-
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
THE NORMA PACE FOUNDATION XXXXX6002
Number and street (or P.O. box number if mail is not delivered to street address)
10 S DEARBORN IL1-0111
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO
,
IL
60603
A Employer identification number
81-6722062
B
Telephone number (see instructions)
(800) 496-2583
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)
$
12,929,467
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
...
314,811
314,646
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
315,101
b
Gross sales price for all assets on line 6a
3,382,749
7
Capital gain net income (from Part IV, line 2)
...
315,101
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
........
629,912
629,747
13
Compensation of officers, directors, trustees, etc.
195,894
116,980
78,914
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)
...
8,469
8,469
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)
.......
2,000
2,000
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
206,363
125,449
0
80,914
25
Contributions, gifts, grants paid
.......
492,000
492,000
26
Total expenses and disbursements.
Add lines 24 and 25
698,363
125,449
0
572,914
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-68,451
b
Net investment income
(if negative, enter -0-)
504,298
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
.............
148,315
165,369
165,369
2
Savings and temporary cash investments
.........
165,804
106,215
106,215
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
8,825,511
8,485,612
9,937,889
c
Investments—corporate bonds (attach schedule)
.......
1,778,336
2,063,430
2,122,533
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
568,592
598,115
597,461
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)
11,486,558
11,418,741
12,929,467
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
........
11,486,558
11,418,741
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)
.....
11,486,558
11,418,741
30
Total liabilities and net assets/fund balances
(see instructions)
.
11,486,558
11,418,741
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
11,486,558
2
Enter amount from Part I, line 27a
.....................
2
-68,451
3
Other increases not included in line 2 (itemize)
3
2,850
4
Add lines 1, 2, and 3
..........................
4
11,420,957
5
Decreases not included in line 2 (itemize)
5
2,216
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
11,418,741
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
1510. VANGUARD BD INDEX FD INC
2018-12-12
2019-01-07
b
2. GILEAD SCIENCES INC
2017-05-26
2019-01-23
c
1. GILEAD SCIENCES INC
2017-05-26
2019-01-23
d
18. GILEAD SCIENCES INC
2017-05-26
2019-01-23
e
4. GILEAD SCIENCES INC
2017-05-26
2019-01-23
7. GILEAD SCIENCES INC
2017-05-26
2019-01-23
8. MASTERCARD INC - CLASS A
2017-04-13
2019-01-23
23. WORLDPAY INC CL A
2018-10-08
2019-01-23
3. WORLDPAY INC CL A
2018-10-08
2019-01-23
28. GILEAD SCIENCES INC
2017-05-26
2019-01-24
7. MASTERCARD INC - CLASS A
2017-04-13
2019-01-24
19. MASTERCARD INC - CLASS A
2017-04-13
2019-01-24
15. WORLDPAY INC CL A
2017-09-22
2019-01-24
24. WORLDPAY INC CL A
2018-10-08
2019-01-24
4. GILEAD SCIENCES INC
2017-05-26
2019-01-25
9. GILEAD SCIENCES INC
2017-05-26
2019-01-25
2. GILEAD SCIENCES INC
2017-05-26
2019-01-25
26. MASTERCARD INC - CLASS A
2017-04-13
2019-01-25
49. WORLDPAY INC CL A
2017-09-22
2019-01-25
4. GILEAD SCIENCES INC
2017-05-26
2019-01-28
7. GILEAD SCIENCES INC
2017-05-26
2019-01-28
29. WORLDPAY INC CL A
2017-09-22
2019-01-28
6. GILEAD SCIENCES INC
2017-05-26
2019-01-29
1. GILEAD SCIENCES INC
2017-05-26
2019-01-29
1. GILEAD SCIENCES INC
2017-05-26
2019-01-29
6. WORLDPAY INC CL A
2017-09-22
2019-01-29
1. GILEAD SCIENCES INC
2017-05-26
2019-01-30
4. GILEAD SCIENCES INC
2017-05-26
2019-01-30
33. WORLDPAY INC CL A
2017-09-22
2019-01-30
1. GILEAD SCIENCES INC
2017-05-26
2019-01-31
3. GILEAD SCIENCES INC
2017-05-26
2019-01-31
8. GILEAD SCIENCES INC
2017-05-26
2019-02-01
23121.854 PIMCO INV GRD CRD BND-INST
2019-02-11
1414. VANGUARD BD INDEX FD INC
2019-02-11
13554.456 AMG MG PICTET INTL-Z
2019-02-13
29. ANALOG DEVICES INC
2018-09-13
2019-02-19
12. ANALOG DEVICES INC
2018-09-13
2019-02-19
36. ANALOG DEVICES INC
2019-02-19
77. ANALOG DEVICES INC
2015-09-04
2019-02-19
17. ANALOG DEVICES INC
2018-09-13
2019-02-19
13. ANALOG DEVICES INC
2015-09-04
2019-02-19
47. ANALOG DEVICES INC
2015-09-04
2019-02-20
9. ADOBE SYS INC
2017-05-12
2019-03-06
5. ALPHABET INC-CL C
2017-04-27
2019-03-06
2. ALPHABET INC-CL A
2017-05-12
2019-03-06
4. AMAZON COM INC
2017-04-13
2019-03-06
8. AMERICAN EXPRESS CO
2018-07-18
2019-03-06
34. APPLE COMPUTER INC
2017-05-26
2019-03-06
10. AUTOMATIC DATA PROCESSING INC
2018-12-03
2019-03-06
128. BANK OF AMERICA CORPORATION
2019-03-06
15. BERKSHIRE HATHAWAY INC DEL CL B
2018-09-11
2019-03-06
3. BIOGEN IDEC INC
2018-10-08
2019-03-06
63. BOSTON SCIENTIFIC CORP
2017-04-27
2019-03-06
29. BRISTOL MYERS SQUIBB CO
2017-04-13
2019-03-06
13. BROADCOM INC
2017-05-12
2019-03-06
10. CELGENE CORP.
2017-04-13
2019-03-06
8. CHARTER COMMUNICATIONS INC-A
2017-05-12
2019-03-06
45. CITIGROUP INC NEW
2017-05-26
2019-03-06
31. COCA-COLA CO
2019-03-06
51. COMCAST CORP NEW CL A
2017-05-12
2019-03-06
19. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-03-06
12. DIAMONDBACK ENERGY INC
2019-03-06
31. DISNEY WALT CO
2017-04-13
2019-03-06
15. DOLLAR TREE INC
2017-10-27
2019-03-06
16. DOWDUPONT INC
2017-05-12
2019-03-06
39. DOWDUPONT INC
2019-03-06
27. EOG RESOURCES INC
2017-04-27
2019-03-06
19. ELECTRONIC ARTS
2018-09-20
2019-03-06
11. FACEBOOK INC-A
2017-04-27
2019-03-06
17. FIDELITY NATL INFORMATION SVCS INC
2017-05-26
2019-03-06
16. FISERV INC
2019-03-06
10. GENERAL DYNAMICS CORP
2017-05-26
2019-03-06
15. HOME DEPOT INC
2017-04-13
2019-03-06
25. HONEYWELL INTL INC
2017-04-13
2019-03-06
10. INTERCONTINENTALEXCHANGE GROUP, INC
2017-04-27
2019-03-06
1820. JPMORGAN BETABUILDERS JAPAN ETF
2018-08-02
2019-03-06
2700. JPMORGAN BETABUILDERS JAPAN ETF
2018-08-02
2019-03-06
31. KEYCORP NEW
2018-10-08
2019-03-06
58. KEYCORP NEW
2017-06-27
2019-03-06
18. LOWES COS INC
2017-05-26
2019-03-06
30. MARATHON PETROLEUM CORPORATION
2018-07-26
2019-03-06
18. MASTERCARD INC - CLASS A
2017-04-13
2019-03-06
25. MERCK & CO INC
2019-03-06
80. MICROSOFT CORP
2015-09-04
2019-03-06
43. MONDELEZ INTERNATIONAL-W/I
2017-05-26
2019-03-06
72. MORGAN STANLEY DEAN WITTER & CO NEW
2015-09-04
2019-03-06
4. NETFLIX.COM INC
2018-09-13
2019-03-06
10. NEXTERA ENERGY INC
2019-03-06
40. NISOURCE INC
2017-04-13
2019-03-06
16. NORFOLK SOUTHN CORP
2019-03-06
7. NORTHROP GRUMMAN CORP
2019-03-06
10. NVIDIA CORP
2018-10-08
2019-03-06
3. O'REILLY AUTOMOTIVE INC
2017-05-12
2019-03-06
44. OCCIDENTAL PETE CORP
2017-04-13
2019-03-06
5. PARKER HANNIFIN CORP
2018-01-11
2019-03-06
24. PAYPAL HOLDINGS INC
2019-01-23
2019-03-06
24. PEPSICO INC
2018-05-22
2019-03-06
88. PFIZER INC
2018-10-30
2019-03-06
23. PHILIP MORRIS INTERNATIONAL
2017-05-26
2019-03-06
13. PIONEER NAT RES CO
2017-05-26
2019-03-06
12. PRUDENTIAL FINL INC
2018-12-21
2019-03-06
2. REGENERON PHARMACEUTICALS INC
2019-03-06
17. ROSS STORES INC
2018-12-11
2019-03-06
5. SVB FINANCIAL GROUP
2017-05-12
2019-03-06
14. SALESFORCE.COM INC
2018-10-08
2019-03-06
24. SCHWAB CHARLES CORP NEW
2017-05-26
2019-03-06
14. STANLEY BLACK & DECKER,INC.
2017-04-27
2019-03-06
28. TEXAS INSTRS INC
2019-02-19
2019-03-06
19. UNION PAC CORP
2018-02-22
2019-03-06
9. UNITED TECHNOLOGIES CORP
2017-12-11
2019-03-06
22. UNITEDHEALTH GROUP INC
2017-04-13
2019-03-06
7. VERTEX PHARMACEUTICALS INC
2017-05-26
2019-03-06
13. VISA INC CLASS A SHARES
2017-04-27
2019-03-06
15. WASTE CONNECTIONS INC
2017-05-12
2019-03-06
53. WELLS FARGO & CO NEW
2017-05-12
2019-03-06
7. WEX INC
2017-05-26
2019-03-06
10. YUM BRANDS INC
2019-03-06
23. ZIMMER HLDGS INC
2018-04-26
2019-03-06
14. ALLEGION PLC
2017-05-26
2019-03-06
13. ACCENTURE PLC
2017-04-13
2019-03-06
9. LINDE PLC
2018-12-11
2019-03-06
20. MEDTRONIC PLC
2018-07-18
2019-03-06
16. APTIV PLC
2018-04-26
2019-03-06
17. CHUBB LTD
2017-04-27
2019-03-06
14. NXP SEMICONDUCTORS NV
2019-03-06
8. BIOGEN IDEC INC
2018-10-08
2019-03-14
24. BIOGEN IDEC INC
2017-05-12
2019-03-14
345. BRISTOL MYERS SQUIBB CO
2017-04-13
2019-03-14
75. DISNEY WALT CO
2017-04-13
2019-03-14
14. ADOBE SYS INC
2017-05-12
2019-04-08
11. ALEXION PHARMACEUTICALS INC
2019-03-14
2019-04-08
9. ALPHABET INC-CL C
2017-04-27
2019-04-08
4. ALPHABET INC-CL A
2017-05-12
2019-04-08
6. AMAZON COM INC
2017-04-13
2019-04-08
14. AMERICAN EXPRESS CO
2019-04-08
57. APPLE COMPUTER INC
2017-05-26
2019-04-08
17. AUTOMATIC DATA PROCESSING INC
2018-12-03
2019-04-08
214. BANK OF AMERICA CORPORATION
2015-09-04
2019-04-08
24. BERKSHIRE HATHAWAY INC DEL CL B
2018-10-15
2019-04-08
107. BOSTON SCIENTIFIC CORP
2017-04-27
2019-04-08
21. BROADCOM INC
2017-05-12
2019-04-08
28. CELGENE CORP.
2017-04-13
2019-04-08
12. CHARTER COMMUNICATIONS INC-A
2017-05-12
2019-04-08
75. CITIGROUP INC NEW
2019-04-08
52. COCA-COLA CO
2018-04-13
2019-04-08
125. COMCAST CORP NEW CL A
2019-03-14
2019-04-08
32. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-04-08
20. DIAMONDBACK ENERGY INC
2019-04-08
41. DISNEY WALT CO
2017-04-13
2019-04-08
25. DOLLAR TREE INC
2019-04-08
56. DOW INC
2017-05-12
2019-04-08
8. DOW INC
2017-05-12
2019-04-08
3. DOW INC
2017-05-12
2019-04-08
71. DOW INC
2019-04-08
35. DOW INC
2015-09-04
2019-04-08
31. DOW INC
2015-09-04
2019-04-08
92. DOWDUPONT INC
2017-05-12
2019-04-08
45. EOG RESOURCES INC
2017-04-27
2019-04-08
35. ELECTRONIC ARTS
2019-04-08
19. FACEBOOK INC-A
2017-04-27
2019-04-08
27. FIDELITY NATL INFORMATION SVCS INC
2017-05-26
2019-04-08
28. FISERV INC
2019-01-25
2019-04-08
18. GENERAL DYNAMICS CORP
2017-05-26
2019-04-08
25. HOME DEPOT INC
2017-04-13
2019-04-08
42. HONEYWELL INTL INC
2017-04-13
2019-04-08
16. INTERCONTINENTALEXCHANGE GROUP, INC
2017-04-27
2019-04-08
149. KEYCORP NEW
2017-06-27
2019-04-08
56. LILLY ELI & CO
2017-04-27
2019-04-08
30. LOWES COS INC
2017-05-26
2019-04-08
55. MARATHON PETROLEUM CORPORATION
2018-07-26
2019-04-08
29. MASTERCARD INC - CLASS A
2017-04-13
2019-04-08
60. MERCK & CO INC
2019-03-14
2019-04-08
134. MICROSOFT CORP
2015-09-04
2019-04-08
72. MONDELEZ INTERNATIONAL-W/I
2017-05-26
2019-04-08
122. MORGAN STANLEY DEAN WITTER & CO NEW
2015-09-04
2019-04-08
6. NETFLIX.COM INC
2018-09-13
2019-04-08
16. NEXTERA ENERGY INC
2018-07-18
2019-04-08
66. NISOURCE INC
2017-04-13
2019-04-08
26. NORFOLK SOUTHN CORP
2019-04-08
11. NORTHROP GRUMMAN CORP
2019-04-08
17. NVIDIA CORP
2019-04-08
5. O'REILLY AUTOMOTIVE INC
2017-05-12
2019-04-08
74. OCCIDENTAL PETE CORP
2017-04-13
2019-04-08
9. PARKER HANNIFIN CORP
2018-01-11
2019-04-08
39. PAYPAL HOLDINGS INC
2019-01-23
2019-04-08
17. PEPSICO INC
2015-09-04
2019-04-08
22. PEPSICO INC
2018-05-22
2019-04-08
35. PFIZER INC
2018-10-30
2019-04-08
110. PFIZER INC
2019-04-08
36. PHILIP MORRIS INTERNATIONAL
2019-04-08
22. PIONEER NAT RES CO
2017-05-26
2019-04-08
20. PRUDENTIAL FINL INC
2019-04-08
4. REGENERON PHARMACEUTICALS INC
2019-04-08
28. ROSS STORES INC
2018-12-11
2019-04-08
8. SVB FINANCIAL GROUP
2017-05-12
2019-04-08
24. SALESFORCE.COM INC
2018-10-08
2019-04-08
40. SCHWAB CHARLES CORP NEW
2017-05-26
2019-04-08
24. STANLEY BLACK & DECKER,INC.
2017-04-27
2019-04-08
40. TEXAS INSTRS INC
2019-02-19
2019-04-08
5. TEXAS INSTRS INC
2015-09-04
2019-04-08
31. UNION PAC CORP
2019-04-08
14. UNITED TECHNOLOGIES CORP
2019-04-08
37. UNITEDHEALTH GROUP INC
2017-04-13
2019-04-08
10. VERTEX PHARMACEUTICALS INC
2017-05-26
2019-04-08
22. VISA INC CLASS A SHARES
2017-04-27
2019-04-08
25. WASTE CONNECTIONS INC
2017-05-12
2019-04-08
88. WELLS FARGO & CO NEW
2017-05-12
2019-04-08
11. WEX INC
2017-05-26
2019-04-08
16. YUM BRANDS INC
2019-04-08
38. ZIMMER HLDGS INC
2019-04-08
22. ALLEGION PLC
2017-05-26
2019-04-08
20. ACCENTURE PLC
2017-04-13
2019-04-08
16. LINDE PLC
2019-04-08
2019-04-08
33. MEDTRONIC PLC
2018-07-18
2019-04-08
27. APTIV PLC
2019-04-08
28. CHUBB LTD
2017-04-27
2019-04-08
23. NXP SEMICONDUCTORS NV
2019-04-08
9815.086 AMG MG PICTET INTL-Z
2017-04-18
2019-04-09
5785.771 DODGE & INTERNATIONAL STOCK FUND
2019-04-09
9. DOW INC
2015-09-04
2019-04-09
126. OCCIDENTAL PETE CORP
2017-04-13
2019-04-25
127. OCCIDENTAL PETE CORP
2017-04-13
2019-04-25
27. OCCIDENTAL PETE CORP
2017-04-13
2019-05-01
5. OCCIDENTAL PETE CORP
2017-04-13
2019-05-01
17. REGENERON PHARMACEUTICALS INC
2019-05-01
4. REGENERON PHARMACEUTICALS INC
2019-05-01
82. OCCIDENTAL PETE CORP
2017-04-13
2019-05-02
5. OCCIDENTAL PETE CORP
2017-04-13
2019-05-02
3. OCCIDENTAL PETE CORP
2017-04-13
2019-05-02
17. OCCIDENTAL PETE CORP
2017-04-13
2019-05-02
8. OCCIDENTAL PETE CORP
2017-04-13
2019-05-02
9. OCCIDENTAL PETE CORP
2017-04-13
2019-05-03
30. OCCIDENTAL PETE CORP
2017-04-13
2019-05-03
4. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
61. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
30. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
9. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
13. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
90. SCHWAB CHARLES CORP NEW
2017-05-26
2019-05-15
80. SCHWAB CHARLES CORP NEW
2017-05-26
2019-05-16
20. SCHWAB CHARLES CORP NEW
2017-05-26
2019-05-16
51. SCHWAB CHARLES CORP NEW
2017-05-26
2019-05-16
49. MEDTRONIC PLC
2019-05-16
21. MEDTRONIC PLC
2018-07-18
2019-05-16
61. MEDTRONIC PLC
2019-05-16
25. MEDTRONIC PLC
2019-05-17
41. MEDTRONIC PLC
2019-05-17
19. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
22. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
10. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
81. DELTA AIR LINES INC DEL NEW
2019-06-05
30. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-05
21. PHILIP MORRIS INTERNATIONAL
2018-10-24
2019-06-05
79. PHILIP MORRIS INTERNATIONAL
2019-06-05
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
2. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
25. DELTA AIR LINES INC DEL NEW
2019-06-06
28. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
5. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
4. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
3. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
6. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
246. BANK OF AMERICA CORPORATION
2015-09-04
2019-06-10
53. DOLLAR TREE INC
2019-06-10
192. WELLS FARGO & CO NEW
2017-05-12
2019-06-10
52. DOLLAR TREE INC
2019-06-11
25. DOLLAR TREE INC
2018-12-17
2019-06-11
19. DOLLAR TREE INC
2018-12-17
2019-06-11
4082.185 DIAMOND HILL LONG/SHORT-Y
2018-11-30
2019-06-14
18. ADOBE SYS INC
2017-05-12
2019-06-27
18. SVB FINANCIAL GROUP
2017-05-12
2019-08-14
12. SVB FINANCIAL GROUP
2017-05-12
2019-08-14
27. APTIV PLC
2019-08-14
15. APTIV PLC
2017-05-26
2019-08-14
40. APTIV PLC
2017-05-26
2019-08-14
22. SVB FINANCIAL GROUP
2019-08-15
76. APTIV PLC
2017-05-26
2019-08-15
759.11 FIDELITY INTL INDX-INST PRM
2018-05-24
2019-08-23
1200. JPMORGAN BETABUILDERS EUROPE ETF
2018-08-02
2019-08-23
106. JPMORGAN BETABUILDERS EUROPE ETF
2018-08-02
2019-08-23
1122. ISHARES TR BARCLAYS MBS BD FD
2019-02-11
2019-09-24
1517. VANGUARD BD INDEX FD INC
2019-09-24
95. DISNEY WALT CO
2017-04-13
2019-10-25
23. ACCENTURE PLC
2017-04-13
2019-10-25
31. ACCENTURE PLC
2017-04-13
2019-10-28
62. NISOURCE INC
2017-04-13
2019-11-11
80. NISOURCE INC
2017-04-13
2019-11-11
64. NISOURCE INC
2017-04-13
2019-11-12
160. NISOURCE INC
2017-04-13
2019-11-12
15. NISOURCE INC
2017-04-13
2019-11-12
15. NISOURCE INC
2017-04-13
2019-11-13
89. CELGENE CORP.
2019-11-21
284. CELGENE CORP.
2019-11-21
406. VANGUARD S&P 500 ETF
2017-05-26
2019-11-21
143. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
15. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
6. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
180. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-26
29. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-27
6915.071 AMER FNDS INTL VNTG-F3
2017-05-01
2019-12-03
567. JPMORGAN BETABUILDERS JAPAN ETF
2018-08-02
2019-12-03
1135. JPMORGAN BETABUILDERS EUROPE ETF
2018-08-02
2019-12-03
257.954 VANGUARD TTL INTL BND-ADM
2019-09-24
2019-12-03
118. ABBVIE INC
2019-12-05
26. ADOBE SYS INC
2017-05-12
2019-12-05
26. ALEXION PHARMACEUTICALS INC
2019-03-14
2019-12-05
4. ALPHABET INC-CL C
2019-10-25
2019-12-05
17. ALPHABET INC-CL C
2017-04-27
2019-12-05
9. ALPHABET INC-CL A
2017-05-12
2019-12-05
4. AMAZON COM INC
2019-10-25
2019-12-05
12. AMAZON COM INC
2017-04-13
2019-12-05
87. AMERICAN EXPRESS CO
2019-12-05
131. APPLE COMPUTER INC
2017-05-26
2019-12-05
24. AUTOMATIC DATA PROCESSING INC
2019-12-05
24. AUTOMATIC DATA PROCESSING INC
2019-08-14
2019-12-05
405. BANK OF AMERICA CORPORATION
2015-09-04
2019-12-05
57. BERKSHIRE HATHAWAY INC DEL CL B
2019-12-05
246. BOSTON SCIENTIFIC CORP
2017-04-27
2019-12-05
144. BRISTOL MYERS SQUIBB CO
2019-11-21
2019-12-05
49. BROADCOM INC
2017-05-12
2019-12-05
28. CHARTER COMMUNICATIONS INC-A
2017-05-12
2019-12-05
173. CITIGROUP INC NEW
2017-05-12
2019-12-05
119. COCA-COLA CO
2018-04-13
2019-12-05
85. COMCAST CORP NEW CL A
2017-05-12
2019-12-05
254. COMCAST CORP NEW CL A
2019-12-05
58.667 CORTEVA INC
2017-05-12
2019-12-05
92.333 CORTEVA INC
2019-12-05
28. DIAMONDBACK ENERGY INC
2019-12-05
19. DIAMONDBACK ENERGY INC
2017-05-26
2019-12-05
56. DISNEY WALT CO
2017-04-13
2019-12-05
28.333 DUPONT DE NEMOURS INC-WI
2019-04-08
2019-12-05
58.667 DUPONT DE NEMOURS INC-WI
2017-05-12
2019-12-05
104. EOG RESOURCES INC
2017-04-27
2019-12-05
53. ELECTRONIC ARTS
2018-09-20
2019-12-05
28. ELECTRONIC ARTS
2019-01-29
2019-12-05
44. FACEBOOK INC-A
2017-04-27
2019-12-05
37. FIDELITY NATL INFORMATION SVCS INC
2019-08-14
2019-12-05
43. FIDELITY NATL INFORMATION SVCS INC
2017-05-26
2019-12-05
163. FISERV INC
2019-12-05
41. GENERAL DYNAMICS CORP
2017-05-26
2019-12-05
59. HOME DEPOT INC
2017-04-13
2019-12-05
96. HONEYWELL INTL INC
2017-04-13
2019-12-05
39. INTERCONTINENTALEXCHANGE GROUP, INC
2017-04-27
2019-12-05
343. KEYCORP NEW
2017-06-27
2019-12-05
80. LILLY ELI & CO
2017-04-27
2019-12-05
70. LOWES COS INC
2017-05-26
2019-12-05
175. MARATHON PETROLEUM CORPORATION
2019-12-05
68. MASTERCARD INC - CLASS A
2017-04-13
2019-12-05
29. MCDONALDS CORP
2019-06-10
2019-12-05
71. MERCK & CO INC
2015-09-04
2019-12-05
67. MERCK & CO INC
2019-03-14
2019-12-05
309. MICROSOFT CORP
2015-09-04
2019-12-05
165. MONDELEZ INTERNATIONAL-W/I
2017-05-26
2019-12-05
279. MORGAN STANLEY DEAN WITTER & CO NEW
2015-09-04
2019-12-05
21. NETFLIX.COM INC
2018-09-13
2019-12-05
38. NEXTERA ENERGY INC
2019-12-05
61. NORFOLK SOUTHN CORP
2019-12-05
14. NORTHROP GRUMMAN CORP
2019-05-20
2019-12-05
17. NORTHROP GRUMMAN CORP
2017-09-22
2019-12-05
39. NVIDIA CORP
2019-12-05
12. O'REILLY AUTOMOTIVE INC
2017-05-12
2019-12-05
41. PAYPAL HOLDINGS INC
2019-12-05
51. PAYPAL HOLDINGS INC
2019-01-23
2019-12-05
91. PEPSICO INC
2015-09-04
2019-12-05
337. PFIZER INC
2015-09-04
2019-12-05
46. PHILIP MORRIS INTERNATIONAL
2018-10-24
2019-12-05
49. PIONEER NAT RES CO
2017-05-26
2019-12-05
76. PROCTER & GAMBLE CO
2019-06-05
2019-12-05
43. QUALCOMM INC
2019-05-01
2019-12-05
65. ROSS STORES INC
2019-12-05
15. SALESFORCE.COM INC
2018-10-08
2019-12-05
65. SALESFORCE.COM INC
2019-12-05
54. STANLEY BLACK & DECKER,INC.
2017-04-27
2019-12-05
104. TEXAS INSTRS INC
2015-09-04
2019-12-05
73. UNION PAC CORP
2019-12-05
32. UNITED TECHNOLOGIES CORP
2019-12-05
85. UNITEDHEALTH GROUP INC
2017-04-13
2019-12-05
25. VERTEX PHARMACEUTICALS INC
2017-05-26
2019-12-05
49. VISA INC CLASS A SHARES
2017-04-27
2019-12-05
59. WASTE CONNECTIONS INC
2017-05-12
2019-12-05
130. WELLS FARGO & CO NEW
2017-05-12
2019-12-05
27. WEX INC
2017-05-26
2019-12-05
37. YUM BRANDS INC
2019-12-05
86. ZIMMER HLDGS INC
2019-12-05
50. ALLEGION PLC
2017-05-26
2019-12-05
27. ACCENTURE PLC
2017-04-13
2019-12-05
92. LINDE PLC
2019-12-05
65. CHUBB LTD
2017-04-27
2019-12-05
52. NXP SEMICONDUCTORS NV
2019-12-05
5854.583 EQUINOX IMP SYSTEM MACRO-I
2018-11-08
2019-12-09
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
118,563
117,963
600
b
137
129
8
c
69
65
4
d
1,230
1,163
67
e
273
258
15
476
452
24
1,587
896
691
1,894
2,231
-337
248
291
-43
1,899
1,809
90
1,397
784
613
3,779
2,127
1,652
1,234
1,081
153
1,974
2,328
-354
273
258
15
620
581
39
138
129
9
5,267
2,911
2,356
4,062
3,531
531
272
258
14
475
452
23
2,414
2,089
325
413
388
25
70
65
5
69
65
4
492
432
60
70
65
5
277
258
19
2,757
2,378
379
70
65
5
209
194
15
559
517
42
233,993
232,725
1,268
111,492
110,439
1,053
117,924
142,183
-24,259
3,035
2,672
363
1,252
1,106
146
3,778
3,314
464
8,034
4,172
3,862
1,774
1,564
210
1,366
704
662
4,978
2,546
2,432
2,302
1,226
1,076
5,782
4,372
1,410
2,327
1,910
417
6,675
3,569
3,106
872
824
48
5,929
5,221
708
1,526
1,472
54
3,687
2,779
908
3,011
3,210
-199
955
1,027
-72
2,506
1,654
852
1,529
1,539
-10
3,533
3,009
524
863
1,256
-393
2,728
2,609
119
2,810
2,781
29
1,410
1,383
27
1,962
1,997
-35
942
1,018
-76
1,193
1,262
-69
3,548
3,531
17
1,506
1,391
115
871
990
-119
2,123
2,489
-366
2,472
2,487
-15
1,796
2,164
-368
1,895
1,618
277
1,813
1,454
359
1,363
1,355
8
1,666
2,020
-354
2,765
2,198
567
3,850
2,959
891
749
606
143
40,868
44,176
-3,308
60,594
65,536
-4,942
523
635
-112
979
1,072
-93
1,847
1,460
387
1,789
2,409
-620
4,041
2,015
2,026
2,016
1,382
634
8,929
3,409
5,520
2,013
2,006
7
2,995
2,390
605
1,431
1,483
-52
1,876
1,695
181
1,082
954
128
2,868
2,402
466
1,967
2,052
-85
1,525
2,683
-1,158
1,121
767
354
2,897
2,848
49
862
1,041
-179
2,311
2,170
141
2,794
2,396
398
3,677
3,747
-70
2,000
2,748
-748
1,796
2,191
-395
1,145
962
183
843
859
-16
1,602
1,371
231
1,210
900
310
2,188
2,119
69
1,086
939
147
1,872
1,912
-40
2,952
3,012
-60
3,154
2,536
618
1,130
1,109
21
5,246
3,635
1,611
1,265
843
422
1,920
1,193
727
1,267
920
347
2,644
2,810
-166
1,222
724
498
963
919
44
2,831
2,638
193
1,256
1,114
142
2,111
1,505
606
1,521
1,446
75
1,841
1,762
79
1,318
1,393
-75
2,261
2,367
-106
1,290
1,319
-29
2,561
2,739
-178
7,684
6,112
1,572
16,974
18,308
-1,334
8,577
8,543
34
3,754
1,907
1,847
1,532
1,482
50
10,851
7,870
2,981
4,841
3,821
1,020
10,977
5,354
5,623
1,544
1,442
102
11,360
8,753
2,607
2,714
2,502
212
6,214
3,356
2,858
4,904
4,922
-18
4,056
2,809
1,247
6,395
4,860
1,535
2,655
3,515
-860
4,242
3,914
328
4,908
4,564
344
2,412
2,317
95
5,061
4,979
82
1,840
1,714
126
2,071
2,092
-21
4,732
4,670
62
2,568
2,314
254
3,199
3,487
-288
457
498
-41
172
187
-15
4,063
3,278
785
2,004
1,357
647
1,794
1,202
592
3,470
3,780
-310
4,470
4,146
324
3,443
3,983
-540
3,318
2,794
524
3,052
2,310
742
2,481
2,363
118
3,074
3,636
-562
5,071
3,663
1,408
6,773
4,972
1,801
1,230
969
261
2,465
2,753
-288
7,091
4,550
2,541
3,477
2,434
1,043
3,456
4,416
-960
6,809
3,247
3,562
4,870
4,885
-15
16,037
5,711
10,326
3,569
3,359
210
5,448
4,049
1,399
2,170
2,224
-54
3,007
2,710
297
1,850
1,574
276
5,017
3,903
1,114
3,037
3,177
-140
3,230
4,545
-1,315
2,007
1,278
729
5,040
4,790
250
1,645
1,874
-229
4,139
3,526
613
2,067
1,549
518
2,676
2,197
479
1,509
1,490
19
4,743
3,482
1,261
3,070
4,270
-1,200
3,319
3,708
-389
1,970
1,595
375
1,586
1,709
-123
2,758
2,257
501
1,897
1,440
457
3,796
3,633
163
1,777
1,566
211
3,413
3,278
135
4,556
4,304
252
570
234
336
5,191
3,705
1,486
1,858
1,723
135
9,183
6,113
3,070
1,888
1,204
684
3,464
2,018
1,446
2,186
1,533
653
4,289
4,666
-377
2,178
1,138
1,040
1,587
1,470
117
4,869
4,347
522
2,080
1,751
329
3,574
2,315
1,259
2,952
2,958
-6
2,919
2,908
11
2,370
2,350
20
3,831
3,899
-68
2,239
2,164
75
90,397
99,537
-9,140
242,713
243,245
-532
511
349
162
7,827
8,155
-328
7,886
8,220
-334
1,556
1,748
-192
290
324
-34
5,797
7,049
-1,252
1,361
1,604
-243
4,702
5,307
-605
287
324
-37
172
194
-22
976
1,100
-124
459
518
-59
522
583
-61
1,744
1,942
-198
393
319
74
6,003
4,858
1,145
2,965
2,389
576
878
717
161
1,288
1,035
253
3,850
3,523
327
3,487
3,132
355
870
783
87
2,214
1,996
218
4,319
3,885
434
1,851
1,850
1
5,388
4,826
562
2,199
1,960
239
3,621
3,182
439
3,099
3,956
-857
3,591
4,581
-990
1,630
2,082
-452
4,449
4,337
112
1,649
1,603
46
1,622
1,871
-249
6,101
9,196
-3,095
55
53
2
109
107
2
1,372
1,336
36
1,528
1,496
32
273
267
6
55
53
2
220
214
6
166
160
6
333
321
12
55
53
2
55
53
2
56
53
3
6,937
3,857
3,080
5,502
4,871
631
8,909
10,180
-1,271
5,546
4,755
791
2,666
2,160
506
2,025
1,641
384
107,729
108,184
-455
5,287
2,452
2,835
3,435
3,239
196
2,281
2,159
122
2,147
2,344
-197
1,205
1,085
120
3,193
2,894
299
4,108
3,946
162
6,025
5,499
526
29,689
32,877
-3,188
27,143
29,835
-2,692
2,398
2,635
-237
121,322
117,964
3,358
122,529
119,723
2,806
12,477
10,821
1,656
4,212
2,662
1,550
5,696
3,589
2,107
1,626
1,479
147
2,088
1,908
180
1,668
1,526
142
4,165
3,816
349
390
358
32
393
358
35
9,615
11,140
-1,525
30,681
26,481
4,200
115,711
90,110
25,601
300
329
-29
31
35
-4
12
14
-2
383
414
-31
61
67
-6
101,721
84,156
17,565
14,133
13,763
370
27,688
28,219
-531
6,000
6,075
-75
10,227
10,076
151
7,851
3,542
4,309
2,836
3,502
-666
5,283
5,041
242
22,451
14,865
7,586
11,871
8,596
3,275
6,988
6,879
109
20,963
10,708
10,255
10,273
10,560
-287
34,495
20,118
14,377
4,033
3,477
556
4,033
3,940
93
13,400
6,350
7,050
12,446
10,451
1,995
10,549
6,458
4,091
8,548
8,123
425
15,241
11,341
3,900
13,042
9,133
3,909
12,898
10,456
2,442
6,432
5,302
1,130
3,690
3,328
362
11,025
10,564
461
1,423
1,871
-448
2,239
2,742
-503
2,269
2,875
-606
1,540
1,868
-328
8,301
6,379
1,922
1,752
2,401
-649
3,628
5,361
-1,733
7,440
9,581
-2,141
5,346
6,017
-671
2,824
2,432
392
8,769
6,470
2,299
5,039
4,847
192
5,856
3,679
2,177
18,683
16,177
2,506
7,387
8,283
-896
12,572
8,646
3,926
16,659
11,364
5,295
3,634
2,362
1,272
6,578
6,337
241
9,430
6,500
2,930
8,076
5,680
2,396
10,522
13,232
-2,710
19,599
7,613
11,986
5,614
5,832
-218
6,266
3,671
2,595
5,913
5,455
458
46,303
13,169
33,134
8,805
7,697
1,108
13,709
9,261
4,448
6,330
7,785
-1,455
8,862
5,800
3,062
11,382
8,875
2,507
4,801
4,384
417
5,830
4,783
1,047
8,159
9,845
-1,686
5,283
3,068
2,215
4,296
3,508
788
5,344
4,611
733
12,350
8,289
4,061
12,751
10,590
2,161
3,753
4,099
-346
6,347
8,259
-1,912
9,423
8,112
1,311
3,548
3,719
-171
7,386
5,240
2,146
2,364
2,270
94
10,245
9,806
439
8,392
7,376
1,016
12,486
4,867
7,619
12,463
8,298
4,165
4,631
3,917
714
23,721
14,044
9,677
5,545
3,009
2,536
8,868
4,495
4,373
5,342
3,617
1,725
6,915
6,893
22
5,356
2,792
2,564
3,652
3,384
268
12,750
9,687
3,063
6,106
3,979
2,127
5,382
3,126
2,256
18,668
16,939
1,729
9,731
9,051
680
6,060
4,867
1,193
56,848
59,131
-2,283
9,539
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
600
b
8
c
4
d
67
e
15
24
691
-337
-43
90
613
1,652
153
-354
15
39
9
2,356
531
14
23
325
25
5
4
60
5
19
379
5
15
42
1,268
1,053
-24,259
363
146
464
3,862
210
662
2,432
1,076
1,410
417
3,106
48
708
54
908
-199
-72
852
-10
524
-393
119
29
27
-35
-76
-69
17
115
-119
-366
-15
-368
277
359
8
-354
567
891
143
-3,308
-4,942
-112
-93
387
-620
2,026
634
5,520
7
605
-52
181
128
466
-85
-1,158
354
49
-179
141
398
-70
-748
-395
183
-16
231
310
69
147
-40
-60
618
21
1,611
422
727
347
-166
498
44
193
142
606
75
79
-75
-106
-29
-178
1,572
-1,334
34
1,847
50
2,981
1,020
5,623
102
2,607
212
2,858
-18
1,247
1,535
-860
328
344
95
82
126
-21
62
254
-288
-41
-15
785
647
592
-310
324
-540
524
742
118
-562
1,408
1,801
261
-288
2,541
1,043
-960
3,562
-15
10,326
210
1,399
-54
297
276
1,114
-140
-1,315
729
250
-229
613
518
479
19
1,261
-1,200
-389
375
-123
501
457
163
211
135
252
336
1,486
135
3,070
684
1,446
653
-377
1,040
117
522
329
1,259
-6
11
20
-68
75
-9,140
-532
162
-328
-334
-192
-34
-1,252
-243
-605
-37
-22
-124
-59
-61
-198
74
1,145
576
161
253
327
355
87
218
434
1
562
239
439
-857
-990
-452
112
46
-249
-3,095
2
2
36
32
6
2
6
6
12
2
2
3
3,080
631
-1,271
791
506
384
-455
2,835
196
122
-197
120
299
162
526
-3,188
-2,692
-237
3,358
2,806
1,656
1,550
2,107
147
180
142
349
32
35
-1,525
4,200
25,601
-29
-4
-2
-31
-6
17,565
370
-531
-75
151
4,309
-666
242
7,586
3,275
109
10,255
-287
14,377
556
93
7,050
1,995
4,091
425
3,900
3,909
2,442
1,130
362
461
-448
-503
-606
-328
1,922
-649
-1,733
-2,141
-671
392
2,299
192
2,177
2,506
-896
3,926
5,295
1,272
241
2,930
2,396
-2,710
11,986
-218
2,595
458
33,134
1,108
4,448
-1,455
3,062
2,507
417
1,047
-1,686
2,215
788
733
4,061
2,161
-346
-1,912
1,311
-171
2,146
94
439
1,016
7,619
4,165
714
9,677
2,536
4,373
1,725
22
2,564
268
3,063
2,127
2,256
1,729
680
1,193
-2,283
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
315,101
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
483,460
11,400,044
0.042409
2017
33,607
9,513,752
0.003532
2016
2015
2014
2
Total
of line 1, column (d)
.....................
2
0.045941
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
0.022971
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
12,263,843
5
Multiply line 4 by line 3
......................
5
281,713
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
5,043
7
Add lines 5 and 6
........................
7
286,756
8
Enter qualifying distributions from Part XII, line 4
,.............
8
572,914
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
5,043
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
5,043
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
5,043
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,340
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
2,340
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
2,703
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
0
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
FL
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
JP MORGAN CHASE BANK NA
Telephone no.
(800) 496-2583
Located at
10 S DEARBORN ST MC IL 1-0111
CHICAGO
IL
ZIP+4
60603
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
JP MORGAN CHASE BANK NA
TRUSTEE
2
97,946
10 S DEARBORN ST MC IL 1-0111
CHICAGO
,
IL
60603
RICHARD LEPORE
CO-TRUSTEE
1
48,974
1626 WILDERNESS ROAD
WEST PALM BEACH
,
FL
33409
ALEXANDER LEPORE
CO-TRUSTEE
1
48,974
130 SMITH ST
NEW YORK
,
NY
11729
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
12,131,380
b
Average of monthly cash balances
.......................
1b
319,222
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
12,450,602
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
12,450,602
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
186,759
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
12,263,843
6
Minimum investment return.
Enter 5% of line 5
..................
6
613,192
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
613,192
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
5,043
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
5,043
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
608,149
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
608,149
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
608,149
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
572,914
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
572,914
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
5,043
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
567,871
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
608,149
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
490,879
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:
$
572,914
a
Applied to 2018, but not more than line 2a
490,879
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
.....
82,035
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
..........
526,114
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).)
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
DANA FARBER CANCER INSTITUTE INC
450 BROOKLINE AVENUE
BOSTON
,
MA
02115
NONE
PC
GENERAL
25,000
SAINT MARYS HOSPITAL FOR CHILDREN
2901 216TH ST
BAYSIDE
,
NY
11360
NONE
PC
GENERAL
12,000
SAINTS CYRIL & METHODIUS ROMAN CATHOLIC CHURC
125 HALF HOLLOW RD
DEER PARK
,
NY
11729
NONE
PC
GENERAL
12,000
ASCENT A SCHOOL FOR INDIVIDUALS WITH AUTISM
819 GRAND BLVD STE A
DEER PARK
,
NY
11729
NONE
PC
GENERAL
12,000
ETHICS RESOURCE CENTER
2345 CRYSTAL DR STE 201
ARLINGTON
,
VA
22202
NONE
PC
GENERAL
10,000
SAINT ELIZABETH ANN SETON
SHRUB OAK NEW YORK
New York
,
NY
105880000
NONE
PC
GENERAL
12,000
OUR LADY OF MOUNT CARMEL CHURCH
448 EAST 116 STREET
NEW YORK
,
NY
10029
NONE
PC
GENERAL
62,000
MANHATTAN INSTITUTE FOR POLICY RESEARCH
52 VANDERBILT AVENUE
NEW YORK
,
NY
10017
NONE
PC
GENERAL
10,000
HERITAGE FOUNDATION
214 MASSACHUSETTS AVE NE
WASHINGTON
,
DC
20002
NONE
PC
GENERAL
10,000
CATHEDRAL HIGH SCHOOL
350 E 56TH ST
NEW YORK
,
NY
100228800
NONE
PC
GENERAL
20,000
MARC LUSTGARTEN PANCREATIC CANCER FDN
415 CROSSWAYS PARK DR STE D
WOODBURY
,
NY
11797
NONE
PC
GENERAL
12,000
SHRINERS HOSPITALS FOR CHILDREN
2900 NORTH ROCKY POINT DRIVE
TAMPA
,
FL
33607
NONE
PC
GENERAL
12,000
INNER CITY SCHOLARSHIP FUND
1011 1ST AVE STE 1800
NEW YORK
,
NY
10022
NONE
PC
GENERAL
100,000
AMERICAN ENTERPRISE INSTITUTE
1789 MASSACHUSETTS AVE NW
WASHINGTON
,
DC
20036
NONE
PC
GENERAL
10,000
ROSARIAN ACADEMY INC
807 N FLAGLER DR
WEST PALM BEACH
,
FL
33401
NONE
PC
GENERAL
25,000
MARY IMMACULATE CATHOLIC CHURCH
390 S SEQUOIA DR
WEST PALM BEACH
,
FL
33409
NONE
PC
GENERAL
12,000
DIOCESE OF PALM BEACH
NO ONE BURIED ALONE MINISTRY
9995 N MILITARY TRAIL
PALM BEACH
,
FL
33410
NONE
PC
GENERAL
12,000
ST ANN PLACE
2107 N DIXIE HIGHWAY
WEST PALM BEACH
,
FL
33407
NONE
PC
GENERAL
12,000
GUARDIANSHIP CORP
225 EASTVIEW DRIVE
CENTRAL ISLIP
,
NY
117224539
NONE
PC
GENERAL
12,000
CATHOLIC COMMUNITY SCHOOLS FUND
1011 FIRST AVENUE
NEW YORK
,
NY
10022
NONE
PC
GENERAL
100,000
Total
.................................
3a
492,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
314,811
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
315,101
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)
..
629,912
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
629,912
(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