-
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
10-01-2017
, and ending
09-30-2018
Name of foundation
AUDREY HILTON SUPPORTING ORG
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 1501 NJ2-130-03-31
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PENNINGTON
,
NJ
085341501
A Employer identification number
94-3350009
B
Telephone number (see instructions)
(609) 274-6834
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)
$
750,118
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)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
14,516
14,503
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
50,269
b
Gross sales price for all assets on line 6a
271,932
7
Capital gain net income (from Part IV, line 2)
...
50,269
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)
.......
176
12
Total.
Add lines 1 through 11
........
64,961
64,772
13
Compensation of officers, directors, trustees, etc.
12,135
4,854
7,281
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)
...
888
84
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)
.......
15
5
10
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
13,038
4,943
0
7,291
25
Contributions, gifts, grants paid
.......
32,956
32,956
26
Total expenses and disbursements.
Add lines 24 and 25
45,994
4,943
0
40,247
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
18,967
b
Net investment income
(if negative, enter -0-)
59,829
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
.............
-8,135
-8,232
-8,232
2
Savings and temporary cash investments
.........
28,757
40,154
40,154
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)
90,067
104,064
102,039
b
Investments—corporate stock (attach schedule)
.......
363,120
349,147
515,242
c
Investments—corporate bonds (attach schedule)
.......
83,107
90,784
89,416
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
11,989
11,953
11,499
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
568,905
587,870
750,118
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
........
568,905
587,870
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
568,905
587,870
30
Total liabilities and net assets/fund balances
(see instructions)
.
568,905
587,870
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
568,905
2
Enter amount from Part I, line 27a
.....................
2
18,967
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
587,872
5
Decreases not included in line 2 (itemize)
5
2
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
587,870
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
4. UNIVERSAL HEALTH SVCS INC CL B
2017-02-13
2017-10-02
b
4. UNIVERSAL HEALTH SVCS INC CL B
2017-02-14
2017-10-03
c
22. WALGREENS BOOTS ALLIANCE
2016-08-08
2017-10-09
d
14. WALGREENS BOOTS ALLIANCE
2016-08-09
2017-10-09
e
7. WALGREENS BOOTS ALLIANCE
2016-08-08
2017-10-10
7. WALGREENS BOOTS ALLIANCE
2016-08-25
2017-10-10
4. WALGREENS BOOTS ALLIANCE
2016-10-18
2017-10-10
21. WALGREENS BOOTS ALLIANCE
2016-10-18
2017-10-17
15. WALGREENS BOOTS ALLIANCE
2016-10-19
2017-10-17
1. GOLDMAN SACHS GROUP INC
2012-12-11
2017-10-23
3. GOLDMAN SACHS GROUP INC
2012-12-12
2017-10-23
2. GOLDMAN SACHS GROUP INC
2012-12-13
2017-10-23
11000. U.S. TREASURY NOTE
2014-12-03
2017-10-25
5000. U.S. TREASURY NOTE
2016-05-12
2017-10-25
5000. U.S. TREASURY NOTE
2017-08-15
2017-10-25
2. LEAR CORP SHS
2015-09-09
2017-10-26
6. LEAR CORP SHS
2016-04-13
2017-10-26
50. AT& T INC
2016-08-30
2017-11-01
12. BERKSHIRE HATHAWAYINC
2017-01-11
2017-11-01
2. BERKSHIRE HATHAWAYINC
2017-01-12
2017-11-01
2. OMNICOM GROUP INC COM
2016-01-08
2017-11-14
11. OMNICOM GROUP INC COM
2016-04-13
2017-11-14
1. RAYTHEON CO
2015-06-11
2017-11-14
5. RAYTHEON CO
2015-06-12
2017-11-14
3000. U.S. TREASURY NOTE
2016-01-27
2017-11-15
12. BERKSHIRE HATHAWAYINC
2017-01-12
2017-11-21
1. LEAR CORP SHS
2015-09-09
2017-11-21
19. ACTIVISION BLIZZARD INC
2015-10-21
2017-11-22
1. LEAR CORP SHS
2015-09-09
2017-11-22
20. ACTIVISION BLIZZARD INC
2015-10-21
2017-11-27
6. LEAR CORP SHS
2015-09-09
2017-11-27
1. LEAR CORP SHS
2015-09-09
2017-11-28
2. OMNICOM GROUP INC COM
2016-01-07
2017-11-28
10. OMNICOM GROUP INC COM
2016-01-08
2017-11-28
23. OMNICOM GROUP INC COM
2016-01-11
2017-11-29
5. OMNICOM GROUP INC COM
2016-01-11
2017-11-30
7. OMNICOM GROUP INC COM
2016-01-12
2017-11-30
.9 LENNAR CORP
2017-03-08
2017-12-04
1. LENNAR CORP
2015-09-23
2017-12-04
22. VALERO ENERGY CORP NEW
2015-09-09
2017-12-15
3. GOLDMAN SACHS GROUP INC
2015-08-05
2017-12-19
3. GOLDMAN SACHS GROUP INC
2016-01-28
2017-12-19
15. VALERO ENERGY CORP NEW
2015-09-09
2017-12-19
5. AETNA INC
2015-05-07
2018-01-02
6. AETNA INC
2014-05-29
2018-01-02
3. VALERO ENERGY CORP NEW
2012-01-05
2018-01-02
1. VALERO ENERGY CORP NEW
2015-09-09
2018-01-02
10. VALERO ENERGY CORP NEW
2015-06-15
2018-01-02
13. ACTIVISION BLIZZARD INC
2015-10-20
2018-01-03
10. ACTIVISION BLIZZARD INC
2015-10-21
2018-01-03
13. ACTIVISION BLIZZARD INC
2015-10-20
2018-01-10
23. VALERO ENERGY CORP NEW
2012-01-05
2018-01-10
5. GILEAD SCIENCES INC
2015-11-18
2018-01-17
1. GILEAD SCIENCES INC
2015-10-20
2018-01-17
5. GILEAD SCIENCES INC
2015-11-18
2018-01-18
1. GILEAD SCIENCES INC
2015-10-20
2018-01-18
20. ACTIVISION BLIZZARD INC
2015-10-20
2018-01-19
6. GILEAD SCIENCES INC
2015-11-18
2018-01-19
2. GILEAD SCIENCES INC
2015-10-20
2018-01-19
6. GILEAD SCIENCES INC
2015-11-18
2018-01-22
1. GILEAD SCIENCES INC
2015-10-20
2018-01-22
5. ACTIVISION BLIZZARD INC
2015-10-20
2018-01-24
21. ACTIVISION BLIZZARD INC
2016-02-22
2018-01-24
9. CARNIVAL CORP
2015-06-10
2018-01-25
19. CARNIVAL CORP
2015-06-11
2018-01-25
19. ACTIVISION BLIZZARD INC
2016-02-22
2018-01-26
1000. AT&T INC
2011-04-12
2018-02-01
1000. AT&T INC
2014-03-12
2018-02-01
4000. AT&T INC
2008-02-20
2018-02-01
5. GOLDMAN SACHS GROUP INC
2016-01-28
2018-02-05
18. ACTIVISION BLIZZARD INC
2016-02-22
2018-02-06
5000. GENERAL ELEC CAP CORP
2015-01-23
2018-02-06
5. GOLDMAN SACHS GROUP INC
2016-01-28
2018-02-06
1. GOLDMAN SACHS GROUP INC
2012-12-13
2018-02-08
9. GOLDMAN SACHS GROUP INC
2012-12-17
2018-02-08
13. ACTIVISION BLIZZARD INC
2016-02-22
2018-02-16
7000. COMCAST CORP
2015-12-07
2018-03-01
6000. EUROPEAN INVESTMENT BANK
2017-03-09
2018-03-01
5000. U.S. TREASURY NOTE
2015-09-02
2018-03-01
2000. U.S. TREASURY NOTE
2017-03-09
2018-03-01
4000. U.S. TREASURY NOTE
2016-07-26
2018-03-01
6. GOLDMAN SACHS GROUP INC
2012-12-18
2018-03-05
1. GOLDMAN SACHS GROUP INC
2016-01-28
2018-03-05
2. GOODYEAR TIRE & RUBBER COMPANY COM
2017-01-10
2018-03-06
37. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-19
2018-03-06
5. HOME DEPOT INC USD 0.05
2015-05-07
2018-03-06
6. HOME DEPOT INC USD 0.05
2014-09-09
2018-03-06
12. GOODYEAR TIRE & RUBBER COMPANY COM
2017-01-09
2018-03-13
2. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-18
2018-03-13
3. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-19
2018-03-13
2. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-20
2018-03-13
16. GOODYEAR TIRE & RUBBER COMPANY COM
2017-01-09
2018-03-14
3. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-18
2018-03-14
4. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-19
2018-03-14
2. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-20
2018-03-14
17. GOODYEAR TIRE & RUBBER COMPANY COM
2016-05-19
2018-03-23
10. GOODYEAR TIRE & RUBBER COMPANY COM
2016-05-19
2018-03-26
14. GOODYEAR TIRE & RUBBER COMPANY COM
2016-05-20
2018-03-26
3. GOODYEAR TIRE & RUBBER COMPANY COM
2016-05-20
2018-03-27
7. GOODYEAR TIRE & RUBBER COMPANY COM
2016-05-20
2018-03-28
11. GOODYEAR TIRE & RUBBER COMPANY COM
2016-05-23
2018-03-28
7. RAYTHEON CO
2015-06-12
2018-03-28
6. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-18
2018-03-29
14. GOODYEAR TIRE & RUBBER COMPANY COM
2016-05-23
2018-03-29
5. GOODYEAR TIRE & RUBBER COMPANY COM
2016-05-24
2018-03-29
9. GOODYEAR TIRE & RUBBER COMPANY COM
2016-10-18
2018-04-02
7. RAYTHEON CO
2015-06-12
2018-04-02
5. RAYTHEON CO
2015-06-15
2018-04-02
9. ROBERT HALF INTL INC
2016-10-27
2018-04-19
1. ROBERT HALF INTL INC
2016-10-28
2018-04-19
13. ROBERT HALF INTL INC
2016-10-27
2018-04-20
2. ROBERT HALF INTL INC
2016-10-28
2018-04-20
13000. U.S. TREASURY NOTE
2018-02-09
2018-04-27
6. RAYTHEON CO
2015-06-15
2018-05-02
13. ROBERT HALF INTL INC
2016-10-27
2018-05-02
7. ROBERT HALF INTL INC
2016-10-27
2018-05-03
6. ROBERT HALF INTL INC
2016-10-27
2018-05-10
21. GILEAD SCIENCES INC
2015-10-20
2018-05-11
26. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-01-29
2018-05-11
1. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-01-30
2018-05-11
5. ROBERT HALF INTL INC
2016-10-27
2018-05-11
7. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-01-29
2018-05-14
2. AETNA INC
2014-05-29
2018-05-16
6. CITIGROUP INC COM NEW
2015-05-07
2018-05-16
8. CITIGROUP INC COM NEW
2015-06-15
2018-05-16
31. CITIGROUP INC COM NEW
2012-10-31
2018-05-16
7. HOME DEPOT INC USD 0.05
2014-09-09
2018-05-16
2. PUBLIC SERVICE ENTERPRISE GROUP INC
2014-12-08
2018-05-16
4. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-01-30
2018-05-16
9. AETNA INC
2014-05-29
2018-05-17
4. CITIGROUP INC COM NEW
2015-05-07
2018-05-17
7. CITIGROUP INC COM NEW
2015-06-15
2018-05-17
24. CITIGROUP INC COM NEW
2012-10-31
2018-05-17
13. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-06-10
2018-05-17
4. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-06-11
2018-05-17
5. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-01-30
2018-05-17
21. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-06-11
2018-05-18
3. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-06-11
2018-05-21
18. CITIGROUP INC COM NEW
2012-10-31
2018-06-04
9000. U.S. TREASURY NOTE
2018-03-01
2018-06-08
4000. U.S. TREASURY NOTE
2017-10-25
2018-06-08
4. CHEVRONTEXACO CORP
2018-01-02
2018-06-11
5. CHEVRONTEXACO CORP
2017-01-05
2018-06-11
10. CHEVRONTEXACO CORP
2018-01-10
2018-06-11
14. SOUTHWEST AIRLINES CO
2015-08-05
2018-06-11
35. SOUTHWEST AIRLINES CO
2015-07-10
2018-06-11
20. CITIGROUP INC COM NEW
2012-06-13
2018-06-19
6. HOME DEPOT INC USD 0.05
2014-09-09
2018-06-19
37. ORACLE CORPORATION
2017-11-06
2018-07-09
6. ORACLE CORPORATION
2017-07-12
2018-07-09
25. URBAN OUTFITTERS INC
2017-03-09
2018-07-09
13. URBAN OUTFITTERS INC
2017-03-30
2018-07-09
7. URBAN OUTFITTERS INC
2017-03-09
2018-07-10
4. URBAN OUTFITTERS INC
2017-03-30
2018-07-10
5. BIOGEN IDEC INC
2016-08-23
2018-07-12
1. E TRADE FINL CORP
2017-10-04
2018-07-19
5. E TRADE FINL CORP
2017-11-21
2018-07-19
6. E TRADE FINL CORP
2017-11-22
2018-07-19
11. E TRADE FINL CORP
2017-11-27
2018-07-19
1. E TRADE FINL CORP
2017-11-28
2018-07-19
2. E TRADE FINL CORP
2017-10-04
2018-07-20
1. E TRADE FINL CORP
2017-11-21
2018-07-20
1. E TRADE FINL CORP
2017-11-22
2018-07-20
2. E TRADE FINL CORP
2017-11-27
2018-07-20
1. E TRADE FINL CORP
2017-11-28
2018-07-20
14. CVS CORP
2012-07-13
2018-07-31
16. CVS CORP
2012-07-16
2018-07-31
28. ORACLE CORPORATION
2017-05-17
2018-08-03
8. SOUTHWEST AIRLINES CO
2015-07-09
2018-08-03
19. SOUTHWEST AIRLINES CO
2015-07-10
2018-08-03
13. CITIGROUP INC COM NEW
2012-06-15
2018-08-09
6. CITIGROUP INC COM NEW
2012-10-31
2018-08-09
3. URBAN OUTFITTERS INC
2017-03-08
2018-08-10
10. URBAN OUTFITTERS INC
2017-03-30
2018-08-10
4. URBAN OUTFITTERS INC
2017-03-08
2018-08-13
13. URBAN OUTFITTERS INC
2017-03-30
2018-08-13
30. ORACLE CORPORATION
2017-07-12
2018-08-20
10. LOWES COMPANIES INC COM
2015-05-07
2018-08-22
6. LOWES COMPANIES INC COM
2015-06-15
2018-08-22
26. URBAN OUTFITTERS INC
2017-03-08
2018-08-22
4000. US BANCORP
2016-01-27
2018-08-23
5000. U.S. TREASURY NOTE
2017-09-20
2018-08-23
3000. WELLS FARGO & COMPANY
2013-11-18
2018-08-23
27. ORACLE CORPORATION
2017-05-17
2018-09-06
23. FLEXTRONICS INTL LTD
2016-06-13
2018-09-07
7. FLEXTRONICS INTL LTD
2016-06-14
2018-09-07
25. FLEXTRONICS INTL LTD
2016-06-14
2018-09-10
6. FLEXTRONICS INTL LTD
2016-06-15
2018-09-10
27. FLEXTRONICS INTL LTD
2016-06-15
2018-09-11
4. FLEXTRONICS INTL LTD
2016-06-16
2018-09-11
4000. U.S. TREASURY NOTE
2017-11-20
2018-09-12
7000. VISA INC
2015-12-14
2018-09-12
30. FLEXTRONICS INTL LTD
2016-06-16
2018-09-12
1. FLEXTRONICS INTL LTD
2016-06-17
2018-09-12
8. FLEXTRONICS INTL LTD
2016-06-17
2018-09-13
35. FLEXTRONICS INTL LTD
2016-06-24
2018-09-13
28. ORACLE CORPORATION
2017-05-17
2018-09-14
37. FLEXTRONICS INTL LTD
2016-06-24
2018-09-14
7. FLEXTRONICS INTL LTD
2016-06-27
2018-09-14
43. FLEXTRONICS INTL LTD
2016-06-27
2018-09-17
2. FLEXTRONICS INTL LTD
2016-06-28
2018-09-17
2. AETNA INC
2013-09-19
2018-09-18
1. ALPHABET INC SHS CL C
2012-06-28
2018-09-18
1. ALPHABET INC SHS CL A
2012-06-27
2018-09-18
1. ALPHABET INC SHS CL A
2012-06-28
2018-09-18
10. ALTRIA GROUP INC
2015-06-10
2018-09-18
10. APPLE COMPUTER INC COM
2012-06-27
2018-09-18
12. APPLE COMPUTER INC COM
2012-06-28
2018-09-18
8. BP P L C SPONS ADR
2014-10-27
2018-09-18
11. BAXTER INTL INC COM
2017-04-11
2018-09-18
1. BIOGEN IDEC INC
2016-08-24
2018-09-18
13. CDW CORP
2015-09-10
2018-09-18
2. CDW CORP
2015-09-11
2018-09-18
7. CENTENE CORP DEL
2015-06-10
2018-09-18
4. CENTENE CORP DEL
2015-06-11
2018-09-18
3. CHEVRONTEXACO CORP
2017-01-05
2018-09-18
23. CISCO SYS INC
2013-08-08
2018-09-18
8. COGNIZANT TECHNOLOGY SOLUTIONS
2015-04-08
2018-09-18
18. COMCAST CORP NEW CL A
2012-09-24
2018-09-18
10. D R HORTON INC
2016-07-13
2018-09-18
3. DELL TECHNOLOGIES INC
2016-12-13
2018-09-18
19. DELTA AIR LINES INC
2016-02-22
2018-09-18
20. DOWDUPONT INC COM
2013-10-21
2018-09-18
8. FIRSTENERGY CORP
2017-01-09
2018-09-18
3. FORTIVE CORP
2017-07-12
2018-09-18
4. GILEAD SCIENCES INC
2015-10-20
2018-09-18
8. HARTFORD FINL SVCS GROUP INC COM
2017-06-26
2018-09-18
3. HUMANA INC COM
2015-08-05
2018-09-18
3. HUMANA INC COM
2015-08-06
2018-09-18
24. J P MORGAN CHASE & CO
2012-06-14
2018-09-18
5. KAR AUCTION SERVICES INC
2018-04-05
2018-09-18
15. LENNAR CORP
2015-09-09
2018-09-18
2. LOWES COMPANIES INC COM
2013-06-21
2018-09-18
26. MICROSOFT CORP COM
2012-01-05
2018-09-18
14. NORFOLK SOUTHERN CORP
2017-01-09
2018-09-18
11. PG&E CORP
2017-10-18
2018-09-18
2. PACKAGING CORP AMER
2013-02-22
2018-09-18
32. PFIZER INC COM
2016-01-28
2018-09-18
31. REGIONS FINL CORP NEW
2017-01-09
2018-09-18
26. SUNCOR ENERGY INC NEW
2013-01-15
2018-09-18
20. SUNTRUST BANKS INC
2013-01-15
2018-09-18
7. US BANCORP DEL
2012-07-24
2018-09-18
16. US BANCORP DEL
2012-07-25
2018-09-18
6. UNITED HEALTH GROUP INC
2014-10-27
2018-09-18
42. FLEXTRONICS INTL LTD
2016-06-28
2018-09-18
4. FLEXTRONICS INTL LTD
2016-06-29
2018-09-18
6. ORACLE CORPORATION
2017-07-12
2018-09-19
6. ORACLE CORPORATION
2017-08-16
2018-09-19
8. ORACLE CORPORATION
2017-05-17
2018-09-19
35. ORACLE CORPORATION
2017-05-18
2018-09-19
11. FLEXTRONICS INTL LTD
2016-06-29
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
449
469
-20
b
449
482
-33
c
1,561
1,774
-213
d
993
1,133
-140
e
490
564
-74
490
564
-74
280
313
-33
1,416
1,642
-226
1,011
1,159
-148
242
119
123
726
358
368
484
238
246
11,069
11,058
11
5,123
5,204
-81
4,971
5,023
-52
352
213
139
1,056
654
402
1,670
2,042
-372
2,246
1,942
304
374
322
52
136
142
-6
746
924
-178
184
102
82
921
508
413
3,000
3,000
2,198
1,933
265
177
106
71
1,240
644
596
175
107
68
1,317
678
639
1,055
639
416
178
106
72
140
141
-1
698
709
-11
1,683
1,606
77
358
349
9
501
492
9
45
37
8
52
42
10
1,934
1,362
572
773
622
151
773
469
304
1,323
929
394
902
542
360
1,083
463
620
278
54
224
93
62
31
928
583
345
852
438
414
655
339
316
866
438
428
2,167
411
1,756
407
536
-129
81
103
-22
406
536
-130
81
103
-22
1,411
674
737
486
644
-158
162
206
-44
488
643
-155
81
103
-22
351
169
182
1,473
664
809
636
428
208
1,342
902
440
1,372
601
771
1,000
1,000
1,000
1,000
4,000
3,937
63
1,257
782
475
1,224
569
655
4,960
5,026
-66
1,254
782
472
252
119
133
2,269
1,101
1,168
919
411
508
6,864
7,138
-274
5,901
5,982
-81
4,750
4,916
-166
1,921
1,953
-32
3,842
4,199
-357
1,566
761
805
261
156
105
56
64
-8
1,045
1,186
-141
904
552
352
1,084
538
546
340
383
-43
57
62
-5
85
96
-11
57
64
-7
449
510
-61
84
94
-10
112
128
-16
56
64
-8
455
460
-5
267
271
-4
374
383
-9
80
82
-2
185
192
-7
291
298
-7
1,483
712
771
160
187
-27
373
379
-6
133
139
-6
235
281
-46
1,477
712
765
1,055
502
553
544
330
214
60
37
23
760
477
283
117
74
43
12,760
12,933
-173
1,220
602
618
802
477
325
430
257
173
378
220
158
1,381
2,159
-778
1,328
1,137
191
51
44
7
316
184
132
355
306
49
355
154
201
431
320
111
575
453
122
2,229
1,154
1,075
1,302
628
674
100
82
18
199
174
25
1,595
694
901
287
214
73
503
396
107
1,724
894
830
643
526
117
198
162
36
247
218
29
1,042
848
194
149
121
28
1,209
670
539
8,919
8,959
-40
3,907
4,014
-107
507
508
-1
633
587
46
1,266
1,285
-19
716
532
184
1,791
1,185
606
1,331
556
775
1,193
538
655
1,713
1,866
-153
278
302
-24
1,143
621
522
594
318
276
320
174
146
183
98
85
1,732
1,462
270
61
44
17
307
225
82
368
270
98
675
497
178
61
45
16
120
89
31
60
45
15
60
45
15
120
90
30
60
45
15
914
673
241
1,045
769
276
1,353
1,244
109
459
262
197
1,090
643
447
939
362
577
433
223
210
145
73
72
484
245
239
190
98
92
617
318
299
1,453
1,509
-56
1,057
724
333
634
414
220
1,187
635
552
3,993
4,009
-16
4,831
5,054
-223
2,996
3,002
-6
1,289
1,199
90
302
292
10
92
90
2
327
321
6
78
78
348
350
-2
52
52
4,035
4,076
-41
6,882
6,984
-102
389
387
2
13
13
104
103
1
456
441
15
1,378
1,244
134
477
466
11
90
83
7
561
513
48
26
24
2
412
134
278
1,167
280
887
1,171
286
885
1,171
281
890
622
496
126
2,186
821
1,365
2,623
975
1,648
348
335
13
850
582
268
338
292
46
1,154
529
625
178
82
96
1,001
517
484
572
301
271
354
352
2
1,091
605
486
613
502
111
678
328
350
432
339
93
291
161
130
1,098
922
176
1,366
827
539
303
248
55
261
194
67
295
411
-116
401
416
-15
1,009
557
452
1,009
558
451
2,745
827
1,918
317
275
42
775
774
1
230
79
151
2,946
716
2,230
2,604
1,529
1,075
517
623
-106
233
84
149
1,391
968
423
587
446
141
1,020
894
126
1,368
571
797
380
234
146
868
535
333
1,578
552
1,026
543
497
46
52
47
5
295
302
-7
295
295
393
355
38
1,720
1,548
172
146
130
16
11
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
-20
b
-33
c
-213
d
-140
e
-74
-74
-33
-226
-148
123
368
246
11
-81
-52
139
402
-372
304
52
-6
-178
82
413
265
71
596
68
639
416
72
-1
-11
77
9
9
8
10
572
151
304
394
360
620
224
31
345
414
316
428
1,756
-129
-22
-130
-22
737
-158
-44
-155
-22
182
809
208
440
771
63
475
655
-66
472
133
1,168
508
-274
-81
-166
-32
-357
805
105
-8
-141
352
546
-43
-5
-11
-7
-61
-10
-16
-8
-5
-4
-9
-2
-7
-7
771
-27
-6
-6
-46
765
553
214
23
283
43
-173
618
325
173
158
-778
191
7
132
49
201
111
122
1,075
674
18
25
901
73
107
830
117
36
29
194
28
539
-40
-107
-1
46
-19
184
606
775
655
-153
-24
522
276
146
85
270
17
82
98
178
16
31
15
15
30
15
241
276
109
197
447
577
210
72
239
92
299
-56
333
220
552
-16
-223
-6
90
10
2
6
-2
-41
-102
2
1
15
134
11
7
48
2
278
887
885
890
126
1,365
1,648
13
268
46
625
96
484
271
2
486
111
350
93
130
176
539
55
67
-116
-15
452
451
1,918
42
1
151
2,230
1,075
-106
149
423
141
126
797
146
333
1,026
46
5
-7
38
172
16
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
50,269
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
38,915
657,750
0.059164
2017
38,522
635,063
0.060659
2016
41,469
821,043
0.050508
2015
39,599
658,083
0.060173
2014
36,566
612,412
0.059708
2
Total
of line 1, column (d)
.....................
2
0.290212
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
0.058042
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
719,361
5
Multiply line 4 by line 3
......................
5
41,753
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
598
7
Add lines 5 and 6
........................
7
42,351
8
Enter qualifying distributions from Part XII, line 4
,.............
8
40,247
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
1,197
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
1,197
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
1,197
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
559
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
559
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
638
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)
CA
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
N/A
14
The books are in care of
MLTC A DIVISION OF BANK OF AM
Telephone no.
(609) 274-6834
Located at
1300 MERRILL LYNCH DRIVE
PENNINGTON
NJ
ZIP+4
085341501
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
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
UST-MLT A DIVISION OF BANK OF AMER
ICA NA
TRUSTEE
2
12,135
PO Box 1501 NJ2-130-03-31
Pennington
,
NJ
085341501
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
715,317
b
Average of monthly cash balances
.......................
1b
14,999
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
730,316
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
730,316
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
10,955
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
719,361
6
Minimum investment return.
Enter 5% of line 5
..................
6
35,968
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
35,968
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,197
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,197
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
34,771
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
34,771
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
34,771
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
40,247
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
40,247
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
40,247
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
34,771
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
......
6,915
b
From 2015
......
8,151
c
From 2016
......
1,121
d
From 2017
......
7,397
e
From 2018
......
7,145
f
Total
of lines 3a through e
........
30,729
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
40,247
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
.....
34,771
e
Remaining amount distributed out of corpus
5,476
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
36,205
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)
...
6,915
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
29,290
10
Analysis of line 9:
a
Excess from 2015
....
8,151
b
Excess from 2016
....
1,121
c
Excess from 2017
....
7,397
d
Excess from 2018
....
7,145
e
Excess from 2019
....
5,476
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).)
NONE
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.
NONE
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 email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
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
MONTANA HISTORY FOUNDATION
1750 NORTH WASHINGTON STREET
HELENA
,
MT
59601
NONE
PC
GENERAL OPERATING
8,239
MONTANA AGRICULTURAL CENTER
RIVER PLAINS SOCIETY INC
FORT BENTON
,
MT
594420262
NONE
PC
GENERAL OPERATING
24,717
Total
.................................
3a
32,956
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
14,516
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
50,269
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FED EXCISE TAX RFN
1
176
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
64,961
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
64,961
(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