-
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
01-01-2019
, and ending
12-31-2019
Name of foundation
Lintilhac Foundation Inc
Number and street (or P.O. box number if mail is not delivered to street address)
886 Northgate Road
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Shelburne
,
VT
05482
A Employer identification number
35-2558724
B
Telephone number (see instructions)
(802) 985-4106
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)
$
24,389,571
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)
204,883
2
Check
.............
3
Interest on savings and temporary cash investments
53,254
53,254
4
Dividends and interest from securities
...
431,607
430,100
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
1,184,198
b
Gross sales price for all assets on line 6a
10,118,593
7
Capital gain net income (from Part IV, line 2)
...
1,184,198
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)
.....
0
11
Other income (attach schedule)
.......
0
12
Total.
Add lines 1 through 11
........
1,873,942
1,667,552
13
Compensation of officers, directors, trustees, etc.
10,000
0
10,000
14
Other employee salaries and wages
......
34,328
0
34,328
15
Pension plans, employee benefits
.......
2,626
0
2,626
16a
Legal fees (attach schedule)
.........
59,185
0
59,185
b
Accounting fees (attach schedule)
.......
5,110
2,555
2,555
c
Other professional fees (attach schedule)
....
261,693
131,045
130,648
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
27,366
3,366
0
19
Depreciation (attach schedule) and depletion
...
6,113
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
11,045
0
11,045
22
Printing and publications
..........
56,918
0
56,918
23
Other expenses (attach schedule)
.......
9,080
1,169
7,911
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
483,464
138,135
315,216
25
Contributions, gifts, grants paid
.......
888,669
888,669
26
Total expenses and disbursements.
Add lines 24 and 25
1,372,133
138,135
1,203,885
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
501,809
b
Net investment income
(if negative, enter -0-)
1,529,417
c
Adjusted net income
(if negative, enter -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
.............
149,008
3,562
3,562
2
Savings and temporary cash investments
.........
2,015,814
3,401,514
3,401,514
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)
.....
0
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
526,003
577,197
581,226
b
Investments—corporate stock (attach schedule)
.......
12,317,543
11,196,843
14,479,530
c
Investments—corporate bonds (attach schedule)
.......
5,510,236
5,847,404
5,883,967
11
Investments—land, buildings, and equipment: basis
79,913
Less: accumulated depreciation (attach schedule)
58,432
27,594
21,481
21,481
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
18,291
18,291
18,291
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
0
15
Other assets (describe
)
0
0
0
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
20,564,489
21,066,292
24,389,571
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
0
21
Mortgages and other notes payable (attach schedule)
......
0
22
Other liabilities (describe
)
900
894
23
Total liabilities
(add lines 17 through 22)
.........
900
894
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
........
20,563,589
21,065,398
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
0
0
29
Total net assets or fund balances
(see instructions)
.....
20,563,589
21,065,398
30
Total liabilities and net assets/fund balances
(see instructions)
.
20,564,489
21,066,292
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
20,563,589
2
Enter amount from Part I, line 27a
.....................
2
501,809
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
21,065,398
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
21,065,398
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
Publicly Traded Securities
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
10,118,593
0
8,934,395
1,184,198
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
0
0
0
1,184,198
b
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
1,184,198
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
1,215,742
21,330,883
0.056994
2017
1,129,398
20,378,539
0.055421
2016
1,089,013
18,811,402
0.057891
2015
1,110,705
19,729,483
0.056297
2014
1,099,208
19,869,863
0.055320
2
Total
of line 1, column (d)
.....................
2
0.281923
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
0.056385
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
22,302,173
5
Multiply line 4 by line 3
......................
5
1,257,508
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
15,294
7
Add lines 5 and 6
........................
7
1,272,802
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,203,885
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
30,588
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
30,588
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
30,588
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
35,720
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
35,720
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
5,132
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
5,132
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)
DE
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
www.lintilhacfoundation.org
14
The books are in care of
Nancy Brink
Telephone no.
(802) 985-4106
Located at
886 Northgate Road
Shelburne
VT
ZIP+4
05482
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
Crea S Lintilhac
Executive Director
40.00
0
0
0
886 Northgate Road
Shelburne
,
VT
05482
Louise S Lintilhac
President
6.00
5,000
0
0
886 Northgate Road
Shelburne
,
VT
05482
William S Lintilhac
Vice-President
5.00
5,000
0
0
886 Northgate Road
Shelburne
,
VT
05482
Philip M Lintilhac
Secretary/Treasurer
5.00
0
0
0
886 Northgate Road
Shelburne
,
VT
05482
Paul S Lintilhac
Director
5.00
0
0
0
886 Northgate Road
Shelburne
,
VT
05482
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
InTrack Investment Management
Investment Management Services
131,045
1233 Shelburne Road
South Burlington
,
VT
05403
Watershed Consulting Associates
Water Quality Testing and Monitoring
63,817
208 Flynn Avenue Suite 2
Burlington
,
VT
05401
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
None
0
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
None
0
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
19,601,155
b
Average of monthly cash balances
.......................
1b
3,040,645
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
22,641,800
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
22,641,800
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
339,627
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
22,302,173
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,115,109
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
1,115,109
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
30,588
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
0
c
Add lines 2a and 2b
............................
2c
30,588
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,084,521
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
1,084,521
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
1,084,521
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
1,203,885
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,203,885
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
1,203,885
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
1,084,521
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
157,545
b
From 2015
......
133,003
c
From 2016
......
165,879
d
From 2017
......
133,539
e
From 2018
......
182,944
f
Total
of lines 3a through e
........
772,910
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,203,885
a
Applied to 2018, 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 2019 distributable amount
.....
1,084,521
e
Remaining amount distributed out of corpus
119,364
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
892,274
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
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
157,545
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
734,729
10
Analysis of line 9:
a
Excess from 2015
....
133,003
b
Excess from 2016
....
165,879
c
Excess from 2017
....
133,539
d
Excess from 2018
....
182,944
e
Excess from 2019
....
119,364
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).)
None
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.
None
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 e-mail address of the person to whom applications should be addressed:
Crea S Lintilhac
886 Northgate Road
Shelburne
,
VT
05482
(802) 985-4106
b
The form in which applications should be submitted and information and materials they should include:
See attached statement.
c
Any submission deadlines:
There are no deadlines. Grants will be awarded semiannually.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
See attached statement.
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
350Vermontorg
255 South Champlain Street
Burlington
,
VT
05401
PC
ClimateChange throughSoil Health
5,000
ACLU Foundation of Vermont
137 Elm Street
Montpelier
,
VT
05602
PC
Civic Engagement,Civil Liberties& Open Government
15,000
American Forests
1220 L Street NW 750
Washington
,
DC
20005
PC
HealthyForests,Healthy Waters
15,000
Association of Vermont Conservation Commissions
89 Main Street
Montpelier
,
VT
05602
PC
AVCC2019Summit
250
Audubon Vermont
255 Sherman Hollow Road
Huntington
,
VT
05462
PC
2019AnnualMeeting
10,000
Burke Mountain Academy
PO Box 78
East Burke
,
VT
05832
PC
AnnualSupport
1,000
Burlington Bicycle Project
331 North Winooski Avenue
Burlington
,
VT
05401
PC
Bicycles asAffordableTransportation
5,000
Catamount Trail Association
One Mill Street 350
Burlington
,
VT
05401
PC
CapacityGrant
7,000
Center for Technology Essex
3 Educational Drive
Essex Junction
,
VT
05452
PC
LintilhacCareer ChallengeScholarship
1,500
Citizens Awareness Network
PO Box 83
Shelburne Falls
,
MA
01370
PC
NuclearFreeNew England
5,000
Connecticut River Watershed Council
15 Bank Row
Greenfield
,
MA
01301
PC
Creating and EnforcingStrong EnvironmentalStandards in Vermont
10,000
Conservation Law Foundation
62 Summer Street
Boston
,
MA
02110
PC
Vermont CleanWater & EnergyPriorities
50,000
Democracy Now
207 West 25th Street 11th Floor
New York
,
NY
10001
PC
AnnualSupport
1,000
Energy Action Network
3 Pitkin Court
Montpelier
,
VT
05602
PC
LeveragingChange SpeakerSeries
5,000
Fairbanks Museum & Planetarium
1302 Main Street
Saint Johnsbury
,
VT
05819
PC
RenewableEnergyCampus
5,000
Governors Institutes of Vermont
4049 Williston Road 4
South Burlington
,
VT
05446
PC
Supporting EnvironmentalScience and Technology
5,000
Green Mountain Club Inc
4711 Waterbury-Stowe Road
Waterbury Center
,
VT
05677
PC
BackcountryCaretakerProgram
8,000
Green Mountain Conservancy
PO Box 301
West Dummerston
,
VT
05357
PC
Deer RunNaturePreserve
10,000
Hunger Free Vermont
38 Eastwood Drive Suite 100
South Burlington
,
VT
05403
PC
GeneralSupport
20,000
Keeping Track
PO Box 1115
Richmond
,
VT
05477
PC
Keeping TrackPhoto CatalogProject
5,000
Kids on the Ball
294 North Winooski Avenue 105
Burlington
,
VT
05401
PC
GeneralSupport
5,000
Lake Champlain Committee Inc
106 Main Street 200
Burlington
,
VT
05401
PC
WaterProtectionAdvocacy
20,000
Lake Champlain International Inc
531 Main Street
Colchester
,
VT
05446
PC
Building aVermont CleanWater Economy
20,000
Lake Champlain Maritime Museum Inc
PO Box 4092
Vergennes
,
VT
05491
PC
AnnualSupport
1,000
LEAD International
PO Box 1103
Montpelier
,
VT
05601
PC
NurseMidwives inVermont
5,000
Lewis Creek Watershed Association
PO Box 313
Charlotte
,
VT
05445
PC
AnnualSupport
500
Middlebury College
14 Old Chapel Road
Middlebury
,
VT
05753
PC
High ResolutionMapping of LakeChamplain Bottom
30,000
Mount Mansfield Educational Foundation
403 Spruce Peak
Stowe
,
VT
05672
PC
GeneralSupport
500
NOFA-Vermont
PO Box 697
Richmond
,
VT
05477
PC
Organizingfor SoilHealth
16,830
North American Lake Management Society
PO Box 5443
Madison
,
WI
53705
PC
ConferenceSupport
1,000
Northern Forest Center
18 Main Street Suite 204
Concord
,
NH
03301
PC
AdvancingModern WoodHeat
10,000
Real Organic Project
882 Wilson Road
East Thetford
,
VT
05403
PC
GeneralSupport
20,000
Regeneration Vermont Inc
135 London Lane
Hardwick
,
VT
05843
PC
Vermont RisingBeyondBig Dairy
10,000
Renewable Energy Vermont Education Fund
33 Court Street
Montpelier
,
VT
05601
PC
REVConference &Expo
1,000
The Retreat Farm
45 Farmhouse Square
Brattleboro
,
VT
05301
PC
RegenerativeFarming
10,000
Rights and Democracy Education Fund
70 South Winooski Avenue 205
Burlington
,
VT
05401
PC
Jobs,Justice &Climate
5,000
Shelburne Farms
1611 Harbor Road
Shelburne
,
VT
05482
PC
AnnualAppeal
1,000
Shelburne Firefighters Association
PO Box 911
Shelburne
,
VT
05482
PC
AnnualSupport
1,000
Shelburne Museum
PO Box 10
Shelburne
,
VT
05482
PC
AnnualSupport
2,000
Shelburne Police Department
5420 Shelburne Road
Shelburne
,
VT
05482
GOV
AnnualSupport
500
Shelburne Rescue Squad
PO Box 291
Shelburne
,
VT
05482
GOV
AnnualSupport
1,000
The Skidmore Fund
815 North Broadway
Saratoga Springs
,
NY
12866
PC
OperatingSupport
1,000
Stowe Performing Arts Center
PO Box 3283
Stowe
,
VT
05672
PC
2019ConcertSeason
500
Stowe Police Department
350 South Main Street
Stowe
,
VT
05672
GOV
GeneralSupport
500
Stowe Rescue Squad
PO Box 291
Stowe
,
VT
05672
PC
GeneralSupport
500
Stowe Volunteer Firefighters Association
312 South Main Street
Stowe
,
VT
05672
PC
GeneralSupport
500
Stowe Rotary Club
PO Box 684
Stowe
,
VT
05672
PC
NepalLiteracyProject
200
Stowe Weekend of Hope
PO Box 604
Stowe
,
VT
05672
PC
GeneralSupport
250
Strolling of the Heifers
105 Patridge Road
East Dummerston
,
VT
05346
PC
Slow LivingSummit and General Support
1,500
The Orianne Society
11 Old Fruit Stand Lane
Tiger
,
GA
30576
PC
WoodTurtleConservation
5,000
Town of Hinesburg Vermont
10632 Route 116
Hinesburg
,
VT
05491
GOV
TransitResearchStudy
1,200
Toxic Action Center Inc
141 Main Street 6
Montpelier
,
VT
05602
PC
Clean Waterfor a HealthyVermont
10,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
LaneSeries
500
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
BotanyDepartment
30,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
StudentConference
1,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
Video & PodcastStorytelling /Community News
6,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
Dean'sDiscretionaryFund
1,500
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
PlantBiology &Water Quality
100,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
Audubon ofVermontProject
17,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
Eric ZenceyPrize inEcological Economics
5,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
PhosphorousIndicies atthe Farm Scale
15,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
Reporting &DocumentaryStorytelling
5,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
Developing a Low Cost Cyanobacteria& Algae Sensor
30,000
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
Effects of Lossof Intact RiparianAreas on Vermont's Lakes
16,723
The University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
PC
Land Useand EnvironmentalEquity
15,000
UVM Medical Center
111 Colchester Avenue
Burlington
,
VT
05401
PC
DermatologyResidentEducation Fund
5,000
UVM Medical Center
111 Colchester Avenue
Burlington
,
VT
05401
PC
MidwiferyProgram
55,000
The Vermont Center for Ecostudies Inc
PO Box 420
Norwich
,
VT
05055
PC
VermontWild BeeStudy
5,000
The Vermont Center for Ecostudies Inc
PO Box 420
Norwich
,
VT
05055
PC
VermontVernal PoolAtlas
10,000
Vermont Council on Rural Development
PO Box 1384
Montpelier
,
VT
05601
PC
VermontClimate EconomyInitiative
5,000
Vermont Family Forests Foundation
14 School Street
Bristol
,
VT
05443
PC
VermontReptile andAmphibian Atlas
5,000
Vermont Foodbank
33 Parker Road
Barre
,
VT
05641
PC
AnnualSupport
1,000
Vermont Huts Association
PO Box 745
Stowe
,
VT
05672
PC
BreakingGround
5,000
Vermont Journalism Trust
64 Main Street
Montpelier
,
VT
05602
PC
AnnualSupport
25,000
Vermont Journalism Trust
64 Main Street
Montpelier
,
VT
05602
PC
Stairlift
6,765
Vermont Mountain Bike Association
PO Box 2055
So Burlington
,
VT
05407
PC
VMBAProgramsCoordinator
15,000
Vermont Natural Resource Council
9 Bailey Avenue
Montpelier
,
VT
05602
PC
Capitalizing onOpportunity forEnvironmental Progress
15,000
Vermont Natural Resource Council
9 Bailey Avenue
Montpelier
,
VT
05602
PC
MultipleConservation andClean Water Goals
35,000
Vermont Natural Resource Council
9 Bailey Avenue
Montpelier
,
VT
05602
PC
PipelineWaterQuality
3,851
Vermont Public Television
88 Ethan Allen Avenue
Colchester
,
VT
05446
PC
VermontThisWeek
15,000
Vermont Public Interest Research & Education Fund
141 Main Street 6
Montpelier
,
VT
05602
PC
Climate and EnergyProgram
35,000
Vermont Public Radio
365 Troy Avenue
Colchester
,
VT
05446
PC
VermontEdition
15,000
Vermont River Conservancy
29 Main Street 11
Montpelier
,
VT
05602
PC
Water Quality &Safety Management atVermont Swimming Holes
10,000
Vermont Woman Media
4 Laurel Hill
South Burlington
,
VT
05403
PC
GeneralSupport
500
Vermont Alzheimer's Association
225 North Michigan Avenue
Chicago
,
IL
60601
PC
GeneralSupport
100
Vital Communities Inc
195 North Main Street
White River Jct
,
VT
05001
PC
Energy Burdenin ManufacturedHomes
5,000
Waterbury LEAP
1536 Loomis Hill Road
Waterbury Center
,
VT
05677
PC
Expanding theRenewable EnergyEconomy
1,000
Waterbury Ambulance Service
1727 Guptil Road
Waterbury Center
,
VT
05677
PC
GeneralSupport
500
Waterbury Firefighters Association
28 North Main Street 1
Waterbury
,
VT
05476
PC
GeneralSupport
500
Waterbury Police Department
28 North Main Street 1
Waterbury
,
VT
05476
GOV
GeneralSupport
500
Woods Hole Oceanographic Institute
266 Woods Hole Road
Woods Hole
,
MA
02543
PC
AnnualSupport
5,000
Total
.................................
3a
888,669
b
Approved for future payment
Total
.................................
3b
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
53,254
4
Dividends and interest from securities
....
14
431,607
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
1,184,198
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
1,669,059
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
1,669,059
(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:
Part VI Line 7 -Original Return Overpayment:
-35,720
Form 990PF - Special Condition Description:
Special Condition Description