Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 07-01-2018 , and ending 06-30-2019
Name of foundation
HENRY C LORD SCHOLARSHIP FD
 
Number and street (or P.O. box number if mail is not delivered to street address)ONE CITIZENS BANK WAY JCB 115
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
JOHNSTON, RI02919
A Employer identification number

02-6051741
B Telephone number (see instructions)

(603) 634-7752
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$12,546,393
J 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... 301,522 301,522  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 232,113
b Gross sales price for all assets on line 6a 5,640,762
7 Capital gain net income (from Part IV, line 2)... 232,113
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 533,635 533,635  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 94,251 47,126   47,125
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 31,338 31,338   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 8,377 1,788   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 52,582     52,582
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 186,548 80,252 0 99,707
25 Contributions, gifts, grants paid....... 617,724 617,724
26 Total expenses and disbursements. Add lines 24 and 25 804,272 80,252 0 717,431
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -270,637
b Net investment income (if negative, enter -0-) 453,383
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 87,866 118,979 118,979
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 10,741,850 Click to see attachment10,442,229 12,427,414
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) 10,829,716 10,561,208 12,546,393
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 10,809,198 10,561,208
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 20,518  
30 Total net assets or fund balances (see instructions)..... 10,829,716 10,561,208
31 Total liabilities and net assets/fund balances (see instructions). 10,829,716 10,561,208
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
10,829,716
2
Enter amount from Part I, line 27a .....................
2
-270,637
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2,129
4
Add lines 1, 2, and 3 ..........................
4
10,561,208
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
10,561,208
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 .765 AT & T INC   2013-10-16 2018-08-03
b 180. AT & T INC   2006-12-21 2019-06-10
c 11. AMAZON COM INC   2016-07-19 2018-09-19
d 45. AMERICAN EXPRESS CO   2018-08-28 2019-06-10
e 460. ANALOG DEVICES, INC.   2017-02-02 2018-12-12
370. AVERY DENNISON CORP   2016-06-21 2018-12-12
240. BANK OF AMERICA CORP NEW   2018-07-19 2019-06-10
100000. BANK OF NOVA 2.050% 10/30/18   2014-12-23 2018-10-30
170. BERKSHIRE HATHAWAY INC DEL CL B NEW   2016-04-25 2019-05-07
20. BERKSHIRE HATHAWAY INC DEL CL B NEW   2016-04-25 2019-06-10
15. BIOGEN INC   2018-06-20 2019-06-10
85. BLACKROCK INC   2018-02-07 2018-08-28
1300. BOSTON SCIENTIFIC CORP   2015-02-05 2019-05-07
295. CIGNA CORPORATION   2018-05-30 2019-03-26
30. CATERPILLAR INC   2017-05-03 2019-06-10
30. CHEVRONTEXACO CORP   2018-10-31 2019-06-10
110. CISCO SYSTEMS   2018-12-12 2019-06-10
103. CINTAS CORPORATION   2013-10-16 2019-06-11
80. CITIGROUP INC   2016-12-09 2019-06-10
25. CLOROX CO   2015-09-02 2019-06-10
105. COMCAST CORP   2015-08-18 2019-06-10
70. CONOCOPHILLIPS   2013-09-05 2019-06-10
75. COSTCO WHSL CORP NEW   2017-11-07 2018-09-11
170. DISNEY WALT CO   2018-05-09 2019-06-11
30. EDWARDS LIFESCIENCES CORP   2018-03-06 2019-06-10
70. EXXON MOBIL CORP   2019-03-13 2019-06-10
120. FACEBOOK INC   2016-01-27 2018-08-16
100. FACEBOOK INC   2016-02-22 2019-02-13
20. FACEBOOK INC   2016-02-22 2019-06-10
23153.106 FIDELITY ADVISOR FLOAT RATE HI INI   2018-03-08 2019-04-05
145. THE GAP INC   2019-05-07 2019-06-10
25. GARRETT MOTION INC   2016-10-04 2018-10-31
194. GENERAL DYNAMICS   2013-09-20 2018-10-31
980. HALLIBURTON CO   2017-12-05 2018-10-31
35. HERSHEY FOODS   2018-09-11 2019-06-10
135. HOME DEPOT INC   2016-03-15 2018-12-06
105. HOME DEPOT INC   2016-03-15 2019-01-29
280. ILLINOIS TOOL WORKS   2017-09-12 2019-01-29
130. INTEL CORP.   2018-02-07 2019-06-10
530. ISHARES CORE S&P MID-CAP ETF   2007-06-28 2019-06-10
210. JP MORGAN CHASE & CO   2015-05-06 2018-07-19
225. JP MORGAN CHASE & CO   2015-05-06 2019-02-13
220. JP MORGAN CHASE & CO   2016-11-14 2019-06-18
250000. JOHNSON & JOHNSON 1.650% 12/05/18   2015-07-24 2018-12-05
22076.275 JPMORGAN MORTGAGE BACKED SEC FD   2016-12-14 2018-10-09
40. LILLY ELI & CO   2018-06-20 2019-06-10
585. LINCOLN NATL CORP   2018-01-09 2018-07-19
20. M & T BANK CORP   2019-05-07 2019-06-10
56. METTLER TOLEDO INTERNATIONAL   2017-05-10 2018-09-19
105. MOSAIC CO NEW   2019-01-17 2019-06-10
120. NEXTERA ENERGY INC COM   2012-01-31 2019-06-11
90. NIKE INC   2018-10-31 2019-06-10
105. ORACLE SYSTEMS CORP.   2018-05-09 2019-06-10
160. P N C FINL CORP   2014-02-04 2018-09-11
340. P N C FINL CORP   2014-02-04 2019-01-17
245. PARKER-HANNIFIN CORP   2017-01-18 2018-08-28
40. PAYPAL HLDGS INC   2018-12-12 2019-06-10
100. PFIZER INC   2018-09-19 2019-06-10
100000. PFIZER INC 2.100% 5/15/19   2014-12-18 2019-05-15
35. PHILLIPS 66   2019-03-13 2019-06-10
915. PRINCIPAL FINL GROUP INC   2016-08-03 2018-10-31
55. PROGRESSIVE CORP OHIO   2018-12-06 2019-06-10
.6667 RESIDEO TECHNOLOGIES INC   2015-10-23 2018-11-06
41. RESIDEO TECHNOLOGIES INC   2016-10-04 2018-12-06
245. S&P GLOBAL INC COM   2015-11-13 2019-03-26
75. CHARLES SCHWAB CORP NEW   2019-01-17 2019-06-10
1200. SELECT SEC SPDR MATLS   2014-01-10 2019-03-13
1275. SELECT SECTOR SPDR ENERGY   2016-12-09 2019-03-13
90. SELECT SECTOR SPDR UTILITIES   2019-03-26 2019-06-10
50. STARBUCKS CORP   2019-01-29 2019-06-10
20. STRYKER CORP   2019-03-26 2019-06-10
280. SYSCO CORP   2017-02-14 2018-12-12
520. SYSCO CORP   2017-03-22 2019-01-17
50. TARGET CORP   2018-09-19 2019-06-10
35. UNION PACIFIC CORPORATION   2018-08-28 2019-06-10
125000. US TREAS NOTE 1.000% 3/15/19   2016-03-14 2019-03-15
490. VALERO ENERGY CORP NEW   2015-07-15 2019-05-07
38139.492 VANGUARD S/T BOND INDEX ADM # 5132   2017-03-31 2018-10-09
112269.95 VANGUARD INTERM-TRM BD IDX ADM#5314   2016-12-21 2018-10-09
108.2 VANGUARD INTERM-TRM BD IDX ADM#5314   2017-12-22 2018-10-09
175.853 VANGUARD GLOBAL MIN VOLATILITY ADMR   2018-12-18 2019-04-05
3673.769 VANGUARD GLOBAL MIN VOLATILITY ADMR   2018-03-09 2019-04-05
120437.96 VANGUARD ADMIRAL GNMA FD #536   2016-12-23 2018-10-09
7058.927 VANGUARD ADMIRAL FIXED INCOME ST CORP FD   2017-03-31 2019-06-10
80. VERIZON COMMUNICATIONS   2013-04-16 2019-06-10
190. VIACOM INC NEW CL B   2019-02-13 2019-06-10
130. VISA INC   2011-09-22 2018-08-28
135. VISA INC   2011-09-22 2018-12-12
65. WAL-MART STORES INC   2017-09-06 2019-06-10
215. WASTE MGMT INC   2016-11-02 2018-12-06
540. YUM BRANDS INC   2017-11-15 2019-01-17
40. ZOETIS INC   2018-03-20 2019-06-10
120. AON PLC CL A   2016-06-07 2018-12-06
25. LINDE PLC COM USD   2019-03-13 2019-06-10
210. APTIV PLC   2017-06-20 2018-08-16
200. APTIV PLC   2017-06-20 2018-09-19
250. APTIV PLC   2017-12-13 2018-09-19
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 25   35 -10
b 5,821   6,386 -565
c 21,110   8,142 12,968
d 5,544   4,817 727
e 41,304   34,758 6,546
33,956   28,333 5,623
6,807   7,153 -346
100,000   100,030 -30
35,509   23,470 12,039
4,157   2,918 1,239
3,438   4,461 -1,023
41,110   45,682 -4,572
47,812   19,799 28,013
47,628   51,143 -3,515
3,795   3,049 746
3,676   3,358 318
6,225   5,261 964
23,990   5,390 18,600
5,428   4,748 680
3,890   2,755 1,135
4,342   3,150 1,192
4,145   4,764 -619
18,310   12,425 5,885
23,111   16,979 6,132
5,588   4,099 1,489
5,251   5,634 -383
21,287   11,564 9,723
16,521   10,347 6,174
3,543   2,146 1,397
220,418   223,914 -3,496
2,631   3,634 -1,003
372   297 75
33,827   17,311 16,516
34,233   42,943 -8,710
4,801   3,654 1,147
23,287   17,614 5,673
18,821   13,612 5,209
37,688   34,602 3,086
6,107   5,944 163
101,469   47,683 53,786
23,125   12,203 10,922
23,278   14,397 8,881
24,354   15,374 8,980
250,000   251,983 -1,983
238,203   250,474 -12,271
4,614   3,472 1,142
38,064   47,563 -9,499
3,372   3,355 17
34,296   30,831 3,465
2,329   3,351 -1,022
24,203   7,173 17,030
7,482   6,807 675
5,685   4,876 809
22,911   11,803 11,108
41,193   26,719 14,474
42,909   35,482 7,427
4,687   3,511 1,176
4,299   4,333 -34
100,000   100,775 -775
3,023   3,426 -403
43,294   40,872 2,422
4,568   3,505 1,063
16   12 4
823   810 13
50,345   23,279 27,066
3,262   3,502 -240
67,324   54,768 12,556
83,819   89,422 -5,603
5,385   5,296 89
4,109   3,348 761
3,927   3,923 4
18,386   14,764 3,622
32,307   27,205 5,102
4,374   4,380 -6
6,102   5,309 793
125,000   124,492 508
41,030   31,223 9,807
388,641   401,032 -12,391
1,211,393   1,285,168 -73,775
1,167   1,224 -57
4,854   4,419 435
101,396   100,000 1,396
1,211,606   1,282,758 -71,152
75,248   75,875 -627
4,525   3,740 785
5,497   5,439 58
18,902   2,860 16,042
18,843   2,970 15,873
6,996   5,208 1,788
19,659   13,756 5,903
48,943   43,331 5,612
4,402   3,371 1,031
19,019   13,183 5,836
4,997   4,364 633
19,314   14,862 4,452
17,483   14,154 3,329
21,854   21,214 640
      24,380
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       -10
b       -565
c       12,968
d       727
e       6,546
      5,623
      -346
      -30
      12,039
      1,239
      -1,023
      -4,572
      28,013
      -3,515
      746
      318
      964
      18,600
      680
      1,135
      1,192
      -619
      5,885
      6,132
      1,489
      -383
      9,723
      6,174
      1,397
      -3,496
      -1,003
      75
      16,516
      -8,710
      1,147
      5,673
      5,209
      3,086
      163
      53,786
      10,922
      8,881
      8,980
      -1,983
      -12,271
      1,142
      -9,499
      17
      3,465
      -1,022
      17,030
      675
      809
      11,108
      14,474
      7,427
      1,176
      -34
      -775
      -403
      2,422
      1,063
      4
      13
      27,066
      -240
      12,556
      -5,603
      89
      761
      4
      3,622
      5,102
      -6
      793
      508
      9,807
      -12,391
      -73,775
      -57
      435
      1,396
      -71,152
      -627
      785
      58
      16,042
      15,873
      1,788
      5,903
      5,612
      1,031
      5,836
      633
      4,452
      3,329
      640
       
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 2 232,113
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 714,572 12,592,281 0.056747
2016 686,998 12,146,022 0.056562
2015 1,405,593 12,075,019 0.116405
2014 43,678 12,485,593 0.003498
2013 654,296 12,027,326 0.054401
2
Total of line 1, column (d) .....................
2
0.287613
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
0.057523
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
12,379,019
5
Multiply line 4 by line 3......................
5
712,078
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
4,534
7
Add lines 5 and 6........................
7
716,612
8
Enter qualifying distributions from Part XII, line 4,.............
8
717,431
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 4,534
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 4,534
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 4,534
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 6,035
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 6,035
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,501
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet1,501 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNH
    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 addressbullet  
    14
    The books are in care ofbulletCITIZENS NA Telephone no.bullet (603) 634-7752

    Located atbullet900 ELM STREETMANCHESTERNH ZIP+4bullet03101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    CITIZENS N A TRUSTEE
    10
    94,251    
    900 ELM STREET
    MANCHESTER,NH03101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    12,316,579
    b
    Average of monthly cash balances.......................
    1b
    250,953
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    12,567,532
    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
    12,567,532
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    188,513
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    12,379,019
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    618,951
    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
    618,951
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    4,534
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,534
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    614,417
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    614,417
    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
    614,417
    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
    717,431
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    717,431
    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
    4,534
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    712,897
    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 7 614,417
    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...... 5,967
    b From 2014...... 0
    c From 2015...... 825,480
    d From 2016...... 94,723
    e From 2017...... 105,543
    fTotal of lines 3a through e........ 1,031,713
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 717,431
    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..... 614,417
    e Remaining amount distributed out of corpus 103,014
    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 1,134,727
    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) ...
    5,967
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    1,128,760
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 825,480
    c Excess from 2016.... 94,723
    d Excess from 2017.... 105,543
    e Excess from 2018.... 103,014
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    CITIZENS N A
    900 ELM STREET
    MANCHESTER,NH03101
    (603) 634-7363
    bThe form in which applications should be submitted and information and materials they should include:
    FORMS MAY BE OBTAINED FROM THE ABOVE ADDRESS
    cAny submission deadlines:
    APRIL 30 FOR FIRST-TIME APPLICANTS; JUNE 15 FOR EACH YEAR THEREAFTER
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    RECIPIENT MUST BE A NEW HAMPSHIRE RESIDENT
    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
    NH CHARITABLE FOUNDATION
    37 PLEASANT STREET
    CONCORD,NH033014005
    NONE PC SCHOLARSHIP 617,724
    Total .................................bullet 3a 617,724
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 301,522  
    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 ............
        18 232,113  
    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)..   533,635  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    533,635
    (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 InvestmentsOtherSchedule2
    Name:
    HENRY C LORD SCHOLARSHIP FD
    EIN:
    02-6051741
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SEE ATTACHED STATEMENT AT COST 10,442,229 12,427,414

    TY 2018 OtherExpensesSchedule
    Name:
    HENRY C LORD SCHOLARSHIP FD
    EIN:
    02-6051741
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SCHOLARSHIP PROCESSING FEE 52,507 0   52,507
    NH AG FILING FEE 75 0   75


    TY 2018 OtherIncreasesSchedule
    Name:
    HENRY C LORD SCHOLARSHIP FD
    EIN:
    02-6051741
    Description Amount
    MUTUAL FUND TIMING DIFFERENCE 1,301
    PURCHASE ACCRUED INTEREST 828


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    HENRY C LORD SCHOLARSHIP FD
    EIN:
    02-6051741
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 31,338 31,338    


    TY 2018 TaxesSchedule
    Name:
    HENRY C LORD SCHOLARSHIP FD
    EIN:
    02-6051741
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 554 0   0
    FEDERAL ESTIMATES - PRINCIPAL 6,035 0   0
    FOREIGN TAXES ON QUALIFIED FOR 1,775 1,775   0
    FOREIGN TAXES ON NONQUALIFIED 13 13   0