-
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
CARLSON FAMILY FOUNDATION INC
C/O JOHN A NORTON
Number and street (or P.O. box number if mail is not delivered to street address)
1610 SKYE DRIVE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHAPEL HILL
,
NC
27516
A Employer identification number
31-1678303
B
Telephone number (see instructions)
(919) 604-0842
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)
$
22,692,083
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
4,555
4,555
4
Dividends and interest from securities
...
337,084
337,084
5a
Gross rents
............
284,612
284,612
b
Net rental income or (loss)
-20,182
6a
Net gain or (loss) from sale of assets not on line 10
3,452,208
b
Gross sales price for all assets on line 6a
12,815,374
7
Capital gain net income (from Part IV, line 2)
...
3,452,208
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
4,078,459
4,078,459
13
Compensation of officers, directors, trustees, etc.
158,000
15,800
142,200
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
6,715
3,357
3,358
c
Other professional fees (attach schedule)
....
3,330
3,330
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
236,897
199,439
0
19
Depreciation (attach schedule) and depletion
...
37,606
37,606
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
23,854
7,156
16,698
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
69,786
66,237
3,549
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
536,188
332,925
165,805
25
Contributions, gifts, grants paid
.......
1,091,196
1,091,196
26
Total expenses and disbursements.
Add lines 24 and 25
1,627,384
332,925
1,257,001
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
2,451,075
b
Net investment income
(if negative, enter -0-)
3,745,534
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
119,800
524,249
524,249
2
Savings and temporary cash investments
.........
195,179
183,054
183,054
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
15,751
954,789
954,789
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
9,290,909
9,685,548
13,864,991
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
8,497,859
Less: accumulated depreciation (attach schedule)
76,715
7,674,192
8,421,144
7,165,000
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
1,789
Less: accumulated depreciation (attach schedule)
1,789
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
17,295,831
19,768,784
22,692,083
17
Accounts payable and accrued expenses
..........
104,590
126,468
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)
.........
104,590
126,468
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
........
17,191,241
19,642,316
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
0
0
29
Total net assets or fund balances
(see instructions)
.....
17,191,241
19,642,316
30
Total liabilities and net assets/fund balances
(see instructions)
.
17,295,831
19,768,784
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
17,191,241
2
Enter amount from Part I, line 27a
.....................
2
2,451,075
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
19,642,316
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
19,642,316
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
PUBLICLY TRADED SECURITIES
P
b
PUBLICLY TRADED SECURITIES
P
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
8,169,211
4,717,003
3,452,208
b
4,646,163
4,646,163
0
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
3,452,208
b
0
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
3,452,208
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
1,352,683
24,351,314
0.055549
2017
1,192,173
25,222,301
0.047267
2016
1,144,454
24,472,561
0.046765
2015
1,099,180
22,410,274
0.049048
2014
908,173
22,016,231
0.041250
2
Total
of line 1, column (d)
.....................
2
0.239879
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
0.047976
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
23,399,670
5
Multiply line 4 by line 3
......................
5
1,122,623
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
37,455
7
Add lines 5 and 6
........................
7
1,160,078
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,257,001
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
37,455
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
37,455
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
37,455
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
10,480
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
10,480
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
3
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
26,978
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
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
JOHN A NORTON
Telephone no.
(919) 604-0842
Located at
1610 SKYE DRIVE
CHAPEL HILL
NC
ZIP+4
27516
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
JOHN A NORTON
PRESIDENT
5.00
25,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
MICHAEL A NORTON
VICE PRESIDENT/TREASURER
5.00
25,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
MARY N OWEN
DIRECTOR
1.00
25,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
PAUL S NORTON
SECRETARY
2.00
25,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
JAMES M NORTON
DIRECTOR
1.00
25,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
LENORE TRILBY NORTON
DIRECTOR
1.00
25,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
CHRISTINA N WINCEK
DIRECTOR
1.00
1,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
KYLE P NORTON
DIRECTOR
1.00
1,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
JOSEPH F NORTON
DIRECTOR
1.00
1,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
ANN E JACOBS
DIRECTOR
1.00
1,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
LAUREN C NORTON
DIRECTOR
1.00
1,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
KAITLYN NORTON
DIRECTOR
1.00
1,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
MALCOLM A NORTON
DIRECTOR
1.00
1,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
TRILBY F NORTON
DIRECTOR
1.00
1,000
0
0
C/O CFF INC 1610 SKYE DRIVE
CHAPEL HILL
,
NC
27516
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
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
13,359,896
b
Average of monthly cash balances
.......................
1b
1,807,331
c
Fair market value of all other assets (see instructions)
................
1c
8,588,783
d
Total
(add lines 1a, b, and c)
.........................
1d
23,756,010
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
23,756,010
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
356,340
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
23,399,670
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,169,984
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
1,169,984
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
37,455
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
37,455
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,132,529
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
1,132,529
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
1,132,529
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
1,257,001
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,257,001
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
37,455
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,219,546
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
1,132,529
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
1,044,187
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,257,001
a
Applied to 2018, but not more than line 2a
1,044,187
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
.....
212,814
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
..........
919,715
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
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
ACKLAND ART MUSEUM AT THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
101 S COLUMBIA STREET
CHAPEL HILL
,
NC
27514
NONE
PC
MATCHING GRANT
75
ACLU
125 BROAD ST 18TH FLOOR
NEW YORK
,
NY
10004
NONE
PC
MATCHING GRANT
50
ACOPA LOPEZ DE HOYOS
109-3RD
MADRID
SP
NONE
PC
DISCRETIONARY GRANT
3,000
ALZHEIMER'S ASSOCIATION CT CHAPTER
200 EXECUTIVE BLVD SUITE 4B
SOUTHINGTON
,
CT
06489
NONE
PC
DISCRETIONARY
2,500
AMERICARES FOUNDATION
88 HAMILTON AVE
STAMFORD
,
CT
06902
NONE
PC
MATCHING GRANT
50
AMREF HEALTH AFRICA
75 BROAD ST STE 703
NEW YORK
,
NY
10004
NONE
PC
MAJOR GRANT
10,000
ANIMAL CARE AND CONTROL TEAM
111 W HUNTING PARK AVE
PHILDELPHIA
,
PA
19140
NONE
PC
DISCRETIONARY
1,500
APEX COMMUNITY ADVANCEMENT INC
2019 SIMON BOLIVAR AVE
NEW ORLEANS
,
LA
70113
NONE
PC
DISCRETIONARY GRANT
2,500
APPALACHIA SERVICE PROJECT
4523 BRISTOL HIGHWAY
JOHNSON CITY
,
TN
37601
NONE
PC
DISCRETIONARY GRANT
2,500
ARLINGTON FREE CLINIC
2921 11TH STREET SOUTH
ARLINGTON
,
VA
22204
NONE
PC
MAJOR GRANT
13,500
ASOCIACION ANIDAN AYUDA NINOS DE AFRICA
C/ JULIAN HERNANDEZ 9 2 4
MADRID
28043
SP
NONE
PC
MAJOR GRANT, DISCRETIONARY GRANT
35,000
ASSOCIACION CYD SANTA MARIA
SANTA LUCIA 1 - 1O - 3
MALAGA
29004
SP
NONE
PC
DISCRETIONARY GRANT
3,000
BARBARA ANN KARMANOS CANCER INSTITUTE
4100 JOHN R
DETROIT
,
MI
48201
NONE
PC
MATCHING GRANT
50
BIG BROTHERS BIG SISTERS OF TRIANGLE
808 AVIATION PKWY SUITE 900
MORRISVILLE
,
NC
27560
NONE
PC
MAJOR GRANT
25,000
BOYS & GIRLS CLUB OF GREATER DURHAM
P O BOX 446
DURHAM
,
NC
27702
NONE
PC
MAJOR GRANT
10,000
BOYS & GIRLS CLUB OF ANNAPOLIS & ANNE ARUNDAL COUNTY
121 SOUTH VILLA AVENUE
ANNAPOLIS
,
MD
21401
NONE
PC
DISCRETIONARY GRANT
1,000
BROOKE'S HOUSE INC
480 N POTOMAC ST
HAGERSTOWN
,
MD
21740
NONE
PC
MAJOR GRANT, DISCRETIONARY GRANT
65,000
BROTHER'S BROTHER FOUNDATION
1200 GALVESTON AVENUE
PITTSBURGH
,
PA
15233
NONE
PC
MAJOR GRANT
10,000
BUILDING ONE COMMUNITY
75 SELLECK ST
STAMFORD
,
CT
06902
NONE
PC
MAJOR GRANT
25,000
CAROLINA PERFORMING ARTS
134 EAST FRANKLIN STREET
CHAPEL HILL
,
NC
275993233
NONE
PC
DISCRETIONARY GRANT, MATCHING GRANT
4,350
CATHOLIC CHARITIES OF THE DIOCESE OF RALEIGH
7200 STONEHENGE DR DEV OFFICE
RALEIGH
,
NC
27613
NONE
PC
DISCRETIONARY GRANT
1,000
CATHOLIC CHARITIES OF CHARLESTON
901 ORANGE CROVE ROAD
CHARLESTON
,
SC
29407
NONE
PC
MAJOR GRANT
5,000
CENTER FOR CHILD AND FAMILY HEALTH
1121 W CHAPEL HILL ST SUITE 100
DURHAM
,
NC
27701
NONE
PC
MAJOR GRANT
15,000
CHAPEL HILL CARRBORO MEALS ON WHEELS
P O BOX 2102
CHAPEL HILL
,
NC
27514
NONE
PC
DISCRETIONARY GRANT
2,000
CHAPEL HILL CARRBORO YMCA
980 MARTIN LUTHER KING JR BLVD
CHAPEL HILL
,
NC
27514
NONE
PC
DISCRETIONARY GRANT
3,500
CHATHAM CREATIVE ARTS INCUBATOR
223 N CHATHAM AVE
SILER CITY
,
NC
27344
NONE
PC
MAJOR GRANT
50,000
CHATHAM OUTREACH ALLIANCE
P O BOX 1326
PITTSBORO
,
NC
27312
NONE
PC
MAJOR GRANT
15,000
CHILDREN'S HOME SOCIETY OF NC
P O BOX 14608
GREENSBORO
,
NC
27415
NONE
PC
MAJOR GRANT
20,000
CHILDREN'S TUMOR FOUNDATION
120 WALL STREET 16TH FLOOR
NEW YORK
,
NY
100053904
NONE
PC
DISCRETIONARY GRANT
500
CITY OF HOPE
1500 E DUARTE RD
CITY OF HOPE
,
CA
91010
NONE
PC
MATCHING
35
COMMUNITY FOUNDATION OF NJ
35 KNOX HILL RD
MORRISTOWN
,
NJ
07960
NONE
PC
MATCHING GRANT
3,000
CONNECTICUT FUND FOR ENVIRONMENT
142 TEMPLE STREET
NEW HAVEN
,
CT
06510
NONE
PC
MAJOR GRANT, DISCRETIONARY GRANT, MATCHING GRANT
8,500
CRESTED BUTTE LAND TRUST
P O BOX 2224
CRESTED BUITTE
,
CO
81224
NONE
PC
DISCRETIONARY GRANT
1,000
CTC TEN FOUNDATION
P O BOX 933
ARDMORE
,
PA
190030933
NONE
PC
MAJOR GRANT
15,000
CURE DUCHENNE
1400 QUAIL ST
NEWPORT BEACH
,
CA
92660
NONE
PC
MAJOR GRANT
12,000
DIRECT RELIEF
6100 WALLACE BECKNELL ROAD
SANTA BARBARA
,
CA
93117
NONE
PC
DISCRETIONARY GRANT
3,000
DURHAM LITERACY CENTER INC
P O BOX 52209
DURHAM
,
NC
27717
NONE
PC
MAJOR GRANT
12,500
EL CENTRO HISPANO INC
2000 CHAPEL HILL RD SUITE 26A
DURHAM
,
NC
277071197
NONE
PC
MAJOR GRANT
10,000
EQUALITY NOW INC
125 MAIDEN LN 9TH FLR SUITE B
NEW YORK
,
NY
10038
NONE
PC
MAJOR GRANT
15,000
EYES EARS NOSE PAWS
P O BOX 3443
CHAPEL HILL
,
NC
27516
NONE
PC
DISCRETIONARY GRANT
2,500
FEEDING AMERICA
35 EAST WACKER DRIVE SUITE 2000
CHICAGO
,
IL
60601
NONE
PC
MATCHING GRANT
50
FIELDS TO FAMILY
901 FOILAGE LANE
CHARLESTON
,
SC
294129348
NONE
PC
MAJOR GRANT
5,000
FOOD BANK OF CENTRAL & EAST NC
3808 TARHEEL DR
RALEIGH
,
NC
27609
NONE
PC
MAJOR GRANT
10,000
FOOD FOR THE POOR
6401 LYONS ROAD
COCONUT CREEK
,
FL
33073
NONE
PC
DISCRETIONARY GRANT, MATCHING GRANT
6,600
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVE N J5-200
SEATTLE
,
WA
98109
NONE
PC
MAJOR GRANT
20,000
FREEDOM HOUSE RECOVERY CENTER
104 NEW STATESIDE DRIVE
CHAPEL HILL
,
NC
27516
NONE
PC
DISCRETIONARY GRANT
2,000
FUNDACION ANADE
CLARA CAMPOAMOR 20 COLLADO VILLALBA
MADRID
28400
SP
NONE
PC
DISCRETIONARY GRANT
3,000
FUNDACION VIC
AVENIDA DEL VALLE 4
MADRID
28003
SP
NONE
PC
DISCRETIONARY GRANT
2,000
HABITAT FOR HUMANITY ORANGE COUNTY
88 VILCOM CENTER DR STE L110
CHAPEL HILL
,
NC
27514
NONE
PC
DISCRETIONARY GRANT
2,000
HAVEN HOUSE SERVICES
600 W CABARRUS STREET
RALEIGH
,
NC
27603
NONE
PC
MAJOR GRANT
10,000
HERMANAS PASIONISTAS
P O BBELISANA 26
MADRID
SP
NONE
PC
DISCRETIONARY GRANT
3,500
HISTORICAL SOCIETY OF FREDERICK COUNTY
24 E CHURCH ST
FREDERICK
,
MD
21701
NONE
PC
DISCRETIONARY GRANT
5,000
HUMBLE DESIGN INC
180 N SEGINAW
PONTIAC
,
MI
48342
NONE
PC
MAJOR GRANT, MATCHING GRANT
15,250
INTER-FAITH COUNCIL FOR SOCIAL SERVICE
110 WEST MAIN ST
CARRBORO
,
NC
27510
NONE
PC
MAJOR GRANT
15,000
INTERNATIONAL RESCUE COMMITTEE
122 E 42ND STREET
NEW YORK
,
NY
10168
NONE
PC
MAJOR GRANT
15,000
IYRS SCHOOL OF TECHNOLGY & TRADES
449 THAMES STREET
NEWPORT
,
RI
02840
NONE
PC
DISCRETIONARY GRANT
2,500
JUBILEE JOBS INC
2712 ONTARIO ROAD NW
WASHINGTON
,
DC
20009
NONE
PC
DISCRETIONARY GRANT
2,500
KEEP GROWING DETROIT
1445 ADELAIDE STREET
DETROIT
,
MI
48207
NONE
PC
MAJOR GRANT
12,000
LEAGUE TO SAVE LAKE TAHOE
2608 LAKE TAHOE BLVD
SOUTH LAKE TAHOE
,
CA
96150
NONE
PC
MAJOR GRANT
5,000
LEUKEMIA & LYMPHOMA SOCIETY NORTHERN NJ
14 COMMERCE DR SUITE 301
CRANFORD
,
NJ
07016
NONE
PC
MAJOR GRANT
25,000
LIBERATION PROGRAMS INC
129 GLOVER AVE
NORWALK
,
CT
06850
NONE
PC
DISCRETIONARY GRANT
500
LIFE SKILLS FOUNDATION
P O BOX 51129
DURHAM
,
NC
27717
NONE
PC
DISCRETIONARY GRANT
2,000
LSU FOUNDATION (THE REVEILLE)
3796 NICHOLSON DR
BATON ROUGE
,
LA
70802
NONE
PC
MATCHING GRANT
30
MAG AMERICA INC
1776 K STREET NW SUITE 700
WASHINGTON
,
DC
20006
NONE
PC
MAJOR GRANT, DISCRETIONARY GRANT
29,500
MASON DIXON BSA COUNCIL
18600 CRESTWOOD DR
HAGERSTOWN
,
MD
21742
NONE
PC
MAJOR GRANT
25,000
MEDICOS SIN FRONTERAS ESPANA
MELENDEZ VALDES 72-1A
MADRID
28015
SP
NONE
PC
MAJOR GRANT
35,000
MIRACLEFEET
605 W MAIN ST
CARRBORO
,
NC
27510
NONE
PC
MAJOR GRANT
10,000
MOVEMENT INC
383 MAIN AVE 5TH FLOOR
NORWALK
,
CT
06851
NONE
PC
DISCRETIONARY GRANT
1,000
MUSIC MAKER RELIEF FOUNDATION
224 WEST CORBIN ST
HILLSBOROUGH
,
NC
27278
NONE
PC
MAJOR GRANT
8,500
NATIONAL RESOURCE DEFENSE COUNCIL
40 W 20TH STREET
NEW YORK
,
NY
10011
NONE
PC
MATCHING GRANT
50
NC ARTS INCUBATOR
223 N CHATHAM AVE
SILER CITY
,
NC
27344
NONE
PC
DISCRETIONARY GRANT
5,600
NEW HAVEN READS COMMUNITY BOOK BANK
45 BRISTOL STREET
NEW HAVEN
,
CT
06511
NONE
PC
MAJOR GRANT
12,000
NEW YORK UNIVERSITY
25 WEST 4TH ST 4TH FLR
NEW YORK
,
NY
10012
NONE
PC
DISCRETIONARY GRANT
2,500
NEW YORK YACHT CLUB FOUNDATION
37 WEST 44TH ST
NEW YORK
,
NY
10036
NONE
PC
DISCRETIONARY GRANT
2,500
NORTH CAROLINA BEACH BUGGY ASSOC
P O BOX 189
NAGS HEAD
,
NC
27959
NONE
PC
DISCRETIONARY GRANT
500
NORTH CAROLINA COASTAL FEDERATION
3609 HIGHWAY 24 OCEAN
NEWPORT
,
NC
28570
NONE
PC
MAJOR GRANTS
10,000
OCRACOKE FOUNDATION INC
P O BOX 1689
OCRACOKE
,
NC
27960
NONE
PC
DISCRETIONARY GRANT
2,000
ORANGE COUNTY RAPE CRISIS CENTER
1506 EAST FRANKLIN ST STE 302
CHAPEL HILL
,
NC
27514
NONE
PC
MAJOR GRANT
7,000
ORPHANAID AFRICA
4470 W SUNSET BLVD 97480
LOS ANGELES
,
CA
90027
NONE
PC
MAJOR GRANT
10,000
OUTER BANKS COMMUNITY FOUNDATION
13 SKYLINE ROAD
SOUTHERN SHORES
,
NC
27949
NONE
PC
DISCRETIONARY GRANT
3,000
PARALYZED VETERANS OF AMERICA
4603 MYRTLE AVENUE
VIRGINIA BEACH
,
VA
23451
NONE
PC
MAJOR GRANT
20,000
PARKSIDE VILLAGE INC
10411 MONTROSE AVE 101
BETHESDA
,
MD
20184
NONE
PC
DISCRETIONARY GRANT
1,000
PLANNED PARENTHOOD FEDERATION OF AMERICA
123 WILLIAM STREET
NEW YORK
,
NY
10038
NONE
PC
DISCRETIONARY GRANT, MATCHING GRANT
2,050
PORCH INC
P O BOX 16363
CHAPEL HILL
,
NC
275166363
NONE
PC
MATCHING GRANT
150
POTOMAC CONSERVANCY
8601 GEORGIA AVE SUITE 612
SILVER SPRING
,
MD
20910
NONE
PC
MAJOR GRANT
20,000
PUPPIES BEHIND BARS INC
263 W 38TH STREET 4TH FLOOR
NEW YORK
,
NY
10018
NONE
PC
MAJOR GRANT
5,000
RAINFOREST CONNECTION
27179 DANBRIDGE GULCH LANE
KATY
,
TX
77494
NONE
PC
MAJOR GRANT
13,500
REMOTE AREA MEDICAL
2200 STOCK CREEK BLVD
ROCKFORD
,
TN
37853
NONE
PC
DISCRETIONARY GRANT
2,500
ROCHESTER INSTITUTE OF TECHNOLOGY
116 LOMB MEMORIAL DR
ROCHESTER
,
NY
146235608
NONE
PC
DISCRETIONARY GRANT
2,500
ROCKING THE BOAT
ONE GUSTAVE L LEVY PL BOX 1049
NEW YORK
,
NY
100296574
NONE
PC
DISCRETIONARY GRANT
2,500
RONALD MCDONALD HOUSE
101 OLD MASON FARM RD
CHAPEL HILL
,
NC
27517
NONE
PC
DISCRETIONARY GRANT
2,500
RONALD MCDONALD HOUSE CHARITIES-CHARLESTON
81 GALSDEN ST
CHARLESTON
,
SC
29401
NONE
P
DISCRETIONARY GRANT
500
RONALD MCDONALD HOUSE CHARITIES-COLUMBIA
2901 COLUMBIA DRIVE
COLUMBIA
,
SC
29203
NONE
PC
DISCRETIONARY GRANT
500
SAIL TO PREVAIL
86 THAMES ST
NEWPORT
,
RI
02840
NONE
PC
MAJOR GRANT
7,500
SALVATION ARMY DURHAM CHAPTER
P O BOX 1330
DURHAM
,
NC
277021330
NONE
PC
DISCRETIONARY GRANT
2,000
SAVE A GIRL SAVE A GENERATION
MARTIN DE VARGAS 13
MADRID
28005
SP
NONE
PC
DISCRETIONARY GRANT
2,000
SECU FAMILY HOUSE
123 OLD MASON FARM ROAD
CHAPEL HILL
,
NC
27517
NONE
PC
MAJOR GRANT
30,000
SHEPHERD UNIVERSITY FOUNDATION INC
P O BOX 5000
SHEPHERDSTOWN
,
WV
254435000
NONE
PC
MAJOR GRANT
10,000
SIERRA NEVADA JOURNEYS
190 E LIBERTY ST
RENO
,
NV
89501
NONE
PC
MAJOR GRANT
15,000
SILVER HILL HOSPITAL
208 VALLEY RD
NEW CANAN
,
CT
068403899
NONE
PC
DISCRETIONARY GRANT
2,500
SOCIETY OF ST ANDREW
3383 SWEET HOLLOW ROAD
BIG ISLAND
,
VA
24526
NONE
PC
DISCRETIONARY GRANT
1,000
SOUND WATERS
1281 COVE ROAD
STAMFORD
,
CT
06902
NONE
PC
MAJOR GRANT
33,000
SPECIAL OLYMPICS ORANGE COUNTY
200 PLANT RD
CHAPEL HILL
,
NC
27514
NONE
PC
DISCRETIONARY GRANT
1,500
SWIM ACROSS AMERICA
11600 N COMMUNITY HOUSE ROAD
CHARLOTTE
,
NC
28277
NONE
PC
MATCHING GRANT
600
TABLE
205 W WEAVER ST
CARRBORO
,
NC
27510
NONE
PC
MAJOR GRANT
7,500
THE ABILITY EXPERIENCE
2015 AYRSLEY TOWN BLVD
CHARLOTTE
,
NC
28273
NONE
PC
MATCHING GRANT
600
THE ABUNDANCE NC
220 LORAX LANE 5
PITTSBORO
,
NC
27312
1400
PC
DISCRETIONARY GRANT
1,400
THE ARC OF THE TRIANGLE
1709 LEGION RD SUITE 100
CHAPEL HILL
,
NC
27517
NONE
PC
DISCRETIONARY GRANT
1,900
THE DOWNTOWN BOXING GYM YOUTH PROGRAM
6445 E VERNOR HIGHWAY
DETROIT
,
MI
48207
NONE
PC
DISCRETIONARY GRANT
1,000
THE GREEN CHAIR PROJECT INC
1853 CAPITAL BLVD
RALEIGH
,
NC
27601
NONE
PC
MAJOR GRANT
10,000
THE LIGHT HOUSE INC
10 HUDSON STREET
ANNAPOLIS
,
MD
21401
NONE
PC
MAJOR GRANT
5,000
THE LINCOLN MOTOR CAR FOUNDATION
6865 HICKORY ROAD
HICKORY CORNERS
,
MI
49060
NONE
PC
DISCRETIONARY GRANT
2,000
THE MEDICAL FOUNDATION OF NC
123 W FRANKLIN ST STE 510 CB7565
CHAPEL HILL
,
NC
27516
NONE
PC
MAJOR GRANT
13,500
THE ROGERS-EUBANKS NEIGHBORHOOD ASSOC
P O BOX 16903
CHAPEL HILL
,
NC
27516
NONE
PC
DISCRETIONARY GRANT
1,000
THE SCHOLARSHIP FUND FOR INNER CITY CHILDREN
171 CLIFTON AVENUE
NEWARK
,
NJ
071049500
NONE
PC
MAJOR GRANT
15,000
THE SUNSHINE KIDS FOUNDATION
75 CHARTER OAKS AVE SUITE 2-10
HARTFORD
,
CT
06106
NONE
PC
MATCHING GRANTS
250
THE WALKING CLASSROOM INSTITUTE
1414 RALEIGH ROAD SUITE 295
CHAPEL HILL
,
NC
27517
NONE
PC
DISCRETIONARY GRANT
3,000
THE WATERSIDE SCHOOL
770 PACIFIC ST
STAMFORD
,
CT
06902
NONE
PC
MAJOR GRANT
25,000
THE WOMEN'S CENTER
P O BOX 1057
CHAPEL HILL
,
NC
27514
NONE
PC
MAJOR GRANT
7,500
TOUCH FOUNDATION INC
P O BOX 1420
NEW YORK
,
NY
10150
NONE
PC
MAJOR GRANT
10,000
TRAMPLED ROSE INC
P O BOX 50403
COLORADO SPRINGS
,
CO
80949
NONE
PC
MAJOR GRANT
15,000
U S M M A SAILING FOUNDATION INC
300 STEAMBOAT ROAD
KINGS POINT
,
NY
11024
NONE
PC
MAJOR GRANT
7,500
ULMAN FOUNDATION
1215 E FORT AVE SUITE 104
BALTIMORE
,
MD
21230
NONE
PC
MAJOR GRANT
7,000
UNC LINEBERGER COMPREHENSIVE CANCER CNTR
SCHOOL OF MEDICINE CB 7295
CHAPEL HILL
,
NC
275997295
NONE
PC
MAJOR GRANT, DISCRETIONARY GRANT
12,500
UNC-TV
10 T W ALEXANDER DR
RESEARCH TRIANGLE PARK
,
NC
277094900
NONE
PC
MAJOR GRANT
7,500
UNIVERSITY OF RHODE ISLAND URI FOUNDATION
79 UPPER COLLEGE RAOD
KINGSTON
,
RI
02881
NONE
PC
MAJOR GRANT
1,500
VICENTE FERRER FOUNDATION
1875 CONNECTICUT AVE NW 10TH FLOOR
WASHINGTON
,
DC
20009
NONE
PC
MAJOR GRANT
10,000
WIKIMEDIA FOUNDATION INC
P O BOX 98204
WASHINGTON
,
DC
200908204
NONE
PC
MATCHING GRANTS
56
WOMEN'S LINK WORLDWIDE
195 PLYMOUTH ST SUITE 416
BROOKLYN
,
NY
11201
NONE
PC
DISCRETIONARY GRANT
3,500
WUNC RADIO
120 FRIDAY CENTER
CHAPEL HILL
,
NC
27517
NONE
PC
DISCRETIONARY GRANT
500
YMCA OF COLUMBIA SC ORANGEBURG BRANCH
1612 MARION ST STE 100
COLUMBIA
,
SC
29201
NONE
PC
MAJOR GRANT
7,000
Total
.................................
3a
1,091,196
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
4,555
4
Dividends and interest from securities
....
14
337,084
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
16
-20,182
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
3,452,208
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
3,773,665
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
3,773,665
(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