 18,962 16,995
    693506107 PPG INDUSTRIES INC AT COST 87,478 80,557
    464287804 ISHARES TR SMALLCAP AT COST 621,720 572,375
    464287499 ISHARES TR RUSSELL M AT COST 1,651,894 1,490,428
    172967424 CITIGROUP INC AT COST 86,029 66,533
    86562MAQ3 SUMITOMO MITSUI FINL AT COST 48,382 48,721
    023135106 AMAZON COM INC AT COST 82,595 111,146
    037833100 APPLE COMPUTER INC C AT COST 64,830 68,932
    518439104 ESTEE LAUDER COMPANI AT COST 128,239 115,659
    594918104 MICROSOFT CORP AT COST 86,516 118,329
    92532F100 VERTEX PHARMACEUTICA AT COST 85,923 83,518
    BIT990000 BLACKSTONE REAL ESTA AT COST 1,000,000 1,000,424
    09857L108 BOOKING HOLDINGS INC AT COST 75,923 79,231
    464287465 ISHARES MSCI EAFE AT COST 1,669,946 1,486,605
    084670702 BERSHIRE HATHAWAY IN AT COST 115,818 114,137
    64110L106 NETFLIX.COM INC AT COST 99,099 80,298

    TY 2018 LegalFeesSchedule
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NON-ALLOCABLE LEGAL FEES 4,100     4,100


    TY 2018 OtherDecreasesSchedule
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Description Amount
    EXCESS FMV OVER COST OF ASSETS RECEIVED 97,661
    PURCHASE OF ACCRUED INTERST C/O TO FY 7,690


    TY 2018 OtherExpensesSchedule
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ADMINISTRATIVE EXPENSE 4,260 0   4,260
    OTHER ADMINISTRATIVE EXPENSE 4,260 0   4,260
    INVESTMENT EXPENSES-DIVIDEND I 73 73   0


    TY 2018 OtherIncreasesSchedule
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Description Amount
    MUTUAL FUND TIMING DIFFERENCE 1,128
    COST BASIS ADJUSTMENT 578
    AMORTIZATION C/O FROM PY 1,610


    TY 2018 SubstantialContributorsSch
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Name Address
    PETERSON JERRY BRUCE ESTATE 4801 SOUTHWEST PARKWAY
    AUSTIN,TX78735


    TY 2018 TaxesSchedule
    Name:
    PETERSEN BRUCE & CECILIA FDN-MAIN
    EIN:
    82-2622856
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 6,501 6,501   0
    FEDERAL TAX PAYMENT - PRIOR YE 493 0   0
    FEDERAL ESTIMATES - PRINCIPAL 493 0   0
    FOREIGN TAXES ON NONQUALIFIED 425 425   0