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
HELEN M CLABOUGH CHARITABLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)6806 PARAGON PLACE NO 230
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RICHMOND, VA23230
A Employer identification number

56-6527710
B Telephone number (see instructions)

(804) 285-7333
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,533,469J 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... 63,159 63,159  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 328,853
b Gross sales price for all assets on line 6a 1,264,393
7 Capital gain net income (from Part IV, line 2)... 328,853
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........ 392,012 392,012  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 1,500 0   1,500
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,800 0   2,000
c Other professional fees (attach schedule).... Click to see attachment 10,633 10,633   10,633
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 3,533 708   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 10,477 0   10,477
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 29,943 11,341   24,610
25 Contributions, gifts, grants paid....... 135,500 135,500
26 Total expenses and disbursements. Add lines 24 and 25 165,443 11,341   160,110
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 226,569
b Net investment income (if negative, enter -0-) 380,671
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............. 29,967 11,117 11,117
2 Savings and temporary cash investments......... 46,215 172,828 172,828
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) bullet25,000
Less: allowance for doubtful accounts bullet0 25,000 25,000 25,000
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)....... 1,626,085 Click to see attachment1,326,154 1,618,062
c Investments—corporate bonds (attach schedule)....... 292,466 Click to see attachment711,203 706,462
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) 2,019,733 2,246,302 2,533,469
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 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........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 2,019,733 2,246,302
30 Total net assets or fund balances (see instructions)..... 2,019,733 2,246,302
31 Total liabilities and net assets/fund balances (see instructions). 2,019,733 2,246,302
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
2,019,733
2
Enter amount from Part I, line 27a .....................
2
226,569
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,246,302
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,246,302
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 APPLE INC 1% 5/3/2018 (037833AJ9)   2016-03-11 2018-05-03
b BLACKROCK STRATEGIC INCOME (09256H310)   2013-07-29 2018-07-17
c BLACKROCK STRATEGIC INCOME (09256H310)   2014-03-28 2018-07-17
d BLACKROCK STRATEGIC INCOME (09256H310)   2014-11-24 2018-07-17
e BLACKROCK STRATEGIC INCOME (09256H310)   2015-03-05 2018-07-17
DOMINION RESOURCES I 2.5% 12/1/2019 (25746UCA5)   2017-01-19 2018-12-17
UNITED STATES TREASURY 9/27/2018 (912796QA0)   2018-05-16 2018-07-09
BOEING CO (BA)   2017-06-21 2018-05-30
BOEING CO (BA)   2017-06-21 2018-07-17
BB&T CORP (BBT)   2015-11-19 2018-08-31
BCE INC (BCE)   2012-03-07 2018-06-07
BLACKROCK INC CL A (BLK)   2014-09-17 2018-07-17
CONOCOPHILLIPS (COP)   2015-09-11 2018-03-12
COSTCO WHOLESALE CORP (COST)   2013-09-05 2018-05-30
COSTCO WHOLESALE CORP (COST)   2013-09-05 2018-07-17
COSTCO WHOLESALE CORP (COST)   2013-09-05 2018-08-21
WALT DISNEY CO (DIS)   2015-02-12 2018-08-31
DUKE ENERGY CORP (DUK)   2014-06-05 2018-06-07
EOG RESOURCES INC (EOG)   2013-09-10 2018-08-21
EXPRESS SCRIPTS HOLDING CO (ESRX)   2004-03-24 2018-08-21
EXPRESS SCRIPTS HOLDING CO (ESRX)   2004-03-24 2018-12-18
EXPRESS SCRIPTS HOLDING CO (ESRX)   2016-12-27 2018-12-18
EATON VANCE FLOATING RATE F (EVBLX)   2014-03-28 2018-06-11
EATON VANCE FLOATING RATE F (EVBLX)   2014-08-27 2018-06-11
EATON VANCE FLOATING RATE F (EVBLX)   2014-11-24 2018-06-11
HOME DEPOT INC (HD)   2013-09-12 2018-08-31
INTEL CORP (INTC)   2010-12-13 2018-04-05
JOHNSON & JOHNSON (JNJ)   2009-02-25 2018-02-16
COCA COLA CO (KO)   2016-08-23 2018-06-07
ALLIANT ENERGY CORP (LNT)   2014-05-06 2018-05-16
MCDONALDS CORP (MCD)   2010-03-24 2018-03-20
MICROCHIP TECHNOLOGY INC (MCHP)   2011-08-15 2018-08-31
MERCK & CO INC (MRK)   2013-05-30 2018-05-21
MICROSOFT CORP (MSFT)   2007-07-12 2018-06-14
MICROSOFT CORP (MSFT)   2007-07-12 2018-08-31
MICROSOFT CORP (MSFT)   2011-08-15 2018-08-31
NOVARTIS AG SPONS ADR (NVS)   2007-07-23 2018-05-15
NOVARTIS AG SPONS ADR (NVS)   2015-12-09 2018-05-15
OCCIDENTAL PETE CORP (OXY)   2013-02-04 2018-08-31
PEPSICO INC (PEP)   2002-08-05 2018-06-07
PFIZER INC (PFE)   2007-06-21 2018-05-22
PROCTER & GAMBLE CO (PG)   2005-05-09 2018-05-31
PROCTER & GAMBLE CO (PG)   2012-05-18 2018-05-31
PNC FINANCIAL SERVICES GROU (PNC)   2013-08-08 2018-08-21
ROYAL BANK OF CANADA (RY)   2013-08-09 2018-05-30
SCHLUMBERGER LTD (SLB)   2005-04-27 2018-08-31
STRYKER CORP (SYK)   2006-03-06 2018-05-30
STRYKER CORP (SYK)   2006-03-06 2018-07-17
STRYKER CORP (SYK)   2010-03-01 2018-07-17
AT&T INC (T)   2014-05-06 2018-03-02
TORONTO-DOMINION BANK ONT (TD)   2011-03-04 2018-05-30
THORNBURG INVT TR LTD TERM (THIFX)   2013-02-19 2018-07-17
THORNBURG INVT TR LTD TERM (THIFX)   2013-05-23 2018-07-17
THORNBURG INVT TR LTD TERM (THIFX)   2013-05-23 2018-08-21
THORNBURG INVT TR LTD TERM (THIFX)   2013-07-29 2018-08-21
THORNBURG INVT TR LTD TERM (THIFX)   2013-07-29 2018-08-31
THORNBURG INVT TR LTD TERM (THIFX)   2014-03-28 2018-08-31
THORNBURG INVT TR LTD TERM (THIFX)   2014-11-24 2018-08-31
UNITED PARCEL SERVICE INC C (UPS)   2015-06-04 2018-06-01
UNITED TECH CORP (UTX)   2008-05-05 2018-08-31
VISA INC (V)   2013-09-03 2018-06-14
VISA INC (V)   2013-09-03 2018-08-21
V F CORP (VFC)   2015-06-25 2018-05-30
V F CORP (VFC)   2015-06-25 2018-07-17
VMWARE INC CL A (VMW)   2013-03-11 2018-05-30
VMWARE INC CL A (VMW)   2013-03-11 2018-06-14
VMWARE INC CL A (VMW)   2013-03-11 2018-07-17
VERIZON COMM (VZ)   2010-03-24 2018-03-06
(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 45,000   44,959 41
b 4,865   4,958 -93
c 55,063   57,579 -2,516
d 5,691   5,957 -266
e 3,816   3,971 -155
49,000   49,263 -263
39,828   39,719 109
14,289   7,937 6,352
26,675   14,882 11,793
10,318   7,723 2,595
26,269   25,819 450
10,088   6,588 3,500
26,089   22,446 3,643
19,994   11,443 8,551
17,242   9,155 8,087
3,422   1,716 1,706
13,976   12,807 1,169
25,584   25,146 438
20,268   14,220 6,048
15,392   1,599 13,793
45,686   4,340 41,346
12,023   8,726 3,297
40,467   40,894 -427
4,968   4,989 -21
4,013   3,991 22
15,040   5,640 9,400
37,815   16,257 21,558
26,639   10,747 15,892
23,946   24,163 -217
23,200   16,430 6,770
24,847   10,349 14,498
6,882   2,027 4,855
26,613   21,241 5,372
10,139   2,999 7,140
5,596   1,499 4,097
8,395   1,906 6,489
17,479   12,352 5,127
5,826   6,320 -494
12,761   13,525 -764
22,742   9,439 13,303
27,840   20,101 7,739
7,353   5,465 1,888
16,544   14,428 2,116
18,188   9,533 8,655
28,165   23,222 4,943
6,612   3,620 2,992
7,015   1,825 5,190
3,505   913 2,592
7,886   2,429 5,457
25,299   24,929 370
32,340   23,804 8,536
23,055   23,928 -873
6,945   7,224 -279
24,241   25,176 -935
25,759   26,110 -351
384   390 -6
29,575   30,000 -425
3,935   4,000 -65
29,185   25,100 4,085
9,857   5,593 4,264
10,128   3,310 6,818
14,009   4,413 9,596
18,385   15,859 2,526
17,705   14,097 3,608
15,957   8,697 7,260
7,492   3,781 3,711
12,481   6,050 6,431
26,607   15,822 10,785
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       41
b       -93
c       -2,516
d       -266
e       -155
      -263
      109
      6,352
      11,793
      2,595
      450
      3,500
      3,643
      8,551
      8,087
      1,706
      1,169
      438
      6,048
      13,793
      41,346
      3,297
      -427
      -21
      22
      9,400
      21,558
      15,892
      -217
      6,770
      14,498
      4,855
      5,372
      7,140
      4,097
      6,489
      5,127
      -494
      -764
      13,303
      7,739
      1,888
      2,116
      8,655
      4,943
      2,992
      5,190
      2,592
      5,457
      370
      8,536
      -873
      -279
      -935
      -351
      -6
      -425
      -65
      4,085
      4,264
      6,818
      9,596
      2,526
      3,608
      7,260
      3,711
      6,431
      10,785
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 2 328,853
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      
2016      
2015      
2014      
2013      
2
Total of line 1, column (d) .....................
2
 
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
 
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
 
5
Multiply line 4 by line 3......................
5
 
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
 
7
Add lines 5 and 6........................
7
 
8
Enter qualifying distributions from Part XII, line 4,.............
8
 
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 7,613
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 7,613
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 7,613
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 2,760
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 5,200
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,960
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 5
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 10 342
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet342 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletNC, OR, VA
    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 addressbulletWWW.CLABOUGHFOUNDATION.COM
    14
    The books are in care ofbulletGODSEY GIBB INC Telephone no.bullet (804) 285-7333

    Located atbullet6806 PARAGON PLACE SUITE 230RICHMONDVA ZIP+4bullet23230
    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
    MARIE WEINGARTNER TRUSTEE
    1.00     		500 0 0
    400 AVINGER LANE APT 306
    DAVIDSON,NC28036
    FRANK B GIBB III DIRECTOR
    1.00     		0 0 0
    24 WEST LOCK LANE UNIT 6
    RICHMOND,VA23226
    CAROLE SPAINHOUR TRUSTEE
    1.00     		500 0 0
    32 ORANGE STREET
    ASHEVILLE,NC28801
    TOM CLABOUGH TRUSTEE
    1.00     		500 0 0
    19914 QUAIL PINE LOOP
    BEND,OR97702
    KATHRYN TAYLOR CLABOUGH TRUSTEE
    1.00     		0 0 0
    19914 QUAIL PINE LOOP
    BEND,OR97702
    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.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,532,143
    b
    Average of monthly cash balances.......................
    1b
    145,799
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,677,942
    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
    2,677,942
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    40,169
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,637,773
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    131,889
    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
    131,889
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    7,613
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,613
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    124,276
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    124,276
    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
    124,276
    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
    160,110
    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
     
    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
    160,110
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    160,110
    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 7 124,276
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 7,331
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 160,110
    a Applied to 2017, but not more than line 2a 7,331
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		Click to see attachment0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 124,276
    e Remaining amount distributed out of corpus 28,503
    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 28,503
    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 ..........     		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) .......     		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 ......     		28,503
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018.... 28,503
    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 e-mail address of the person to whom applications should be addressed:
    GODSEY GIBB WEALTH MANAGEMENT
    6806 PARAGON PLACE SUITE 230
    RICHMOND,VA23230
    (804) 285-7333
    bThe form in which applications should be submitted and information and materials they should include:
    A COMPLETE DESCRIPTION OF THE PROGRAM FOR WHICH FUNDING IS REQUESTED.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    RESTRICTED TO CONSERVATION, PRESERVATION OF NATURAL RESOURCES, AND PROMOTION OF ARTS AND CULTURAL RESOURCES FOR THE NORTH CAROLINA HIGH COUNTRY, THE UPPER DESCHUTES WATERSHED AND CENTRAL OREGON AREAS.
    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
    BEND ART CENTER
    550 SW INDUSTRIAL WAY SUITE 180
    BEND,OR97702     		  501(C)(3) TO SUPPORT THE ARTIST IN SCHOOLS PROGRAM 4,000
    BLUE RIDGE ENVIRONMENTAL DEFENSE LEAGUE
    PO BOX 88
    GLENDALE SPRINGS,NC28629     		  501(C)(3) TO SUPPORT THE ASHE COUNTY AIRSHED INITIATIVE. 8,000
    BLUE RIDGE WOMEN IN AGRICULTURE
    PO BOX 67
    BOONE,NC28607     		  501(C)(3) TO SUPPORT THE LETTUCE LEARN PROGRAM. 10,000
    CALDERA
    224 NW 13TH AVENUE SUITE 304
    PORTLAND,OR97209     		  501(C)(3) TO SUPPORT THE 2018 SUMMER ENVIRONMENTAL EDUCATION PROGRAM. 10,000
    CAMP FIRE CENTRAL OREGON
    PO BOX 7031
    BEND,OR97708     		  501(C)(3) TO SUPPORT SCHOLARSHIPS FOR CAMP FIRE CENTRAL OREGON TUMALO DAY CAMPS. 10,000
    COMMUNITIES FOR OLDER ADULT HEALTH
    825-C MERRIMON AVENUE 240
    ASHEVILLE,NC28804     		  501(C)(3) TO FURTHER THE EFFORTS TO BRING A HIGHER LEVEL OF SCRUTINY TO THE SALE OF THE NON-PROFIT MISSION HEALTH (6 HOSPITALS AND ANCILLARY SERVICES) TO HCA, A FOR-PROFIT HEALTH CARE CHAIN, IN AN EFFORT TO ENSURE THAT THE VARIOUS COMMUNITIES' INTERESTS IN THIS TRANSACTION ARE ADEQUATELY PROTECTED. 4,000
    EDUCATION FOUNDATION FOR BEND-LA PINE SCHOOLS
    PO BOX 1436
    BEND,OR97709     		  501(C)(3) TO SUPPORT THE CLASSROOM GRANT PROJECTS INVOLVING SUSTAINABLE FARMING/AQUAPONICS, ART, AND ART THERAPY PROGRAMS. 12,500
    FAMILY ACCESS NETWORK
    2125 NE DAGGETT LANE
    BEND,OR97701     		  501(C)(3) TO SUPPORT FAN ADVOCATE SERVICES IN REDMOND, OR. 10,000
    FRIENDS OF REALMS ON BEHALF OF REALMS MIDDLE SCHOOL
    63175 OB RILEY ROAD
    BEND,OR97701     		  501(C)(3) TO SUPPORT THE TUMALO IRRIGATION DISTRICT (TID) KIOSK PROJECT. 8,000
    HIGH DESERT FOOD & FARM ALLIANCE
    PO BOX 1782
    BEND,OR97709     		  501(C)(3) TO SUPPORT COOKING COURSES 3,500
    HIGH DESERT MUSEUM
    59800 SOUTH HIGHWAY 97
    BEND,OR97702     		  501(C)(3) TO SUPPORT THE KIDS CURATE PROGRAM. 5,000
    KOR COMMUNITY LAND TRUST
    PO BOX 6993
    BEND,OR97708     		  501(C)(3) TO SUPPORT THE DESIGN, ENGINEERING, AND FEES/PERMITS FOR THE WETLAND. 7,000
    MOUNTAIN TRUE
    29 N MARKET STREET SUITE 610
    ASHEVILLE,NC28801     		  501(C)(3) TO SUPPORT THE WATAUGA RIVER WATERSHED WATER QUALITY MONITORING PROGRAM. 15,000
    OREGON ADAPTIVE SPORTS
    63025 OB RILEY ROAD SUITE 12
    BEND,OR97703     		  501(C)(3) TO SUPPORT THE OAS SKI LIFE PROGRAM. 8,500
    OREGON NATURAL DESERT ASSOCIATION
    50 SW BOND STREET SUITE 4
    BEND,OR97702     		  501(C)(3) TO SUPPORT THE CENTRAL OREGON RESTORE AND EXPLORE PROJECT. 10,000
    THE CHILDREN'S PLAYHOUSE
    400 TRACY CIRCLE
    BOONE,NC28607     		  501(C)(3) TO SUPPORT THE FULL 'STEAM' AHEAD PROGRAM. 5,000
    TOWER THEATRE FOUNDATION
    PO BOX 1378
    BEND,OR97709     		  501(C)(3) TO SUPPORT THE LESSONPLAN (PERFORMING LIVE ARTS NOW) EDUCATIONAL OUTREACH PROGRAM. 5,000
    Total .................................bullet 3a 135,500
    bApproved for future payment
    Total .................................bullet 3b 0
    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 63,159  
    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 ............     		    18 328,853  
    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).. 0 392,012 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    392,012
    (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:
    HELEN M CLABOUGH CHARITABLE FOUNDATION
    EIN:
    56-6527710
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING AND TAX RETURN PREPARATION 3,800 0   2,000

    TY 2018 AppliedToPriorYearElection
    Name:
    HELEN M CLABOUGH CHARITABLE FOUNDATION
    EIN:
    56-6527710
    Election:
    PURSUANT TO IRC SEC. 4942(H)(2) AND REG. 53.4942(A)3(D)(2), THE ABOVE REFERENCED FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF UNDISTRIBUTED INCOME FROM THE TAX YEAR ENDING 2010 IN THE AMOUNT OF $1,467. SIGNED: FRANK B. GIBB, IIITITLE: DIRECTORDATED: MAY 2, 2013

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    HELEN M CLABOUGH CHARITABLE FOUNDATION
    EIN:
    56-6527710
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AMERICAN EXPRESS CO 2.5% 08/22 74,884 75,284
    BANK NEW YORK MELLON 2.6% 02/07/2022 50,071 48,133
    BERKSHIRE HATHAWAY INC 2.2% 03/15/2021 45,646 44,410
    CATERPILLAR FINL 2.55% 11/29/22 52,895 51,480
    DR PEPPER SNAPPLE GROUP INC SR NOTE 2.53% 11/15/2021 48,954 47,409
    GENERAL DYNAMICS CORP 5/11/2021 104,793 105,085
    INTEL CORP SR NOTE 2.875% 05/24 75,577 76,095
    MCDONALDS CORP SR 2.75% 12/20 77,451 77,459
    MEDTRONIC INC NOTE 2.5% 3/15/20 104,503 104,462
    STATE STREET CORP 3.1% 05/23 76,429 76,645

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    HELEN M CLABOUGH CHARITABLE FOUNDATION
    EIN:
    56-6527710
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AGILENT TECHNOLOGIES INC. 48,287 49,920
    ARCHER DANIELS MIDLAND CO 26,528 22,738
    BB&T CORP 48,272 54,150
    BCE INC 26,137 24,904
    BLACKROCK INC 36,236 43,210
    BOEING CO 34,724 56,438
    CHEVRON CORPORATION 59,042 57,115
    COCA COLA COMPANY 26,060 27,700
    COMCAST CORP 30,025 50,564
    COSTCO WHOLESALE CORP 26,320 46,853
    DOMINION ENERGY INC 26,383 26,798
    DUKE ENERGY HOLDINGS CORP 26,056 27,616
    EATON CORP PLC 25,946 23,344
    EOG RESOURCES INC 41,223 41,425
    FASTENAL CO 26,445 24,838
    HANESBRAND INC 26,497 15,036
    HOME DEPOT INC 22,561 51,546
    ISHARES EDGE MSCI MIN VOL EAFE ETF 119,739 113,322
    MERCK & CO, INC 25,963 28,654
    MICROCHIP TECHNOLOGY INC 21,904 44,590
    MICROSOFT CORP 18,805 60,942
    NOVARTIS A G SPON ADR F 27,153 26,601
    OCCIDENTAL PETROLEUM CORP 54,693 40,818
    ORACLE CORPORATION 24,426 54,180
    PAYCHEX INC 25,798 23,780
    PEPSICO INC 26,311 25,410
    PFIZER INCORPORATED 26,353 27,718
    PNC FINANCIAL CORP 29,361 45,010
    PROCTER & GAMBLE 26,106 28,955
    ROYAL BANK OF CANADA 25,823 22,269
    SCHLUMBERGER LTD 45,366 29,586
    STARBUCKS CORP 42,131 67,620
    STRYKER CORP 15,706 47,809
    TORONTO-DOMINION BANK 26,277 21,628
    UNITED PARCEL SERVICE 26,498 23,407
    UNITED TECHNOLOGIES CORP 36,077 50,578
    V F CORPORATION 39,000 42,804
    VISA INC 16,550 49,478
    VMWARE INC 20,703 46,624
    WALT DISNEY COMPANY 48,669 52,084

    TY 2018 OtherExpensesSchedule
    Name:
    HELEN M CLABOUGH CHARITABLE FOUNDATION
    EIN:
    56-6527710
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    COMMUNICATIONS/MARKETING 2,440 0   2,440
    CONTRACT LABOR 6,000 0   6,000
    DUES 750 0   750
    OFFICE SUPPLIES 853 0   853
    PO BOX RENTAL 388 0   388
    POSTAGE 46 0   46


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    HELEN M CLABOUGH CHARITABLE FOUNDATION
    EIN:
    56-6527710
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORY 10,633 10,633   10,633


    TY 2018 TaxesSchedule
    Name:
    HELEN M CLABOUGH CHARITABLE FOUNDATION
    EIN:
    56-6527710
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX 979 708   0
    2018 QUARTERLY ESTIMATED TAX PAYMENTS 2,554 0   0