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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
LEON HYZEN TRAVEL SCHL TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
114 W 47TH ST NY8-114-07-07
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
100361510
A Employer identification number
22-6729620
B
Telephone number (see instructions)
(212) 852-3049
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)
$
1,689,418
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)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
37,221
37,221
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
63,966
b
Gross sales price for all assets on line 6a
560,469
7
Capital gain net income (from Part IV, line 2)
...
63,966
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
101,187
101,187
13
Compensation of officers, directors, trustees, etc.
25,962
10,385
15,577
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)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
2,810
541
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
45
35
10
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
28,817
10,961
0
15,587
25
Contributions, gifts, grants paid
.......
61,531
61,531
26
Total expenses and disbursements.
Add lines 24 and 25
90,348
10,961
0
77,118
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
10,839
b
Net investment income
(if negative, enter -0-)
90,226
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
.............
68
73
73
2
Savings and temporary cash investments
.........
62,806
67,425
67,425
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)
211,322
b
Investments—corporate stock (attach schedule)
.......
795,272
777,539
1,153,014
c
Investments—corporate bonds (attach schedule)
.......
187,415
421,915
443,323
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
25,931
25,924
25,583
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
1,282,814
1,292,876
1,689,418
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
........
1,282,814
1,292,876
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)
.....
1,282,814
1,292,876
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,282,814
1,292,876
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
1,282,814
2
Enter amount from Part I, line 27a
.....................
2
10,839
3
Other increases not included in line 2 (itemize)
3
36
4
Add lines 1, 2, and 3
..........................
4
1,293,689
5
Decreases not included in line 2 (itemize)
5
813
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,292,876
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
.4 DELL TECHNOLOGIES INC
2018-01-26
2019-01-04
b
15. FIRSTENERGY CORP
2017-06-16
2019-01-08
c
16. FIRSTENERGY CORP
2017-01-10
2019-01-08
d
24. FIRSTENERGY CORP
2017-01-09
2019-01-08
e
26. HARTFORD FINL SVCS GROUP INC COM
2017-12-15
2019-01-08
1. HARTFORD FINL SVCS GROUP INC COM
2017-12-18
2019-01-08
19. HARTFORD FINL SVCS GROUP INC COM
2017-06-28
2019-01-08
67. FIRSTENERGY CORP
2017-01-09
2019-01-09
44. FIRSTENERGY CORP
2017-01-10
2019-01-09
42. FIRSTENERGY CORP
2017-06-16
2019-01-09
1. HARTFORD FINL SVCS GROUP INC COM
2017-12-18
2019-01-09
13. HARTFORD FINL SVCS GROUP INC COM
2017-12-15
2019-01-09
9. HARTFORD FINL SVCS GROUP INC COM
2017-06-28
2019-01-09
28. FIRSTENERGY CORP
2017-06-15
2019-01-10
1. FIRSTENERGY CORP
2017-06-16
2019-01-10
1. FIRSTENERGY CORP
2017-06-15
2019-01-10
2. FIRSTENERGY CORP
2017-06-15
2019-01-10
25. FIRSTENERGY CORP
2017-06-14
2019-01-10
1. FIRSTENERGY CORP
2017-01-10
2019-01-10
2. FIRSTENERGY CORP
2017-01-09
2019-01-10
4. HARTFORD FINL SVCS GROUP INC COM
2017-06-28
2019-01-10
33. HARTFORD FINL SVCS GROUP INC COM
2017-06-26
2019-01-10
54. FIRSTENERGY CORP
2017-06-15
2019-01-11
42. HARTFORD FINL SVCS GROUP INC COM
2017-06-28
2019-01-11
15000. U.S. TREASURY NOTE
2018-04-27
2019-01-11
15. MICROSOFT CORP COM
2017-06-21
2019-01-17
20. MICROSOFT CORP COM
2018-01-03
2019-01-17
17. NORFOLK SOUTHERN CORP
2017-02-21
2019-01-17
1. NORFOLK SOUTHERN CORP
2017-06-09
2019-01-17
70. PFIZER INC
2017-06-21
2019-01-17
31. WAL MART STORES INC
2017-08-04
2019-01-17
2. WAL MART STORES INC
2017-09-05
2019-01-17
51. CVS HEALTH CORP
2018-11-30
2019-01-30
10. FIRSTENERGY CORP
2017-06-19
2019-01-30
14. FIRSTENERGY CORP
2017-06-30
2019-01-30
3. FIRSTENERGY CORP
2017-06-15
2019-01-30
20. FIRSTENERGY CORP
2017-06-16
2019-01-30
15. FIRSTENERGY CORP
2017-07-03
2019-01-31
11. FIRSTENERGY CORP
2017-06-30
2019-01-31
16. SUNCOR ENERGY INC
2018-02-05
2019-02-07
32. SUNCOR ENERGY INC
2013-01-17
2019-02-07
33. SUNCOR ENERGY INC
2013-01-17
2019-02-08
17. SUNCOR ENERGY INC
2018-02-05
2019-02-08
18000. ANHEUSER-BUSCH INBEV FIN
2018-03-01
2019-02-11
4. GILEAD SCIENCES INC
2015-10-20
2019-02-13
27. GILEAD SCIENCES INC
2016-02-25
2019-02-13
12. GILEAD SCIENCES INC
2016-02-26
2019-02-13
66. SUNCOR ENERGY INC
2013-01-15
2019-02-13
2. CENTENE CORP
2015-06-11
2019-02-14
22. CENTENE CORP
2015-06-10
2019-02-14
17. SUNCOR ENERGY INC
2013-01-15
2019-02-14
4. SUNCOR ENERGY INC
2013-01-16
2019-02-14
1000. CISCO SYSTEMS INC
2009-05-14
2019-02-15
12000. CISCO SYSTEMS INC
2009-02-24
2019-02-15
1000. CISCO SYSTEMS INC
2017-11-14
2019-02-15
38. SUNCOR ENERGY INC
2013-01-16
2019-02-20
43. SUNCOR ENERGY INC
2013-01-16
2019-02-21
18. NORFOLK SOUTHERN CORP
2017-06-09
2019-02-27
52. FIRSTENERGY CORP
2018-01-25
2019-02-28
15. FIRSTENERGY CORP
2018-01-25
2019-03-01
24. FIRSTENERGY CORP
2017-07-05
2019-03-05
11. FIRSTENERGY CORP
2018-01-25
2019-03-05
20. FIRSTENERGY CORP
2017-07-06
2019-03-05
4. FIRSTENERGY CORP
2017-07-03
2019-03-05
16. NORFOLK SOUTHERN CORP
2017-01-09
2019-03-05
24. JM SMUCKER CO/THE
2018-03-06
2019-03-05
7. JM SMUCKER CO/THE
2018-03-07
2019-03-06
56. URBAN OUTFITTERS INC
2017-03-08
2019-03-06
24. URBAN OUTFITTERS INC
2017-07-26
2019-03-07
9. URBAN OUTFITTERS INC
2017-03-31
2019-03-07
23. URBAN OUTFITTERS INC
2017-03-08
2019-03-07
35. URBAN OUTFITTERS INC
2017-07-27
2019-03-08
22. URBAN OUTFITTERS INC
2017-07-26
2019-03-08
35. URBAN OUTFITTERS INC
2017-07-28
2019-03-11
13. URBAN OUTFITTERS INC
2017-07-31
2019-03-11
10. URBAN OUTFITTERS INC
2017-07-27
2019-03-11
6. URBAN OUTFITTERS INC
2017-07-31
2019-03-12
4. NORFOLK SOUTHERN CORP
2017-06-09
2019-03-13
12. NORFOLK SOUTHERN CORP
2017-04-03
2019-03-13
8. FORTIVE CORP
2017-11-27
2019-03-19
12. FORTIVE CORP
2017-07-12
2019-03-19
8. FORTIVE CORP
2017-11-21
2019-03-19
8. FORTIVE CORP
2017-11-22
2019-03-19
13. NORFOLK SOUTHERN CORP
2017-04-03
2019-03-19
2. NORFOLK SOUTHERN CORP
2017-01-12
2019-03-19
75. PFIZER INC
2018-02-06
2019-03-19
2. PFIZER INC
2017-06-21
2019-03-19
10. PFIZER INC
2017-04-11
2019-03-19
2. FORTIVE CORP
2017-11-27
2019-03-20
1. FORTIVE CORP
2017-11-22
2019-03-20
2. FORTIVE CORP
2017-11-21
2019-03-20
2. FORTIVE CORP
2017-07-12
2019-03-20
23. LENNAR CORP
2015-09-10
2019-03-22
19. LENNAR CORP
2015-09-22
2019-03-22
19. LENNAR CORP
2015-09-09
2019-03-22
41. DELL TECHNOLOGIES INC
2016-12-14
2019-03-26
2. DELL TECHNOLOGIES INC
2016-12-13
2019-03-26
2. DELL TECHNOLOGIES INC
2017-06-23
2019-03-27
7. DELL TECHNOLOGIES INC
2017-06-22
2019-03-27
21. DELL TECHNOLOGIES INC
2017-01-26
2019-03-27
6. DELL TECHNOLOGIES INC
2017-01-25
2019-03-27
9. DELL TECHNOLOGIES INC
2016-12-14
2019-03-27
19. DELL TECHNOLOGIES INC
2018-01-26
2019-03-28
17. DELL TECHNOLOGIES INC
2017-06-23
2019-03-28
10. APPLE INC
2015-05-07
2019-03-29
14. APPLE INC
2015-06-15
2019-03-29
9. APPLE INC
2015-11-18
2019-03-29
20. LOWES COMPANIES INC COM
2017-09-18
2019-04-05
15. LOWES COMPANIES INC COM
2013-06-21
2019-04-05
76. CISCO SYSTEMS INC
2018-01-24
2019-04-08
4. CISCO SYSTEMS INC
2018-02-06
2019-04-08
13. BAXTER INTERNATIONAL INC
2017-10-11
2019-04-12
27. BAXTER INTERNATIONAL INC
2017-10-10
2019-04-12
3. BAXTER INTERNATIONAL INC
2017-05-05
2019-04-12
6. CDW CORP/DE
2015-09-16
2019-04-12
11. CDW CORP/DE
2015-09-15
2019-04-12
9000. U.S. TREASURY NOTE
2018-03-01
2019-04-12
13000. U.S. TREASURY NOTE
2018-04-27
2019-04-12
11. CDW CORP/DE
2015-09-15
2019-04-16
2. CDW CORP/DE
2015-09-16
2019-04-16
12. CDW CORP/DE
2015-09-15
2019-04-16
4. CDW CORP/DE
2015-09-16
2019-04-16
24. LOWES COMPANIES INC COM
2013-04-30
2019-04-25
.2 ALCON SA ACT NOM
2019-01-09
2019-04-26
16. APPLE INC
2015-11-18
2019-04-30
36. CENTENE CORP
2015-06-16
2019-04-30
22. CENTENE CORP
2015-06-17
2019-04-30
45. GILEAD SCIENCES INC
2016-04-13
2019-04-30
16. CENTENE CORP
2015-06-16
2019-05-02
40. CENTENE CORP
2015-06-15
2019-05-02
37. GILEAD SCIENCES INC
2016-04-13
2019-05-13
3. GILEAD SCIENCES INC
2016-02-26
2019-05-13
19. CARNIVAL CORP
2015-03-02
2019-05-15
36. CARNIVAL CORP
2015-02-27
2019-05-15
266. FREEPORT-MCMORAN INC
2018-05-02
2019-05-15
19000. U.S. TREASURY NOTE
2018-09-12
2019-05-15
11. GILEAD SCIENCES INC
2016-02-26
2019-05-16
48. GILEAD SCIENCES INC
2017-05-31
2019-05-16
9. GILEAD SCIENCES INC
2017-05-31
2019-05-17
4. BAXTER INTERNATIONAL INC
2017-05-05
2019-05-20
30. BAXTER INTERNATIONAL INC
2017-05-04
2019-05-20
162. FREEPORT-MCMORAN INC
2018-05-11
2019-05-30
104. FREEPORT-MCMORAN INC
2018-08-03
2019-05-30
. DOWDUPONT INC
2019-06-06
2019-06-06
.33 DUPONT DE NEMOURS INC
2019-05-15
2019-06-06
9. DUPONT DE NEMOURS INC
2013-10-22
2019-06-14
5. DUPONT DE NEMOURS INC
2013-10-21
2019-06-14
1. DUPONT DE NEMOURS INC
2017-01-09
2019-06-14
25. DUPONT DE NEMOURS INC
2013-10-23
2019-06-14
135. FREEPORT-MCMORAN INC
2018-09-14
2019-06-14
76. FREEPORT-MCMORAN INC
2018-08-03
2019-06-14
109. FREEPORT-MCMORAN INC
2018-05-02
2019-06-14
49. LENNAR CORP
2015-09-23
2019-06-14
4. LENNAR CORP
2015-09-22
2019-06-14
21. MOLSON COORS BREWING CO
2019-02-01
2019-06-14
16. MOLSON COORS BREWING CO
2019-01-31
2019-06-14
12. MOLSON COORS BREWING CO
2019-01-30
2019-06-14
2. MOLSON COORS BREWING CO
2019-02-04
2019-06-14
69. FREEPORT-MCMORAN INC
2018-09-14
2019-06-17
6. LENNAR CORP
2015-09-24
2019-06-18
3. LENNAR CORP
2017-03-08
2019-06-18
28. LENNAR CORP
2015-09-23
2019-06-18
28. LENNAR CORP
2017-03-08
2019-06-19
12. DUPONT DE NEMOURS INC
2017-01-13
2019-06-21
9. DUPONT DE NEMOURS INC
2017-01-09
2019-06-21
18. DUPONT DE NEMOURS INC
2017-01-12
2019-06-21
2000. U.S. TREASURY BOND
2017-11-14
2019-06-25
15000. U.S. TREASURY BOND
2016-09-23
2019-06-25
49. CARNIVAL CORP
2018-09-06
2019-06-26
19. CARNIVAL CORP
2018-08-10
2019-06-26
27. CARNIVAL CORP
2018-08-10
2019-06-28
9. CARNIVAL CORP
2019-01-11
2019-06-28
27. CARNIVAL CORP
2019-01-10
2019-06-28
16. APPLE INC
2015-11-18
2019-07-01
13. CARNIVAL CORP
2019-01-10
2019-07-02
11. CARNIVAL CORP
2019-01-09
2019-07-02
37. CARNIVAL CORP
2019-01-08
2019-07-02
7. SUNCOR ENERGY INC
2013-01-17
2019-07-02
9. SUNCOR ENERGY INC
2018-02-06
2019-07-02
15. SUNCOR ENERGY INC
2018-03-05
2019-07-02
3. SUNCOR ENERGY INC
2018-03-06
2019-07-02
13. SUNCOR ENERGY INC
2013-01-16
2019-07-02
17. SUNCOR ENERGY INC
2018-03-05
2019-07-03
5. SUNCOR ENERGY INC
2018-03-06
2019-07-03
10. SUNCOR ENERGY INC
2018-02-06
2019-07-03
8. SUNCOR ENERGY INC
2013-01-17
2019-07-03
15. SUNCOR ENERGY INC
2013-01-16
2019-07-03
11. SUNCOR ENERGY INC
2018-02-06
2019-07-05
15. SUNCOR ENERGY INC
2013-01-16
2019-07-05
8. SUNCOR ENERGY INC
2013-01-17
2019-07-05
17. SUNCOR ENERGY INC
2018-03-05
2019-07-05
5. SUNCOR ENERGY INC
2018-03-06
2019-07-05
3. SUNCOR ENERGY INC
2013-01-17
2019-07-08
8. SUNCOR ENERGY INC
2018-03-05
2019-07-08
7. SUNCOR ENERGY INC
2013-01-16
2019-07-08
2. SUNCOR ENERGY INC
2018-03-06
2019-07-08
5. SUNCOR ENERGY INC
2018-02-06
2019-07-08
50. CENTENE CORP
2015-06-11
2019-07-09
8. CENTENE CORP
2015-06-12
2019-07-09
24. SUNCOR ENERGY INC
2013-02-20
2019-07-09
1. SUNCOR ENERGY INC
2013-01-30
2019-07-09
25. SUNCOR ENERGY INC
2013-01-31
2019-07-09
6. ALCON SA ACT NOM
2018-11-16
2019-07-09
4. ALCON SA ACT NOM
2018-11-21
2019-07-09
6. ALCON SA ACT NOM
2018-11-19
2019-07-09
10. SUNCOR ENERGY INC
2017-04-24
2019-07-10
24. SUNCOR ENERGY INC
2015-06-15
2019-07-10
7. SUNCOR ENERGY INC
2013-02-20
2019-07-10
6. ALCON SA ACT NOM
2018-11-30
2019-07-10
1. ALCON SA ACT NOM
2018-11-23
2019-07-10
2. ALCON SA ACT NOM
2018-11-21
2019-07-10
3. ALCON SA ACT NOM
2019-01-08
2019-07-10
6. ALCON SA ACT NOM
2018-11-26
2019-07-10
10. ALCON SA ACT NOM
2019-04-15
2019-07-11
1. ALCON SA ACT NOM
2019-01-08
2019-07-11
2. ALCON SA ACT NOM
2019-01-09
2019-07-11
62. CARNIVAL CORP
2015-03-02
2019-07-16
18. SUNCOR ENERGY INC
2017-04-24
2019-07-16
32. SUNCOR ENERGY INC
2017-04-25
2019-07-16
5. SUNCOR ENERGY INC
2017-04-25
2019-07-17
13. SUNCOR ENERGY INC
2018-03-05
2019-07-17
25. SUNCOR ENERGY INC
2017-04-26
2019-07-17
9000. U.S. TREASURY NOTE
2018-09-12
2019-07-18
3. DOW INC
2017-01-17
2019-07-22
13. DOW INC
2017-01-13
2019-07-22
13. DOW INC
2017-01-12
2019-07-22
8. DOW INC
2017-01-10
2019-07-22
8. DOW INC
2017-01-09
2019-07-22
38. CARNIVAL CORP
2015-03-02
2019-07-23
3. CENTENE CORP
2017-05-31
2019-07-23
12. CENTENE CORP
2015-06-15
2019-07-23
40. CENTENE CORP
2015-06-12
2019-07-23
3. DOW INC
2017-01-10
2019-07-23
1. DOW INC
2017-01-17
2019-07-23
5. DOW INC
2017-01-13
2019-07-23
2. DOW INC
2017-01-09
2019-07-23
5. DOW INC
2017-01-12
2019-07-23
2. CARNIVAL CORP
2015-06-11
2019-07-24
20. CARNIVAL CORP
2015-05-07
2019-07-24
21. CARNIVAL CORP
2015-03-02
2019-07-24
37. CENTENE CORP
2017-05-31
2019-07-25
8. SUNCOR ENERGY INC
2018-03-05
2019-07-26
32. SUNCOR ENERGY INC
2019-01-02
2019-07-26
39. SUNCOR ENERGY INC
2019-01-02
2019-07-29
4. DOW INC
2017-01-17
2019-07-30
5. DOW INC
2013-10-21
2019-07-30
9. DOW INC
2013-10-22
2019-07-30
25. DOW INC
2013-10-23
2019-07-30
1. DOW INC
2017-01-12
2019-07-30
1. DOW INC
2017-01-13
2019-07-30
16. ALCON SA ACT NOM
2019-04-15
2019-07-30
4. DOW INC
2017-01-17
2019-07-31
1. DOW INC
2019-01-17
2019-07-31
15. DOW INC
2019-01-17
2019-07-31
19. ALCON SA ACT NOM
2019-04-15
2019-07-31
6. ALCON SA ACT NOM
2019-04-15
2019-08-01
33. EMERSON ELECTRIC CO
2018-10-05
2019-08-02
8. EMERSON ELECTRIC CO
2018-10-08
2019-08-02
9. EMERSON ELECTRIC CO
2018-10-05
2019-08-05
26. EMERSON ELECTRIC CO
2018-10-08
2019-08-05
22. EMERSON ELECTRIC CO
2018-10-17
2019-08-05
1. IAA INC REG SHS WHEN
2018-06-20
2019-08-12
2. IAA INC REG SHS WHEN
2018-04-05
2019-08-12
8. IAA INC REG SHS WHEN
2018-06-21
2019-08-12
7. IAA INC REG SHS WHEN
2018-06-19
2019-08-12
4. IAA INC REG SHS WHEN
2018-06-22
2019-08-12
4. IAA INC REG SHS WHEN
2018-06-20
2019-08-13
10. IAA INC REG SHS WHEN
2018-06-19
2019-08-13
11. IAA INC REG SHS WHEN
2018-06-21
2019-08-13
7. IAA INC REG SHS WHEN
2018-06-22
2019-08-13
5. IAA INC REG SHS WHEN
2018-04-05
2019-08-13
21. EMERSON ELECTRIC CO
2018-10-31
2019-08-15
1. EMERSON ELECTRIC CO
2018-10-17
2019-08-15
31. EMERSON ELECTRIC CO
2018-10-16
2019-08-15
23. IAA INC REG SHS WHEN
2018-04-05
2019-08-15
13. SUNTRUST BANKS INC
2016-06-24
2019-08-15
36. SUNTRUST BANKS INC
2017-09-11
2019-08-15
15. EMERSON ELECTRIC CO
2018-11-02
2019-08-16
21. EMERSON ELECTRIC CO
2018-11-01
2019-08-16
19. EMERSON ELECTRIC CO
2018-10-31
2019-08-16
25. IAA INC REG SHS WHEN
2018-04-05
2019-08-16
7. EMERSON ELECTRIC CO
2018-11-02
2019-08-19
15. IAA INC REG SHS WHEN
2018-04-05
2019-08-19
16. DOLLAR GENERAL CORP
2019-04-05
2019-09-03
1. NOVO NORDISK A/S ADR
2018-01-22
2019-09-05
3. NOVO NORDISK A/S ADR
2017-10-27
2019-09-05
2. NOVO NORDISK A/S ADR
2018-01-17
2019-09-05
1. NOVO NORDISK A/S ADR
2018-01-18
2019-09-05
1. NOVO NORDISK A/S ADR
2018-01-19
2019-09-05
2. NOVO NORDISK A/S ADR
2017-10-11
2019-09-05
50. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2019-09-05
7. NOVO NORDISK A/S ADR
2018-01-17
2019-09-06
2. NOVO NORDISK A/S ADR
2018-01-18
2019-09-06
3. NOVO NORDISK A/S ADR
2018-01-22
2019-09-06
8. NOVO NORDISK A/S ADR
2017-10-27
2019-09-06
5. NOVO NORDISK A/S ADR
2017-10-11
2019-09-06
2. NOVO NORDISK A/S ADR
2018-01-19
2019-09-06
30. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2019-09-06
1. IAA INC REG SHS WHEN
2018-05-18
2019-09-09
1. IAA INC REG SHS WHEN
2018-05-21
2019-09-09
2. IAA INC REG SHS WHEN
2018-05-17
2019-09-09
1. IAA INC REG SHS WHEN
2018-05-16
2019-09-09
3. IAA INC REG SHS WHEN
2018-04-05
2019-09-09
5. NOVO NORDISK A/S ADR
2017-10-11
2019-09-09
8. NOVO NORDISK A/S ADR
2017-10-27
2019-09-09
7. NOVO NORDISK A/S ADR
2018-01-17
2019-09-09
2. NOVO NORDISK A/S ADR
2018-01-18
2019-09-09
3. NOVO NORDISK A/S ADR
2018-01-19
2019-09-09
4. NOVO NORDISK A/S ADR
2018-01-22
2019-09-09
5. IAA INC REG SHS WHEN
2018-05-17
2019-09-10
6. IAA INC REG SHS WHEN
2018-04-05
2019-09-10
2. IAA INC REG SHS WHEN
2018-05-16
2019-09-10
2. IAA INC REG SHS WHEN
2018-05-18
2019-09-10
19. NOVARTIS AG SPNSRD ADR
2018-11-30
2019-09-10
6. NOVARTIS AG SPNSRD ADR
2018-11-21
2019-09-10
8. IAA INC REG SHS WHEN
2018-04-05
2019-09-11
4. IAA INC REG SHS WHEN
2018-05-16
2019-09-11
3. IAA INC REG SHS WHEN
2018-05-18
2019-09-11
6. IAA INC REG SHS WHEN
2018-05-17
2019-09-11
2. NOVARTIS AG SPNSRD ADR
2018-11-21
2019-09-11
11. NOVARTIS AG SPNSRD ADR
2018-11-30
2019-09-11
6. IAA INC REG SHS WHEN
2018-04-05
2019-09-12
3. IAA INC REG SHS WHEN
2018-05-16
2019-09-12
5. IAA INC REG SHS WHEN
2018-05-17
2019-09-12
3. IAA INC REG SHS WHEN
2018-05-18
2019-09-12
5. NOVO NORDISK A/S ADR
2017-10-12
2019-09-17
6. NOVO NORDISK A/S ADR
2017-10-09
2019-09-17
2. NOVO NORDISK A/S ADR
2017-10-11
2019-09-17
21. NOVO NORDISK A/S ADR
2017-10-26
2019-09-17
3. CDW CORP/DE
2015-09-15
2019-09-18
22. CDW CORP/DE
2015-09-14
2019-09-18
6. CDW CORP/DE
2015-09-14
2019-09-18
22. CDW CORP/DE
2016-02-22
2019-09-18
20. CDW CORP/DE
2016-02-23
2019-09-18
26. NOVO NORDISK A/S ADR
2017-09-26
2019-09-19
1000. USD ROYAL BK CANADA
2017-11-15
2019-09-23
8000. USD ROYAL BK CANADA
2016-04-26
2019-09-23
13000. SHELL INTERNATIONAL FIN
2009-09-17
2019-09-23
1000. SHELL INTERNATIONAL FIN
2017-11-15
2019-09-23
11. IAA INC REG SHS WHEN
2018-05-11
2019-10-11
51. COMCAST CORP
2017-11-30
2019-10-14
23. COMCAST CORP
2018-05-16
2019-10-14
23. IAA INC REG SHS WHEN
2018-05-11
2019-10-14
10. SONY CORP ADR AMERN SH NEW
2019-07-26
2019-10-14
3. SONY CORP ADR AMERN SH NEW
2019-07-25
2019-10-14
9. IAA INC REG SHS WHEN
2019-01-17
2019-10-15
16. IAA INC REG SHS WHEN
2018-05-11
2019-10-15
11. IAA INC REG SHS WHEN
2018-05-18
2019-10-15
25. SONY CORP ADR AMERN SH NEW
2019-07-26
2019-10-15
10. SONY CORP ADR AMERN SH NEW
2019-07-25
2019-10-15
5. IAA INC REG SHS WHEN
2019-01-17
2019-10-16
2. IAA INC REG SHS WHEN
2019-01-17
2019-10-18
13. IAA INC REG SHS WHEN
2019-01-18
2019-10-18
11. IAA INC REG SHS WHEN
2019-01-22
2019-10-21
4. IAA INC REG SHS WHEN
2019-01-18
2019-10-21
2. BIOGEN IDEC INC
2016-08-30
2019-10-22
9. BIOGEN IDEC INC
2016-08-24
2019-10-22
10. IAA INC REG SHS WHEN
2019-01-22
2019-10-23
6. IAA INC REG SHS WHEN
2019-02-28
2019-10-23
7. IAA INC REG SHS WHEN
2019-03-01
2019-10-24
8. IAA INC REG SHS WHEN
2019-02-28
2019-10-24
10. IAA INC REG SHS WHEN
2019-03-01
2019-10-25
6. IAA INC REG SHS WHEN
2019-03-04
2019-10-28
15. IAA INC REG SHS WHEN
2019-03-01
2019-10-28
14. APPLE INC
2015-11-18
2019-10-29
33. DISH NETWORK CORPATION
2018-08-20
2019-11-07
48. DISH NETWORK CORPATION
2018-08-21
2019-11-07
19. DISH NETWORK CORPATION
2018-08-22
2019-11-07
14. JM SMUCKER CO/THE
2018-03-13
2019-11-11
11. JM SMUCKER CO/THE
2018-03-07
2019-11-11
4. JM SMUCKER CO/THE
2018-03-14
2019-11-11
1. JM SMUCKER CO/THE
2018-03-08
2019-11-11
68. SONY CORP ADR AMERN SH NEW
2019-06-14
2019-11-11
35. SONY CORP ADR AMERN SH NEW
2019-06-17
2019-11-11
8. JM SMUCKER CO/THE
2018-03-23
2019-11-12
3. JM SMUCKER CO/THE
2018-03-14
2019-11-12
5. JM SMUCKER CO/THE
2018-03-26
2019-11-18
8. JM SMUCKER CO/THE
2018-03-23
2019-11-18
3. JM SMUCKER CO/THE
2018-05-17
2019-11-19
3. JM SMUCKER CO/THE
2018-03-26
2019-11-19
15. JM SMUCKER CO/THE
2018-05-16
2019-11-19
6. JM SMUCKER CO/THE
2018-05-17
2019-11-20
22. DISH NETWORK CORP RIGHTS
2019-11-22
2019-12-02
. DISH NETWORK CORP RIGHTS
2019-12-03
2019-12-03
72. AES CORP/VA
2018-09-19
2019-12-05
5. ALIBABA GROUP HLDG LTD
2019-09-05
2019-12-05
16. ALLY FINANCIAL INC
2018-02-08
2019-12-05
2. ALPHABET INC SHS CL C
2012-06-28
2019-12-05
1. ALPHABET INC SHS CL A
2012-06-27
2019-12-05
13. ALTRIA GROUP INC
2015-06-10
2019-12-05
11. APPLE INC
2012-06-28
2019-12-05
7. BAE SYSTEMS PLC
2019-08-16
2019-12-05
8. BAE SYSTEMS PLC
2019-08-15
2019-12-05
29. BP P L C SPONS ADR
2014-10-27
2019-12-05
7. BAXTER INTERNATIONAL INC
2017-04-12
2019-12-05
2. BAXTER INTERNATIONAL INC
2017-04-11
2019-12-05
5. BIOGEN IDEC INC
2016-08-30
2019-12-05
9. CDK GLOBAL INC
2019-03-26
2019-12-05
2. CDW CORP/DE
2016-02-23
2019-12-05
2. CDW CORP/DE
2016-02-24
2019-12-05
12. CHEVRONTEXACO CORP
2017-01-05
2019-12-05
23. CISCO SYSTEMS INC
2013-08-08
2019-12-05
10. CITIGROUP INC
2012-06-13
2019-12-05
31. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2015-04-09
2019-12-05
41. COMCAST CORP
2012-09-24
2019-12-05
4. CONOCOPHILLIPS
2019-07-02
2019-12-05
14. DOWDUPONT INC
2013-10-23
2019-12-05
9. DOWDUPONT INC
2013-10-22
2019-12-05
5. DOWDUPONT INC
2013-10-21
2019-12-05
11. DR HORTON INC
2016-07-13
2019-12-05
24. DR HORTON INC
2016-07-14
2019-12-05
27. DELTA AIR LINES INC
2016-02-22
2019-12-05
13.78 DISH NETWORK CORPATION
2018-08-23
2019-12-05
11.22 DISH NETWORK CORPATION
2018-08-22
2019-12-05
18. DOLLAR GENERAL CORP
2018-11-21
2019-12-05
10. DOLLAR GENERAL CORP
2018-11-23
2019-12-05
2. DUPONT DE NEMOURS INC
2017-01-10
2019-12-05
23. E*TRADE FINANCIAL CORP
2017-09-29
2019-12-05
2. E*TRADE FINANCIAL CORP
2017-10-02
2019-12-05
4. FORTIVE CORP
2017-07-12
2019-12-05
8. FORTIVE CORP
2017-07-13
2019-12-05
9. FOX CORP
2019-11-11
2019-12-05
6. HUBBELL INC
2019-02-13
2019-12-05
3. HUMANA INC
2015-08-05
2019-12-05
17. J P MORGAN CHASE & CO
2012-06-13
2019-12-05
10. J P MORGAN CHASE & CO
2012-06-14
2019-12-05
23. KAR AUCTION SERVICES INC
2018-04-05
2019-12-05
3. LABORATORY CORP AMER HLDGS
2014-12-23
2019-12-05
6. LABORATORY CORP AMER HLDGS
2014-12-24
2019-12-05
6. LOWES COMPANIES INC COM
2013-04-30
2019-12-05
31. MARATHON OIL CORP
2018-06-11
2019-12-05
29. MICROSOFT CORP COM
2009-11-16
2019-12-05
6. MICROSOFT CORP COM
2009-11-09
2019-12-05
1. MOLSON COORS BREWING CO
2019-02-04
2019-12-05
3. NORFOLK SOUTHERN CORP
2017-01-09
2019-12-05
7. NOVARTIS AG SPNSRD ADR
2018-11-16
2019-12-05
11. NOVO NORDISK A/S ADR
2017-09-26
2019-12-05
5. O'REILLY AUTOMOTIVE INC
2018-07-09
2019-12-05
1. PACKAGING CORP OF AMERICA
2013-02-22
2019-12-05
12. PACKAGING CORP OF AMERICA
2013-02-25
2019-12-05
28. PFIZER INC
2016-01-28
2019-12-05
31. REGIONS FINANCIAL CORP
2017-01-09
2019-12-05
30. REGIONS FINANCIAL CORP
2017-01-10
2019-12-05
3. SONY CORP ADR AMERN SH NEW
2019-06-17
2019-12-05
3. SONY CORP ADR AMERN SH NEW
2019-06-18
2019-12-05
16. SUNTRUST BANKS INC
2013-01-15
2019-12-05
23. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2019-12-05
15. US BANCORP DEL
2012-07-24
2019-12-05
12. US BANCORP DEL
2012-07-25
2019-12-05
6. UNILEVER NV
2019-08-15
2019-12-05
6. UNITEDHEALTH GROUP INC
2014-10-27
2019-12-05
24. VERIZON COMMUNICATIONS INC
2019-03-29
2019-12-05
17. WAL MART STORES INC
2017-01-09
2019-12-05
20. BAXTER INTERNATIONAL INC
2017-04-13
2019-12-10
18. BAXTER INTERNATIONAL INC
2017-04-12
2019-12-10
5. BAXTER INTERNATIONAL INC
2017-05-04
2019-12-10
4. PACKAGING CORP OF AMERICA
2015-06-15
2019-12-10
3. PACKAGING CORP OF AMERICA
2018-06-19
2019-12-10
1. PACKAGING CORP OF AMERICA
2018-06-20
2019-12-10
12. BAXTER INTERNATIONAL INC
2017-04-12
2019-12-11
14. BAXTER INTERNATIONAL INC
2017-04-13
2019-12-11
3. BAXTER INTERNATIONAL INC
2017-05-04
2019-12-11
4. PACKAGING CORP OF AMERICA
2018-06-19
2019-12-11
4. PACKAGING CORP OF AMERICA
2015-06-15
2019-12-11
1. PACKAGING CORP OF AMERICA
2018-06-20
2019-12-11
8. PACKAGING CORP OF AMERICA
2015-06-15
2019-12-12
3. PACKAGING CORP OF AMERICA
2018-06-20
2019-12-12
8. PACKAGING CORP OF AMERICA
2018-06-19
2019-12-12
10. APPLE INC
2012-06-29
2019-12-16
5. APPLE INC
2012-06-28
2019-12-16
.98 TRUIST FINL CORP
2013-01-15
2019-12-17
10000. U.S. TREASURY NOTE
2019-09-25
2019-12-18
20000. U.S. TREASURY NOTE
2019-02-20
2019-12-18
40. BAXTER INTERNATIONAL INC
2017-04-17
2019-12-20
17. BAXTER INTERNATIONAL INC
2017-04-17
2019-12-23
17. BAXTER INTERNATIONAL INC
2017-04-18
2019-12-23
1. BAXTER INTERNATIONAL INC
2017-04-18
2019-12-24
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
18
18
b
564
451
113
c
602
487
115
d
903
745
158
e
1,127
1,451
-324
43
56
-13
824
1,000
-176
2,542
2,080
462
1,670
1,341
329
1,594
1,262
332
44
56
-12
566
726
-160
392
474
-82
1,070
832
238
38
30
8
38
30
8
76
59
17
955
739
216
38
30
8
76
62
14
176
211
-35
1,456
1,715
-259
2,075
1,604
471
1,861
2,211
-350
15,083
14,733
350
1,582
1,056
526
2,110
1,726
384
2,791
2,104
687
164
119
45
2,966
2,383
583
2,988
2,495
493
193
159
34
3,364
4,116
-752
386
298
88
541
411
130
116
89
27
773
601
172
581
439
142
426
323
103
523
555
-32
1,045
1,105
-60
1,062
1,139
-77
547
590
-43
17,237
17,945
-708
264
411
-147
1,782
2,424
-642
792
1,084
-292
2,143
2,269
-126
126
75
51
1,391
812
579
552
585
-33
130
137
-7
1,000
1,000
12,000
11,782
218
1,000
1,000
1,298
1,302
-4
1,469
1,473
-4
3,245
2,138
1,107
2,121
1,666
455
612
480
132
972
699
273
445
352
93
810
586
224
162
117
45
2,856
1,748
1,108
2,450
3,098
-648
713
902
-189
1,705
1,367
338
714
448
266
268
218
50
684
562
122
1,021
673
348
642
411
231
1,036
679
357
385
249
136
296
192
104
178
115
63
723
475
248
2,169
1,359
810
665
582
83
998
777
221
665
583
82
665
577
88
2,337
1,472
865
359
222
137
3,154
2,578
576
84
68
16
421
339
82
166
146
20
83
72
11
166
146
20
166
129
37
1,103
1,146
-43
911
923
-12
911
980
-69
2,385
1,871
514
116
91
25
115
91
24
404
319
85
1,212
958
254
346
274
72
519
411
108
1,092
867
225
977
776
201
1,893
1,259
634
2,650
1,780
870
1,704
1,053
651
2,297
1,556
741
1,722
591
1,131
4,207
3,201
1,006
221
156
65
1,031
806
225
2,141
1,663
478
238
168
70
641
251
390
1,174
455
719
9,088
8,996
92
12,996
12,912
84
1,181
455
726
215
84
131
1,294
496
798
431
167
264
2,732
924
1,808
11
11
3,200
1,871
1,329
1,835
1,422
413
1,121
873
248
2,893
4,366
-1,473
810
632
178
2,024
1,552
472
2,361
3,590
-1,229
191
271
-80
1,019
862
157
1,931
1,589
342
2,881
4,017
-1,136
19,466
18,905
561
726
994
-268
3,168
3,104
64
594
582
12
302
224
78
2,262
1,677
585
1,586
2,624
-1,038
1,018
1,638
-620
9
9
24
30
-6
676
556
120
375
307
68
75
87
-12
1,877
1,533
344
1,441
1,846
-405
811
1,197
-386
1,163
1,646
-483
2,623
2,404
219
214
194
20
1,134
1,393
-259
864
1,056
-192
648
786
-138
108
132
-24
734
944
-210
313
289
24
157
153
4
1,462
1,374
88
1,425
1,426
-1
902
1,034
-132
676
781
-105
1,352
1,559
-207
1,991
1,867
124
14,935
15,424
-489
2,224
3,027
-803
862
1,137
-275
1,250
1,615
-365
417
471
-54
1,250
1,404
-154
3,232
1,871
1,361
604
676
-72
511
571
-60
1,718
1,923
-205
218
242
-24
280
303
-23
466
479
-13
93
97
-4
404
445
-41
530
543
-13
156
161
-5
312
336
-24
249
276
-27
467
514
-47
346
370
-24
472
514
-42
252
276
-24
534
543
-9
157
161
-4
94
104
-10
251
256
-5
220
240
-20
63
64
-1
157
168
-11
2,514
1,878
636
402
304
98
768
758
10
32
33
-1
800
826
-26
363
320
43
242
216
26
363
321
42
323
306
17
775
669
106
226
221
5
366
333
33
61
54
7
122
108
14
183
158
25
366
324
42
616
552
64
62
53
9
123
106
17
2,877
2,814
63
568
551
17
1,010
992
18
157
155
2
408
415
-7
784
773
11
9,334
8,955
379
153
167
-14
661
734
-73
661
738
-77
407
441
-34
407
455
-48
1,753
1,725
28
158
109
49
630
466
164
2,101
1,518
583
156
165
-9
52
56
-4
259
282
-23
104
114
-10
259
284
-25
93
95
-2
934
891
43
981
953
28
1,936
1,341
595
238
256
-18
951
902
49
1,140
1,099
41
193
223
-30
241
201
40
434
364
70
1,207
1,005
202
48
57
-9
48
56
-8
944
883
61
192
223
-31
48
56
-8
722
822
-100
1,117
1,049
68
355
331
24
2,037
2,571
-534
494
620
-126
540
701
-161
1,559
2,014
-455
1,319
1,617
-298
44
34
10
87
68
19
348
276
72
305
239
66
174
137
37
184
137
47
461
342
119
507
379
128
322
240
82
230
171
59
1,186
1,442
-256
56
74
-18
1,751
2,271
-520
1,025
785
240
769
530
239
2,131
1,933
198
867
1,052
-185
1,214
1,472
-258
1,099
1,305
-206
1,092
854
238
409
491
-82
664
512
152
2,492
1,956
536
53
58
-5
158
149
9
106
112
-6
53
56
-3
53
58
-5
106
99
7
2,212
2,248
-36
369
393
-24
105
113
-8
158
173
-15
422
398
24
264
247
17
105
115
-10
1,316
1,349
-33
48
33
15
48
34
14
97
67
30
48
33
15
145
102
43
254
247
7
406
398
8
355
393
-38
102
113
-11
152
173
-21
203
230
-27
232
169
63
279
205
74
93
67
26
93
67
26
1,682
1,524
158
531
470
61
367
273
94
183
134
49
138
100
38
275
202
73
177
157
20
975
882
93
275
205
70
137
100
37
229
169
60
137
100
37
255
246
9
306
295
11
102
99
3
1,072
1,031
41
364
124
240
2,672
903
1,769
720
246
474
2,641
854
1,787
2,401
781
1,620
1,325
1,252
73
1,000
1,001
-1
8,000
8,033
-33
13,000
12,933
67
1,000
1,000
408
367
41
2,306
1,881
425
1,040
749
291
833
768
65
579
548
31
174
164
10
325
286
39
578
534
44
398
367
31
1,449
1,370
79
580
546
34
185
159
26
76
64
12
491
420
71
430
353
77
156
129
27
570
565
5
2,567
2,628
-61
382
321
61
229
177
52
269
206
63
307
235
72
381
295
86
229
178
51
574
442
132
3,407
1,637
1,770
1,142
1,154
-12
1,661
1,713
-52
658
668
-10
1,460
1,841
-381
1,147
1,418
-271
417
530
-113
104
128
-24
4,148
3,497
651
2,135
1,833
302
838
961
-123
314
398
-84
526
606
-80
842
961
-119
312
334
-22
312
364
-52
1,562
1,680
-118
627
667
-40
11
11
1,360
985
375
999
893
106
497
443
54
2,639
560
2,079
1,318
286
1,032
650
645
5
2,907
894
2,013
204
188
16
233
214
19
1,062
1,215
-153
577
373
204
165
106
59
1,486
1,413
73
479
514
-35
269
78
191
269
77
192
1,397
1,409
-12
1,000
605
395
745
278
467
1,929
1,940
-11
1,787
748
1,039
238
241
-3
341
311
30
219
202
17
122
111
11
611
373
238
1,334
818
516
1,507
1,310
197
462
459
3
376
374
2
2,763
1,900
863
1,535
1,060
475
124
168
-44
1,036
1,000
36
90
87
3
289
259
30
578
517
61
319
315
4
878
702
176
1,032
557
475
2,258
584
1,674
1,328
344
984
484
479
5
513
322
191
1,026
647
379
691
231
460
371
667
-296
4,346
861
3,485
899
173
726
50
66
-16
560
328
232
642
539
103
628
530
98
2,202
1,441
761
112
42
70
1,338
501
837
1,064
847
217
517
446
71
500
438
62
195
157
38
195
157
38
1,101
457
644
1,243
1,034
209
892
501
391
713
401
312
357
349
8
1,681
552
1,129
1,454
1,419
35
2,008
1,167
841
1,642
1,067
575
1,478
958
520
410
279
131
446
267
179
334
351
-17
111
116
-5
993
639
354
1,158
747
411
248
168
80
447
468
-21
447
267
180
112
116
-4
900
535
365
337
349
-12
900
936
-36
2,802
829
1,973
1,401
406
995
55
22
33
10,102
10,085
17
20,205
20,044
161
3,299
2,112
1,187
1,431
898
533
1,431
897
534
84
53
31
137
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
b
113
c
115
d
158
e
-324
-13
-176
462
329
332
-12
-160
-82
238
8
8
17
216
8
14
-35
-259
471
-350
350
526
384
687
45
583
493
34
-752
88
130
27
172
142
103
-32
-60
-77
-43
-708
-147
-642
-292
-126
51
579
-33
-7
218
-4
-4
1,107
455
132
273
93
224
45
1,108
-648
-189
338
266
50
122
348
231
357
136
104
63
248
810
83
221
82
88
865
137
576
16
82
20
11
20
37
-43
-12
-69
514
25
24
85
254
72
108
225
201
634
870
651
741
1,131
1,006
65
225
478
70
390
719
92
84
726
131
798
264
1,808
1,329
413
248
-1,473
178
472
-1,229
-80
157
342
-1,136
561
-268
64
12
78
585
-1,038
-620
9
-6
120
68
-12
344
-405
-386
-483
219
20
-259
-192
-138
-24
-210
24
4
88
-1
-132
-105
-207
124
-489
-803
-275
-365
-54
-154
1,361
-72
-60
-205
-24
-23
-13
-4
-41
-13
-5
-24
-27
-47
-24
-42
-24
-9
-4
-10
-5
-20
-1
-11
636
98
10
-1
-26
43
26
42
17
106
5
33
7
14
25
42
64
9
17
63
17
18
2
-7
11
379
-14
-73
-77
-34
-48
28
49
164
583
-9
-4
-23
-10
-25
-2
43
28
595
-18
49
41
-30
40
70
202
-9
-8
61
-31
-8
-100
68
24
-534
-126
-161
-455
-298
10
19
72
66
37
47
119
128
82
59
-256
-18
-520
240
239
198
-185
-258
-206
238
-82
152
536
-5
9
-6
-3
-5
7
-36
-24
-8
-15
24
17
-10
-33
15
14
30
15
43
7
8
-38
-11
-21
-27
63
74
26
26
158
61
94
49
38
73
20
93
70
37
60
37
9
11
3
41
240
1,769
474
1,787
1,620
73
-1
-33
67
41
425
291
65
31
10
39
44
31
79
34
26
12
71
77
27
5
-61
61
52
63
72
86
51
132
1,770
-12
-52
-10
-381
-271
-113
-24
651
302
-123
-84
-80
-119
-22
-52
-118
-40
11
375
106
54
2,079
1,032
5
2,013
16
19
-153
204
59
73
-35
191
192
-12
395
467
-11
1,039
-3
30
17
11
238
516
197
3
2
863
475
-44
36
3
30
61
4
176
475
1,674
984
5
191
379
460
-296
3,485
726
-16
232
103
98
761
70
837
217
71
62
38
38
644
209
391
312
8
1,129
35
841
575
520
131
179
-17
-5
354
411
80
-21
180
-4
365
-12
-36
1,973
995
33
17
161
1,187
533
534
31
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
63,966
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
73,997
1,594,284
0.046414
2017
69,330
1,500,910
0.046192
2016
69,125
1,382,620
0.049996
2015
68,051
1,429,641
0.0476
2014
61,610
1,406,969
0.043789
2
Total
of line 1, column (d)
.....................
2
0.233991
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
0.046798
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,585,424
5
Multiply line 4 by line 3
......................
5
74,195
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
902
7
Add lines 5 and 6
........................
7
75,097
8
Enter qualifying distributions from Part XII, line 4
,.............
8
77,118
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
902
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
902
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
902
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,680
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
1,680
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
778
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
Refunded
11
778
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)
CA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
BANK OF AMERICA NA
Telephone no.
(212) 852-3049
Located at
114 W 47TH ST NY8-114-07-07
NEW YORK
NY
ZIP+4
100361510
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
BANK OF AMERICA N A
TRUSTEE
2
25,962
114 W 47TH ST NY8-114-07-07
NEW YORK
,
NY
100361510
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
1,557,992
b
Average of monthly cash balances
.......................
1b
51,576
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,609,568
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
1,609,568
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
24,144
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,585,424
6
Minimum investment return.
Enter 5% of line 5
..................
6
79,271
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
79,271
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
902
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
902
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
78,369
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
78,369
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
78,369
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
77,118
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
77,118
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
902
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
76,216
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
78,369
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
61,531
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
77,118
a
Applied to 2018, but not more than line 2a
61,531
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
.....
15,587
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
62,782
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
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 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
MIT-SCH OFARCHITECTURE
77 MASSACHUSETTS AVE
CAMBRIDGE
,
MA
02139
NONE
PC
GRANT AWARD
61,531
Total
.................................
3a
61,531
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
37,221
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
63,966
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)
..
101,187
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
101,187
(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