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
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 07-01-2018 , and ending 06-30-2019
Name of foundation
GRAHAM-ALLN HOSP
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

23-6599744
B Telephone number (see instructions)

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

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,164,591J 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... 31,372 31,372  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 42,063
b Gross sales price for all assets on line 6a 496,870
7 Capital gain net income (from Part IV, line 2)... 42,063
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........ 73,435 73,435  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 17,443 13,082   4,361
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 836 0 0 836
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,822 759   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 16 16    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 20,117 13,857 0 5,197
25 Contributions, gifts, grants paid....... 70,000 70,000
26 Total expenses and disbursements. Add lines 24 and 25 90,117 13,857 0 75,197
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -16,682
b Net investment income (if negative, enter -0-) 59,578
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 21,036 69,741 69,741
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 982,246 Click to see attachment917,296 1,094,850
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,003,282 987,037 1,164,591
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,003,282 987,037
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)..... 1,003,282 987,037
31 Total liabilities and net assets/fund balances (see instructions). 1,003,282 987,037
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,003,282
2
Enter amount from Part I, line 27a .....................
2
-16,682
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
441
4
Add lines 1, 2, and 3 ..........................
4
987,041
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
4
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
987,037
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 35. BAYER AG ADR- RIGHTS DEEMED 7/15/18   2016-12-09 2018-07-02
b 1435.383 T ROWE PR REAL ESTATE-I #432   2017-01-20 2018-07-11
c 10.617 T ROWE PR REAL ESTATE-I #432   2017-07-27 2018-07-11
d 124. SPDR DJ WILSHIRE INTERNATIONAL REAL   2016-01-28 2018-07-11
e 195. VANGUARD REIT VIPER   2016-01-28 2018-07-11
48. VANGUARD REIT VIPER   2018-01-25 2018-07-11
99. COMCAST CORP CLASS A   2016-01-28 2018-07-12
18. COMCAST CORP CLASS A   2018-01-25 2018-07-12
32. MCKESSON CORP   2016-01-28 2018-07-17
12. APPLE INC   2016-01-28 2018-08-02
9. APPLE INC   2018-01-25 2018-08-02
140. BAYER AG - ADR   2016-12-09 2018-08-02
16. CISCO SYSTEMS INC   2016-01-28 2018-08-02
9. CITIGROUP INC   2018-01-25 2018-08-02
19. ISHARES S&P MID-CAP 400 GROWTH   2016-01-28 2018-08-02
59. ISHARES RUSSELL 2000 ETF   2018-01-25 2018-08-02
26. ISHARES S&P MID-CAP 400 VALUE   2016-01-28 2018-08-02
6. JPMORGAN CHASE & CO   2018-01-25 2018-08-02
23. MICROSOFT CORP   2002-06-27 2018-08-02
5. PNC FINANCIAL SERVICES GROUP   2018-01-25 2018-08-02
20. ROCHE HOLDINGS LTD - ADR   2016-01-28 2018-08-02
15. SUNCOR ENERGY INC NEW F   2018-01-25 2018-08-02
5. UNION PACIFIC CORP   2018-01-25 2018-08-02
6. UNITED PARCEL SERVICE-CL B   2017-03-24 2018-08-02
43. CITIGROUP INC   2016-01-28 2018-08-13
1. CITIGROUP INC   2018-01-25 2018-08-13
43. AT & T INC   2018-02-13 2018-09-25
2. ALPHABET INC/CA   2018-01-25 2018-09-25
1. ALPHABET INC/CA   2017-07-25 2018-09-25
8. AMERIPRISE FINL INC   2018-08-13 2018-09-25
17. APPLE INC   2016-01-28 2018-09-25
7. BERSHIRE HATHAWAY INC.   2016-01-28 2018-09-25
2. BLACKROCK INC   2018-08-13 2018-09-25
3. BOEING CO   2016-01-28 2018-09-25
8. CME GROUP INC   2013-10-25 2018-09-25
27. CVS HEALTH CORPORATION   2016-01-28 2018-09-25
12. CELANESE CORP   2015-02-23 2018-09-25
6. CELANESE CORP   2018-01-25 2018-09-25
46. CISCO SYSTEMS INC   2016-01-28 2018-09-25
16. CITIGROUP INC   2016-01-28 2018-09-25
26. COGNIZANT TECH SOLUTIONS CRP COM   2016-03-16 2018-09-25
25. COMCAST CORP CLASS A   2012-08-30 2018-09-25
10. DIAGEO PLC - ADR   2013-10-25 2018-09-25
15. WALT DISNEY CO   2016-01-28 2018-09-25
9. EOG RESOURCES, INC   2018-04-10 2018-09-25
16. GILEAD SCIENCES INC   2016-01-28 2018-09-25
6. HOME DEPOT INC   2017-03-31 2018-09-25
4. ISHARES S&P MID-CAP 400 GROWTH   2016-01-28 2018-09-25
8. ISHARES RUSSELL 2000 ETF   2018-01-25 2018-09-25
11. ISHARES S&P MID-CAP 400 VALUE   2016-01-28 2018-09-25
13. JPMORGAN CHASE & CO   1995-08-15 2018-09-25
13. ELI LILLY & CO COM   2016-10-05 2018-09-25
77. MANULIFE FINANCIAL CORP   2016-03-01 2018-09-25
24. MERCK & CO INC NEW   2016-04-26 2018-09-25
32. MICROSOFT CORP   2002-06-27 2018-09-25
18. NIKE INC CL B   2017-11-01 2018-09-25
11. PNC FINANCIAL SERVICES GROUP   2016-01-28 2018-09-25
37. ROCHE HOLDINGS LTD - ADR   2016-01-28 2018-09-25
30. SCHLUMBERGER LTD   2018-01-25 2018-09-25
11. SPIRIT AEROSYTSEMS HOLD-CL A   2016-10-05 2018-09-25
3. SUNCOR ENERGY INC NEW F   2018-01-25 2018-09-25
38. SUNCOR ENERGY INC NEW F   2016-01-28 2018-09-25
14. TJX COMPANIES INC   2016-01-28 2018-09-25
11. TARGET CORP   2012-08-30 2018-09-25
8. THERMO FISHER SCIENTIFIC INC   2016-01-28 2018-09-25
34. TOTAL S.A. - ADR   2018-01-25 2018-09-25
13. UNION PACIFIC CORP   2016-01-28 2018-09-25
1. UNION PACIFIC CORP   2018-01-25 2018-09-25
8. UNITED PARCEL SERVICE-CL B   2017-03-24 2018-09-25
10. UNITEDHEALTH GROUP INC   2016-01-28 2018-09-25
233. VANGUARD INTERMEDIATE TERM B   2016-08-23 2018-09-25
19. VANGUARD BD INDEX FD INC   2016-01-28 2018-09-25
13. ZOETIS INC   2017-04-25 2018-09-25
17. EATON CORP PLC   2014-07-29 2018-09-25
64. UBS GROUP AG   2018-01-25 2018-09-25
19. TE CONNECTIVITY LTD   2016-11-08 2018-09-25
73. FLEXTRONICS INTL LTD   2018-03-08 2018-09-25
38. CISCO SYSTEMS INC   2016-01-28 2018-10-01
86. MANULIFE FINANCIAL CORP   2016-01-28 2018-10-01
11. PNC FINANCIAL SERVICES GROUP   2016-01-28 2018-10-01
7. TJX COMPANIES INC   2016-01-28 2018-10-01
12. UNION PACIFIC CORP   2016-01-28 2018-10-01
398.939 T ROWE PR REAL ESTATE-I #432   2008-06-30 2018-11-15
238.061 T ROWE PR REAL ESTATE-I #432   2018-01-26 2018-11-15
452. SPDR DJ WILSHIRE INTERNATIONAL REAL   2016-01-28 2018-11-15
100. SCHLUMBERGER LTD   2016-01-28 2018-11-26
2. SCHLUMBERGER LTD   2018-01-25 2018-11-26
15. SCHLUMBERGER LTD   2018-11-15 2018-11-26
31. AMERIPRISE FINL INC   2016-01-28 2018-12-24
5. AMERIPRISE FINL INC   2018-11-15 2018-12-24
29. COMCAST CORP CLASS A   2012-08-30 2018-12-24
17. COMCAST CORP CLASS A   2018-11-15 2018-12-24
11. NIKE INC CL B   2018-11-15 2018-12-24
142.207 FIDELITY NEW MRKTS INC-I   2018-01-26 2019-01-08
210.793 FIDELITY NEW MRKTS INC-I   2016-08-25 2019-01-08
62.749 JPMORGAN HIGH YIELD FUND SS 3580   2018-01-26 2019-01-08
120.251 JPMORGAN HIGH YIELD FUND SS 3580   2016-01-28 2019-01-08
480. TCW EMRG MKTS INCM-I 4721   2018-07-12 2019-01-08
138. VANGUARD INTERMEDIATE TERM B   2016-05-11 2019-01-08
44. VANGUARD BD INDEX FD INC   2016-01-28 2019-01-08
90. COMCAST CORP CLASS A   2012-08-30 2019-02-15
128. FIDELITY NEW MRKTS INC-I   2016-08-25 2019-03-01
199. ISHARES RUSSELL 2000 ETF   2018-01-25 2019-03-01
46. ISHARES CORE MSCI EMERGING   2018-09-25 2019-03-01
6. MICROSOFT CORP   2018-11-15 2019-03-01
21. T ROWE PR REAL ESTATE-I #432   2008-06-30 2019-03-01
20. SPDR DJ WILSHIRE INTERNATIONAL REAL   2017-01-18 2019-03-01
151. TCW EMRG MKTS INCM-I 4721   2018-07-12 2019-03-01
122. VANGUARD FTSE EMERGING MARKETS ETF   2018-08-02 2019-03-01
39. AT & T INC   2018-04-10 2019-04-03
1. ALPHABET INC/CA   2018-11-15 2019-04-03
2. APPLE INC   2016-01-28 2019-04-03
11. APPLE INC   2018-11-15 2019-04-03
3. BERSHIRE HATHAWAY INC.   2018-11-15 2019-04-03
2. BLACKROCK INC   2018-08-13 2019-04-03
3. BOEING CO   2018-11-30 2019-04-03
6. CME GROUP INC   2018-11-15 2019-04-03
14. CVS HEALTH CORPORATION   2018-11-15 2019-04-03
3. CVS HEALTH CORPORATION   2016-01-28 2019-04-03
5. CISCO SYSTEMS INC   2016-01-28 2019-04-03
26. CISCO SYSTEMS INC   2018-11-15 2019-04-03
2. CITIGROUP INC   2016-01-28 2019-04-03
12. CITIGROUP INC   2018-11-15 2019-04-03
15. COGNIZANT TECH SOLUTIONS CRP COM   2018-11-15 2019-04-03
3. COGNIZANT TECH SOLUTIONS CRP COM   2016-03-16 2019-04-03
8. DIAGEO PLC - ADR   2013-10-25 2019-04-03
1. WALT DISNEY CO   2016-01-28 2019-04-03
8. WALT DISNEY CO   2018-11-15 2019-04-03
6. EOG RESOURCES, INC   2018-04-10 2019-04-03
8. ELECTRONIC ARTS INC   2019-02-15 2019-04-03
10. JPMORGAN CHASE & CO   2018-11-15 2019-04-03
11. LAS VEGAS SANDS CORP   2018-10-01 2019-04-03
6. LAS VEGAS SANDS CORP   2014-12-16 2019-04-03
7. ELI LILLY & CO COM   2018-11-15 2019-04-03
2. ELI LILLY & CO COM   2018-01-25 2019-04-03
44. MANULIFE FINANCIAL CORP   2016-01-28 2019-04-03
12. MERCK & CO INC NEW   2018-11-15 2019-04-03
2. MERCK & CO INC NEW   2016-04-26 2019-04-03
16. MICROSOFT CORP   2018-11-15 2019-04-03
4. MICROSOFT CORP   2002-06-27 2019-04-03
10. MONDELEZ INTERNATIONAL INC   2018-11-15 2019-04-03
17. MONDELEZ INTERNATIONAL INC   2018-09-25 2019-04-03
12. NIKE INC CL B   2017-11-01 2019-04-03
2. NIKE INC CL B   2018-11-15 2019-04-03
1. PNC FINANCIAL SERVICES GROUP   2016-01-28 2019-04-03
7. PNC FINANCIAL SERVICES GROUP   2018-11-15 2019-04-03
31. ROCHE HOLDINGS LTD - ADR   2016-01-28 2019-04-03
1082.479 T ROWE PRICE INST FLOAT RATE 170   2016-04-20 2019-04-03
38. SUNCOR ENERGY INC NEW F   2018-11-15 2019-04-03
4. THERMO FISHER SCIENTIFIC INC   2018-11-15 2019-04-03
8. TOTAL S.A. - ADR   2018-01-25 2019-04-03
15. TOTAL S.A. - ADR   2018-11-15 2019-04-03
8. UNION PACIFIC CORP   2018-11-15 2019-04-03
2. UNION PACIFIC CORP   2016-01-28 2019-04-03
9. UNITED PARCEL SERVICE-CL B   2018-11-26 2019-04-03
6. UNITEDHEALTH GROUP INC   2018-11-15 2019-04-03
1. UNITEDHEALTH GROUP INC   2016-01-28 2019-04-03
2. ZOETIS INC   2017-04-25 2019-04-03
7. ZOETIS INC   2018-11-15 2019-04-03
9. EATON CORP PLC   2014-07-29 2019-04-03
51. UBS GROUP AG   2018-04-10 2019-04-03
9. TE CONNECTIVITY LTD   2018-11-15 2019-04-03
2. TE CONNECTIVITY LTD   2016-11-08 2019-04-03
59. FLEXTRONICS INTL LTD   2018-04-10 2019-04-03
21. BERSHIRE HATHAWAY INC.   2016-01-28 2019-04-23
6. CELANESE CORP   2018-11-15 2019-05-08
2483.382 FIDELITY NEW MRKTS INC-Z #3323   2016-01-28 2019-05-08
414.778 FIDELITY NEW MRKTS INC-Z #3323   2018-08-03 2019-05-08
12.84 FIDELITY NEW MRKTS INC-Z #3323   2019-03-29 2019-05-08
5. LAM RESEARCH CORP COM   2018-08-02 2019-05-08
1252. TCW EMRG MKTS INCM-I 4721   2018-07-12 2019-05-08
204. VANGUARD INTERMEDIATE TERM B   2016-04-20 2019-05-08
302. VANGUARD BD INDEX FD INC   2016-01-28 2019-05-08
37. VANGUARD FTSE EMERGING MARKETS ETF   2018-08-02 2019-05-08
33. ROCHE HOLDINGS LTD - ADR   2016-01-28 2019-05-10
7. THERMO FISHER SCIENTIFIC INC   2016-01-28 2019-05-10
8. ZOETIS INC   2017-04-25 2019-05-10
13. WALT DISNEY CO   2018-04-10 2019-06-11
26. ROCHE HOLDINGS LTD - ADR   2018-11-15 2019-06-11
115. ROCHE HOLDINGS LTD - ADR   2016-01-28 2019-06-11
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 58     58
b 40,808   41,037 -229
c 302   305 -3
d 4,867   4,577 290
e 16,066   14,864 1,202
3,955   3,835 120
3,403   2,675 728
619   778 -159
4,312   5,119 -807
2,442   1,134 1,308
1,832   1,569 263
3,825   3,462 363
661   370 291
642   719 -77
4,353   2,789 1,564
9,800   9,370 430
4,295   2,785 1,510
688   696 -8
2,440   1,116 1,324
719   792 -73
614   638 -24
617   563 54
736   672 64
713   631 82
2,981   1,771 1,210
69   80 -11
1,450   1,577 -127
2,352   2,345 7
1,176   954 222
1,191   1,094 97
3,746   1,606 2,140
1,529   887 642
967   952 15
1,107   352 755
1,400   633 767
2,114   2,535 -421
1,400   699 701
700   665 35
2,235   1,065 1,170
1,187   650 537
2,013   1,531 482
896   564 332
1,409   1,310 99
1,697   1,405 292
1,121   965 156
1,211   1,411 -200
1,252   882 370
939   587 352
1,362   1,270 92
1,861   1,178 683
1,520   218 1,302
1,378   1,064 314
1,414   1,082 332
1,699   1,345 354
3,673   880 2,793
1,517   991 526
1,562   945 617
1,128   1,181 -53
1,866   2,355 -489
1,024   516 508
119   113 6
1,511   883 628
1,543   973 570
963   734 229
1,946   1,021 925
2,228   2,021 207
2,125   910 1,215
163   134 29
938   841 97
2,673   1,113 1,560
18,670   20,468 -1,798
1,480   1,522 -42
1,172   717 455
1,479   1,161 318
1,057   1,324 -267
1,699   1,379 320
963   1,357 -394
1,858   880 978
1,541   1,172 369
1,494   937 557
787   487 300
1,972   840 1,132
10,983   7,310 3,673
6,554   6,606 -52
16,727   16,640 87
4,652   6,932 -2,280
93   157 -64
698   721 -23
3,095   2,709 386
499   617 -118
981   489 492
575   645 -70
787   810 -23
2,056   2,322 -266
3,048   3,412 -364
437   470 -33
838   803 35
3,749   3,845 -96
11,215   11,990 -775
3,452   3,525 -73
3,392   1,517 1,875
1,919   2,072 -153
31,387   31,603 -216
2,364   2,382 -18
676   633 43
586   363 223
764   735 29
1,223   1,210 13
5,103   5,244 -141
1,237   1,377 -140
1,205   1,039 166
386   189 197
2,126   2,075 51
616   645 -29
878   952 -74
1,169   1,175 -6
1,015   1,127 -112
736   1,107 -371
158   282 -124
276   116 160
1,435   1,209 226
130   81 49
778   756 22
1,111   1,017 94
222   177 45
1,302   1,048 254
113   94 19
900   930 -30
575   643 -68
814   852 -38
1,054   1,069 -15
715   657 58
390   323 67
900   762 138
257   169 88
773   596 177
1,001   879 122
167   112 55
1,913   1,687 226
478   110 368
495   435 60
842   742 100
1,015   661 354
169   147 22
128   85 43
893   943 -50
1,060   989 71
10,641   10,739 -98
1,252   1,262 -10
1,110   926 184
451   476 -25
845   844 1
1,362   1,185 177
341   140 201
1,034   996 38
1,480   1,579 -99
247   111 136
204   110 94
715   639 76
747   614 133
637   893 -256
773   681 92
172   131 41
627   949 -322
4,431   2,660 1,771
632   608 24
37,127   36,301 826
6,201   6,209 -8
192   195 -3
991   924 67
10,191   10,029 162
17,093   17,645 -552
23,977   24,194 -217
1,554   1,551 3
1,058   1,053 5
1,878   894 984
817   441 376
1,756   1,314 442
887   799 88
3,923   3,668 255
      945
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       58
b       -229
c       -3
d       290
e       1,202
      120
      728
      -159
      -807
      1,308
      263
      363
      291
      -77
      1,564
      430
      1,510
      -8
      1,324
      -73
      -24
      54
      64
      82
      1,210
      -11
      -127
      7
      222
      97
      2,140
      642
      15
      755
      767
      -421
      701
      35
      1,170
      537
      482
      332
      99
      292
      156
      -200
      370
      352
      92
      683
      1,302
      314
      332
      354
      2,793
      526
      617
      -53
      -489
      508
      6
      628
      570
      229
      925
      207
      1,215
      29
      97
      1,560
      -1,798
      -42
      455
      318
      -267
      320
      -394
      978
      369
      557
      300
      1,132
      3,673
      -52
      87
      -2,280
      -64
      -23
      386
      -118
      492
      -70
      -23
      -266
      -364
      -33
      35
      -96
      -775
      -73
      1,875
      -153
      -216
      -18
      43
      223
      29
      13
      -141
      -140
      166
      197
      51
      -29
      -74
      -6
      -112
      -371
      -124
      160
      226
      49
      22
      94
      45
      254
      19
      -30
      -68
      -38
      -15
      58
      67
      138
      88
      177
      122
      55
      226
      368
      60
      100
      354
      22
      43
      -50
      71
      -98
      -10
      184
      -25
      1
      177
      201
      38
      -99
      136
      94
      76
      133
      -256
      92
      41
      -322
      1,771
      24
      826
      -8
      -3
      67
      162
      -552
      -217
      3
      5
      984
      376
      442
      88
      255
       
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 42,063
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2017 76,504 1,205,077 0.063485
2016 53,462 1,150,814 0.046456
2015 56,104 1,094,837 0.051244
2014 43,926 1,158,853 0.037905
2013 22,588 1,121,206 0.020146
2
Total of line 1, column (d) .....................
2
0.219236
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
0.043847
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
1,144,265
5
Multiply line 4 by line 3......................
5
50,173
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
596
7
Add lines 5 and 6........................
7
50,769
8
Enter qualifying distributions from Part XII, line 4,.............
8
75,197
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 596
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........................... 3 596
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- ..... 5 596
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 822
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.............. 7 822
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 10 226
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet226 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Wells Fargo Bank NA TRUSTEE
    1     		17,443    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,112,448
    b
    Average of monthly cash balances.......................
    1b
    49,242
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,161,690
    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
    1,161,690
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    17,425
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,144,265
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    57,213
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    57,213
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    596
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    596
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    56,617
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    56,617
    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
    56,617
    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
    75,197
    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
    75,197
    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
    596
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    74,601
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 56,617
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 33,986
    b Total for prior years:2016, 2015, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 0
    b From 2014...... 0
    c From 2015...... 0
    d From 2016...... 0
    e From 2017...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 75,197
    a Applied to 2017, but not more than line 2a 33,986
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 41,211
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		15,406
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 0
    c Excess from 2016.... 0
    d Excess from 2017.... 0
    e Excess from 2018.... 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    LEHIGH VALLEY HOSPITAL
    PO BOX 1883
    ALLENTOWN,PA181051883     		NONE PC GENERAL OPERTATING 70,000
    Total .................................bullet 3a 70,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 31,372  
    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 42,063  
    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)..   73,435  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    73,435
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    GRAHAM-ALLN HOSP
    EIN:
    23-6599744
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 836     836

    TY 2018 InvestmentsOtherSchedule2
    Name:
    GRAHAM-ALLN HOSP
    EIN:
    23-6599744
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    517834107 LAS VEGAS SANDS CORP AT COST 5,199 5,968
    285512109 ELECTRONIC ARTS INC AT COST 3,876 4,759
    512807108 LAM RESEARCH CORP CO AT COST 4,409 4,696
    907818108 UNION PACIFIC CORP AT COST 3,921 9,470
    46090F100 INVESCO OPTIMUM YIEL AT COST 25,627 22,640
    H42097107 UBS GROUP AG AT COST 6,275 4,076
    58933Y105 MERCK & CO INC NEW AT COST 3,731 6,289
    G29183103 EATON CORP PLC AT COST 3,956 5,496
    921937819 VANGUARD INTERMEDIAT AT COST 133,497 137,622
    464287606 ISHARES S&P MIDCAP 4 AT COST 41,248 63,582
    87234N765 TCW EMRG MKTS INCM-I AT COST 45,425 47,580
    464287226 ISHARES BARCLAYS AGG AT COST 106,649 109,234
    922042858 VANGUARD EMERGING MA AT COST 58,776 75,661
    037833100 APPLE COMPUTER INC C AT COST 7,559 15,834
    097023105 BOEING COMPANY AT COST 3,245 6,552
    375558103 GILEAD SCIENCES INC AT COST 4,453 3,648
    654106103 NIKE INC CL B AT COST 4,846 7,388
    26875P101 EOG RESOURCES, INC AT COST 5,455 4,937
    87612E106 TARGET CORP AT COST 2,957 3,984
    405217100 HAIN CELESTIAL GROUP AT COST 4,173 3,219
    09247X101 BLACKROCK INC AT COST 4,570 6,570
    31641Q755 FIDELITY NEW MRKTS I AT COST 21,982 23,538
    02079K107 ALPHABET INC/CA AT COST 8,473 11,890
    848574109 SPIRIT AEROSYTSEMS H AT COST 1,783 3,092
    12572Q105 CME GROUP INC AT COST 3,487 6,600
    25243Q205 DIAGEO PLC - ADR AT COST 5,729 7,927
    437076102 HOME DEPOT INC AT COST 3,527 4,991
    532457108 ELI LILLY & CO COM AT COST 3,796 5,096
    883556102 THERMO FISHER SCIENT AT COST 2,809 6,461
    56501R106 MANULIFE FINANCIAL C AT COST 4,236 5,472
    91324P102 UNITEDHEALTH GROUP I AT COST 3,896 8,540
    254687106 WALT DISNEY CO AT COST 3,869 5,725
    150870103 CELANESE CORP AT COST 4,031 7,223
    46434G103 ISHARES CORE MSCI EM AT COST 37,852 37,603
    172967424 CITIGROUP INC AT COST 5,329 7,773
    31620M106 FIDELITY NATL INFORM AT COST 3,531 3,558
    78463X863 SPDR DJ WILSHIRE INT AT COST 10,616 11,199
    126650100 CVS/CAREMARK CORPORA AT COST 8,464 5,231
    17275R102 CISCO SYSTEMS INC AT COST 4,190 9,906
    911312106 UNITED PARCEL SERVIC AT COST 5,312 5,577
    464287655 ISHARES RUSSELL 2000 AT COST 58,282 57,069
    594918104 MICROSOFT CORP AT COST 4,127 20,094
    872540109 TJX COS INC NEW AT COST 2,155 3,279
    89151E109 TOTAL FINA ELF S.A. AT COST 6,623 7,978
    464287705 ISHARES S&P MIDCAP 4 AT COST 41,882 62,353
    H84989104 TE CONNECTIVITY LTD AT COST 4,050 5,938
    4812C0803 JPMORGAN HIGH YIELD AT COST 32,487 34,284
    921937827 VANGUARD BD INDEX FD AT COST 26,565 26,978
    921943858 VANGUARD EUROPE PACI AT COST 66,735 80,834
    779919307 T ROWE PR REAL ESTAT AT COST 6,819 11,211
    00206R102 AT & T INC AT COST 7,665 7,607
    98978V103 ZOETIS INC AT COST 2,426 4,994
    609207105 MONDELEZ INTERNATION AT COST 6,528 8,193
    Y2573F102 FLEXTRONICS INTL LTD AT COST 6,626 4,440
    192446102 COGNIZANT TECH SOLUT AT COST 5,771 6,529
    693475105 PNC FINANCIAL SERVIC AT COST 3,749 6,040
    891160509 TORONTO DOMINION BK AT COST 3,496 3,677
    46625H100 JPMORGAN CHASE & CO AT COST 2,752 9,391
    867224107 SUNCOR ENERGY INC NE AT COST 5,799 7,354

    TY 2018 OtherDecreasesSchedule
    Name:
    GRAHAM-ALLN HOSP
    EIN:
    23-6599744
    Description Amount
    COST BASIS ADJUSTMENT 4


    TY 2018 OtherExpensesSchedule
    Name:
    GRAHAM-ALLN HOSP
    EIN:
    23-6599744
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES-DIVIDEND I 16 16   0


    TY 2018 OtherIncreasesSchedule
    Name:
    GRAHAM-ALLN HOSP
    EIN:
    23-6599744
    Description Amount
    MUTUAL FUND TIMING DIFFERENCE 441


    TY 2018 TaxesSchedule
    Name:
    GRAHAM-ALLN HOSP
    EIN:
    23-6599744
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 452 452   0
    FEDERAL TAX PAYMENT - PRIOR YE 241 0   0
    FEDERAL ESTIMATES - PRINCIPAL 822 0   0
    FOREIGN TAXES ON QUALIFIED FOR 142 142   0
    FOREIGN TAXES ON NONQUALIFIED 165 165   0