Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 07-01-2018 , and ending 06-30-2019
Name of foundation
ANNIE L ROWELL INTERVIVOS TRUST XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CONCORD, NH033020477
A Employer identification number

02-6110470
B Telephone number (see instructions)

(877) 773-1229
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$24,048,120
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 427,608 427,608  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 859,695
b Gross sales price for all assets on line 6a 12,644,317
7 Capital gain net income (from Part IV, line 2)... 859,695
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........ 1,287,303 1,287,303  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 170,537 170,537    
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)....... 850 850 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 22,072 3,492   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)....... 75 75    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 193,534 174,954 0 0
25 Contributions, gifts, grants paid....... 1,152,438 1,152,438
26 Total expenses and disbursements. Add lines 24 and 25 1,345,972 174,954 0 1,152,438
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -58,669
b Net investment income (if negative, enter -0-) 1,112,349
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 214,333 1,626,670 1,626,670
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 2,838,480 Click to see attachment3,799,332 3,896,026
b Investments—corporate stock (attach schedule)....... 12,690,509 Click to see attachment11,368,520 15,863,969
c Investments—corporate bonds (attach schedule)....... 3,691,211 Click to see attachment2,581,331 2,661,455
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 19,434,533 19,375,853 24,048,120
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 19,434,533 19,375,853
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 19,434,533 19,375,853
31 Total liabilities and net assets/fund balances (see instructions). 19,434,533 19,375,853
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
19,434,533
2
Enter amount from Part I, line 27a .....................
2
-58,669
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
19,375,864
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
11
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
19,375,853
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a 150. BLACKROCK INC CL A   2013-11-12 2018-07-06
b 180. BLACKROCK INC CL A   2013-11-12 2018-07-10
c 1460. VISA INC. - CL A   2014-01-30 2018-07-25
d 580. WHIRLPOOL CORP COM   2017-08-09 2018-07-25
e 660. VISA INC. - CL A   2014-01-30 2018-07-26
490. WHIRLPOOL CORP COM   2018-05-11 2018-07-26
760. MOHAWK INDS INC   2018-04-30 2018-07-27
85000. BK OF AMERICA CO 3.3% 01/11/2023 DTD 01/11/2013   2015-07-29 2018-08-02
75000. COMCAST CORP 2.85% 01/15/2023 DTD 01/14/2013   2015-07-29 2018-08-02
65000. JPMORGAN CHASE & CO 4.95% 03/25/2020 DTD 03/25/10   2015-07-29 2018-08-02
70000. PACIFIC CORP 2.95% 02/01/2022 DTD 01/06/2012   2015-07-29 2018-08-02
120000. PROVINCE OF QUEBEC 2.750% 08/25/2021 DTD 08/25/11   2015-07-27 2018-08-02
350000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2017-07-27 2018-08-02
65000. US TREASURY NOTE 2.250 11/15/2025 DTD 11/15/2015   2016-01-25 2018-08-02
35000. US TREASURY NOTE 2.250 11/15/2025 DTD 11/15/2015   2018-02-08 2018-08-02
49000. VERIZON COMM 3.376% 02/15/2025 DTD 01/19/2018   2017-08-28 2018-08-02
4000. BANK OF AMERICA 3.004% 12/20/2023 DTD 05/22/2018   2017-12-22 2018-08-09
50000. BANK OF AMERICA 3.004% 12/20/2023 DTD 05/22/2018   2015-07-29 2018-08-09
15000. CVS CAREMARK CORP 2.75% 12/01/2022 DTD 11/29/2012 CALLABLE 09/0   2013-01-02 2018-08-09
215000. ONTARIO PROV OF 4.400% 04/14/2020 DTD 04/14/10   2015-07-27 2018-08-09
20000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2010-05-18 2018-08-09
95000. WELLS FARGO CO 3.5% 03/08/2022 DTD 03/08/2012   2015-07-29 2018-08-09
1540. MICROSOFT CORPORATION   2013-05-20 2018-09-19
430. UNITEDHEALTH GROUP INC COM   2013-11-12 2018-09-19
420. UNIVERSAL HLTH SVCS INC CL B   2016-06-24 2018-09-20
620. HOME DEPOT INC   2017-07-19 2018-10-19
460. HOME DEPOT INC   2014-06-18 2018-10-22
200000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2010-03-25 2018-10-30
4020. JOHNSON CONTROLS INTERNATIONAL   2017-07-19 2018-10-31
5120. JOHNSON CONTROLS INTERNATIONAL   2017-08-24 2018-11-02
9330. HANESBRANDS INC COM   2018-05-21 2018-11-07
1720. STARBUCKS CORP   2017-11-10 2018-11-13
670. ECOLAB INC COM   2017-02-14 2018-11-27
560. ECOLAB INC COM   2017-02-14 2018-11-28
65000. US TREASURY NOTE 1% 11/15/2019 DTD 11/15/2016   2016-12-15 2018-12-12
900. DOLLAR GENERAL CORP   2017-01-13 2019-01-25
2540. STARBUCKS CORP   2017-11-10 2019-01-25
830. ALLERGAN PLC   2015-12-15 2019-02-01
1620. FORTUNE BRANDS HOME & SEC IN COM   2017-08-25 2019-02-04
690. FORTUNE BRANDS HOME & SEC IN COM   2018-02-09 2019-02-05
860. FORTUNE BRANDS HOME & SEC IN COM   2017-08-25 2019-02-05
550. ALLERGAN PLC   2016-04-06 2019-02-05
520. ALLERGAN PLC   2017-11-06 2019-02-07
77164.506 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2017-06-21 2019-02-20
106343.481 TDAM 1 TO 5 CORP BD PORTFOLIO   2017-08-31 2019-02-20
110000. U S TREASURY NOTES 1.125% 08/31/2021 DTD 08/31/2016   2017-04-17 2019-02-20
95000. US TREASURY NOTE 1.875% 09/30/2022 DTD 10/02/2017   2017-11-13 2019-02-20
85000. US TREASURY N/B 2.250% 10/31/2024 DTD 10/31/2017   2017-11-13 2019-02-20
5000. US TREASURY NOTES 2.25% 11/15/2027 DTD 11/15/2017   2018-02-08 2019-02-20
75000. U.S. TREASURY NOTE 2.129% 04/30/2020 DTD 04/30/2018 VARIABLE   2018-05-24 2019-02-20
45000. US TREASURY NOTE 1.25% 01/31/2020 DTD 02/02/2015   2018-04-25 2019-02-20
40000. US TREASURY NOTES 2% 11/15/2026 DTD 11/15/2016   2018-10-30 2019-02-20
110000. US TREASURY NOTE 1% 11/15/2019 DTD 11/15/2016   2018-02-08 2019-02-20
75000. US TREASURY NOTE 1% 11/15/2019 DTD 11/15/2016   2018-10-30 2019-02-20
30000. US TREASURY NOTES 2.25% 02/15/2027 DTD 02/15/2017   2017-06-16 2019-02-20
23963.611 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2018-08-02 2019-02-25
49110.461 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2017-03-30 2019-02-25
56393.128 TDAM 1 TO 5 CORP BD PORTFOLIO   2018-08-13 2019-02-25
45248.538 TDAM 1 TO 5 CORP BD PORTFOLIO   2018-02-08 2019-02-25
45000. US TREASURY NOTES 2.25% 02/15/2027 DTD 02/15/2017   2017-11-13 2019-02-25
30. UNIVERSAL DISPLAY CORP COM   2017-12-01 2019-02-26
4460. DISCOVER FINANCIAL SERVICES INC COM   2017-05-19 2019-03-07
3800. CVS CORP   2019-01-04 2019-03-08
1270. APPLE COMPUTER, INC   2013-06-27 2019-03-28
60000. JPMORGAN CHASE & CO 4.95% 03/25/2020 DTD 03/25/10   2019-02-25 2019-03-28
195000. U.S. TREASURY NOTE 2.129% 04/30/2020 DTD 04/30/2018 VARIABLE   2018-08-02 2019-03-28
1090. CHUBB LTD   2016-02-09 2019-04-08
.334 DOW INC   2017-12-14 2019-04-09
186.667 DOW INC   2018-09-19 2019-04-09
1612.333 DOW INC   2017-12-14 2019-04-09
4510. BANK AMER CORP COM   2017-04-05 2019-04-10
2950. CITIZENS FINANCIAL GROUP INC   2015-03-30 2019-04-10
360. EVEREST REINSURANCE GROUP LTD   2018-11-02 2019-04-11
2890. ANADARKO PETROLEUM   2015-04-08 2019-04-15
370. APPLE COMPUTER, INC   2013-06-27 2019-04-15
6350. MARVELL TECHNOLOGY GROUP LTD ORD   2017-10-11 2019-04-17
1990. MARVELL TECHNOLOGY GROUP LTD ORD   2017-10-11 2019-04-18
330. UNIVERSAL DISPLAY CORP COM   2017-12-01 2019-04-25
3100. MARVELL TECHNOLOGY GROUP LTD ORD   2017-07-06 2019-04-25
1650. BANK AMER CORP COM   2017-04-05 2019-04-30
690. CAPITAL ONE FINANCIAL CORP   2018-04-04 2019-04-30
6450. MARVELL TECHNOLOGY GROUP LTD ORD   2017-07-06 2019-05-01
70000. CITIGROUP INC 2.650% 10/26/2020 DTD 10/19/2015   2019-02-25 2019-05-16
125000. ONTARIO PROV OF 4.400% 04/14/2020 DTD 04/14/10   2019-02-25 2019-05-16
50000. U.S. TREASURY NOTE 2.625% 02/15/2029 DTD 02/15/2019   2019-03-28 2019-05-16
20000. U.S. TREASURY NOTE 2.375% 05/15/2027 DTD 05/15/2017   2019-02-20 2019-05-16
60000. U.S. TREASURY NOTE 2.375% 05/15/2027 DTD 05/15/2017   2017-11-13 2019-05-16
35000. VERIZON COMMUN 4.329% 09/21/2028 DTD 10/22/2018   2019-02-25 2019-05-16
590. DOLLAR GENERAL CORP   2017-01-13 2019-06-06
35000. TIME WARNER INC 3.55% 06/01/2024 DTD 05/28/2014 CALLABLE   2019-02-25 2019-06-06
1120. UNIVERSAL HLTH SVCS INC CL B   2018-04-05 2019-06-06
680. UNIVERSAL HLTH SVCS INC CL B   2018-07-31 2019-06-10
540. UNIVERSAL HLTH SVCS INC CL B   2018-04-05 2019-06-10
.334 CORTEVA INC   2017-12-14 2019-06-12
.334 DUPONT DE NEMOURS INC   2017-12-14 2019-06-12
136.667 CORTEVA INC   2018-09-19 2019-06-13
1662.333 CORTEVA INC   2018-04-13 2019-06-13
400. AMERIPRISE FINANCIAL INC   2013-11-12 2019-06-21
1140. APPLE COMPUTER, INC   2013-06-27 2019-06-25
130000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2019-02-20 2019-06-25
150000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2014-01-31 2019-06-25
890. AMERIPRISE FINANCIAL INC   2013-11-12 2019-06-28
620. APPLE COMPUTER, INC   2013-06-27 2019-06-28
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 73,928   44,589 29,339
b 90,680   53,506 37,174
c 206,843   80,650 126,193
d 71,707   103,057 -31,350
e 93,968   36,458 57,510
62,093   82,322 -20,229
139,010   165,002 -25,992
84,014   84,163 -149
72,983   74,506 -1,523
66,967   66,686 281
69,306   71,583 -2,277
118,920   119,339 -419
351,969   356,374 -4,405
62,042   66,008 -3,966
33,407   33,579 -172
47,492   49,001 -1,509
3,888   4,000 -112
48,604   50,000 -1,396
14,451   15,061 -610
220,427   223,980 -3,553
20,113   19,856 257
95,331   98,126 -2,795
171,976   46,886 125,090
113,975   30,080 83,895
53,230   57,195 -3,965
111,391   68,650 42,741
82,374   36,782 45,592
200,656   196,319 4,337
128,996   176,076 -47,080
167,099   216,557 -49,458
157,146   169,944 -12,798
115,704   98,120 17,584
103,009   82,227 20,782
86,995   34,977 52,018
63,931   63,931  
102,811   65,875 36,936
169,973   144,898 25,075
119,249   256,972 -137,723
73,614   101,676 -28,062
31,230   42,680 -11,450
38,924   53,688 -14,764
76,356   148,656 -72,300
68,787   95,831 -27,044
777,818   806,898 -29,080
1,062,371   1,072,680 -10,309
106,361   109,542 -3,181
93,063   94,139 -1,076
83,811   84,884 -1,073
4,824   4,732 92
74,971   75,008 -37
44,077   44,077  
38,238   36,956 1,282
108,027   107,900 127
73,655   73,696 -41
29,250   30,025 -775
241,314   235,562 5,752
494,542   500,281 -5,739
563,367   556,414 6,953
452,033   453,122 -1,089
43,835   44,468 -633
4,337   5,297 -960
310,713   304,725 5,988
199,912   273,528 -73,616
239,270   71,647 167,623
61,249   61,205 44
194,877   195,024 -147
149,277   120,354 28,923
19   20 -1
10,519   11,055 -536
90,858   69,208 21,650
131,173   104,837 26,336
100,734   71,828 28,906
79,620   81,413 -1,793
179,525   238,260 -58,735
73,701   20,874 52,827
157,635   117,798 39,837
49,829   36,793 13,036
53,922   58,272 -4,350
78,320   49,849 28,471
50,403   38,141 12,262
63,750   66,484 -2,734
159,374   103,717 55,657
69,910   69,606 304
127,184   126,894 290
50,979   51,060 -81
20,070   19,666 404
60,211   60,063 148
37,680   36,268 1,412
77,634   43,185 34,449
35,951   34,933 1,018
135,846   145,461 -9,615
84,117   82,393 1,724
66,799   65,793 1,006
9   5 4
25   45 -20
3,400   2,165 1,235
41,355   19,067 22,288
59,068   41,020 18,048
223,347   64,313 159,034
131,056   130,122 934
151,219   149,739 1,480
129,239   91,268 37,971
122,307   34,977 87,330
      768
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       29,339
b       37,174
c       126,193
d       -31,350
e       57,510
      -20,229
      -25,992
      -149
      -1,523
      281
      -2,277
      -419
      -4,405
      -3,966
      -172
      -1,509
      -112
      -1,396
      -610
      -3,553
      257
      -2,795
      125,090
      83,895
      -3,965
      42,741
      45,592
      4,337
      -47,080
      -49,458
      -12,798
      17,584
      20,782
      52,018
       
      36,936
      25,075
      -137,723
      -28,062
      -11,450
      -14,764
      -72,300
      -27,044
      -29,080
      -10,309
      -3,181
      -1,076
      -1,073
      92
      -37
       
      1,282
      127
      -41
      -775
      5,752
      -5,739
      6,953
      -1,089
      -633
      -960
      5,988
      -73,616
      167,623
      44
      -147
      28,923
      -1
      -536
      21,650
      26,336
      28,906
      -1,793
      -58,735
      52,827
      39,837
      13,036
      -4,350
      28,471
      12,262
      -2,734
      55,657
      304
      290
      -81
      404
      148
      1,412
      34,449
      1,018
      -9,615
      1,724
      1,006
      4
      -20
      1,235
      22,288
      18,048
      159,034
      934
      1,480
      37,971
      87,330
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 859,695
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2017 1,144,506 23,300,657 0.049119
2016 1,086,639 22,020,031 0.049348
2015 1,129,912 21,321,261 0.052995
2014 778,117 22,441,107 0.034674
2013 1,057,101 21,115,381 0.050063
2
Total of line 1, column (d) .....................
2
0.236199
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
0.04724
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
23,030,852
5
Multiply line 4 by line 3......................
5
1,087,977
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
11,123
7
Add lines 5 and 6........................
7
1,099,100
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,152,438
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 11,123
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 11,123
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 11,123
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 14,724
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 14,724
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,601
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet3,601 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNH
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (877) 773-1229

    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03302
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    TD Bank NA Trustee
    1
    170,537    
    143 North Main Street
    Concord,NH033020477
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    22,386,284
    b
    Average of monthly cash balances.......................
    1b
    995,292
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    23,381,576
    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
    23,381,576
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    350,724
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    23,030,852
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,151,543
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,151,543
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    11,123
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    11,123
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,140,420
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,140,420
    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
    1,140,420
    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
    1,152,438
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,152,438
    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
    11,123
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,141,315
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 1,140,420
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 0
    b From 2014...... 0
    c From 2015...... 21,223
    d From 2016...... 7,531
    e From 2017...... 8,921
    fTotal of lines 3a through e........ 37,675
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 1,152,438
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2018 distributable amount..... 1,140,420
    e Remaining amount distributed out of corpus 12,018
    5 Excess distributions carryover applied to 2018. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 49,693
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    49,693
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 21,223
    c Excess from 2016.... 7,531
    d Excess from 2017.... 8,921
    e Excess from 2018.... 12,018
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or 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 (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    NEW HAMPSHIRE CATHOLIC CHARITIES
    MR DAVID HILDENBRAND CFO
    215 MYRTLE STREET
    MANCHESTER,NH03105
    NONE 501(C)(3) DAILY OPERATIONS 384,146
    CATHOLIC MEDICAL CENTER
    ATTN SYLVIE COTE
    FINANCE DEPARTMENT
    MANCHESTER,NH03102
    NONE 501(C)(3) DAILY OPERATIONS 384,146
    SOCIETY OF MISSIONARIES OF AFRICA
    ATTN DAVID J GOERGEN TREASURER
    WASHINGTON,DC200091003
    NONE 501(C)(3) DAILY OPERATIONS 384,146
    Total .................................bullet 3a 1,152,438
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 427,608  
    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 ............
        18 859,695  
    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)..   1,287,303  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,287,303
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    ANNIE L ROWELL INTERVIVOS TRUST XXX-XX-XXXX
    EIN:
    02-6110470
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 850 850    

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    ANNIE L ROWELL INTERVIVOS TRUST XXX-XX-XXXX
    EIN:
    02-6110470
    Name of Bond End of Year Book Value End of Year Fair Market Value
    60000 AT&T 4.45% 61,533 62,277
    30000 AT&T INC 4.25% 30,112 32,153
    35000 AT&T 3.55% 35,916 36,409
    25000 ABBOTT LABORATORIES 3.4% 25,289 26,065
    40000 ANHEUSER0BUSCH 3.65% 39,578 42,058
    30000 APPLE INC 3.2% 29,776 31,279
    80000 BK OF AMERICA CO 3.3% 80,250 82,462
    40000 BANK OF AMERICA 3.5% 39,707 41,887
    50000 BANK OF AMERICA 3.004% 49,364 50,918
    30000 BANK OF MONTREAL 2.55% 29,472 30,254
    40000 BANK OF MONTREAL 2.35% 39,174 39,988
    60000 BANK OF NOVA SCOTIA 2.7% 59,510 60,806
    70000 BRANCHY BNKING & TR 3.62 70,673 73,633
    65000 BERKSHIRE HATHAWAY 2.75% 64,993 66,050
    65000 BRISTOL-MYERS SQUIBB 3.4 65,423 68,051
    15000 CMS CAREMARK CORP 2.75% 14,659 15,049
    30000 CANADIAN IMP BK 2.55% 29,703 30,327
    30000 CHEVRON CORP 2.954% 29,591 30,963
    95000 CITIGROP INC 3.75% 96,578 100,183
    30000 CITIGROUP INC 3.52% 29,122 30,941
    75000 COMCAST CORP 2.85% 74,717 76,227
    70000 ENTERPRISE PRODUCTS 3.35 70,323 71,987
    35000 EXXON MOBIL 3.043% 34,923 36,274
    45000 GENERAL DYNAMICS 3% 45,198 45,729
    60000 GOLDMAN SACHS GP 2.75% 59,709 60,250
    30000 GOLDMAN SACHS 3% 29,739 30,287
    80000 JPMORGAN CHASE & CO 3.2% 77,952 82,330
    30000 JOHNSON & JOHNSON 2.9% 29,347 30,847
    60000 LOCKHEED MARTIN 3.550% 61,391 63,769
    30000 MANULIFE FINANCIAL 4.15% 31,129 32,346
    35000 MERECK & CO INC 2 2.750 34,418 36,048
    60000 MICROSOFT 3.3% 60,585 63,755
    30000 MORGAN STANLEY 3.7% 30,197 31,651
    30000 NORFOLK SOUTHERN 2.9% 28,927 30,450
    30000 ORACLE CORP 3.25% 29,672 31,414
    70000 PNC BANK NA 2.95% 68,900 71,701
    70000 PACIFIC CORP 2.95% 70,173 71,204
    30000 PEPSICO INC 3.1% 30,356 30,928
    60000 PHILLIPS 66 4.3% 62,146 63,192
    115000 PROVINCE OF QUEBEC 2.75 115,173 117,123
    30000 ROGERS COMM 4.10% 31,158 31,908
    60000 ROYAL BANK OF CANADA 2.7 59,838 60,950
    40000 ROYAL BK OF CANADA 2.15% 39,542 40,002
    70000 SHELL INTL FIN 3.25% 70,456 73,443
    30000 SUNTRUST BANKS INC 2.9% 29,964 30,270
    100000 TOYOTA MOTOR CR CORP 1. 98,219 99,561
    30000 US BANCORP 3.15% 29,705 31,167
    50000 VERIZON COMM 3.376% 50,126 52,189
    45000 VERIZON COMMUN 4.329% 46,247 49,869
    90000 WELLS FARGO CO 3.5% 90,994 92,601
    70000 WELLS FARGO & CO 2.60% 69,684 70,230

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    ANNIE L ROWELL INTERVIVOS TRUST XXX-XX-XXXX
    EIN:
    02-6110470
    Name of Stock End of Year Book Value End of Year Fair Market Value
    2340 CARMAX INC 156,881 203,182
    1830 DOLLAR GENERAL CORP 131,314 247,343
    1300 HOME DEPOT INC 136,742 270,361
    600 INTL FLAVORS & FRAGRANCES 78,107 87,054
    9760 MGM RESORTS INTERNATIONAL 285,636 278,843
    5800 TJX COMPANIES INC 132,560 306,704
    5540 COCA COLA CO 236,088 282,097
    1570 COSTCO WHSL CORP NEW 312,351 414,888
    2740 ANADARKO PETROLEUM 182,470 193,334
    5510 OCCIDENTAL PETROLEUM CO 436,181 277,043
    1130 WILLIS TOWERS WATSOM 150,049 216,440
    5520 AMERICAN INTL GROUP INC C 260,044 294,106
    10260 AXA EQUITABLE HOLDINGS I 220,404 214,434
    12220 BANK AMER CORP 281,215 354,380
    4980 BANK OZK 237,439 149,848
    2050 CAPITAL ONE FINANCIAL COR 191,536 186,017
    3600 CITIZEN FINANCIAL GROUP I 125,442 127,296
    5440 DISCOVERY COMMUNICATIONS- 156,558 154,768
    5890 METLIFE INC 277,132 292,556
    8190 MORGAN STANLEY 350,811 358,804
    3520 SCHWAB CHARLES CORP NEW 152,444 141,469
    4310 VENTAS INC COM REIT 266,000 294,589
    2510 VISA INC - CL A 138,651 435,611
    7980 BOSTON SCIENTIFIC 264,493 342,980
    6170 CENTENE CORP 304,039 323,555
    1540 CHARLES RIV LABS INTL INC 206,172 218,526
    9330 PFIZER 347,854 404,176
    2020 UNITEDHEALTH GROUP INC 141,305 492,900
    3530 INGERSOLL-RAND PLC SHS 191,253 447,145
    2210 AMETEK AEROSPACE PRODUCTS 167,343 200,756
    1280 BOEING CO 126,751 465,933
    3410 DANAHER CORP SHS BEN INT 136,473 487,357
    360 HUNTINGTON INGALLS INDS IN 80,334 80,906
    2580 JACOBS ENGR GROUP INC DEL 162,083 217,726
    1170 MARTIN MARIETA MATLS INC 209,591 269,229
    60 NVR INC 151,959 202,215
    130 NORFOLK SOUTHERN CORP 129,547 269,096
    1910 UNITED TECHNOLOGIES 245,571 248,682
    1780 UNIVERSAL DISPLAY CORP CO 299,628 334,747
    1900 XPO LOGISTICS INC 183,148 109,839
    1470 APPLE COMPUTER INC 82,930 291,346
    9360 APPLIED MATERIALS 163,690 420,358
    640 ARISTA NETWORKS INC 157,661 166,157
    110 BOOKING HOLDINGS INC 219,389 206,218
    1160 BROADCOM INC 282,640 333,918
    8220 MICROSOFT CORPORATION 208,201 1,101,151
    3550 PTC INC 234,792 318,648
    6220 SYMANTEC CORP 151,006 135,347
    1280 LINDE PLC 215,173 257,024
    2679 DUPONT DE NEMOURS INC 240,801 201,113
    2640 EASTMAN CHEMICAL CO 245,173 205,471
    500 ALPHABET INC CL-C 353,280 540,455
    1960 ELECTRONIC ARTS COM 178,642 198,470
    1280 FACEBOOK INC-A 216,828 247,040
    4130 WEC ENERGY GROUP INC 174,715 344,318

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    ANNIE L ROWELL INTERVIVOS TRUST XXX-XX-XXXX
    EIN:
    02-6110470
    US Government Securities - End of Year Book Value:

    3,799,332
    US Government Securities - End of Year Fair Market Value:

    3,896,026
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2018 OtherDecreasesSchedule
    Name:
    ANNIE L ROWELL INTERVIVOS TRUST XXX-XX-XXXX
    EIN:
    02-6110470
    Description Amount
    ROUNDING ADJUSTMENT 11


    TY 2018 OtherExpensesSchedule
    Name:
    ANNIE L ROWELL INTERVIVOS TRUST XXX-XX-XXXX
    EIN:
    02-6110470
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 75 75   0


    TY 2018 TaxesSchedule
    Name:
    ANNIE L ROWELL INTERVIVOS TRUST XXX-XX-XXXX
    EIN:
    02-6110470
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 3,492 3,492   0
    FEDERAL TAX PAYMENT - PRIOR YE 3,856 0   0
    FEDERAL ESTIMATES - PRINCIPAL 14,724 0   0