TY 2018 Form 990PF

- TIN:

Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

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

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

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0052

2018

Open to Public Inspection

For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018

Name of foundation
BURGESS FLORANCE E TUA

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

94-6713665

B Telephone number (see instructions)

(888) 730-4933

C If exemption application is pending, check here bullet

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

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

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

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

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

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

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

$10,594,684J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

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


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	281,612		264,149
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		44,046
b	Gross sales price for all assets on line 6a 1,610,445
7	Capital gain net income (from Part IV, line 2)...			44,046
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).......		2,871
12	Total. Add lines 1 through 11........	328,529		308,195
13	Compensation of officers, directors, trustees, etc.	109,602		82,202		27,401
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).......		1,169	0	0	1,169
c	Other professional fees (attach schedule)....					0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		9,773	6,523		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).......		138	128		10
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	120,682		88,853	0	28,580
25	Contributions, gifts, grants paid.......	544,502				544,502
26	Total expenses and disbursements. Add lines 24 and 25	665,184		88,853	0	573,082
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-336,655
b	Net investment income (if negative, enter -0-)			219,342
c	Adjusted net income (if negative, enter -0-)...				0

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2018)

Form 990-PF (2018)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	155,078	350,168	350,168
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts 0
	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
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	8,553,674	8,003,505	10,244,516
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	8,708,752	8,353,673	10,594,684
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted..................
	25	Temporarily restricted...............
	26	Permanently restricted...............
		Foundations that do not follow SFAS 117, check here
		and complete lines 27 through 31.
	27	Capital stock, trust principal, or current funds........	8,708,752	8,353,673
	28	Paid-in or capital surplus, or land, bldg., and equipment fund
	29	Retained earnings, accumulated income, endowment, or other funds
	30	Total net assets or fund balances (see instructions).....	8,708,752	8,353,673
	31	Total liabilities and net assets/fund balances (see instructions).	8,708,752	8,353,673

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............

8,708,752

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

-336,655

Other increases not included in line 2 (itemize) bullet

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

8,372,097

Decreases not included in line 2 (itemize) bullet

18,424

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

8,353,673

Form 990-PF (2018)

Page 3

Part IV

Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation	(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1 a	3710. VANGUARD TOTAL BOND MARKET ETF			2018-01-10
b	50. BOEING CO		2011-05-05	2018-01-29
c	150. SPIRIT AEROSYTSEMS HOLD-CL A		2016-10-04	2018-01-29
d	125. 3M CO		2010-12-27	2018-01-29
e	675. HAIN CELESTIAL GROUP INC		2017-06-28	2018-02-16
	350. MERCK & CO INC NEW		2016-04-26	2018-02-16
	450. AFFILIATED MANAGERS GROUP, INC COM			2018-04-23
	3025. UBS GROUP AG		2018-01-29	2018-04-23
	37615.741 WF ADV SHORT-TERM BOND FUND-I3102		2013-05-20	2018-06-15
	400. BAYER AG ADR- RIGHTS DEEMED 7/15/18		2016-12-12	2018-07-02
	1150. AT & T INC		2018-02-16	2018-08-15
	100. APPLE INC		2015-08-27	2018-08-15
	1600. BAYER AG - ADR		2016-12-12	2018-08-15
	50. CHEVRON CORP		2003-02-13	2018-08-15
	125. COMCAST CORP CLASS A		2011-05-05	2018-08-15
	250. MCKESSON CORP			2018-08-15
	20948.258 ABERDEEN EMERG MARKETS-INST 840			2018-11-07
	10909.091 PRINCIPAL GL MULT STRAT-R6 #8232		2014-08-05	2018-12-04
	100. AMERIPRISE FINL INC		2017-03-27	2018-12-20
	450. EOG RESOURCES, INC		2018-04-23	2018-12-20
	1200. HAIN CELESTIAL GROUP INC		2018-04-23	2018-12-20
	425. MANULIFE FINANCIAL CORP		2018-08-15	2018-12-20
	700. MANULIFE FINANCIAL CORP		2016-11-15	2018-12-20
	475. SCHLUMBERGER LTD			2018-12-20
	625. SCHLUMBERGER LTD			2018-12-20
	2325. FLEXTRONICS INTL LTD			2018-12-20
	CAPITAL GAIN DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	300,318	306,775	-6,457
b	17,049	3,960	13,089
c	15,428	6,870	8,558
d	32,180	10,832	21,348
e	23,681	24,469	-788
	19,734	19,616	118
	77,678	36,492	41,186
	51,515	62,197	-10,682
	325,000	331,771	-6,771
	666		666
	37,323	42,952	-5,629
	20,854	11,175	9,679
	36,396	40,232	-3,836
	5,950	1,574	4,376
	4,347	1,607	2,740
	31,417	40,126	-8,709
	292,019	295,000	-2,981
	119,127	120,000	-873
	10,585	12,491	-1,906
	41,187	51,667	-10,480
	19,472	35,479	-16,007
	6,165	7,869	-1,704
	10,154	11,994	-1,840
	17,894	31,114	-13,220
	23,545	24,021	-476
	17,240	36,116	-18,876
			53,521

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			-6,457
b			13,089
c			8,558
d			21,348
e			-788
			118
			41,186
			-10,682
			-6,771
			666
			-5,629
			9,679
			-3,836
			4,376
			2,740
			-8,709
			-2,981
			-873
			-1,906
			-10,480
			-16,007
			-1,704
			-1,840
			-13,220
			-476
			-18,876

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	44,046
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

Part V

Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? Yes No

If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.

1 Enter the appropriate amount in each column for each year; see instructions before making any entries.

(a) Base period years Calendar year (or tax year beginning in)	(b) Adjusted qualifying distributions	(c) Net value of noncharitable-use assets	(d) Distribution ratio (col. (b) divided by col. (c))
2017	569,906	11,218,750	0.050799
2016	566,935	10,660,188	0.053182
2015	603,752	11,331,408	0.053281
2014	547,521	11,797,260	0.046411
2013	530,867	11,465,903	0.0463

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

0.249973

Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......

0.049995

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

11,434,026

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

571,644

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

2,193

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

573,837

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

573,082

If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.

Form 990-PF (2018)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	4,387
	hereand enter 1% of Part I, line 27b...................
c	All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2...........................	3	4,387
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	4,387
6	Credits/Payments:

a	2018 estimated tax payments and 2017 overpayment credited to 2018	6a	2,835
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	2,835
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.......		9	1,552
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2019 estimated tax0	Refunded	11	0

Part VII-A

Statements Regarding Activities

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

Yes

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

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

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

If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

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

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

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

on foundation managers. bullet

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

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

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....

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

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

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

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

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),

and Part XV..................................

Yes

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

If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If "No," attach explanation .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.

If "Yes," complete Part XIV .............................

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

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

Form 990-PF (2018)

Page 5

Part VII-A

Statements Regarding Activities (continued)

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement. See instructions.................

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

Yes

Website address bullet

N/A

The books are in care of bullet

WELLS FARGO BANK NA Telephone no. bullet

(888) 730-4933

Located at bullet

6325 S RAINBOW BLVD STE 300LAS VEGASNV ZIP+4 bullet

89118

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? YesNo

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

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

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

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

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)?...............YesNo

(6) Agree to pay money or property to a government official? (Exception. Check "No"

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.).......YesNo

If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........

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

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2018?.............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2018, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2018?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement—see instructions.) ..............

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

20, 20, 20, 20

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

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

If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2018.)..................

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

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?

Form 990-PF (2018)

Page 6

Part VII-B

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

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

Yes

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

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

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

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

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

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

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

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

If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......

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

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant?..........YesNo

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

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

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

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

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

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

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

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .................YesNo

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation. See instructions

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
Wells Fargo Bank NA	TRUSTEE 1	109,602
100 N MAIN ST MAC D4001-117 WINSTON SALEM,NC27101	TRUSTEE 1	109,602

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...................				0

Form 990-PF (2018)

Page 7

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part IX-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2018)

Page 8

Part X

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

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

purposes:

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

11,433,480

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

174,668

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

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

11,608,148

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

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

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

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

11,608,148

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

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

174,122

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

11,434,026

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

571,701

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

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

571,701

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

4,387

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

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

4,387

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

567,314

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

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

567,314

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

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

567,314

Part XII

Qualifying Distributions (see instructions)

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

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

573,082

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

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

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

Amounts set aside for specific charitable projects that satisfy the:

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

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

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

573,082

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

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

573,082

Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.

Form 990-PF (2018)

Page 9

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(b) Years prior to 2017	(c) 2017	(d) 2018
1 Distributable amount for 2018 from Part XI, line 7					567,314
2 Undistributed income, if any, as of the end of 2018:
a Enter amount for 2017 only.......				484,326
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2018:
a From 2013......	0
b From 2014......	0
c From 2015......	0
d From 2016......	0
e From 2017......	0
fTotal of lines 3a through e........		0
4Qualifying distributions for 2018 from Part
XII, line 4: $ 573,082
a Applied to 2017, but not more than line 2a				484,326
b Applied to undistributed income of prior years (Election required—see instructions).....			0
c Treated as distributions out of corpus (Election required—see instructions)........		0
d Applied to 2018 distributable amount.....					88,756
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2018.		0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		0
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2017. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2018. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2019 ..........					478,558
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		0
8 Excess distributions carryover from 2013 not applied on line 5 or line 7 (see instructions) ...		0
9Excess distributions carryover to 2019. Subtract lines 7 and 8 from line 6a ......		0
10 Analysis of line 9:
a Excess from 2014....	0
b Excess from 2015....	0
c Excess from 2016....	0
d Excess from 2017....	0
e Excess from 2018....	0

Form 990-PF (2018)

Page 10

Part XIV

Private Operating Foundations (see instructions and Part VII-A, question 9)

1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2018	(b) 2017	(c) 2016	(d) 2015	(e) Total

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

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

aThe name, address, and telephone number or email address of the person to whom applications should be addressed:

bThe form in which applications should be submitted and information and materials they should include:

cAny submission deadlines:

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

Form 990-PF (2018)

Page 11

Part XV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
CATHOLIC RELIEF SERVICES 228 WEST LEXINGTON ST BALTIMORE,MD21201	NONE	PC	GENERAL SUPPORT	77,786
FATHER FLANAGANS BOYS HOME 14100 CRAWFORD STREET BOYS TOWN,NE680100145	NONE	PC	GENERAL SUPPORT	77,786
AMERICAN RED CROSS 431 18TH ST NW WASHINGTON DC,DC20006	NONE	PC	GENERAL SUPPORT	77,786
NATL SHRINE IMMACULATE CONCEPTION 400 MICHIGAN AVE NE WASHINGTON DC,DC20017	NONE	PC	GENERAL SUPPORT	77,786
ST JUDE CHILDRENS RESEARCH HOSPITAL ATTN LEGAL DEPARTMENT 501 ST JUDE P MEMPHIS,TN38105	NONE	PC	GENERAL SUPPORT	77,786
THE SALVATION ARMY 180 E OCEAN BLVD GSD 9TH FL LONG BEACH,CA908024709	NONE	PC	GENERAL SUPPORT	77,786
RESURRECTION CEMETERY 3424 WILSHIRE BLVD LOS ANGELES,CA90010	NONE	PC	GENERAL SUPPORT	77,786
Total ................................. 3a				544,502

bApproved for future payment

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

Form 990-PF (2018)

Page 12

Part XVI-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
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	281,612
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	44,046
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aFEDERAL TAX REFUND			1	2,871
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..				328,529

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

328,529

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

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)

Form 990-PF (2018)

Page 13

Part XVII

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

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

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

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

1a(1)

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

1a(2)

Other transactions:

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

1b(1)

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

1b(2)

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

1b(3)

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

1b(4)

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

1b(5)

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

1b(6)

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

If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

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

If "Yes," complete the following schedule.

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

Sign Here

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

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

Form 990-PF (2018)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2018 AccountingFeesSchedule

Name:

BURGESS FLORANCE E TUA

EIN:

94-6713665

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC	1,169			1,169

- TIN:

TY 2018 GeneralExplanationAttachment

Name:

BURGESS FLORANCE E TUA

EIN:

94-6713665

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

- TIN:

TY 2018 InvestmentsOtherSchedule2

Name:

BURGESS FLORANCE E TUA

EIN:

94-6713665

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
64128R608 NEUBERGER BERMAN LON	AT COST	400,000	396,519
594918104 MICROSOFT CORP	AT COST	72,264	225,993
89151E109 TOTAL FINA ELF S.A.	AT COST	83,326	87,402
907818108 UNION PACIFIC CORP	AT COST	40,110	149,288
261980668 DREYFUS INTERNATL BO	AT COST	128,793	118,291
867224107 SUNCOR ENERGY INC NE	AT COST	74,195	76,918
517834107 LAS VEGAS SANDS CORP	AT COST	51,543	53,351
150870103 CELANESE CORP	AT COST	46,813	78,724
172967424 CITIGROUP INC	AT COST	64,248	72,884
921937835 VANGUARD TOTAL BOND	AT COST	1,452,582	1,402,968
12572Q105 CME GROUP INC	AT COST	19,894	70,545
78463X863 SPDR DJ WILSHIRE INT	AT COST	283,997	279,009
532457108 ELI LILLY & CO COM	AT COST	35,166	54,967
771195104 ROCHE HOLDINGS LTD -	AT COST	33,130	34,188
58933Y105 MERCK & CO INC NEW	AT COST	37,425	57,308
084670702 BERSHIRE HATHAWAY IN	AT COST	25,763	79,630
609207105 MONDELEZ INTERNATION	AT COST	57,509	55,041
262028855 DRIEHAUS ACTIVE INCO	AT COST	290,280	255,054
85917K546 STERLING CAPITAL STR	AT COST	215,781	195,171
922908553 VANGUARD REIT VIPER	AT COST	404,099	643,315
17275R102 CISCO SYSTEMS INC	AT COST	70,774	144,072
192446102 COGNIZANT TECH SOLUT	AT COST	80,651	92,046
25243Q205 DIAGEO PLC - ADR	AT COST	25,756	52,324
512807108 LAM RESEARCH CORP CO	AT COST	40,566	38,808
654106103 NIKE INC CL B	AT COST	70,175	98,236
872540109 TJX COS INC NEW	AT COST	23,665	80,532
56501R106 MANULIFE FINANCIAL C	AT COST	20,727	20,576
91324P102 UNITEDHEALTH GROUP I	AT COST	19,457	161,928
46625H100 JPMORGAN CHASE & CO	AT COST	33,826	110,799
464287507 ISHARES TR S & P MID	AT COST	309,457	624,386
166764100 CHEVRON CORP	AT COST	12,433	42,972
03076C106 AMERIPRISE FINL INC	AT COST	33,423	33,920
375558103 GILEAD SCIENCES INC	AT COST	21,728	57,859
437076102 HOME DEPOT INC	AT COST	47,577	55,842
693475105 PNC FINANCIAL SERVIC	AT COST	54,672	75,992
31641Q763 FIDELITY NEW MRKTS I	AT COST	381,822	353,534
78467Y107 SPDR S&P MIDCAP 400	AT COST	72,291	134,688
20030N101 COMCAST CORP CLASS A	AT COST	38,313	112,535
63872T885 ASG GLOBAL ALTERNATI	AT COST	100,000	99,237
464287234 ISHARES TR MSCI EMER	AT COST	138,180	248,226
H84989104 TE CONNECTIVITY LTD	AT COST	59,974	66,176
901165100 TWEEDY BROWNE FD GLO	AT COST	205,000	212,163
87612E106 TARGET CORP	AT COST	19,783	42,959
589509207 MERGER FUND-INST #30	AT COST	200,000	205,380
921075438 VAN ECK EMERGING MAR	AT COST	284,268	270,127
94988V357 WF SHORT-TERM BOND-R	AT COST	261,117	256,085
922031760 VANGUARD HIGH YIELD	AT COST	93,570	92,045
00770G847 JOHCM INTERNATIONAL	AT COST	205,000	230,074
097023105 BOEING COMPANY	AT COST	25,743	104,813
883556102 THERMO FISHER SCIENT	AT COST	34,034	149,939
464287804 ISHARES TR SMALLCAP	AT COST	155,729	178,846
H42097107 UBS GROUP AG	AT COST	25,049	24,760
277923728 EATON VANCE GLOBAL M	AT COST	352,125	326,528
02079K107 ALPHABET INC/CA	AT COST	30,908	77,671
77958B402 T ROWE PRICE INST FL	AT COST	242,344	225,606
848574109 SPIRIT AEROSYTSEMS H	AT COST	27,481	43,254
037833100 APPLE COMPUTER INC C	AT COST	68,811	201,119
126650100 CVS/CAREMARK CORPORA	AT COST	48,261	78,624
254687106 WALT DISNEY CO	AT COST	40,365	118,422
911312106 UNITED PARCEL SERVIC	AT COST	41,526	61,932
09247X101 BLACKROCK INC	AT COST	40,182	49,103
02079K305 ALPHABET INC/CA	AT COST	15,323	52,248
00206R102 AT & T INC	AT COST	46,983	45,664
G29183103 EATON CORP PLC	AT COST	25,803	41,745
98978V103 ZOETIS INC	AT COST	41,715	64,155

- TIN:

TY 2018 OtherDecreasesSchedule

Name:

BURGESS FLORANCE E TUA

EIN:

94-6713665

Description	Amount
MUTUAL FUND TIMING DIFFERENCE	8,296
PY RETURN OF CAPITAL ADJUSTMENT	10,128

- TIN:

TY 2018 OtherExpensesSchedule

Name:

BURGESS FLORANCE E TUA

EIN:

94-6713665

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
FILING FEE/STATE TAX	10	0		10
INVESTMENT EXPENSES-DIVIDEND I	128	128		0

- TIN:

TY 2018 OtherIncomeSchedule2

Name:

BURGESS FLORANCE E TUA

EIN:

94-6713665

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
FEDERAL TAX REFUND	2,871	0

- TIN:

TY 2018 TaxesSchedule

Name:

BURGESS FLORANCE E TUA

EIN:

94-6713665

Category	Amount	Net Investment Income
FOREIGN TAXES	4,924	4,924
FEDERAL TAX PAYMENT - PRIOR YE	3,250	0
FOREIGN TAXES ON NONQUALIFIED	1,599	1,599