-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
09-01-2017
, and ending
08-31-2018
Name of foundation
ETHEL D COLKET FOUNDATION CO PNC BANK NA
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 1365
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PAOLI
,
PA
193011365
A Employer identification number
23-6292917
B
Telephone number (see instructions)
(484) 424-5343
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
5,959,271
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
1,008,403
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
114,408
122,768
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
348,857
b
Gross sales price for all assets on line 6a
905,009
7
Capital gain net income (from Part IV, line 2)
...
348,857
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)
.......
84,681
12
Total.
Add lines 1 through 11
........
1,471,668
556,306
13
Compensation of officers, directors, trustees, etc.
17,993
17,993
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)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
8,647
168
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)
.......
24,683
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
26,640
42,844
0
0
25
Contributions, gifts, grants paid
.......
593,132
593,132
26
Total expenses and disbursements.
Add lines 24 and 25
619,772
42,844
0
593,132
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
851,896
b
Net investment income
(if negative, enter -0-)
513,462
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
84,033
67,036
67,036
2
Savings and temporary cash investments
.........
21,704
72,699
72,699
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
0
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)
.......
936,959
1,095,467
2,575,485
c
Investments—corporate bonds (attach schedule)
.......
150,000
150,000
153,930
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
1,664,882
1,637,492
2,028,498
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
305,975
305,975
1,061,623
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
3,163,553
3,328,669
5,959,271
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
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
3,073,352
3,233,815
27
Paid-in or capital surplus, or land, bldg., and equipment fund
67,036
28
Retained earnings, accumulated income, endowment, or other funds
90,201
27,818
29
Total net assets or fund balances
(see instructions)
.....
3,163,553
3,328,669
30
Total liabilities and net assets/fund balances
(see instructions)
.
3,163,553
3,328,669
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
3,163,553
2
Enter amount from Part I, line 27a
.....................
2
851,896
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
4,015,449
5
Decreases not included in line 2 (itemize)
5
686,780
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
3,328,669
Form
990-PF
(2019)
Form 990-PF (2019)
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
75. KRAFT HEINZ CO/THE
2016-09-13
2017-09-01
b
597.729 LAZARD GLOBAL LISTED INFRASTRUCTURE PORTFOLIO
2014-10-29
2017-09-20
c
266.383 ROWE T PRICE VALUE FD INC COM
2013-12-04
2017-09-20
d
108. SPDR DOW JONES REIT ETF
2012-02-23
2017-09-20
e
32. SPDR MIDCAP TRUST SERIES 1 ETF
1997-12-19
2017-09-20
17. DR PEPPER SNAPPLE GROUP INC
2016-03-11
2017-09-29
1. DR PEPPER SNAPPLE GROUP INC
2016-03-11
2017-09-29
24. DR PEPPER SNAPPLE GROUP INC
2016-03-11
2017-10-02
13. DR PEPPER SNAPPLE GROUP INC
2016-03-11
2017-10-03
6. DR PEPPER SNAPPLE GROUP INC
2016-03-11
2017-10-03
18. DR PEPPER SNAPPLE GROUP INC
2016-03-11
2017-10-04
37. CSX CORP COM
2017-06-19
2017-10-20
38. EXXON MOBIL CORP
2016-03-11
2017-10-20
7. EXXON MOBIL CORP
2016-03-11
2017-10-20
66. CSX CORP COM
2017-06-19
2017-10-23
2. CSX CORP COM
2017-06-20
2017-10-23
9. CSX CORP COM
2017-06-20
2017-10-24
1. CSX CORP COM
2017-06-20
2017-10-24
1. VALERO ENERGY CORP NEW COM
2016-12-09
2017-11-03
26. VALERO ENERGY CORP NEW COM
2016-12-09
2017-11-03
2. VALERO ENERGY CORP NEW COM
2016-12-09
2017-11-03
28. INGERSOLL-RAND PLC SEDOL: B633030
2016-05-26
2017-11-03
1. INGERSOLL-RAND PLC SEDOL: B633030
2016-05-27
2017-11-03
30. VALERO ENERGY CORP NEW COM
2016-12-09
2017-11-06
1. INGERSOLL-RAND PLC SEDOL: B633030
2016-05-27
2017-11-06
27. INGERSOLL-RAND PLC SEDOL: B633030
2016-05-31
2017-11-06
8. AETNA INC NEW
2016-03-11
2017-11-10
7. EDWARDS LIFESCIENCES CORP
2016-03-11
2017-11-10
45. EDWARDS LIFESCIENCES CORP
2016-03-11
2017-11-10
3110. CAMPBELL SOUP CO
1966-04-18
2017-11-17
1. BANK OF AMERICA CORP
2001-01-01
2017-12-01
96. ABBOTT LABORATORIES INC
2016-06-23
2017-12-08
1180. SPDR BLOOMBERG BARCLAYS HIGH YIELD BOND
2016-08-17
2018-01-02
24. AGILENT TECHNOLOGIES (IPO)
2017-04-21
2018-01-04
6. AGILENT TECHNOLOGIES (IPO)
2017-04-21
2018-01-04
10. THERMO ELECTRON CORP COM
2016-03-11
2018-01-04
19. WYNDHAM WORLDWIDE CORP
2016-03-11
2018-01-04
42. WYNDHAM WORLDWIDE CORP
2016-03-11
2018-01-05
1. TRANSCANADA CORP (HOLDING CO)
2017-06-02
2018-01-19
14. TRANSCANADA CORP (HOLDING CO)
2017-06-02
2018-01-19
19. TRANSCANADA CORP (HOLDING CO)
2017-06-02
2018-01-19
10. TRANSCANADA CORP (HOLDING CO)
2017-06-05
2018-01-22
49. TRANSCANADA CORP (HOLDING CO)
2017-06-05
2018-01-22
74. CBS CORP CLASS B WI
2016-08-05
2018-02-02
10. HOME DEPOT INC COM
2016-03-11
2018-02-02
5. MOHAWK INDS INC
2016-08-05
2018-02-02
22.443 HENNESSY GAS UTILITY-INST
2017-12-07
2018-02-20
4343.855 HENNESSY GAS UTILITY-INST
2014-10-29
2018-02-20
453.14 LAZARD GLOBAL LISTED INFRASTRUCTURE PORTFOLIO
2017-08-22
2018-02-20
8746.218 LAZARD GLOBAL LISTED INFRASTRUCTURE PORTFOLIO
2014-10-29
2018-02-20
63. PEPSICO INC COM
2016-06-02
2018-02-23
15. PROLOGIS INC
2017-06-02
2018-02-23
86. PROLOGIS INC
2016-10-21
2018-02-23
32. PROLOGIS INC
2017-06-02
2018-02-26
12. SHERWIN-WILLIAMS CO
2017-06-19
2018-03-02
29. STANLEY BLACK & DECKER INC
2017-11-03
2018-03-09
1. CLIFFS NATURAL RESOURCES, INC (18683K101)
2001-01-01
2018-03-22
18. MOHAWK INDS INC
2016-08-05
2018-04-05
5. MOHAWK INDS INC
2017-08-18
2018-04-05
28. AETNA INC NEW
2016-03-11
2018-04-26
15. ILLINOIS TOOL WORKS INC COM
2016-03-11
2018-04-26
30. ILLINOIS TOOL WORKS INC COM
2016-03-11
2018-04-27
78. ALTRIA GROUP INC
2016-03-11
2018-05-04
56. COMCAST CORPORATION CL A
2016-03-11
2018-05-04
13. ROYAL CARRIBEAN CRUISES LTD SEDOL 2754907 ISIN LR0008862868
2017-04-07
2018-05-04
13. BERRY GLOBAL GROUP INC
2016-08-24
2018-05-15
62. BERRY GLOBAL GROUP INC
2016-08-24
2018-05-15
33. HONEYWELL INTL INC
2016-03-11
2018-05-15
3. HONEYWELL INTL INC
2016-03-11
2018-05-15
18. BERRY GLOBAL GROUP INC
2016-08-25
2018-05-16
18. BERRY GLOBAL GROUP INC
2016-10-14
2018-05-16
7. BERRY GLOBAL GROUP INC
2016-10-14
2018-05-16
3. BERRY GLOBAL GROUP INC
2016-10-17
2018-05-17
1. BERRY GLOBAL GROUP INC
2016-10-17
2018-05-17
783. CHEVRON CORPORATION
1996-03-01
2018-05-21
416. PHILLIPS 66
2001-07-20
2018-05-21
79. ANALOG DEVICES INC
2017-06-14
2018-05-23
112. HALLIBURTON CO
2017-01-27
2018-06-13
11. SMUCKER J M CO COM NEW
2018-02-23
2018-06-13
19425. PLEIADES INVESTMENT PARTNERS LP CLASS B
2016-10-01
2018-06-13
12. SMUCKER J M CO COM NEW
2018-02-23
2018-06-14
14. AGILENT TECHNOLOGIES (IPO)
2017-04-21
2018-06-15
21. AGILENT TECHNOLOGIES (IPO)
2017-08-18
2018-06-15
36. AGILENT TECHNOLOGIES (IPO)
2017-04-21
2018-06-15
32. SMUCKER J M CO COM NEW
2018-02-26
2018-06-15
25. CONSTELLATION BRANDS INC CL A
2016-03-11
2018-07-02
17. CUMMINS INC
2017-02-17
2018-07-02
11. CUMMINS INC
2017-02-21
2018-07-03
24. CONSTELLATION BRANDS INC CL A
2016-03-11
2018-07-13
8. GENERAL DYNAMICS CORP
2016-03-11
2018-07-13
3. GENERAL DYNAMICS CORP
2016-03-11
2018-07-13
12. THERMO ELECTRON CORP COM
2016-03-11
2018-07-13
18. GENERAL DYNAMICS CORP
2016-03-11
2018-07-16
10. THERMO ELECTRON CORP COM
2016-03-11
2018-07-16
14. PARKER HANNIFIN CORP
2017-04-07
2018-07-27
20. STATE STR CORP COM
2016-09-07
2018-07-27
59. STATE STR CORP COM
2016-09-08
2018-07-27
3. STATE STR CORP COM
2016-09-09
2018-07-27
24. TYSON FDS INC COM
2016-03-11
2018-07-27
5. TYSON FDS INC COM
2016-03-11
2018-07-27
21. PARKER HANNIFIN CORP
2017-04-07
2018-07-30
26. TYSON FDS INC COM
2016-03-11
2018-07-30
31. TYSON FDS INC COM
2017-09-29
2018-07-30
36. JOHNSON & JOHNSON COM
2016-03-11
2018-08-16
25. LAUDER ESTEE COS INC CL A
2017-09-01
2018-08-16
14. LAUDER ESTEE COS INC CL A
2017-09-01
2018-08-16
35. FACEBOOK INC
2016-03-11
2018-08-17
1. LAUDER ESTEE COS INC CL A
2017-09-05
2018-08-17
25. LAUDER ESTEE COS INC CL A
2017-09-05
2018-08-17
9. ROYAL DUTCH SHELL PLC ADR A
2017-10-20
2018-08-23
1. ROYAL DUTCH SHELL PLC ADR A
2017-10-20
2018-08-24
35. ROYAL DUTCH SHELL PLC ADR A
2017-10-20
2018-08-24
30. ROYAL DUTCH SHELL PLC ADR A
2017-10-23
2018-08-27
1. ROYAL DUTCH SHELL PLC ADR A
2017-10-23
2018-08-27
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
6,033
6,607
-574
b
10,000
8,721
1,279
c
10,000
9,347
653
d
9,989
7,369
2,620
e
10,247
1,973
8,274
1,507
1,547
-40
88
91
-3
2,107
2,184
-77
1,134
1,183
-49
523
546
-23
1,573
1,638
-65
2,020
1,966
54
3,152
3,125
27
580
576
4
3,587
3,495
92
109
105
4
490
470
20
55
52
3
81
68
13
2,105
1,764
341
161
136
25
2,417
1,857
560
86
66
20
2,441
2,035
406
86
66
20
2,336
1,801
535
1,395
907
488
727
613
114
4,674
3,940
734
154,295
17
154,278
36
36
5,230
3,684
1,546
43,317
43,034
283
1,655
1,276
379
416
318
98
1,991
1,403
588
2,205
1,454
751
4,739
3,215
1,524
48
47
1
672
658
14
912
892
20
480
471
9
2,350
2,316
34
4,140
3,854
286
1,954
1,284
670
1,357
1,066
291
618
682
-64
119,630
132,978
-13,348
6,725
7,289
-564
129,794
126,889
2,905
6,898
6,536
362
918
853
65
5,265
4,531
734
1,957
1,820
137
4,700
4,278
422
4,637
4,765
-128
10
10
4,310
3,922
388
1,197
1,244
-47
5,013
3,175
1,838
2,158
1,473
685
4,270
2,947
1,323
4,397
4,832
-435
1,784
1,657
127
1,392
1,266
126
621
563
58
2,950
2,792
158
4,857
3,579
1,278
441
325
116
859
810
49
859
803
56
334
312
22
143
134
9
47
45
2
101,131
21,887
79,244
50,426
5,479
44,947
7,460
6,477
983
5,359
6,463
-1,104
1,152
1,365
-213
19,426
19,426
1,247
1,497
-250
920
742
178
1,384
1,291
93
2,373
1,938
435
3,353
4,070
-717
5,374
3,551
1,823
2,245
2,603
-358
1,453
1,697
-244
5,177
3,409
1,768
1,543
1,084
459
580
407
173
2,536
1,684
852
3,449
2,439
1,010
2,095
1,403
692
2,304
2,256
48
1,743
1,411
332
5,135
4,159
976
261
211
50
1,532
1,625
-93
319
338
-19
3,461
3,384
77
1,521
1,760
-239
1,836
2,187
-351
4,760
4,114
646
3,340
2,696
644
1,873
1,510
363
6,061
3,825
2,236
135
108
27
3,380
2,696
684
584
549
35
66
61
5
2,302
2,139
163
1,980
1,839
141
66
61
5
21,383
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
-574
b
1,279
c
653
d
2,620
e
8,274
-40
-3
-77
-49
-23
-65
54
27
4
92
4
20
3
13
341
25
560
20
406
20
535
488
114
734
154,278
36
1,546
283
379
98
588
751
1,524
1
14
20
9
34
286
670
291
-64
-13,348
-564
2,905
362
65
734
137
422
-128
10
388
-47
1,838
685
1,323
-435
127
126
58
158
1,278
116
49
56
22
9
2
79,244
44,947
983
-1,104
-213
19,426
-250
178
93
435
-717
1,823
-358
-244
1,768
459
173
852
1,010
692
48
332
976
50
-93
-19
77
-239
-351
646
644
363
2,236
27
684
35
5
163
141
5
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
348,857
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
...................
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?
Yes
No
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))
2018
1,153,855
6,162,438
0.18724
2017
2,048,584
6,368,948
0.321652
2016
1,935,473
5,712,867
0.338792
2015
1,231,704
5,180,170
0.237773
2014
1,092,367
5,060,839
0.215847
2
Total
of line 1, column (d)
.....................
2
1.301304
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
0.260261
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5,942,957
5
Multiply line 4 by line 3
......................
5
1,546,720
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
5,135
7
Add lines 5 and 6
........................
7
1,551,855
8
Enter qualifying distributions from Part XII, line 4
,.............
8
593,132
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
10,269
here
and 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
10,269
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
10,269
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
6,938
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
6,938
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
.......
9
3,331
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
PA
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 2019 or the taxable year beginning in 2019? 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
(2019)
Form 990-PF (2019)
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 address
SEE FOOTNOTE
14
The books are in care of
PNC BANK NA
Telephone no.
(412) 762-9161
Located at
116 ALLEGHENY CENTER MALL
PITTSBURGH
PA
ZIP+4
152129938
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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
No
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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?
.................
Yes
No
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
PNC BANK N A
CO-TRUSTEE
3
17,993
116 ALLEGHENY CENTER MALL
PITTSBURGH
,
PA
152129938
TRISTRAM C COLKET JR
CO-TRUSTEE
1
0
PO BOX 1365
PAOLI
,
PA
193011365
BRYAN D COLKET
CO-TRUSTEE
1
0
PO BOX 1365
PAOLI
,
PA
193011365
CAROLYN C CULLEN
CO-TRUSTEE
1
0
PO BOX 1365
PAOLI
,
PA
193011365
RUTH M COLKET
CO-TRUSTEE
1
0
PO BOX 1365
PAOLI
,
PA
193011365
TRISTRAM C COLKET III
CO-TRUSTEE
1
0
PO BOX 1365
PAOLI
,
PA
193011365
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
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
.............
0
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
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
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
5,964,165
b
Average of monthly cash balances
.......................
1b
69,294
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
6,033,459
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
6,033,459
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
90,502
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
5,942,957
6
Minimum investment return.
Enter 5% of line 5
..................
6
297,148
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
297,148
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
10,269
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
10,269
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
286,879
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
286,879
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
286,879
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
593,132
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
593,132
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
593,132
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
286,879
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
844,555
b
From 2015
......
983,017
c
From 2016
......
1,661,188
d
From 2017
......
1,742,869
e
From 2018
......
852,925
f
Total
of lines 3a through e
........
6,084,554
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
593,132
a
Applied to 2018, 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 2019 distributable amount
.....
286,879
e
Remaining amount distributed out of corpus
306,253
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
6,390,807
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 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
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 2014 not
applied on line 5 or line 7 (see instructions)
...
844,555
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
5,546,252
10
Analysis of line 9:
a
Excess from 2015
....
983,017
b
Excess from 2016
....
1,661,188
c
Excess from 2017
....
1,742,869
d
Excess from 2018
....
852,925
e
Excess from 2019
....
306,253
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
Ethel D Colket Foundation
PO BOX 1365
PAOLI
,
PA
193011365
(484) 424-5343
b
The form in which applications should be submitted and information and materials they should include:
IN WRITING
c
Any submission deadlines:
NONE, BUT APPLICANTS FROM THE DELAWARE VALLEY OF PA ARE PREFERRED.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
EDUCATIONAL, CHARITABLE, SCIENTIFIC, LITERARY, AND RELIGIOUS CONCERNS ONLY.
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
TRUSTEES OF THE UNIVERSITY OF PA
4200 FIFTH AVENUE
PITTSBURGH
,
PA
15222
NONE
PC
GENERAL SUPPORT
3,000
ACADEMY IN MANAYUNK
1200 RIVER ROAD
CONSHOHOCKEN
,
PA
19428
NONE
PC
GENERAL SUPPORT
250
AMERICAN CANCER SOCIETY
320 BILMAR DRIVE
PITTSBURGH
,
PA
15205
NONE
PC
GENERAL SUPPORT
300
BILLFISH FOUNDATION
5100 N FEDERAL HIGHWAY
FORT LAUDERDALE
,
FL
33308
NONE
PC
GENERAL SUPPORT
300
COMMUNITY SCHOOL - IDAHO
1 COMMUNITY SCHOOL DRIVE
SUN VALLEY
,
ID
83353
NONE
PC
FRIENDS OF THE SAILING
2,000
FRANKLIN INSTITUTE
220 NORTH 20TH STREET
PHILADELPHIA
,
PA
19103
NONE
PC
GENERAL SUPPORT
2,000
EMMC FOUNDATION
PO BOX 931
BANGOR
,
ME
04402
NONE
PC
GENERAL SUPPORT
200
PHILADELPHIA MUSEUM OF ART
PO BOX 7646
PHILADELPHIA
,
PA
19101
NONE
PC
GENERAL SUPPORT
9,200
PHILADELPHIA ORCHESTRA
260 S BROAD ST STE 1600
PHILADELPHIA
,
PA
19102
NONE
PC
GENERAL SUPPORT
2,100
QUEBEC LABRADOR FOUNDATION INC
55 MAIN STREET
IPSWITCH
,
ME
01938
NONE
PC
GENERAL SUPPORT
18,000
ROANOKE COLLEGE
221 COLLEGE LANE
SALEM
,
VA
24153
NONE
PC
GENERAL SUPPORT
800
ST DAVID'S CHURCH
763 S VALLEY FORGE ROAD
WAYNE
,
PA
19087
NONE
PC
GENERAL SUPPORT
4,300
WILLISTOWN CONSERVATION TRUST
925 PROVIDENCE ROAD
NEWTON SQUARE
,
PA
19073
NONE
PC
GENERAL SUPPORT
20,000
CHESTER COUNTY FOOD BANK
650 PENNSYLVANIS DRIVE
EXTON
,
PA
19341
NONE
PC
28TH ANN FRIENDS OF ACADIA
5,500
ABBE MUSEUM BAR HARBOR ME
26 MT DESERT STREET
BAR HARBOUR
,
ME
04609
NONE
PC
GENERAL SUPPORT
1,000
AMERICAN HELICOPTER MUSEUM
1200 RIVER ROAD
CONSHOHOCKEN
,
PA
19428
NONE
PC
GENERAL SUPPORT
2,300
BOYS & GIRLS CLUBS OF MARTIN
COUNTY
115 SE LARES AVENUE
HOBE SOUND
,
FL
33475
NONE
PC
GENERAL SUPPORT
300
BRANDYWINE VALLEY SPCA
1212 PHOENIXVILLE PIKE
WEST CHESTER
,
PA
19380
NONE
PC
LAWRENCE B. MORRIS
1,000
ACADIA FAMILY CENTER
1 FERNALD POINT ROAD
SOUTHWEST HARBOR
,
ME
04679
NONE
PC
GENERAL SUPPORT
5,000
THE AGNES IRWIN SCHOOL
1220 AMERICAN BLVD
WEST CHESTER
,
PA
19380
NONE
PC
GENERAL SUPPORT
800
AMERICAN RED CROSS
221 CHESTNUT STREET
PHILADELPHIA
,
PA
19103
NONE
PC
GENERAL SUPPORT
500
BAR HARBOR FOOD PANTRY
36 MT DESERT STREET
BAR HARBOUR
,
ME
04609
NONE
PC
GENERAL SUPPORT
200
BAR HARBOR HISTORICAL SOCIETY
33 LEDGELAWN AVENUE
BAR HARBOUR
,
ME
04609
NONE
PC
ANNUAL DONATION, SMARD
1,000
BARNES FOUNDATION
2025 BENJAMIN FRANKLIN PKWY
PHILADELPHIA
,
PA
19130
NONE
PC
GENERAL SUPPORT
1,000
BEATRIX FARRAND SOCIETY
475 BAY VIEW DRIVE
BAR HARBOUR
,
ME
04609
NONE
PC
GENERAL SUPPORT
2,500
BOY SCOUTS OF AMERICA
90 KELLEY ROAD
ORONO
,
ME
04473
NONE
PC
GENERAL SUPPORT
500
BRANDYWINE CONSERVANCY INC
PO BOX 141
CHADDS FORD
,
PA
19317
NONE
PC
GENERAL SUPPORT
600
CARDIGAN MOUNTAIN SCHOOL
62 ALUMNI DRIVE
CANAAN
,
NH
03741
NONE
PC
26TH ANNUAL 5K WALK/RUN -
500
CHEROKEE PLANTATION CHARITIES INC
5109 COMBAHEE ROAD
YEMASSEE
,
SC
29945
NONE
PC
GENERAL SUPPORT
1,000
COMMUNITY SCHOOL OF MOUNT
DESERT ISLAND
PO BOX 825
BAR HARBOR
,
ME
04609
NONE
PC
MAINE COAST COMMUNITY
800
CHESTER COUNTY FUND FOR WOMEN
1025 ANDREW DRIVE STE 200
WEST CHESTER
,
PA
19380
NONE
PC
GENERAL SUPPORT
2,500
CHOP FOUNDATION
225 NORTH HIGH STREET
WEST CHESTER
,
PA
19380
NONE
PC
GENERAL SUPPORT
1,000
CHESTER COUNTY SPCA
1212 PHOENIXVILLE PIKE
WEST CHESTER
,
PA
19380
NONE
PC
2017 CRAFT SHOW
1,300
COMMUNITY PARTNERSHIP SCHOOL
1936 NORTH JUDSON STREET
PHILADELPHIA
,
PA
19121
NONE
PC
GENERAL SUPPORT
300
PAOLI HOSPITAL FOUNDATION
255 WEST LANCASTER AVENUE
PAOLI
,
PA
19301
NONE
PC
GENERAL SUPPORT
500
BAR HARBOR FIRE DEPARTMENT
37 FIREFLY LANE
BAR HARBOR
,
ME
04609
NONE
PC
GENERAL SUPPORT
300
CONCORDIA LUTHERAN CHURCH
3003 SILVERSIDE ROAD
WILMINGTON
,
DE
19810
NONE
PC
GENERAL SUPPORT
500
COLLEGE OF THE ATLANTIC
105 EDEN STREET
BAR HARBOR
,
ME
04609
NONE
PC
STEWARDSHIP DRIVE
27,000
DOWNEAST HEALTH SERVICES
97 HIDDEN VALLEY ROAD
LAKE LUZERNE
,
NY
12846
NONE
PC
GENERAL SUPPORT
500
EPISCOPAL ACADEMY
1785 BISHOP WHITE DRIVE
NEWTON SQUARE
,
PA
19073
NONE
PC
KATAHDIN AREA COUNCIL, BSA
300
EPISCOPAL COMMUNITY SERVICES
225 S THIRD STREET
PHILADELPHIA
,
PA
19106
NONE
PC
ANNUAL GIVING CAMPAIGN
2,000
FOREST SOCIETY OF MAINE
115 FRANKLIN STREET
BANGOR
,
ME
04401
NONE
PC
GENERAL SUPPORT
6,000
FRIENDS OF ACADIA BENEFIT COMMITTEE
PO BOX 45
BAR HARBOUR
,
ME
04609
NONE
PC
IHO CHARLOTTE C. WEBER
13,800
GARDEN CLUB OF MT DESERT
PO BOX 553
NORTHEAST HARBOR
,
ME
04662
NONE
PC
GENERAL SUPPORT
5,000
FISHER HOUSE FOUNDATION INC
300 N WASHINGTON STREET
GETTYSBURG
,
PA
17325
NONE
PC
GENERAL SUPPORT
300
GREAT HARBOR MARITIME MUSEUM
125 MAIN STREET
NORTHEAST HARBOR
,
ME
04660
NONE
PC
GENERAL SUPPORT
200
GREENER PARTNERS
3215 STUMP HALL ROAD
COLLEGEVILLE
,
PA
19426
NONE
PC
GENERAL SUPPORT
1,000
GULF OF MAINE RESEARCH INSTITUTE
350 COMMERCIAL STREET
PORTLAND
,
ME
04101
NONE
PC
GENERAL SUPPORT
200
GIRL SCOUTS OF MAINE
138 GANNETT DRIVE
SOUTH PORTLAND
,
ME
04106
NONE
PC
GENERAL SUPPORT
300
HARBOR HOUSE
329 MAIN STREET
PORT CLYDE
,
MD
04679
NONE
PC
ANNUAL FUND 2017
6,000
GOSHEN FIRE COMPANY
1320 PARK AVENUE
WEST CHESTER
,
PA
19380
NONE
PC
GENERAL SUPPORT
1,000
HERRING GUT LEARNING CENTER
59 FACTORY ROAD
PORT CLYDE
,
MD
04855
NONE
PC
GENERAL SUPPORT
1,000
HOBERT & WILLIAM SMITH COLLEGE
300 PULTENY STREET
GENEVA
,
NY
14456
NONE
PC
GENERAL SUPPORT
300
HISTORIC SUGARTOWN INC
690 SUGARTOWN ROAD
MALVEN
,
PA
19355
NONE
PC
GENERAL SUPPORT
500
THE GUARDIANS OF MARTIN COUNTY
PO BOX 1489
HOBE SOUND
,
FL
33475
NONE
PC
GENERAL SUPPORT
300
HOBE SOUND COMMUNITY CHEST
PO BOX 511
HOBE SOUND
,
FL
33475
NONE
PC
GENERAL SUPPORT
800
HUN SCHOOL OF PRINCETON
176 EDGARSTOUNE ROAD
PRINCETON
,
NJ
08540
NONE
PC
GENERAL SUPPORT
300
INDEPENDENCE SEAPORT MUSEUM
211 S CHRISTOPHER BLVD
PHILADELPHIA
,
PA
19106
NONE
PC
GENERAL SUPPORT
300
INDIAN MOUNTAIN SCHOOL INC
211 INDIAN MOUNTAIN ROAD
LAKEVILLE
,
CT
06039
NONE
PC
GENERAL SUPPORT
500
ISLAND CONNECTIONS
15 EAGLE LAKE ROAD
BAR HARBOUR
,
MD
04609
NONE
PC
GENERAL SUPPORT
1,000
ISLAND READERS AND WRITERS
PO BOX 227
MOUNT DESERT
,
MD
04660
NONE
PC
GENERAL SUPPORT
1,000
JACKSON LABORATORY
600 MAIN STREET
BAR HARBOUR
,
ME
04609
NONE
PC
GENERAL SUPPORT
300
JESUP MEMORIAL LIBRARY
34 MT DESERT STREET
BAR HARBOUR
,
ME
04609
NONE
PC
GENERAL SUPPORT
300
KID'S CORNER BAR HARBOR ME
81 MT DESERT ROAD
BAR HARBOUR
,
ME
04069
NONE
PC
GENERAL SUPPORT
2,000
LIFEFLIGHT FOUNDATION
PO BOX 899
CAMDEN
,
ME
04644
NONE
PC
GENERAL SUPPORT
1,000
MAINE COAST HERITAGE TRUST
1 BOWDOIN MILL ISLAND STE 20
TOPSHAM
,
ME
04086
NONE
PC
GENERAL SUPPORT
800
MAINE COMMUNITY FOUNDATION
245 MAIN STREET
ELLSWORTH
,
ME
04605
NONE
PC
GENERAL SUPPORT
1,500
MIGHTY WRITERS
1501 CHRISTIAN STREET
PHILADELPHIA
,
PA
19146
NONE
PC
GENERAL SUPPORT
300
MILL REEF FUND
487 GOODWYN
MEMPHIS
,
TN
38111
NONE
PC
GENERAL SUPPORT
500
MOUNT DESERT LAND & GARDEN PRESERVE
POBOX 208
SEAL HARBOR
,
ME
04675
NONE
PC
GENERAL SUPPORT
1,000
MOUNT DESERT ISLAND NURSING
ASSOCIATION
12 SUMMIT ROAD
NORTHEAST HARBOR
,
ME
04662
NONE
PC
GENERAL SUPPORT
850
NATIONAL AUDUBON SOCIETY
117 WEST PINE ST
ROME
,
NY
13440
NONE
PC
GENERAL SUPPORT
3,000
NATURAL LANDS TRUST
1031 PALMERS MILL ROAD
MEDIA
,
PA
19063
NONE
PC
GENERAL SUPPORT
600
NEIGHBORHOOD HOUSE
1 KIMBALL ROAD
NORTHEAST HARBOR
,
ME
04662
NONE
PC
GENERAL SUPPORT
5,880
NEW YORK YACHT CLUB FOUNDATION
37 WEST 44TH STREET
NEW YORK
,
NY
10036
NONE
PC
GENERAL SUPPORT
500
NEXT STEP DOMESTIC VIOLENCE PROJECT
PO BOX 1466
ELLSWORTH
,
ME
04605
NONE
PC
GENERAL SUPPORT
600
NUTURING MINDS
FLEET SHORE ROAD
NORTHEAST HARBOR
,
ME
04662
NONE
PC
GENERAL SUPPORT
500
OPEN DOOR RECOVERY CENTER INC
8 OLD MILL ROAD
ELLSWORTH
,
ME
04605
NONE
PC
GENERAL SUPPORT
2,500
OPERATION WARM
576 ROSEDALE ROAD SUITE 8
KENNETT SQUARE
,
PA
19348
NONE
PC
29TH ANNUAL FRIENDS OF
7,900
PAOLI FIRE COMPANY
69 DARBY ROAD
PAOLI
,
PA
19301
NONE
PC
2018 MARTIN COUNTY SPRING
12,200
PENNSYLVANIA HORTICULTURAL SOCIETY
100 NORTH 20TH STREET 500
PHILADELPHIA
,
PA
19103
NONE
PC
GENERAL SUPPORT
300
PENNSYLVANIA SPCA
2801 BLOOM RD
DANVILLE
,
PA
17821
NONE
PC
GENERAL SUPPORT
200
RIDING ON INSULIN
PO BOX 1516
WHITEFISH
,
MT
59937
NONE
PC
4TH ANNUAL DR. AUDREY EVANS
3,000
PHILADELPHIA RONALD MCDONALD HOUSE
3925 CHESTNUT STREET
PHILADELPHIA
,
PA
19104
NONE
PC
GENERAL SUPPORT
300
PHILADELPHIA ZOO
3400 WEST GIRARD STREET
PHILADELPHIA
,
PA
19104
NONE
PC
GENERAL SUPPORT
75
ROCKEND ART BARN
221 COLLEGE LANE
SALEM
,
VA
24153
NONE
PC
GENERAL SUPPORT
1,300
RUGGLES HOUSE SOCIETY
146 MAIN STREET
COLUMBIA FALLS
,
ME
04623
NONE
PC
GENERAL SUPPORT
500
SUN VALLEY SKI EDUCATION FOUNDATION
PO BOX 203
SUN VALLEY
,
ID
83353
NONE
PC
GENERAL SUPPORT
3,000
SEAL COVE AUTO MUSEUM
1414 TREMONT ROAD
SEAL COVE
,
ME
04674
NONE
PC
GENERAL MUSEUM
10,000
SOMESVILLE VILLAGE IMPROVEMENT SOCIETY
P O BOX 240
MOUNT DESERT
,
ME
04660
NONE
PC
GENERAL SUPPORT
300
ST GEORGE'S SCHOOL
PO BOX 1910
NEWPORT
,
RI
02842
NONE
PC
GENERAL SUPPORT
5,000
ST JAMES SCHOOL
1429 N 11TH STREET
PHILADELPHIA
,
PA
19122
NONE
PC
GENERAL SUPPORT
200
ST MALACHY SCHOOL
1429 N 11TH STREET
PHILADELPHIA
,
PA
19122
NONE
PC
GENERAL SUPPORT
300
STROUD WATER RESEARCH CENTER
970 SPENCER ROAD
AVONDALE
,
PA
19311
NONE
PC
GENERAL SUPPORT
1,000
SPCA OF HANCOCK COUNTY
141 BAR HARBOR ROAD
TRENTON
,
ME
04605
NONE
PC
2018 HOLIDAY BOUTIQUE
10,500
ST SAVIOUR'S EPISCOPAL
41 MOUNT DESERT STREET
BAR HARBOR
,
ME
04685
NONE
PC
GENERAL SUPPORT
2,000
TRINITY COLLEGE
300 SUMMIT STREET
HARTFORD
,
CT
06106
NONE
PC
GENERAL SUPPORT
2,000
UNITED WAY TOCQUEVILLE SOCIETY
701 N FAIRFAX STREET
ALEXANDRIA
,
VA
22314
NONE
PC
GENERAL SUPPORT
1,500
UNIVERSITY OF PA SCHOOL OF
NURSING
418 CURIE BLVD
PHILADELPHIA
,
PA
19129
NONE
PC
GENERAL SUPPORT
5,000
WENDELL GILLEY MUSEUM
ENDOWMENT
4 HERRICK ROAD
SOUTHWEST HARBOR
,
ME
04679
NONE
PC
GENERAL SUPPORT
5,000
WESTSIDE FOOD PANTRY
324 SEAWALL ROAD
SOUTHWEST HARBOR
,
ME
04679
NONE
PC
GENERAL SUPPORT
5,000
UNITED STATES EQUESTRIAN
TEAM FOUNDATION
4047 IRON WORKS PARKWAY
LEXINGTON
,
KY
40511
NONE
PC
GENERAL SUPPORT
3,000
WILLISTOWN TOWNSHIP POLICE
ASSOCIATION
925 PROVIDENCE ROAD
NEWTON SQUARE
,
PA
19073
NONE
PC
GENERAL SUPPORT
10,000
WOMEN'S WAY
123 BROAD STREET
PHILADELPHIA
,
PA
19109
NONE
PC
GENERAL SUPPORT
5,000
WRTI-TEMPLE UNIVERSITY
1509 CECIL B MOORE AVENUE
PHILADELPHIA
,
PA
19121
NONE
PC
IN HONOR OF PAT BLAKE
1,000
BAR HARBOR VILLAGE IMPROVEMENT
ASSOCIATION
59 COTTAGE STREET
BAR HARBOR
,
ME
04609
NONE
PC
GENERAL SUPPORT
500
CHRIST MEMORIAL CHAPEL
52 SOUTH BEACH ROAD
HOBE SOUND
,
FL
33455
NONE
PC
EUROPEAN DECORATIVE ARTS
6,300
DUCKS UNLIMITED CHESTER COUNTY
PO BOX 865
DEVON
,
PA
19333
NONE
PC
MARK WOOLMAN HORNER MUSIC
300
CAMP BEECH CLIFF - LADIES WHO LOONCH
PO BOX 381 264 BEECH HILL ROAD
MOUNT DESERT
,
ME
04660
NONE
PC
ANNUAL FUND
2,000
NANTUCKET CONSERVATION
FOUNDATION
118 CLIFF ROAD
NANTUCKET
,
MA
02554
NONE
PC
GENERAL SUPPORT
200
NANTUCKET COMMUNITY SAILING
PO BOX 2424
NANTUCKET
,
MA
02584
NONE
PC
GENERAL SUPPORT
5,000
COMMUNITY VOLUNTEERS IN MEDICINE
300 LAWRENCE DRIVE
WEST CHESTER
,
PA
15222
NONE
PC
GENERAL SUPPORT
300
LUTHERAN COMMUNITY SERVICES
4040 S 188TH STREET
SEATAC
,
WA
98188
NONE
PC
GENERAL SUPPORT
500
NORTHEAST HARBOR SAILING SCHOOL
FLEET SHORE ROAD
NORTHEAST HARBOR
,
ME
04662
NONE
PC
88TH RADNOR HUNT RACES
1,500
THE CHILDREN'S HOSPITAL FOUNDATION
4401 PENN AVENUE
PITTSBURGH
,
PA
15224
NONE
PC
FRIENDS OF PENN NURSING
250
THE EPISCOPAL ACADEMY
1785 BISHOP WHITE DRIVE
NEWTON SQUARE
,
PA
19073
NONE
PC
GENERAL SUPPORT
11,309
MAINE SEA COAST MISSIONARY
127 WEST STREET
BAR HARBOR
,
ME
04609
NONE
PC
GENERAL SUPPORT
9,777
MOUNT DESERT ISLAND YMCA
21 PARK STREET
BAR HARBOR
,
ME
04609
NONE
PC
GENERAL SUPPORT
48,023
MOUNT DESERT NURSING ASSOCIATION
12 SUMMIT ROAD
NORTHEAST HARBOR
,
ME
04662
NONE
PC
GENERAL SUPPORT
25,644
SUMMER SEARCH NATIONAL
101 HOWARD STREET
SAN FRANCISCO
,
CA
94105
NONE
PC
GENERAL SUPPORT
15,387
COLORADO COLLEGE
14 E CACHE LA POUDRE STREET
COLORADO SPRINGS
,
CO
80903
NONE
PC
GENERAL SUPPORT
97,303
NORTHEAST HARBOR AMBULANCE SERVICE
21 SEA STREET
NORTHEAST HARBOR
,
ME
04662
NONE
PC
LEADERSHIP DINNER-PADDLE
6,500
Northeast Harbor Library
PO BOX 279
Northeast Harbor
,
ME
046620279
NONE
PC
2017 DONATION
1,000
MEDICAL UNIVERSITY OF SOUTH CAROLINA
171 ASHLEY AVENUE
CHARLESTON
,
SC
29425
NONE
PC
24TH ANNUAL BENEFIT GALA
2,000
COSKATA -COATUE WILDLIFE REFUGE
572 ESSEX STREET
BENERLY
,
MA
019151530
NONE
PC
ANNUAL FUND 2017/2018
1,000
MOUNT SESERT ISLAND HOSPITAL
10 WAYMAN LANE
BAR HARBOR
,
ME
04609
NONE
PC
GENERAL SUPPORT
1,250
Jupiter Island Historical Society
PO BOX 938
Hoba Sound
,
FL
33475
NONE
PC
2017 DONATION
300
JUPITER ISLAND GARDEN CLUB
PO BOX 1410
HOBE SOUND
,
FL
33475
NONE
PC
2017 DONATION
300
NANTUCKET COTTAGE HOSPITAL FOUNDATION
57 PROSPECT STREET
NANTUCKET
,
MA
02554
NONE
PC
2017 DONATION
1,000
Swan's Island Educational Society
PO BOX 12
Swans Island
,
ME
04685
NONE
PC
2017 ANNUAL FUND
2,500
MDI Search and Rescue
PO BOX 493
Bar Harbor
,
ME
04609
NONE
PC
2017 DONATION
450
Hospice Volunteers of Hancock Society
14 MCKENZIE AVENUE
Ellsworth
,
ME
04605
NONE
PC
2017 ANNUAL DONATION
300
Jupiter Island Medical Clininc Inc
100 ESTRADA SQUARE
Hobe Sound
,
FL
33455
NONE
PC
2017 DONATION
1,000
MDI-COMMUNITY SAILING CENTER
PO BOX 116
Southwest Harbor
,
ME
04579
NONE
PC
ANNUAL APPEAL 2018
3,300
MDI CAMP BEECH CLIFF CAMPERSHIP
FUND
PO BOX 381
MOUNT DESERT
,
ME
04680
NONE
PC
2017 DONATION
1,500
DUNBAR EARLY LEARNING CENTER
2315 WEST 10TH STREET
TEXARKANA
,
TX
75503
NONE
PC
ANNUAL SUPPORT
500
Mt Desert Nursery School & Children
Center
PO BOX 24
Northeast
,
ME
04662
NONE
PC
2017 DONATION
1,000
MDI YMCA
21 PARK STREET
BAR HARBOR
,
ME
04609
NONE
PC
2017 ANNUAL DISTRIBUTION
1,376
MDI HISTORICAL SOCIETY
PO BOX 653
MOUNT DESERT
,
ME
046600653
NONE
PC
2017 ANNUAL FUND
1,000
ACADEMY OF NATURAL SCIENCES
1900 BENJAMIN FRANKLIN PARKWAY
PHILADELPHIA
,
PA
191031195
NONE
PC
2017 ANNUAL DISTRIBUTION
500
MDI BIOLOGICAL LAB
PO BOX 35
SALISBURY COVE
,
ME
04672
NONE
PC
WILLISTOWN BLUEBIRD TRAIL
200
ISLAND HOUSING TRUST
PO BOX 851
MOUNT DESERT
,
ME
04660
NONE
PC
2017 DONATION
1,500
BAR HARBOR MUSIC FESTIVAL
741 WEST END AVENUE
NEW YORK
,
NY
100256222
NONE
PC
2017 ANNUAL FUND
500
1000 FRIENDS OF FLORIDA
PO BOX 5948
TALLAHASSEE
,
FL
323145948
NONE
PC
2017 DONATION
500
BLOOMING GROVE VOLUNTEER
FIRE DEPARTMENT
HC 8 BOX 8066
HAWLEY
,
PA
18428
NONE
PC
TRINITY COLLEGE FUND-LONG
3,000
BAR HARBOR BRASS WEEK
9 EVERGREEN LANE
HADDONFIELD
,
NJ
08033
NONE
PC
ANNUAL FUND 2017-2018
500
SOMESVILLE LANDING CORPORATION
PO BOX 324
MOUNT DESERT
,
ME
04660
NONE
PC
2017 DONATION
400
Schoodic Institute Acadia National Park
PO BOX 277
Winter Harbor
,
ME
04693
NONE
PC
ANNUAL DONATION
2,500
SUE LUCAS WILLISTOWN BLUEBIRD
TRAIL
PO BOX 40930
DELAWARE COUNTY
,
PA
19107
NONE
PC
GENERAL SUPPORT
3,000
Penn Vet New Bolton Center
382 WEST STREET ROAD
Kennett Square
,
PA
193461692
NONE
PC
2017 DONATION
250
Mt Desert Festival of Chamber Music
PO BOX 87
Mount Desert
,
ME
04660
NONE
PC
ANNUAL FUND
10,200
MAINE SEA COAST MISSONARY
127 WEST STREET
BAR HARBOUR
,
ME
04609
NONE
PC
GENERAL SUPPORT
3,300
HOLDERNESS SCHOOL
PO BOX 1879
PLYMOUTH
,
NH
03264
NONE
PC
GENERAL SUPPORT
1,300
UNIVERSITY OF ALABAMA
PO BOX 870132
TUSCALOOSA
,
AL
35487
NONE
PC
GENERAL SUPPORT
1,000
THE CHILDREN'S HOSPITAL FOUNDATION
4401 PENN AVENUE CENTRAL PLANT
PITTSBURGH
,
PA
15224
NONE
PC
GENERAL SUPPORT
10,258
LOAVES AND FISHES OF HOBE SOUND INC
9307 SE OLYMPUS STREET
HOBE SOUND
,
FL
33455
NONE
PC
GENERAL SUPPORT
500
SUMMER SEARCH PHILADELPHIA
1528 WALNUT STREET
PHILADELPHIA
,
PA
19102
NONE
PC
GENERAL SUPPORT
6,000
COLORADO COLLEGE
14 EAST CACHE LA POUDRE STREET
COLORADO SPRINGS
,
CO
80903
NONE
PC
EPISCOPAL DAY SCHOOL
16,500
Total
.................................
3a
593,132
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees 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
114,408
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
348,857
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)
..
463,265
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
463,265
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description