Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 09-01-2017 , and ending 08-31-2018
Name of foundation
George W Mergens Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 633
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Milton, VT05468
A Employer identification number

03-0345055
B Telephone number (see instructions)

(802) 893-4854
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$20,948,595J 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) 10,000
2 Check bullet.............
3 Interest on savings and temporary cash investments 4,806 4,806  
4 Dividends and interest from securities... 393,386 393,386  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 359,664
b Gross sales price for all assets on line 6a 2,856,172
7 Capital gain net income (from Part IV, line 2)... 359,664
8 Net short-term capital gain.........  
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........ 767,856 757,856  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 368,750 105,716   263,034
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 62,584 18,938   43,645
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 2,850 1,425   1,425
c Other professional fees (attach schedule).... Click to see attachment 65,183 65,183    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 32,885 7,662   19,021
19 Depreciation (attach schedule) and depletion... 1,816 521  
20 Occupancy.............. 25,652 7,354   18,298
21 Travel, conferences, and meetings....... 1,119 392   727
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment -25,376 -7,335   -18,102
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 535,463 199,856   328,048
25 Contributions, gifts, grants paid....... 1,126,833 1,126,833
26 Total expenses and disbursements. Add lines 24 and 25 1,662,296 199,856   1,454,881
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -894,440
b Net investment income (if negative, enter -0-) 558,000
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2019)
Form 990-PF (2019)
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............. 18,178 106,475 106,475
2 Savings and temporary cash investments......... 1,051,390 387,023 387,023
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
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)....... 13,960,522 Click to see attachment13,305,968 15,343,432
c Investments—corporate bonds (attach schedule)....... 4,808,089 Click to see attachment5,146,089 5,107,906
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet11,938
Less: accumulated depreciation (attach schedule) bullet8,179 5,575 Click to see attachment3,759 3,759
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 19,843,754 18,949,314 20,948,595
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 FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 19,843,754 18,949,314
29 Total net assets or fund balances (see instructions)..... 19,843,754 18,949,314
30 Total liabilities and net assets/fund balances (see instructions). 19,843,754 18,949,314
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
19,843,754
2
Enter amount from Part I, line 27a .....................
2
-894,440
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
18,949,314
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
18,949,314
Form 990-PF (2019)
Form 990-PF (2019)
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 Publicly Traded Securities      
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 2,856,172 0 2,496,508 359,664
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a 0 0 0 359,664
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 359,664
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))
2018 766,767 20,365,236 0.037651
2017 704,757 17,132,306 0.041136
2016 423,180 9,667,029 0.043776
2015 392,046 9,941,464 0.039435
2014 358,790 9,900,593 0.036239
2
Total of line 1, column (d) .....................
2
0.198237
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
0.039647
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
21,103,524
5
Multiply line 4 by line 3......................
5
836,691
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
5,580
7
Add lines 5 and 6........................
7
842,271
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,454,881
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 (2019)
Form 990-PF (2019)
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 5,580
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 5,580
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 5,580
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 5,600
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.............. Part VI Line 7 - Original Return Overpayment: -5600 7 5,600
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 20
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet20 RefundedBullet 11  
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)
    bulletVT
    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 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    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 ofbulletPAUL G MERGENS Telephone no.bullet (802) 862-6770

    Located atbulletPO Box 633MiltonVT ZIP+4bullet05468
    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 2019, 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 2019?.............
    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 2019, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2019?.............
    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 2019 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 2019.)..................
    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 2019?
    4b
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    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
    PAUL G MERGENS PRESIDENT & TREASURE
    40.00     		150,000 31,478 0
    PO Box 633
    Milton,VT05468
    MARY E MERGENS-LOUGHRAN Vice-President
    5.00     		0 0 0
    PO Box 633
    Milton,VT05468
    LENORA MERGENS Secretary
    5.00     		0 0 0
    PO Box 633
    Milton,VT05468
    WILLIAM H WILTSHIRE V-P; DIRECTOR OF OPE
    32.00     		150,000 18,233 0
    PO Box 633
    Milton,VT05468
    RACHEL MERGENS V-P; DIRECTOR OF FIN
    30.00     		68,750 12,873 0
    PO Box 633
    Milton,VT05468
    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 (2019)
    Form 990-PF (2019)
    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 (2019)
    Form 990-PF (2019)
    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
    20,575,691
    b
    Average of monthly cash balances.......................
    1b
    849,206
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    21,424,897
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    21,424,897
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    321,373
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    21,103,524
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,055,176
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,055,176
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    5,580
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,580
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,049,596
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    1,049,596
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,049,596
    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
    1,454,881
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,454,881
    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
    5,580
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,449,301
    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 (2019)
    Form 990-PF (2019)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2018     		(c)
    2018     		(d)
    2019
    1 Distributable amount for 2019 from Part XI, line 7 1,049,596
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only....... 393,265
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2019:
    a From 2014......  
    b From 2015......  
    c From 2016......  
    d From 2017......  
    e From 2018......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 1,454,881
    a Applied to 2018, but not more than line 2a 393,265
    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 2019 distributable amount..... 1,049,596
    e Remaining amount distributed out of corpus 12,020
    5 Excess distributions carryover applied to 2019.    
    (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 12,020
    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 2018. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2019. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2020 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2014 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......     		12,020
    10 Analysis of line 9:
    a Excess from 2015....  
    b Excess from 2016....  
    c Excess from 2017....  
    d Excess from 2018....  
    e Excess from 2019.... 12,020
    Form 990-PF (2019)
    Form 990-PF (2019)
    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 2019, 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) 2019 (b) 2018 (c) 2017 (d) 2016
             
    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).)
    PAUL G MERGENS
    MARY MERGENS-LOUGHRAN
    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 e-mail address of the person to whom applications should be addressed:
    PAUL G MERGENS
    PO Box 633
    Milton,VT05468
    (802) 862-6770
    bThe form in which applications should be submitted and information and materials they should include:
    ANY FORM OF APPLICATION IS ACCEPTABLE. INCLUDE ORGANIZATIONAL INFORMATION AND INTENDED CHARITABLE USE OF FUNDS.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2019)
    Form 990-PF (2019)
    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
    Vermont Youth Orchestra
    223 Ethan Allen Avenue
    Colchester,VT05446     		  PC Music InspiresProgram 12,500
    Our Community Cares Camp
    PO Box 503
    Richmond,VT05477     		  PC OperatingSupport 10,000
    ReSource
    266 Pine Street
    Burlington,VT05401     		  PC OperatingSupport 5,000
    Vermont Youth Conservation Corps
    1949 East Main Street
    Richmond,VT05477     		  PC FarmProgram 46,778
    Rice Memorial High School
    99 Proctor Avenue
    South Burlington,VT05403     		  PC OperatingSupport 2,500
    Vermont Association for the Blind & Visually Impaired
    37 Elmwood Avenue
    Burlington,VT05401     		  PC HAPIProgram 3,000
    Camp-Ta-Kum-Ta
    PO Box 459
    South Hero,VT05486     		  PC OperatingSupport 20,000
    Vermont Historical Society
    60 Washington Street
    Barre,VT05641     		  PC Vermont HistoryDay 5,000
    Saint Francis Xavier School
    5 Saint Peter Street
    Winooski,VT05404     		  PC OperatingSupport 45,000
    Saint Francis Xavier School
    5 Saint Peter Street
    Winooski,VT05404     		  PC CapitalProject 400,000
    Greater Burlington YMCA
    266 College Street
    Burlington,VT05401     		  PC CapitalCampaign 100,000
    BSA Green Mountain Council
    PO Box 557
    Waterbury,VT05676     		  PC CampNorris 22,300
    BSA Green Mountain Council
    PO Box 557
    Waterbury,VT05676     		  PC OperatingSupport 70,000
    Girls on the Run
    PO Box 483
    Essex Junction,VT05453     		  PC OperatingSupport 7,500
    Lake Champlain Maritime Museum
    4472 Basin Harbor Road
    Vergennes,VT05491     		  PC RowingProgram 10,000
    Spruce Peak Arts Center Foundation
    122 Hour Glass Drive
    Stowe,VT05672     		  PC Youth Access toPerforming Arts 3,000
    Cancer Patient Support Foundation
    PO Box 1804
    Williston,VT05495     		  PC OperatingSupport 5,000
    Aspire Together
    56 Colchester Avenue
    Burlington,VT05401     		  PC My Growth PlanProgram 10,000
    Roman Catholic Diocese of Burlington
    55 Joy Drive
    South Burlington,VT05403     		  PC Bishop's FundAppeal 10,000
    BSA Boy Scout Troop 631
    26 Bombardier Road
    Milton,VT05468     		  PC OperatingSupport 35,000
    In-Sight Photography
    45 Flat Street 1
    Brattleboro,VT05301     		  PC OperatingSupport 21,500
    Saint Mary's Church
    133 School Street
    Waltham,MA02451     		  PC AfterschoolProgram 10,000
    Bishop John Marshall School
    680 LaPorte Road
    Morrisville,VT05661     		  PC TuitionAssistance 30,000
    New England Youth Theatre
    100 Flat Street
    Brattleboro,VT05301     		  PC Town SchoolProgram 5,000
    Milton Community Youth Coalition
    PO Box 543
    Milton,VT05468     		  PC OperatingSupport 6,650
    Laraway Youth & Family Services
    PO Box 621
    Johnson,VT05656     		  PC RecreationalEquipment 10,255
    Friars Suppliers
    583 South 7th Street
    Lindenhurst,NY11757     		  PC HaitiMission 5,000
    Arts Bus
    67 Main Street
    Randolph,VT05060     		  PC Photo JournalismProgram 1,300
    BSA Troop 635
    40 Lavoie Drive
    Essex Junction,VT05452     		  PC High AdventureWeek 4,800
    Retreat Farm Ltd
    45 Farmhouse Square
    Brattleboro,VT05301     		  PC Middle SchoolProgram 5,000
    Care Net of Mid-Coast Maine
    PO Box 969
    Brunswick,ME04011     		  PC OperatingSupport 16,000
    Fondation Enfant Jesus
    1730 South Federal Highway
    Delray Beach,FL33483     		  PC OrphanageSupport 1,000
    Common Ground Center
    473 Tatro Road
    Starksboro,VT05487     		  PC April AdventureCamp 2,500
    The Seedlings Program
    PO Box 605
    Bennington,VT05201     		  PC OperatingSupport 2,000
    Echo Leahy Center for Lake Chammplain
    1 College Street
    Burlington,VT05401     		  PC SciExcelProgram 10,000
    Essex CHIPS
    2 Lincoln Street 2nd Floor
    Essex Junction,VT05452     		  PC TeenLineProgram 10,000
    Spectrum Youth & Family Services
    31 Elmwood Avenue
    Burlington,VT05401     		  PC OperatingSupport 10,000
    Vermont Symphony Orchestra Association
    2 Church Street Suite 3B
    Burlington,VT05401     		  PC Symphony KidsProgram 5,000
    Westford School
    146 Brookside Road
    Westford,VT05494     		  PC RoboticsTeam 1,000
    Barre Historical Society
    PO Box 496
    Barre,VT05641     		  PC CapitalRenovations 2,000
    King Street Center
    87 King Street
    Burlington,VT05401     		  PC AfterschoolExcellence Program 5,000
    Vermont Department of Forests & Recreation
    100 Mineral Street 304
    Springfield,VT05156     		  PC State ParkSummer Program 1,250
    Vermont Foodbank
    PO Box 254
    South Barre,VT05670     		  PC BackpackProgram 15,000
    South Hero Library Foundation
    76 South Street
    South Hero,VT05486     		  PC CapitalCampaign 20,000
    STARBASE Vermont
    62 NCO Drive Building 90
    South Burlington,VT05403     		  PC OperatingSupport 5,000
    Mary Johnson Childrens Center
    PO Box 985
    Middlebury,VT05753     		  PC Summer CampProgram 2,000
    Saint Paul's Catholic Church
    54 Eastern Avenue
    Barton,VT05822     		  PC OperatingSupport 7,000
    Audubon Vermont
    255 Sherman Hollow Road
    Huntington,VT05462     		  PC NatureProgram 10,000
    HOPE
    PO Box 403
    Lyndon Center,VT05850     		  PC Backpack andClothing Program 5,000
    Children's Literacy Foundation
    1536 Loomis Hill Road
    Waterbury Center,VT05677     		  PC OperatingSupport 5,000
    Vermont Patriots
    201 Juniper Drive
    South Burlington,VT05403     		  PC OperatingSupport 5,000
    Vermont Adaptive Ski & Sport
    PO Box 139
    Killington,VT05751     		  PC C.O.R.E.Program 10,000
    Lund Family Center
    76 Glen Road
    Burlington,VT05404     		  PC Kids-A-PartProgram 5,000
    Lyric Theatre Company
    PO Box 1688
    Williston,VT05495     		  PC CapitalCampaign 50,000
    Total .................................bullet 3a 1,126,833
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 4,806  
    4 Dividends and interest from securities....     14 393,386  
    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 ............     		    18 359,664  
    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)..   757,856  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    757,856
    (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 (2019)
    Form 990-PF (2019)
    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 (2019)
    Additional Data


    Software ID:  
    Software Version:  
    Part VI Line 7 -Original Return Overpayment: -5,600


    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
    2019
    Name of the organization
    George W Mergens Foundation
     
    Employer identification number

    03-0345055
    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) (2019)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
    Name of organization
    George W Mergens Foundation
          		Employer identification number
    03-0345055
    Part I
    Contributors
    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
    PAUL G MERGENS
    PO Box 718
     
    Milton, VT05468

    		$ 10,000


    (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) (2019)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
    Page 3
    Name of organization
    George W Mergens Foundation
          		Employer identification number

    03-0345055
    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) (2019)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
    Page 4
    Name of organization
    George W Mergens Foundation
          		Employer identification number

    03-0345055
    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) (2019)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2017 AccountingFeesSchedule
    Name:
    George W Mergens Foundation
    EIN:
    03-0345055
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Vermont CPA Firm Accounting & Tax Preparation 2,447 1,224   1,223
    Intuit Online Payroll Processing 403 201   202

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

    TY 2017 GainLossSaleOtherAssetsSch
    Name:
    George W Mergens Foundation
    EIN:
    03-0345055
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    Publicly Traded Securities   Purchased   UNRELATED THIRD PARTIES 2,856,172 2,496,508 Cost   359,664  

    TY 2017 InvestmentsCorpBondsSchedule
    Name:
    George W Mergens Foundation
    EIN:
    03-0345055
    Name of Bond End of Year Book Value End of Year Fair Market Value
    213,000 Schwab U.S. Treasury Money Investment Fund 213,000 213,000
    7,758 Guggenheim Total Return Inst. Bond Fund 209,000 208,686
    36,834 Miller Convertible Bond Fund Class I 470,000 480,313
    24,521 Nuveen Preferred Sec & Income Fund I 430,000 413,420
    2,613 Vanguard Short Term Corporate Bond ETF 209,044 204,860
    10,391 Vanguard Market Neutral Investment Fund 125,000 125,312
    75,593 Doubleline Funds Total Return Bond Fund 846,063 786,928
    11,165 Guggenheim Macro Opportunities Inst. Fund 300,000 296,539
    42,833 Loomis Sayles Institutional Bond Fund 502,006 578,677
    60,059 Osterweis Strategic Income Fund 685,340 679,867
    30,783 T. Rowe Price Institutional Floating Rate Fund 316,744 306,902
    77,912 Vanguard Total Bond Market Index Admiral Fund 839,892 813,402

    TY 2017 InvestmentsCorpStockSchedule
    Name:
    George W Mergens Foundation
    EIN:
    03-0345055
    Name of Stock End of Year Book Value End of Year Fair Market Value
    6,628sh Flexshares Upstream Natural IDX ETF 195,573 219,586
    3,744sh IShares Global Materials ETF 224,887 249,650
    5,126sh Vanguard Growth ETF 645,232 823,953
    2,576sh Vanguard Mid-Cap ETF 364,632 426,714
    1,939sh Vanguard Small Cap ETF 260,664 321,215
    7,387sh Vanguard Value ETF 710,127 817,889
    10,149sh Arbitrage Fund Class I 136,000 132,651
    13,386sh Gabelli ABC Fund Advantage Class 136,000 138,945
    15,494sh Gateway Fund Class Y 505,000 530,811
    37,591sh Maingate MLP Fund Class I 348,005 324,031
    35,016sh Matthews Emerging Asia Inst. Fund 502,126 479,013
    20,688sh Matthews Pacific Tiger Inst. Fund 561,442 619,393
    26,379sh MFS International Value Func Class R6 1,057,486 1,171,248
    12,686sh Morgan Stanley Frontier Markets Portfolio I 240,230 214,777
    40,908sh Oakmark International Inst. Fund 1,066,231 1,058,284
    65,797sh Swan Defined Risk Inst. Fund 793,518 865,895
    3,600sh Vanguard International Equity Index Fund 205,664 203,040
    22,283sh AQR Diversified Arbitrage Fund Class I 240,966 210,579
    21,737sh Arbitrage Event-Driven Fund I 222,591 207,592
    14,082sh Artisan Value Investments 179,130 213,205
    14,836sh Baron Emerging Markets Institutional Fund 170,720 203,104
    19,769sh BBH Core Select Fund 377,079 423,641
    22,271sh Brandes Emerging Markets Value Fund 226,715 189,077
    13,655sh Champlain Mid Cap Fund 199,154 270,769
    4,157sh Cove Street Capital Small Cap Inst. Fund 142,800 157,433
    16,845sh FMI Large Cap Fund 322,841 383,897
    2,941sh Harbor Funds Capital Appreciation Inst. Fund 174,160 240,074
    3,028sh Harbor Funds International Inst. Fund 195,642 196,023
    7,951sh Harris Associates Oakmark Global Fund I 171,137 259,615
    14,125sh Lazard International Strategic Equity Inst. Fund 153,079 222,757
    3,226sh Oakmark Fund 214,593 287,830
    13,416sh Parametric Emerging Markets Fund 198,737 194,268
    17,567sh Touchstone Institutional Funds Sand Cap Fund 308,535 465,713
    7,651sh Vanguard Growth Index Admiral Fund 375,943 633,261
    1,740sh Vanguard REIT Indes Admiral Fund 204,382 207,171
    7,216sh Vanguard Total International Stock Index Admiral Fund 180,491 209,912
    10,536sh Vanguard Total Stock Market Admiral Fund 532,501 769,864
    13,025sh Vanguard Value Index Admiral Fund 394,418 562,829
    885sh Vanguard 500 Index Admiral Fund 167,537 237,723

    TY 2017 LandEtcSchedule2
    Name:
    George W Mergens Foundation
    EIN:
    03-0345055
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Leasehold Improvements 3,623 1,811 1,812  
    Office Equipment 8,315 6,368 1,947  


    TY 2017 OtherExpensesSchedule
    Name:
    George W Mergens Foundation
    EIN:
    03-0345055
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Computer Services 952 273   679
    Office & Other Supplies 1,870 536   1,334
    Postage 389 112   277
    Telephone 3,604 1,033   2,571
    Meals & Entertainment 426 61   304
    Insurance 1,003 288   715
    State Filing Fee 20 6   14
    Operating Cost Reimbursement from A.A. Mergens Foundation -33,640 -9,644   -23,996


    TY 2017 OtherProfessionalFeesSchedule
    Name:
    George W Mergens Foundation
    EIN:
    03-0345055
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Providers Investment Management Services 65,183 65,183    


    TY 2017 TaxesSchedule
    Name:
    George W Mergens Foundation
    EIN:
    03-0345055
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Payroll Taxes 26,682 7,662   19,021
    Federal Excise Taxes 6,203