TY 2017 Form 990PF

- TIN:

Form990-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.
bullet

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0052

2019

Open to Public Inspection

For calendar year 2019, or tax year beginning 10-01-2017 , and ending 09-30-2018

Name of foundation
FERN C HILL CHARITABLE TRUST IN MEMORY OF N

Number and street (or P.O. box number if mail is not delivered to street address)10 S DEARBORN IL1-0111
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60603

A Employer identification number

43-6902153

B Telephone number (see instructions)

(800) 496-2583

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

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 ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$3,593,185J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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...	79,822		79,822
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		75,853
b	Gross sales price for all assets on line 6a 812,210
7	Capital gain net income (from Part IV, line 2)...			75,853
8	Net short-term capital gain.........				0
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	155,675		155,675
13	Compensation of officers, directors, trustees, etc.	27,601		16,560		11,040
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)...		6,444	960		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	Total operating and administrative expenses.
	Add lines 13 through 23..........	34,045		17,520	0	11,040
25	Contributions, gifts, grants paid.......	153,666				153,666
26	Total expenses and disbursements. Add lines 24 and 25	187,711		17,520	0	164,706
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-32,036
b	Net investment income (if negative, enter -0-)			138,155
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	19,151	6,116	6,116
	2	Savings and temporary cash investments.........	121,811	68,303	68,303
	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).......	1,647,140	1,647,196	2,179,791
	c	Investments—corporate bonds (attach schedule).......	973,245	1,078,384	1,057,609
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	351,222	280,559	281,366
	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)	3,112,569	3,080,558	3,593,185
	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........	3,112,569	3,080,558
	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).....	3,112,569	3,080,558
	30	Total liabilities and net assets/fund balances (see instructions).	3,112,569	3,080,558

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

3,112,569

Enter amount from Part I, line 27a .....................

-32,036

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

3,080,558

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

3,080,558

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	10000. US TREAS 1.875% 09/30/17		2016-05-18	2017-10-02
b	4. ALEXION PHARMACEUTICALS INC		2015-07-08	2017-10-03
c	10. ALEXION PHARMACEUTICALS INC		2015-07-13	2017-10-03
d	9. HARTFORD FINL SVCS GROUP INC		2013-05-07	2017-10-03
e	12. BROADCOM LTD		2013-05-29	2017-10-03
	1. BROADCOM LTD		2013-05-30	2017-10-03
	3. BROADCOM LTD		2013-05-30	2017-10-03
	2. ALEXION PHARMACEUTICALS INC		2016-04-06	2017-10-04
	2. HARTFORD FINL SVCS GROUP INC		2013-05-07	2017-10-04
	9. HARTFORD FINL SVCS GROUP INC		2013-05-07	2017-10-04
	1. HARTFORD FINL SVCS GROUP INC		2013-09-18	2017-10-04
	4. HARTFORD FINL SVCS GROUP INC		2013-09-18	2017-10-04
	2. HARTFORD FINL SVCS GROUP INC		2013-09-18	2017-10-04
	4. HARTFORD FINL SVCS GROUP INC		2013-09-18	2017-10-05
	1. HARTFORD FINL SVCS GROUP INC		2013-09-18	2017-10-06
	3. HARTFORD FINL SVCS GROUP INC		2013-09-18	2017-10-09
	121. GENERAL ELEC CO		2015-09-14	2017-10-10
	16. AT&T INC		2015-06-01	2017-10-27
	54. AT&T INC		2015-06-01	2017-10-27
	50. AT&T INC		2015-06-01	2017-10-30
	42. AT&T INC		2015-06-02	2017-10-30
	16. ANALOG DEVICES INC		2016-10-28	2017-11-10
	6. BIOGEN IDEC INC		2011-08-16	2017-11-10
	2. BIOGEN IDEC INC		2014-05-08	2017-11-10
	13. ANALOG DEVICES INC		2016-10-28	2017-11-13
	2386.29 NB HIGH INCOME BOND-R6		2016-02-26	2017-11-17
	34. TJX COS INC NEW		2014-05-22	2017-11-17
	1. TJX COS INC NEW		2014-05-22	2017-11-17
	5. TJX COS INC NEW		2014-05-22	2017-11-17
	22. PNC FINL SVCS GROUP INC		2017-07-12	2017-11-20
	3. BLACKROCK INC		2014-10-29	2017-11-21
	6. ADOBE SYS INC		2012-08-03	2017-12-04
	1. ADOBE SYS INC		2012-08-03	2017-12-05
	1. ADOBE SYS INC		2012-08-03	2017-12-05
	7. ADOBE SYS INC		2012-08-03	2017-12-05
	4. ADOBE SYS INC		2012-08-03	2017-12-05
	40. GENERAL ELEC CO		2015-09-15	2017-12-05
	25. GENERAL ELEC CO		2015-09-29	2017-12-05
	58. GENERAL ELEC CO		2015-09-29	2017-12-05
	6. GENERAL ELEC CO		2015-12-11	2017-12-06
	72. GENERAL ELEC CO		2015-12-11	2017-12-06
	46. GENERAL ELEC CO		2016-09-15	2017-12-06
	. BANK OF AMERICA CORPORATION			2017-12-12
	11. STADA ARZNEIMITTEL AG		2014-03-06	2017-12-13
	35. STADA ARZNEIMITTEL AG		2014-03-06	2017-12-13
	29. STADA ARZNEIMITTEL AG		2014-04-22	2017-12-13
	. DELPHI TECHNOLOGIES PLC			2017-12-26
	10000. US TREAS 2.75% 12/31/17		2014-12-02	2018-01-02
	6. BLACKROCK INC		2015-01-14	2018-01-11
	8. CMS ENERGY CORP		2015-12-02	2018-01-11
	16. CMS ENERGY CORP		2015-12-02	2018-01-11
	58. THE KRAFT HEINZ CO		2016-11-18	2018-01-11
	1580.611 AQR MANAGED FUTURES STR-R6		2017-05-11	2018-01-12
	1. AGILENT TECHNOLOGIES INC		2016-10-18	2018-01-12
	1. ALPHABET INC/CA-CL C		2012-08-13	2018-01-12
	1. AMAZON COM INC		2015-02-02	2018-01-12
	1. ANALOG DEVICES INC		2016-10-28	2018-01-12
	3. APPLE COMPUTER INC		2010-05-07	2018-01-12
	7. BANK OF AMERICA CORPORATION		2012-10-23	2018-01-12
	1. BERKSHIRE HATHAWAY INC DEL CL B		2017-04-20	2018-01-12
	4. BOSTON SCIENTIFIC CORP		2016-09-15	2018-01-12
	2. BRISTOL MYERS SQUIBB CO		2013-05-01	2018-01-12
	6. CMS ENERGY CORP		2015-12-02	2018-01-12
	2. CMS ENERGY CORP		2015-12-02	2018-01-12
	61. CMS ENERGY CORP		2015-12-02	2018-01-12
	1. CAPITAL ONE FINL CORP		2018-01-11	2018-01-12
	1. CELGENE CORP.		2014-05-29	2018-01-12
	3. CITIGROUP INC NEW		2012-01-23	2018-01-12
	3. COMCAST CORP NEW CL A		2012-06-01	2018-01-12
	1. CONCHO RESOURCES INC		2016-07-22	2018-01-12
	1. DIAMONDBACK ENERGY INC		2017-05-15	2018-01-12
	2. DISNEY WALT CO		2016-10-07	2018-01-12
	3. DOWDUPONT INC		2015-06-18	2018-01-12
	2. EOG RESOURCES INC		2016-03-07	2018-01-12
	1. EASTMAN CHEM CO		2016-02-22	2018-01-12
	1364.629 EATON VANCE MUT FDS TR		2010-06-15	2018-01-12
	1. FACEBOOK INC-A		2014-09-09	2018-01-12
	1. FIDELITY NATL INFORMATION SVCS INC		2014-12-18	2018-01-12
	1. GILEAD SCIENCES INC		2014-12-11	2018-01-12
	1. GOLDMAN SACHS GROUP INC		2016-02-05	2018-01-12
	2. HARTFORD FINL SVCS GROUP INC		2013-09-18	2018-01-12
	1. HOME DEPOT INC		2011-09-29	2018-01-12
	2. HONEYWELL INTL INC		2010-03-22	2018-01-12
	2572.899 JPMORGAN STRAT INC OPP-R6		2009-02-18	2018-01-12
	2136.752 JPMORGAN GL RES ENH IDX-R6		2013-06-21	2018-01-12
	4. KEYCORP NEW		2016-03-01	2018-01-12
	1. LILLY ELI & CO		2015-07-02	2018-01-12
	1. LOWES COS INC		2011-09-22	2018-01-12
	2. MASCO CORP		2012-07-30	2018-01-12
	1. MASTERCARD INC - CLASS A		2009-05-05	2018-01-12
	2. MERCK & CO INC		2016-08-05	2018-01-12
	5. MICROSOFT CORP		2009-07-29	2018-01-12
	1. MICROCHIP TECHNOLOGY INC		2017-04-12	2018-01-12
	1. MOLSON COORS BREWING CO		2015-06-22	2018-01-12
	3. MONDELEZ INTERNATIONAL-W/I		2011-09-09	2018-01-12
	4. MORGAN STANLEY DEAN WITTER & CO NEW		2013-01-16	2018-01-12
	2. NIKE INC		2017-02-23	2018-01-12
	3. NISOURCE INC		2013-04-04	2018-01-12
	1. NORFOLK SOUTHN CORP		2017-01-30	2018-01-12
	1. NORTHROP GRUMMAN CORP		2016-09-15	2018-01-12
	2. OCCIDENTAL PETE CORP		2012-04-24	2018-01-12
	1. PARKER HANNIFIN CORP		2018-01-11	2018-01-12
	1. PEPSICO INC		2014-10-07	2018-01-12
	5. PFIZER INC		2015-04-08	2018-01-12
	2. PHILIP MORRIS INTERNATIONAL		2017-04-24	2018-01-12
	1. PIONEER NAT RES CO		2015-12-08	2018-01-12
	2. SCHWAB CHARLES CORP NEW		2015-06-18	2018-01-12
	1. STANLEY BLACK & DECKER,INC.		2015-11-11	2018-01-12
	1. TJX COS INC NEW		2014-10-21	2018-01-12
	1. TEXAS INSTRS INC		2016-02-05	2018-01-12
	2. TWENTY-FIRST CENTURY FOX-A		2014-04-29	2018-01-12
	1. UNION PAC CORP		2015-09-29	2018-01-12
	1. UNITEDHEALTH GROUP INC		2012-01-19	2018-01-12
	1. VANTIV INC - CL A		2017-09-22	2018-01-12
	1. VISA INC CLASS A SHARES		2015-10-19	2018-01-12
	1. WALGREENS BOOTS ALLIANCE INC		2017-01-30	2018-01-12
	1. WASTE CONNECTIONS INC		2016-07-25	2018-01-12
	4. WELLS FARGO & CO NEW		2011-03-07	2018-01-12
	1. ZIMMER HLDGS INC		2017-11-10	2018-01-12
	1. ALLEGION PLC		2015-10-27	2018-01-12
	1. ALLERGAN PLC		2014-12-03	2018-01-12
	1. ACCENTURE PLC		2014-01-15	2018-01-12
	1. INGERSOLL-RAND PLC		2017-02-10	2018-01-12
	1. APTIV PLC		2017-05-18	2018-01-12
	1. CHUBB LTD		2009-04-29	2018-01-12
	1. BROADCOM LTD		2013-05-30	2018-01-12
	23. APPLE COMPUTER INC		2010-05-07	2018-01-26
	54. TJX COS INC NEW		2014-10-21	2018-01-26
	12. DELPHI TECHNOLOGIES PLC		2017-05-18	2018-01-26
	1. DELPHI TECHNOLOGIES PLC		2017-05-18	2018-01-26
	2046.865 NB HIGH INCOME BOND-R6		2016-02-26	2018-01-31
	1278.772 BLACKROCK HIGH YIELD PT-BLAC		2011-04-11	2018-02-01
	2. WELLS FARGO & CO NEW		2011-03-07	2018-02-06
	1. WELLS FARGO & CO NEW		2011-03-07	2018-02-06
	22. WELLS FARGO & CO NEW		2011-03-07	2018-02-06
	24. WELLS FARGO & CO NEW		2011-06-13	2018-02-06
	1263.903 PIMCO SHORT TERM FUND INSTL		2018-01-16	2018-02-08
	6192.96 BLACKROCK HIGH YIELD PT-BLAC		2011-04-11	2018-02-13
	2212.389 MFS EMERGING MKTS DEBT FD R6		2016-07-26	2018-02-14
	9. ANADARKO PETE CORP		2016-12-09	2018-02-22
	5. ANADARKO PETE CORP		2016-12-12	2018-02-22
	4. ANADARKO PETE CORP		2016-12-13	2018-02-22
	5. ANADARKO PETE CORP		2016-12-13	2018-02-22
	38. ANADARKO PETE CORP		2016-12-14	2018-02-22
	1. ANADARKO PETE CORP		2017-01-30	2018-02-22
	18. CIGNA CORP		2017-08-21	2018-02-22
	40. METLIFE INC		2017-08-21	2018-02-22
	9. METLIFE INC		2017-08-24	2018-02-22
	27. METLIFE INC		2017-08-24	2018-02-22
	1. CONCHO RESOURCES INC		2016-07-22	2018-03-09
	2. CONCHO RESOURCES INC		2016-07-22	2018-03-09
	13. CONCHO RESOURCES INC		2016-07-22	2018-03-09
	1. CONCHO RESOURCES INC		2016-07-26	2018-03-09
	19. INTERNATIONAL BUSINESS MACHS CORP		2017-11-21	2018-03-09
	26. INGERSOLL-RAND PLC		2017-02-10	2018-03-09
	3. INGERSOLL-RAND PLC		2017-02-10	2018-03-09
	1. CONCHO RESOURCES INC		2016-07-26	2018-03-12
	30000. US TREAS 2.875% 03/31/18		2013-02-15	2018-04-02
	2. ABBOTT LABS		2014-07-17	2018-04-06
	68. ABBOTT LABS		2014-07-17	2018-04-06
	2. MARTIN MARIETTA MATLS INC		2015-08-14	2018-04-06
	32. WALGREENS BOOTS ALLIANCE INC		2017-01-30	2018-04-06
	11. MARTIN MARIETTA MATLS INC		2015-08-14	2018-04-09
	10. MARTIN MARIETTA MATLS INC		2015-08-14	2018-04-10
	104. COMCAST CORP NEW CL A		2012-06-01	2018-04-13
	3. INTERNATIONAL BUSINESS MACHS CORP		2017-11-21	2018-04-13
	15. INTERNATIONAL BUSINESS MACHS CORP		2017-11-21	2018-04-13
	13. MOLSON COORS BREWING CO		2015-06-22	2018-04-13
	30. MOLSON COORS BREWING CO		2015-06-22	2018-04-13
	1. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-16
	2. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-16
	19. MOLSON COORS BREWING CO		2015-06-23	2018-04-16
	2. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-17
	1. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-17
	2. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-17
	1. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-17
	1. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-18
	1. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-18
	1. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-18
	1. INTERNATIONAL BUSINESS MACHS CORP		2017-12-04	2018-04-18
	13. AGILENT TECHNOLOGIES INC		2016-10-18	2018-04-26
	2. AGILENT TECHNOLOGIES INC		2016-10-18	2018-04-26
	20. APPLE COMPUTER INC		2010-05-07	2018-04-26
	4. AGILENT TECHNOLOGIES INC		2016-10-18	2018-04-27
	9. AGILENT TECHNOLOGIES INC		2016-10-18	2018-04-27
	20. AGILENT TECHNOLOGIES INC		2016-10-18	2018-04-30
	4. AGILENT TECHNOLOGIES INC		2017-05-04	2018-04-30
	1. INGERSOLL-RAND PLC		2017-02-10	2018-05-15
	14. INGERSOLL-RAND PLC		2017-05-15	2018-05-15
	7. INGERSOLL-RAND PLC		2017-05-17	2018-05-15
	2. INGERSOLL-RAND PLC		2017-05-17	2018-05-15
	22. INGERSOLL-RAND PLC		2017-05-18	2018-05-15
	2. CONCHO RESOURCES INC		2016-07-26	2018-05-22
	3. CONCHO RESOURCES INC		2016-07-26	2018-05-22
	16. CONCHO RESOURCES INC		2017-05-15	2018-05-22
	1. PHILIP MORRIS INTERNATIONAL		2017-04-24	2018-05-22
	11. PHILIP MORRIS INTERNATIONAL		2017-04-24	2018-05-22
	5. PHILIP MORRIS INTERNATIONAL		2017-04-24	2018-05-22
	1. PHILIP MORRIS INTERNATIONAL		2017-04-24	2018-05-22
	1. PHILIP MORRIS INTERNATIONAL		2017-04-24	2018-05-23
	17. PHILIP MORRIS INTERNATIONAL		2017-04-24	2018-05-23
	35000. US TREAS 2.375% 05/31/18		2013-03-15	2018-05-31
	24. LOWES COS INC		2011-09-22	2018-06-12
	285.063 AQR MANAGED FUTURES STR-R6		2017-05-11	2018-06-14
	2. ADOBE SYS INC		2012-08-03	2018-06-14
	3. AGILENT TECHNOLOGIES INC		2017-05-04	2018-06-14
	1. ALPHABET INC/CA-CL C		2012-08-13	2018-06-14
	1. ALPHABET INC/CA-CL A		2013-04-04	2018-06-14
	5. AMERICAN INTL GROUP INC NEW		2016-04-18	2018-06-14
	2. AMERISOURCEBERGEN CORP		2018-04-06	2018-06-14
	2. ANALOG DEVICES INC		2016-10-28	2018-06-14
	7. APPLE COMPUTER INC		2010-05-07	2018-06-14
	24. BANK OF AMERICA CORPORATION		2012-10-23	2018-06-14
	4. BANK OF NEW YORK MELLON CORP		2016-11-07	2018-06-14
	1. BERKSHIRE HATHAWAY INC DEL CL B		2017-04-20	2018-06-14
	585.176 BLACKROCK HIGH YIELD PT-BLAC		2011-04-11	2018-06-14
	13. BOSTON SCIENTIFIC CORP		2016-09-15	2018-06-14
	5. BRISTOL MYERS SQUIBB CO		2013-05-01	2018-06-14
	2. BROADCOM INC		2013-05-30	2018-06-14
	2. CAPITAL ONE FINL CORP		2018-01-11	2018-06-14
	2. CELGENE CORP.		2014-05-29	2018-06-14
	1. CHARTER COMMUNICATIONS INC-A		2016-02-09	2018-06-14
	9. CITIGROUP INC NEW		2012-01-23	2018-06-14
	6. COCA-COLA CO		2018-04-13	2018-06-14
	6. COMCAST CORP NEW CL A		2013-02-08	2018-06-14
	5. DELTA AIR LINES INC DEL NEW		2017-12-13	2018-06-14
	1. DIAMONDBACK ENERGY INC		2017-05-15	2018-06-14
	5. DISNEY WALT CO		2016-10-07	2018-06-14
	4. DISH NETWORK CORP		2016-04-18	2018-06-14
	3. DOLLAR TREE INC		2017-10-27	2018-06-14
	10. DOWDUPONT INC		2015-06-18	2018-06-14
	5. EOG RESOURCES INC		2016-03-07	2018-06-14
	4. EQT CORPORATION		2015-07-27	2018-06-14
	3. EASTMAN CHEM CO		2016-02-22	2018-06-14
	4. FACEBOOK INC-A		2014-09-09	2018-06-14
	3. FIDELITY NATL INFORMATION SVCS INC		2014-12-18	2018-06-14
	2. GENERAL DYNAMICS CORP		2016-08-11	2018-06-14
	2. GILEAD SCIENCES INC		2014-12-11	2018-06-14
	1. GOLDMAN SACHS GROUP INC		2016-02-05	2018-06-14
	3. HARTFORD FINL SVCS GROUP INC		2013-09-18	2018-06-14
	2. HOME DEPOT INC		2011-09-29	2018-06-14
	5. HONEYWELL INTL INC		2010-03-22	2018-06-14
	2. INTERCONTINENTALEXCHANGE GROUP, INC		2017-01-30	2018-06-14
	1000. ISHARES MISCI EAFE INDEX FUND		2014-02-07	2018-06-14
	10. KEYCORP NEW		2016-03-01	2018-06-14
	4. LILLY ELI & CO		2015-07-02	2018-06-14
	3. LOWES COS INC		2011-09-22	2018-06-14
	178.063 MFS EMERGING MKTS DEBT FD R6		2016-07-26	2018-06-14
	3. MARATHON PETROLEUM CORPORATION		2018-03-09	2018-06-14
	7. MASCO CORP		2012-07-30	2018-06-14
	5. MASTERCARD INC - CLASS A		2009-05-05	2018-06-14
	5. MERCK & CO INC		2016-08-05	2018-06-14
	15. MICROSOFT CORP		2009-07-29	2018-06-14
	2. MICROCHIP TECHNOLOGY INC		2017-04-12	2018-06-14
	8. MONDELEZ INTERNATIONAL-W/I		2011-09-09	2018-06-14
	15. MORGAN STANLEY DEAN WITTER & CO NEW		2013-01-16	2018-06-14
	1. NEXTERA ENERGY INC		2016-10-18	2018-06-14
	4. NIKE INC		2017-02-23	2018-06-14
	7. NISOURCE INC		2013-04-05	2018-06-14
	4. NORFOLK SOUTHN CORP		2017-01-30	2018-06-14
	1. NORTHROP GRUMMAN CORP		2016-09-15	2018-06-14
	2. NVIDIA CORP		2017-10-03	2018-06-14
	2. O'REILLY AUTOMOTIVE INC		2016-11-15	2018-06-14
	8. OCCIDENTAL PETE CORP		2012-09-13	2018-06-14
	6. ORACLE CORP		2018-02-22	2018-06-14
	1. PVH CORP		2018-01-26	2018-06-14
	1. PARKER HANNIFIN CORP		2018-01-11	2018-06-14
	4. PARSLEY ENERGY INC-CLASS A		2018-05-22	2018-06-14
	2. PAYPAL HOLDINGS INC		2018-01-26	2018-06-14
	5. PEPSICO INC		2014-10-07	2018-06-14
	15. PFIZER INC		2015-04-08	2018-06-14
	2. PHILIP MORRIS INTERNATIONAL		2017-04-24	2018-06-14
	2. PIONEER NAT RES CO		2015-12-08	2018-06-14
	1. SVB FINANCIAL GROUP		2015-02-05	2018-06-14
	2. SALESFORCE.COM INC		2018-04-13	2018-06-14
	4. SCHWAB CHARLES CORP NEW		2015-06-18	2018-06-14
	3. STANLEY BLACK & DECKER,INC.		2015-11-12	2018-06-14
	4. TEXAS INSTRS INC		2016-02-05	2018-06-14
	9. TWENTY-FIRST CENTURY FOX-A		2014-04-29	2018-06-14
	2. UNION PAC CORP		2015-09-29	2018-06-14
	2. UNITED TECHNOLOGIES CORP		2017-12-05	2018-06-14
	4. UNITEDHEALTH GROUP INC		2012-01-19	2018-06-14
	2. VERTEX PHARMACEUTICALS INC		2014-09-09	2018-06-14
	3. VISA INC CLASS A SHARES		2015-10-19	2018-06-14
	3. WASTE CONNECTIONS INC		2016-07-25	2018-06-14
	10. WELLS FARGO & CO NEW		2011-06-13	2018-06-14
	1. WEX INC		2016-05-02	2018-06-14
	2. WORKDAY INC-CLASS A		2016-08-10	2018-06-14
	3. ZIMMER HLDGS INC		2017-11-10	2018-06-14
	2. ALLEGION PLC		2015-10-28	2018-06-14
	3. ALLERGAN PLC		2014-12-03	2018-06-14
	3. ACCENTURE PLC		2014-01-15	2018-06-14
	2. MEDTRONIC PLC		2018-04-06	2018-06-14
	4. APTIV PLC		2017-05-18	2018-06-14
	4. CHUBB LTD		2009-04-29	2018-06-14
	1993.166 AQR MANAGED FUTURES STR-R6		2017-05-11	2018-07-12
	1617.375 CRM LONG/SHORT OPPORTUNITIES FUND		2016-12-09	2018-07-12
	1098.171 EATON VANCE GLOBAL MACRO ABSOLUTE RETURN FUND		2010-06-15	2018-07-12
	1171.977 EATON VANCE GLOBAL MACRO ABSOLUTE RETURN FUND		2013-03-26	2018-07-12
	1586.582 CHILTON STRATEGIC EUROPEAN EQUITIES FD		2016-12-09	2018-07-13
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-18
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-18
	37. CAPITAL ONE FINL CORP		2018-01-11	2018-07-18
	36. DISH NETWORK CORP		2016-04-18	2018-07-18
	34. DISH NETWORK CORP		2016-09-23	2018-07-18
	2. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-19
	8. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-19
	2685.95 BROWN ADV JAPAN ALPHA OPP-IS		2018-01-12	2018-07-19
	3593.581 BROWN ADV JAPAN ALPHA OPP-IS		2015-07-29	2018-07-19
	2. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-20
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-23
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-23
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-24
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-24
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-24
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-24
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-25
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-25
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-26
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-26
	3. EQT CORPORATION		2015-07-27	2018-07-26
	12. EQT CORPORATION		2015-07-27	2018-07-26
	10. EQT CORPORATION		2015-07-27	2018-07-26
	30. EQT CORPORATION		2015-07-27	2018-07-26
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-27
	1. AMERISOURCEBERGEN CORP		2018-04-06	2018-07-30
	1. AMERISOURCEBERGEN CORP		2018-04-09	2018-07-30
	1. AMERISOURCEBERGEN CORP		2018-04-09	2018-07-31
	1. AMERISOURCEBERGEN CORP		2018-04-09	2018-08-01
	3. AMERISOURCEBERGEN CORP		2018-04-09	2018-08-02
	1. AMERISOURCEBERGEN CORP		2018-04-09	2018-08-03
	1. AMERISOURCEBERGEN CORP		2018-04-09	2018-08-03
	38. TWENTY-FIRST CENTURY FOX-A		2014-04-29	2018-08-09
	550. ISHARES CORE MSCI EAFE ETF		2017-06-28	2018-08-15
	40. NIKE INC		2017-10-03	2018-08-23
	41. NIKE INC		2017-02-23	2018-08-23
	52. AMERICAN INTL GROUP INC NEW		2016-04-18	2018-09-11
	29. FACEBOOK INC-A		2014-09-09	2018-09-13
	19. MICROCHIP TECHNOLOGY INC		2017-04-12	2018-09-13
	6. MICROCHIP TECHNOLOGY INC		2017-04-13	2018-09-13
	3. MICROCHIP TECHNOLOGY INC		2017-04-17	2018-09-13
	1. MICROCHIP TECHNOLOGY INC		2017-04-17	2018-09-13
	1. MICROCHIP TECHNOLOGY INC		2017-04-17	2018-09-13
	1. MICROCHIP TECHNOLOGY INC		2017-04-17	2018-09-13
	4. MICROCHIP TECHNOLOGY INC		2017-04-17	2018-09-14
	2. MICROCHIP TECHNOLOGY INC		2017-04-18	2018-09-14
	1. MICROCHIP TECHNOLOGY INC		2017-04-18	2018-09-14
	1. MICROCHIP TECHNOLOGY INC		2017-04-18	2018-09-17
	2. MICROCHIP TECHNOLOGY INC		2017-04-18	2018-09-17
	3. MICROCHIP TECHNOLOGY INC		2017-04-18	2018-09-18
	1. MICROCHIP TECHNOLOGY INC		2017-04-18	2018-09-19
	50. TWENTY-FIRST CENTURY FOX-A		2017-11-20	2018-09-20
	95. TWENTY-FIRST CENTURY FOX-A		2014-06-17	2018-09-20
	CAPITAL GAIN DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	10,000	10,149	-149
b	566	757	-191
c	1,415	1,789	-374
d	499	263	236
e	2,869	608	2,261
	239	40	199
	717	128	589
	282	312	-30
	111	58	53
	501	287	214
	56	32	24
	223	129	94
	111	64	47
	223	129	94
	56	32	24
	167	97	70
	2,865	3,033	-168
	543	553	-10
	1,830	1,864	-34
	1,692	1,723	-31
	1,409	1,446	-37
	1,434	1,023	411
	1,863	503	1,360
	621	527	94
	1,165	831	334
	20,761	19,019	1,742
	2,404	1,899	505
	71	56	15
	356	299	57
	2,932	2,806	126
	1,444	1,021	423
	1,013	192	821
	169	32	137
	168	32	136
	1,189	224	965
	673	128	545
	710	994	-284
	446	612	-166
	1,032	1,741	-709
	107	183	-76
	1,277	2,173	-896
	812	1,369	-557
	45		45
	692	533	159
	2,200	1,632	568
	1,823	1,461	362
	35		35
	10,000	10,526	-526
	3,212	2,085	1,127
	355	279	76
	713	557	156
	4,486	4,868	-382
	15,000	14,241	759
	72	45	27
	1,118	326	792
	1,300	361	939
	91	64	27
	530	103	427
	216	66	150
	208	165	43
	110	94	16
	126	79	47
	266	209	57
	89	70	19
	2,693	2,115	578
	106	104	2
	106	77	29
	229	90	139
	127	43	84
	158	122	36
	130	104	26
	223	185	38
	226	161	65
	231	145	86
	97	65	32
	12,500	13,784	-1,284
	180	78	102
	97	63	34
	79	106	-27
	256	157	99
	110	64	46
	198	34	164
	318	87	231
	30,000	25,851	4,149
	50,000	34,108	15,892
	86	44	42
	87	85	2
	96	19	77
	92	24	68
	162	18	144
	117	125	-8
	445	118	327
	93	72	21
	85	74	11
	127	66	61
	219	83	136
	129	116	13
	73	32	41
	155	119	36
	314	210	104
	152	170	-18
	209	208	1
	117	93	24
	183	173	10
	210	224	-14
	184	134	50
	110	66	44
	173	107	66
	78	62	16
	112	50	62
	73	64	9
	142	86	56
	228	52	176
	77	72	5
	120	77	43
	76	81	-5
	71	50	21
	250	127	123
	122	111	11
	85	64	21
	178	265	-87
	160	83	77
	91	82	9
	92	71	21
	145	47	98
	263	49	214
	3,919	791	3,128
	4,345	4,089	256
	673	545	128
	56	45	11
	17,828	16,314	1,514
	10,000	10,090	-90
	116	64	52
	58	32	26
	1,263	639	624
	1,360	642	718
	12,500	12,475	25
	47,500	48,862	-1,362
	32,500	33,075	-575
	526	642	-116
	296	354	-58
	234	285	-51
	295	361	-66
	2,224	2,638	-414
	59	69	-10
	3,473	3,198	275
	1,877	1,884	-7
	425	428	-3
	1,269	1,288	-19
	153	122	31
	306	245	61
	1,981	1,546	435
	153	118	35
	3,008	2,887	121
	2,319	2,124	195
	267	245	22
	154	118	36
	30,000	32,940	-2,940
	117	84	33
	3,934	3,136	798
	405	348	57
	2,031	2,598	-567
	2,208	1,916	292
	2,047	1,589	458
	3,435	1,727	1,708
	470	456	14
	2,355	2,311	44
	950	960	-10
	2,200	2,204	-4
	158	156	2
	316	313	3
	1,398	1,704	-306
	320	313	7
	161	156	5
	318	313	5
	160	156	4
	149	156	-7
	149	156	-7
	149	156	-7
	149	156	-7
	864	591	273
	133	91	42
	3,286	688	2,598
	265	182	83
	597	409	188
	1,322	909	413
	264	227	37
	89	82	7
	1,244	1,238	6
	621	615	6
	178	175	3
	1,954	1,951	3
	308	239	69
	460	362	98
	2,406	2,148	258
	80	112	-32
	880	1,235	-355
	400	561	-161
	80	112	-32
	80	112	-32
	1,382	1,908	-526
	35,000	37,621	-2,621
	2,415	458	1,957
	2,500	2,568	-68
	516	64	452
	199	170	29
	1,152	326	826
	1,161	398	763
	275	275
	187	171	16
	203	128	75
	1,336	241	1,095
	708	227	481
	227	176	51
	192	165	27
	4,500	4,617	-117
	423	304	119
	269	199	70
	536	98	438
	193	208	-15
	157	153	4
	296	179	117
	596	270	326
	262	267	-5
	203	156	47
	275	267	8
	116	104	12
	544	463	81
	136	185	-49
	264	275	-11
	684	536	148
	588	362	226
	225	304	-79
	324	191	133
	787	312	475
	323	189	134
	392	302	90
	142	212	-70
	234	157	77
	160	97	63
	399	68	331
	757	217	540
	149	116	33
	70,404	60,775	9,629
	205	109	96
	345	342	3
	298	57	241
	2,500	2,662	-162
	226	211	15
	268	80	188
	997	91	906
	308	318	-10
	1,520	354	1,166
	205	145	60
	324	175	149
	771	309	462
	159	125	34
	299	232	67
	168	75	93
	614	476	138
	323	211	112
	532	358	174
	563	536	27
	674	697	-23
	275	298	-23
	161	154	7
	172	208	-36
	111	128	-17
	171	170	1
	526	466	60
	543	520	23
	161	224	-63
	382	276	106
	317	120	197
	277	239	38
	227	128	99
	428	317	111
	458	199	259
	401	288	113
	289	173	116
	254	242	12
	1,022	244	778
	310	187	123
	405	231	174
	229	149	80
	548	268	280
	191	94	97
	257	165	92
	344	332	12
	164	129	35
	521	816	-295
	488	250	238
	173	155	18
	410	283	127
	522	189	333
	17,500	17,958	-458
	17,500	16,174	1,326
	9,675	11,093	-1,418
	10,325	11,351	-1,026
	17,500	15,993	1,507
	86	85	1
	86	85	1
	3,592	3,848	-256
	1,124	1,694	-570
	1,060	1,833	-773
	170	171	-1
	683	684	-1
	28,525	32,500	-3,975
	38,164	42,442	-4,278
	170	171	-1
	85	85
	85	85
	85	85
	85	85
	84	85	-1
	84	85	-1
	85	85
	85	85
	85	85
	83	85	-2
	163	228	-65
	652	911	-259
	544	760	-216
	1,625	2,021	-396
	83	85	-2
	83	85	-2
	83	86	-3
	82	86	-4
	80	86	-6
	237	259	-22
	81	86	-5
	81	86	-5
	1,734	1,221	513
	34,012	33,728	284
	3,319	2,061	1,258
	3,402	2,374	1,028
	2,716	2,931	-215
	4,710	2,198	2,512
	1,600	1,376	224
	504	436	68
	252	219	33
	84	73	11
	84	73	11
	84	73	11
	336	292	44
	170	147	23
	85	74	11
	82	74	8
	163	147	16
	242	221	21
	81	74	7
	2,233	1,535	698
	4,242	3,040	1,202
			13,468

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			-149
b			-191
c			-374
d			236
e			2,261
			199
			589
			-30
			53
			214
			24
			94
			47
			94
			24
			70
			-168
			-10
			-34
			-31
			-37
			411
			1,360
			94
			334
			1,742
			505
			15
			57
			126
			423
			821
			137
			136
			965
			545
			-284
			-166
			-709
			-76
			-896
			-557
			45
			159
			568
			362
			35
			-526
			1,127
			76
			156
			-382
			759
			27
			792
			939
			27
			427
			150
			43
			16
			47
			57
			19
			578
			2
			29
			139
			84
			36
			26
			38
			65
			86
			32
			-1,284
			102
			34
			-27
			99
			46
			164
			231
			4,149
			15,892
			42
			2
			77
			68
			144
			-8
			327
			21
			11
			61
			136
			13
			41
			36
			104
			-18
			1
			24
			10
			-14
			50
			44
			66
			16
			62
			9
			56
			176
			5
			43
			-5
			21
			123
			11
			21
			-87
			77
			9
			21
			98
			214
			3,128
			256
			128
			11
			1,514
			-90
			52
			26
			624
			718
			25
			-1,362
			-575
			-116
			-58
			-51
			-66
			-414
			-10
			275
			-7
			-3
			-19
			31
			61
			435
			35
			121
			195
			22
			36
			-2,940
			33
			798
			57
			-567
			292
			458
			1,708
			14
			44
			-10
			-4
			2
			3
			-306
			7
			5
			5
			4
			-7
			-7
			-7
			-7
			273
			42
			2,598
			83
			188
			413
			37
			7
			6
			6
			3
			3
			69
			98
			258
			-32
			-355
			-161
			-32
			-32
			-526
			-2,621
			1,957
			-68
			452
			29
			826
			763

			16
			75
			1,095
			481
			51
			27
			-117
			119
			70
			438
			-15
			4
			117
			326
			-5
			47
			8
			12
			81
			-49
			-11
			148
			226
			-79
			133
			475
			134
			90
			-70
			77
			63
			331
			540
			33
			9,629
			96
			3
			241
			-162
			15
			188
			906
			-10
			1,166
			60
			149
			462
			34
			67
			93
			138
			112
			174
			27
			-23
			-23
			7
			-36
			-17
			1
			60
			23
			-63
			106
			197
			38
			99
			111
			259
			113
			116
			12
			778
			123
			174
			80
			280
			97
			92
			12
			35
			-295
			238
			18
			127
			333
			-458
			1,326
			-1,418
			-1,026
			1,507
			1
			1
			-256
			-570
			-773
			-1
			-1
			-3,975
			-4,278
			-1




			-1
			-1



			-2
			-65
			-259
			-216
			-396
			-2
			-2
			-3
			-4
			-6
			-22
			-5
			-5
			513
			284
			1,258
			1,028
			-215
			2,512
			224
			68
			33
			11
			11
			11
			44
			23
			11
			8
			16
			21
			7
			698
			1,202

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	75,853
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		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	167,116	3,399,611	0.049157
2017	181,288	3,370,928	0.05378
2016	178,291	3,576,817	0.049846
2015	172,429	3,648,229	0.047264
2014	169,052	3,532,590	0.047855

Total of line 1, column (d) .....................

0.247902

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 ......

0.04958

Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......

3,545,168

Multiply line 4 by line 3......................

175,769

Enter 1% of net investment income (1% of Part I, line 27b)...........

1,382

Add lines 5 and 6........................

177,151

Enter qualifying distributions from Part XII, line 4,.............

164,706

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)

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	2,763
	hereand 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	2,763
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	2,763
6	Credits/Payments:

a	2019 estimated tax payments and 2018 overpayment credited to 2019	6a	3,200
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	3,200
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
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	437
11	Enter the amount of line 10 to be: Credited to 2020 estimated tax437	Refunded	11	0

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

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.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2019)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

JP MORGAN CHASE BANK NA Telephone no. bullet

(800) 496-2583

Located at bullet

10 S DEARBORN ST MC IL 1-0111CHICAGOIL ZIP+4 bullet

60603

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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?.............

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)):

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?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

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

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

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.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

Form 990-PF (2019)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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? .................YesNo

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
JP MORGAN CHASE BANK	TRUSTEE 2	27,601
10 S DEARBORN ST MC IL 1-0111 CHICAGO,IL60603	TRUSTEE 2	27,601

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)

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............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part IX-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2019)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

2,498,613

Average of monthly cash balances.......................

1,100,542

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

3,599,155

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

3,599,155

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

53,987

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

3,545,168

Minimum investment return. Enter 5% of line 5..................

177,258

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

Minimum investment return from Part X, line 6....................

177,258

Tax on investment income for 2019 from Part VI, line 5......

2,763

Income tax for 2019. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

2,763

Distributable amount before adjustments. Subtract line 2c from line 1............

174,495

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

174,495

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

174,495

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

164,706

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

164,706

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.................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

164,706

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)

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					174,495
2 Undistributed income, if any, as of the end of 2019:
a Enter amount for 2018 only.......				153,666
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2019:
a From 2014......	0
b From 2015......	0
c From 2016......	0
d From 2017......	0
e From 2018......	0
fTotal of lines 3a through e........		0
4Qualifying distributions for 2019 from Part
XII, line 4: $ 164,706
a Applied to 2018, but not more than line 2a				153,666
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.....					11,040
e Remaining amount distributed out of corpus		0
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).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		0
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 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 ..........					163,455
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) ...		0
9Excess distributions carryover to 2020. Subtract lines 7 and 8 from line 6a ......		0
10 Analysis of line 9:
a Excess from 2015....	0
b Excess from 2016....	0
c Excess from 2017....	0
d Excess from 2018....	0
e Excess from 2019....	0

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....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(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	(e) Total

b 85% of line 2a .........
c Qualifying distributions from Part XII, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed...
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

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

aThe name, address, and telephone number or email address of the person to whom applications should be addressed:

bThe form in which applications should be submitted and information and materials they should include:

cAny submission deadlines:

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

Form 990-PF (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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
SHELTERING ARMS HOSPITAL 8254 ATLEE RD MECHANICSVLLE,VA231161844	NONE	PC	GENERAL	153,666
Total ................................. 3a				153,666

bApproved for future payment

Total ................................. 3b

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.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities....			14	79,822
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income.....
8 Gain or (loss) from sales of assets other than inventory ............			18	75,853
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..				155,675

13Total. Add line 12, columns (b), (d), and (e)..................

155,675

(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)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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

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

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Form 990PF - Special Condition Description:

Special Condition Description