-
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
12-01-2017
, and ending
11-30-2018
Name of foundation
THE HARDESTY FAMILY FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
4141 NORTH MEMORIAL DRIVE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
TULSA
,
OK
741151400
A Employer identification number
20-4094088
B
Telephone number (see instructions)
(918) 585-3100
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)
$
121,370,154
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)
3,922,580
2
Check
.............
3
Interest on savings and temporary cash investments
346,291
346,291
4
Dividends and interest from securities
...
3,822,578
3,822,578
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
4,242,025
b
Gross sales price for all assets on line 6a
54,424,116
7
Capital gain net income (from Part IV, line 2)
...
4,242,025
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
10,526
10,526
0
12
Total.
Add lines 1 through 11
........
12,344,000
8,421,420
0
13
Compensation of officers, directors, trustees, etc.
102,150
3,038
0
99,112
14
Other employee salaries and wages
......
107,826
0
0
107,826
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
113,269
107,619
0
5,650
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
126,000
0
0
0
19
Depreciation (attach schedule) and depletion
...
4,249
4,249
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
6,170
3,883
0
2,287
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
67,669
27,606
0
40,063
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
527,333
146,395
0
254,938
25
Contributions, gifts, grants paid
.......
7,610,125
7,610,125
26
Total expenses and disbursements.
Add lines 24 and 25
8,137,458
146,395
0
7,865,063
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
4,206,542
b
Net investment income
(if negative, enter -0-)
8,275,025
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
.............
504,457
259,977
259,977
2
Savings and temporary cash investments
.........
25,275,952
15,395,545
15,395,545
3
Accounts receivable
Less: allowance for doubtful accounts
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)
68,501
Less: allowance for doubtful accounts
0
678,501
68,501
68,501
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
7,705
5,400
5,400
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
36,683,159
14,712,912
10,679,951
c
Investments—corporate bonds (attach schedule)
.......
56,558,451
93,477,182
94,960,685
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
9,995
Less: accumulated depreciation (attach schedule)
9,900
4,345
95
95
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
119,712,570
123,919,612
121,370,154
17
Accounts payable and accrued expenses
..........
500
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
500
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
........
0
0
27
Paid-in or capital surplus, or land, bldg., and equipment fund
59,000,000
59,000,000
28
Retained earnings, accumulated income, endowment, or other funds
60,712,570
64,919,112
29
Total net assets or fund balances
(see instructions)
.....
119,712,570
123,919,112
30
Total liabilities and net assets/fund balances
(see instructions)
.
119,712,570
123,919,612
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
119,712,570
2
Enter amount from Part I, line 27a
.....................
2
4,206,542
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
123,919,112
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
123,919,112
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
PUBLICLY TRADED SECURITIES
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
54,424,116
50,182,091
4,242,025
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
4,242,025
b
c
d
e
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
4,242,025
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
4,242,025
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
7,529,645
118,924,732
0.063314
2017
6,453,869
110,784,352
0.058256
2016
9,189,001
106,890,435
0.085967
2015
4,591,068
113,094,468
0.040595
2014
4,444,480
95,219,597
0.046676
2
Total
of line 1, column (d)
.....................
2
0.294808
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
0.058962
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
123,934,502
5
Multiply line 4 by line 3
......................
5
7,307,426
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
82,750
7
Add lines 5 and 6
........................
7
7,390,176
8
Enter qualifying distributions from Part XII, line 4
,.............
8
7,865,063
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
82,750
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
82,750
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
82,750
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
200,934
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
200,934
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
118,184
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
118,184
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
Yes
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)
OK
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
WWW.HARDESTYFAMILYFOUNDATION.ORG
14
The books are in care of
ALAN LISTER
Telephone no.
(918) 585-3100
Located at
4141 NORTH MEMORIAL DRIVE
TULSA
OK
ZIP+4
74115
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
F ROGER HARDESTY
PRESIDENT & DIRECTOR
1.00
0
0
0
4141 N MEMORIAL
TULSA
,
OK
74115
DONNA J HARDESTY
VICE-PRESIDENT & DIRECTOR
1.00
0
0
0
4141 N MEMORIAL
TULSA
,
OK
74115
MICHELLE HARDESTY
EXECUTIVE DIRECTOR
40.00
91,550
9,730
0
4141 N MEMORIAL
TULSA
,
OK
74115
MARILYN COX
SECRETARY
1.00
0
0
0
4141 N MEMORIAL
TULSA
,
OK
74115
CONNOR HARDESTY
DIRECTOR
1.00
870
0
0
4141 N MEMORIAL
TULSA
,
OK
74115
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
DANA WILKES
GRANTS MANAGER
40.00
71,628
7,479
0
4141 N MEMORIAL DRIVE
TULSA
,
OK
74115
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
TRUST COMPANY OF OKLAHOMA
INVESTMENT SERVICES
107,619
6120 S YALE SUITE 1900
TULSA
,
OK
74136
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
.........................
0
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
107,060,559
b
Average of monthly cash balances
.......................
1b
18,634,496
c
Fair market value of all other assets (see instructions)
................
1c
126,774
d
Total
(add lines 1a, b, and c)
.........................
1d
125,821,829
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
125,821,829
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,887,327
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
123,934,502
6
Minimum investment return.
Enter 5% of line 5
..................
6
6,196,725
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
6,196,725
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
82,750
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
82,750
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
6,113,975
4
Recoveries of amounts treated as qualifying distributions
................
4
610,000
5
Add lines 3 and 4
............................
5
6,723,975
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
6,723,975
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
7,865,063
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
7,865,063
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
82,750
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
7,782,313
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
6,723,975
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
7,692,146
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
7,865,063
a
Applied to 2018, but not more than line 2a
7,692,146
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
.....
172,917
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).)
6
Enter 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
..........
6,551,058
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
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
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).)
F ROGER HARDESTY
DONNA J HARDESTY
MICHELLE HARDESTY
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or 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
12 & 12 INC
6333 E SKELLY DR
TULSA
,
OK
741356106
PC
OPERATING, PROGRAM
25,850
ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION
2448 E 81ST STREET SUITE 3000
TULSA
,
OK
74137
PC
GENERAL FUNDRAISING
300
AMERICAN CANCER SOCIETY - SOUTH REGION
4110 S 100TH EAST AVENUE STE101
TULSA
,
OK
74146
PC
GENERAL FUNDRAISING; MEMORIAL, HONORARIUM, EMPLOYEE GIVING
2,900
AMERICAN MACULAR DEGENERATION FOUNDATION INC
PO BOX 515
NORTHAMPTON
,
MA
010610515
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
250
AMERICAN NATIONAL RED CROSS - TULSA AREA CHAPTER
10151 E 11TH STREET
TULSA
,
OK
74128
PC
CAPITAL/EQUIPMENT
75,000
ARTS ALLIANCE TULSA
7030 S YALE AVE STE 600
TULSA
,
OK
741365749
PC
GENERAL FUNDRAISING
25,000
ARTS & HUMANITIES COUNCIL OF TULSA DBA AHHA TULSA
101 E ARCHER ST
TULSA
,
OK
741032402
PC
OPERATING, PROGRAM
74,100
ASSOCIATION OF FUNDRAISING PROFESSIONALS
PO BOX 33103
TULSA
,
OK
74153
PC
GENERAL FUNDRAISING
2,500
CARTER BAPTIST CHURCH
21501 S 490 ROAD
AFTON
,
OK
74331
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
250
CATHOLIC CHARITIES USA
2450 N HARVARD AVE
TULSA
,
OK
74115
PC
OPERATING, PROGRAM
10,250
THE CENTER FOR INDIVIDUALS WITH PHYSICAL CHALLENGES
815 S UTICA AVE
TULSA
,
OK
74104
PC
OPERATING, GENERAL FUNDRAISING, PROGRAM
34,993
THE CHILDREN'S CENTER INC
6800 NW 39TH EXPY
BETHANY
,
OK
730082513
PC
GENERAL FUNDRAISING, CAPITAL/EQUIPMENT
100,080
CIRCLE CINEMA FOUNDATION INC
8 S LEWIS AVE
TULSA
,
OK
741041615
PC
OPERATING
10,640
CLAREHOUSE INC
7617 S MINGO RD
TULSA
,
OK
741333334
PC
OPERATING, PROGRAM
21,850
COMMUNITY FOOD BANK OF EASTERN OKLAHOMA INC
1304 N KENOSHA AVE
TULSA
,
OK
741065940
PC
OPERATING, GENERAL FUNDRAISING
26,000
COMMUNITY SERVICE COUNCIL OF GREATER TULSA
16 E 16TH ST STE 202
TULSA
,
OK
741194402
PC
OPERATING
500
CONQUER CHIARI
320 OSPREY CT
WEXFORD
,
PA
150902509
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
500
CORNERSTONE CHRISTIAN ACADEMY
7770 WHIRLPOOL DRIVE
SPERRY
,
OK
74073
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
500
COUNSELING & RECOVERY SERVICES OF OKLAHOMA
7010 S YALE AVE
TULSA
,
OK
741365713
PC
OPERATING
250
DESTINYLIFE CHURCH INC
2300 SOUTHAVEN ROAD
CLAREMORE
,
OK
74019
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
500
DOMESTIC VIOLENCE INTERVENTION SERVICES INC
3124 E APACHE ST
TULSA
,
OK
741102320
PC
OPERATING
50,500
EASTERN OKLAHOMA DONATED DENTAL SERVICES
9810 E 42ND ST SUITE 210
TULSA
,
OK
74146
PC
OPERATING SUPPORT
25,000
EDISON BOOSTER CLUB
2906 E 41ST STREET
TULSA
,
OK
74105
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
500
EMERGENCY INFANT SERVICES
222 S HOUSTON AVE
TULSA
,
OK
741278907
PC
GENERAL FUNDRAISING
150
FAB LAB TULSA INC
710 SOUTH LEWIS AVENUE
TULSA
,
OK
74104
PC
OPERATING
50,000
FAMILY & CHILDRENS SERVICE INC
650 S PEORIA AVE
TULSA
,
OK
741204429
PC
PROGRAM, OPERATING
36,100
FIRST UNITED METHODIST CHURCH
PO BOX 1620
TULSA
,
OK
741011620
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
5,000
FRONTIER MEDIA GROUP
12117 S 12TH CT
JENKS
,
OK
74037
PC
OPERATING
500
GIRL SCOUTS OF EASTERN OKLAHOMA
4810 S 129TH EAST AVE
TULSA
,
OK
741347001
PC
PROGRAM
29,657
GLOBAL GARDENS
PO BOX 52034
TULSA
,
OK
741520034
PC
OPERATING
10,000
GOLD4KIDS CANCER FOUNDATION OF TULSA
13115 S 92ND EAST AVE
BIXBY
,
OK
740083573
PC
GENERAL FUNDRAISING
15,000
HAPPY HANDS EDUCATION CENTER INC
8801 S GARNETT
BROKEN ARROW
,
OK
74012
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
500
HBA CHARITABLE FOUNDATION
11545 E 43RD ST
TULSA
,
OK
741464202
PC
GENERAL FUNDRAISING
2,500
HOLLAND HALL SCHOOL
5666 E 81ST ST
TULSA
,
OK
741372001
PC
PROGRAM
10,000
HOMELESS ALLIANCE
1724 NW 4TH STREET
OKLAHOMA CITY
,
OK
73106
PC
OPERATING
2,500
HOSPICE OF GREEN COUNTRY INC
1120 S BOSTON AVE STE 200
TULSA
,
OK
741192403
PC
GENERAL FUNDRAISING
2,260
INDIAN NATIONS BLUES ASSOCIATION
6100 S YALE AVE SUITE 700
TULSA
,
OK
74136
PC
GENERAL FUNDRAISING
1,000
JAZZ AT ASPEN-SNOWMASS
110 E HALLAM ST STE 104
ASPEN
,
CO
816111461
PC
PROGRAM
7,900
JOHN 316 MISSION
575 N 39TH WEST AVE
TULSA
,
OK
741275028
PC
OPERATING
500
LEADERSHIP OKLAHOMA
5500 N WESTERN AVE STE 142
OKLAHOMA CITY
,
OK
731184011
PC
PROGRAM
7,300
LEADERSHIP TULSA INC
1717 S BOULDER AVE STE 104
TULSA
,
OK
741194833
PC
OPERATING
10,000
LIFE SENIOR SERVICES INC
5950 E 31ST ST
TULSA
,
OK
741355114
PC
OPERATING, CAPITAL/EQUIPMENT
100,500
MENTAL HEALTH ASSOCIATION OKLAHOMA
5330 EAST 31ST STREET SUITE 1000
TULSA
,
OK
74135
PC
PROGRAM, OPERATING, GENERAL FUNDRAISING
305,650
A NEW LEAF
2306 S 1ST PL
BROKEN ARROW
,
OK
740127137
PC
OPERATING, MEMORIAL, HONORARIUM, EMPLOYEE GIVING
12,500
OKLAHOMA ALLIANCE FOR ANIMALS
2642 E 21ST ST STE 120
TULSA
,
OK
741141739
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
500
OKLAHOMA CENTER FOR NONPROFITS INC
720 W WILSHIRE BLVD STE 115
OKLAHOMA CITY
,
OK
731167737
PC
OPERATING, GENERAL FUNDRASING
7,000
OKLAHOMA MEDICAL RESEARCH FOUNDATION
825 NE 13TH ST
OKLAHOMA CITY
,
OK
731045005
PC
GENERAL FUNDRAISING
7,500
OKLAHOMA PROJECT WOMAN INC
PO BOX 14026
TULSA
,
OK
741591026
PC
GENERAL FUNDRAISING
5,000
OKLAHOMANS FOR EQUALITY
PO BOX 2687
TULSA
,
OK
741012687
PC
OPERATING
500
PARENT CHILD CENTER OF TULSA INC
1421 S BOSTON AVE
TULSA
,
OK
741193607
PC
GENERAL FUNDRAISING
60,150
PARKSIDE PSYCHIATRIC HOSPITAL & CLINIC
1620 E 12TH ST
TULSA
,
OK
741205407
PC
PROGRAM
10,000
PAUSE4PAWS INC
3730 S DELAWARE AVE
TULSA
,
OK
741053619
PC
OPERATING
2,500
PHILANTHROPY SOUTHWEST
8350 N CENTRAL EXPY STE M-1012
DALLAS
,
TX
752061600
PC
OPERATING
3,500
PLANNED PARENTHOOD GREAT PLAINS
4401 WEST 109TH STREET NO 200
OVERLAND PARK
,
KS
662111303
PC
CAPITAL/EQUIPMENT
250,000
RESONANCE CENTER FOR WOMEN INC
1608 S ELWOOD AVE
TULSA
,
OK
741194208
PC
PROGRAM
22,000
SAINT SIMEON'S EPISCOPAL HOME FOUNDATION
3701 N MARTIN LUTHER KING JR BLVD
TULSA
,
OK
741066450
PC
OPERATING
15,000
SAN MIGUEL SCHOOL OF TULSA INC
2444 E ADMIRAL BLVD
TULSA
,
OK
741105323
PC
GENERAL FUNDRAISING
1,000
SHERWIN MILLER MUSEUM OF JEWISH ART INC
2021 EAST 71ST STREET
TULSA
,
OK
74136
PC
OPERATING
2,500
SHINING HONOR PROJECT
7030 S YALE AVE STE 600
TULSA
,
OK
741365749
PC
OPERATING
1,000
SNOWMASS WESTERN HERITAGE ASSOCIATION
PO BOX 5745
SNOWMASS VLG
,
CO
816155745
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
700
SPECIAL OLYMPICS OKLAHOMA INC
6835 SOUTH CANTON AVENUE
TULSA
,
OK
74136
PC
PROGRAM
15,000
ST JOHN HEALTH SYSTEM FOUNDATION
1923 S UTICA AVE
TULSA
,
OK
741046502
PC
CAPITAL/EQUIPMENT
100,000
ST JUDE CHILDREN'S RESEARCH HOPSITAL
501 ST JUDE PLACE
MEMPHIS
,
TN
38105
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
150
ST PHILIP NERI NEWMAN CENTER AT THE UNIVERSITY OF TULSA
440 SOUTH FLORENCE AVENUE
TULSA
,
OK
74104
PC
GENERAL FUNDRAISING, CAPITAL/EQUIPMENT
3,500
STAND IN THE GAP INC
3939 S HARVARD AVE
TULSA
,
OK
741354654
PC
OPERATING
7,000
TRANSITIONAL LIVING CENTERS OF OKLAHOMALINDSEY HOUSE
601 S ELGIN AVE
TULSA
,
OK
741203623
PC
CAPITAL/EQUIPMENT
300,000
TRI COUNTY TECH ENDOWMENT FUND INC
6101 SE NOWATA RD
BARTLESVILLE
,
OK
74006
PC
PROGRAM
50,000
THE TRISTESSE GRIEF CENTER
2502 E 71ST STREET SUITE A
TULSA
,
OK
74136
PC
OPERATING
1,050
TULSA AIR AND SPACE MUSEUM
3624 N 74TH EAST AVE
TULSA
,
OK
741153622
PC
GENERAL FUNDRAISING
1,000
TULSA AREA UNITED WAY
1430 S BOULDER AVE
TULSA
,
OK
741193604
PC
OPERATING, PROGRAM
71,500
TULSA BALLET THEATER INC
1212 E 45TH PL
TULSA
,
OK
741054508
PC
GENERAL FUNDRAISING, OPERATING
14,500
HIV RESOURCE CONSORTIUM DBA TULSA CARES
3712 E 11TH ST
TULSA
,
OK
741123952
PC
GENERAL FUNDRAISING
7,700
TULSA CHILDREN'S MUSEUM
560 N MAYBELLE AVE
TULSA
,
OK
741276926
PC
CAPITAL/EQUIPMENT
2,100,000
TULSA COMMUNITY FOUNDATION
7030 S YALE AVE 600
TULSA
,
OK
74136
PC
PROGRAM
175
TULSA DAY CENTER FOR THE HOMELESS INC
415 W ARCHER ST
TULSA
,
OK
741031807
PC
CAPITAL/EQUIPMENT, OPERATING, GENERAL FUNDRAISING
251,250
TULSA GARDEN CENTER INC
2435 S PEORIA AVE
TULSA
,
OK
741141350
PC
OPERATING
10,000
TULSA GIRLS ART SCHOOL PROJECT INC
2202 E ADMIRAL BLVD
TULSA
,
OK
74110
PC
CAPITAL/EQUIPMENT
250,000
TULSA TECH
6111 E SKELLY DR
TULSA
,
OK
741477200
PC
PROGRAM
125,000
TULSA ZOO MANAGEMENT INC
6421 E 36TH ST N
TULSA
,
OK
741152121
PC
GENERAL FUNDRAISING, CAPITAL/EQUIPMENT
263,820
UNITED WAY OF CENTRAL OKLAHOMA
PO BOX 837
OKLAHOMA CITY
,
OK
73101
PC
MEMORIAL, HONORARIUM, EMPLOYEE GIVING
250
UNIVERSITY OF TULSA
800 S TUCKER DR
TULSA
,
OK
741049700
PC
CAPITAL/EQUIPMENT, OPEARTING
2,510,500
VERDIGRIS FIRE PROTECTION DISTRICT
25707 S HIGHWAY 66
CLAREMORE
,
OK
74019
CAPITAL/EQUIPMENT
1,000
VOLUNTEERS OF AMERICA OKLAHOMA
9605 E 61ST STREET
TULSA
,
OK
74133
PC
OPERATING, PROGRAM
10,250
YOUTH SERVICES OF TULSA INC
311 S MADISON AVE
TULSA
,
OK
741203208
PC
OPERATING, PROGRAM
29,900
Total
.................................
3a
7,610,125
b
Approved for future payment
Total
.................................
3b
0
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
...........
14
346,291
4
Dividends and interest from securities
....
14
3,822,578
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
............
14
4,242,025
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
PROGRAM RELATED INVESTMENT INTEREST INCOME
14
10,526
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
8,421,420
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
8,421,420
(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