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
Simmons Foundation - PerkinsThompson
 
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 426 One Canal Plaza
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Portland, ME04112
A Employer identification number

01-0277832
B Telephone number (see instructions)

(207) 774-2635
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,777,853J 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... 58,957 58,957  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment -201,346
b Gross sales price for all assets on line 6a 970,733
7 Capital gain net income (from Part IV, line 2)... 190,842
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)..... 0  
11 Other income (attach schedule)....... Click to see attachment 4,867    
12 Total. Add lines 1 through 11........ -137,522 249,799 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 2,200 1,100   1,100
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 5,773 2,886   2,887
b Accounting fees (attach schedule)....... Click to see attachment 2,950 983   1,967
c Other professional fees (attach schedule).... Click to see attachment 23,205 23,205    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,485      
19 Depreciation (attach schedule) and depletion... 0    
20 Occupancy..............        
21 Travel, conferences, and meetings....... 230 115   115
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 0      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 38,843 28,289   6,069
25 Contributions, gifts, grants paid....... 103,262 103,262
26 Total expenses and disbursements. Add lines 24 and 25 142,105 28,289   109,331
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -279,627
b Net investment income (if negative, enter -0-) 221,510
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............. 19,772 25,457 25,457
2 Savings and temporary cash investments......... 108,023 190,833 190,833
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....   0  
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet     0  
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 2,155,829 Click to see attachment1,732,206 1,732,206
c Investments—corporate bonds (attach schedule)....... 762,770 Click to see attachment816,607 816,607
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   0  
14 Land, buildings, and equipment: basis bullet3,848
Less: accumulated depreciation (attach schedule) bullet3,598 250 Click to see attachment250 250
15 Other assets (describe bullet) Click to see attachment15,703 Click to see attachment12,500 Click to see attachment12,500
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,062,347 2,777,853 2,777,853
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe bullet) Click to see attachment5,364 Click to see attachment497
23 Total liabilities (add lines 17 through 22)......... 5,364 497
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.................. 3,056,983 2,777,356
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........    
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)..... 3,056,983 2,777,356
31 Total liabilities and net assets/fund balances (see instructions). 3,062,347 2,777,853
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
3,056,983
2
Enter amount from Part I, line 27a .....................
2
-279,627
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
2,777,356
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,777,356
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 22 shrs EOG RES Inc Com P 2017-03-08 2018-02-01
b 65 shrs iShares Global REIT P 2018-02-01 2018-08-08
c 142 shrs Metropolitan West Total Return BD P 2018-02-02 2018-08-08
d 15822 shrs Metropolitan West Total Return BD P 2018-02-02 2018-12-24
e 20 shrs Verizon P 2018-02-01 2018-08-08
32 shrs Abbott Labs P 2013-01-15 2018-02-01
6 shrs Allergan PLC P 2012-09-24 2018-02-01
63 shrs Amgen Inc P 2012-02-14 2018-02-01
45 shrs Apple Computer, Inc P 2016-02-16 2018-02-01
14 shrs Berkshire Hathaway Inc P 2016-02-16 2018-02-01
10 shrs Blackrock Inc P 2016-02-16 2018-08-08
60 shrs Boeing Co P 2012-11-06 2018-08-08
19 shrs Brighthouse Financial Inc P 2016-02-16 2018-02-01
14 shrs Celgene Corp P 2016-02-16 2018-02-01
55 shrs Celgene Corp P 2013-12-16 2018-08-08
30 shrs Cisco Systems Inc P 2013-12-16 2018-08-08
7 shrs Constellation Brands P 2016-08-18 2018-02-01
15 shrs Constellation Brands P 2016-02-16 2018-08-08
43 shrs Constellation Brands P 2016-08-18 2018-11-02
37 shrs Costco Whsl Corp P 2012-04-27 2018-02-01
15 shrs Cummins Engine Inc P 2013-12-16 2018-02-01
77 shrs Cummins Engine Inc P 2013-12-16 2018-08-08
34 shrs CVS Corp P 2012-06-27 2018-02-01
97 shrs CVS Corp P 2012-06-27 2018-08-08
29 shrs Disney Walt Co P 2012-06-27 2018-02-01
6 shrs Dodge & Cox Income Fund P 2016-08-22 2018-08-08
16 shrs Ecolab Inc P 2016-08-22 2018-02-01
62 shrs Fidelity Floating Rate High Income P 2013-12-26 2018-08-08
1 shrs Garrett Motion Inc P 2016-02-16 2018-10-09
13 shrs General Mills Inc P 2012-06-27 2018-08-08
28 shrs Honeywell Intl Inc P 2012-06-27 2018-02-01
154 shrs iShares US Home Construction ETF P 2012-09-24 2018-02-01
477 shrs iShares US Home Construction ETF P 2012-09-24 2018-08-08
8665 shrs JP Morgan Core Bond Select P 2012-09-24 2018-02-01
111 shrs Keycorp New Comm P 2016-08-18 2018-02-01
28 shrs Keycorp New Comm P 2016-02-16 2018-08-08
25 shrs Medtronic PLC P 2016-02-16 2018-02-01
45 shrs Microsoft Corp P 2013-01-15 2018-02-01
27 shrs Novartis ADR P 2016-02-16 2018-02-01
4989 shrs Oakmark International P 2015-07-22 2018-02-01
995 shrs Oppenheimer Developing Markets I P 2015-07-22 2018-02-01
92 shrs Oracle Corporation P 2012-06-27 2018-02-01
310 shrs Oracle Corporation P 2012-06-27 2018-08-08
6 shrs Pepsico Inc P 2016-02-16 2018-08-08
2337 shrs Pimco High Yield P 2017-02-10 2018-08-16
12 shrs Pimco High Yield P 2017-02-10 2018-08-16
3848 shrs Pimco Investment Grade Corp BD Instl P 2014-09-16 2018-08-16
223 shrs Pimco Investment Grade Corp BD Instl P 2014-09-16 2018-08-16
42 shrs Pimco Total Return Portfolio P 2014-09-16 2018-08-08
6 shrs Pioneer Natural Resources Co P 2017-03-08 2018-08-08
35 shrs PPG Industries Inc P 2016-02-16 2018-02-01
4 shrs Priceline Group Inc P 2015-07-16 2018-02-01
1457 shrs Principal Midcap Instl P 2015-07-22 2018-02-01
551 shrs Principal Midcap R P 2015-07-22 2018-08-08
26 shrs Proctor & Gamble Co P 2016-02-16 2018-02-01
34 shrs Proctor & Gamble Co P 2016-02-16 2018-08-08
1 shrs Resideo Technologies Inc P 2016-02-16 2018-11-02
220 shrs Starbucks Corp P 2016-02-16 2018-08-08
26 shrs Thermo Electron P 2012-04-27 2018-02-01
25 shrs TJX Cos Inc New P 2016-02-16 2018-02-01
19 shrs Unitedhealth Group Inc P 2016-02-16 2018-02-01
3430 shrs Vanguard GNMA FD Admiral P 2016-02-16 2018-02-01
428 shrs Vanguard Real Estate ETF P 2012-06-27 2018-02-01
54 shrs Verizon Communications P 2017-03-08 2018-08-08
1102 shrs Wells Fargo Premier Lg Co Growth P 2013-12-16 2018-08-08
23 shrs Wisdomtree Europe Hedged EQ Fund ETF P 2016-08-18 2018-08-08
23 shrs 3M Co P 2001-01-01 2018-02-01
6 shrs Alphabet Inc CL C P 2010-06-22 2018-02-01
12 shrs Apple Computer, Inc P 2006-03-22 2018-02-01
174 shrs Capital One Finl Corp P 2010-03-10 2018-02-01
21 shrs Chubb LTD P 2010-03-10 2018-02-01
128 shrs Gilead Sciences Inc P 2010-07-02 2018-02-01
36 shrs Home Depot P 2002-08-09 2018-02-01
109 shrs Intel Corp P 2008-12-24 2018-02-01
59 shrs JP Morgan Chase & Co P 2008-10-17 2018-02-01
51 shrs JP Morgan Chase & Co P 2008-10-17 2018-08-08
32 shrs Mcdonalds Corp P 2009-02-17 2018-02-01
(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 2,535 0 2,107 428
b 1,688 0 1,659 29
c 1,475 0 1,489 -14
d 164,084 0 165,508 -1,424
e 1,054 0 1,089 -35
1,996 0 1,061 935
1,077 0 501 576
11,708 0 8,502 3,206
7,543 0 4,294 3,249
3,024 0 2,033 991
4,885 0 3,113 1,772
20,817 0 4,328 16,489
1,210 0 1,024 186
1,404 0 1,418 -14
5,013 0 4,509 504
1,309 0 615 694
1,546 0 1,158 388
3,230 0 2,079 1,151
8,622 0 6,470 2,152
7,207 0 3,300 3,907
2,840 0 2,004 836
11,003 0 9,571 1,432
2,679 0 1,564 1,115
6,589 0 4,462 2,127
3,190 0 2,694 496
83 0 86 -3
2,210 0 1,872 338
596 0 616 -20
3 0 2 1
589 0 488 101
4,483 0 3,214 1,269
6,627 0 3,139 3,488
18,183 0 9,721 8,462
98,782 0 102,659 -3,877
2,401 0 1,362 1,039
605 0 304 301
2,135 0 1,942 193
4,296 0 1,227 3,069
2,435 0 2,117 318
153,023 0 124,135 28,888
46,002 0 34,470 11,532
4,768 0 2,860 1,908
15,001 0 8,745 6,256
686 0 591 95
20,402 0 20,756 -354
103 0 103 0
38,978 0 40,888 -1,910
2,262 0 2,262 0
423 0 451 -28
1,131 0 1,120 11
4,137 0 3,245 892
7,705 0 4,733 2,972
41,418 0 34,017 7,401
15,960 0 12,207 3,753
2,244 0 2,193 51
2,799 0 2,701 98
7 0 7 0
11,297 0 12,299 -1,002
5,788 0 1,431 4,357
1,998 0 1,134 864
4,487 0 2,037 2,450
35,360 0 37,068 -1,708
33,631 0 23,700 9,931
2,846 0 2,655 191
17,869 0 15,423 2,446
1,501 0 1,229 272
5,733 0 137 5,596
7,005 0 1,471 5,534
2,011 0 106 1,905
18,115 0 6,821 11,294
3,267 0 2,526 741
10,710 0 2,238 8,472
7,263 0 1,010 6,253
5,224 0 1,548 3,676
6,882 0 2,407 4,475
6,012 0 2,080 3,932
5,529 0 1,786 3,743
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 0 0 0 428
b 0 0 0 29
c 0 0 0 -14
d 0 0 0 -1,424
e 0 0 0 -35
0 0 0 935
0 0 0 576
0 0 0 3,206
0 0 0 3,249
0 0 0 991
0 0 0 1,772
0 0 0 16,489
0 0 0 186
0 0 0 -14
0 0 0 504
0 0 0 694
0 0 0 388
0 0 0 1,151
0 0 0 2,152
0 0 0 3,907
0 0 0 836
0 0 0 1,432
0 0 0 1,115
0 0 0 2,127
0 0 0 496
0 0 0 -3
0 0 0 338
0 0 0 -20
0 0 0 1
0 0 0 101
0 0 0 1,269
0 0 0 3,488
0 0 0 8,462
0 0 0 -3,877
0 0 0 1,039
0 0 0 301
0 0 0 193
0 0 0 3,069
0 0 0 318
0 0 0 28,888
0 0 0 11,532
0 0 0 1,908
0 0 0 6,256
0 0 0 95
0 0 0 -354
0 0 0 0
0 0 0 -1,910
0 0 0 0
0 0 0 -28
0 0 0 11
0 0 0 892
0 0 0 2,972
0 0 0 7,401
0 0 0 3,753
0 0 0 51
0 0 0 98
0 0 0 0
0 0 0 -1,002
0 0 0 4,357
0 0 0 864
0 0 0 2,450
0 0 0 -1,708
0 0 0 9,931
0 0 0 191
0 0 0 2,446
0 0 0 272
0 0 0 5,596
0 0 0 5,534
0 0 0 1,905
0 0 0 11,294
0 0 0 741
0 0 0 8,472
0 0 0 6,253
0 0 0 3,676
0 0 0 4,475
0 0 0 3,932
0 0 0 3,743
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 2 190,842
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 -1,016
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 125,218 2,836,665 0.044143
2016 168,987 2,684,323 0.062953
2015 142,120 2,800,705 0.050744
2014 155,266 2,859,616 0.054296
2013 168,636 2,682,289 0.062870
2
Total of line 1, column (d) .....................
2
0.275006
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
0.055001
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
2,929,051
5
Multiply line 4 by line 3......................
5
161,101
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,215
7
Add lines 5 and 6........................
7
163,316
8
Enter qualifying distributions from Part XII, line 4,.............
8
109,331
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 4,430
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 4,430
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,430
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 14,645
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.............. Part VI Line 7 - Original Return Overpayment: -14645 7 14,645
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
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 10,215
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet10,215 RefundedBullet 11  
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)
    bulletME
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletPaul Rausch CPA Telephone no.bullet (207) 774-2635

    Located atbulletPO Box 426 One Canal PlazaPortlandME ZIP+4bullet04112
    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
    Robert Woodward Pres.
    1.00     		100 0 0
    4230 Oakhurst Cir E
    Sarasota,FL34233
    Stephen G Woodward 1st VP
    1.00     		100 0 0
    208 Lufkin Road
    North Yarmouth,ME04097
    Dorothy Wentworth 2nd VP
    1.00     		100 0 0
    304 Gunpoint Road
    Harpswell,ME04079
    Paul H Rausch Treasurer
    2.00     		1,300 0 0
    PO Box 175
    Oxford,ME04270
    Deanna Woodward Trustee
    1.00     		100 0 0
    4230 Oakhurst Cir E
    Sarasota,FL34233
    Robert Aranson MD Trustee
    1.00     		100 0 0
    20 Lookout Drive
    Freeport,ME04032
    Tina Jennings Trustee
    1.00     		100 0 0
    208 Lufkin Road
    North Yarmouth,ME04097
    Rev Anita White Trustee
    1.00     		100 0 0
    15 Forest Ave
    Auburn,ME04210
    Samuel Woodward Trustee
    1.00     		100 0 0
    912 Roosevelt Trail Apt 8
    Windham,ME04062
    John R Opperman Esq Trustee
    1.00     		100 0 0
    25 Woodmont Street
    Portland,ME04102
    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
    2,788,022
    b
    Average of monthly cash balances.......................
    1b
    185,384
    c
    Fair market value of all other assets (see instructions)................
    1c
    250
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,973,656
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    2,973,656
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    44,605
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,929,051
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    146,453
    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
    146,453
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    4,430
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,430
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    142,023
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    142,023
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    142,023
    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
    109,331
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    109,331
    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
    109,331
    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 7 142,023
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 30,404
    b From 2014...... 12,945
    c From 2015...... 15,217
    d From 2016...... 37,153
    e From 2017...... 1
    fTotal of lines 3a through e........ 95,720
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 109,331
    a Applied to 2017, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 109,331
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 32,692 32,692
    (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 63,028
    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......     		 
    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) .......     		 
    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 ......     		63,028
    10 Analysis of line 9:
    a Excess from 2014.... 10,657
    b Excess from 2015.... 15,217
    c Excess from 2016.... 37,153
    d Excess from 2017.... 1
    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 e-mail address of the person to whom applications should be addressed:
    Paul Rausch co Perkins Thompson
    One Canal Plaza
    Portland,ME04101
    (207) 774-2635
    bThe form in which applications should be submitted and information and materials they should include:
    See attached schedule
    cAny submission deadlines:
    There are no submission deadlines
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    See attached schedule
    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
    Good Shepherd Food Bank
    PO Box 1807
    Auburn,ME04211     		  Exempt Emergency ResponseCapacity Program 2,000
    University of Southern Maine
    96 Falmouth Street
    Portland,ME04103     		  Exempt Scholarship Program 10,000
    Gould Academy
    39 Church Street
    Bethel,ME04217     		  Exempt ScholarshipProgram 5,000
    Pine Tree Hospice
    883 West Main Street
    DoverFoxcroft,ME04426     		  Exempt GeneralOperatingSupport 2,250
    Community Dental
    366 Route One
    Falmouth,ME04105     		  Exempt AccessProgram 2,000
    Hebron Academy
    Route 19
    Hebron,ME04238     		  Exempt Scholarship 5,000
    Lake Region Senior Service Inc
    PO Box 816
    Bridgton,ME04009     		  Exempt HealthcareAccessProgram 2,000
    Maine Jewish Film Festival
    PO Box 7565
    Portland,ME04112     		  Exempt SchoolflixProgram 1,000
    Volunteers of America Northern NE
    14 Maine Street Ste 100
    Brunswick,ME04011     		  Exempt Camp POSTCARDProgram 1,000
    Milestone Foundation
    65 India Street
    Portland,ME04101     		  Exempt Housing NavigatorProgram 2,000
    Planned Parenthood of Northern NE
    433 Congress Street 3rd Flr
    Portland,ME04101     		  Exempt Maine CharityCare Program 2,000
    Furniture Friends
    PO Box 631
    Westbrook,ME04098     		  Exempt Enhanced CommunityAwareness 1,000
    The Iris Network
    189 Park Avenue
    Portland,ME04102     		  Exempt Low VisionClinic 1,500
    HealthReach Community Health Ctrs
    10 Water Street Ste 305
    Waterville,ME04901     		  Exempt Dental OutreachProgram 2,500
    GEDAKINA
    PO Box 2478
    Bangor,ME04402     		  Exempt Bringing Back OurSongs Project 1,000
    Healthy Smiles for ME Inc
    39 Brenton Lane
    Oxford,ME04270     		  Exempt Healthy SmilesProject 2,500
    Thompson Lake Environmental Assn
    PO Box 25
    Oxford,ME04270     		  Exempt Schoodic PointLearning ExperienceProject 1,000
    My Place Teen Center
    755 Main Street
    Westbrook,ME04092     		  Exempt Culinary Work-forceDevelopment Project 1,000
    Somali Bantu Community Assn
    145 Pierce Street Ste 101
    Lewiston,ME04240     		  Exempt GardeningProject 2,000
    Seeds of Peace Inc
    370 Lexington Ave Ste 1201
    New York,NY10017     		  Exempt Maine Seeds ofPeace YouthLeadership Project 1,000
    Rural Community Action Ministry
    81 Church Hill Road
    Leeds,ME04263     		  Exempt Comprehensive SeniorServices Program 1,000
    240 Strings
    PO Box 10193
    Portland,ME04101     		  Exempt Music EnsembleEducation for AllProject 1,000
    Catholic Charities Maine
    PO Box 10660
    Portland,ME04104     		  Exempt Dental Equipmentfor Improved Services 2,000
    Jobs for Maine's Graduates Inc
    65 Stone Street
    Augusta,ME04330     		  Exempt JMG Financial Literacy Program 2,000
    The Caleb Foundation
    1500 Ledgewood Terrace
    Saco,ME04072     		  Exempt Summer Children'sProgram 500
    York County Shelter Programs
    24 George Road
    Alfred,ME04002     		  Exempt Medical PsychiatricServices forHomeless Adults 3,000
    Literacy Volunteers of Bangor
    354 Hogan Road
    Bangor,ME04401     		  Exempt Teach OneReach OneProject 1,500
    Maine Immigrant and Refugee Services
    256 Bartlett Street
    Lewiston,ME04240     		  Exempt Adult and FamilyCommunity Programs 1,000
    Portland Symphony Orhestra
    50 Monument Square 2nd Flr
    Portland,ME04101     		  Exempt PSO YouthEducation Program 2,500
    Hospice of Southern Maine
    180 US Route One
    Scarborough,ME04074     		  Exempt Volunteers: MissionCritical 2,000
    Denmark Arts Center
    50 Main Street
    Denmark,ME04022     		  Exempt Purchase of apiano 2,500
    Jewish Community Alliance of So ME
    1342 Congress Street
    Portland,ME04101     		  Exempt Jewish FamilyDiaper Bank 2,000
    Portland Wheelers
    PO Box 11313
    Portland,ME04104     		  Exempt Increasing the Number ofYouth Services 1,000
    Maine State Ballet
    348 US Route One
    Falmouth,ME04105     		  Exempt Backstage at theNutcrackerProject 2,000
    Island Connections
    93 Cottage Street Ste 101
    Bar Harbor,ME04609     		  Exempt Volunteer ExpansionProgram 1,000
    Herring Gut Learning Center
    PO Box 286
    Port Clyde,ME04855     		  Exempt Watershed EducationProject 1,000
    Tree Street Youth
    133 Howe Street
    Lewiston,ME04240     		  Exempt MAPLE ProgramExpansion 3,000
    Bigelow Laboratory for Ocean Sciences
    60 Bigelow Drive
    East Boothbay,ME04544     		  Exempt BLOOM EducatorsWorkshop 1,000
    Southern Maine Agency on Aging
    136 US Route One
    Scarborough,ME04074     		  Exempt Meals onWheels 1,000
    Coastal Humane Society
    190 Pleasant Street
    Brunswick,ME04011     		  Exempt Animal CampProject 2,000
    Robbie Foundation
    PO Box 1534
    Sacrborough,ME04070     		  Exempt Adaptive EquipmentProgram 3,500
    Maine 4-H Foundation
    York Complex 1
    Orono,ME04469     		  Exempt Maine 4-H Campand Learning Center 1,012
    Maine Historical Society
    489 Congress Street
    Portland,ME04101     		  Exempt Wabanaki BicentennialEducation Project 2,500
    MCH Inc
    46 Summer Street
    Rockland,ME04841     		  Exempt Meals on Wheels 2,000
    Friends of Baxter State Park
    PO Box 322
    Belfast,ME04915     		  Exempt Engaging Youth asEnvironmental Stewards 2,500
    Eastern Area Agency on Aging
    450 Essex Street
    Bangor,ME04401     		  Exempt Meals on WheelsWaiting List 2,000
    Maine Project for Fine Art Conservation
    142 High Street Ste 420
    Portland,ME04101     		  Exempt Western Maine-Norway ArtRevitalization Project 1,000
    Mid-Coast Hunger Prevention Program
    12 Tenney Way
    Brunswick,ME04011     		  Exempt BackpackProgram 2,500
    Midcoast Symphony Orchestra
    PO Box 86
    Brunswick,ME04011     		  Exempt Pops Music Concertfor Children 1,500
    Lincoln County Dental
    PO Box 256
    Boothbay,ME04537     		  Exempt Dental Clinic 2,000
    Mid Coast Health Net
    22 White Street
    Rockland,ME04841     		  Exempt Dental Care for Low IncomeFamilies 2,000
    Total .................................bullet 3a 103,262
    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 58,957  
    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 ............     		    14 -201,346  
    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)..   -142,389  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    -142,389
    (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:  
    Part VI Line 7 -Original Return Overpayment: -14,645


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Martin Associates Tax and financial stmt 2,950 983   1,967

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2018 GainLossSaleOtherAssetsSch
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    Realized gains and losses on investments   Purchased 2018-12   970,733 779,891     190,842  
    Unrealized gains and losses on investments   Purchased 2018-12     392,188     -392,188  

    TY 2018 GeneralExplanationAttachment
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Identifier Return Reference Explanation
      Part XV Line 2 Line 2bLine 2bLine 2bLine 2bLine 2bLine 2bLine 2bLine 2bLine 2bLine 2bLine 2bLine 2bLine 2bLine 2b

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Dodge & Cox Income 8117 shrs 107,635 107,635
    Fidelity Floating Rate High Inc 4278 shrs 39,359 39,359
    JPMorgan Core Bond Select 10914 shrs 123,004 123,004
    Pimco Total Return 14036 shrs 139,374 139,374
    Pimco High Yield Instl 2360 shrs 19,538 19,538
    Pimco Investment Grade Corp Bd 16304 shrs 161,576 161,576
    Dfa Short-Term Government I 21576 shrs 226,121 226,121

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M Co. 69 shrs 13,147 13,147
    Abbott Labs 245 shrs 17,721 17,721
    Adobe Inc 43 shrs 9,728 9,728
    Allergan PLC 34 shrs 4,544 4,544
    Alphabet Inc CI A 13 shrs 13,584 13,584
    Alphabet Inc CI C 12 shrs 12,427 12,427
    Amazon Com Inc 10 shrs 15,020 15,020
    Apple Inc 179 shrs 28,235 28,235
    Bank of America Corp 472 shrs 11,630 11,630
    Berkshire Hathaway Inc Del 57 shrs 11,638 11,638
    Blackrock Inc 34 shrs 13,356 13,356
    Boeing Co 41 shrs 13,223 13,223
    Booking Holdings Inc 9 shrs 15,502 15,502
    Chevron Corp 136 shrs 14,795 14,795
    Chubb Ltd 107 shrs 13,822 13,822
    Cisco Systems Inc 266 shrs 11,526 11,526
    Costco Whsl Corp 43 shrs 8,760 8,760
    Danaher Corp 143 shrs 14,746 14,746
    Disney (Walt) Company Holding Co 122 shrs 13,377 13,377
    Ecolab Inc 74 shrs 10,904 10,904
    Edwards Lifesciences Corp 60 shrs 9,190 9,190
    Emerson Electric Co 145 shrs 8,664 8,664
    EOG Resources Inc 100 shrs 8,721 8,721
    Facebook Inc A 89 shrs 11,667 11,667
    Fidelity Small Cap Discovery 5760 shrs 112,842 112,842
    Fiserv Inc 162 shrs 11,905 11,905
    Fortive Corp 144 shrs 9,743 9,743
    Garrett Motion Inc. 12 shrs 148 148
    General Mills Inc 152 shrs 5,919 5,919
    Home Depot Inc. 95 shrs 16,323 16,323
    Honeywell Intl Inc 122 shrs 16,119 16,119
    Illinois Tool Works 85 shrs 10,769 10,769
    Intel Corp 272 shrs 12,765 12,765
    International Business Machines 50 shrs 5,684 5,684
    iShares Global REIT ETF 1454 shrs 34,053 34,053
    iShares MSCI EAFE Growth Index ETF 1563 shrs 107,956 107,956
    iShares Nasdaq Biotechnology ETF 118 shrs 11,379 11,379
    Johnson & Johnson Inc 88 shrs 11,356 11,356
    JPMorgan Chase & Co 169 shrs 16,498 16,498
    Keycorp New 868 shrs 12,829 12,829
    McDonalds Corp 51 shrs 9,056 9,056
    Medtronic PLC 148 shrs 13,462 13,462
    Metlife Inc 210 shrs 8,623 8,623
    MFS Value I 3892 shrs 138,208 138,208
    Microsoft Corp 284 shrs 28,846 28,846
    Mondelez International Inc 192 shrs 7,686 7,686
    Nextera Energy Inc 74 shrs 12,863 12,863
    Nike Inc Cl B 92 shrs 6,821 6,821
    Novartis ADR 162 shrs 13,901 13,901
    Oakmark International 4795 shrs 98,005 98,005
    Oneok Inc 55 shrs 2,967 2,967
    Oppenheimer Developing Markets 3789 shrs 142,396 142,396
    Pepsico Inc 85 shrs 9,391 9,391
    Pioneer Nat Res Co 34 shrs 4,472 4,472
    PPG Industries 100 shrs 10,223 10,223
    Principal Midcap Instl 10498 shrs 237,578 237,578
    Procter & Gamble Co 109 shrs 10,019 10,019
    Resideo Technologies Inc 20 shrs 411 411
    Schlumberger Limited 116 shrs 4,185 4,185
    T. Rowe Price International Discover 392 shrs 21,735 21,735
    Texas Instruments 147shrs 13,892 13,892
    Thermo Fisher Scientific Inc 65 shrs 14,546 14,546
    TJX Cos Inc 278 shrs 12,438 12,438
    Unitedhealth Group Inc 67 shrs 16,691 16,691
    Visa Inc Class A 147 shrs 19,395 19,395
    Wells Fargo Premier Lg Co Growth 9813 shrs 115,204 115,204
    Wisdomtree Europe Hedged Eq Fund 933 shrs 52,659 52,659
    Zion Bancorp NA 106 shrs 4,318 4,318

    TY 2018 LandEtcSchedule2
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Equipment 3,848 3,598 250  


    TY 2018 LegalFeesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Perkins Thompson Legal 5,773 2,886   2,887


    TY 2018 OtherAssetsSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Accrued investment income 1,058 2,285 2,285
    Tax refund 14,645 10,215 10,215


    TY 2018 OtherIncomeSchedule2
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Accrued excise tax adjustment 4,867    


    TY 2018 OtherLiabilitiesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Description Beginning of Year - Book Value End of Year - Book Value
    Deferred excise tax 5,364 497


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Peoples United Bank Investment fees 23,205 23,205    


    TY 2018 TaxesSchedule
    Name:
    Simmons Foundation - PerkinsThompson
    EIN:
    01-0277832
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Excise tax 4,485