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 05-17-2018 , and ending 12-31-2018
Name of foundation
ANDREW BURGIN CHARITABLE TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

82-5526068
B Telephone number (see instructions)

(855) 739-2920
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$1,107,697J 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) 1,156,453
2 Check bullet.............
3 Interest on savings and temporary cash investments 802 802  
4 Dividends and interest from securities... 21,032 20,086  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 19,105
b Gross sales price for all assets on line 6a 815,731
7 Capital gain net income (from Part IV, line 2)... 19,105
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)....... Click to see attachment 255 -281  
12 Total. Add lines 1 through 11........ 1,197,647 39,712  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 9,765 7,324   2,441
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 3,500 0 0 3,500
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,002 246   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)....... Click to see attachment 602 2   600
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 15,869 7,572 0 6,541
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 15,869 7,572 0 6,541
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,181,778
b Net investment income (if negative, enter -0-) 32,140
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.........   47,978 47,978
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)      
b Investments—corporate stock (attach schedule).......   Click to see attachment657,870 799,963
c Investments—corporate bonds (attach schedule).......   Click to see attachment264,115 259,756
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)   969,963 1,107,697
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........   969,963
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).....   969,963
31 Total liabilities and net assets/fund balances (see instructions). 0 969,963
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
 
2
Enter amount from Part I, line 27a .....................
2
1,181,778
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
24
4
Add lines 1, 2, and 3 ..........................
4
1,181,802
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
211,839
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
969,963
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 1.923 INVESCO MULTI-ASSET INC-Y #8644   1950-01-01 2018-07-30
b 477.654 INVESCO MULTI-ASSET INC-Y #8644   2018-03-23 2018-07-30
c 47. AMERISOURCEBERGEN CORP   2016-06-29 2018-07-30
d 131. ANALOG DEVICES INC   2016-06-29 2018-07-30
e 30. BECTON DICKINSON & CO   2015-06-18 2018-07-30
445.575 BLACKROCK ENHANCED GLOBAL DI   2017-06-30 2018-07-30
82.425 BLACKROCK ENHANCED GLOBAL DI   2018-05-31 2018-07-30
150. BLOCK H & R INC   2013-04-12 2018-07-30
776. CALAMOS STRATEGIC TOTAL RETURN FD   2009-06-19 2018-07-30
36. CLOROX CO   2015-06-18 2018-07-30
48. EATON VANCE CORP COM NON VTG   2015-06-18 2018-07-30
400. ENTERGY ARKANSAS INC 4.900% PFD   2013-03-15 2018-08-08
34. ENTERGY CORP NEW COM   2017-10-05 2018-07-30
75. ENTERGY CORP NEW COM   2013-04-12 2018-07-30
594. ENTERPRISE PRODUCTS PRTNS LP   2009-04-16 2018-07-30
70. EVERSOURCE ENERGY COM   2015-06-18 2018-07-30
.0304 FT 6734: SABRIENT FORWARD LOOKING VA   2018-06-26 2018-07-12
.3004 FT 6734: SABRIENT FORWARD LOOKING VA   2018-06-26 2018-07-12
3059. FT 6734: SABRIENT FORWARD LOOKING VA   2018-06-26 2018-08-01
19. FACTSET RESH SYS INC COM   2015-06-18 2018-07-30
36.603 FRANKLIN CUSTODIAN ICM GRWTH #106   2016-12-02 2018-07-30
1.026 FRANKLIN CUSTODIAN ICM GRWTH #106   2017-12-04 2018-07-30
4.933 FRANKLIN US GOVT SECS FD-A #110   2018-05-01 2018-07-30
193.975 FRANKLIN US GOVT SECS FD-A #110   2017-07-03 2018-07-30
1.408 FRANKLIN MANAGED RISING DIVIDS #158   2018-04-03 2018-07-30
44.557 FRANKLIN MANAGED RISING DIVIDS #158   2017-07-05 2018-07-30
100. GENERAL DYNAMICS CORP   2013-04-05 2018-07-30
285. GENERAL ELECTRIC CO   2015-07-27 2018-08-08
50000. GENERAL ELEC CAP COR 4.650% 5/15/24   2012-01-09 2018-08-08
61. GENERAL MILLS INC   2015-06-18 2018-08-08
1052.138 GOLDMAN SACHS STRAT INC-INST #3716   2016-02-01 2018-07-30
350. GOLUB CAPITAL BDC INC   2013-03-13 2018-07-30
370. GOLUB CAPITAL BDC INC   2017-08-29 2018-07-30
30. GRAINGER W W INC   2013-04-05 2018-07-30
39. HARRIS CORP DEL   2015-06-18 2018-07-30
1800.508 AMERICAN INCOME FD OF AMER-A #6   2015-02-12 2018-07-30
95. INTERNATIONAL BUSINESS MACHS CORP   2016-03-08 2018-12-19
300. INVESCO DB COMMODITY INDEX T   2015-08-13 2018-08-08
237. ISHARES S&P MID-CAP 400 GROWTH   2018-08-15 2018-12-19
578. ISHARES RUSSELL 2000 ETF   2018-08-15 2018-12-19
328. ISHARES S&P MID-CAP 400 VALUE   2018-08-15 2018-12-19
200. KINDER MORGAN INC/DELAWARE   2015-02-12 2018-07-30
701.993 MFS BOND FUND-INSTITUTIONAL #811   2015-12-11 2018-07-30
309.885 MFS EMERGING MKTS DEBT FD-I #833   2013-12-11 2018-07-30
11.553 MFS INTERN DIVERSIFICATN-I #1832   2017-12-28 2018-07-30
703.685 MFS INTERN DIVERSIFICATN-I #1832   2016-12-29 2018-07-30
20000. MOBILE CNTY AL BRD 3.125% 3/01/29   2016-02-04 2018-08-08
300. MORGAN STANLEY EMERG MKT DOMCOM   2013-03-13 2018-07-30
82.911 FRANKLIN MUTUAL SHARES FUND - A #474   2016-12-23 2018-07-30
5.603 FRANKLIN MUTUAL SHARES FUND - A #474   2017-12-26 2018-07-30
116. NEXTERA ENERGY INC   2015-06-18 2018-08-08
167. NOVARTIS AG - ADR   2016-06-29 2018-08-08
48.798 OPPENHEIMER SR FLOAT RATE-Y #294   2018-05-01 2018-07-30
1271.576 OPPENHEIMER SR FLOAT RATE-Y #294   2017-07-03 2018-07-30
382. PGIM SHORT DURATION HIGH YIE   2015-07-21 2018-07-30
78. PAYCHEX INC   2015-06-18 2018-07-30
37. PEPSICO INC   2015-06-18 2018-08-08
46. PHILLIPS 66   2015-06-18 2018-07-30
30. POLARIS INDS INC COM   2015-06-18 2018-07-30
65. PRAXAIR INC COM   2015-06-18 2018-08-08
207. QUALCOMM INC   2016-06-29 2018-08-08
195. REALTY INCOME CORP COM   2016-06-29 2018-07-30
65. REALTY INCOME CORP COM   2017-08-29 2018-07-30
55. SPDR GOLD TRUST   2013-04-17 2018-08-08
144. SOUTH JERSEY INDS INC COM   2013-03-14 2018-07-30
105. SOUTHERN CO   2013-04-12 2018-08-08
940.734 OPP/STEELPATH MLP INCOME-Y #1392   2013-03-15 2018-07-30
183. SYSCO CORP   2015-06-18 2018-07-30
82.229 TEMPLETON GROWTH FD INC #101   2016-12-19 2018-07-30
1.488 TEMPLETON GROWTH FD INC #101   2017-12-18 2018-07-30
22.314 THORNBURG INVT INC BUILDER CL I #261   2018-03-26 2018-07-30
602.019 THORNBURG INVT INC BUILDER CL I #261   2017-06-26 2018-07-30
358.337 THORNBURG INV INCOME BUILDER-A #161   2013-04-17 2018-07-30
40. UNITED TECHNOLOGIES CORP   2016-03-08 2018-08-08
30000. UNIV OF ALABAMA AT 3.000% 10/01/26   2015-04-07 2018-08-08
72. V F CORP   2015-06-18 2018-07-30
1199. VANGUARD FTSE DEVELOPED ETF   2018-08-15 2018-12-19
144. VERIZON COMMUNICATIONS   2014-02-24 2018-08-08
92. VODAFONE GROUP PLC-SP ADR   2013-04-17 2018-12-19
37. WEC ENERGY GROUP INC   2017-09-05 2018-07-30
33. WEC ENERGY GROUP INC   2015-06-18 2018-07-30
382. WESTERN HIGH YIELD DEF   2015-06-11 2018-07-30
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 21   1 20
b 5,092   5,219 -127
c 3,933   3,633 300
d 12,491   8,081 4,410
e 7,399   4,229 3,170
4,946   6,262 -1,316
915   1,033 -118
3,750   4,283 -533
9,996   5,980 4,016
4,820   3,854 966
2,544   1,982 562
9,806   10,000 -194
2,734   2,666 68
6,031   5,198 833
17,184   5,975 11,209
4,191   3,318 873
       
3   3  
32,475   32,474 1
3,830   3,133 697
3,713   1,156 2,557
104   96 8
29   30 -1
1,144   1,117 27
89   85 4
2,823   1,232 1,591
19,844   6,929 12,915
3,699   7,354 -3,655
51,510   51,491 19
2,798   3,420 -622
9,901   11,009 -1,108
6,580   5,730 850
6,956   6,997 -41
10,077   6,631 3,446
5,928   3,075 2,853
41,772   39,701 2,071
11,336   18,844 -7,508
5,112   4,632 480
46,430   54,100 -7,670
79,272   96,017 -16,745
46,297   54,024 -7,727
3,535   8,280 -4,745
9,442   10,050 -608
4,394   5,021 -627
234   229 5
14,278   10,681 3,597
19,551   20,213 -662
2,058   5,153 -3,095
2,415   1,460 955
163   160 3
19,811   11,406 8,405
13,921   13,474 447
396   396  
10,312   10,586 -274
5,333   5,799 -466
5,405   3,759 1,646
4,230   3,529 701
5,586   3,684 1,902
3,120   4,535 -1,415
10,187   7,583 2,604
13,523   12,938 585
10,766   9,498 1,268
3,589   3,696 -107
6,298   7,860 -1,562
4,827   3,998 829
4,960   5,014 -54
5,880   6,584 -704
12,321   6,550 5,771
2,259   1,190 1,069
41   40 1
492   482 10
13,268   12,187 1,081
7,844   7,506 338
5,389   4,456 933
30,321   30,506 -185
6,568   5,077 1,491
45,713   50,022 -4,309
7,593   7,099 494
1,848   4,908 -3,060
2,415   2,418 -3
2,154   1,548 606
5,489   6,057 -568
      227
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       20
b       -127
c       300
d       4,410
e       3,170
      -1,316
      -118
      -533
      4,016
      966
      562
      -194
      68
      833
      11,209
      873
       
       
      1
      697
      2,557
      8
      -1
      27
      4
      1,591
      12,915
      -3,655
      19
      -622
      -1,108
      850
      -41
      3,446
      2,853
      2,071
      -7,508
      480
      -7,670
      -16,745
      -7,727
      -4,745
      -608
      -627
      5
      3,597
      -662
      -3,095
      955
      3
      8,405
      447
       
      -274
      -466
      1,646
      701
      1,902
      -1,415
      2,604
      585
      1,268
      -107
      -1,562
      829
      -54
      -704
      5,771
      1,069
      1
      10
      1,081
      338
      933
      -185
      1,491
      -4,309
      494
      -3,060
      -3
      606
      -568
       
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 19,105
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      
2016      
2015      
2014      
2013      
2
Total of line 1, column (d) .....................
2
 
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
 
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
 
5
Multiply line 4 by line 3......................
5
 
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
 
7
Add lines 5 and 6........................
7
 
8
Enter qualifying distributions from Part XII, line 4,.............
8
 
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 1 643
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........................... 3 643
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- ..... 5 643
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 1,756
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 1,756
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 1,113
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet968 RefundedBullet 11 145
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)
    bulletAL
    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. Click to see attachment...............................
    10
    Yes
     
    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
     
    No
    Website addressbullet  
    14
    The books are in care ofbulletWells Fargo Bank NA Telephone no.bullet (855) 739-2920

    Located atbullet100 N MAIN ST 6TH FL D4001-065WINSTON SALEMNC ZIP+4bullet27101
    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
     
    No
    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
    WELLS FARGO BANK N AClick to see attachment TRUSTEE
    1     		9,765    
    100 NORTH MAIN ST
    WINSTON SALEM,NC27101
    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
    1,165,056
    b
    Average of monthly cash balances.......................
    1b
    47,978
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,213,034
    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
    1,213,034
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    18,196
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,194,838
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    37,482
    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
    37,482
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    643
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    643
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    36,839
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    36,839
    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
    36,839
    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
    6,541
    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
    6,541
    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
    6,541
    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 36,839
    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...... 0
    d From 2016...... 0
    e From 2017...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 6,541
    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..... 6,541
    e Remaining amount distributed out of corpus 0
    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 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 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 ..........     		30,298
    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 ......     		0
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 0
    c Excess from 2016.... 0
    d Excess from 2017.... 0
    e Excess from 2018.... 0
    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).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    WELLS FARGO PHILANTHROPIC SERVICES
    100 N MAIN ST
    WINSTONSALEM,NC27101
    (855) 739-2922
    bThe form in which applications should be submitted and information and materials they should include:
    APPLY ONLINE AT WWW.WELLSFARGO.COM/PRIVATE-FOUNDATION/ BURGIN-CHARITABLE-TRUST
    cAny submission deadlines:
    MAY 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    FOUNDATION PRIMARILY SUPPORTS ORGANIZATIONS IN ALABAMA
    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
    Total .................................bullet 3a  
    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 ...........     		    14 802  
    4 Dividends and interest from securities....     14 21,032  
    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 19,105  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPARTNERSHIP RECEIP     		    14 255  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   41,194  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    41,194
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    ANDREW BURGIN CHARITABLE TRUST
     
    Employer identification number

    82-5526068
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    ANDREW BURGIN CHARITABLE TRUST
          		Employer identification number
    82-5526068
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    ANDREW BURGIN TOD REG 9269
     
    1 NORTH JEFFERSON AVE
     
    ST LOUIS, MO63103

    		$ 254,942


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    ANDREW BURGIN IRA 2544
     
    1 NORTH JEFFERSON AVE
     
    ST LOUIS, MO63103

    		$ 248,983


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    ANDREW BURGIN TOD REG 4751
     
    1 NORTH JEFFERSON AVE
     
    ST LOUIS, MO63103

    		$ 567,764


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    ANDREW BURGIN ROTH IRA 4742
     
    1 NORTH JEFFERSON AVE
     
    ST LOUIS, MO63103

    		$ 12,539


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
    ANDREW BURGIN IRA 1492
     
    1 NORTH JEFFERSON AVE
     
    ST LOUIS, MO63103

    		$ 72,225


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    ANDREW BURGIN CHARITABLE TRUST
          		Employer identification number

    82-5526068
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 SCHEDULE ATTACHED $ 245,975 2018-05-18
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    2
    		 SCHEDULE ATTACHED $ 243,482 2018-05-22
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    3
    		 SCHEDULE ATTACHED $ 526,346 2018-05-18
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    4
    		 SCHEDULE ATTACHED $ 12,539 2018-05-24
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    5
    		 SCHEDULE ATTACHED $ 72,225 2018-06-19
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    ANDREW BURGIN CHARITABLE TRUST
          		Employer identification number

    82-5526068
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 CompensationExplanation
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Person Name Explanation
    WELLS FARGO BANK N A TRUST ADMIN FEES SEE ATTACHED FOOTNOTE

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Name of Bond End of Year Book Value End of Year Fair Market Value
    31641Q763 FIDELITY NEW MRKTS I 72,000 70,028
    4812C0803 JPMORGAN HIGH YIELD- 12,000 11,254
    77958B402 T ROWE PRICE INST FL 12,000 11,519
    87234N765 TCW EMRG MKTS INCM-I 60,000 58,699
    921937819 VANGUARD INTERMEDIAT 84,080 84,135
    921937827 VANGUARD SHORT TERM 24,035 24,121

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Name of Stock End of Year Book Value End of Year Fair Market Value
    001055102 AFLAC INC 4,397 6,378
    00206R102 AT & T INC 10,692 8,162
    002824100 ABBOTT LABS 8,195 13,960
    009158106 AIR PRODS & CHEMS IN 8,220 13,764
    02079K305 ALPHABET INC CL A 5,582 6,270
    02209S103 ALTRIA GROUP INC 3,479 4,939
    031162100 AMGEN INC 4,987 6,035
    037833100 APPLE INC 22,037 55,209
    053015103 AUTOMATIC DATA PROCE 7,448 14,423
    09247X101 BLACKROCK INC 3,543 3,928
    165240102 CHESAPEAKE LODGING T 6,026 5,844
    166764100 CHEVRON CORP 15,328 14,795
    17275R102 CISCO SYSTEMS INC 15,065 25,391
    191216100 COCA COLA CO 4,447 5,256
    194162103 COLGATE PALMOLIVE CO 3,500 3,095
    20825C104 CONOCOPHILLIPS 11,629 12,470
    26078J100 DOWDUPONT INC 6,427 7,006
    278865100 ECOLAB INC 2,696 5,010
    291011104 EMERSON ELECTRIC CO 15,158 16,372
    30231G102 EXXON MOBIL CORPORAT 3,766 3,000
    452308109 ILLINOIS TOOL WORKS 7,108 11,655
    458140100 INTEL CORP 5,346 11,733
    46432F842 ISHARES CORE MSCI EA 48,057 47,300
    46625H100 JPMORGAN CHASE & CO 3,671 3,514
    478160104 JOHNSON & JOHNSON 11,805 17,293
    532457108 ELI LILLY & CO COM 5,631 11,572
    548661107 LOWES COS INC 14,521 23,459
    580135101 MCDONALDS CORP 10,168 18,112
    58933Y105 MERCK & CO INC NEW 9,000 15,282
    594918104 MICROSOFT CORP 12,115 35,753
    654106103 NIKE INC CL B 2,850 3,485
    655844108 NORFOLK SOUTHERN COR 3,623 5,832
    683974604 OPPENHEIMER DEVELOPI 39,824 42,803
    742718109 PROCTER & GAMBLE CO 10,877 12,685
    778296103 ROSS STORES INC 4,952 7,072
    780259107 ROYAL DUTCH SHELL PL 9,905 8,991
    78463X863 SPDR DJ WILSHIRE INT 26,041 24,067
    872540109 TJX COMPANIES INC 4,995 6,264
    87612E106 TARGET CORP 13,632 12,425
    88579Y101 3M CO 4,321 5,145
    902973304 US BANCORP 4,313 3,747
    922908512 VANGUARD MID-CAP VAL 49,292 47,439
    922908538 VANGUARD MID-CAP GRO 49,620 48,474
    922908553 VANGUARD REAL ESTATE 30,036 27,218
    922908751 VANGUARD SMALL CAP V 80,118 77,874
    931142103 WALMART INC 18,539 22,729
    G1151C101 ACCENTURE PLC 4,720 4,653
    G5960L103 MEDTRONIC PLC 5,748 6,913
    H1467J104 CHUBB LTD 4,420 5,167

    TY 2018 LegalFeesSchedule
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL SERVICES 3,500     3,500


    TY 2018 OtherDecreasesSchedule
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Description Amount
    MUT FD POSTING NEXT YR EFF CURR YR 373
    COST/FMV DIFF ON CONTRIBUTED ASSETS 211,464
    ROUNDING 2


    TY 2018 OtherExpensesSchedule
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    1023 FILING FEE 600 0   600
    ADR FEE 2 2   0


    TY 2018 OtherIncomeSchedule2
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ENTERPRISE PROD 76-0568219 255 -136  
    INVESCO DB COMM 32-6042243   -145  


    TY 2018 OtherIncreasesSchedule
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Description Amount
    MUTUAL FUND DEFERRED INCOME 24


    TY 2018 SubstantialContributorsSch
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Name Address
    ANDREW BURGIN TOD REG 9269
          		1 NORTH JEFFERSON AVE
    ST LOUIS,MO63103
    ANDREW BURGIN IRA 2544
          		1 NORTH JEFFERSON AVE
    ST LOUIS,MO63103
    ANDREW BURGIN TOD REG 4751
          		1 NORTH JEFFERSON AVE
    ST LOUIS,MO63103
    ANDREW BURGIN ROTH IRA 4742
          		1 NORTH JEFFERSON AVE
    ST LOUIS,MO63103
    ANDREW BURGIN IRA 1492
          		1 NORTH JEFFERSON AVE
    ST LOUIS,MO63103


    TY 2018 TaxesSchedule
    Name:
    ANDREW BURGIN CHARITABLE TRUST
    EIN:
    82-5526068
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 25 25   0
    FEDERAL ESTIMATES - PRINCIPAL 1,756 0   0
    FOREIGN TAXES ON QUALIFIED FOR 141 141   0
    FOREIGN TAXES ON NONQUALIFIED 80 80   0