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
CHASE FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)2140 COUNTY ROAD 42 W
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BURNSVILLE, MN55337
A Employer identification number

37-1452120
B Telephone number (see instructions)

(952) 447-7810
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$4,739,519J 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) 626,166
2 Check bullet.............
3 Interest on savings and temporary cash investments 4,293 4,293  
4 Dividends and interest from securities... 100,644 100,644  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 879,461
b Gross sales price for all assets on line 6a 2,872,745
7 Capital gain net income (from Part IV, line 2)... 879,461
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)....... Click to see attachment 2,405 2,405  
12 Total. Add lines 1 through 11........ 1,612,969 986,803  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
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 4,000 2,000   2,000
c Other professional fees (attach schedule).... Click to see attachment 40,811 40,811   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 14,175 3,632   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 708 183   25
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 59,694 46,626   2,025
25 Contributions, gifts, grants paid....... 179,634 179,634
26 Total expenses and disbursements. Add lines 24 and 25 239,328 46,626   181,659
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,373,641
b Net investment income (if negative, enter -0-) 940,177
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............. 230 58,774 58,774
2 Savings and temporary cash investments......... 77,241 113,238 113,238
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)....... 4,203,930 Click to see attachment2,358,443 2,358,443
c Investments—corporate bonds (attach schedule)....... 321,698 Click to see attachment24,982 24,982
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 12,365 Click to see attachment2,184,082 2,184,082
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) 4,615,464 4,739,519 4,739,519
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........ 4,615,464 4,739,519
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 0 0
30 Total net assets or fund balances (see instructions)..... 4,615,464 4,739,519
31 Total liabilities and net assets/fund balances (see instructions). 4,615,464 4,739,519
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
4,615,464
2
Enter amount from Part I, line 27a .....................
2
1,373,641
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
5,989,105
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,249,586
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
4,739,519
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 PUBLICLY TRADED SECURITIES      
b CAPITAL GAINS DIVIDENDS P    
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 2,850,859   1,993,284 857,575
b 21,886     21,886
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       857,575
b       21,886
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 2 879,461
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 93,647 2,546,638 0.036773
2016 71,865 1,423,688 0.050478
2015 60,550 1,461,438 0.041432
2014 69,307 1,128,191 0.061432
2013 37,195 585,358 0.063542
2
Total of line 1, column (d) .....................
2
0.253657
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
0.050731
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
4,450,370
5
Multiply line 4 by line 3......................
5
225,772
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
9,402
7
Add lines 5 and 6........................
7
235,174
8
Enter qualifying distributions from Part XII, line 4,.............
8
181,659
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 18,804
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 18,804
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 18,804
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 7,400
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,400
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 11,404
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet   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$ 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)
    bulletMN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletTHE FOUNDATION Telephone no.bullet (952) 447-7810

    Located atbullet2140 COUNTY ROAD 42 WBURNSVILLEMN ZIP+4bullet55337
    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
    ANDREW CHASE PRESIDENT
    0.50     		0 0 0
    18178 CLEARY LAKE CT
    PRIOR LAKE,MN55372
    MONICA CHASE SECRETARY-TREASURER
    0.50     		0 0 0
    18178 CLEARY LAKE CT
    PRIOR LAKE,MN55372
    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
    4,355,448
    b
    Average of monthly cash balances.......................
    1b
    162,694
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,518,142
    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
    4,518,142
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    67,772
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,450,370
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    222,519
    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
    222,519
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    18,804
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    18,804
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    203,715
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    203,715
    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
    203,715
    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
    181,659
    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
    181,659
    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
    181,659
    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 7 203,715
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014...... 15,689
    c From 2015......  
    d From 2016...... 1,707
    e From 2017......  
    fTotal of lines 3a through e........ 17,396
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 181,659
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 181,659
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 17,396 17,396
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		4,660
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018....  
    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).)
    ANDREW CHASE
    MONICA CHASE
    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
    30 DAYS FOUNDATION
    3109 DOUGLAS DRIVE
    MINNEAPOLIS,MN55422     		NONE PC COMMUNITY WELFARE 11,985
    40 DAYS FOR LIFE
    1511 S TEXAS AVE
    COLLEGE STATION,TX77840     		NONE PC COMMUNITY WELFARE 500
    ABRIA PREGANCY RESOURCES
    2200 UNIVERSITY AVE W SUITE 160
    ST PAUL,MN55114     		NONE PC MEDICAL 1,000
    ALLINA HEALTH HOSPICE FOUNDATION
    3915 GOLDEN VALLEY RD
    MINNEAPOLIS,MN55422     		NONE PC MEDICAL 1,000
    AMERICAN CANCER SOCIETY
    250 WILLIAMS ST NW SUITE 400
    ATLANTA,GA30303     		NONE PC COMMUNITY WELFARE 500
    AMERICAN RED CROSS
    2025 E STREET NW
    WASHINGTON,DC20006     		NONE PC COMMUNITY WELFARE 6,000
    AMERICAN REFUGE COMMITTEE
    615 FIRST AVENUE NE STE 500
    MINNEAPOLIS,MN55413     		NONE PC COMMUNITY WELFARE 2,000
    ARCHDIOCESE FOR THE MILITARY SERVICES
    PO BOX 4469
    WASHINGTON,DC20017     		NONE PC RELIGIOUS 500
    ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS
    777 FOREST ST N
    ST PAUL,MN55106     		NONE PC RELIGIOUS 100
    ARNOLD S LEONARD CANCER RESEARCH
    715 FLORIDA AVE S NO 4068
    GOLDEN VALLEY,MN55426     		NONE PC MEDICAL 900
    AUTISM SPEAKS
    1 EAST 33RD ST 4TH FL
    NEW YORK,NY10016     		NONE PC MEDICAL 500
    BASILICA OF SAINT MARY
    PO BOX 50010
    MINNEAPOLIS,MN55403     		NONE PC RELIGIOUS 200
    BEFRIENDER MINISTRY - A LISTENING PRESENCE
    1120 EAST 80TH STREET
    BLOOMINGTON,MN554201463     		NONE PC RELIGIOUS 500
    BUILDING TOMORROW
    615 NORTH ALABAMA STREET SUITE D
    INDIANAPOLIS,IN46204     		NONE PC GENERAL SUPPORT 250
    CAMPUS CRUSADE FOR CHRIST - CRU
    100 LAKE HART DR
    ORLANDO,FL32832     		NONE PC RELIGIOUS 100
    CAP AGENCY
    712 CANTERBURY RD S
    SHAKOPEE,MN55379     		NONE PC COMMUNITY WELFARE 5,000
    CARE FOR THE WOUNDED
    24818 EAST CEDAR LAKE DRIVE
    NEW PRAGUE,MN56071     		NONE PC MEDICAL 2,000
    CATHOLIC CHARITIES OF USA
    2050 BALLENGER AVE STE 400
    ALEXANDRIA,VA22314     		NONE PC RELIGIOUS 10,500
    CATHOLIC CHARITIES
    1200 2ND AVE S
    MINNEAPOLIS,MN55403     		NONE PC RELIGIOUS 5,000
    CATHOLIC MEDICAL MISSION BOARD
    100 WALL STREET NO 9TH
    NEW YORK,NY10005     		NONE PC RELIGIOUS 1,000
    CATHOLIC RELIEF SERVICES
    228 W LEXINGTON STREET
    BALTIMORE,MD21203     		NONE PC RELIGIOUS 11,000
    CATHOLIC SERVICES APPEAL
    12805 HIGHWAY 55 SUITE 210
    PLYMOUTH,MN55441     		NONE PC RELIGIOUS 15,000
    CHILDREN'S CANCER RESEARCH FUND
    7301 OHMS LANE SUITE 355
    MINNEAPOLIS,MN55439     		NONE PC MEDICAL 1,000
    CHRISTIAN APPALACHIAN PROJECT INC
    485 PONDEROSA DRIVE
    PAINTSVILLE,KY41240     		NONE PC RELIGIOUS 500
    CHURCH OF ST MICHAEL
    1036 COUNTY ROAD 4
    ST CLOUD,MN56303     		NONE PC RELIGIOUS 23,690
    COMMON HOPE
    1400 ENERGY PARK DRIVE NO 23
    ST PAUL,MN55108     		NONE PC RELIGIOUS 500
    CROHNS & COLITIS FOUNDATION OF AMERICA INC
    733 THIRD AVENUE SUITE 510
    NEW YORK,NY10017     		NONE PC MEDICAL 500
    CROSS INTERNATIONAL CATHOLIC OUTREACH
    370 W CAMINO GARDENS BLVD
    BOCO RATON,FL33432     		NONE PC RELIGIOUS 2,000
    DYNAMIC CATHOLIC INSTITUTE
    901 ADAMS CROSSING
    CINCINNATI,OH45206     		NONE PC RELIGIOUS 250
    FAMILIES AND INDIVIDUALS SHARING HOPE (FISH)
    16049 FRANKLIN TRAIL SE
    PRIOR LAKE,MN55372     		NONE PC GENERAL SUPPORT 2,000
    FEED MY STARVING CHILDREN
    401 93RD AVE NW
    COON RAPIDS,MN55433     		NONE PC COMMUNITY WELFARE 10,000
    FOOD FOR THE POOR
    6401 LYONS ROAD
    COCONUT CREEK,FL33073     		NONE PC COMMUNITY WELFARE 1,000
    FOUNDATION FIGHTING BLINDNESS
    7168 COLUMBIA GATEWAY
    COLUMBIA,MD21046     		NONE PC MEDICAL 5,500
    FOUNDATION FOR PHYSICAL THERAPY INC
    1111 N FAIRFAX ST
    ALEXANDRIA,VA22314     		NONE PC EDUCATIONAL 1,200
    GINA TUPY LEGACY - CATHOLIC UNITED FINANCIAL FOUNDATION
    3499 LEXINGTON AVE N
    ST PAUL,MN55126     		NONE PC GENERAL SUPPORT 1,000
    HABITAT FOR HUMANITY
    270 PEACHTREE STREET SUITE 1300
    ATLANTA,GA30303     		NONE PC COMMUNITY WELFARE 6,000
    HOSANNA HEARTLAND
    9600 163RD ST W
    LAKEVILLE,MN55044     		NONE PC RELIGIOUS 2,000
    ICU MOBILE
    2569 ROMIG RD
    AKRON,OH44320     		NONE PC GENERAL SUPPORT 1,000
    IMMACULATE HEART MEDIA INC DBA RELEVANT RADIO
    1496 BELLEVUE STREET NO 202
    GREEN BAY,WI54311     		NONE PC GENERAL SUPPORT 365
    INTERNATIONAL CATHOLIC MIGRATION COMMISSION
    31 MILK STREET SUITE 315
    BOSTON,MA02109     		NONE PC RELIGIOUS 1,000
    LABOURE SOCIETY
    1365 CORPORATE CENTER CURVE NO 104
    EAGAN,MN55121     		NONE PC GENERAL SUPPORT 2,000
    LAKER EDUCATIONAL FOUNDATION
    PO BOX 840
    PRIOR LAKE,MN55372     		NONE PC EDUCATIONAL 1,000
    LEUKEMIA & LYMPHOMA SOCIETY INC
    1311 MAMARONECK AVE SUITE 310
    WHITE PLAINS,NY10605     		NONE PC MEDICAL 500
    LINGAP CHILDREN'S FOUNDATION
    PO BOX 1553
    JACKSON,MI49204     		NONE PC COMMUNITY WELFARE 2,000
    LITTLE SISTERS OF THE POOR
    330 EXCHANGE ST S
    ST PAUL,MN55102     		NONE PC RELIGIOUS 500
    LOAVES & FISHES TOO
    1121 JACKSON STREET NE 143
    MINNEAPOLIS,MN55413     		NONE PC COMMUNITY WELFARE 2,000
    MAKE-A-WISH MN
    1919 UNIVERSITY AVE W
    ST PAUL,MN55104     		NONE PC COMMUNITY WELFARE 1,500
    MARRIAGE MATERIAL
    1920 OAK GLEN TRAIL
    STILLWATER,MN55082     		NONE PC GENERAL SUPPORT 1,000
    MERCY SHIPS
    15862 STATE HIGHWAY 110 NORTH
    LINDALE,TX75771     		NONE PC GENERAL SUPPORT 500
    METAVIVOR RESEARCH AND SUPPORT INC
    1783 FOREST DRIVE
    ANNAPOLIS,MD21401     		NONE PC GENERAL SUPPORT 600
    NATIONAL MS SOCIETY
    733 3RD AVE
    NEW YORK,NY10017     		NONE PC GENERAL SUPPORT 200
    NOVA CLASSICAL ACADEMY
    1455 VICTORIA WAY
    ST PAUL,MN55102     		NONE PC EDUCATION 535
    OPERATION SMILE
    3641 FACULTY BLVD
    VIRGINIA BEACH,VA23453     		NONE PC GENERAL SUPPORT 1,000
    PANCREATIC CANCER ACTION NETWORK INC
    1500 ROSECRANS AVE NO 200
    MANHATTAN BEACH,CA90266     		NONE PC GENERAL SUPPORT 1,070
    PARTNERS IN HEALTH
    888 COMMONWEALTH AVE 3RD FL
    BOSTON,MA02215     		NONE PC MEDICAL 500
    PROJECT HOPE
    255 CARTER HALL LANE
    MILLWOOD,VA22646     		NONE PC GENERAL SUPPORT 500
    RADIATING HOPE INC
    PO BOX 521344
    SALT LAKE CITY,UT84106     		NONE PC GENERAL SUPPORT 525
    RICHFIELD UNITED METHODIST CHURCH
    5835 LYNDALE AVE S
    MINNEAPOLIS,MN55419     		NONE PC RELIGIOUS 100
    RONCALLI NEWMAN PARISH
    1732 STATE ST
    LACROSSE,WI54601     		NONE PC RELIGIOUS 500
    SECOND HARVEST HEARTLAND
    1140 GERVAIS AVE
    MAPLEWOOD,MN55109     		NONE PC COMMUNITY WELFARE 1,000
    SHAKOPEE COMMUNITY & ASSISTANCE
    9450 EAST 275TH STREET
    ELKO,MN55020     		NONE PC COMMUNITY WELFARE 1,000
    SHARING AND CARING HANDS
    525 NORTH 7TH STREET
    MINNEAPOLIS,MN55405     		NONE PC COMMUNITY WELFARE 10,200
    SMILE NETWORK
    1807 COLFAX AVE SO
    MINNEAPOLIS,MN55403     		NONE PC COMMUNITY WELFARE 1,600
    SPECIAL OLYMPICS
    1133 19TH STREET NW
    WASHINGTON,DC20036     		NONE PC GENERAL SUPPORT 204
    ST AUGUSTINE'S CHURCH
    442 SECOND ST SE
    ST CLOUD,MN56304     		NONE PC RELIGIOUS 500
    ST LAWRENCE CATHOLIC CHURCH
    1203 5TH STREET SE
    MINNEAPOLIS,MN55414     		NONE PC RELIGIOUS 500
    ST PAULS OUTREACH
    5814 BLACKSHIRE PATH
    INVER GROVE HEIGHTS,MN55076     		NONE PC RELIGIOUS 1,000
    SUDAN RELIEF FUND
    3220 N STREET NW STE 302
    WASHINGTON,DC20007     		NONE PC COMMUNITY WELFARE 500
    SUMMIT ACADEMY
    935 OLSON MEMORIAL HIGHWAY
    MINNEAPOLIS,MN55405     		NONE PC EDUCATIONAL 1,000
    SYRIAN AMERICAN MEDICAL SOCIETY
    PO BOX 34115
    WASHINGTON,DC20043     		NONE PC COMMUNITY WELFARE 1,000
    THE HOUSE CHURCH
    2024 RAHN WAY
    EAGAN,MN55122     		NONE PC RELIGIOUS 100
    TRUE FRIENDS
    10509 108TH STREET NORTHWEST
    ANNANDALE,MN55302     		NONE PC GENERAL SUPPORT 1,000
    TWIN CITIES HABITAT FOR HUMANITY
    1954 UNIVERSITY AVENUE WEST
    ST PAUL,MN55104     		NONE PC COMMUNITY WELFARE 6,000
    UNIVERSITY OF MINNESOTA FOUNDATION (ENGINEERS WITHOUT BORDERS)
    200 OAK STREET SE SUITE 500
    MINNEAPOLIS,MN55455     		NONE PC COMMUNITY WELFARE 1,000
    UNIVERSITY OF WISCONSIN LACROSSE FOUNDATION
    615 EAST AVENUE N
    LACROSSE,WI54601     		NONE PC EDUCATIONAL 1,460
    Total .................................bullet 3a 179,634
    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 ...........     		    14 4,293  
    4 Dividends and interest from securities....     14 100,644  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....     14 2,405  
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 879,461  
    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).. 0 986,803 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    986,803
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    CHASE FAMILY FOUNDATION
     
    Employer identification number

    37-1452120
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    CHASE FAMILY FOUNDATION
          		Employer identification number
    37-1452120
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    ANDREW MONICA CHASE  
    18178 CLEARY LAKE COURT
     
    PRIOR LAKE, MN55372

    		$ 626,166


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    CHASE FAMILY FOUNDATION
          		Employer identification number

    37-1452120
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 PUBLICLY TRADED SECURITIES $ 626,166 2018-12-19
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    CHASE FAMILY FOUNDATION
          		Employer identification number

    37-1452120
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 4,000 2,000   2,000

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CISCO SYSTEMS INC 24,982 24,982

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ALPHABET INC 201,944 201,944
    AMEX ENERGY SELECT SPDR 20,646 20,646
    AMEX TECHNOLOGY SELECT SPDR 309,900 309,900
    APPLE INC 261,848 261,848
    AT&T 35,960 35,960
    BERKSHIRE HATHAWAY B NEW 23,481 23,481
    BLACKROCK INC 25,533 25,533
    BOEING CO 29,025 29,025
    CISCO SYSTEMS INC 42,030 42,030
    CITIGROUP INC 23,427 23,427
    CME GROUP INCE 174,011 174,011
    COMCAST CP NEW CL A SPL 21,281 21,281
    CVS HEALTH CORP 33,743 33,743
    DIAGEO PLC - ADR 28,360 28,360
    EATON CORP PLC 25,061 25,061
    EOG RESOURCES INC 22,239 22,239
    FINANCIAL SELECT SECTOR SPDR FUND 35,730 35,730
    FLEX LTD 13,964 13,964
    GILEAD SCIENCES INC 17,514 17,514
    HOME DEPOT 22,337 22,337
    JP MORGAN CHASE & CO 35,631 35,631
    LAM RESEARCH CORP CO 15,660 15,660
    LAS VEGAS SANDS CORP COM 26,546 26,546
    MICRSOFT CORP 82,780 82,780
    MONDELEZ INTERNATIONAL INC 34,626 34,626
    NIKE INC CL B 39,665 39,665
    PNC FINANCIAL SERVICES GROUP 35,658 35,658
    SUNCOR ENERGY INC NEW F 37,480 37,480
    TARGET CORP 13,218 13,218
    THERMO FISHER SCIENTIFIC INC 35,806 35,806
    TOTAL S.A. - ADR 34,700 34,700
    UBS GROUP AG 20,365 20,365
    UNITEDHEALTH CROUP INC 185,594 185,594
    UNITED PARCEL SERVICES - CL B 30,722 30,722
    TJX COMPANIES INC 17,896 17,896
    WALT DISNEY CO 32,895 32,895
    ZOETIS 24,807 24,807
    HAIN CELESTIAL GROUP INC 7,375 7,375
    AMERIPRISE FINL INC 17,743 17,743
    ELI LILLY & CO COM 28,930 28,930
    MERCK & CO INC NEW 31,710 31,710
    SPIRIT AEROSYSTEMS HODL - CL A 15,139 15,139
    UNION PACIFIC CORP 43,542 43,542
    COGNIZANT TECH SOLUTIONS CRP COM 36,501 36,501
    CELANESE CORP 31,939 31,939
    MANULIFE FINANCIAL CORP 17,950 17,950
    ROCHE HOLDINGS LTD - ADR 29,060 29,060
    TE CONNECTIVITY LTD 26,471 26,471

    TY 2018 InvestmentsOtherSchedule2
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BOSTON PARTNERS LONG/SHORT RESEARCH FUND CLASS INS FMV 63,078 63,078
    COHEN & STEERS PREFERRED SECURITIES FMV 139,621 139,621
    COLUMBIA SELECT SMALLER CAP FMV 20,724 20,724
    DRIEHAUS ACTIVE INCOME FUND FMV 75,143 75,143
    E-TRACS ALERIAN MLP INFRASTRUCTURE FMV 29,655 29,655
    FIDELITY NEW MARKETS INCOME FUND FMV 126,041 126,041
    ISHARES CORE S&P SMALL CAP EFT FMV 81,451 81,451
    ISHARES IBOXX $ INVESTMENT FMV 203,076 203,076
    ISHARES MSCI EAFE EFT FMV 90,440 90,440
    LAZARD GLOBAL LISTED INFRASTRUCTURE FMV 43,722 43,722
    LOOMIS SAYLES BOND FUND FMV 141,960 141,960
    NEUBERGER BERMAN LONG SHORT FUND FMV 88,820 88,820
    OPPENHEIMER DEVELOPING FMV 31,224 31,224
    PRINCIPAL GLOBAL MULTI-STRATEGY FMV 72,852 72,852
    SPDR GOLD TRUST SHARES GLD FMV 12,125 12,125
    SPDR S&P MIDCAP 400 EFT TRUST FMV 166,469 166,469
    TWEEDY BROWNE GLOBAL FMV 97,069 97,069
    VANGUARD FTSE EMERGING MARKETS ETF FMV 11,430 11,430
    VANGUARD SHORT TERM CORP BOND ETF FMV 214,335 214,335
    VANGAURD FTSE DEVELOPED MARKETS FMV 200,340 200,340
    VANGUARD SHORT TERM BOND ETF FMV 157,140 157,140
    SPDR DJ WILSHIRE INTERNATIONAL REAL ESTATE ETF FMV 35,340 35,340
    VANGUARD REAL ESTATE ETF FMV 82,027 82,027

    TY 2018 OtherDecreasesSchedule
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Description Amount
    UNREALIZED CHANGE IN FMV OF INVESTMENTS 1,249,586


    TY 2018 OtherExpensesSchedule
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MN AG ANNUAL FEE 25 0   25
    MISCELLANEOUS EXPENSE 500 0   0
    TRANSACTION FEES 183 183   0


    TY 2018 OtherIncomeSchedule2
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    EXCHANGE TRADED FUND INCOME 2,405 2,405 2,405


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISOR FEES 40,811 40,811   0


    TY 2018 TaxesSchedule
    Name:
    CHASE FAMILY FOUNDATION
    EIN:
    37-1452120
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX PAID 3,632 3,632   0
    IRS TAX PAYMENT 10,543 0   0