Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
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
MERRICK BETTE M MEDICAL EQUIP TUW
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

83-6027064
B Telephone number (see instructions)

(888) 730-4933
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$5,701,354J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 136,814 136,525  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 181,489
b Gross sales price for all assets on line 6a 1,654,702
7 Capital gain net income (from Part IV, line 2)... 181,489
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 118,060 118,060  
12 Total. Add lines 1 through 11........ 436,363 436,074  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 66,827 50,120   16,707
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 1,151 0 0 1,151
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 5,882 2,595   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.......... 73,860 52,715 0 17,858
25 Contributions, gifts, grants paid....... 155,218 155,218
26 Total expenses and disbursements. Add lines 24 and 25 229,078 52,715 0 173,076
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 207,285
b Net investment income (if negative, enter -0-) 383,359
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 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......... 170,854 203,121 203,121
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,375,446 Click to see attachment4,549,711 5,498,233
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,546,300 4,752,832 5,701,354
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow 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........ 4,546,300 4,752,832
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)..... 4,546,300 4,752,832
31 Total liabilities and net assets/fund balances (see instructions). 4,546,300 4,752,832
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
4,546,300
2
Enter amount from Part I, line 27a .....................
2
207,285
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
96
4
Add lines 1, 2, and 3 ..........................
4
4,753,681
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
849
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
4,752,832
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 602. AQR MANAGED FUTURES STR-I   2014-11-03 2018-02-02
b 56. ISHARES S&P MID-CAP 400 GROWTH     2018-02-02
c 28. ISHARES S&P MID-CAP 400 VALUE   2017-10-23 2018-02-02
d 1489. ISHARES CORE S&P SMALL-CAP E   2010-01-15 2018-02-02
e 206. ASG GLOBAL ALTERNATIVES-Y 1993   2013-07-22 2018-02-02
323. NEUBERGER BERMAN LONG SH-INS #1830     2018-02-02
123. SPDR DJ WILSHIRE INTERNATIONAL REAL   2017-01-20 2018-02-02
13. SPDR DJ WILSHIRE INTERNATIONAL REAL   2017-10-23 2018-02-02
45. AMEX MATERIALS SPDR   2015-08-28 2018-02-02
145. HEALTH CARE SELECT SECTOR   2016-08-22 2018-02-02
78. CONSUMER STAPLES SECTOR SPDR TR     2018-02-02
114. AMEX CONSUMER DISCR SPDR   2014-11-07 2018-02-02
41. AMEX ENERGY SELECT SPDR   2012-01-13 2018-02-02
430. FINANCIAL SELECT SECTOR SPDR   2016-12-01 2018-02-02
118. AMEX INDUSTRIAL SPDR   2015-08-28 2018-02-02
305. AMEX TECHNOLOGY SELECT SPDR   2015-08-28 2018-02-02
58. REAL ESTATE SELECT SECT SPDR   2016-09-22 2018-02-02
197. VANGUARD EUROPE PACIFIC ETF   2013-02-13 2018-02-02
2253.634 VANGUARD INFLAT-PROT SECS-ADM 5119     2018-02-02
43.833 VANGUARD INFLAT-PROT SECS-ADM 5119   2017-10-24 2018-02-02
332. VANGUARD FTSE EMERGING MARKETS ETF   2017-01-20 2018-02-02
5000. BANK OF AMERICA CORP 5.625% 7/01/20   2017-01-24 2018-02-05
5000. CHEVRON CORP 4.950% 3/03/19   2012-03-08 2018-02-05
3000. FED NATL MTG ASSN 2.625% 9/06/24   2017-08-24 2018-02-05
2000. FED NATL MTG ASSN 2.625% 9/06/24   2015-03-26 2018-02-05
10000. FED HOME LN MTG CORP 3.750% 3/27/19   2012-03-08 2018-02-05
1000. HALLIBURTON COMPANY 3.500% 8/01/23   2017-05-24 2018-02-05
4000. HALLIBURTON COMPANY 3.500% 8/01/23   2017-01-24 2018-02-05
5000. HOME DEPOT INC 3.000% 4/01/26   2016-06-06 2018-02-05
90. ISHARES BARCLAYS MBS BOND FUND     2018-02-05
5000. JPMORGAN CHASE & CO 4.250% 10/15/20   2014-10-20 2018-02-05
5000. PROCTER & GAMBLE CO/ 2.300% 2/06/22     2018-02-05
5000. TIME WARNER INC 4.875% 3/15/20   2012-03-08 2018-02-05
5000. US TREASURY NOTE 2.125% 9/30/21     2018-02-05
10000. US TREASURY NOTE 3.125% 5/15/19   2012-03-08 2018-02-05
5000. US TREASURY NOTE 2.250% 11/15/25   2017-08-10 2018-02-05
5000. US TREASURY NOTE 2.000% 12/31/22   2017-02-27 2018-02-05
5000. US TREASURY NOTE 2.625% 8/15/20     2018-02-05
5000. US TREASURY NOTE 1.750% 11/15/26   2017-06-27 2018-02-05
5000. US TREASURY NOTE 2.500% 5/15/24   2016-09-28 2018-02-05
5000. US TREASURY NOTE 2.000% 7/31/22   2017-12-01 2018-02-05
5000. UNITED TECHNOLOGIES 3.100% 6/01/22     2018-02-05
3000. APPLE INC 2.400% 5/03/23   2016-10-14 2018-02-06
2000. APPLE INC 2.400% 5/03/23   2017-05-24 2018-02-06
4000. DOW CHEMICAL CO/THE 4.125% 11/15/21   2017-10-26 2018-02-06
1000. DOW CHEMICAL CO/THE 4.125% 11/15/21   2017-01-24 2018-02-06
5000. GENERAL ELEC CAP COR 4.650% 10/17/21     2018-02-06
5000. METLIFE INC 3.600% 4/10/24   2017-05-24 2018-02-06
5000. MORGAN STANLEY 2.500% 4/21/21   2017-08-24 2018-02-06
15000. KINDER MORGAN ENER 5.950% 2/15/18     2018-02-15
20000. CHEVRON CORP 4.950% 3/03/19     2018-03-13
168. BLACKROCK GL L/S CREDIT-K #1940   2015-10-27 2018-04-19
570. BLACKROCK GL L/S CREDIT-K #1940   2017-10-24 2018-04-19
479. EATON VANCE GLOB MACRO ADV-I 208   2017-10-24 2018-04-19
178. FID ADV EMER MKTS INC- CL I 607   2017-10-24 2018-04-19
438. JOHN HANCOCK II-CURR STR-I 3643   2017-10-24 2018-04-19
146. JPMORGAN HIGH YIELD FUND SS 3580   2017-10-24 2018-04-19
172. T ROWE PRICE INST FLOAT RATE 170   2017-10-24 2018-04-19
58. T ROWE PR REAL ESTATE-I #432   2017-01-24 2018-04-19
35. SPDR DJ WILSHIRE INTERNATIONAL REAL   2017-01-20 2018-04-19
294. AMEX TECHNOLOGY SELECT SPDR   2015-08-28 2018-04-19
30000. US TREASURY NOTE 2.500% 5/15/24   2016-09-28 2018-04-23
25000. FED HOME LN MTG CORP 3.750% 3/27/19     2018-04-24
30000. GENERAL ELEC CAP COR 4.650% 10/17/21     2018-05-17
15000. PEPSICO INC 4.500% 1/15/20     2018-06-11
11000. VERIZON COMMUNICATIO 5.150% 9/15/23     2018-06-15
10000. FED HOME LN MTG CORP 3.750% 3/27/19   2017-10-26 2018-07-02
15000. FED HOME LN MTG CORP 3.750% 3/27/19     2018-07-02
12000. PEPSICO INC 4.500% 1/15/20     2018-07-11
702.819 T ROWE PR REAL ESTATE-I #432   2017-10-24 2018-07-13
6485.6367 T ROWE PR REAL ESTATE-I #432     2018-07-13
120.5443 T ROWE PR REAL ESTATE-I #432   2017-01-24 2018-07-13
143. SPDR DJ WILSHIRE INTERNATIONAL REAL   2017-01-20 2018-07-13
62. VANGUARD REIT VIPER     2018-07-13
308. VANGUARD REIT VIPER     2018-07-13
10000. US TREASURY NOTE 2.250% 11/15/25   2017-08-10 2018-07-24
47. ISHARES S&P MID-CAP 400 GROWTH     2018-08-03
8. ISHARES S&P MID-CAP 400 GROWTH   2018-04-19 2018-08-03
179. ISHARES RUSSELL 2000 ETF   2018-02-02 2018-08-03
45. ISHARES S&P MID-CAP 400 VALUE     2018-08-03
36. ISHARES S&P MID-CAP 400 VALUE   2014-05-01 2018-08-03
382. NEUBERGER BERMAN LONG SH-INS #1830   2017-05-26 2018-08-03
7. AMEX MATERIALS SPDR   2018-04-19 2018-08-03
136. HEALTH CARE SELECT SECTOR   2018-04-19 2018-08-03
96. AMEX CONSUMER DISCR SPDR     2018-08-03
57. AMEX CONSUMER DISCR SPDR   2018-04-19 2018-08-03
50. AMEX ENERGY SELECT SPDR   2018-04-19 2018-08-03
7. AMEX INDUSTRIAL SPDR   2018-04-19 2018-08-03
383. AMEX TECHNOLOGY SELECT SPDR     2018-08-03
23. REAL ESTATE SELECT SECT SPDR   2016-09-22 2018-08-03
43. TCW EMRG MKTS INCM-I 4721   2018-07-16 2018-08-03
20000. AMGEN INC 5.700% 2/01/19     2018-09-06
14000. TIME WARNER INC 4.875% 3/15/20   2017-10-26 2018-09-27
6000. TIME WARNER INC 4.875% 3/15/20     2018-09-27
365. AQR MANAGED FUTURES STR-I   2014-11-03 2018-10-02
2851. BLACKROCK GL L/S CREDIT-K #1940   2015-10-27 2018-10-02
10. ISHARES S&P MID-CAP 400 GROWTH   2010-01-15 2018-10-02
16. ISHARES RUSSELL 2000 ETF   2018-02-02 2018-10-02
25. ISHARES S&P MID-CAP 400 VALUE   2014-05-01 2018-10-02
43. JOHN HANCOCK II-CURR STR-I 3643   2017-10-24 2018-10-02
67. JPMORGAN HIGH YIELD FUND SS 3580   2017-10-24 2018-10-02
19. ASG GLOBAL ALTERNATIVES-Y 1993   2013-07-22 2018-10-02
11383. NEUBERGER BERMAN LONG SH-INS #1830     2018-10-02
40. T ROWE PR REAL ESTATE-I #432   2017-02-17 2018-10-02
13. AMEX MATERIALS SPDR   2018-04-19 2018-10-02
31. HEALTH CARE SELECT SECTOR   2018-04-19 2018-10-02
110. HEALTH CARE SELECT SECTOR     2018-10-02
46. CONSUMER STAPLES SECTOR SPDR TR     2018-10-02
50. AMEX CONSUMER DISCR SPDR   2014-07-08 2018-10-02
152. FINANCIAL SELECT SECTOR SPDR     2018-10-02
19. FINANCIAL SELECT SECTOR SPDR     2018-10-02
25. AMEX INDUSTRIAL SPDR   2018-04-19 2018-10-02
86. AMEX INDUSTRIAL SPDR   2015-08-28 2018-10-02
65. AMEX TECHNOLOGY SELECT SPDR     2018-10-02
22. REAL ESTATE SELECT SECT SPDR   2016-09-22 2018-10-02
10000. FED NATL MTG ASSN 2.625% 9/06/24   2015-03-26 2018-10-03
5000. HALLIBURTON COMPANY 3.500% 8/01/23     2018-10-03
5000. HOME DEPOT INC 3.000% 4/01/26   2016-06-06 2018-10-03
55. ISHARES BARCLAYS MBS BOND FUND     2018-10-03
5000. JPMORGAN CHASE & CO 4.250% 10/15/20   2014-10-20 2018-10-03
5000. MORGAN STANLEY 2.500% 4/21/21   2017-06-26 2018-10-03
10000. US TREASURY NOTE 2.125% 9/30/21   2015-06-19 2018-10-03
5000. US TREASURY NOTE 3.125% 5/15/19   2012-03-08 2018-10-03
5000. US TREASURY NOTE 2.000% 12/31/22   2017-02-27 2018-10-03
5000. UNITED TECHNOLOGIES 3.100% 6/01/22   2015-03-26 2018-10-03
3025. T ROWE PR REAL ESTATE-I #432     2018-11-16
80. SPDR DJ WILSHIRE INTERNATIONAL REAL     2018-11-16
2088. SPDR DJ WILSHIRE INTERNATIONAL REAL     2018-11-16
27. AMEX TECHNOLOGY SELECT SPDR   2012-03-06 2018-11-16
211. REAL ESTATE SELECT SECT SPDR   2018-04-19 2018-11-16
848. REAL ESTATE SELECT SECT SPDR     2018-11-16
15000. US TREASURY NOTE 3.125% 5/15/19     2018-11-26
15000. BANK OF AMERICA CORP 5.625% 7/01/20     2018-11-27
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 5,725   6,351 -626
b 12,560   5,713 6,847
c 4,486   4,332 154
d 115,968   41,341 74,627
e 2,336   2,379 -43
4,784   4,492 292
5,022   4,480 542
531   499 32
2,777   1,966 811
12,670   10,802 1,868
4,466   2,493 1,973
12,203   7,754 4,449
3,042   2,835 207
12,875   9,818 3,057
9,341   6,109 3,232
20,651   12,365 8,286
1,816   1,888 -72
9,134   7,215 1,919
56,814   59,495 -2,681
1,105   1,123 -18
16,157   12,278 3,879
5,361   5,503 -142
5,149   6,021 -872
2,982   3,107 -125
1,988   2,066 -78
10,204   11,373 -1,169
1,023   1,034 -11
4,092   4,088 4
4,894   5,230 -336
9,418   9,841 -423
5,212   5,435 -223
4,925   5,103 -178
5,225   5,613 -388
4,953   5,154 -201
10,143   11,153 -1,010
4,821   5,040 -219
4,907   5,032 -125
5,052   5,267 -215
4,690   4,916 -226
4,951   5,390 -439
4,899   4,984 -85
5,044   5,198 -154
2,921   3,046 -125
1,947   1,988 -41
4,162   4,238 -76
1,041   1,060 -19
5,290   5,604 -314
5,097   5,292 -195
4,938   5,027 -89
15,000   16,149 -1,149
20,450   22,224 -1,774
1,759   1,751 8
5,968   5,985 -17
4,938   5,130 -192
2,421   2,526 -105
4,034   4,222 -188
1,070   1,099 -29
1,725   1,729 -4
1,527   1,668 -141
1,428   1,275 153
19,791   11,919 7,872
29,347   32,339 -2,992
25,334   27,654 -2,320
31,166   32,862 -1,696
15,432   17,128 -1,696
11,872   12,365 -493
10,104   10,305 -201
15,155   16,023 -868
12,317   13,199 -882
19,981   19,946 35
184,387   184,606 -219
3,427   3,466 -39
5,626   5,208 418
5,107   4,885 222
25,372   8,423 16,949
9,559   10,081 -522
10,798   3,903 6,895
1,838   1,780 58
29,781   27,673 2,108
7,470   7,104 366
5,976   4,328 1,648
5,768   5,279 489
412   421 -9
12,147   11,270 877
10,720   6,525 4,195
6,365   5,952 413
3,773   3,688 85
530   532 -2
27,748   15,133 12,615
761   749 12
345   345  
20,235   22,590 -2,355
14,396   14,925 -529
6,170   6,635 -465
3,278   3,851 -573
29,707   29,708 -1
2,307   792 1,515
2,661   2,474 187
4,153   3,005 1,148
387   415 -28
488   505 -17
215   219 -4
172,680   155,161 17,519
1,111   1,157 -46
761   781 -20
2,963   2,569 394
10,515   7,886 2,629
2,476   2,425 51
5,842   3,379 2,463
4,195   3,375 820
524   525 -1
1,975   1,902 73
6,796   4,453 2,343
4,912   2,091 2,821
711   716 -5
9,722   10,330 -608
4,968   5,046 -78
4,789   5,230 -441
5,643   5,993 -350
5,095   5,435 -340
4,874   5,015 -141
9,766   10,124 -358
5,019   5,577 -558
4,825   5,032 -207
4,912   5,188 -276
84,367   81,706 2,661
2,969   3,071 -102
77,494   73,484 4,010
1,822   770 1,052
6,954   6,463 491
27,949   27,303 646
15,040   16,220 -1,180
15,496   15,773 -277
      8,446
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       -626
b       6,847
c       154
d       74,627
e       -43
      292
      542
      32
      811
      1,868
      1,973
      4,449
      207
      3,057
      3,232
      8,286
      -72
      1,919
      -2,681
      -18
      3,879
      -142
      -872
      -125
      -78
      -1,169
      -11
      4
      -336
      -423
      -223
      -178
      -388
      -201
      -1,010
      -219
      -125
      -215
      -226
      -439
      -85
      -154
      -125
      -41
      -76
      -19
      -314
      -195
      -89
      -1,149
      -1,774
      8
      -17
      -192
      -105
      -188
      -29
      -4
      -141
      153
      7,872
      -2,992
      -2,320
      -1,696
      -1,696
      -493
      -201
      -868
      -882
      35
      -219
      -39
      418
      222
      16,949
      -522
      6,895
      58
      2,108
      366
      1,648
      489
      -9
      877
      4,195
      413
      85
      -2
      12,615
      12
       
      -2,355
      -529
      -465
      -573
      -1
      1,515
      187
      1,148
      -28
      -17
      -4
      17,519
      -46
      -20
      394
      2,629
      51
      2,463
      820
      -1
      73
      2,343
      2,821
      -5
      -608
      -78
      -441
      -350
      -340
      -141
      -358
      -558
      -207
      -276
      2,661
      -102
      4,010
      1,052
      491
      646
      -1,180
      -277
       
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 2 181,489
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 176,689 5,769,207 0.030626
2016 164,914 5,898,041 0.027961
2015 231,521 6,290,950 0.036802
2014 289,349 6,632,224 0.043628
2013 292,591 6,408,822 0.045654
2
Total of line 1, column (d) .....................
2
0.184671
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
0.036934
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
5,989,391
5
Multiply line 4 by line 3......................
5
221,212
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
3,834
7
Add lines 5 and 6........................
7
225,046
8
Enter qualifying distributions from Part XII, line 4,.............
8
173,076
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 7,667
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 7,667
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 7,667
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 4,510
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 7,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 11,510
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 3,843
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet3,843 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletWY
    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 ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 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
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 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
    Wells Fargo Bank NA TRUSTEE
    1     		66,827    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    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.........................bullet  
    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
    5,887,536
    b
    Average of monthly cash balances.......................
    1b
    193,064
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,080,600
    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
    6,080,600
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    91,209
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,989,391
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    299,470
    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
    299,470
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    7,667
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,667
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    291,803
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    291,803
    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
    291,803
    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
    173,076
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    173,076
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    173,076
    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 7 291,803
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 155,218
    b Total for prior years:2016, 2015, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 0
    b From 2014...... 0
    c From 2015...... 0
    d From 2016...... 0
    e From 2017...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 173,076
    a Applied to 2017, but not more than line 2a 155,218
    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..... 17,858
    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 ..........     		273,945
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 0
    c Excess from 2016.... 0
    d Excess from 2017.... 0
    e Excess from 2018.... 0
    Form 990-PF (2018)
    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).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (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
    CHEYENNE REGIONAL MEDICAL CENTER
    214 E 23RD ST
    CHEYENNE,WY82001     		NONE PC GENERAL OPERATING 155,218
    Total .................................bullet 3a 155,218
    bApproved for future payment
    Total .................................bullet 3b  
    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 ...........     		         
    4 Dividends and interest from securities....     14 136,814  
    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 ............     		    18 181,489  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aROYALTY INCOME     		    15 118,060  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   436,363  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    436,363
    (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 AccountingFeesSchedule
    Name:
    MERRICK BETTE M MEDICAL EQUIP TUW
    EIN:
    83-6027064
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,151     1,151

    TY 2018 GeneralExplanationAttachment
    Name:
    MERRICK BETTE M MEDICAL EQUIP TUW
    EIN:
    83-6027064
    Identifier Return Reference Explanation
    The compensation reported in column (c) is calculated based on periodic market values and/or the applicable fee agreement. It is not determined on an hourly basis and the reference to one hour per week is an estimate only. Corporate trustee services include, but are not limited to, administrative services such as fiduciary accounting, custody of assets, complying with tax filing requirements, complying with distribution provisions, and complying with federal and state laws applicable to private foundations, plus asset management services such as creating asset allocation strategies, investments reporting and reallocating and rebalancing of portfolios as necessary.

    TY 2018 InvestmentsOtherSchedule2
    Name:
    MERRICK BETTE M MEDICAL EQUIP TUW
    EIN:
    83-6027064
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    09260C703 BLACKROCK GL L/S CRE AT COST 167,512 156,966
    26078JAA8 DOWDUPONT INC AT COST 15,055 15,144
    464287606 ISHARES S&P MIDCAP 4 AT COST 76,538 184,728
    912828M56 US TREASURY NOTE AT COST 24,637 24,448
    81369Y407 AMEX CONSUMER DISCR AT COST 69,742 154,555
    437076BM3 HOME DEPOT INC AT COST 20,366 19,373
    94973VAS6 WELLPOINT INC 4.350% AT COST 12,115 11,194
    05567LT31 BNP PARIBAS 5.000% 1 AT COST 20,989 20,695
    4812C0803 JPMORGAN HIGH YIELD AT COST 116,931 110,584
    277923264 EATON VANCE GLOB MAC AT COST 184,965 165,122
    47803M168 JOHN HANCOCK II-CURR AT COST 121,488 115,792
    464288588 ISHARES BARCLAYS MBS AT COST 61,738 60,174
    87234N765 TCW EMRG MKTS INCM-I AT COST 231,933 221,638
    912828XQ8 US TREASURY NOTE AT COST 24,922 24,588
    61746BEA0 MORGAN STANLEY AT COST 19,935 19,576
    922042858 VANGUARD EMERGING MA AT COST 208,963 261,938
    037833AK6 APPLE INC 2.400% 5/0 AT COST 24,255 24,173
    406216BD2 HALLIBURTON COMPANY AT COST 20,074 19,852
    3135G0ZR7 FED NATL MTG ASSN 2. AT COST 46,060 44,843
    38148LAE6 GOLDMAN SACHS GROUP AT COST 15,369 14,352
    912828N30 US TREASURY NOTE AT COST 45,285 44,366
    00206RDC3 AT&T INC AT COST 15,185 15,249
    912828QN3 U S TREASURY NT 3.12 AT COST 25,351 25,371
    06051GEC9 BANK OF AMERICA CORP AT COST 10,345 10,338
    86562MAQ3 SUMITOMO MITSUI FINL AT COST 19,297 19,488
    REY314868 FEE LEASE HBP T26N R AT COST 1 471,480
    06367T7H7 BANK OF MONTREAL AT COST 14,993 14,992
    81369Y100 AMEX MATERIALS SPDR AT COST 22,376 29,958
    59156RBH0 METLIFE INC 3.600% 4 AT COST 26,232 25,172
    912828WJ5 US TREASURY NOTE 2.5 AT COST 36,448 34,936
    606822BA1 MITSUBISHI UFJ FIN AT COST 20,052 20,092
    126650DC1 CVS HEALTH CORP AT COST 19,982 19,943
    9128284F4 US TREASURY NOTE AT COST 24,538 25,074
    31641Q763 FIDELITY NEW MRKTS I AT COST 299,632 277,921
    81369Y506 AMEX ENERGY SELECT S AT COST 44,840 37,507
    961214DW0 WESTPAC BANKING CORP AT COST 19,523 19,276
    912828KQ2 US TREASURY NOTE 3.1 AT COST 42,207 40,089
    9128284T4 US TREASURY NOTE AT COST 24,991 25,083
    464287705 ISHARES S&P MIDCAP 4 AT COST 101,788 186,344
    912828U24 US TREASURY NOTE AT COST 28,591 28,637
    46434G103 ISHARES CORE MSCI EM AT COST 172,564 165,166
    78463X863 SPDR DJ WILSHIRE INT AT COST 41,682 52,339
    81369Y308 CONSUMER STAPLES SEC AT COST 59,299 77,135
    9128283W8 US TREASURY NOTE AT COST 14,735 15,077
    464287655 ISHARES RUSSELL 2000 AT COST 310,592 269,005
    912828F21 US TREASURY NOTE 2.1 AT COST 45,395 44,573
    81369Y852 COMM SERV SELECT SEC AT COST 88,223 81,445
    81369Y704 AMEX INDUSTRIAL SPDR AT COST 101,740 145,889
    00203H859 AQR MANAGED FUTURES AT COST 189,719 159,543
    77958B402 T ROWE PRICE INST FL AT COST 51,496 49,552
    260543CF8 DOW CHEMICAL CO/THE AT COST 15,420 15,264
    742718DY2 PROCTER & GAMBLE CO/ AT COST 29,278 29,534
    404280AN9 HSBC HOLDING PLC 4.0 AT COST 15,103 15,195
    913017BV0 UNITED TECHNOLOGIES AT COST 20,549 19,585
    66989HAJ7 NOVARTIS CAPITAL COR AT COST 25,675 24,217
    172967LQ2 CITIGROUP INC AT COST 24,858 24,099
    63872T885 ASG GLOBAL ALTERNATI AT COST 112,354 105,251
    912828NT3 US TREASURY NOTE 2.6 AT COST 36,506 35,049
    46625HHU7 JPMORGAN CHASE & CO AT COST 26,489 25,451
    921943858 VANGUARD EUROPE PACI AT COST 242,099 243,413
    64128R608 NEUBERGER BERMAN LON AT COST 97,238 96,390
    81369Y803 AMEX TECHNOLOGY SELE AT COST 94,419 228,830
    81369Y209 AMEX HEALTH CARE SPD AT COST 128,683 213,853
    779919307 T ROWE PR REAL ESTAT AT COST 52,430 49,774
    81369Y605 AMEX FINANCIAL SELEC AT COST 114,154 180,651
    46090F100 INVESCO OPTIMUM YIEL AT COST 113,767 90,902

    TY 2018 OtherDecreasesSchedule
    Name:
    MERRICK BETTE M MEDICAL EQUIP TUW
    EIN:
    83-6027064
    Description Amount
    MUTUAL FUND TIMING DIFFERENCE 526
    PY RETURN OF CAPITAL ADJUSTMENT 323


    TY 2018 OtherIncomeSchedule2
    Name:
    MERRICK BETTE M MEDICAL EQUIP TUW
    EIN:
    83-6027064
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OMG INCOME 118,060 118,060  


    TY 2018 OtherIncreasesSchedule
    Name:
    MERRICK BETTE M MEDICAL EQUIP TUW
    EIN:
    83-6027064
    Description Amount
    COST BASIS ADJUSTMENT 96


    TY 2018 TaxesSchedule
    Name:
    MERRICK BETTE M MEDICAL EQUIP TUW
    EIN:
    83-6027064
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 309 309   0
    FEDERAL ESTIMATES - PRINCIPAL 3,287 0   0
    FOREIGN TAXES ON QUALIFIED FOR 864 864   0
    FOREIGN TAXES ON NONQUALIFIED 1,422 1,422   0