-
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
LAUTENBACH FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 803878
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO
,
IL
60680
A Employer identification number
06-1602235
B
Telephone number (see instructions)
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)
$
3,262,690
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)
994,830
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
60,389
60,351
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
505,705
b
Gross sales price for all assets on line 6a
1,620,587
7
Capital gain net income (from Part IV, line 2)
...
505,705
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)
.......
-1,120
12
Total.
Add lines 1 through 11
........
1,559,804
566,056
13
Compensation of officers, directors, trustees, etc.
42,000
0
42,000
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
2,500
1,250
0
1,250
c
Other professional fees (attach schedule)
....
8,899
6,172
2,727
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
1,815
1,815
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
179
0
0
179
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
55,393
9,237
0
46,156
25
Contributions, gifts, grants paid
.......
480,000
480,000
26
Total expenses and disbursements.
Add lines 24 and 25
535,393
9,237
0
526,156
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
1,024,411
b
Net investment income
(if negative, enter -0-)
556,819
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
30,295
40,233
40,233
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
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)
.......
1,962,540
2,340,156
2,860,308
c
Investments—corporate bonds (attach schedule)
.......
173,722
265,306
275,213
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
26,957
76,957
86,936
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
2,193,514
2,722,652
3,262,690
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
)
23
Total liabilities
(add lines 17 through 22)
.........
0
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
........
2,193,514
2,722,652
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
2,193,514
2,722,652
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,193,514
2,722,652
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
2,193,514
2
Enter amount from Part I, line 27a
.....................
2
1,024,411
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
3,217,925
5
Decreases not included in line 2 (itemize)
5
495,273
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
2,722,652
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
2. ACTIVISION BLIZZARD INC COM STK
2018-03-08
2019-02-12
b
33. ACTIVISION BLIZZARD INC COM STK
2017-05-12
2019-02-12
c
19. ACTIVISION BLIZZARD INC COM STK
2017-04-25
2019-02-19
d
14. ACTIVISION BLIZZARD INC COM STK
2017-03-14
2019-02-20
e
20. ACTIVISION BLIZZARD INC COM STK
2017-03-24
2019-02-21
22. ACTIVISION BLIZZARD INC COM STK
2017-03-22
2019-02-25
5. ADOBE SYS INC
2019-03-08
2019-07-30
6. ADOBE SYS INC
2019-03-08
2019-08-02
658. ALASKA AIR GROUP INC
2014-01-16
2019-03-05
7. ALBEMARLE CORP
2017-07-06
2019-01-04
8. ALBEMARLE CORP
2018-05-18
2019-01-04
14. ALBEMARLE CORP
2018-07-18
2019-01-09
4. ALBEMARLE CORP
2018-07-18
2019-01-14
4. ALBEMARLE CORP
2016-12-13
2019-01-14
16. ALBEMARLE CORP
2016-08-09
2019-01-16
13. ALBEMARLE CORP
2017-01-05
2019-01-16
12. ALEXION PHARMACEUTICALS INC
2018-09-27
2019-06-07
9. ALEXION PHARMACEUTICALS INC
2018-09-26
2019-06-10
2. ALEXION PHARMACEUTICALS INC
2017-07-27
2019-06-13
7. ALEXION PHARMACEUTICALS INC
2018-07-20
2019-06-13
9. ALEXION PHARMACEUTICALS INC
2019-03-08
2019-07-25
7. ALEXION PHARMACEUTICALS INC
2017-07-27
2019-07-25
11. ALEXION PHARMACEUTICALS INC
2019-03-08
2019-07-26
2. ALEXION PHARMACEUTICALS INC
2018-01-03
2019-07-26
14. ALEXION PHARMACEUTICALS INC
2018-01-05
2019-07-31
10. ALEXION PHARMACEUTICALS INC
2019-01-18
2019-08-01
5. ALEXION PHARMACEUTICALS INC
2017-12-29
2019-08-01
14. ALEXION PHARMACEUTICALS INC
2019-01-18
2019-08-02
16. ADR ALIBABA GROUP HOLDING LTD SPON ADS EACH REP 8 ORD SHS ADS
2016-09-13
2019-01-23
16. ADR ALIBABA GROUP HOLDING LTD SPON ADS EACH REP 8 ORD SHS ADS
2017-07-25
2019-01-23
6. ADR ALIBABA GROUP HOLDING LTD SPON ADS EACH REP 8 ORD SHS ADS
2019-04-03
2019-05-23
16. ADR ALIBABA GROUP HOLDING LTD SPON ADS EACH REP 8 ORD SHS ADS
2019-04-03
2019-08-02
1. ALPHABET INC CAP STK USD0.001 CL C
2018-07-20
2019-06-05
1. ALPHABET INC CAPITAL STOCK USD0.001 CL A
2018-07-20
2019-06-05
4. AMAZON COM INC
2019-03-19
2019-04-02
516. AMERICAN EXPRESS CO
2010-08-20
2019-03-05
2. AMERICAN TOWER CORP
2019-03-08
2019-06-12
8. AMERICAN TOWER CORP
2019-08-02
2019-11-07
9. AMERICAN TOWER CORP
2019-08-02
2019-11-08
8. AMERICAN TOWER CORP
2019-07-30
2019-11-22
16. AMERICAN TOWER CORP
2018-12-14
2019-11-27
346. ANTHEM INC COM
2014-08-27
2019-03-05
14. APPLE COMPUTER INC
2016-11-14
2019-01-14
1. APPLE COMPUTER INC
2018-08-01
2019-01-14
31. ADR ASTRAZENECA PLC SPONSORED ADR UNITEDKINGDOM
2019-03-08
2019-04-30
32. ADR ASTRAZENECA PLC SPONSORED ADR UNITEDKINGDOM
2019-03-08
2019-04-30
31. ADR ASTRAZENECA PLC SPONSORED ADR UNITEDKINGDOM
2019-03-08
2019-05-10
22. ADR ASTRAZENECA PLC SPONSORED ADR UNITEDKINGDOM
2018-09-26
2019-05-13
5. BIOMARIN PHARMACEUTICAL INC COM ISIN CH0008107010
2015-09-16
2019-06-06
7. BIOMARIN PHARMACEUTICAL INC COM ISIN CH0008107010
2015-12-17
2019-06-07
8. BIOMARIN PHARMACEUTICAL INC COM ISIN CH0008107010
2019-01-18
2019-06-07
23. BIOMARIN PHARMACEUTICAL INC COM ISIN CH0008107010
2019-03-08
2019-09-27
10. BIOMARIN PHARMACEUTICAL INC COM ISIN CH0008107010
2017-07-25
2019-09-27
24. BIOMARIN PHARMACEUTICAL INC COM ISIN CH0008107010
2017-07-25
2019-10-01
21. BIOMARIN PHARMACEUTICAL INC COM ISIN CH0008107010
2013-06-14
2019-10-01
7. BOEING CO COM
2019-03-08
2019-05-23
8. BOEING CO COM
2019-03-08
2019-10-21
3. BOEING CO COM
2018-02-16
2019-10-21
30. BRISTOL MYERS SQUIBB CO
2019-03-08
2019-04-05
39. BRISTOL MYERS SQUIBB CO
2019-03-08
2019-04-08
4. BRISTOL MYERS SQUIBB CO
2011-10-04
2019-04-08
17. BRISTOL MYERS SQUIBB CO
2011-10-04
2019-04-09
26. BRISTOL MYERS SQUIBB CO
2011-10-04
2019-04-10
7. BROADCOM INC COM
2019-03-08
2019-04-23
1. BROADCOM INC COM
2017-07-05
2019-04-25
3. BROADCOM INC COM
2019-03-08
2019-04-25
3. BROADCOM INC COM
2019-05-15
2019-09-17
601. CVS CORP
2011-11-08
2019-03-05
12. CELGENE CORP
2018-07-27
2019-01-17
10. CELGENE CORP
2013-02-05
2019-01-18
3. CELGENE CORP
2018-07-25
2019-01-18
14. CELGENE CORP
2013-02-05
2019-01-23
10. CONSTELLATION BRANDS INC CL A
2019-04-17
2019-06-24
3. CONSTELLATION BRANDS INC CL A
2019-04-05
2019-07-22
8. CONSTELLATION BRANDS INC CL A
2019-04-08
2019-09-11
5. CONSTELLATION BRANDS INC CL A
2019-04-15
2019-09-12
2. COSTCO WHSL CORP NEW
2019-01-04
2019-03-06
4. COSTCO WHSL CORP NEW
2019-03-08
2019-09-17
18. CROWN CASTLE INTL CORP NEW COM
2019-03-08
2019-05-10
13. CROWN CASTLE INTL CORP NEW COM
2018-11-28
2019-05-20
8. CROWN CASTLE INTL CORP NEW COM
2018-10-08
2019-10-29
6. CROWN CASTLE INTL CORP NEW COM
2018-10-08
2019-10-31
18. CROWN CASTLE INTL CORP NEW COM
2018-10-29
2019-11-05
3117.92 MFO DFA INTL SMALL CO PORTFOLIO FD
2017-12-15
2019-02-01
160.22 MFO DFA INTL SMALL CO PORTFOLIO FD
2018-12-18
2019-02-01
340.42 MFO DFA US L/C VALUE PORTFOLIO
2017-07-25
2019-07-12
2359.36 MFO DFA US L/C VALUE PORTFOLIO
2019-03-07
2019-07-12
815. DARDEN RESTAURANTS INC
2016-02-17
2019-03-05
5. EDWARDS LIFESCIENCES CORP
2019-06-10
2019-07-22
4. EDWARDS LIFESCIENCES CORP
2019-02-11
2019-12-06
6. EDWARDS LIFESCIENCES CORP
2019-03-08
2019-12-09
7. EDWARDS LIFESCIENCES CORP
2019-03-08
2019-12-12
15. FACEBOOK INC COM USD0.000006 CL 'A'
2019-03-05
2019-03-18
9. FACEBOOK INC COM USD0.000006 CL 'A'
2019-07-25
2019-09-17
9. FACEBOOK INC COM USD0.000006 CL 'A'
2019-04-26
2019-12-13
420. F5 NETWORKS INC
2013-08-01
2019-03-05
6. FLEETCOR TECHNOLOGIES INC COM
2018-06-20
2019-01-04
4. FLEETCOR TECHNOLOGIES INC COM
2017-07-25
2019-01-09
1. FLEETCOR TECHNOLOGIES INC COM
2018-05-04
2019-01-09
2. FLEETCOR TECHNOLOGIES INC COM
2019-10-22
2019-12-23
3. GOLDMAN SACHS GROUP INC
2018-11-02
2019-03-06
1. GOLDMAN SACHS GROUP INC
2017-09-28
2019-03-06
6. GOLDMAN SACHS GROUP INC
2019-03-08
2019-03-21
5. GOLDMAN SACHS GROUP INC
2017-07-25
2019-03-21
10. GOLDMAN SACHS GROUP INC
2016-10-26
2019-03-25
5. GOLDMAN SACHS GROUP INC
2019-03-08
2019-03-25
14. GOLDMAN SACHS GROUP INC
2016-07-13
2019-03-28
10. HOME DEPOT INC
2017-12-06
2019-02-27
17. HOME DEPOT INC
2019-08-15
2019-12-12
3. ILLUMINA INC
2018-08-24
2019-09-17
2. ILLUMINA INC
2018-10-08
2019-09-17
4. ILLUMINA INC
2019-04-08
2019-11-07
2. ILLUMINA INC
2018-10-08
2019-11-07
23. J P MORGAN CHASE & CO
2017-07-25
2019-02-22
11. J P MORGAN CHASE & CO
2017-07-25
2019-02-28
6. J P MORGAN CHASE & CO
2019-03-08
2019-03-12
10. J P MORGAN CHASE & CO
2019-03-08
2019-08-19
13. J P MORGAN CHASE & CO
2017-07-25
2019-08-19
49. ADR KERING S A ADR
2019-03-08
2019-04-18
7. ADR KERING S A ADR
2019-02-12
2019-05-20
10. ADR KERING S A ADR
2017-10-26
2019-05-20
13. LAUDER ESTEE COS INC CL A
2019-03-08
2019-10-18
5. LAUDER ESTEE COS INC CL A
2019-03-08
2019-12-05
25. LOWES COMPANIES INC
2019-04-01
2019-05-22
7. LOWES COMPANIES INC
2019-02-27
2019-05-24
20. LOWES COMPANIES INC
2019-03-08
2019-05-28
21. LOWES COMPANIES INC
2019-03-08
2019-05-29
4. LULULEMON ATHLETICA INC COM
2019-04-29
2019-12-05
5. MARRIOTT INTL INC NEW CL A
2017-07-25
2019-01-03
5. MARRIOTT INTL INC NEW CL A
2017-07-25
2019-01-04
6. MARRIOTT INTL INC NEW CL A
2019-03-08
2019-03-11
6. MARRIOTT INTL INC NEW CL A
2019-03-08
2019-03-12
4. MARRIOTT INTL INC NEW CL A
2019-03-08
2019-06-06
7. MARRIOTT INTL INC NEW CL A
2015-11-18
2019-06-06
10. MARRIOTT INTL INC NEW CL A
2016-01-20
2019-09-17
1951. MASCO CORP
2015-09-22
2019-03-05
9. MASTERCARD INC CL A
2019-03-08
2019-04-29
7. MCDONALDS CORP
2019-01-24
2019-01-31
5. MCDONALDS CORP
2019-01-24
2019-02-07
7. MCDONALDS CORP
2017-07-10
2019-02-07
14. MCDONALDS CORP
2017-07-10
2019-02-08
17. MCDONALDS CORP
2017-05-24
2019-02-13
8. MERCK & CO INC
2018-12-21
2019-01-24
6. MERCK & CO INC
2018-12-21
2019-01-25
25. MERCK & CO INC
2019-03-08
2019-04-05
35. MERCK & CO INC
2018-10-30
2019-04-10
15. MERCK & CO INC
2018-10-29
2019-04-12
25. MERCK & CO INC
2018-10-23
2019-04-16
18. MICROSOFT CORP COM
2018-08-14
2019-02-12
3. MICROSOFT CORP COM
2017-07-25
2019-03-06
5. MICROSOFT CORP COM
2018-08-01
2019-03-06
25. MICROSOFT CORP COM
2019-03-08
2019-09-11
4. NETFLIX INC COM STK
2018-10-29
2019-01-16
7. NETFLIX INC COM STK
2019-03-08
2019-06-13
12. NIKE INC CLASS B
2018-08-21
2019-03-06
9808.64 MFB NORTHN HI YIELD FXD INC FD
2014-12-18
2019-03-07
14859.37 MFB NORTHN HI YIELD FXD INC FD
2019-03-07
2019-03-07
6. NVIDIA CORP
2018-10-25
2019-01-22
3. NVIDIA CORP
2019-10-16
2019-12-05
6. NVIDIA CORP
2018-10-25
2019-12-05
15. PAYPAL HLDGS INC COM
2019-03-08
2019-07-22
16. PAYPAL HLDGS INC COM
2019-03-08
2019-07-29
6. PAYPAL HLDGS INC COM
2019-01-25
2019-08-02
20. PAYPAL HLDGS INC COM
2019-01-31
2019-09-27
5. PAYPAL HLDGS INC COM
2019-01-31
2019-10-16
30. PAYPAL HLDGS INC COM
2019-01-31
2019-10-23
10. RED HAT INC
2019-03-08
2019-04-17
2. RED HAT INC
2019-03-08
2019-04-23
11. RED HAT INC
2017-07-25
2019-04-23
11. RED HAT INC
2010-10-20
2019-04-24
25. RED HAT INC
2010-10-20
2019-04-25
444. ROCKWELL INTL CORP NEW
2015-05-28
2019-03-05
884. ROSS STORES INC
2014-10-07
2019-03-05
20. SAGE THERAPEUTICS INC COM
2019-03-08
2019-12-05
18. SAGE THERAPEUTICS INC COM
2019-04-10
2019-12-05
6. SALESFORCE COM INC COM STK
2019-07-26
2019-09-17
8. SALESFORCE COM INC COM STK
2019-07-26
2019-09-26
59. SAP AKTIENGESELLSCHAFT SPONSORED ADR
2019-07-03
2019-09-26
1815. SCHWAB CHARLES CORP COMMON STOCK NEW
2016-06-16
2019-03-05
8. SERVICENOW INC COM USD0.001 COM USD0.001
2019-04-30
2019-07-30
1391. SOUTHWEST AIRLINES CO
2014-08-15
2019-03-05
15. SQUARE INC CL A CL A
2019-03-18
2019-04-24
27. SQUARE INC CL A CL A
2019-03-18
2019-04-25
33. SQUARE INC CL A CL A
2019-06-13
2019-08-12
14. SQUARE INC CL A CL A
2019-06-13
2019-10-31
20. SQUARE INC CL A CL A
2019-06-12
2019-11-01
926. SYNOPSYS INC
2012-08-28
2019-03-05
47. TAIWAN SEMICONDUCTOR MFG LT
2019-04-23
2019-05-17
18. TAIWAN SEMICONDUCTOR MFG LT
2019-04-18
2019-05-24
20. TAIWAN SEMICONDUCTOR MFG LT
2019-04-18
2019-05-28
41. TAIWAN SEMICONDUCTOR MFG LT
2019-04-17
2019-05-29
32. ADR TENCENT HLDGS LTD ADR
2018-06-04
2019-01-23
27. ADR TENCENT HLDGS LTD ADR
2018-02-21
2019-01-23
15. ADR TENCENT HLDGS LTD ADR
2018-03-22
2019-05-23
30. ADR TENCENT HLDGS LTD ADR
2018-03-22
2019-06-04
80. ADR TENCENT HLDGS LTD ADR
2018-05-18
2019-06-10
50. ADR TENCENT HLDGS LTD ADR
2018-05-18
2019-06-12
35. ADR TENCENT HLDGS LTD ADR
2017-12-06
2019-06-13
21. ADR TENCENT HLDGS LTD ADR
2019-03-08
2019-08-02
8. ADR TENCENT HLDGS LTD ADR
2017-12-06
2019-08-02
15. ADR TENCENT HLDGS LTD ADR
2019-03-08
2019-10-01
21. ADR TENCENT HLDGS LTD ADR
2019-03-08
2019-10-02
3. ADR TENCENT HLDGS LTD ADR
2017-08-23
2019-10-10
51. ADR TENCENT HLDGS LTD ADR
2019-03-08
2019-10-10
58. ADR TENCENT HLDGS LTD ADR
2017-08-25
2019-10-11
59. ADR TENCENT HLDGS LTD ADR
2018-10-12
2019-10-16
10. ADR TENCENT HLDGS LTD ADR
2018-10-12
2019-10-24
18. ADR TENCENT HLDGS LTD ADR
2018-11-08
2019-10-24
29. ADR TENCENT HLDGS LTD ADR
2018-11-08
2019-10-25
1. ADR TENCENT HLDGS LTD ADR
2018-11-08
2019-10-28
39. ADR TENCENT HLDGS LTD ADR
2018-10-11
2019-10-28
6. TESLA INC COM USD0.001
2018-11-20
2019-04-11
4. TESLA INC COM USD0.001
2017-07-25
2019-04-22
4. TESLA INC COM USD0.001
2018-07-13
2019-04-22
4. TESLA INC COM USD0.001
2018-07-13
2019-12-31
839. TEXAS INSTRUMENTS INC
2014-06-02
2019-03-05
10. UNION PAC CORP COM
2019-02-22
2019-07-22
13. UNION PAC CORP COM
2019-03-08
2019-09-19
2. UNITEDHEALTH GROUP INC
2017-10-26
2019-02-08
1. UNITEDHEALTH GROUP INC
2018-06-01
2019-02-08
8. UNITEDHEALTH GROUP INC
2017-10-26
2019-02-28
4. UNITEDHEALTH GROUP INC
2017-09-01
2019-03-05
6. UNITEDHEALTH GROUP INC
2019-03-08
2019-04-17
9. UNITEDHEALTH GROUP INC
2017-07-25
2019-05-15
1. UNITEDHEALTH GROUP INC
2019-03-08
2019-05-15
7. UNITEDHEALTH GROUP INC
2017-07-25
2019-06-13
10. UNITEDHEALTH GROUP INC
2017-07-18
2019-07-03
7. VERTEX PHARMACEUTICALS INC
2018-10-01
2019-11-20
4. VERTEX PHARMACEUTICALS INC
2018-09-27
2019-12-09
9. VERTEX PHARMACEUTICALS INC
2019-03-08
2019-12-09
11. VISA INC CLASS A SHARES
2019-03-08
2019-05-16
9. WORKDAY INC CL A COM USD0.001
2019-03-08
2019-07-30
6. WORKDAY INC CL A COM USD0.001
2019-03-08
2019-10-16
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
82
152
-70
b
1,359
1,756
-397
c
844
952
-108
d
601
692
-91
e
842
982
-140
925
1,072
-147
1,516
1,262
254
1,750
1,515
235
38,280
25,847
12,433
533
767
-234
609
846
-237
1,067
1,436
-369
308
387
-79
308
366
-58
1,185
1,280
-95
963
1,157
-194
1,419
1,650
-231
1,060
1,221
-161
233
268
-35
817
947
-130
1,068
1,142
-74
831
937
-106
1,264
1,395
-131
230
251
-21
1,604
1,736
-132
1,161
1,167
-6
580
601
-21
1,562
1,583
-21
2,427
1,547
880
2,432
1,973
459
933
1,091
-158
2,584
2,846
-262
1,044
1,193
-149
1,048
1,205
-157
7,254
6,589
665
56,046
21,171
34,875
422
362
60
1,637
1,729
-92
1,854
1,910
-56
1,686
1,566
120
3,431
2,671
760
103,014
40,091
62,923
2,093
1,467
626
149
201
-52
1,166
1,287
-121
1,205
1,328
-123
1,161
1,257
-96
818
862
-44
404
659
-255
563
795
-232
643
793
-150
1,578
2,104
-526
686
891
-205
1,548
1,789
-241
1,377
1,234
143
2,423
2,954
-531
2,644
3,356
-712
991
1,069
-78
1,401
1,592
-191
1,821
1,966
-145
187
126
61
781
537
244
1,196
821
375
2,207
1,859
348
310
231
79
929
787
142
862
917
-55
33,236
23,307
9,929
1,043
1,045
-2
865
498
367
260
261
-1
1,213
696
517
1,817
1,922
-105
598
575
23
1,655
1,532
123
1,021
955
66
439
413
26
1,157
909
248
2,266
2,099
167
1,596
1,436
160
1,118
875
243
835
656
179
2,344
1,927
417
53,472
59,788
-6,316
2,748
2,554
194
12,609
12,769
-160
87,391
82,695
4,696
90,771
48,970
41,801
974
922
52
974
692
282
1,395
1,008
387
1,610
1,173
437
2,429
2,604
-175
1,673
1,796
-123
1,754
1,749
5
68,372
37,106
31,266
1,106
1,252
-146
755
637
118
189
203
-14
571
586
-15
587
760
-173
196
235
-39
1,158
1,267
-109
965
1,111
-146
1,893
1,659
234
947
975
-28
2,658
2,167
491
1,840
1,608
232
3,585
3,219
366
900
1,028
-128
600
644
-44
1,180
1,282
-102
590
644
-54
2,418
2,147
271
1,148
1,022
126
624
615
9
1,086
1,025
61
1,411
1,167
244
2,821
2,676
145
392
373
19
560
461
99
2,393
2,028
365
979
732
247
2,472
2,719
-247
665
746
-81
1,851
1,992
-141
1,952
2,036
-84
910
711
199
511
515
-4
533
483
50
723
722
1
725
722
3
510
481
29
892
468
424
1,301
594
707
77,785
51,970
25,815
2,228
1,983
245
1,254
1,306
-52
873
888
-15
1,222
1,090
132
2,444
2,098
346
2,956
2,510
446
583
589
-6
439
442
-3
2,031
1,949
82
2,836
2,522
314
1,198
1,078
120
1,967
1,793
174
1,921
1,958
-37
336
222
114
560
531
29
3,389
2,738
651
1,408
1,145
263
2,394
2,407
-13
1,023
994
29
64,148
73,722
-9,574
97,180
100,291
-3,111
897
1,284
-387
625
591
34
1,250
1,193
57
1,776
1,423
353
1,796
1,515
281
640
558
82
2,064
1,830
234
512
445
67
2,878
2,598
280
1,826
1,807
19
364
361
3
2,004
682
1,322
2,008
433
1,575
4,559
957
3,602
79,353
55,214
24,139
83,264
33,229
50,035
1,210
3,036
-1,826
1,102
2,883
-1,781
912
961
-49
1,224
1,274
-50
6,916
8,068
-1,152
82,886
51,342
31,544
2,275
2,164
111
74,464
41,254
33,210
1,093
1,125
-32
1,958
2,008
-50
2,053
2,396
-343
857
1,004
-147
1,244
1,389
-145
95,491
30,890
64,601
1,900
2,125
-225
691
809
-118
757
896
-139
1,539
1,817
-278
1,347
1,685
-338
1,139
1,564
-425
621
784
-163
1,275
1,566
-291
3,490
4,168
-678
2,133
2,523
-390
1,478
1,656
-178
940
913
27
358
378
-20
622
652
-30
853
913
-60
123
129
-6
2,088
2,217
-129
2,414
2,473
-59
2,469
2,482
-13
404
378
26
727
669
58
1,171
1,077
94
41
37
4
1,602
1,381
221
1,612
2,088
-476
1,053
1,364
-311
1,053
1,268
-215
1,675
1,227
448
89,770
39,224
50,546
1,730
1,702
28
2,177
2,160
17
522
416
106
261
242
19
1,982
1,613
369
957
798
159
1,271
1,422
-151
2,132
1,719
413
237
237
1,712
1,318
394
2,453
1,834
619
1,510
1,354
156
880
743
137
1,979
1,574
405
1,818
1,610
208
1,901
1,625
276
948
1,075
-127
38,908
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
-70
b
-397
c
-108
d
-91
e
-140
-147
254
235
12,433
-234
-237
-369
-79
-58
-95
-194
-231
-161
-35
-130
-74
-106
-131
-21
-132
-6
-21
-21
880
459
-158
-262
-149
-157
665
34,875
60
-92
-56
120
760
62,923
626
-52
-121
-123
-96
-44
-255
-232
-150
-526
-205
-241
143
-531
-712
-78
-191
-145
61
244
375
348
79
142
-55
9,929
-2
367
-1
517
-105
23
123
66
26
248
167
160
243
179
417
-6,316
194
-160
4,696
41,801
52
282
387
437
-175
-123
5
31,266
-146
118
-14
-15
-173
-39
-109
-146
234
-28
491
232
366
-128
-44
-102
-54
271
126
9
61
244
145
19
99
365
247
-247
-81
-141
-84
199
-4
50
1
3
29
424
707
25,815
245
-52
-15
132
346
446
-6
-3
82
314
120
174
-37
114
29
651
263
-13
29
-9,574
-3,111
-387
34
57
353
281
82
234
67
280
19
3
1,322
1,575
3,602
24,139
50,035
-1,826
-1,781
-49
-50
-1,152
31,544
111
33,210
-32
-50
-343
-147
-145
64,601
-225
-118
-139
-278
-338
-425
-163
-291
-678
-390
-178
27
-20
-30
-60
-6
-129
-59
-13
26
58
94
4
221
-476
-311
-215
448
50,546
28
17
106
19
369
159
-151
413
394
619
156
137
405
208
276
-127
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
505,705
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
407,487
2,366,795
0.172168
2017
112,250
1,485,512
0.075563
2016
101,645
1,117,960
0.09092
2015
73,061
1,223,406
0.059719
2014
125,106
1,479,043
0.084586
2
Total
of line 1, column (d)
.....................
2
0.482956
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
0.096591
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
3,043,396
5
Multiply line 4 by line 3
......................
5
293,965
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
5,568
7
Add lines 5 and 6
........................
7
299,533
8
Enter qualifying distributions from Part XII, line 4
,.............
8
526,156
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
5,568
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
5,568
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
5,568
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
8,487
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
8,487
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
2,919
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
2,919
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
FL
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
14
The books are in care of
NORTHERN TRUST COMPANY
Telephone no.
(312) 630-6000
Located at
PO BOX 803878
CHICAGO
IL
ZIP+4
60680
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
NED C LAUTENBACH
PRESIDENT
1
0
PO BOX 803878
CHICAGO
,
IL
60680
CYNTHIA R LAUTENBACH
SECRETARY
1
0
PO BOX 803878
CHICAGO
,
IL
60680
JEFFREY LAUTENBACH
DIRECTOR
1
0
PO BOX 803878
CHICAGO
,
IL
60680
SHERRY MURPHY
DIRECTOR
1
0
PO BOX 803878
CHICAGO
,
IL
60680
ALLISON REILING
DIRECTOR
40
42,000
PO BOX 803878
CHICAGO
,
IL
60680
JOHN LAUTENBACH
DIRECTOR
1
0
PO BOX 803878
CHICAGO
,
IL
60680
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
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
.........................
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
3,089,742
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
3,089,742
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
3,089,742
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
46,346
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
3,043,396
6
Minimum investment return.
Enter 5% of line 5
..................
6
152,170
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
152,170
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
5,568
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
5,568
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
146,602
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
146,602
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
146,602
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
526,156
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
526,156
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
5,568
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
520,588
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
146,602
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
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
13,156
c
From 2016
......
46,957
d
From 2017
......
47,144
e
From 2018
......
302,173
f
Total
of lines 3a through e
........
409,430
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
526,156
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
.....
146,602
e
Remaining amount distributed out of corpus
379,554
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
788,984
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)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
788,984
10
Analysis of line 9:
a
Excess from 2015
....
13,156
b
Excess from 2016
....
46,957
c
Excess from 2017
....
47,144
d
Excess from 2018
....
302,173
e
Excess from 2019
....
379,554
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).)
NED AND CYNTHIA LAUTENBACH
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
HARVARD BUSINESS SCHOOL
SOLDIERS FIELD RD
BOSTON
,
MA
02163
NONE
PUBLIC
GENERAL
20,000
GREENS FARMS ACADEMY
35 BEACHSIDE AVE
WESTPORT
,
CT
06880
NONE
PUBLIC CHARITY
GENERAL
13,000
SACRED HEART UNIVERSITY
5151 PARK AVE
FAIRFIELD
,
CT
06825
NONE
PUBLIC
GENERAL
10,000
FAIRFIELD COLLEGE PREPARATORY
1073 N BENSON RD
FAIRFIELD
,
CT
06824
NONE
PUBLIC CHARITY
GENERAL
12,000
FLORIDA GULF COAST UNIVERSITY
10501 FGCU BLVD SOUTH
Fort Myers
,
FL
33965
NONE
PUBLIC
GENERAL
4,000
ROGER BACON HIGH SCHOOL
4320 VINE STREET
CINCINNATI
,
OH
45217
NONE
PUBLIC
GENERAL
6,000
Elder High School
3900 VINCENT AVE
CINCINNATI
,
OH
45205
NONE
PUBLIC CHARITY
GENERAL
6,000
MOTHER OF MERCY HIGH SCHOOL
3036 WERK ROAD
CINCINNATI
,
OH
45211
NONE
PUBLIC
GENERAL
6,000
FOUNDATIONS IN EDUCATION
238 JEWETT AVENUE
Bridgeport
,
CT
066062845
NONE
PUBLIC CHARITY
GENERAL
20,000
JOHN HOPKINS UNIVERSITY
3910 KESWICK ROAD SUITE 2100
BALTIMORE
,
MD
21211
NONE
PUBLIC
GENERAL
325,000
MOUNTAIN MISSION SCHOOL
1760 EDGEWATER DRIVE
GRUNDY
,
VA
24614
NONE
PUBLIC
GENERAL
10,000
ST ANN SCHOOL FOUNDATION
475 NINTH AVENUE SOUTH
NAPLES
,
FL
34102
NONE
PUBLIC
GENERAL
8,000
ARTIS NAPLES INC
5833 PELICAN BAY BLVD
NAPLES
,
FL
34108
NONE
PUBLIC
GENERAL
15,000
BELLA MENTE QUANTUM RACING ASSOCIATION
333 S 7TH ST STE 3100
MINNEAPOLIS
,
MN
55402
NONE
PUBLIC CHARITY
GENERAL
25,000
Total
.................................
3a
480,000
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
...........
4
Dividends and interest from securities
....
14
60,389
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
505,705
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
DEFERRED INCOME
14
-1,120
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
564,974
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
564,974
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description