Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 10-01-2017 , and ending 09-30-2018
Name of foundation
VIRGINIA J COOK FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)20 WEST ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLEANS, MA02653
A Employer identification number

04-6855617
B Telephone number (see instructions)

(877) 409-5600
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$1,577,712J 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... 33,109 32,967  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 48,766
b Gross sales price for all assets on line 6a 325,301
7 Capital gain net income (from Part IV, line 2)... 48,766
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 81,875 81,733  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 4,426 3,320   1,107
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).......        
c Other professional fees (attach schedule).... Click to see attachment 6,640 4,980   1,660
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,366 478   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)....... Click to see attachment 140 140   140
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 15,572 8,918 0 2,907
25 Contributions, gifts, grants paid....... 77,245 77,245
26 Total expenses and disbursements. Add lines 24 and 25 92,817 8,918 0 80,152
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -10,942
b Net investment income (if negative, enter -0-) 72,815
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2019)
Form 990-PF (2019)
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......... 59,469 31,603 31,603
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)....... 830,311 853,161 1,080,234
c Investments—corporate bonds (attach schedule)....... 483,016 476,341 465,875
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment59    
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,372,855 1,361,105 1,577,712
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 FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 1,372,855 1,361,105
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,372,855 1,361,105
30 Total liabilities and net assets/fund balances (see instructions). 1,372,855 1,361,105
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,372,855
2
Enter amount from Part I, line 27a .....................
2
-10,942
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,361,913
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
808
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,361,105
Form 990-PF (2019)
Form 990-PF (2019)
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 4. AFLAC INC COM   2017-07-05 2017-10-03
b 4. AMGEN INC COM   2013-09-03 2017-10-03
c 16. ANALOG DEVICES INC COM   2017-07-05 2017-10-03
d 6. AUTOMATIC DATA PROCESSING INC COM   2017-07-05 2017-10-03
e 1. BB&T CORP COM   2016-06-01 2017-10-03
416. CISCO SYS INC COM   2017-07-05 2017-10-03
14. COGNIZANT TECH SOLUTIONS CRP COM   2017-07-05 2017-10-03
168. EMERSON ELEC CO COM   2017-07-05 2017-10-03
236. GENERAL MILLS INC COM   2017-07-05 2017-10-03
1. ILLINOIS TOOL WKS INC COM   2015-11-23 2017-10-03
49. INTEL CORP COM   2015-05-05 2017-10-03
8. ISHARES CORE S&P MID-CAP ETF   2013-09-17 2017-10-03
21. ISHARES CORE S&P SMALL-CAP ETF   2015-09-28 2017-10-03
48. ISHARES TR CORE MSCI EAFE ETF   2015-09-28 2017-10-03
47. ISHARES INC CORE MSCI EMKT   2015-09-28 2017-10-03
16. ISHARES TR ISHARES CORE MSCI EUROPE ETF   2017-07-05 2017-10-03
14. MICROSOFT CORP COM   2009-02-03 2017-10-03
12. NEXTERA ENERGY INC COM   2010-03-26 2017-10-03
8. PRICE T ROWE GROUP INC COM   2017-07-05 2017-10-03
8. RAYTHEON CO COM NEW   2017-07-05 2017-10-03
8. SELECT SECTOR SPDR TR ENERGY   2017-07-05 2017-10-03
2. UNITEDHEALTH GROUP INC COM   2017-07-05 2017-10-03
16. VISA INC COM CL A   2017-07-05 2017-10-03
25. WEC ENERGY GROUP INC COM   2017-07-05 2017-10-03
4. AFLAC INC COM   2017-07-05 2017-11-21
2. AMGEN INC COM   2013-09-03 2017-11-21
4. ANALOG DEVICES INC COM   2017-07-05 2017-11-21
3. APPLE INC COM   2013-09-03 2017-11-21
5. APPLIED MATLS INC COM   2017-10-03 2017-11-21
3. AUTOMATIC DATA PROCESSING INC COM   2017-07-05 2017-11-21
6. BB&T CORP COM   2016-06-01 2017-11-21
6. BANK OF THE OZARKS INC COM   2017-07-05 2017-11-21
4. CERNER CORP COM   2017-10-03 2017-11-21
1. CHEMED CORP NEW COM   2017-07-05 2017-11-21
7. CHURCH & DWIGHT INC COM   2013-09-23 2017-11-21
5. COGNIZANT TECH SOLUTIONS CRP COM   2017-07-05 2017-11-21
3. DISNEY WALT CO COM   2016-06-01 2017-11-21
3. HASBRO INC COM   2017-07-05 2017-11-21
2. ILLINOIS TOOL WKS INC COM   2015-11-23 2017-11-21
8. INTEL CORP COM   2015-05-05 2017-11-21
1. INTL FLAVORS & FRAGRANCES COM   2017-10-03 2017-11-21
14. ISHARES CORE S&P MID-CAP ETF   2013-09-17 2017-11-21
9. ISHARES U.S. TELECOMMUNICATIONS ETF   2017-07-05 2017-11-21
11. ISHARES CORE S&P SMALL-CAP ETF   2015-09-28 2017-11-21
10. ISHARES IBOXX $ HIGH YIELD CORPORATE BOND ETF   2017-06-01 2017-11-21
11. ISHARES TR FLTG RATE BD ETF   2017-09-26 2017-11-21
33. ISHARES TR CORE MSCI EAFE ETF   2015-09-28 2017-11-21
19. ISHARES INC CORE MSCI EMKT   2015-09-28 2017-11-21
21. ISHARES TR ISHARES CORE MSCI EUROPE ETF   2017-07-05 2017-11-21
2. JOHNSON & JOHNSON COM   1998-05-19 2017-11-21
7. LIBERTY PPTY TR SH BEN INT   2017-10-03 2017-11-21
3. MCCORMICK & CO INC COM NON VTG   2017-10-03 2017-11-21
5. MICROSOFT CORP COM   2009-02-03 2017-11-21
7. MONSTER BEVERAGE CORP NEW COM   2017-10-03 2017-11-21
1. NEXTERA ENERGY INC COM   2010-03-26 2017-11-21
5. NIKE INC CL B   2013-09-03 2017-11-21
2. PACKAGING CORP AMER COM   2017-10-03 2017-11-21
3. PRICE T ROWE GROUP INC COM   2017-07-05 2017-11-21
6. QUALCOMM INC COM   2017-07-05 2017-11-21
1. RAYTHEON CO COM NEW   2017-07-05 2017-11-21
3. RESMED INC COM   2013-11-21 2017-11-21
6. SCHWAB CHARLES CORP NEW COM   2017-10-03 2017-11-21
12. SELECT SECTOR SPDR TR ENERGY   2017-07-05 2017-11-21
4. STARBUCKS CORP COM   2017-07-05 2017-11-21
2. STRYKER CORP COM   2013-09-03 2017-11-21
1. 3M CO COM   2013-09-03 2017-11-21
4. TORO CO COM   2017-07-05 2017-11-21
5. TRACTOR SUPPLY CO COM   2017-10-03 2017-11-21
2. TRAVELERS COS INC COM   2017-07-05 2017-11-21
6. US BANCORP DEL COM NEW   2014-01-23 2017-11-21
1. ULTA BEAUTY, INC   2017-07-05 2017-11-21
2. UNION PAC CORP COM   2017-10-03 2017-11-21
1. UNITEDHEALTH GROUP INC COM   2017-07-05 2017-11-21
4. VISA INC COM CL A   2017-07-05 2017-11-21
2. WEC ENERGY GROUP INC COM   2017-07-05 2017-11-21
237. BANK OF THE OZARKS INC COM   2017-10-03 2017-12-12
374. ISHARES U.S. TELECOMMUNICATIONS ETF   2017-10-03 2017-12-12
45. ULTA BEAUTY, INC   2017-10-03 2017-12-19
6. AFLAC INC COM   2017-07-05 2018-01-09
3. ALPHABET INC CAP STK CL C   2015-11-23 2018-01-09
151. ANALOG DEVICES INC COM   2017-07-05 2018-01-09
8. APPLE INC COM   2013-09-03 2018-01-09
4. APPLIED MATLS INC COM   2017-10-03 2018-01-09
2. AUTOMATIC DATA PROCESSING INC COM   2017-07-05 2018-01-09
10. BB&T CORP COM   2016-06-01 2018-01-09
9. CHEMED CORP NEW COM   2017-07-05 2018-01-09
5. DISNEY WALT CO COM   2016-06-01 2018-01-09
3. HASBRO INC COM   2017-07-05 2018-01-09
5. ILLINOIS TOOL WKS INC COM   2015-11-23 2018-01-09
27. INTEL CORP COM   2015-05-05 2018-01-09
2. INTL FLAVORS & FRAGRANCES COM   2017-07-05 2018-01-09
12. ISHARES CORE S&P MID-CAP ETF   2013-09-17 2018-01-09
9. ISHARES TR CORE MSCI EAFE ETF   2015-09-28 2018-01-09
33. ISHARES INC CORE MSCI EMKT   2015-09-28 2018-01-09
3. JOHNSON & JOHNSON COM   1998-05-19 2018-01-09
38. MICROSOFT CORP COM   2009-02-03 2018-01-09
30. MONSTER BEVERAGE CORP NEW COM   2017-10-03 2018-01-09
34. NIKE INC CL B   2013-09-03 2018-01-09
4. PACKAGING CORP AMER COM   2017-10-03 2018-01-09
19. PRICE T ROWE GROUP INC COM   2017-07-05 2018-01-09
67. QUALCOMM INC COM   2017-07-05 2018-01-09
11. RESMED INC COM   2013-11-21 2018-01-09
1. SCHWAB CHARLES CORP NEW COM   2017-07-05 2018-01-09
9. STARBUCKS CORP COM   2017-07-05 2018-01-09
6. STRYKER CORP COM   2013-09-03 2018-01-09
4. 3M CO COM   2013-09-03 2018-01-09
4. TORO CO COM   2017-07-05 2018-01-09
34. TRACTOR SUPPLY CO COM   2017-08-01 2018-01-09
2. TRAVELERS COS INC COM   2017-07-05 2018-01-09
13. UNION PAC CORP COM   2017-10-03 2018-01-09
5. UNITEDHEALTH GROUP INC COM   2017-07-05 2018-01-09
10. VISA INC COM CL A   2017-07-05 2018-01-09
15000. JPMORGAN CHASE & CO SR NT 6.00% DTD 12/20/2007 DUE 01/15/2018   2010-02-03 2018-01-15
15000. WACHOVIA CORP GLOBAL MTN NT 5.75% DTD 01/31/2008 DUE 02/01/2018   2011-10-20 2018-02-01
5. AFLAC INC COM   2017-07-05 2018-04-18
3. APPLE INC COM   2013-09-03 2018-04-18
10. APPLIED MATLS INC COM   2017-10-03 2018-04-18
2. AUTOMATIC DATA PROCESSING INC COM   2017-07-05 2018-04-18
1. BB&T CORP COM   2016-06-01 2018-04-18
5. CHEMED CORP NEW COM   2017-07-05 2018-04-18
33. CHURCH & DWIGHT INC COM   2013-09-23 2018-04-18
25. COGNIZANT TECH SOLUTIONS CRP COM   2018-01-09 2018-04-18
53. INTEL CORP COM   2015-05-05 2018-04-18
18. ISHARES CORE S&P SMALL-CAP ETF   2015-09-28 2018-04-18
3. ISHARES TR CORE MSCI EAFE ETF   2015-09-28 2018-04-18
8. ISHARES TR ISHARES CORE MSCI EUROPE ETF   2018-01-09 2018-04-18
3. J P MORGAN CHASE & CO COM   2018-01-09 2018-04-18
9. MCCORMICK & CO INC COM NON VTG   2018-01-09 2018-04-18
15. MICROSOFT CORP COM   2009-02-03 2018-04-18
3. NEXTERA ENERGY INC COM   2010-03-26 2018-04-18
10. NIKE INC CL B   2013-09-03 2018-04-18
10. RAYTHEON CO COM NEW   2018-01-09 2018-04-18
19. RESMED INC COM   2013-11-21 2018-04-18
9. SCHWAB CHARLES CORP NEW COM   2017-07-05 2018-04-18
1. STRYKER CORP COM   2013-09-03 2018-04-18
6. TRAVELERS COS INC COM   2017-07-05 2018-04-18
4. UNITEDHEALTH GROUP INC COM   2017-07-05 2018-04-18
7. VISA INC COM CL A   2017-07-05 2018-04-18
125. ISHARES SHORT-TERM CORPORATE BOND ETF   2018-01-16 2018-04-24
15000. BERKSHIRE HATHAWAY FIN CORP GTD SR NT 5.40% DTD 11/15/2008 DUE   2011-01-18 2018-05-15
2. ALPHABET INC CAP STK CL C   2015-11-23 2018-07-17
8. AMGEN INC COM   2013-09-03 2018-07-17
7. APPLE INC COM   2013-09-03 2018-07-17
16. AUTOMATIC DATA PROCESSING INC COM   2017-07-05 2018-07-17
3. BB&T CORP COM   2016-06-01 2018-07-17
7. CERNER CORP COM   2017-07-05 2018-07-17
3. CHEMED CORP NEW COM   2017-07-05 2018-07-17
22. CHURCH & DWIGHT INC COM   2013-09-23 2018-07-17
18. COMCAST CORP CL A   2018-01-09 2018-07-17
8. DISNEY WALT CO COM   2016-06-01 2018-07-17
27. HASBRO INC COM   2018-04-18 2018-07-17
112. HASBRO INC COM   2017-07-05 2018-07-17
20. ISHARES CORE S&P MID-CAP ETF   2017-07-05 2018-07-17
31. ISHARES CORE S&P SMALL-CAP ETF   2015-09-28 2018-07-17
1. J P MORGAN CHASE & CO COM   2018-01-09 2018-07-17
27. LIBERTY PPTY TR SH BEN INT   2017-07-05 2018-07-17
12. MCCORMICK & CO INC COM NON VTG   2017-07-05 2018-07-17
11. MICROSOFT CORP COM   2009-02-03 2018-07-17
16. MONSTER BEVERAGE CORP NEW COM   2017-07-05 2018-07-17
2. NEXTERA ENERGY INC COM   2010-03-26 2018-07-17
148. NIKE INC CL B   2013-09-03 2018-07-17
30. NIKE INC CL B   2017-10-03 2018-07-17
12. PRICE T ROWE GROUP INC COM   2017-07-05 2018-07-17
12. QUALCOMM INC COM   2017-07-05 2018-07-17
9. RESMED INC COM   2013-11-21 2018-07-17
21. SELECT SECTOR SPDR TR ENERGY   2017-07-05 2018-07-17
4. STRYKER CORP COM   2013-09-03 2018-07-17
11. TEXAS INSTRUMENTS INC COM   2018-01-09 2018-07-17
58. TRACTOR SUPPLY CO COM   2018-04-18 2018-07-17
2. US BANCORP DEL COM NEW   2014-01-23 2018-07-17
1. UNION PAC CORP COM   2017-10-03 2018-07-17
3. UNITEDHEALTH GROUP INC COM   2017-07-05 2018-07-17
14. VISA INC COM CL A   2017-07-05 2018-07-17
3. WEC ENERGY GROUP INC COM   2017-07-05 2018-07-17
2. AFLAC INC COM   2017-07-05 2018-09-25
2. AT&T INC COM   2018-01-09 2018-09-25
1. APPLE INC COM   2013-09-03 2018-09-25
2. APPLIED MATLS INC COM   2017-10-03 2018-09-25
1. AUTOMATIC DATA PROCESSING INC COM   2017-07-05 2018-09-25
2. BB&T CORP COM   2016-06-01 2018-09-25
1. CERNER CORP COM   2017-07-05 2018-09-25
2. CHURCH & DWIGHT INC COM   2013-09-23 2018-09-25
1. COGNIZANT TECH SOLUTIONS CRP COM   2017-07-05 2018-09-25
2. COMCAST CORP CL A   2017-12-19 2018-09-25
1. DISNEY WALT CO COM   2016-06-01 2018-09-25
1. ILLINOIS TOOL WKS INC COM   2015-11-23 2018-09-25
2. INTEL CORP COM   2015-05-05 2018-09-25
4. ISHARES CORE S&P MID-CAP ETF   2013-09-17 2018-09-25
3. ISHARES CORE S&P SMALL-CAP ETF   2015-09-28 2018-09-25
3. ISHARES IBOXX $ HIGH YIELD CORPORATE BOND ETF   2017-06-01 2018-09-25
4. ISHARES TR FLTG RATE BD ETF   2018-01-16 2018-09-25
9. ISHARES TR CORE MSCI EAFE ETF   2015-09-28 2018-09-25
6. ISHARES INC CORE MSCI EMKT   2017-07-05 2018-09-25
6. ISHARES TR ISHARES CORE MSCI EUROPE ETF   2017-07-05 2018-09-25
1. J P MORGAN CHASE & CO COM   2018-01-09 2018-09-25
1. JOHNSON & JOHNSON COM   1998-05-19 2018-09-25
2. LIBERTY PPTY TR SH BEN INT   2017-07-05 2018-09-25
1. MCCORMICK & CO INC COM NON VTG   2017-07-05 2018-09-25
1. MICROSOFT CORP COM   2009-02-03 2018-09-25
2. MONSTER BEVERAGE CORP NEW COM   2017-07-05 2018-09-25
1. PACKAGING CORP AMER COM   2017-07-05 2018-09-25
1. PRICE T ROWE GROUP INC COM   2017-07-05 2018-09-25
1. QUALCOMM INC COM   2017-07-05 2018-09-25
1. RESMED INC COM   2013-11-21 2018-09-25
2. SCHWAB CHARLES CORP NEW COM   2017-07-05 2018-09-25
3. SELECT SECTOR SPDR TR ENERGY   2017-07-05 2018-09-25
2. STARBUCKS CORP COM   2017-07-05 2018-09-25
1. TJX COS INC NEW COM   2018-07-17 2018-09-25
1. TEXAS INSTRUMENTS INC COM   2018-01-09 2018-09-25
1. TORO CO COM   2017-07-05 2018-09-25
1. TRACTOR SUPPLY CO COM   2017-08-01 2018-09-25
1. TRAVELERS COS INC COM   2017-07-05 2018-09-25
2. US BANCORP DEL COM NEW   2014-01-23 2018-09-25
1. UNION PAC CORP COM   2017-10-03 2018-09-25
4. VANGUARD SCOTTSDALE FDS VANGUARD INTERMEDIATE TERM CORPORATE BOND   2018-07-31 2018-09-25
1. VISA INC COM CL A   2017-07-05 2018-09-25
1. WEC ENERGY GROUP INC COM   2017-07-05 2018-09-25
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 328   313 15
b 747   445 302
c 1,375   1,244 131
d 664   623 41
e 47   36 11
14,060   12,948 1,112
1,019   937 82
10,631   9,944 687
12,150   12,958 -808
150   93 57
1,940   1,603 337
1,443   991 452
1,576   1,114 462
3,085   2,496 589
2,573   1,818 755
795   749 46
1,040   258 782
1,756   571 1,185
724   603 121
1,503   1,321 182
548   518 30
397   376 21
1,692   1,505 187
1,576   1,518 58
341   313 28
340   223 117
358   311 47
521   212 309
293   257 36
332   312 20
279   216 63
265   289 -24
266   288 -22
234   205 29
314   217 97
359   335 24
309   296 13
286   337 -51
319   187 132
360   262 98
151   146 5
2,596   1,734 862
259   289 -30
836   583 253
877   884 -7
560   560  
2,154   1,716 438
1,096   735 361
1,039   983 56
278   72 206
316   287 29
301   294 7
418   92 326
429   388 41
156   48 108
296   161 135
225   234 -9
291   226 65
398   332 66
185   165 20
255   154 101
275   264 11
809   777 32
229   232 -3
311   135 176
235   114 121
247   278 -31
322   301 21
262   253 9
310   243 67
209   279 -70
234   229 5
212   188 24
444   376 68
137   121 16
10,845   11,431 -586
11,056   11,974 -918
10,221   11,996 -1,775
543   470 73
3,323   2,276 1,047
13,917   11,739 2,178
1,393   565 828
218   205 13
237   208 29
524   360 164
2,327   1,847 480
552   493 59
281   337 -56
846   467 379
1,200   883 317
311   268 43
2,334   1,486 848
612   468 144
1,951   1,277 674
436   108 328
3,366   700 2,666
1,935   1,665 270
2,170   1,095 1,075
519   467 52
2,123   1,432 691
4,389   3,670 719
966   564 402
53   44 9
533   521 12
962   405 557
965   457 508
265   278 -13
2,700   1,906 794
265   253 12
1,830   1,491 339
1,123   941 182
1,192   940 252
15,000   15,302 -302
15,000   15,000  
226   196 30
534   212 322
553   513 40
236   208 28
51   36 15
1,461   1,026 435
1,657   1,022 635
2,062   1,733 329
2,875   1,734 1,141
1,446   955 491
203   156 47
412   412  
332   327 5
975   893 82
1,442   276 1,166
494   143 351
671   322 349
2,267   1,680 587
1,923   975 948
476   393 83
164   67 97
817   758 59
950   753 197
872   658 214
12,951   13,054 -103
15,000   15,369 -369
2,376   1,517 859
1,549   891 658
1,336   495 841
2,198   1,662 536
156   108 48
427   467 -40
973   616 357
1,205   682 523
622   722 -100
894   789 105
2,541   2,520 21
10,540   12,564 -2,024
3,975   3,489 486
2,665   1,644 1,021
111   109 2
1,199   1,108 91
1,428   1,166 262
1,157   203 954
985   791 194
341   95 246
11,491   4,766 6,725
2,329   1,550 779
1,444   905 539
698   644 54
981   462 519
1,577   1,360 217
701   270 431
1,253   1,216 37
4,577   3,554 1,023
103   81 22
138   115 23
745   565 180
1,948   1,317 631
195   182 13
96   78 18
68   76 -8
221   71 150
78   103 -25
150   104 46
101   72 29
64   67 -3
119   62 57
77   67 10
71   78 -7
114   99 15
145   93 52
92   65 27
814   495 319
264   159 105
258   265 -7
204   204  
585   468 117
310   301 9
293   281 12
118   109 9
140   36 104
84   82 2
130   97 33
115   18 97
116   99 17
115   112 3
110   75 35
73   54 19
115   51 64
103   87 16
230   194 36
114   116 -2
110   96 14
107   111 -4
62   70 -8
91   56 35
132   126 6
109   81 28
163   115 48
333   336 -3
150   94 56
66   61 5
      58
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       15
b       302
c       131
d       41
e       11
      1,112
      82
      687
      -808
      57
      337
      452
      462
      589
      755
      46
      782
      1,185
      121
      182
      30
      21
      187
      58
      28
      117
      47
      309
      36
      20
      63
      -24
      -22
      29
      97
      24
      13
      -51
      132
      98
      5
      862
      -30
      253
      -7
       
      438
      361
      56
      206
      29
      7
      326
      41
      108
      135
      -9
      65
      66
      20
      101
      11
      32
      -3
      176
      121
      -31
      21
      9
      67
      -70
      5
      24
      68
      16
      -586
      -918
      -1,775
      73
      1,047
      2,178
      828
      13
      29
      164
      480
      59
      -56
      379
      317
      43
      848
      144
      674
      328
      2,666
      270
      1,075
      52
      691
      719
      402
      9
      12
      557
      508
      -13
      794
      12
      339
      182
      252
      -302
       
      30
      322
      40
      28
      15
      435
      635
      329
      1,141
      491
      47
       
      5
      82
      1,166
      351
      349
      587
      948
      83
      97
      59
      197
      214
      -103
      -369
      859
      658
      841
      536
      48
      -40
      357
      523
      -100
      105
      21
      -2,024
      486
      1,021
      2
      91
      262
      954
      194
      246
      6,725
      779
      539
      54
      519
      217
      431
      37
      1,023
      22
      23
      180
      631
      13
      18
      -8
      150
      -25
      46
      29
      -3
      57
      10
      -7
      15
      52
      27
      319
      105
      -7
       
      117
      9
      12
      9
      104
      2
      33
      97
      17
      3
      35
      19
      64
      16
      36
      -2
      14
      -4
      -8
      35
      6
      28
      48
      -3
      56
      5
       
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 48,766
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))
2018 74,614 1,484,432 0.050264
2017 71,885 1,432,368 0.050186
2016 78,269 1,495,222 0.052346
2015 76,690 1,501,420 0.051078
2014 59,978 1,446,525 0.041464
2
Total of line 1, column (d) .....................
2
0.245338
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
0.049068
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
1,542,353
5
Multiply line 4 by line 3......................
5
75,680
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
728
7
Add lines 5 and 6........................
7
76,408
8
Enter qualifying distributions from Part XII, line 4,.............
8
80,152
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 (2019)
Form 990-PF (2019)
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 1 728
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........................... 3 728
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- ..... 5 728
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 1,932
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,932
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 1,204
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet728 RefundedBullet 11 476
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)
    bulletMA
    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 2019 or the taxable year beginning in 2019? 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 (2019)
    Form 990-PF (2019)
    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 addressbullet  
    14
    The books are in care ofbulletCAPE COD FIVE CENTS SAVINGS BANK Telephone no.bullet (877) 409-5600

    Located atbullet20 WEST ROADORLEANSMA ZIP+4bullet02653
    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 2019, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2019?.............
    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 2019, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2019?.............
    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
     
    No
    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 2019 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 2019.)..................
    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 2019?
    4b
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    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
    CAPE COD FIVE CENTS SAVINGS BANK TRUSTEE
    1     		4,426    
    20 WEST ROAD
    ORLEANS,MA02653
    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 (2019)
    Form 990-PF (2019)
    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 (2019)
    Form 990-PF (2019)
    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
    1,565,841
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,565,841
    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
    1,565,841
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    23,488
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,542,353
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    77,118
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    77,118
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    728
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    728
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    76,390
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    76,390
    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
    76,390
    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
    80,152
    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
    80,152
    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
    728
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    79,424
    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 (2019)
    Form 990-PF (2019)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2018     		(c)
    2018     		(d)
    2019
    1 Distributable amount for 2019 from Part XI, line 7 76,390
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only....... 4,735
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2019:
    a From 2014...... 0
    b From 2015...... 0
    c From 2016...... 0
    d From 2017...... 0
    e From 2018...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 80,152
    a Applied to 2018, but not more than line 2a 4,735
    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 2019 distributable amount..... 75,417
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2019. 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 2018. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2019. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2020 ..........     		973
    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 2014 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2015.... 0
    b Excess from 2016.... 0
    c Excess from 2017.... 0
    d Excess from 2018.... 0
    e Excess from 2019.... 0
    Form 990-PF (2019)
    Form 990-PF (2019)
    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 2019, 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) 2019 (b) 2018 (c) 2017 (d) 2016
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2019)
    Form 990-PF (2019)
    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
    FEDERATED CHURCH OF ORLEANS
    PO BOX 761
    EAST ORLEANS,MA026430761     		NONE 501 C 3 CHARITABLE 77,245
    Total .................................bullet 3a 77,245
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2019)
    Form 990-PF (2019)
    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 33,109  
    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 48,766  
    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)..   81,875  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    81,875
    (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 (2019)
    Form 990-PF (2019)
    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 (2019)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2017 OtherAssetsSchedule
    Name:
    VIRGINIA J COOK FOUNDATION
    EIN:
    04-6855617
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INTEREST 59 0 0


    TY 2017 OtherDecreasesSchedule
    Name:
    VIRGINIA J COOK FOUNDATION
    EIN:
    04-6855617
    Description Amount
    RETURN OF CAPITAL 203
    TIMING DIFFERENCES 605


    TY 2017 OtherExpensesSchedule
    Name:
    VIRGINIA J COOK FOUNDATION
    EIN:
    04-6855617
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ALLOCABLE EXPENSE-PRINCI 140 140   140


    TY 2017 OtherProfessionalFeesSchedule
    Name:
    VIRGINIA J COOK FOUNDATION
    EIN:
    04-6855617
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TRUSTEE FEES - INCOME (NON-DED 1,660 1,245   415
    TRUSTEE FEES-PRIN (NON-DEDUCTI 4,980 3,735   1,245


    TY 2017 TaxesSchedule
    Name:
    VIRGINIA J COOK FOUNDATION
    EIN:
    04-6855617
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 1,956 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,932 0   0
    FOREIGN TAXES ON QUALIFIED FOR 393 393   0
    FOREIGN TAXES ON NONQUALIFIED 85 85   0