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 11-01-2017 , and ending 10-31-2018
Name of foundation
TW LUCY C HARRIS GBH
 
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

58-6163828
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$5,005,770J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 93,230 93,084  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 159,068
b Gross sales price for all assets on line 6a 1,130,642
7 Capital gain net income (from Part IV, line 2)... 159,068
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)....... Click to see attachment 839    
12 Total. Add lines 1 through 11........ 253,137 252,152  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 68,457 44,851   23,606
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 1,138 0 0 1,138
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,914 2,464   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)....... Click to see attachment 42 42    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 74,551 47,357 0 24,744
25 Contributions, gifts, grants paid....... 199,000 199,000
26 Total expenses and disbursements. Add lines 24 and 25 273,551 47,357 0 223,744
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -20,414
b Net investment income (if negative, enter -0-) 204,795
c Adjusted net income (if negative, enter -0-)... 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.............      
2 Savings and temporary cash investments......... 125,259 211,971 211,971
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).......... 4,263,845 Click to see attachment4,149,426 4,793,799
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) 4,389,104 4,361,397 5,005,770
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........ 4,389,104 4,361,397
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 4,389,104 4,361,397
30 Total liabilities and net assets/fund balances (see instructions). 4,389,104 4,361,397
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
4,389,104
2
Enter amount from Part I, line 27a .....................
2
-20,414
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,163
4
Add lines 1, 2, and 3 ..........................
4
4,369,853
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
8,456
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,361,397
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 8. CDK GLOBAL INC   2016-11-25 2017-11-16
b 37. DAVITA HEALTHCARE PARTNERS INC     2017-11-16
c 15. KAR AUCTION SERVICES INC   2013-03-15 2017-11-16
d 8. LEUCADIA NATL CORP COM   2012-08-17 2017-11-16
e 8. LIBERTY SIRIUSXM GROUP     2017-11-16
10. MOTOROLA SOLUTIONS, INC.   2012-08-17 2017-11-16
21. AXALTA COATING SYSTEMS LTD   2016-08-11 2017-11-16
2. NVR INC COM   2017-08-25 2017-11-17
19. DAVITA HEALTHCARE PARTNERS INC     2017-11-22
16. KAR AUCTION SERVICES INC   2013-03-15 2017-11-22
8. LEUCADIA NATL CORP COM   2012-08-17 2017-11-22
7. LIBERTY SIRIUSXM GROUP   2012-08-17 2017-11-22
8. MOTOROLA SOLUTIONS, INC.   2012-08-17 2017-11-22
26. DAVITA HEALTHCARE PARTNERS INC     2017-12-06
7. DOLLAR TREE INC     2017-12-06
8. LIBERTY BROADBAND CORP     2017-12-06
19. SENSATA TECHNOLOGIES HOLDING     2017-12-06
6684.72 TOUCHSTONE SMALL CAP CORE-IN 555     2017-12-07
.18 LENNAR CORP     2017-12-08
.82 LENNAR CORP     2017-12-08
.14 LENNAR CORP   2017-03-01 2017-12-19
.14 LENNAR CORP   2016-03-14 2017-12-19
26. FOX FACTORY HOLDING CORP   2017-08-25 2017-12-20
11. MOTOROLA SOLUTIONS, INC.   2012-08-17 2018-01-12
8. VERISK ANALYTICS INC     2018-01-12
35. AMERIPRISE FINL INC     2018-01-24
8. BOEING CO   2016-01-20 2018-01-24
26. CISCO SYSTEMS INC     2018-01-24
26. COMCAST CORP CLASS A   2015-09-01 2018-01-24
29. SPIRIT AEROSYTSEMS HOLD-CL A   2016-10-03 2018-01-24
13. EATON CORP PLC   2014-01-03 2018-01-24
15. LEUCADIA NATL CORP COM   2012-08-17 2018-02-05
10. LOEWS CORP   2012-08-17 2018-02-05
10. MICROCHIP TECHNOLOGY INC COM   2012-08-17 2018-02-05
8. MOTOROLA SOLUTIONS, INC.   2012-08-17 2018-02-05
9. VERISIGN INC COM   2012-08-17 2018-02-05
26. SENSATA TECHNOLOGIES HOLDING   2012-08-17 2018-02-05
8. UNION PACIFIC CORP   2015-10-23 2018-02-13
19. LEUCADIA NATL CORP COM   2012-08-17 2018-02-22
11. LOEWS CORP   2012-08-17 2018-02-22
23. SENSATA TECHNOLOGIES HOLDING   2012-08-17 2018-02-22
50. CISCO SYSTEMS INC     2018-03-06
18. UNITEDHEALTH GROUP INC     2018-03-06
39. AUTOHOME INC-ADR   2017-08-25 2018-03-12
.75 BROWN FORMAN CORP CL B   2017-05-10 2018-03-16
10. FIDELITY NATL INFORMATION SVCS INC   2012-08-17 2018-03-20
53. FOREST CITY REALTY TRUST-A     2018-03-20
5. LOEWS CORP   2012-08-17 2018-03-20
9. M & T BANK CORPORATION COM     2018-03-20
16. LIBERTY GLOBAL PLC-A     2018-03-20
10. SENSATA TECHNOLOGIES HOLDING   2012-08-17 2018-03-20
10.5 BROWN FORMAN CORP CL B   2017-05-10 2018-04-02
3.5 BROWN FORMAN CORP CL B   2016-11-29 2018-04-02
14. FIDELITY NATL INFORMATION SVCS INC   2012-08-17 2018-04-02
44. FOREST CITY REALTY TRUST-A   2012-08-17 2018-04-02
21. LEUCADIA NATL CORP COM     2018-04-02
32. LOEWS CORP   2012-08-17 2018-04-02
34. AXALTA COATING SYSTEMS LTD     2018-04-02
3057.065 JPMORGAN U.S. L/C CORE PLUS-S 1002     2018-04-04
888.099 T ROWE PRICE BLUE CHIP-I #429     2018-04-04
58. AFFILIATED MANAGERS GROUP, INC COM     2018-04-09
7. DIAGEO PLC - ADR   2014-01-03 2018-04-09
1. FOX FACTORY HOLDING CORP   2017-08-25 2018-04-09
17. TOTAL S.A. - ADR   2014-01-03 2018-04-09
25. FOREST CITY REALTY TRUST-A   2012-08-17 2018-04-17
30. LOEWS CORP   2012-08-17 2018-04-17
14. MACQUARIE INFRASTRUCTURE COMPANY LLC     2018-04-17
11. AXALTA COATING SYSTEMS LTD   2016-07-28 2018-04-18
6. WHITE MTNS INS GROUP     2018-04-18
65. FOX FACTORY HOLDING CORP   2017-08-25 2018-05-03
51. FOX FACTORY HOLDING CORP   2017-08-25 2018-05-04
10. AUTOHOME INC-ADR   2017-08-25 2018-05-08
33. DOLLAR TREE INC     2018-05-10
8. ECOLAB INC     2018-05-10
12. FIDELITY NATL INFORMATION SVCS INC   2012-08-17 2018-05-10
13. INTUIT COM   2012-08-17 2018-05-10
43. LOEWS CORP     2018-05-10
7. M & T BANK CORPORATION COM   2011-10-17 2018-05-10
52. MACQUARIE INFRASTRUCTURE COMPANY LLC     2018-05-10
11. AON PLC     2018-05-10
12. DOLLAR TREE INC   2015-11-20 2018-05-25
7. FIDELITY NATL INFORMATION SVCS INC   2012-08-17 2018-05-25
13. INTUIT COM   2012-08-17 2018-05-25
25. LIBERTY BROADBAND CORP     2018-05-25
13. AON PLC     2018-05-25
2806. E-TRACS ALERIAN MLP INFRASTRUCTURE     2018-06-05
2751. VANGUARD REIT VIPER     2018-06-05
3294.075 BROWN ADV SMALL-CAP GROW-INS #1279   2017-12-07 2018-06-06
50. DOLLAR TREE INC     2018-06-22
6. ECOLAB INC   2012-08-17 2018-06-22
14. FIDELITY NATL INFORMATION SVCS INC   2012-08-17 2018-06-22
6. INTUIT COM   2012-08-17 2018-06-22
10. LOEWS CORP   2015-07-27 2018-06-22
22. AON PLC     2018-06-22
51. BAYER AG ADR- RIGHTS DEEMED 7/15/18   2016-12-09 2018-07-02
4409.171 TEMPLETON EMER MKT S/C-ADV 626   2013-07-11 2018-07-11
6. BERSHIRE HATHAWAY INC.   2016-01-20 2018-07-12
149. COMCAST CORP CLASS A     2018-07-12
12. ELI LILLY & CO COM   2016-10-03 2018-07-12
16. MERCK & CO INC NEW   2016-04-22 2018-07-12
10. MICROSOFT CORP   2016-10-03 2018-07-12
42. MCKESSON CORP     2018-07-17
19. APPLE INC     2018-07-24
22. MICROSOFT CORP     2018-07-24
5. THERMO FISHER SCIENTIFIC INC   2016-01-20 2018-07-24
19. AIR PRODS & CHEMS INC COM     2018-07-26
7. ECOLAB INC   2012-08-17 2018-07-26
15. FIDELITY NATL INFORMATION SVCS INC   2012-08-17 2018-07-26
9. INTUIT COM     2018-07-26
15. ROSS STORES INC   2017-07-27 2018-07-26
5. ROSS STORES INC     2018-07-26
10. S&P GLOBAL INC     2018-07-26
7. AON PLC     2018-07-26
204. BAYER AG - ADR   2016-12-09 2018-07-30
214. ABAXIS INC     2018-07-31
19. AUTODESK INC     2018-08-01
12. FIDELITY NATL INFORMATION SVCS INC   2012-08-17 2018-08-01
13. MOODYS CORP     2018-08-01
31. ROSS STORES INC     2018-08-01
8. S&P GLOBAL INC   2016-01-08 2018-08-01
8. AON PLC     2018-08-01
62. CITIGROUP INC   2014-03-25 2018-08-08
1. ANSYS INC   2018-06-22 2018-08-14
1. AUTODESK INC   2015-08-27 2018-08-14
1. BLACK KNIGHT INC   2018-06-22 2018-08-14
9. BROOKFIELD ASSET MANAGE-CL A   2018-01-12 2018-08-14
1. BROWN & BROWN INC   2018-05-10 2018-08-14
8. CBRE GROUP INC     2018-08-14
3. CARMAX INC   2018-05-10 2018-08-14
3. COLFAX CORPORATION   2014-07-28 2018-08-14
4. COPART INC COM   2016-05-25 2018-08-14
1. DOLLAR GENERAL CORP   2018-06-22 2018-08-14
1. ECHOSTAR CORPORATION   2012-08-17 2018-08-14
1. FASTENAL CO   2012-08-17 2018-08-14
1. FIRST REPUBLIC BANK/SAN FRANCI   2018-06-22 2018-08-14
1. FOREST CITY REALTY TRUST-A   2012-08-17 2018-08-14
2. GCI LIBERTY INC   2015-07-27 2018-08-14
2. GARTNER INC   2018-02-05 2018-08-14
1. HILTON WORLDWIDE HOLDINGS IN   2018-05-10 2018-08-14
1. HOWARD HUGHES CORP/THE   2017-05-24 2018-08-14
1. LENNAR CORPORATION CLASS A COMMON   2018-02-05 2018-08-14
1. LIBERTY BROADBAND CORP   2015-07-27 2018-08-14
3. LIBERTY EXPEDIA HOLDINGS INC   2015-07-27 2018-08-14
1. LIBERTY SIRIUSXM GROUP   2012-08-17 2018-08-14
1. LIBERTY SIRIUSXM GROUP   2012-08-17 2018-08-14
3. LIBERTY MEDIA GROUP   2017-06-08 2018-08-14
1. MARTIN MARIETTA MATLS INC COM   2017-03-01 2018-08-14
1. MOODYS CORP   2014-01-09 2018-08-14
3. O'REILLY AUTOMOTIVE INC   2017-07-27 2018-08-14
1. PROGRESSIVE CORP OHIO   2018-05-10 2018-08-14
1. ROPER TECHNOLOGIES INC   2015-06-10 2018-08-14
1. ROSS STORES INC   2015-07-27 2018-08-14
2. SBA COMMUNICATIONS CORP   2015-11-02 2018-08-14
1. SHERWIN WILLIAMS CO   2017-08-09 2018-08-14
1. TRANSDIGM GROUP INC   2016-07-27 2018-08-14
1. VERISIGN INC COM   2012-08-17 2018-08-14
2. VERISK ANALYTICS INC   2017-04-04 2018-08-14
1. VULCAN MATERIALS COMPANY   2018-05-10 2018-08-14
2. ARCH CAPITAL GROUP LTD   2018-08-01 2018-08-14
1. IHS MARKIT LTD   2018-05-10 2018-08-14
2. LIBERTY GLOBAL PLC-SERIES C   2015-07-27 2018-08-14
7. AIR PRODS & CHEMS INC COM     2018-08-17
7. MOODYS CORP     2018-08-17
8. ROPER TECHNOLOGIES INC     2018-08-17
7. SHERWIN WILLIAMS CO     2018-08-17
7. AON PLC     2018-08-17
8. AIR PRODS & CHEMS INC COM     2018-08-29
8. MOODYS CORP   2012-08-17 2018-08-29
14. ROSS STORES INC     2018-08-29
8. S&P GLOBAL INC     2018-08-29
7. AUTODESK INC   2015-08-27 2018-09-17
34. BROOKFIELD ASSET MANAGE-CL A     2018-09-17
34. DENTSPLY SIRONA INC     2018-09-17
72. FOREST CITY REALTY TRUST-A   2012-08-17 2018-09-17
15. MOODYS CORP   2012-08-17 2018-09-17
1. PROGRESSIVE CORP OHIO   2017-03-01 2018-09-17
16. PROGRESSIVE CORP OHIO   2018-05-10 2018-09-17
8. SHERWIN WILLIAMS CO     2018-09-17
73. CISCO SYSTEMS INC     2018-10-01
132. MANULIFE FINANCIAL CORP   2015-12-17 2018-10-01
18. PNC FINANCIAL SERVICES GROUP   2015-05-27 2018-10-01
17. TJX COMPANIES INC     2018-10-01
18. UNION PACIFIC CORP     2018-10-01
18. BROOKFIELD ASSET MANAGE-CL A   2018-02-05 2018-10-05
71. DENTSPLY SIRONA INC     2018-10-05
16. MOODYS CORP   2012-08-17 2018-10-05
10. PROGRESSIVE CORP OHIO     2018-10-05
26. ROSS STORES INC     2018-10-05
11. AON PLC   2012-08-17 2018-10-05
85. DENTSPLY SIRONA INC     2018-10-11
9. SHERWIN WILLIAMS CO     2018-10-11
11. CVS HEALTH CORPORATION   2015-09-01 2018-10-30
11. GILEAD SCIENCES INC   2016-01-20 2018-10-30
7. JPMORGAN CHASE & CO   2016-03-01 2018-10-30
1. PARTNERS GROUP PRIV EQ TEI LLC (RF)   2010-01-01 2018-10-31
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 531   470 61
b 2,040   3,026 -986
c 719   307 412
d 203   174 29
e 328   162 166
906   478 428
690   597 93
6,562   5,409 1,153
1,054   1,481 -427
776   327 449
204   174 30
287   122 165
731   383 348
1,791   1,860 -69
741   556 185
683   437 246
902   677 225
123,734   123,500 234
9   8 1
41   34 7
7   6 1
7   5 2
1,019   1,001 18
1,059   526 533
774   669 105
6,295   4,302 1,993
2,684   982 1,702
1,099   683 416
1,106   720 386
2,896   1,311 1,585
1,109   928 181
381   327 54
498   405 93
925   313 612
831   383 448
1,006   434 572
1,392   816 576
1,024   776 248
473   414 59
550   445 105
1,227   722 505
2,212   1,198 1,014
4,066   1,469 2,597
3,412   2,532 880
41   30 11
1,001   311 690
1,092   993 99
257   202 55
1,706   1,062 644
512   574 -62
529   314 215
556   415 141
185   131 54
1,321   435 886
866   654 212
458   439 19
1,541   1,295 246
1,018   962 56
90,000   89,089 911
90,000   64,519 25,481
10,302   9,593 709
991   916 75
35   39 -4
1,012   1,014 -2
507   372 135
1,528   1,214 314
552   1,183 -631
356   311 45
5,176   3,783 1,393
2,276   2,503 -227
1,795   1,964 -169
935   649 286
3,065   2,577 488
1,181   790 391
1,258   373 885
2,521   784 1,737
2,227   1,721 506
1,300   523 777
2,028   4,207 -2,179
1,576   1,142 434
1,146   826 320
725   218 507
2,561   784 1,777
1,777   1,297 480
1,846   1,287 559
66,222   98,375 -32,153
219,307   181,918 37,389
134,958   123,133 11,825
4,351   3,314 1,037
836   400 436
1,509   435 1,074
1,239   362 877
488   378 110
3,018   2,023 995
85     85
62,743   50,000 12,743
1,138   750 388
5,122   3,899 1,223
1,063   968 95
1,002   908 94
1,042   575 467
5,660   6,839 -1,179
3,662   1,647 2,015
2,363   1,162 1,201
1,105   671 434
3,085   2,861 224
999   466 533
1,638   466 1,172
1,963   538 1,425
1,319   814 505
440   273 167
2,125   935 1,190
1,036   626 410
5,663   5,044 619
17,762   14,197 3,565
2,420   987 1,433
1,235   373 862
2,226   1,126 1,100
2,679   1,651 1,028
1,585   728 857
1,139   692 447
4,529   3,122 1,407
173   180 -7
134   49 85
53   54 -1
390   384 6
30   27 3
374   298 76
219   191 28
95   201 -106
238   88 150
105   100 5
49   29 20
58   44 14
102   101 1
25   15 10
97   71 26
282   270 12
76   83 -7
129   128 1
51   59 -8
80   53 27
142   107 35
46   18 28
47   17 30
108   111 -3
204   224 -20
170   76 94
966   592 374
62   62  
294   177 117
92   52 40
310   240 70
436   334 102
356   278 78
154   48 106
235   160 75
111   127 -16
61   60 1
54   52 2
53   85 -32
1,163   968 195
1,199   420 779
2,376   1,405 971
3,102   2,313 789
1,004   581 423
1,346   1,082 264
1,409   316 1,093
1,342   705 637
1,638   721 917
1,030   346 684
1,447   1,375 72
1,294   2,173 -879
1,806   1,071 735
2,656   592 2,064
69   40 29
1,096   998 98
3,752   2,399 1,353
3,574   2,129 1,445
2,368   1,939 429
2,453   1,727 726
1,916   1,131 785
2,957   1,572 1,385
786   711 75
2,562   4,465 -1,903
2,584   631 1,953
707   384 323
2,466   1,295 1,171
1,726   586 1,140
3,045   5,262 -2,217
3,732   2,518 1,214
785   1,105 -320
794   995 -201
736   414 322
    46,650 -46,650
      75,922
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       61
b       -986
c       412
d       29
e       166
      428
      93
      1,153
      -427
      449
      30
      165
      348
      -69
      185
      246
      225
      234
      1
      7
      1
      2
      18
      533
      105
      1,993
      1,702
      416
      386
      1,585
      181
      54
      93
      612
      448
      572
      576
      248
      59
      105
      505
      1,014
      2,597
      880
      11
      690
      99
      55
      644
      -62
      215
      141
      54
      886
      212
      19
      246
      56
      911
      25,481
      709
      75
      -4
      -2
      135
      314
      -631
      45
      1,393
      -227
      -169
      286
      488
      391
      885
      1,737
      506
      777
      -2,179
      434
      320
      507
      1,777
      480
      559
      -32,153
      37,389
      11,825
      1,037
      436
      1,074
      877
      110
      995
      85
      12,743
      388
      1,223
      95
      94
      467
      -1,179
      2,015
      1,201
      434
      224
      533
      1,172
      1,425
      505
      167
      1,190
      410
      619
      3,565
      1,433
      862
      1,100
      1,028
      857
      447
      1,407
      -7
      85
      -1
      6
      3
      76
      28
      -106
      150
      5
      20
      14
      1
      10
      26
      12
      -7
      1
      -8
      27
      35
      28
      30
      -3
      -20
      94
      374
       
      117
      40
      70
      102
      78
      106
      75
      -16
      1
      2
      -32
      195
      779
      971
      789
      423
      264
      1,093
      637
      917
      684
      72
      -879
      735
      2,064
      29
      98
      1,353
      1,445
      429
      726
      785
      1,385
      75
      -1,903
      1,953
      323
      1,171
      1,140
      -2,217
      1,214
      -320
      -201
      322
      -46,650
       
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 2 159,068
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 228,495 4,880,694 0.046816
2017 228,094 4,638,352 0.049176
2016 225,910 5,015,158 0.045045
2015 229,305 5,047,366 0.045431
2014 216,126 4,868,151 0.044396
2
Total of line 1, column (d) .....................
2
0.230864
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
0.046173
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
5,230,593
5
Multiply line 4 by line 3......................
5
241,512
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,048
7
Add lines 5 and 6........................
7
243,560
8
Enter qualifying distributions from Part XII, line 4,.............
8
223,744
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 4,096
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 4,096
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 4,096
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 1,437
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,437
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 2,659
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet0 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)
    bulletGA
    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 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 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
     
    No
    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
    Wells Fargo Bank NA Trustee
    1     		59,802    
    100 N MAIN ST MAC D4001-117
    Winston Salem,NC27101
    MR LON RICE Co-Trustee
    1     		8,655    
    123 SOUTH BROAD STREET
    WINDER,GA30680
    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
    5,111,753
    b
    Average of monthly cash balances.......................
    1b
    198,494
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,310,247
    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
    5,310,247
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    79,654
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,230,593
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    261,530
    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
    261,530
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    4,096
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,096
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    257,434
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    257,434
    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
    257,434
    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
    223,744
    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
    223,744
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    223,744
    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 7 257,434
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only....... 154,078
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2019:
    a From 2014...... 0
    b From 2015...... 0
    c From 2016...... 0
    d From 2017...... 0
    e From 2018...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 223,744
    a Applied to 2018, but not more than line 2a 154,078
    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 2019 distributable amount..... 69,666
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2019. 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 2018. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2019. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2020 ..........     		187,768
    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 2014 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2015.... 0
    b Excess from 2016.... 0
    c Excess from 2017.... 0
    d Excess from 2018.... 0
    e Excess from 2019.... 0
    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).)
    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 (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
    GA BAPTIST HEALTH CARE MINISTRY FDN
    6405 SUGARLOAF PARKWAY
    DULUTH,GA30097     		NONE PC GENERAL OPERATING 199,000
    Total .................................bullet 3a 199,000
    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 ...........     		         
    4 Dividends and interest from securities....     14 93,230  
    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 ............     		    18 159,068  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND     		    1 839  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   253,137  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    253,137
    (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:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2017 AccountingFeesSchedule
    Name:
    TW LUCY C HARRIS GBH
    EIN:
    58-6163828
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,138     1,138

    TY 2017 InvestmentsOtherSchedule2
    Name:
    TW LUCY C HARRIS GBH
    EIN:
    58-6163828
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    40171V100 GUIDEWIRE SOFTWARE I AT COST 4,739 4,271
    09215C105 BLACK KNIGHT INC AT COST 8,005 9,998
    562750109 MANHATTAN ASSOCIATES AT COST 4,246 4,631
    77957P105 T ROWE PRICE SHORT T AT COST 164,704 161,833
    45168D104 IDEXX CORP AT COST 1,913 1,697
    776696106 ROPER INDS INC NEW C AT COST 6,477 11,316
    256677105 DOLLAR GENERAL CORP AT COST 4,175 6,683
    489398107 KENNEDY-WILSON HOLDI AT COST 4,465 4,062
    620076307 MOTOROLA SOLUTIONS, AT COST 1,148 2,941
    12504L109 CBRE GROUP INC AT COST 5,174 8,783
    G5480U120 LIBERTY GLOBAL PLC-S AT COST 4,104 3,856
    G5480U104 LIBERTY GLOBAL PLC-A AT COST 1,863 1,999
    40416M105 HD SUPPLY HOLDINGS I AT COST 873 789
    N22717107 CORE LABORATORIES N AT COST 4,953 3,836
    257651109 DONALDSON CO INC AT COST 7,719 8,307
    891092108 TORO CO AT COST 9,843 9,069
    92927K102 WABCO HOLDINGS INC AT COST 19,714 16,332
    594918104 MICROSOFT CORP AT COST 11,358 28,625
    883556102 THERMO FISHER SCIENT AT COST 5,557 11,449
    907818108 UNION PACIFIC CORP AT COST 8,335 14,914
    87612E106 TARGET CORP AT COST 5,186 6,941
    848574109 SPIRIT AEROSYTSEMS H AT COST 3,075 5,713
    63872T885 ASG GLOBAL ALTERNATI AT COST 100,000 100,091
    70299PGP6 PARTNERS GROUP PRIVA AT COST 95,000 169,622
    00770G847 JOHCM INTERNATIONAL AT COST 263,196 311,821
    037833100 APPLE COMPUTER INC C AT COST 11,246 31,735
    097023105 BOEING COMPANY AT COST 2,742 8,162
    532457108 ELI LILLY & CO COM AT COST 5,874 8,458
    654106103 NIKE INC CL B AT COST 9,349 13,432
    46625H100 JPMORGAN CHASE & CO AT COST 7,220 13,518
    00206R102 AT & T INC AT COST 12,490 10,891
    36164V305 GCI LIBERTY INC AT COST 1,883 3,786
    531229870 LIBERTY MEDIA GROUP AT COST 188 444
    531229854 LIBERTY MEDIA GROUP AT COST 5,298 6,054
    67103H107 O'REILLY AUTOMOTIVE AT COST 7,268 18,924
    43300A203 HILTON WORLDWIDE HOL AT COST 10,243 9,394
    G0408V102 AON PLC AT COST 2,877 8,434
    045327103 ASPEN TECHNOLOGY INC AT COST 16,458 17,318
    303075105 FACTSET RESH SYS INC AT COST 11,009 13,202
    749607107 RLI CORP COM AT COST 4,791 5,619
    60786M105 MOELIS & CO AT COST 14,952 10,292
    595017104 MICROCHIP TECHNOLOGY AT COST 4,074 6,512
    929160109 VULCAN MATLS CO AT COST 9,104 7,788
    023586100 AMERCO AT COST 2,303 1,959
    115236101 BROWN & BROWN INC AT COST 3,801 6,622
    615369105 MOODYS CORP AT COST 1,854 6,838
    12508E101 CDK GLOBAL INC AT COST 3,146 3,320
    530307305 LIBERTY BROADBAND CO AT COST 1,480 3,649
    78410G104 SBA COMMUNICATIONS C AT COST 13,570 21,244
    194014106 COLFAX CORPORATION AT COST 8,308 6,026
    384109104 GRACO INC AT COST 16,994 16,130
    426281101 HENRY JACK & ASSOC I AT COST 8,767 11,237
    879360105 TELEDYNE TECHNOLOGIE AT COST 20,569 24,783
    17275R102 CISCO SYSTEMS INC AT COST 7,125 14,777
    437076102 HOME DEPOT INC AT COST 6,467 7,739
    512807108 LAM RESEARCH CORP CO AT COST 7,801 6,520
    872540109 TJX COS INC NEW AT COST 3,558 6,153
    867224107 SUNCOR ENERGY INC NE AT COST 9,010 12,125
    58933Y105 MERCK & CO INC NEW AT COST 6,663 9,496
    172967424 CITIGROUP INC AT COST 6,748 9,623
    12572Q105 CME GROUP INC AT COST 6,313 11,361
    98978V103 ZOETIS INC AT COST 5,348 8,745
    M98068105 WIX.COM LTD AT COST 4,063 3,894
    04316A108 ARTISAN PARTNERS ASS AT COST 8,611 7,401
    91879Q109 VAIL RESORTS INC COM AT COST 6,541 5,780
    03662Q105 ANSYS INC AT COST 8,720 7,478
    31620R303 FNF GROUP AT COST 7,827 10,102
    48251W104 KKR & CO INC -A AT COST 7,071 6,362
    75606N109 REALPAGE INC AT COST 4,028 3,445
    G47567105 IHS MARKIT LTD AT COST 7,734 10,243
    893641100 TRANSDIGM GROUP INC AT COST 12,882 20,145
    009158106 AIR PRODUCTS AND CHE AT COST 5,567 7,872
    217204106 COPART INC COM AT COST 24,896 31,694
    375558103 GILEAD SCIENCES INC AT COST 7,271 6,682
    693475105 PNC FINANCIAL SERVIC AT COST 7,307 10,279
    405217100 HAIN CELESTIAL GROUP AT COST 6,538 4,180
    517834107 LAS VEGAS SANDS CORP AT COST 10,479 9,338
    150870103 CELANESE CORP AT COST 6,606 11,245
    74144Q203 T ROWE PRICE INST EM AT COST 273,625 288,172
    77958B402 T ROWE PRICE INST FL AT COST 62,207 61,042
    74925K581 ROBECO BP LNG/SHRT R AT COST 210,000 221,594
    03076C106 AMERIPRISE FINL INC AT COST 6,304 7,253
    609207105 MONDELEZ INTERNATION AT COST 11,759 11,503
    89151E109 TOTAL FINA ELF S.A. AT COST 10,927 12,130
    09247X101 BLACKROCK INC AT COST 7,854 9,051
    084670702 BERSHIRE HATHAWAY IN AT COST 4,029 6,980
    20030N101 COMCAST CORP CLASS A AT COST 5,248 7,819
    052769106 AUTODESK INC COM AT COST 3,733 10,211
    526057104 LENNAR CORPORATION C AT COST 4,916 4,083
    G0450A105 ARCH CAPITAL GROUP L AT COST 6,391 7,858
    530307107 LIBERTY BROADBAND CO AT COST 1,182 2,401
    29444U700 EQUINIX INC AT COST 4,140 5,302
    92345Y106 VERISK ANALYTICS INC AT COST 6,273 11,265
    143130102 CARMAX INC AT COST 10,831 15,348
    33616C100 FIRST REPUBLIC BANK/ AT COST 10,230 9,554
    76131D103 RESTAURANT BRANDS IN AT COST 11,296 14,624
    448579102 HYATT HOTELS CORP AT COST 4,735 4,360
    89400J107 TRANSUNION AT COST 8,199 9,139
    48238T109 KAR AUCTION SERVICES AT COST 2,050 3,246
    531229607 LIBERTY SIRIUSXM GRO AT COST 1,797 4,251
    44267D107 HOWARD HUGHES CORP/T AT COST 5,411 4,907
    262037104 DRIL-QUIP INC COM AT COST 13,980 11,364
    12514G108 CDW CORP/DE AT COST 19,486 23,493
    05278C107 AUTOHOME INC-ADR AT COST 35,288 27,649
    74256W568 PRINCIPAL REAL EST S AT COST 100,000 99,571
    922031760 VANGUARD HIGH YIELD AT COST 82,139 77,218
    Y2573F102 FLEXTRONICS INTL LTD AT COST 10,249 4,724
    254687106 WALT DISNEY CO AT COST 7,896 11,253
    771195104 ROCHE HOLDINGS LTD - AT COST 10,315 9,412
    91324P102 UNITEDHEALTH GROUP I AT COST 4,813 16,726
    H84989104 TE CONNECTIVITY LTD AT COST 7,796 8,673
    315920702 FID ADV EMER MKTS IN AT COST 154,492 145,676
    77954Q403 T ROWE PRICE BLUE CH AT COST 319,248 506,992
    61744J408 MORGN STANLY INSTL F AT COST 283,347 299,960
    55261F104 M & T BANK CORPORATI AT COST 1,525 3,474
    86614U100 SUMMIT MATERIALS INC AT COST 2,942 2,120
    82509L107 SHOPIFY INC - A W/I AT COST 1,079 967
    278768106 ECHOSTAR CORPORATION AT COST 544 770
    038336103 APTARGROUP INC AT COST 5,773 6,627
    679580100 OLD DOMINION FREIGHT AT COST 18,637 18,389
    73278L105 POOL CORPORATION AT COST 13,211 14,575
    115637209 BROWN FORMAN CORP CL AT COST 1,455 1,807
    311900104 FASTENAL CO AT COST 2,129 2,622
    570535104 MARKEL HOLDINGS AT COST 8,259 17,492
    592688105 METTLER-TOLEDO INTL AT COST 5,101 4,921
    256210105 DODGE & COX INCOME F AT COST 361,000 352,281
    573284106 MARTIN MARIETTA MATL AT COST 8,243 8,564
    806857108 SCHLUMBERGER LTD AT COST 13,108 9,492
    26875P101 EOG RESOURCES, INC AT COST 6,292 6,320
    02079K107 ALPHABET INC/CA AT COST 7,372 18,305
    G29183103 EATON CORP PLC AT COST 5,236 5,662
    608190104 MOHAWK INDS INC COM AT COST 2,708 3,742
    778296103 ROSS STORES INC AT COST 2,872 7,326
    92343E102 VERISIGN INC AT COST 3,620 10,691
    366651107 GARTNER INC AT COST 14,030 16,670
    422806208 HEICO CORP CL A AT COST 1,057 1,067
    531229409 LIBERTY SIRIUSXM GRO AT COST 829 1,897
    78409V104 S&P GLOBAL INC AT COST 4,112 8,751
    53046P109 LIBERTY EXPEDIA HOLD AT COST 1,244 2,301
    112585104 BROOKFIELD ASSET MAN AT COST 14,632 23,268
    55354G100 MSCI INC AT COST 1,803 3,308
    76657Y101 RIGHTMOVE PLC-UNSP A AT COST 21,108 18,938
    40418F108 HFF INC AT COST 12,081 12,422
    742537236 PRINCIPAL GL MULT ST AT COST 155,000 152,829
    4812A2389 JPMORGAN U.S. L/C CO AT COST 300,911 326,746
    126650100 CVS/CAREMARK CORPORA AT COST 13,826 12,885
    316389584 FIDELITY ADV INTER R AT COST 160,000 185,016
    192446102 COGNIZANT TECH SOLUT AT COST 10,392 12,632
    25243Q205 DIAGEO PLC - ADR AT COST 7,332 8,428
    56501R106 MANULIFE FINANCIAL C AT COST 5,688 6,414
    911312106 UNITED PARCEL SERVIC AT COST 8,229 8,523
    H42097107 UBS GROUP AG AT COST 10,679 7,492
    741511109 PRICESMART INC AT COST 10,841 10,943
    74164M108 PRIMERICA INC AT COST 19,255 23,155
    57060D108 MARKETAXESS HLDGS IN AT COST 11,814 12,161
    75524B104 RBC BEARINGS INC AT COST 10,383 12,700
    743315103 PROGRESSIVE CORP OHI AT COST 2,034 6,273

    TY 2017 OtherDecreasesSchedule
    Name:
    TW LUCY C HARRIS GBH
    EIN:
    58-6163828
    Description Amount
    GAINS/LOSS ON CY NOT SETTLES AT YEAR END 200
    COST BASIS ADJUSTMENT 8,256


    TY 2017 OtherExpensesSchedule
    Name:
    TW LUCY C HARRIS GBH
    EIN:
    58-6163828
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR/INVESTMENT FEES 42 42   0


    TY 2017 OtherIncomeSchedule2
    Name:
    TW LUCY C HARRIS GBH
    EIN:
    58-6163828
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 839 0  


    TY 2017 OtherIncreasesSchedule
    Name:
    TW LUCY C HARRIS GBH
    EIN:
    58-6163828
    Description Amount
    MUTUAL FUND TIMING DIFFERENCE 1,163


    TY 2017 TaxesSchedule
    Name:
    TW LUCY C HARRIS GBH
    EIN:
    58-6163828
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 2,300 2,300   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,013 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,437 0   0
    FOREIGN TAXES ON QUALIFIED FOR 3 3   0
    FOREIGN TAXES ON NONQUALIFIED 161 161   0