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 01-01-2018 , and ending 12-31-2018
Name of foundation
THE CAROL A AND JAMES J MCINNIS
CHARITABLE TRUST
Number and street (or P.O. box number if mail is not delivered to street address)807 TURNPIKE STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NORTH ANDOVER, MA01845
A Employer identification number

46-1535074
B Telephone number (see instructions)

(978) 686-6112
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$310,649J 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) 4,210
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 4,841 4,799  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)...  
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).......      
12 Total. Add lines 1 through 11........ 9,051 4,799  
Operating and Administrative Expenses 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).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 93 93    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 93 93   0
25 Contributions, gifts, grants paid....... 28,640 28,640
26 Total expenses and disbursements. Add lines 24 and 25 28,733 93   28,640
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -19,682
b Net investment income (if negative, enter -0-) 4,706
c Adjusted net income (if negative, enter -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............. 115,059 91,167 91,167
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
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)....... 169,947 Click to see attachment169,947 219,482
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)..........      
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) 285,006 261,114 310,649
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) Click to see attachment5,900 Click to see attachment1,690
23 Total liabilities (add lines 17 through 22)......... 5,900 1,690
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........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 279,106 259,424
30 Total net assets or fund balances (see instructions)..... 279,106 259,424
31 Total liabilities and net assets/fund balances (see instructions). 285,006 261,114
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
279,106
2
Enter amount from Part I, line 27a .....................
2
-19,682
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
259,424
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
259,424
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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  
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 28,439 411,442 0.069120
2016 25,806 359,343 0.071814
2015 21,715 377,117 0.057582
2014 28,689 378,405 0.075816
2013 24,065 372,549 0.064596
2
Total of line 1, column (d) .....................
2
0.338928
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
0.067786
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
368,547
5
Multiply line 4 by line 3......................
5
24,982
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
47
7
Add lines 5 and 6........................
7
25,029
8
Enter qualifying distributions from Part XII, line 4,.............
8
28,640
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 47
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  
3 Add lines 1 and 2........................... 3 47
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 47
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a  
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 800
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 800
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 753
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet753 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    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)
    bullet
    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
     
    No
    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 ofbulletMARYBETH MCINNIS Telephone no.bullet (978) 686-6112

    Located atbullet807 TURNPIKE STREETNORTH ANDOVERMA ZIP+4bullet01845
    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
     
     
    ........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
    JAMES J MCINNIS TRUSTEE
    2.00     		0 0 0
    23590 WISTERIA POINT DRIVE
    BONITA SPRINGS,FL34135
    MARYBETH MCINNIS TRUSTEE
    0.50     		0 0 0
    807 TURNPIKE STREET
    NORTH ANDOVER,MA01845
    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  
    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.............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  
    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)
    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
    274,454
    b
    Average of monthly cash balances.......................
    1b
    99,705
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    374,159
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    374,159
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    5,612
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    368,547
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    18,427
    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
    18,427
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    47
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    47
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    18,380
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    18,380
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    18,380
    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
    28,640
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    28,640
    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
    47
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    28,593
    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 18,380
    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...... 6,210
    b From 2014...... 9,831
    c From 2015...... 2,859
    d From 2016...... 7,839
    e From 2017...... 9,347
    fTotal of lines 3a through e........ 36,086
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 28,640
    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..... 18,380
    e Remaining amount distributed out of corpus 10,260
    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 46,346
    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) ...     		6,210
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		40,136
    10 Analysis of line 9:
    a Excess from 2014.... 9,831
    b Excess from 2015.... 2,859
    c Excess from 2016.... 7,839
    d Excess from 2017.... 9,347
    e Excess from 2018.... 10,260
    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).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (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
    40 DAYS FOR LIFE
    4112 EAST 29TH ST
    BRYAN,TX77802     		  PC PROLIFE 65
    AARP FOUNDATION
    PO BOX 93207
    LONG BEACH,CA908093207     		  PC SERVICES ELDERLY 100
    AICR
    1759 R STREET
    WASHINGTON,DC20009     		  PC CANCER RESEARCH & TREATMENT 125
    ALS
    1275 K ST SUITE 250
    WASHINGTON,DC20005     		  PC RESEARCH & SUPPORT 20
    ALZHEIMER'S ASSOC
    480 PLEASANT STREET
    WATERTOWN,MA02472     		  PC RESEARCH AND SUPPORT 108
    AMERICA NEEDS FATIMA
    PO BOX 341
    HANOVER,PA17331     		  PC RELIGIOUS 75
    AMERICAN BREAST CANCER SUP ASSOC
    RESEARCH & SUPPORT
    113 REDBUM LANE
    MARTINEZ,GA30907     		  PC CANCER SUPPORT & RESEARCH 25
    AMERICAN CANCER SOCIETY
    PO BOX 22478
    OKLAHOMA,OK73123     		  PC SAVE LIVES & FIGHT CANCER 50
    AMERICAN CHILDRENS SOCIETY
    44 NORTH MAIN STREET
    MARLBORO,NJ07746     		  PC RESEARCH & FIGHT CANCER 20
    AMERICAN COUNCIL FOR CAPITOL
    FORMATION
    1001 CONNECTICUT AVENUE
    NW SUITE 620
    WASHINGTON,DC20036     		  PC RESEARCH & SUPPORT 25
    AMERICAN DIABETES ASSOC
    1701 NORTH BEAUREGARD ST
    ALEXANDRIA,VA22311     		  PC FINDING A CURE FOR DIABETES 75
    AMERICAN HEART ASSOC
    7272 GREENVILLE AVENUE
    DALLAS,TX75231     		  PC BUILD HEALTHIER LIVES 113
    AMERICAN IRELAND FUND
    10 POST OFFICE SQ STE 1
    BOSTON,MA02109     		    TO SUPPORT PEACE, CULTURE, EDUCATION 550
    AMERICAN LEGION
    PO BOX 1055
    INDIANAPOLIS,IN46206     		  PC ASSISITING VETERANS 15
    AMERICAN LUNG ASSOCIATION
    PO BOX 7000
    ALBERT LEA,MN560078001     		  PC PREVENTING LUNG DISEASE 25
    AMERICAN RED CROSS
    431 18TH STREET NW
    WASHINGTON,DC20006     		  PC PREVENTS & ALLEVIATES HUMAN SUFFERIN 50
    AND THEN THERE WERE NONE
    PO BOX 2571
    ROUND ROCK,TX78680     		  PC FIGHT ABORTION 50
    ARTHRITIS FOUNDATION
    1355 PEACHTREE ST NE SUIT
    ATLANTA,GA30309     		  PC CONQUER ARTHRITIS 55
    ASSOCIATION OF THE MIRACULOUS MEDAL
    1811 WEST SAINT JOSEPH ST
    PERRYVILLE,MO63775     		  PC RELIGIOUS 25
    BOYS & GIRLS CLUB OF LAWRENCE
    136 WATER STREET
    LAWRENCE,MA01841     		  PC ENABLE ALL YOUNG PEOPLE OF GREATER L 25
    BREWSTER BASEBALL CLUB
    PO BOX 2349
    BREWSTER,MA026318349     		  PC CAPE LEAGUE BASEBALL TEAM 100
    BREWSTER HISTORICAL SOCIETY
    739 LOWER ROAD
    BREWSTER,MA02631     		  PC COLLECT & PRESERVE ARTIFACTS & HISTO 85
    BRIGHAM & WOMEN'S HOSPITAL
    75 FRANCIS STREET
    BOSTON,MA02115     		  PC RENOWNED TEACHING AFFILIATE OF HARVA 125
    CAPE COD BABE RUTH
    PO BOX 621
    SOUTH DENNIS,MA02660     		  PC YOUTH PROGRAMS 75
    CATHOLIC CHARITIES
    2050 BALLENGER AVE SUITE
    ALEXANDRIA,VA22314     		  PC SERVICE TO PEOPLE IN NEED 300
    CATHOLIC FAITH APPEAL
    PO BOX 4905
    ORLANDO,FL32802     		  PC RELIGIOUS PROGRAMS 350
    CATHOLIC MEDICAL MISSION BD
    100 WALL STREET 9TH FLOO
    NEW YORK,NY10005     		  PC HEALTHCARE PROGRAMS & INITIATIVES. 100
    CHAR FOUNDATION
    836 S MAIN STREET
    BEL AIR,MD21014     		  PC RESEARCH & SUPPORT 25
    CHILDRENS FOUNDATION OF AMERICA
    175 N INDIAN HILL BLVD
    SUITE B200
    CLAREMONT,CA91711     		  PC RESEARCH & SUPPORT 25
    CHRISTIAN APPALACHIAN PROJECT
    485 PONDEROSA DRIVE
    PO BOX 1768
    PAINTSVILLE,KY41240     		  PC RELIGIOUS 25
    COALITION TO SALUTE AMERICAS HEROES
    552 FORT EVANS RD NE 300
    LEESBURG,VA20176     		  PC ASSIST WOUNDED VETERANS 40
    CONCEPTION ABBEY
    37174 STATE HWY VV
    CONCEPTION,MO64433     		  PC RELIGIOUS 25
    COPPERLEAF FOUNDATION
    23101 COPPERLEAF BLVD
    ESTERO,FL34135     		  PC SUPPORT OF LOCAL CHARITIES 300
    DANA FARBER CANCER INSTITUTE
    450 BROOKLINE AVE
    BOSTON,MA02115     		  PC CANCER SUPPORT & RESEARCH 100
    DANA FARBER CANCER INSTITUTE
    450 BROOKLINE AVE
    BOSTON,MA02215     		  PC TO SUPPORT CANCER RESEARCH & TREATM 200
    DISABLED AMERICAN VETS
    3725 ALEXANDRIA PIKE
    COLD SPRINGS,KY41076     		  PC SUPPORT OF VETERANS 25
    DISABLED VETERANS NATIONAL FOUNDATI
    4601 FORBES BLVD STE 13
    LANHAM,MD20706     		  PC SUPPORT OF VETERANS 150
    DISCALCED CARMELITE MONASTERY
    25 WATSON AVE
    BARRINGTON,RI02806     		  PC RELIGIOUS/SPIRITUAL 5,500
    DOCTORS WITHOUT BORDERS
    PO BOX 5030
    HAGERSTOWN,MD21741     		  PC MEDICAL AIDE WHERE IT IS NEEDED MOST 40
    EASTER SEALS
    484 MAIN ST
    WORCESTER,MA01608     		  PC SUPPORT OF ADULTS AND CHILDREN WITH 25
    FINCA INTERNATIONAL
    1201 15TH ST NW 8TH FL
    WASHINGTON,DC20005     		  PC HELP FAMILIES FIGHT POVERTY 25
    FIREFIGHTERS CHARITABLE FOUNDATION
    ONE WEST STREET
    FARMINGDALE,NY11735     		  PC ASSISTS FIRE & DISASTER VICTIMS 50
    FRANCISCAN FRIARS
    PO BOX 61128
    NEW BEDFORD,MA02746     		  PC RELIGIOUS 25
    GOOD COUNSEL
    PO BOX 6068
    HOBOKEN,NJ07030     		  PC PREGNANT WOMEN IN NEED 25
    HABITAT FOR HUMANITY
    2605 ENTERPRISE ROAD
    CLEARWATER,FL33759     		  PC AFFORDABLE HOUSING 125
    HELP HEAL VETS
    36585 PENFIELD LANE
    WINCHESTER,CA92596     		  PC AIDE VETERANS WITH ARTS & CRAFTS 99
    HOMES FOR VETERANS
    105 HIGHLAND AVE
    HARRINGTON PARK,NJ07640     		  PC AIDING VETERANS 25
    HOPE HEALTH
    1324 BELMONT ST
    BROCTON,MA02301     		  PC MEDICAL 25
    HOPE HOSPICE
    9470 HEALTHPARK CIRCLE
    FORT MYERS,FL33908     		  PC CARE FOR PEOPLE WITH SERIOUS ILLNESS 100
    INTERNATIONAL UNION OF POLICE ASSOC
    1549 RINGLING BLVD
    6TH FLOOR
    SARASOTA,FL34236     		  PC AIDING LAW ENFORCEMENT 50
    JIMMY FUND
    10 BROOKLINE PLACE WEST
    6TH FLOOR
    BROOKLINE,MA02445     		  PC CANCER AWARENESS & RESEARCH 100
    KIDS WISH NETWORK
    4060 LOUIS AVE
    HOLIDAY,FL34691     		  PC SUPPORT FOR IMPROVING QUALITY OF LIF 48
    LAW ENFORCEMENT RELIEF FUND
    1549 RINGLING BLVD 6TH FL
    SARASOTA,FL34236     		  PC SUPPORT LAW ENFORCEMENT 25
    LAZARUS HOUSE
    412 HAMPSHIRE STREET
    LAWRENCE,MA01841     		  PC HOMELESS SHELTER 250
    LEUKEMIA LYMPHOMA SOCIETY
    PO BOX 4072
    PITTSFIELD,MA01202     		  PC CANCER TREATMENT 75
    LOWER CAPE OUTREACH
    19 BREWSTER CROSS RD
    ORLEANS,MA02653     		  PC AIDE NEEDY 50
    MAKE A WISH FOUNDATION
    4742 N 24TH STREET SUIT
    PHOENIX,AZ85016     		  PC GRANT ONE WISH TO EVERY ELIGIBLE CHI 25
    MARCH OF DIMES
    1275 MAMARONECK AVE
    WHITE PLAINS,NY10605     		  PC IMPROVE THE HEALTH OF BABIES 25
    MARIST BROTHERS
    70-20 JUNO ST
    FOREST HILLS,NY11375     		  PC RELIGIOUS 50
    MD ANDERSON CANCER CENTER
    1515 HOLCOMBE BLVD
    HOUSTON,TX77030     		  PC CANCER RESEARCH 25
    MERCY HOME
    1140 W JACKSON BLVD
    CHICAGO,IL60607     		  PC HELPING HOMELESS CHILDREN 25
    MERCY HOME FOR BOYS & GIRLS
    1140 W JACKSON BLVD
    CHICAGO,IL60607     		  PC AIDING POVERTY STRICKEN CHILDREN 75
    MERRIMACK COLLEGE
    315 TURNPIKE STREET
    NORTH ANDOVER,MA01845     		  PC EDUCATION 2,500
    MOTHERS AGAINST DRUNK DRIVING
    511 E JOHN CARPENTER
    FREEWAY
    IRVING,TX75062     		  PC END DRUNK & DRUGGED DRIVING 25
    MSPCA
    350 S HUNTINGTON AVENUE
    BOSTON,MA02130     		  PC ANIMAL PROTECTION 100
    MULTIPLE SCLEROSIS
    6520 NORTH ANDREWS
    FT LAUDERDALE,FL33309     		  PC RESEARCH/TREATMENT 50
    MUSCULAR DYSTROPHY
    222 SOUTH RIVERSIDE PLAZZ
    CHICAGO,IL60606     		  PC TREATMENT AND CURE OF MUSCULAR DYSTR 50
    NATIONAL CHILDRENS CANCER SOCIETY
    3411 EAST 7TH STREET
    COLUMBUS,OH43219     		  PC SUPPORT FAMILIES DEALING W/ CANCER 25
    NATIONAL FEDERATION FOR THE BLIND
    61 MIDDLE ST
    SOUTH BOSTON,MA02127     		  PC MEDICAL 50
    NATIONAL FOUNDATION FOR CANCER RESE
    4600 EAST WEST HIGHWAY ST
    BETHESDA,MD20814     		  PC CANCER RESEARCH 75
    NATIONAL GLAUCOMA
    PO BOX 4092
    ANDOVER,MA01810     		  PC GLAUCOMA AWARENESS 50
    NATIONAL LAW ENFORCEMENT MEMORIAL F
    901 E STREET NW SUITE 10
    WASHINGTON,DC200042025     		  PC COMMEMORATE THE SACRIFICE OF THE FAL 50
    NATIONAL PATROLMAN'S FOUNDATION
    1549 RINGLING BLVD FL 6
    SARASOTA,FL34236     		  PC COMMUNITY SUPPORT 35
    NATIONAL SHRINE
    400 MICHIGAN AVENUE NE
    WASHINGTON,DC20017     		  PC DAILY OPERATION & MINISTRY OF THE NA 75
    OBLATES
    9480 N DE MAZENOD DRIVE
    BELLEVILLE,IL62223     		  PC BRINGING GOD TO THE WORLD AND THE WO 300
    OPERATION SMILE
    3641 FACULTY BLVD
    VIRGINIA BEACH,VA23453     		  PC CLEF LIP CHILDREN BETTERMENT 25
    OUR LADY OF LIGHT
    19680 CYPRESS DRIVE
    FORT MYERS,FL33967     		  PC RELIGIOUS 2,050
    PAN MASS CHALLENGE
    77 FOURTH AVENUE
    NEEDHAM,MA02494     		  PC CANCER AWARENESS 500
    PARALYZED VETS OF AMERICA
    801 EIGHTEENTH ST NW
    WASHINGTON,DC20006     		  PC MAXIMIZING QUALITY OF LIFE FOR VETER 25
    PERKINS SCHOOL FOR THE BLIND
    175 N BEACON STREET
    WATERTOWN,MA02472     		  PC EDUCATION 75
    PRIESTS FOR LIFE
    20 EBBITTS ST
    STATEN ISLAND,NY10306     		  PC RELIGIOUS 100
    SALEM STATE UNIVERSITY
    352 LAFAYETTE ST
    SALEM,MA01970     		  PC EDUCATION 1,000
    SCHOOL FOR THE WORLD
    376 BOYSTON ST
    BOSTON,MA02116     		  PC EDUCATION TO SOLVE POVERTY 500
    SISTERS OF CHARITY
    PO BOX 230969
    HOUSTON,TX77223     		  PC RELIGIOUIS 25
    SISTERS OF NOTRE DAME
    351 BROADWAY
    EVERETT,MA02149     		  PC RELIGIOUS 25
    SOCIETY OF THE LITTLE FLOWER
    1313 N FRONTAGE ROAD
    DARIEN,IL60561     		  PC RELIGIOUS 50
    SPECIAL OLYMPICS
    512 FOREST STREET
    MARLBOROUGH,MA01752     		  PC SPORTS 25
    ST JOAN OF ARC CHURCH
    61 CANAL ROAD
    ORLEANS,MA02653     		  PC RELIGIOUS 1,700
    ST JUDE'S RESEARCH HOSPITAL
    313 WASHINGTON STREET
    NEWTON,MA02458     		  PC CANCER RESEARCH 75
    ST JUDE'S SHRINE
    512 W SARATOGA STREET
    BALTIMORE,MD21201     		  PC RELIGIOUS 50
    ST MARY'S OF LYNN
    35 TREMONT STREET
    LYNN,MA01902     		  PC EDUCATION 1,000
    ST NICHOLAS PROJECT
    1011 FIRST AVENUE
    11TH FLOOR
    NEW YORK,NY10022     		  PC RELIGIOUS 100
    ST VINCENT DE PAUL
    RT 6A
    BREWSTER,MA02631     		  PC END POVERTY 5,539
    STUDENTS FOR LIFE
    4755 JEFFERSON DAVIS HWY
    FREDERICKSBURG,VA22408     		  PC ABOLISH ABORTION 25
    SUFFOLK LAW SCHOOL
    120 TREMONT ST
    BOSTON,MA02108     		  PC EDUCATION 1,000
    SUSAN KOMEN FOUNDATION
    5005 LBJ FREEWAY
    SUITE 526
    DALLAS,TX75244     		  PC BREAST CANCER AWARENESS 25
    TEAM USA
    196 OLD MILITARY ROAD
    LAKE PLACID,NY12946     		  PC SPORTS 50
    UNITED BREAST CANCER FOUNDATION
    PO BOX 2421
    HUNTINGTON,NY11743     		  PC RESEARCH & SUPPORT CANCER AWARENESS 50
    UNITED NATIONS HIGH COMMISSIONER
    FOR REFUGEES
    1310 L ST NW SUITE 450
    WASHINGTON,DC20005     		  PC BUILDING NEW LIVES FOR REFUGEE 100
    UNITED WAY
    46 PARK STREET
    FRAMINGHAM,MA01702     		  PC AID THOSE LESS FORTUNATE 100
    US ARMED FORCES ASSOC
    8719 COLESVILLE RD
    SUITE 100
    SILVER SPRING,MD20910     		  PC SUPPORT VETERAN RELATED PROJECTS 50
    US DEPUTY SHERIFF'S FUND
    319 SOUTH HYDRAULIC ST S
    WICHITA,KS67211     		    PROVIDE NEEDED EQUIPMENT TO UNDERFUN 150
    US OLYMPICS
    PO BOX 96860
    WASHINGTON,DC20077     		  PC SPONSOR ATHLETIC COMPETITION 75
    US VOLUNTEER FIREFIGHTERS ASSOC
    4699 N FEDERAL HWY STE 1
    POMPANO,FL33064     		  PC TO ASSIST VOLUNTEER FIREFIGHTERS WIT 30
    USGA
    PO BOX 708
    FOX HILLS,NJ07931     		  PC ENHANCING THE GAME OF GOLF FOR ALL 43
    VETERANS IN NEED FOUNDATION
    1652 W HILLSBORO BLVD
    DEERFIELD,FL33442     		  PC AIDE HOMELESS AND DISABLED VETS 65
    VETERANS OF FOREIGH WARS
    406 W 34TH ST
    KANSAS CITY,MO64111     		  PC SUPPORT VETERANS 50
    WORLD VILLAGES FOR CHILDREN
    180 ADMIRAL COCHRANE DR
    240
    ANNAPOLIS,MD21401     		  PC CARE AND HEALTH OF HOMELESS CHILDREN 20
    WOUNDED WARRIOR'S PROJECT
    4899 BELFORD ROAD
    JACKSONVILLE,FL32256     		  PC HELP INJURED WARRIORS 25
    Total .................................bullet 3a 28,640
    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 4,799 42
    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 ............     		         
    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)..   4,799 42
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    4,841
    (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 InvestmentsCorpStockSchedule
    Name:
    THE CAROL A AND JAMES J MCINNIS
     
    CHARITABLE TRUST
    EIN:
    46-1535074
    Name of Stock End of Year Book Value End of Year Fair Market Value
    500 APOGEE ENTERPRISES 14,453 14,925
    1000 BANK OF AMERICA 14,602 24,640
    1000 CELGENE 39,355 64,090
    2000 EXTENDICARE 6,146 4,649
    1000 INTEL 24,128 46,930
    1000 SECTOR SPDR TR 15,345 23,820
    200 NUTRISYSTEM 10,479 8,776
    300 SINCLAIR BROADCAST 11,772 7,902
    1000 MOMO INC 33,667 23,750

    TY 2018 OtherLiabilitiesSchedule
    Name:
    THE CAROL A AND JAMES J MCINNIS
     
    CHARITABLE TRUST
    EIN:
    46-1535074
    Description Beginning of Year - Book Value End of Year - Book Value
    OTHER LIABILITIES 5,900 1,690


    TY 2018 TaxesSchedule
    Name:
    THE CAROL A AND JAMES J MCINNIS
     
    CHARITABLE TRUST
    EIN:
    46-1535074
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT TAXES/LICENSES 93 93