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
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
THE BLUESTONE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)75 ISHAM ROAD NO 400
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WEST HARTFORD, CT06107
A Employer identification number

06-1527223
B Telephone number (see instructions)

(860) 313-4930
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$2,600,531J 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 21,581 21,581  
4 Dividends and interest from securities... 65,911 65,911  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 9,815
b Gross sales price for all assets on line 6a 244,029
7 Capital gain net income (from Part IV, line 2)... 9,815
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 97,307 97,307  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 9,884 9,884   0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,138 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 20,337 20,337   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 31,359 30,221   0
25 Contributions, gifts, grants paid....... 149,450 149,450
26 Total expenses and disbursements. Add lines 24 and 25 180,809 30,221   149,450
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -83,502
b Net investment income (if negative, enter -0-) 67,086
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets 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......... 111,871 4,822 4,822
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,471,749 Click to see attachment1,495,296 2,311,694
c Investments—corporate bonds (attach schedule)....... 287,650 Click to see attachment287,650 284,015
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis 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) 1,871,270 1,787,768 2,600,531
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 0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 1,871,270 1,787,768
30 Total net assets or fund balances (see instructions)..... 1,871,270 1,787,768
31 Total liabilities and net assets/fund balances (see instructions). 1,871,270 1,787,768
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,871,270
2
Enter amount from Part I, line 27a .....................
2
-83,502
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,787,768
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,787,768
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 2,000 SHS. ALTRIA GROUP INC. P 2011-01-27 2018-05-24
b 116 SHS. CDK GLOBAL INC. P 2013-10-23 2018-05-24
c 175 SHS. CELGENE CORP. P 2014-12-30 2018-05-24
d 2,000 SHS. QWEST CORPORATION P 2012-05-24 2018-09-04
e 600 SHS. GENERAL ELECTRIC P 1999-10-01 2018-05-24
600 SHS. GENERAL ELECTRIC P 1999-12-20 2018-05-24
1,000 SHS. GENERAL ELECTRIC P 2007-03-27 2018-05-24
200 SHS. IBM P 2009-06-17 2018-05-24
CAPITAL GAINS 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 111,744   48,850 62,894
b 7,416   3,261 4,155
c 13,923   19,354 -5,431
d 50,000   50,953 -953
e 8,730   23,617 -14,887
8,730   30,138 -21,408
14,551   36,158 -21,607
28,842   21,883 6,959
93     93
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       62,894
b       4,155
c       -5,431
d       -953
e       -14,887
      -21,408
      -21,607
      6,959
      93
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 9,815
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2017 133,509 2,764,831 0.048288
2016 121,534 2,544,275 0.047768
2015 124,040 2,506,888 0.049480
2014 110,750 2,466,249 0.044906
2013 99,000 2,309,008 0.042876
2
Total of line 1, column (d) .....................
2
0.233318
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
0.046664
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
2,844,534
5
Multiply line 4 by line 3......................
5
132,737
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
671
7
Add lines 5 and 6........................
7
133,408
8
Enter qualifying distributions from Part XII, line 4,.............
8
149,450
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 671
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........................... 3 671
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- ..... 5 671
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 844
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 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 844
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 173
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet173 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletCT
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletPAUL L BOURDEAU ESQ Telephone no.bullet (860) 313-4930

    Located atbullet75 ISHAM ROAD SUITE 400WEST HARTFORDCT ZIP+4bullet06107
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    PETER LAPHAM TRUSTEE
    0.00     		0 0 0
    75 ISHAM RD SUITE 400
    WEST HARTFORD,CT06107
    PENELOPE LAPHAM TRUSTEE
    0.00     		0 0 0
    75 ISHAM RD SUITE 400
    WEST HARTFORD,CT06107
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,776,352
    b
    Average of monthly cash balances.......................
    1b
    111,500
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,887,852
    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
    2,887,852
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    43,318
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,844,534
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    142,227
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    142,227
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    671
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    671
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    141,556
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    141,556
    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
    141,556
    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
    149,450
    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
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    149,450
    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
    671
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    148,779
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 141,556
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 84,860
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 149,450
    a Applied to 2017, but not more than line 2a 84,860
    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..... 64,590
    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 ..........     		76,966
    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....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018....  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ACADEMY OF NATURAL SCIENCES OF PHILADELPHIA
    1900 BENJAMIN FRANKLIN PKWY
    PHILADELPHIA,PA19103     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    ACLU FOUNDATION (AMERICAN CIVIL LIBERTIES UNION FOUNDATION)
    PO BOX 60173
    PHILADELPHIA,PA19102     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    ADIRONDACK EXPERIENCE (ADIRONDACK HISTORICAL ASSOCIATION)
    PO BOX 99
    BLUE MOUNTAIN LAKE,NY12812     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    ANTIQUE BOAT MUSEUM
    750 MARY ST
    CLAYTON,NY13624     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    APPLEGATE HOUSE HERITAGE ARTS AND EDUCATION INC
    511 OLD APPLEGATE ROAD
    YONCALLA,OR97499     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 3,000
    ARDEN THEATRE COMPANY
    40 N 2ND STREET
    PHILADELPHIA,PA19106     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    AUDUBON SOCIETY OF RHODE ISLAND
    12 SANDERSON RD
    SMITHFIELD,RI02917     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    BARNES FOUNDATION
    2025 BENJAMIN FRANKLIN PARKWAY
    PHILADELPHIA,PA19130     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 500
    BIODIVERSITY RESEARCH INSTITUTE
    19 FLAGGY MEADOW ROAD
    GORHAM,ME04038     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 4,000
    BLOCK ISLAND CONSERVANCY
    PO BOX 84
    BLOCK ISLAND,RI02807     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,500
    BLOCK ISLAND EARLY LEARNING CENTER
    C/O COREY 266 BROAD ST
    MILFORD,CT06460     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,500
    BLOCK ISLAND HEALTH SERVICES INC
    PO BOX 919
    BLOCK ISLAND,RI02807     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    BLOCK ISLAND HISTORICAL SOCIETY
    PO BOX 79
    BLOCK ISLAND,RI02807     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 4,000
    BLOCK ISLAND VOLUNTEER FIRE & RESCUE DEPARTMENT
    PO BOX 781
    BLOCK ISLAND,RI02807     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    BREAKTHROUGH OF GREATER PHILADELPHIA INC
    34 W COULTER STREET
    PHILADELPHIA,PA19144     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 750
    CALDERA
    224 NW 13TH AVE STE 304
    PORTLAND,OR97209     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    CASA DE BELEN
    PO BOX 1021
    ROSEBURG,OR97470     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    CASA OF DOUGLAS COUNTY INC
    545 W UMPQUA ST SUITE 2
    ROSEBURG,OR97471     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 10,000
    CASCADE FOOTHILLS LIBRARY
    PO BOX 12
    DEXTER,OR97431     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    CENTER FOR WOODEN BOATS
    1010 VALLEY ST
    SEATTLE,WA98109     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 500
    CHARITY NAVIGATOR
    139 HARRISTOWN ROAD SUITE 101
    GLEN ROCK,NJ07452     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 200
    CHESTNUT HILL HISTORIC SOCIETY (CHESTNUT HILL CONSERVANCY)
    8708 GERMANTOWN AVE
    PHILADELPHIA,PA19118     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 3,000
    CLOVIS BOTANICAL GARDEN COMMITTEE INC
    1865 HERNDON AVE STE K
    CLOVIS,CA93611     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    COMMUNITY SUPPORTED SHELTERS
    1160 GRANT ST
    EUGENE,OR97402     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    CRADLES TO CRAYONS PHILADELPHIA
    4700 WISSAHICKON AVENUE SUITE 142
    PHILADELPHIA,PA19144     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 750
    DIGNITY HOUSING
    5227-R GERMANTOWN AVENUE
    PHILADELPHIA,PA19144     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    DOCTORS WITHOUT BORDERS USA INC
    40 RECTOR STREET 16TH FLOOR
    NEW YORK,NY10006     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    DOUGLAS COUNTY CHILDREN'S CENTER INC
    545 W UMPQUA ST SUITE 1
    ROSEBURG,OR97471     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,500
    DOUGLAS COUNTY MUSEUM FOUNDATION
    123 MUSEUM DRIVE
    ROSEBURG,OR97471     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    ENVIRONMENTAL DEFENSE FUND INCORPORATED
    257 PARK AVE SOUTH 17TH FLOOR
    NEW YORK,NY10010     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,500
    EQUAL JUSTICE INITIATIVE
    122 COMMERCE STREET
    MONTGOMERY,AL36104     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    EUGENE FAMILY YMCA (YOUNG MENS CHRISTIAN ASSOCIATION OF EUGENE)
    2055 PATTERSON STREET
    EUGENE,OR97405     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 5,000
    EUGENE PUBLIC LIBRARY FOUNDATION
    100 W 10TH AVENUE SUITE 317
    EUGENE,OR97401     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    FAMILY DEVELOPMENT CENTER
    300 JERRYS DRIVE
    ROSEBURG,OR97470     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    FOOD FOR LANE COUNTY
    770 BAILEY HILL RD
    EUGENE,OR97402     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,500
    FRIENDS OF ISLAND FREE LIBRARY (BLOCK ISLAND FREE LIBRARY)
    PO BOX 1830
    BLOCK ISLAND,RI02807     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    FRIENDS OF THE CORNELL LAB OF ORNITHOLOGY INC
    289 GREENWICH AVE
    GREENWICH,CT06830     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 500
    FRIENDS OF THE WISSAHICKON INC
    40 W EVERGREEN AVENUE SUITE 108
    PHILADELPHIA,PA19118     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    FRIENDS PEACE TEAMS INC
    1001 PARK AVE
    ST LOUIS,MO63104     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 4,000
    GARDEN CONSERVANCY INC
    PO BOX 219
    COLD SPRING,NY10516     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    GREEN TREE COMMUNITY HEALTH FOUNDATION
    6 EAST WILLOW GROVE AVENUE
    PHILADELPHIA,PA19118     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,500
    HABITAT FOR HUMANITY PHILADELPHIA
    1829 N 19TH ST
    PHILADELPHIA,PA19121     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    HEARING HEALTH FOUNDATION
    363 7TH AVE 10TH FLOOR
    NEW YORK,NY10001     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 750
    HIV ALLIANCE
    1195A CITY VIEW STREET
    EUGENE,OR97402     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    INTERNATIONAL RESCUE COMMITTEE INC
    122 E 42ND STREET
    NEW YORK,NY10168     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,500
    MARY D FUND (BLOCK ISLAND ECUMENICAL MINISTRIES INC)
    PO BOX 277
    BLOCK ISLAND,RI02807     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,500
    MCKENZIE RIVER TRUST
    120 SHELTON MCMURPHEY BLVD STE 270
    EUGENE,OR97401     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    MERCY LIFE CENTER CORPORATION
    1200 REEDSDALE ST
    PITTSBURGH,PA15233     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    MORRIS ARBORETUM OF THE UNIVERSITY OF PENNSYLVANIA
    3451 WALNUT STREET SUITE 305
    PHILADELPHIA,PA19104     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 4,000
    NATIONAL PARKS CONSERVATION ASSOCIATION
    777 6TH STREET NW SUITE 700
    WASHINGTON,DC20001     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    NATURAL RESOURCES DEFENSE COUNCIL INC (NRDC)
    40 WEST 20TH ST
    NEW YORK,NY10011     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    NATURE CONSERVANCY (BLOCK ISLAND CONSERVANCY)
    PO BOX 84
    BLOCK ISLAND,RI02807     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 3,500
    NEW YORK PUBLIC RADIO
    160 VARICK STREET 9TH FLOOR
    NEW YORK,NY10013     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    OREGON WILD (OREGON NATURAL RESOURCES COUNCIL FUND)
    5825 N GREELEY AVENUE
    PORTLAND,OR97217     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    PHILABUNDANCE
    3616 SOUTH GALLOWAY STREET
    PHILADELPHIA,PA19148     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,500
    PLEASANT HILL FOUNDATION
    PO BOX 636
    PLEASANT HILL,OR97455     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    POSITIVE COMMUNITY KITCHEN
    120 SHELTON MCMURPHY BLVD STE 271
    PO BOX 11513
    EUGENE,OR97440     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    PRESERVATION ALLIANCE FOR GREATER PHILADELPHIA
    1616 WALNUT ST SUITE 1620
    PHILADELPHIA,PA19103     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,500
    PRO-BONE-O
    PO BOX 1823
    EUGENE,OR97440     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    PROJECT HOME
    1515 FAIRMOUNT AVE
    PHILADELPHIA,PA19130     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    RARE
    1310 N COURTHOUSE ROAD SUITE 110
    ARLINGTON,VA22201     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    RHODE ISLAND NATURAL HISTORY SURVEY (RINHS)
    PO BOX 1858
    KINGSTON,RI02881     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 8,000
    SOUTH DOUGLAS FOOD BANK
    PO BOX 470
    RIDDLE,OR97469     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    SPRINGSIDE CHESTNUT HILL ACADEMY
    SCH ACADEMY 500 W WILLOW GROVE
    PHILADELPHIA,PA19118     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    SUNRISE ENTERPRISES OF ROSEBURG INC
    3005 NE DIAMOND LAKE BLVD
    ROSEBURG,OR97470     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    SUPPORTIVE OLDER WOMENS NETWORK
    4100 MAIN STREET SUITE 403
    PHILADELPHIA,PA19127     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    THE FISH OF ROSEBERG
    PO BOX 1162
    ROSEBURG,OR97470     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    THE SCHUYLKILL CENTER FOR ENVIRONMENTAL EDUCATION
    8480 HAGYS MILL ROAD
    PHILADELPHIA,PA19128     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    UCAN SENIOR COMPANION PROGRAM (UNITED COMMUNITY ACTION NETWORK)
    280 NE KENNETH FORD DR
    ROSEBURG,OR97470     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    UMPQUA LOW-COST VETERINARY SERVICES
    520 SE SPRUCE STREET
    ROSEBURG,OR97470     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    UMPQUA VALLEY ARTS ASSOCIATION (UVAA)
    1624 W HARVARD AVENUE
    ROSEBURG,OR97471     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 4,000
    UNIVERSITY OF THE ARTS
    320 S BROAD STREET
    PHILADELPHIA,PA19102     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,000
    WHYY INC
    150 NORTH SIXTH STREET
    PHILADELPHIA,PA19106     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 7,500
    WILDAID INC
    333 PINE ST SUITE 300
    SAN FRANCISCO,CA94104     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 2,000
    WILDLIFE CONSERVATION NETWORK INC
    209 MISSISSIPPI STREET
    SAN FRANCISCO,CA94107     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 3,000
    WOODMERE ART MUSEUM INC
    9201 GERMANTOWN AVE
    PHILADELPHIA,PA19118     		NONE PUBLIC CURRENT USE FOR CHARITABLE PURPOSES 1,500
    Total .................................bullet 3a 149,450
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 21,581  
    4 Dividends and interest from securities....     14 65,911  
    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 9,815  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 97,307 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    97,307
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

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

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    THE BLUESTONE FOUNDATION
    EIN:
    06-1527223
    Name of Bond End of Year Book Value End of Year Fair Market Value
    $100,000 CBS CORP DEBENTURE 7.875% 9/1/2023 107,054 112,796
    $50,000 GENERAL ELECTRIC CAP CORP 4.375% 9/16/20 49,235 49,961
    $40,000 GENERAL ELEC CAP CORP SRN NOTE 4.25% 8/15/2022 40,860 37,557
    $40,000 BANK OF AMERICA CORP 4.1% 7/24/2023 39,887 40,576
    $50,000 FRONTIER COMM CO 6.75% 5/15/27 50,614 43,125

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    THE BLUESTONE FOUNDATION
    EIN:
    06-1527223
    Name of Stock End of Year Book Value End of Year Fair Market Value
    1,700 SHS ARES CAPITAL CORP 29,732 26,486
    350 SHS ABBOTT LABS 10,413 25,315
    430 SHS. DEERE CO 35,736 64,143
    700 SHS. DIGITAL RLTY TR INC 48,996 74,585
    300 SHS. ROCKWELL AUTOMATION INC 23,932 45,144
    1,000 SHS. SECTOR SPDR INDUSTRIAL 37,542 64,410
    400 SHS. STRYKER CORP 22,167 62,700
    350 SHS. ABBVIE INC 11,292 32,266
    350 SHS. AUTOMATIC DATA PROC 23,090 45,892
    1,657 SHS. HARTFORD FINL SVCS GROUP 47,607 73,653
    928 SHS. PFIZER INC. 20,970 40,507
    1,400 SHS. PUB SVC ENTERPRISE GRP 42,770 72,870
    1,400 SHS APPLE INC. 97,885 220,836
    400 SHS. NIKE INC CLASS B 19,322 29,656
    700 SHS. FIRST TR EXCH TRADED FD 20,379 33,929
    1,400 SHS. SECTOR SPDR TECH SELECT 36,989 86,772
    1,000 SHS. NEW YORK MTG 7.875% PFD 25,015 22,180
    1,300 SHS. WELLTOWER INC 59,378 90,233
    578 SHS. BAXTER INTERNATIONAL 17,289 38,044
    400 SHS. CHIMERA INVESTME 8% PFD SER B 10,015 10,220
    100 SHS. CHUBB LTD 14,319 12,918
    200 SHS. CISCO SYSTEMS INC. 6,841 8,666
    300 SHS. CVS HEALTH CORP 23,955 19,656
    1,259 SHS ENBRIDGE INC. 29,037 39,130
    150 SHS JPMORGAN CHASE & CO. 14,280 14,643
    75 SHS. NVIDIA CORP 13,487 10,012
    700 SHS. ON SEMICONDUCTOR CO. 12,168 11,557
    500 SHS. SPDR S&P GLOBAL NOTURAL RESOURCES 21,661 20,620
    2,700 SHS TEMPLETON GLOBAL INCOME 25,899 16,281
    1,500 SHS. AT&T 38,940 42,810
    1,000 SHS. EXXON MOBIL CORP. 54,230 68,190
    800 SHS. EMERSON ELECTRIC CO 44,082 47,800
    600 SHS. JOHNSON & JOHNSON 29,519 77,430
    1,200 SHS. NEXTERA 62,442 208,584
    600 SHS. PEPSICO INCORPORATED 39,450 66,288
    871 SHS. ZOETIS INC. 34,625 74,505
    1,000 SHS. LEHMAN BROTHERS H 6.375&% PFD DUE 10/31/52 21,155 90
    500 SHS. PHILLIPS 66 14,643 43,075
    35 SHS. AMAZON.COM INC. 36,931 52,569
    50 SHS. BLACKROCK INC. 27,056 19,641
    300 SHS. BROADCOM INC. 45,907 76,284
    200 SHS. CAPITAL ONE FC 19,046 15,118
    100 SHS. COSTCO WHOLESALE CO. 19,862 20,371
    100 SHS. EDWARDS LIFESCIENCES 13,778 15,317
    100 SHS. HOME DEPOT INC. 18,678 17,182
    200 SHS. PAYPAL HOLDINGS INCORPORATED 16,325 16,818
    400 SHS. PROGRESSIVE CO OHIO 24,963 24,132
    100 SHS. RAYTHEON CO. 21,355 15,335
    200 SHS. TIFFANY & CO. 25,000 16,102
    200 SHS. VISA INC CLASS A 26,340 26,388
    1,350 SHS. WESTERN ASSET INV GRADE 29,500 25,056
    275 SHS. ISHARES CORE US AGGREGATE BOND 29,303 29,285

    TY 2018 LegalFeesSchedule
    Name:
    THE BLUESTONE FOUNDATION
    EIN:
    06-1527223
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CUMMINGS & LOCKWOOD LLC, LEGAL FEES 9,884 9,884   0


    TY 2018 OtherExpensesSchedule
    Name:
    THE BLUESTONE FOUNDATION
    EIN:
    06-1527223
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BALDWIN INVESTMENT MANAGEMENT LLC - MANAGEMENT ADVISOR FEE 20,337 20,337   0


    TY 2018 TaxesSchedule
    Name:
    THE BLUESTONE FOUNDATION
    EIN:
    06-1527223
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX PAID 647 0   0
    UNITED STATES TREASURY - 2018 ESTIMATED EXCISE TAX 491 0   0