-
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
AYZ FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
2600 FARETTO LN
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RENO
,
NV
89511
A Employer identification number
20-1973760
B
Telephone number (see instructions)
(775) 771-9437
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)
$
8,017,617
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)
700,000
2
Check
.............
3
Interest on savings and temporary cash investments
2,229
2,229
4
Dividends and interest from securities
...
124,990
124,990
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
801,083
b
Gross sales price for all assets on line 6a
11,332,812
7
Capital gain net income (from Part IV, line 2)
...
801,083
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)
.......
12
Total.
Add lines 1 through 11
........
1,628,302
928,302
0
13
Compensation of officers, directors, trustees, etc.
0
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
8,010
0
0
8,010
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
3,174
3,174
0
0
19
Depreciation (attach schedule) and depletion
...
1,279
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
4,780
0
0
4,780
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
33,460
0
0
33,460
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
50,703
3,174
0
46,250
25
Contributions, gifts, grants paid
.......
151,061
151,061
26
Total expenses and disbursements.
Add lines 24 and 25
201,764
3,174
0
197,311
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
1,426,538
b
Net investment income
(if negative, enter -0-)
925,128
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
.............
6,130,314
136,521
136,521
2
Savings and temporary cash investments
.........
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)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
870,881
3,371,506
3,006,551
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
4,871,735
4,871,730
14
Land, buildings, and equipment: basis
27,393
Less: accumulated depreciation (attach schedule)
24,578
4,094
2,815
2,815
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
7,005,289
8,382,577
8,017,617
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
)
70,020
20,770
23
Total liabilities
(add lines 17 through 22)
.........
70,020
20,770
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
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
6,935,269
8,361,807
30
Total liabilities and net assets/fund balances
(see instructions)
.
7,005,289
8,382,577
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
6,935,269
2
Enter amount from Part I, line 27a
.....................
2
1,426,538
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
8,361,807
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
8,361,807
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
100 SHARES BIOGEN
P
2017-11-14
2017-12-11
b
100 SHARES BIOGEN
P
2017-11-14
2017-12-11
c
200 SHARES BIOGEN
P
2017-10-13
2017-12-12
d
1 SHARES ALLERGAN
P
2017-12-07
2017-12-14
e
33 SHARES ALLERGAN
P
2017-12-07
2017-12-14
466 SHARES ALLERGAN
P
2017-12-07
2017-12-14
500 SHARES ABBVIE
P
2017-11-14
2017-12-15
20 SHARES ALPHABET
P
2017-10-23
2017-12-15
100 SHARES BIOGEN
P
2017-10-24
2017-12-15
100 SHARES BIOGEN
P
2017-10-24
2017-12-15
100 SHARES CARDINAL HEALTH
P
2017-11-14
2017-12-15
100 SHARES CARDINAL HEALTH
P
2017-11-14
2017-12-15
200 SHARES PFIZER
P
2017-10-18
2017-12-15
400 SHARES PFIZER
P
2017-10-18
2017-12-15
400 SHARES PFIZER
P
2017-10-18
2017-12-15
1000 SHARES UBS
P
2017-12-08
2017-12-15
500 SHARES ALLERGAN
P
2017-12-21
2018-01-04
20 SHARES ALPHABET
P
2017-10-20
2018-01-04
300 SHARES SHIRE PLC
P
2017-11-03
2018-01-04
500 SHARES ALLERGAN
P
2017-12-07
2018-01-11
1000 SHARES GENERAL ELECTRIC
P
2017-12-08
2018-01-11
500 SHARES MERUS
P
2017-12-08
2018-01-11
500 SHARES ABBVIE
P
2017-12-08
2018-01-25
100 SHARES CARDINAL HEALTH
P
2017-11-02
2018-01-25
500 SHARES JOHNSON CTLS
P
2017-11-10
2018-01-25
100 SHARES MERCK&CO
P
2017-11-16
2018-01-25
300 SHARES MERCK&CO
P
2017-11-16
2018-01-25
600 SHARES MERCK&CO
P
2017-11-26
2018-01-25
5 SHARES MERUS
P
2017-12-08
2018-01-25
195 SHARES MERUS
P
2017-12-08
2018-01-25
300 SHARES MERUS
P
2017-12-08
2018-01-25
100 SHARES ACHAOGEN
P
2017-12-08
2018-02-01
900 SHARES ACHAOGEN
P
2017-12-08
2018-02-01
500 SHARES ALLERGAN
P
2017-12-13
2018-02-01
50 SHARES ALPHABET
P
2017-11-09
2018-02-01
10 SHARES BIOGEN
P
2017-09-13
2018-02-01
90 SHARES BIOGEN
P
2017-10-23
2018-02-01
1000 SHARES JUNO
P
2018-01-16
2018-02-01
1000 SHARES MERCK&CO
P
2018-01-09
2018-02-01
500 SHARES JUNO
P
2018-01-09
2018-02-06
50 SHARES ALPHABET
P
2017-11-09
2018-02-07
100 SHARES MERUS
P
2017-12-08
2018-02-07
100 SHARES MERUS
P
2017-12-08
2018-02-07
300 SHARES ACHAOGEN
P
2018-02-05
2018-02-09
700 SHARES ACHAOGEN
P
2018-02-05
2018-02-09
50 SHARES ALPHABET
P
2018-02-09
2018-02-16
100 SHARES ABBVIE
P
2018-02-05
2018-02-23
40 SHARES ALPHABET
P
2018-02-07
2018-02-23
500 SHARES AMGEN
P
2018-02-05
2018-02-23
100 SHARES APPLE
P
2017-09-18
2018-02-23
500 SHARES BRINKER
P
2018-02-05
2018-02-23
200 SHARES COSTCO
P
2018-02-05
2018-02-23
200 SHARES PFIZER
P
2018-02-05
2018-02-23
300 SHARES PFIZER
P
2018-02-05
2018-02-23
1000 SHARES JOHNSON CTLS
P
2018-02-09
2018-03-01
500 SHARES SHIRE
P
2018-02-27
2018-03-05
500 SHARES AMGEN
P
2018-02-05
2018-03-07
500 SHARES CARDINAL HEALTH
P
2018-03-01
2018-03-07
1000 SHARES JUNO
P
2017-11-03
2018-03-12
100 SHARES JUNO
P
2017-11-09
2018-03-12
900 SHARES JUNO
P
2017-11-09
2018-03-12
1000 SHARES JUNO
P
2017-11-14
2018-03-12
500 SHARES JUNO
P
2018-01-09
2018-03-12
20 SHARES ALPHABET
P
2018-02-09
2018-03-12
500 SHARES AMGEN
P
2018-02-05
2018-03-12
1000 SHARES JOHNSON CTLS
P
2018-03-01
2018-03-12
500 SHARES ALLERGAN
P
2018-03-01
2018-03-14
200 SHARES ALLERGAN
P
2018-03-01
2018-03-15
1000 SHARES JOHNSON CTLS
P
2018-03-01
2018-03-15
1000 SHARES SYNCHRONOSS
P
2017-12-08
2018-03-15
100 SHARES ACCENTURE PLC
P
2018-03-01
2018-03-17
1000 SHARES MERCK&CO
P
2018-03-01
2018-03-19
500 SHARES PFIZER
P
2018-03-01
2018-03-19
1000 SHARES SYNCHRONOSS
P
1919-12-08
2018-03-19
500 SHARES ALLERGAN
P
2018-02-09
2018-03-21
500 SHARES COSTCO
P
2018-03-19
2018-03-22
500 SHARES ACHAOGEN
P
2018-01-31
2018-03-29
200 SHARES ALLERGAN
P
2018-02-27
2018-04-02
300 SHARES ALLERGAN
P
2018-03-20
2018-04-02
200 SHARES BIOGEN
P
2018-03-20
2018-04-02
500 SHARES SHIRE
P
2018-02-05
2018-04-02
500 SHARES SHIRE
P
2018-02-07
2018-04-02
1000 SHARES JOHNSON CTLS
P
2018-03-26
2018-04-05
100 SHARES SHIRE
P
2018-01-31
2018-04-05
400 SHARES SHIRE
P
2018-01-31
2018-04-05
500 SHARES SHIRE
P
2018-01-31
2018-04-05
300 SHARES COSTCO
P
2018-03-27
2018-04-13
50 SHARES ALPHABET
P
2018-03-27
2018-04-23
30 SHARES AMAZON
P
2018-04-03
2018-04-23
500 SHARES COSTCO
P
2018-03-08
2018-04-23
1000 SHARES MERCK&CO
P
2018-02-13
2018-04-23
186613.0590 SHARES SCHWAB VARIABLE SHARE PRICE MONEY FUND
P
2018-02-07
2018-04-19
5816.4980 SHARES SCHWAB VARIABLE SHARE PRICE MONEY FUND
P
2018-03-15
2018-04-19
7550.4450SHARES SCHWAB VARIABLE SHARE PRICE MONEY FUND
P
2018-04-16
2018-04-19
200 SHARES SHIRE
P
2018-01-09
2018-04-23
10 SHARES SHIRE
P
2018-01-23
2018-04-23
90 SHARES SHIRE
P
2018-01-23
2018-04-23
200 SHARES SHIRE
P
2018-01-23
2018-04-23
500 SHARES ABBVIE
P
2018-04-03
2018-05-08
200 SHARES SHIRE
P
2018-10-06
2018-05-08
200 SHARES SHIRE
P
2018-01-09
2018-05-08
100 SHARES SHIRE
P
2018-04-11
2018-05-08
14 SHARES ABBVIE
P
2018-03-27
2018-05-10
486 SHARES ABBVIE
P
2018-03-27
2018-05-10
15 SHARES AMAZON
P
2018-03-28
2018-05-10
300 SHARES COSTCO
P
2018-03-01
2018-05-10
100 SHARES SHIRE
P
2018-04-11
2018-05-10
300 SHARES SHIRE
P
2018-04-11
2018-05-10
30 SHARES ALPHABET
P
2018-04-03
2018-05-16
200 SHARES APPLE
P
2018-03-27
2018-05-16
37 SHARES BIOGEN
P
2018-04-03
2018-05-16
263 SHARES BIOGEN
P
2018-05-04
2018-05-16
200 SHARES CVS
P
2018-05-08
2018-05-16
1000 SHARES MERCK&CO
P
2018-02-05
2018-05-16
100 SHARES SHIRE
P
2017-09-18
2018-05-16
1000 SHARES AMGEN
P
2018-05-04
2018-05-24
13 SHARES ALPHABET
P
2018-04-11
2018-05-25
17 SHARES ALPHABET
P
2018-04-11
2018-05-25
3 SHARES AMAZON
P
2018-03-27
2018-05-25
6 SHARES AMAZON
P
2018-03-27
2018-05-25
21 SHARES AMAZON
P
2018-03-27
2018-05-25
1000 SHARES AMGEN
P
2018-04-03
2018-05-25
1000 SHARES CVS
P
2018-05-04
2018-05-25
1000 SHARES AMGEN
P
2018-05-08
2018-06-01
500 SHARES ALLERGAN
P
2018-05-08
2018-06-01
263 SHARES BIOGEN
P
2018-03-19
2018-06-11
37 SHARES BIOGEN
P
2018-05-04
2018-06-11
1 SHARES ALLERGAN
P
2018-04-19
2018-06-14
99 SHARES ALLERGAN
P
2018-04-19
2018-06-14
100 SHARES ALLERGAN
P
2018-04-19
2018-06-14
50 SHARES ALPHABET
P
2018-05-08
2018-06-14
50 SHARES ALPHABET
P
2018-05-29
2018-06-14
10 SHARES AMAZON
P
2018-03-19
2018-06-14
10 SHARES AMAZON
P
2018-03-19
2018-06-14
590 SHARES AMGEN
P
2018-04-19
2018-06-14
50 SHARES APPLE
P
2018-03-01
2018-06-14
150 SHARES APPLE
P
2018-03-01
2018-06-14
200 SHARES BIOGEN
P
2018-03-12
2018-06-14
37 SHARES BIOGEN
P
2018-03-19
2018-06-14
500 SHARES MERCK&CO
P
2018-02-02
2018-06-14
20 SHARES ALPHABET
P
2018-02-05
2018-06-20
10 SHARES ALPHABET
P
2018-03-01
2018-06-20
20 SHARES ALPHABET
P
2018-03-27
2018-06-20
50 SHARES ALPHABET
P
2018-05-29
2018-06-20
500 SHARES ACTUANT
P
2018-01-02
2018-06-26
200 SHARES ALLERGAN
P
2018-03-20
2018-06-26
50 SHARES ALPHABET
P
2018-03-01
2018-06-26
500 SHARES AMGEN
P
2018-05-29
2018-06-26
1000 SHARES CVS
P
2018-05-29
2018-06-26
40 SHARES ALPHABET
P
2018-03-01
2018-07-10
500 SHARES AMGEN
P
2018-03-22
2018-07-10
200 SHARES BIOGEN
P
2018-02-27
2018-07-10
200 SHARES BIOGEN
P
2017-06-18
2018-07-10
200 SHARES JOHNSON
P
2018-06-18
2018-07-10
300 SHARES JOHNSON
P
2018-06-18
2018-07-10
500 SHARES MERCK&CO
P
2018-01-31
2018-07-10
100 SHARES SHIRE
P
2018-01-05
2018-07-10
200 SHARES SHIRE
P
2018-01-05
2018-07-10
10 SHARES ALPHABET
P
2018-02-05
2018-07-13
40 SHARES ALPHABET
P
2018-05-22
2018-07-13
20 SHARES AMAZON
P
2018-03-13
2018-07-13
10 SHARES AMAZON
P
2018-03-19
2018-07-13
20 SHARES AMAZON
P
2018-06-25
2018-07-13
100 SHARES BIOGEN
P
2018-02-14
2018-07-13
100 SHARES BIOGEN
P
2018-02-14
2018-07-13
900 SHARES BRISTOL
P
2018-06-07
2018-07-13
43 SHARES MERCK&CO
P
2018-11-05
2018-07-13
957 SHARES MERCK&CO
P
2018-11-05
2018-07-13
30 SHARES AMAZON
P
2018-06-25
2018-07-18
200 SHARES AMGAN
P
2018-03-01
2018-07-18
100 SHARES AMGAN
P
2018-03-19
2018-07-18
200 SHARES AMGAN
P
2018-03-19
2018-07-18
100 SHARES BIOGEN
P
2018-02-14
2018-07-18
500 SHARES CITIGROUP
P
2018-06-12
2018-07-18
1000 SHARES COMCAST
P
2018-06-18
2018-07-18
100 SHARES CVS
P
2018-06-07
2018-07-18
400 SHARES CVS
P
2018-06-07
2018-07-18
10 SHARES BIOGEN
P
2018-10-23
2018-07-23
90 SHARES BIOGEN
P
2018-10-23
2018-07-23
500 SHARES PACCAR
P
2018-07-16
2018-07-23
1000 SHARES ATT
P
2018-07-19
2018-08-01
500 SHARES ALLERGAN
P
2018-02-05
2018-08-01
100 SHARES BRISTOL
P
2018-06-07
2018-08-01
1 SHARES CITIGROUP
P
2018-06-07
2018-08-01
100 SHARES CITIGROUP
P
2018-06-07
2018-08-01
100 SHARES CITIGROUP
P
2018-06-07
2018-08-01
100 SHARES CITIGROUP
P
2018-06-07
2018-08-01
100 SHARES CITIGROUP
P
2018-06-07
2018-08-01
100 SHARES CITIGROUP
P
2018-06-07
2018-08-01
100 SHARES CITIGROUP
P
2018-06-07
2018-08-01
199 SHARES CITIGROUP
P
2018-06-07
2018-08-01
200 SHARES CITIGROUP
P
2018-06-07
2018-08-01
500 SHARES CVS
P
2018-06-07
2018-08-01
500 SHARES CVS
P
2018-07-19
2018-08-01
500 SHARES JOHNSON
P
2018-06-07
2018-08-01
100 SHARES POSCO
P
2018-07-19
2018-08-01
109 SHARES POSCO
P
2018-07-19
2018-08-01
204 SHARES POSCO
P
2018-07-19
2018-08-01
587 SHARES POSCO
P
2018-07-19
2018-08-01
500 SHARES AMGEN
P
2018-03-20
2018-08-02
1000 SHARES POSCO
P
2018-07-16
2018-08-02
1000 SHARES ABBVIE
P
2018-07-19
2018-08-06
30 SHARES ALPHABET
P
2018-02-02
2018-08-06
10 SHARES ALPHABET
P
2018-05-22
2018-08-06
30 SHARES ALPHABET
P
2018-03-20
2018-08-06
20 SHARES AMAZON
P
2018-06-07
2018-08-06
500 SHARES JOHNSON
P
2018-06-07
2018-08-06
500 SHARES IBM
P
2018-08-02
2018-08-07
500 SHARES MCKESSON
P
2018-08-02
2018-08-07
10 SHARES ALPHABET
P
2018-03-19
2018-08-10
8 SHARES ALPHABET
P
2018-03-20
2018-08-10
12 SHARES ALPHABET
P
2018-03-20
2018-08-10
30 SHARES AMAZON
P
2018-06-07
2018-08-10
1000 SHARES APPLIED MATERIALS
P
2018-08-02
2018-08-10
31 SHARES BIOGEN
P
2017-10-20
2018-08-10
69 SHARES BIOGEN
P
2017-10-20
2018-08-10
500 SHARES BROADCOM
P
2018-08-02
2018-08-10
100 SHARES CVS
P
2018-08-02
2018-08-10
200 SHARES CVS
P
2018-08-02
2018-08-10
700 SHARES CVS
P
2018-08-02
2018-08-10
300 SHARES MDC
P
2018-08-02
2018-08-10
700 SHARES MDC
P
2018-08-02
2018-08-10
20 SHARES ALPHABET
P
2018-02-02
2018-08-16
10 SHARES ALPHABET
P
2018-06-25
2018-08-16
20 SHARES AMAZON
P
2018-06-22
2018-08-16
100 SHARES CVS
P
2018-08-03
2018-08-16
900 SHARES CVS
P
2018-08-03
2018-08-16
100 SHARES CVS
P
2018-08-03
2018-08-31
400 SHARES CVS
P
2018-08-03
2018-08-31
500 SHARES CVS
P
2018-08-03
2018-08-31
500 SHARES IBM
P
2018-08-02
2018-08-31
500 SHARES JOHNSON
P
2018-07-16
2018-08-31
10 SHARES AMAZON
P
2018-06-22
2018-09-06
500 SHARES CVS
P
2018-07-19
2018-09-06
200 SHARES ALLERGAN
P
2018-01-31
2018-09-10
500 SHARES AMGEN
P
2018-07-11
2018-09-10
500 SHARES CVS
P
2018-06-18
2018-09-10
500 SHARES CVS
P
2018-07-19
2018-09-10
500 SHARES JOHNSON
P
2018-09-04
2018-09-10
500 SHARES JOHNSON CONTROLS
P
2018-03-15
2018-09-10
500 SHARES JOHNSON CONTROLS
P
2018-07-16
2018-09-10
500 SHARES MCKESSON
P
2018-08-08
2018-09-10
20 SHARES ALPHABET
P
2018-03-19
2018-09-12
30 SHARES ALPHABET
P
2018-06-07
2018-09-12
500 SHARES FACEBOOK
P
2018-09-06
2018-09-12
500 SHARES MCKESSON
P
2018-07-31
2018-09-12
200 SHARES ATT
P
2018-06-18
2018-09-17
800 SHARES ATT
P
2018-06-18
2018-09-17
126 SHARES ABBVIE
P
2018-08-08
2018-09-17
374 SHARES ABBVIE
P
2018-08-08
2018-09-17
500 SHARES IBM
P
2018-08-08
2018-09-18
6 SHARES AMAZON
P
2018-06-22
2018-09-20
14 SHARES AMAZON
P
2018-06-22
2018-09-20
500 SHARES CVS
P
2018-09-10
2018-09-20
500 SHARES IBM
P
2018-08-08
2018-09-20
1000 SHARES INTEL CORP
P
2018-09-14
2018-09-20
20 SHARES ALPHABET
P
2018-06-07
2018-09-21
500 SHARES WESTERN DIGITAL
P
2018-09-14
2018-09-21
100 SHARES WESTERN DIGITAL
P
2018-09-04
2018-09-25
175 SHARES WESTERN DIGITAL
P
2018-09-04
2018-09-25
225 SHARES WESTERN DIGITAL
P
2018-09-04
2018-09-25
500 SHARES WESTERN DIGITAL
P
2018-09-04
2018-09-25
30 SHARES ALPHABET
P
2018-06-25
2018-10-01
30 SHARES AMAZON
P
2018-08-03
2018-10-01
100 SHARES BIOGEN
P
2018-09-14
2018-10-01
500 SHARES FACEBOOK
P
2018-09-14
2018-10-02
95 SHARES ABBVIE
P
2018-09-19
2018-10-02
405 SHARES ABBVIE
P
2018-09-19
2018-10-02
100 SHARES BIOGEN
P
2018-01-31
2018-10-02
30 SHARES ALPHABET
P
2018-09-06
2018-10-04
100 SHARES AMGAN
P
2018-08-08
2018-10-04
500 SHARES INTEL CORP
P
2018-09-04
2018-10-04
200 SHARES INTEL CORP
P
2018-09-21
2018-10-04
300 SHARES INTEL CORP
P
2018-09-21
2018-10-04
500 SHARES KLAC
P
2018-10-02
2018-10-05
100 SHARES WESTERN DIGITAL
P
2018-10-02
2018-10-05
100 SHARES WESTERN DIGITAL
P
2018-10-02
2018-10-05
300 SHARES WESTERN DIGITAL
P
2018-10-02
2018-10-05
500 SHARES WESTERN DIGITAL
P
2018-10-02
2018-10-05
200 SHARES MCKESSON
P
2018-10-03
2018-10-09
300 SHARES MCKESSON
P
2018-10-03
2018-10-09
28 SHARES MCKESSON
P
2018-07-11
2018-10-11
100 SHARES MCKESSON
P
2018-07-11
2018-10-11
172 SHARES MCKESSON
P
2018-07-11
2018-10-11
200 SHARES MCKESSON
P
2018-07-11
2018-10-11
500 SHARES FACEBOOK
P
2018-10-10
2018-10-17
100 SHARES WESTERN DIGITAL
P
2018-10-09
2018-10-17
100 SHARES WESTERN DIGITAL
P
2018-10-09
2018-10-17
100 SHARES WESTERN DIGITAL
P
2018-10-09
2018-10-17
200 SHARES WESTERN DIGITAL
P
2018-10-09
2018-10-17
50 SHARES ALPHABET
P
2018-10-15
2018-10-18
10 SHARES AMAZON
P
2018-10-15
2018-10-18
1000 SHARES INTEL CORP
P
2018-10-11
2018-10-18
50 SHARES AMAZON
P
2018-10-23
2018-10-29
281 SHARES MDC
P
2018-10-23
2018-10-29
719 SHARES MDC
P
2018-10-23
2018-10-29
100 SHARES TESLA
P
2018-10-23
2018-10-29
1000 SHARES ATT
P
2018-10-26
2018-11-01
100 SHARES INTEL CORP
P
2018-10-09
2018-11-01
100 SHARES INTEL CORP
P
2018-10-09
2018-11-01
100 SHARES INTEL CORP
P
2018-10-09
2018-11-01
100 SHARES INTEL CORP
P
2018-10-09
2018-11-01
100 SHARES INTEL CORP
P
2018-10-09
2018-11-01
1000 SHARES ABBVIE
P
2018-10-23
2018-11-09
1000 SHARES CARDIANL HEALTH
P
2018-05-14
2018-11-15
700 SHARES FACEBOOK
P
2018-11-19
2018-11-26
(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
31,937
30,980
957
b
31,937
30,980
957
c
65,245
62,507
2,738
d
173
165
8
e
5,703
5,453
250
80,565
77,004
3,561
48,816
47,318
1,498
20,835
19,429
1,406
33,114
31,551
1,563
33,115
31,551
1,564
6,055
5,711
344
6,055
5,711
344
7,339
7,166
173
14,678
14,332
346
14,680
14,332
348
17,968
17,471
497
85,213
82,595
2,618
21,497
20,078
1,419
47,754
43,815
3,939
86,903
82,622
4,281
18,449
17,716
733
9,052
7,452
1,600
52,960
47,947
5,013
7,353
6,053
1,300
20,146
18,478
1,668
6,178
5,550
628
18,534
16,650
1,884
37,067
33,303
3,764
93
75
18
3,605
2,906
699
5,565
4,471
1,094
1,235
1,111
124
11,114
10,000
1,114
92,425
84,793
7,632
58,946
52,208
6,738
3,531
3,237
294
31,780
29,670
2,110
85,751
45,185
40,566
60,718
56,710
4,008
42,887
24,606
18,281
53,603
51,425
2,178
1,714
1,490
224
1,714
1,492
222
3,264
3,068
196
7,605
7,159
446
53,708
50,014
3,694
11,981
11,055
926
45,310
42,552
2,758
92,382
87,682
4,700
17,353
15,864
1,489
17,539
17,213
326
37,580
36,589
991
7,257
6,952
305
10,885
10,428
457
38,509
36,185
2,324
66,694
63,672
3,022
94,978
89,202
5,776
35,236
34,030
1,206
87,000
58,452
28,548
8,700
5,413
3,287
78,300
48,691
29,609
87,000
53,812
33,188
43,500
24,606
18,894
22,305
20,009
2,296
93,664
89,202
4,462
37,578
35,690
1,888
79,352
73,858
5,494
32,644
29,897
2,747
39,108
35,911
3,197
10,400
9,258
1,142
16,290
15,624
666
55,199
53,821
1,378
18,277
17,752
525
10,339
9,258
1,081
82,599
80,095
2,504
93,150
92,110
1,040
6,578
5,519
1,059
33,080
32,139
941
49,620
48,999
621
54,507
53,336
1,171
73,657
66,288
7,369
73,657
65,217
8,440
34,334
33,925
409
14,813
13,990
823
59,250
55,954
3,296
74,063
70,095
3,968
55,395
55,095
300
54,250
50,898
3,352
46,542
41,705
4,837
97,040
92,285
4,755
58,505
54,891
3,614
186,632
186,650
-18
5,817
5,817
0
7,551
7,551
0
32,062
30,111
1,951
1,603
1,478
125
14,428
13,305
1,123
32,062
29,567
2,495
50,032
44,918
5,114
31,558
30,225
1,333
31,558
30,111
1,447
15,779
15,204
575
1,386
1,297
89
48,117
45,016
3,101
23,860
21,520
2,340
58,181
56,759
1,422
16,294
15,204
1,090
48,885
45,613
3,272
32,986
30,258
2,728
37,606
33,823
3,783
10,438
9,889
549
74,197
70,948
3,249
13,347
12,143
1,204
59,514
56,872
2,642
16,935
15,553
1,382
178,685
168,012
10,673
14,109
13,326
783
18,450
17,426
1,024
4,800
4,525
275
9,599
9,051
548
33,599
31,678
1,921
179,835
168,190
11,645
65,585
62,997
2,588
180,401
168,725
11,676
81,690
72,185
9,505
80,386
73,009
7,377
11,309
9,981
1,328
171
160
11
16,966
15,821
1,145
17,135
15,983
1,152
57,189
52,926
4,263
57,189
53,285
3,904
16,952
15,376
1,576
16,952
15,376
1,576
108,814
101,634
7,180
9,589
8,722
867
28,767
26,167
2,600
61,288
55,994
5,294
11,338
10,271
1,067
31,177
29,183
1,994
23,457
21,154
2,303
11,729
10,686
1,043
23,457
20,251
3,206
58,643
52,821
5,822
14,885
12,495
2,390
34,643
32,666
1,977
58,509
53,462
5,047
92,799
88,228
4,571
72,355
64,655
7,700
45,522
42,745
2,777
95,470
90,005
5,465
70,965
58,491
12,474
70,965
57,884
13,081
25,089
24,245
844
37,634
36,368
1,266
31,153
29,629
1,524
17,074
15,700
1,374
34,162
31,400
2,762
11,763
10,779
984
47,054
43,150
3,904
34,991
31,819
3,172
17,496
15,376
2,120
34,991
33,109
1,882
34,317
29,820
4,497
34,317
30,020
4,297
50,133
47,247
2,886
2,663
2,565
98
59,261
57,076
2,185
55,005
49,663
5,342
38,852
36,415
2,437
19,426
18,183
1,243
38,852
36,365
2,487
35,140
30,020
5,120
34,723
33,808
915
34,933
32,646
2,287
6,823
6,482
341
27,295
25,928
1,367
3,588
3,297
291
32,292
29,643
2,649
31,825
31,261
564
31,964
31,437
527
91,683
84,263
7,420
5,880
5,250
630
72
68
4
7,241
6,842
399
7,241
6,842
399
7,240
6,842
398
7,241
6,842
399
7,241
6,842
399
7,241
6,842
399
14,408
13,615
793
14,482
13,683
799
33,717
32,410
1,307
33,717
33,090
627
65,997
61,537
4,460
7,247
6,836
411
7,905
7,451
454
14,792
13,946
846
42,575
40,129
2,446
98,392
91,251
7,141
73,274
68,859
4,415
95,182
90,341
4,841
37,220
33,568
3,652
12,407
10,787
1,620
36,748
32,817
3,931
36,642
33,777
2,865
65,632
61,537
4,095
73,767
71,548
2,219
63,067
61,922
1,145
12,511
10,950
1,561
10,009
8,751
1,258
15,013
13,127
1,886
56,541
50,666
5,875
50,263
48,113
2,150
10,862
10,483
379
24,171
23,332
839
110,016
108,271
1,745
6,733
6,389
344
13,465
12,777
688
47,129
44,720
2,409
9,297
9,131
166
21,703
21,306
397
25,178
22,379
2,799
12,589
11,267
1,322
38,383
34,524
3,859
7,130
6,488
642
64,174
58,389
5,785
7,446
6,488
958
29,786
25,952
3,834
37,232
32,438
4,794
73,769
71,548
2,221
67,403
62,103
5,300
20,407
17,262
3,145
37,009
33,090
3,919
38,080
36,010
2,070
98,290
96,787
1,503
38,084
33,865
4,219
38,084
33,260
4,824
68,467
66,943
1,524
19,356
18,508
848
19,357
17,408
1,949
62,750
62,041
709
23,325
21,900
1,425
34,987
33,756
1,231
82,131
81,040
1,091
65,177
62,823
2,354
6,729
6,443
286
26,913
25,772
1,141
12,112
11,799
313
35,949
35,024
925
74,130
73,187
943
11,649
10,357
1,292
27,180
24,166
3,014
39,391
37,893
1,498
74,331
73,187
1,144
46,263
45,548
715
23,428
22,504
924
29,212
28,428
784
6,045
5,950
95
10,580
10,412
168
13,602
13,387
215
30,227
29,748
479
36,224
33,801
2,423
60,338
54,665
5,673
35,532
33,820
1,712
84,543
81,073
3,470
9,024
8,638
386
38,475
36,825
1,650
35,586
34,613
973
36,022
34,865
1,157
20,716
19,649
1,067
24,106
23,965
141
9,643
9,304
339
14,463
13,956
507
51,343
50,879
464
5,867
5,797
70
5,867
5,797
70
17,602
17,391
211
29,337
28,985
352
26,491
26,175
316
39,736
39,260
476
3,824
3,788
36
13,657
13,530
127
23,491
23,271
220
27,316
27,059
257
77,561
76,090
1,471
5,533
5,368
165
5,532
5,368
164
5,532
5,368
164
11,064
10,736
328
56,627
55,623
1,004
18,156
17,786
370
45,781
44,180
1,601
89,309
88,524
785
7,862
7,506
356
20,115
19,197
918
31,429
29,378
2,051
30,431
29,680
751
4,750
4,674
76
4,750
4,674
76
4,750
4,674
76
4,750
4,674
76
4,750
4,674
76
86,825
82,863
3,962
56,694
55,116
1,578
95,112
93,055
2,057
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
957
b
957
c
2,738
d
8
e
250
3,561
1,498
1,406
1,563
1,564
344
344
173
346
348
497
2,618
1,419
3,939
4,281
733
1,600
5,013
1,300
1,668
628
1,884
3,764
18
699
1,094
124
1,114
7,632
6,738
294
2,110
40,566
4,008
18,281
2,178
224
222
196
446
3,694
926
2,758
4,700
1,489
326
991
305
457
2,324
3,022
5,776
1,206
28,548
3,287
29,609
33,188
18,894
2,296
4,462
1,888
5,494
2,747
3,197
1,142
666
1,378
525
1,081
2,504
1,040
1,059
941
621
1,171
7,369
8,440
409
823
3,296
3,968
300
3,352
4,837
4,755
3,614
-18
0
0
1,951
125
1,123
2,495
5,114
1,333
1,447
575
89
3,101
2,340
1,422
1,090
3,272
2,728
3,783
549
3,249
1,204
2,642
1,382
10,673
783
1,024
275
548
1,921
11,645
2,588
11,676
9,505
7,377
1,328
11
1,145
1,152
4,263
3,904
1,576
1,576
7,180
867
2,600
5,294
1,067
1,994
2,303
1,043
3,206
5,822
2,390
1,977
5,047
4,571
7,700
2,777
5,465
12,474
13,081
844
1,266
1,524
1,374
2,762
984
3,904
3,172
2,120
1,882
4,497
4,297
2,886
98
2,185
5,342
2,437
1,243
2,487
5,120
915
2,287
341
1,367
291
2,649
564
527
7,420
630
4
399
399
398
399
399
399
793
799
1,307
627
4,460
411
454
846
2,446
7,141
4,415
4,841
3,652
1,620
3,931
2,865
4,095
2,219
1,145
1,561
1,258
1,886
5,875
2,150
379
839
1,745
344
688
2,409
166
397
2,799
1,322
3,859
642
5,785
958
3,834
4,794
2,221
5,300
3,145
3,919
2,070
1,503
4,219
4,824
1,524
848
1,949
709
1,425
1,231
1,091
2,354
286
1,141
313
925
943
1,292
3,014
1,498
1,144
715
924
784
95
168
215
479
2,423
5,673
1,712
3,470
386
1,650
973
1,157
1,067
141
339
507
464
70
70
211
352
316
476
36
127
220
257
1,471
165
164
164
328
1,004
370
1,601
785
356
918
2,051
751
76
76
76
76
76
3,962
1,578
2,057
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
801,083
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
261,200
7,204,977
0.036253
2017
245,764
6,441,923
0.038151
2016
231,366
5,884,139
0.039320
2015
234,963
4,905,712
0.047896
2014
210,510
4,344,793
0.048451
2
Total
of line 1, column (d)
.....................
2
0.210071
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
0.042014
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
7,793,401
5
Multiply line 4 by line 3
......................
5
327,432
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
9,251
7
Add lines 5 and 6
........................
7
336,683
8
Enter qualifying distributions from Part XII, line 4
,.............
8
197,311
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
18,503
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
18,503
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
18,503
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,672
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
2,672
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
15,831
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
Refunded
11
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
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
CA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
GUOCHEN YAN
Telephone no.
(775) 771-9437
Located at
2600 FARETTO LN
RENO
NV
ZIP+4
89511
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
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
GUOCHEN YAN
CEO
6.00
0
0
0
2600 FARETTO LN
RENO
,
NV
89511
GLORIA GUOHONG ZHANG
SECRETARY
6.00
0
0
0
2600 FARETTO LN
RENO
,
NV
89511
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
UNIVERSITY ORGANIZED PARENT EVENTS, CHURCH EVENTS, YOUTH GROUP ACTIVITIES, ETC.
9,878
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
6,156,430
b
Average of monthly cash balances
.......................
1b
1,755,652
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
7,912,082
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
7,912,082
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
118,681
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
7,793,401
6
Minimum investment return.
Enter 5% of line 5
..................
6
389,670
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
389,670
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
18,503
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
18,503
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
371,167
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
371,167
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
371,167
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
197,311
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
197,311
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
197,311
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
371,167
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
193,011
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:
$
197,311
a
Applied to 2018, but not more than line 2a
193,011
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
.....
4,300
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
..........
366,867
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).)
GUOCHEN YAN
GLORIA GUOHONG ZHANG
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
TEXAS A&M UNIVERSITY
400 BIZZELL ST
COLLEGE STATION
,
TX
77843
N/A
PUBLIC CHARITY
DONATION
100,000
THE U C DAVIS FOUNDATION
1 SHIELDS AVE
DAVIS
,
CA
95616
N/A
PUBLIC CHARITY
DONATION
50,000
CHILDRENS CANCER RESEARCH FUND
7301 OHMS LN
MINNEAPOLIS
,
MN
55439
N/A
PUBLIC CHARITY
DONATION
311
UNIVERSITY OF CALIFORNIA AT SANTA CRUZ
1156 HIGH ST
SANTA CRUZ
,
CA
95064
N/A
PUBLIC CHARITY
DONATION
750
Total
.................................
3a
151,061
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
2,229
4
Dividends and interest from securities
....
14
124,990
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
801,083
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)
..
0
928,302
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
928,302
(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