TY 2018 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0052

2018

Open to Public Inspection

For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018

Name of foundation
THE MICCIO FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 522
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
IOWA CITY, IA522440522

A Employer identification number

42-1501038

B Telephone number (see instructions)

(319) 338-1522

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$985,907J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(c) Adjusted net income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	4,915
2	Check .............
3	Interest on savings and temporary cash investments	10		10	10
4	Dividends and interest from securities...	21,738		21,738	21,738
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		112,493
b	Gross sales price for all assets on line 6a 380,554
7	Capital gain net income (from Part IV, line 2)...			112,493
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......		17	17	17
12	Total. Add lines 1 through 11........	139,173		134,258	21,765
13	Compensation of officers, directors, trustees, etc.
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		1,209		1,209
c	Other professional fees (attach schedule)....		5,425	5,425
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		1,393		1,393
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......	512			512
22	Printing and publications..........
23	Other expenses (attach schedule).......		120		120
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	8,659		5,425	3,234	0
25	Contributions, gifts, grants paid.......	51,101				51,101
26	Total expenses and disbursements. Add lines 24 and 25	59,760		5,425	3,234	51,101
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	79,413
b	Net investment income (if negative, enter -0-)			128,833
c	Adjusted net income (if negative, enter -0-)...				18,531

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2018)

Form 990-PF (2018)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	6,433	3,424	3,424
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	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).......	824,995	917,786	942,723
	c	Investments—corporate bonds (attach schedule).......	49,831	39,462	39,760
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	881,259	960,672	985,907
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted..................
	25	Temporarily restricted...............
	26	Permanently restricted...............
		Foundations that do not follow SFAS 117, check here
		and complete lines 27 through 31.
	27	Capital stock, trust principal, or current funds........	881,259	960,672
	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).....	881,259	960,672
	31	Total liabilities and net assets/fund balances (see instructions).	881,259	960,672

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............

881,259

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

79,413

Other increases not included in line 2 (itemize) bullet

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

960,672

Decreases not included in line 2 (itemize) bullet

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

960,672

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	50 ABBOTT LABS	P	2017-04-24	2018-10-15
b	50 EXPRESS SCRIPTS	P	2015-10-29	2018-10-15
c	25 JOHNSON & JOHNSON	P	2010-12-27	2018-01-26
d	200 TWITTER INC	P	2016-05-27	2018-05-07
e	10 ALLIANCE DATA	P	2017-04-24	2018-10-15
	50 EXPRESS SCRIPTS	P	2018-12-20	2018-12-20
	200 KOHLS CORP	P	2016-05-24	2018-04-04
	50,000 US TREASURY BILLS	P	2017-12-18	2018-03-22
	25 AMERICAN TOWER CORP	P	2015-10-29	2018-10-15
	75 EXXON MOBIL	P	2003-04-16	2018-10-15
	25 ESTEE LAUDER COS	P	2017-04-24	2018-05-07
	20,000 US TREASURY BILLS	P	2018-03-27	2018-06-28
	50 APPLE INC	P	2015-10-12	2018-10-15
	385 FIRST TRUST 6540 UIT	P	2018-04-09	2018-04-11
	50 MASCO CORP	P	2016-09-28	2018-10-15
	20,000 US TREASURY BILLS	P	2018-03-27	2018-09-20
	25 BECKTON DICKINSON	P	2012-09-10	2018-05-07
	100 FASTENAL	P	2001-09-17	2018-05-07
	25 MCDONALDS	P	2010-02-01	2018-10-15
	150 WELLS FARGO INC	P	2001-08-24	2018-10-15
	15 BIOGEN INC	P	2016-03-09	2018-10-15
	125 FISERV INC	P	2004-09-01	2018-10-15
	75 MONDELEZ INTL	P	2016-03-09	2018-10-15
	75 BRISTOL MYERS SQUIBB	P	2017-04-24	2018-10-15
	1025 FLEXSHARES IBOXX	P	2013-11-13	2018-10-30
	200 NIKE INC	P	2011-04-08	2018-05-07
	100 CVS HEALTH	P	2016-11-08	2018-10-15
	1.5 GARRETT MOTION	P	2018-04-04	2018-11-06
	40 PALO ALTO NETWORKS	P	2017-05-02	2018-08-01
	25 CELGENE CORP	P	2016-09-28	2018-10-15
	200 GENERAL ELECTRIC	P	2017-04-24	2018-03-22
	125 PEPSICO	P	2003-04-03	2018-10-15
	150 CITIGROUP	P	2016-03-09	2018-10-15
	10 WW GRAINGER	P	2017-04-24	2018-04-04
	75 QUALCOMM	P	2014-11-06	2018-08-01
	25 COSTCO WHOLESALE	P	2015-10-12	2018-10-15
	25 HOME DEPOT	P	2002-11-06	2018-10-15
	50 RED HAT INC	P	2017-04-24	2018-10-15
	75 EOG RES INC	P	2015-10-29	2018-10-15
	25 ILLINOIS TOOL WORKS	P	2001-09-24	2018-08-01
	2.5 RESIDO TECHNOLOGIES	P	2018-04-04	2018-11-14
	50 ETRADE FINANCIAL	P	2017-04-24	2018-10-15
	125 INTEL CORP	P	2017-09-29	2018-10-15
	50 SCHLUMBERGER	P	2015-10-29	2018-10-15
	144.872 EATON VANCE PARA TAX MGD	P	2014-05-28	2018-03-29
	25 INTERCONTINENTAL EXCHANGE	P	2010-06-29	2018-10-15
	75 STARBUCKS	P	2016-03-09	2018-10-15
	129.833 EATON VANCE PARA TAX MGD	P	2017-06-13	2018-03-29
	50 JP MORGAN CHASE	P	2015-10-29	2018-01-26
	50 THERMO FISHER SCIENTIFIC	P	2005-09-27	2018-05-07

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	3,466	2,211	1,255
b	4,735	4,267	468
c	3,628	1,549	2,079
d	6,238	2,966	3,272
e	2,120	2,618	-498
	799		799
	12,769	7,090	5,679
	49,831	49,831
	3,603	2,522	1,081
	6,059	2,619	3,440
	3,327	2,151	1,176
	19,915	19,915
	9,758	5,765	3,993
	5,010	4,915	95
	1,615	1,726	-111
	19,821	19,821
	5,614	1,947	3,667
	5,426	697	4,729
	4,126	1,593	2,533
	8,674	3,594	5,080
	4,974	3,502	1,472
	11,143	1,296	9,847
	3,093	3,130	-37
	4,359	4,021	338
	24,426	25,659	-1,233
	14,454	3,203	11,251
	7,396	7,257	139
	23	23
	7,988	4,392	3,596
	2,063	2,652	-589
	2,734	5,934	-3,200
	13,059	5,059	8,000
	10,988	6,198	4,790
	2,861	1,921	940
	4,815	5,285	-470
	5,636	3,852	1,784
	4,816	709	4,107
	6,650	4,374	2,276
	8,952	6,400	2,552
	3,486	635	2,851
	54	64	-10
	2,488	1,775	713
	5,618	4,761	857
	2,995	3,950	-955
	7,735	7,500	235
	1,829	577	1,252
	4,286	4,312	-26
	6,932	7,000	-68
	5,797	3,271	2,526
	10,687	1,552	9,135

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			1,255
b			468
c			2,079
d			3,272
e			-498
			799
			5,679

			1,081
			3,440
			1,176

			3,993
			95
			-111

			3,667
			4,729
			2,533
			5,080
			1,472
			9,847
			-37
			338
			-1,233
			11,251
			139

			3,596
			-589
			-3,200
			8,000
			4,790
			940
			-470
			1,784
			4,107
			2,276
			2,552
			2,851
			-10
			713
			857
			-955
			235
			1,252
			-26
			-68
			2,526
			9,135

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	112,493
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3	-1,444

Part V

Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? Yes No

If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.

1 Enter the appropriate amount in each column for each year; see instructions before making any entries.

(a) Base period years Calendar year (or tax year beginning in)	(b) Adjusted qualifying distributions	(c) Net value of noncharitable-use assets	(d) Distribution ratio (col. (b) divided by col. (c))
2017	52,400	1,042,341	0.050271
2016	52,576	979,963	0.053651
2015	48,827	1,010,379	0.048325
2014	48,853	1,028,321	0.047508
2013	49,197	970,059	0.050715

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

0.250470

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 ......

0.050094

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

1,066,714

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

53,436

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

1,288

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

54,724

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

51,101

If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.

Form 990-PF (2018)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	2,577
	hereand enter 1% of Part I, line 27b...................
c	All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2...........................	3	2,577
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	2,577
6	Credits/Payments:

a	2018 estimated tax payments and 2017 overpayment credited to 2018	6a	1,400
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	1,400
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.......		9	1,177
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2019 estimated tax	Refunded	11

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),

and Part XV..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If "No," attach explanation .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.

If "Yes," complete Part XIV .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2018)

Page 5

Part VII-A

Statements Regarding Activities (continued)

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement. See instructions.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

WWW.MICCIO.ORG

The books are in care of bullet

CINDY BURR Telephone no. bullet

(319) 338-1522

Located at bullet

590 W FOREVERGREEN RDNORTH LIBERTYIA ZIP+4 bullet

52317

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)?...............YesNo

(6) Agree to pay money or property to a government official? (Exception. Check "No"

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.).......YesNo

If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2018?.............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2018, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2018?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement—see instructions.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2018.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?

Form 990-PF (2018)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .................YesNo

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation. See instructions

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
SUSAN STUMP	PRESIDENT 2.00	0	0	0
20 WOODCREST LANE IOWA CITY,IA52240	PRESIDENT 2.00	0	0	0
CINDY BURR	TREASURER 2.00	0	0	0
1394 DEER RUN DRIVE RIVERSIDE,IA52327	TREASURER 2.00	0	0	0
RONNYE WIELAND	DIRECTOR 2.00	0	0	0
2172 SCALES BEND RD NORTH LIBERTY,IA52317	DIRECTOR 2.00	0	0	0
JULIE PHYE	DIRECTOR 2.00	0	0	0
4645 SHARON CENTER ROAD IOWA CITY,IA52240	DIRECTOR 2.00	0	0	0
KAY COLANGELO	DIRECTOR 2.00	0	0	0
221 E COLLEGE ST 905 IOWA CITY,IA52240	DIRECTOR 2.00	0	0	0
JULIE WEEKS	DIRECTOR 2.00	0	0	0
617 GRANT STREET IOWA CITY,IA52240	DIRECTOR 2.00	0	0	0
SUSAN BECKETT	DIRECTOR 2.00	0	0	0
305 WINDSOR DR IOWA CITY,IA52245	DIRECTOR 2.00	0	0	0

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

Form 990-PF (2018)

Page 7

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1	THE MICCIO FOUNDATION'S FOCUS IS TO SUPPORT ORGANIZATIONS INVOLVED IN ANIMAL WELFARE (501C3 STATUS IS REQUIRED). PROJECTS ELIGIBLE FOR FUNDING ARE THOSE THAT WILL HAVE AN IMMEDIATE, DIRECT AND MEASURABLE IMPACT ON IMPROVING ANIMAL WELFARE IN A TARGET COMMUNITY. GRANTS CAN BE FOR PROJECTS SUCH AS SPAY/NEUTER PROGRAMS, FACILITY RENOVATION, MEDICAL CARE, HUMANE EDUCATION, CAGING, AND ADOPTION SUPPORT.	51,101
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	N/A
2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2018)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

1,076,408

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

6,550

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

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

1,082,958

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

1,082,958

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

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

16,244

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

1,066,714

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

53,336

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

53,336

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

2,577

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

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

2,577

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

50,759

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

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

50,759

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

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

50,759

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

51,101

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

51,101

Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b. See instructions.................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

51,101

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

Form 990-PF (2018)

Page 9

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(d) 2018
1 Distributable amount for 2018 from Part XI, line 7			50,759
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......	1,781
b From 2014......
c From 2015......	1,050
d From 2016......	4,894
e From 2017......	1,676
fTotal of lines 3a through e........		9,401
4Qualifying distributions for 2018 from Part
XII, line 4: $ 51,101
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)........
d Applied to 2018 distributable amount.....			50,759
e Remaining amount distributed out of corpus		342
5 Excess distributions carryover applied to 2018.
(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		9,743
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........
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 ...........
e Undistributed income for 2017. Subtract line 4a from line 2a. Taxable amount—see instructions .............
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) ...		1,781
9Excess distributions carryover to 2019. Subtract lines 7 and 8 from line 6a ......		7,962
10 Analysis of line 9:
a Excess from 2014....
b Excess from 2015....	1,050
c Excess from 2016....	4,894
d Excess from 2017....	1,676
e Excess from 2018....	342

Form 990-PF (2018)

Page 10

Part XIV

Private Operating Foundations (see instructions and Part VII-A, question 9)

1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2018	(b) 2017	(c) 2016	(d) 2015	(e) Total

b 85% of line 2a .........
c Qualifying distributions from Part XII, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed...
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

THE MICCIO GRANT PROGRAM
PO BOX 522
IOWA CITY,IA522440522
(319) 338-1522

bThe form in which applications should be submitted and information and materials they should include:

THE GRANT APPLICATION FORMS ARE ON THE ORGANIZATION'S WEBSITE (WWW.MICCIO.ORG). SEVEN COPIES OF THE GRANT AND RELATED ATTACHMENTS MUST BE MAILED TO THE ADDRESS LISTED. HOW TO WRITE A MICCIO GRANT PLEASE INCLUDE THE FOLLOWING (TYPED) INFORMATION WITH YOUR GRANT APPLICATION. NOTE THAT THE MICCIO GRANT APPLICATION PROCESS HAS TWO PARTS. WE ASK THAT YOU DESCRIBE A.) THE PROJECT WHICH YOU ARE REQUESTING FUNDS FOR AND B.) YOUR ORGANIZATION. A.) DESCRIBE YOUR PROJECT AND INCLUDE YOUR ORGANIZATIONS NEED FOR THIS PROJECT BY ANSWERING EACH QUESTION BELOW. USE THE HEADINGS TO ORGANIZE YOUR RESPONSE. 1. WHAT IS THE PROJECT THAT YOU ARE REQUESTING FUNDS TO COMPLETE? 2. HOW WILL THIS PROJECT BENEFIT YOUR ORGANIZATION AND/OR COMMUNITY? 3. WHO IS GOING TO DO THIS PROJECT? 4. WHEN WILL YOU START YOUR PROJECT AND WHEN DO YOU EXPECT YOUR PROJECT TO BE COMPLETED? 5. HOW WILL YOU KNOW IF YOUR PROJECT IS SUCCESSFUL? 6. WHAT ARE YOUR PLANS FOR OBTAINING MATCHING FUNDS OR ADDITIONAL FUNDS? 7. PROVIDE A LINE I

cAny submission deadlines:

MAY 1ST AND NOVEMBER 1ST OF EACH YEAR.

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

ORGANIZATIONS MAY APPLY FOR FUNDS FROM THE MICCIO FOUNDATION THROUGH A THREE-TIER GRANT PROGRAM. APPLICANTS MAY APPLY FOR ONLY ONE MICCIO FOUNDATION STANDARD OR MINI GRANT PER FUNDING CYCLE. IN ADDITION TO APPLYING FOR A STANDARD OR MINI GRANT, APPLICANTS MAY APPLY FOR ONE JEAN M. WALKER GRANT PER CYCLE. FUNDING CYCLES OCCUR TWICE ANNUALLY, IN MAY AND NOVEMBER. THE FOUNDATION AWARDS STANDARD GRANTS TO ORGANIZATIONS LICENSED BY THE STATE OF IOWA DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP (IDALS) AS POUNDS OR SHELTERS. TYPICALLY STANDARD MICCIO GRANTS ARE FUNDED AT 3,500. STANDARD GRANT REQUESTS MAY NOT EXCEED 10,000. IN EXCEPTIONAL CIRCUMSTANCES, ORGANIZATIONS WITHOUT THE IDALS LICENSE MAY APPLY FOR A STANDARD GRANT. CONTACT THE MICCIO FOUNDATION BOARD PRIOR TO SUBMITTING SUCH AN APPLICATION. PLEASE NOTE THAT YOU MUST CONTACT AND RECEIVE PERMISSION FROM THE FOUNDATION EACH TIME YOU REQUEST AN EXCEPTIONAL CIRCUMSTANCE EXEMPTION. ORGANIZATIONS WITH 501C3 STATUS ARE ELIGIBLE FOR THE MI

Form 990-PF (2018)

Page 11

Part XV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
BUCHANAN COUNTY ANIMAL SHELTER 2119 GREEN CREEK ROAD HAZLETON,IA50641		PC	DOORS FOR ANIMAL SHELTER FACILITY	1,000
IOWA HUMANE ALLIANCE 6540 6TH STREET SW CEDAR RAPIDS,IA52404		PC	BARN CAT TRAP NEUTER RELEASE PROGRAM	1,000
PAWS & MORE ANIMAL SHELTER 1004 W MADISON ST WASHINGTON,IA52353		PC	CEILING REPLACEMENT/AIR EXCHANGE UNI	6,050
PEOPLE FOR PAWS PO BOX 221 SHENANDOAH,IA51601		PC	VETERINARIAN CARE	5,000
SAFE HAVEN OF IOWA COUNTY (SHIC) PO BOX 444 WILLIAMSBURG,IA52361		PC	FACILITY - SURGICAL SUITE AND REMODE	3,000
IOWA FRIENDS OF COMPANION ANIMALS 2417 39TH STREET DES MOINES,IA50311		PC	BROCHURE PRINTING COSTS	1,500
HAPPY TALES RANCH & RESCUE 8235 N 19TH AVE W COLFAX,IA50054		PC	CAT ROOM FLOORING	1,500
COMPANION ANIMAL PROTECTION SOCIETY 759 CJC HWY 332 COHASSET,MA02025		PC	INVESTIGATION OF IOWA PUPPY MILLS	4,000
PLUCKY PAWS LLC 3937 SQUAW ROAD AMES,IA50014		PC	HUMANE EDUCATION FEES/SUPPLIES	4,775
ANIMAL RESCUE FAMILY PO BOX 194 ALGONA,IA50511		PC	FACILITY STARTUP EQUIPMENT/REMODEL	4,000
ANIMAL WELFARE FOUNDATION OF IOWA 22407 BUSINESS HWY 151 MONTICELLO,IA52310		PC	KENNELS AND CAT ISOLATION UNIT	6,900
DOGS FOREVER OF IOWA 2040 DEERPATH LANE SE CEDAR RAPIDS,IA52403		PC	RUN AREA FENCING	1,376
CITY OF BEAMAN PO BOX 76 BEAMAN,IA50609		PC	FERAL COLONY TRAP/NEUTER/RELEASE PGM	1,500
HAMILTON COUNTY ANIMAL ADVOCATES PO BOX 181 STRATFORD,IA50249		PC	CITY OF FRASER TRAP/NEUTER/RETURN PG	1,500
PEOPLE FOR PETS 2312 HWY BLVD SPENCER,IA51301		PC	KENNEL BUILDING EXPANSION/RENOVATION	8,000
Total ................................. 3a				51,101

bApproved for future payment

Total ................................. 3b

Form 990-PF (2018)

Page 12

Part XVI-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3 Interest on savings and temporary cash investments ...........			14	10
4 Dividends and interest from securities....			14	21,738
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.....			14	17
8 Gain or (loss) from sales of assets other than inventory ............			18	112,493
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)..				134,258

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

134,258

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)

Form 990-PF (2018)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2018)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2018 AccountingFeesSchedule

Name:

THE MICCIO FOUNDATION

EIN:

42-1501038

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
TAX PREPARATION	1,209		1,209

- TIN:

TY 2018 InvestmentsCorpBondsSchedule

Name:

THE MICCIO FOUNDATION

EIN:

42-1501038

Name of Bond	End of Year Book Value	End of Year Fair Market Value
FIXED INCOME HELD BY HILLS BANK & TR	39,462	39,760

- TIN:

TY 2018 InvestmentsCorpStockSchedule

Name:

THE MICCIO FOUNDATION

EIN:

42-1501038

Name of Stock	End of Year Book Value	End of Year Fair Market Value
EQUITIES HELD AT HILLS BANK & TRUST	917,786	942,723

- TIN:

TY 2018 OtherExpensesSchedule

Name:

THE MICCIO FOUNDATION

EIN:

42-1501038

Description	Revenue and Expenses per Books	Adjusted Net Income
EXPENSES
SOFTWARE	70	70
DONATION	50	50

- TIN:

TY 2018 OtherIncomeSchedule2

Name:

THE MICCIO FOUNDATION

EIN:

42-1501038

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
BANK OF AMERICA LITIGATION SE	17	17	17

- TIN:

TY 2018 OtherProfessionalFeesSchedule

Name:

THE MICCIO FOUNDATION

EIN:

42-1501038

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT FEES	5,425	5,425

- TIN:

TY 2018 TaxesSchedule

Name:

THE MICCIO FOUNDATION

EIN:

42-1501038

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
FEDERAL EXCISE TAX-2018 ESTIMATE	1,393		1,393