TY 2018 Form 990PF

- TIN:

Form990-PF

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
GEORGE S HELLERICK JR CHARITABLE TRUST

Number and street (or P.O. box number if mail is not delivered to street address)14 N MAIN STREET PO BOX 559
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
SOUDERTON, PA189640197

A Employer identification number

23-6829210

B Telephone number (see instructions)

(215) 721-2549

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

$3,390,944J 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...	81,285		81,285
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		235,268
b	Gross sales price for all assets on line 6a 751,589
7	Capital gain net income (from Part IV, line 2)...			235,268
8	Net short-term capital gain.........				0
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	316,553		316,553
13	Compensation of officers, directors, trustees, etc.	36,312
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).......		1,000	0	0	0
c	Other professional fees (attach schedule)....					0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		4,639	139		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).......
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	41,951		139	0	0
25	Contributions, gifts, grants paid.......	219,744				219,744
26	Total expenses and disbursements. Add lines 24 and 25	261,695		139	0	219,744
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	54,858
b	Net investment income (if negative, enter -0-)			316,414
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.........	318,505	343,125	343,125
	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)	350,000	350,000	336,864
	b	Investments—corporate stock (attach schedule).......	1,189,883	1,211,037	1,472,318
	c	Investments—corporate bonds (attach schedule).......	364,361	364,361	368,634
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	836,865	892,641	870,003
	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)	3,059,614	3,161,164	3,390,944
	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..................	3,059,614	3,161,164
	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........
	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).....	3,059,614	3,161,164
	31	Total liabilities and net assets/fund balances (see instructions).	3,059,614	3,161,164

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) ...............

3,059,614

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

54,858

Other increases not included in line 2 (itemize) bullet

46,692

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

3,161,164

Decreases not included in line 2 (itemize) bullet

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

3,161,164

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	39. AT & T INC. COM		2016-11-29	2018-03-01
b	10. AT & T INC. COM		2017-03-06	2018-05-11
c	8. AT & T INC. COM		2017-03-06	2018-08-13
d	497. AT & T INC. COM		2017-09-11	2018-10-03
e	65. ABBVIE INC.		2016-11-29	2018-03-01
	6. ABBVIE INC.		2016-11-21	2018-05-11
	5. ABBVIE INC.		2016-11-21	2018-08-13
	1. AETNA U.S. HEALTHCARE, INC.		2016-11-29	2018-03-01
	4. AETNA U.S. HEALTHCARE, INC.		2016-11-29	2018-05-11
	3. AETNA U.S. HEALTHCARE, INC.		2017-03-06	2018-08-13
	9. AETNA U.S. HEALTHCARE, INC.		2017-03-06	2018-10-03
	196. AETNA U.S. HEALTHCARE, INC.		2017-03-06	2018-11-28
	3. AIR PRODUCTS & CHEMICALS INC		2016-12-27	2018-05-11
	2. AIR PRODUCTS & CHEMICALS INC		2016-12-27	2018-08-13
	38. AIR PRODUCTS & CHEMICALS INC		2017-09-11	2018-10-03
	7. ALLSTATE CORP		2017-03-06	2018-05-11
	6. ALLSTATE CORP		2017-03-06	2018-08-13
	28. ALLSTATE CORP		2016-12-27	2018-10-03
	1. ALPHABET INC CLASS A		2016-10-26	2018-05-11
	1. ALPHABET INC CLASS A		2017-07-11	2018-08-13
	14. ALPHABET INC CLASS A		2017-07-11	2018-10-03
	74.046 AMERICAN BEACON SMALL CAP VALUE INV		2016-12-27	2018-05-11
	57.388 AMERICAN BEACON SMALL CAP VALUE INV		2016-12-27	2018-08-13
	7. AMERISOURCE BERGEN CORP		2017-03-06	2018-05-11
	6. AMERISOURCE BERGEN CORP		2017-03-06	2018-08-13
	10. AMERIPRISE FINANCIAL INC.		2014-06-25	2018-03-01
	5. AMERIPRISE FINANCIAL INC.		2014-06-25	2018-05-11
	4. AMERIPRISE FINANCIAL INC.		2014-06-25	2018-08-13
	251. AMERIPRISE FINANCIAL INC.		2016-12-27	2018-10-03
	4. AMGEN		2016-07-08	2018-05-11
	3. AMGEN		2016-07-08	2018-08-13
	8. AMGEN		2017-09-11	2018-10-03
	5. APPLE INC.		2017-03-06	2018-05-11
	4. APPLE INC.		2017-07-11	2018-08-13
	51. APPLE INC.		2017-09-11	2018-10-03
	20. APPLIED MATERIALS INCORPORATED		2016-12-27	2018-03-01
	15. APPLIED MATERIALS INCORPORATED		2017-03-06	2018-05-11
	14. APPLIED MATERIALS INCORPORATED		2017-03-06	2018-08-13
	828. APPLIED MATERIALS INCORPORATED		2016-12-27	2018-10-03
	675. BB&T CORP COM		2016-12-27	2018-03-01
	21. BB&T CORP COM		2017-03-06	2018-03-01
	65. BB&T CORP COM		2017-09-11	2018-03-01
	21. BANK AMERICA CORP COM		2018-03-01	2018-05-11
	16. BANK AMERICA CORP COM		2018-03-01	2018-08-13
	13. BECTON DICKINSON & CO		2016-10-06	2018-03-01
	3. BECTON DICKINSON & CO		2016-11-29	2018-05-11
	2. BECTON DICKINSON & CO		2016-11-29	2018-08-13
	9. BECTON DICKINSON & CO		2016-11-29	2018-10-03
	1. BOOKING HLDGS INC		2016-11-21	2018-03-01
	3. BROADCOM INC COM		2016-12-27	2018-05-11
	3. BROADCOM INC COM		2017-07-11	2018-08-13
	6. BROADCOM INC COM		2016-12-27	2018-10-03
	.2088 CVS CORP.		2018-11-28	2018-12-20
	12. COGNIZANT TECHOLOGY SOLUTIONS		2017-03-06	2018-05-11
	9. COGNIZANT TECHOLOGY SOLUTIONS		2017-07-11	2018-08-13
	25. COMCAST CORP NEW CLASS A		2017-03-06	2018-05-11
	18. COMCAST CORP NEW CLASS A		2017-03-06	2018-08-13
	216. COMCAST CORP NEW CLASS A		2017-09-11	2018-10-03
	64. COMCAST CORP NEW CLASS A		2016-12-27	2018-10-03
	32. CONOCOPHILLIPS COM		2016-12-27	2018-03-01
	5. CONOCOPHILLIPS COM		2016-11-21	2018-05-11
	4. CONOCOPHILLIPS COM		2016-11-21	2018-08-13
	88. CONOCOPHILLIPS COM		2017-09-11	2018-10-03
	3. CONSTELLATION BRANDS, INC.		2017-03-06	2018-05-11
	3. CONSTELLATION BRANDS, INC.		2017-03-06	2018-08-13
	27. CONSTELLATION BRANDS, INC.		2017-03-06	2018-10-03
	4. COSTCO WHOLESALE CORP NEW		2016-11-29	2018-05-11
	3. COSTCO WHOLESALE CORP NEW		2016-11-29	2018-08-13
	58. COSTCO WHOLESALE CORP NEW		2017-09-11	2018-10-03
	8. DISNEY COMPANY		2017-03-06	2018-05-11
	6. DISNEY COMPANY		2017-03-06	2018-08-13
	35. DISNEY COMPANY		2017-03-06	2018-09-10
	106. DISNEY COMPANY		2017-09-11	2018-10-03
	85. DISCOVER FINANCIAL SERVICES		2016-12-27	2018-03-01
	9. DISCOVER FINANCIAL SERVICES		2017-03-06	2018-05-11
	7. DISCOVER FINANCIAL SERVICES		2017-03-06	2018-08-13
	7. EOG RESOURCES		2016-12-27	2018-03-01
	3. EOG RESOURCES		2016-12-27	2018-05-11
	2. EOG RESOURCES		2016-12-27	2018-08-13
	34. EOG RESOURCES		2016-12-27	2018-10-03
	86.82 AMERICAN FUNDS EUROPACIFIC GROWTH F1		2016-10-26	2018-05-11
	76.03 AMERICAN FUNDS EUROPACIFIC GROWTH F1		2016-10-26	2018-08-13
	4. FACEBOOK INC. CLASS A		2017-03-06	2018-05-11
	4. FACEBOOK INC. CLASS A		2017-07-11	2018-08-13
	23. FACEBOOK INC. CLASS A		2017-07-11	2018-10-03
	3. FEDEX CORP		2017-03-06	2018-05-11
	2. FEDEX CORP		2017-03-06	2018-08-13
	32. FEDEX CORP		2017-03-06	2018-10-03
	.6 GARRETT MOTION INC COM		2016-12-27	2018-10-05
	18.5 GARRETT MOTION INC COM		2016-12-27	2018-10-16
	.5 GARRETT MOTION INC COM		2018-03-01	2018-10-16
	3. GENERAL DYNAMICS CORP		2016-11-29	2018-05-11
	2. GENERAL DYNAMICS CORP		2016-12-27	2018-08-13
	13. GENERAL DYNAMICS CORP		2017-09-11	2018-10-03
	6. HARRIS CORP		2016-11-29	2018-05-11
	5. HARRIS CORP		2016-11-21	2018-08-13
	158. HARRIS CORP		2016-12-27	2018-10-03
	5. HOME DEPOT INC		2017-03-06	2018-05-11
	3. HOME DEPOT INC		2017-03-06	2018-08-13
	50. HOME DEPOT INC		2017-03-06	2018-09-10
	4. HONEYWELL INTERNATIONAL INC.		2017-03-06	2018-05-11
	3. HONEYWELL INTERNATIONAL INC.		2016-12-27	2018-08-13
	9. HONEYWELL INTERNATIONAL INC.		2016-12-27	2018-10-03
	10. INTERCONTINENTAL EXCHANGE GROUP INC.		2016-12-27	2018-05-11
	8. INTERCONTINENTAL EXCHANGE GROUP INC.		2016-12-27	2018-08-13
	16. INTERCONTINENTAL EXCHANGE GROUP INC.		2017-09-11	2018-10-03
	68. J. P. MORGAN CHASE & CO. COM		2016-12-27	2018-03-01
	7. J. P. MORGAN CHASE & CO. COM		2017-03-06	2018-05-11
	5. J. P. MORGAN CHASE & CO. COM		2017-03-06	2018-08-13
	12.502 JANUS HENDERSON ENTERPRISE A		2018-05-15	2018-08-13
	1. JOHNSON & JOHNSON		2016-10-06	2018-03-01
	4. JOHNSON & JOHNSON		2016-10-06	2018-05-11
	3. JOHNSON & JOHNSON		2016-12-27	2018-08-13
	6. KIMBERLY CLARK CORP		2017-03-06	2018-05-11
	5. KIMBERLY CLARK CORP		2017-03-06	2018-08-13
	70. KIMBERLY CLARK CORP		2017-09-11	2018-10-03
	7. KRAFT HEINZ CO		2017-09-11	2018-05-11
	5. KRAFT HEINZ CO		2017-09-11	2018-08-13
	20. KRAFT HEINZ CO		2017-09-11	2018-10-03
	13. NIKE INC. CLASS B		2017-03-06	2018-05-11
	9. NIKE INC. CLASS B		2017-03-06	2018-08-13
	198. NIKE INC. CLASS B		2017-03-06	2018-09-10
	22. NIKE INC. CLASS B		2017-09-11	2018-10-03
	4. OCCIDENTAL PETROLEUM		2013-03-27	2018-05-11
	4. OCCIDENTAL PETROLEUM		2013-03-27	2018-08-13
	49. OCCIDENTAL PETROLEUM		2013-03-27	2018-10-03
	40. PNC BANK CORP.		2016-12-27	2018-03-01
	5. PNC BANK CORP.		2017-03-06	2018-05-11
	4. PNC BANK CORP.		2017-03-06	2018-08-13
	9. PACCAR INC		2018-03-01	2018-05-11
	7. PACCAR INC		2018-03-01	2018-08-13
	31. PACCAR INC		2018-03-01	2018-10-03
	217. PHILIP MORRIS INTERNATIONAL INC.		2016-11-29	2018-03-01
	78. T. ROWE PRICE GROUP		2016-12-27	2018-03-01
	6. T. ROWE PRICE GROUP		2016-12-27	2018-05-11
	5. T. ROWE PRICE GROUP		2016-12-27	2018-08-13
	54.347 PRUDENTIAL JENNISON MID CAP GROWTH A		2016-11-29	2018-05-11
	2734.225 PRUDENTIAL JENNISON MID CAP GROWTH A		2016-12-27	2018-05-15
	.167 RESIDEO TECHNOLOGIES INC COM		2016-11-29	2018-11-13
	30.167 RESIDEO TECHNOLOGIES INC COM		2016-11-29	2018-11-19
	.833 RESIDEO TECHNOLOGIES INC COM		2018-03-01	2018-11-19
	6. SCHLUMBERGER LTD		2016-12-27	2018-05-11
	5. SCHLUMBERGER LTD		2016-12-27	2018-08-13
	15. SCHLUMBERGER LTD		2016-12-27	2018-10-03
	17. UTILITIES SELECT SECTOR SPDR ETF		2016-10-26	2018-05-11
	13. UTILITIES SELECT SECTOR SPDR ETF		2016-10-26	2018-08-13
	67. UTILITIES SELECT SECTOR SPDR ETF		2017-09-11	2018-10-03
	2. SHERWIN WILLIAMS CO		2017-09-11	2018-03-01
	1. SHERWIN WILLIAMS CO		2017-09-11	2018-05-11
	1. SHERWIN WILLIAMS CO		2017-09-11	2018-08-13
	18. SHERWIN WILLIAMS CO		2017-09-11	2018-10-03
	8. SUNCOR ENERGY INC. NEW		2013-09-25	2018-05-11
	6. SUNCOR ENERGY INC. NEW		2013-09-25	2018-08-13
	40. SUNCOR ENERGY INC. NEW		2013-09-25	2018-10-03
	3. THERMO FISHER SCIENTIFIC INC. COM		2017-03-06	2018-05-11
	2. THERMO FISHER SCIENTIFIC INC. COM		2017-03-06	2018-08-13
	13. THERMO FISHER SCIENTIFIC INC. COM		2017-03-06	2018-10-03
	1. 3M COMPANY COM		2016-12-27	2018-03-01
	2. 3M COMPANY COM		2017-03-06	2018-05-11
	2. 3M COMPANY COM		2017-03-06	2018-08-13
	115. 3M COMPANY COM		2016-12-27	2018-10-03
	17. UNION PACIFIC CORP		2017-03-06	2018-03-01
	241. UNION PACIFIC CORP		2016-12-27	2018-03-01
	17. UNITED TECHNOLOGIES CORP		2016-12-27	2018-03-01
	4. UNITED TECHNOLOGIES CORP		2016-12-27	2018-05-11
	3. UNITED TECHNOLOGIES CORP		2016-12-27	2018-08-13
	36. UNITED TECHNOLOGIES CORP		2017-09-11	2018-10-03
	87. VANGUARD TOTAL INTERNATIONAL STOCK ETF		2016-10-26	2018-05-11
	74. VANGUARD TOTAL INTERNATIONAL STOCK ETF		2016-10-26	2018-08-13
	20.663 VANGUARD EXPLORER FUND ADMIRAL		2016-11-21	2018-05-11
	15.51 VANGUARD EXPLORER FUND ADMIRAL		2016-11-21	2018-08-13
	52.901 VANGUARD EXPLORER FUND ADMIRAL		2016-11-21	2018-10-03
	5. VERIZON COMMUNICATIONS		2016-02-25	2018-03-01
	6. VERIZON COMMUNICATIONS		2016-02-25	2018-05-11
	4. VERIZON COMMUNICATIONS		2016-02-25	2018-08-13
	7. VISA INC. COM CLASS A		2016-10-26	2018-03-01
	6. VISA INC. COM CLASS A		2016-10-26	2018-05-11
	5. VISA INC. COM CLASS A		2017-07-11	2018-08-13
	51. VISA INC. COM CLASS A		2017-07-11	2018-10-03
	53.177 WELLS FARGO SPECIAL MID CAP VALUE FUND		2016-12-27	2018-05-11
	41.884 WELLS FARGO SPECIAL MID CAP VALUE FUND		2016-12-27	2018-08-13
	6. TE CONNECTIVITY LTD		2016-12-27	2018-03-01
	10. TE CONNECTIVITY LTD		2017-03-06	2018-05-11
	8. TE CONNECTIVITY LTD		2017-07-11	2018-08-13
	9. TE CONNECTIVITY LTD		2017-09-11	2018-10-03
	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	1,404	1,532	-128
b	322	420	-98
c	257	336	-79
d	16,793	16,264	529
e	7,382	4,020	3,362
	625	363	262
	485	302	183
	176	132	44
	697	527	170
	584	395	189
	1,830	1,183	647
	41,674	10,620	31,054
	499	442	57
	325	295	30
	6,450	5,451	999
	674	571	103
	589	483	106
	2,765	2,084	681
	1,103	821	282
	1,251	953	298
	16,922	11,451	5,471
	2,000	2,011	-11
	1,600	1,559	41
	610	631	-21
	499	499
	1,534	1,194	340
	685	597	88
	545	478	67
	37,722	28,113	9,609
	696	643	53
	587	483	104
	1,653	1,363	290
	943	609	334
	837	583	254
	11,821	6,215	5,606
	1,142	667	475
	820	554	266
	676	506	170
	32,201	17,102	15,099
	36,340	27,715	8,625
	1,131	1,015	116
	3,499	2,908	591
	648	664	-16
	487	506	-19
	2,832	2,297	535
	676	527	149
	497	347	150
	2,325	1,548	777
	2,026	1,525	501
	729	548	181
	635	606	29
	1,494	1,067	427
	17	17
	918	734	184
	679	609	70
	796	937	-141
	631	674	-43
	7,562	7,668	-106
	2,241	2,263	-22
	1,725	1,544	181
	346	231	115
	284	185	99
	6,902	4,005	2,897
	660	473	187
	641	473	168
	5,711	4,260	1,451
	784	608	176
	659	454	205
	13,500	8,872	4,628
	817	886	-69
	674	665	9
	3,873	3,877	-4
	12,379	10,574	1,805
	6,376	5,782	594
	679	638	41
	520	497	23
	707	718	-11
	351	308	43
	243	205	38
	4,421	3,296	1,125
	5,000	4,056	944
	4,000	3,552	448
	747	551	196
	722	621	101
	3,723	3,571	152
	753	582	171
	481	388	93
	7,700	6,096	1,604
	10	7	3
	289	108	181
	8	8
	611	526	85
	384	350	34
	2,669	2,301	368
	940	629	311
	812	519	293
	26,690	15,570	11,120
	952	737	215
	582	442	140
	10,531	6,781	3,750
	590	487	103
	457	352	105
	1,486	1,037	449
	713	574	139
	584	459	125
	1,195	1,052	143
	7,712	5,239	2,473
	797	642	155
	570	316	254
	1,600	1,533	67
	127	119	8
	510	474	36
	391	353	38
	629	801	-172
	555	617	-62
	7,878	8,190	-312
	414	576	-162
	296	412	-116
	1,108	1,647	-539
	889	739	150
	722	511	211
	16,258	10,458	5,800
	1,815	1,170	645
	340	299	41
	313	299	14
	4,034	3,667	367
	6,251	4,738	1,513
	755	639	116
	568	511	57
	573	625	-52
	448	486	-38
	2,172	2,154	18
	22,588	18,895	3,693
	8,579	6,009	2,570
	708	462	246
	584	385	199
	2,000	1,916	84
	100,182	78,500	21,682
	4	3	1
	587	293	294
	16	22	-6
	425	513	-88
	325	428	-103
	938	1,241	-303
	856	827	29
	689	633	56
	3,508	3,746	-238
	792	695	97
	381	347	34
	436	347	89
	7,940	6,251	1,689
	319	289	30
	243	217	26
	1,591	1,446	145
	649	474	175
	462	316	146
	3,209	2,055	1,154
	231	179	52
	410	378	32
	400	378	22
	24,752	13,050	11,702
	2,188	1,860	328
	31,016	19,181	11,835
	2,218	1,887	331
	497	444	53
	396	333	63
	5,071	3,954	1,117
	5,008	4,047	961
	3,946	3,442	504
	2,000	1,733	267
	1,600	1,301	299
	5,585	4,436	1,149
	240	256	-16
	291	307	-16
	209	205	4
	842	573	269
	790	491	299
	700	478	222
	7,616	4,294	3,322
	2,000	1,936	64
	1,600	1,525	75
	602	424	178
	945	743	202
	738	636	102
	781	728	53
			35,631

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			-128
b			-98
c			-79
d			529
e			3,362
			262
			183
			44
			170
			189
			647
			31,054
			57
			30
			999
			103
			106
			681
			282
			298
			5,471
			-11
			41
			-21

			340
			88
			67
			9,609
			53
			104
			290
			334
			254
			5,606
			475
			266
			170
			15,099
			8,625
			116
			591
			-16
			-19
			535
			149
			150
			777
			501
			181
			29
			427

			184
			70
			-141
			-43
			-106
			-22
			181
			115
			99
			2,897
			187
			168
			1,451
			176
			205
			4,628
			-69
			9
			-4
			1,805
			594
			41
			23
			-11
			43
			38
			1,125
			944
			448
			196
			101
			152
			171
			93
			1,604
			3
			181

			85
			34
			368
			311
			293
			11,120
			215
			140
			3,750
			103
			105
			449
			139
			125
			143
			2,473
			155
			254
			67
			8
			36
			38
			-172
			-62
			-312
			-162
			-116
			-539
			150
			211
			5,800
			645
			41
			14
			367
			1,513
			116
			57
			-52
			-38
			18
			3,693
			2,570
			246
			199
			84
			21,682
			1
			294
			-6
			-88
			-103
			-303
			29
			56
			-238
			97
			34
			89
			1,689
			30
			26
			145
			175
			146
			1,154
			52
			32
			22
			11,702
			328
			11,835
			331
			53
			63
			1,117
			961
			504
			267
			299
			1,149
			-16
			-16
			4
			269
			299
			222
			3,322
			64
			75
			178
			202
			102
			53

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	235,268
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
2016
2015
2014
2013

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

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 ......

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

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

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

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

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

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	6,328
	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	6,328
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	6,328
6	Credits/Payments:

a	2018 estimated tax payments and 2017 overpayment credited to 2018	6a	4,333
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	4,333
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	1,995
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 . Click to see attachment

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

The books are in care of bullet

UNIVEST BANK AND TRUST CO, TRUST SERVICES Telephone no. bullet

(215) 721-2549

Located at bullet

14 N MAIN STREET PO BOX 197SOUDERTONPA ZIP+4 bullet

18964

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
Univest Bank	Trustee 1	36,312
14 N Main Street Souderton,PA18964	Trustee 1	36,312

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

3,478,392

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

288,892

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

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

3,767,284

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

3,767,284

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

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

56,509

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

3,710,775

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

185,539

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

185,539

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

6,328

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

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

6,328

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

179,211

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

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

179,211

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

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

179,211

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 ..........

219,744

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

219,744

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

219,744

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

Form 990-PF (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					179,211
2 Undistributed income, if any, as of the end of 2018:
a Enter amount for 2017 only.......				0
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......	204,481
fTotal of lines 3a through e........		204,481
4Qualifying distributions for 2018 from Part
XII, line 4: $ 219,744
a Applied to 2017, but not more than line 2a				0
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.....					179,211
e Remaining amount distributed out of corpus		40,533
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		245,014
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 ..........					0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		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 ......		245,014
10 Analysis of line 9:
a Excess from 2014....	0
b Excess from 2015....	0
c Excess from 2016....	0
d Excess from 2017....	204,481
e Excess from 2018....	40,533

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).)

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

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
Masonic Villages of the Grand Lodge of P ennsylvania MARGARET CHAPMAN BEQUEST ADMIN Elizabethtown,PA170222199		PC	GENERAL	54,936
Grand View Hospital 700 LAWN AVENUE Sellersville,PA189600902		PC	GENERAL	54,936
St Matthew's Evangelical Lutheran 3668 RIDGE ROAD Perkasie,PA18944		PC	GENERAL	54,936
Shriners Hospitals for Children ATTNMANAGER TRUST/INVESTMENT ACCOU Tampa,FL33631		PC	GENERAL	54,936
Total ................................. 3a				219,744

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	81,285
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	235,268
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)..				316,553

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

316,553

(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:

GEORGE S HELLERICK JR CHARITABLE TRUST

EIN:

23-6829210

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
ACCOUNTING FEES	1,000

- TIN:

TY 2018 ExplnOfNonFilingWithAGStmt

Name:

GEORGE S HELLERICK JR CHARITABLE TRUST

EIN:

23-6829210

Statement:

The entity is exempt from registration in PA.

- TIN:

TY 2018 InvestmentsCorpBondsSchedule

Name:

GEORGE S HELLERICK JR CHARITABLE TRUST

EIN:

23-6829210

Name of Bond	End of Year Book Value	End of Year Fair Market Value
AVAILABLE UPON REQUEST	364,361	368,634

- TIN:

TY 2018 InvestmentsCorpStockSchedule

Name:

GEORGE S HELLERICK JR CHARITABLE TRUST

EIN:

23-6829210

Name of Stock	End of Year Book Value	End of Year Fair Market Value
AVAILABLE UPON REQUEST	1,211,037	1,472,318

- TIN:

TY 2018 InvestmentsGovtObligationsSch

Name:

GEORGE S HELLERICK JR CHARITABLE TRUST

EIN:

23-6829210

US Government Securities - End of Year Book Value:

350,000

US Government Securities - End of Year Fair Market Value:

336,864

State & Local Government Securities - End of Year Book Value:

State & Local Government Securities - End of Year Fair Market Value:

- TIN:

TY 2018 InvestmentsOtherSchedule2

Name:

GEORGE S HELLERICK JR CHARITABLE TRUST

EIN:

23-6829210

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
AVAILABLE UPON REQUEST	AT COST	892,641	870,003

- TIN:

TY 2018 OtherIncreasesSchedule

Name:

GEORGE S HELLERICK JR CHARITABLE TRUST

EIN:

23-6829210

Description	Amount
EOY ADJUSTMENT	46,692

- TIN:

TY 2018 TaxesSchedule

Name:

GEORGE S HELLERICK JR CHARITABLE TRUST

EIN:

23-6829210

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
FOREIGN TAX PAID	139	139		0
2018 ESTIMATE	4,500	0		0