-
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
LISHNER ROSE P FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 75000
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DETROIT
,
MI
482757874
A Employer identification number
13-7579997
B
Telephone number (see instructions)
(561) 961-6630
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)
$
2,890,113
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
557
557
4
Dividends and interest from securities
...
69,429
69,229
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
200,821
b
Gross sales price for all assets on line 6a
1,341,018
7
Capital gain net income (from Part IV, line 2)
...
200,821
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)
.......
246
2
12
Total.
Add lines 1 through 11
........
271,053
270,609
13
Compensation of officers, directors, trustees, etc.
16,152
14,537
1,615
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)
.......
1,000
500
0
500
c
Other professional fees (attach schedule)
....
32,758
32,758
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
483
483
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)
.......
17
17
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
50,410
48,295
0
2,115
25
Contributions, gifts, grants paid
.......
221,342
221,342
26
Total expenses and disbursements.
Add lines 24 and 25
271,752
48,295
0
223,457
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-699
b
Net investment income
(if negative, enter -0-)
222,314
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
.............
2
Savings and temporary cash investments
.........
109,358
46,891
46,891
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)
556,697
900,035
905,968
b
Investments—corporate stock (attach schedule)
.......
1,597,246
1,315,894
1,937,254
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
2,263,301
2,262,820
2,890,113
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
2,263,301
2,262,820
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
2,263,301
2,262,820
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,263,301
2,262,820
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
2,263,301
2
Enter amount from Part I, line 27a
.....................
2
-699
3
Other increases not included in line 2 (itemize)
3
218
4
Add lines 1, 2, and 3
..........................
4
2,262,820
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
2,262,820
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
41. AT&T INC
2019-01-08
2019-03-14
b
88. AT&T INC
2019-01-08
2019-06-21
c
156. AT&T INC
2019-01-08
2019-10-01
d
62. ABBOTT LABS
2018-02-02
2019-01-23
e
87. ABBOTT LABS
2018-02-02
2019-06-21
234. AGILENT TECHNOLOGIES INC
2018-04-18
2019-01-14
306. AGILENT TECHNOLOGIES INC
2018-05-16
2019-02-14
14000. ALABAMA PWR CO 5.125% 02/15/2019
2016-10-21
2019-02-15
6. ALPHABET INC CL C
2014-12-02
2019-01-14
1. ALPHABET INC CL C
2014-12-02
2019-03-14
8. ALPHABET INC CL C
2014-12-02
2019-10-01
6. AMGEN INC
2014-04-30
2019-01-14
5. AMGEN INC
2014-04-30
2019-03-14
10. AMGEN INC
2014-04-30
2019-10-01
10000. ANHEUSER-BUSCH INBEV WORLDWIDE I 3.75% 0
2018-08-17
2019-04-25
19. APPLE COMPUTER INC
2017-01-23
2019-01-14
7. APPLE COMPUTER INC
2017-01-23
2019-03-14
58. APPLE COMPUTER INC
2017-01-23
2019-06-21
45. APPLE COMPUTER INC
2018-01-10
2019-06-21
22. APPLE COMPUTER INC
2013-08-07
2019-10-01
5. AUTOMATIC DATA PROCESSING INC
2019-01-14
2019-03-14
39. AUTOMATIC DATA PROCESSING INC
2019-01-14
2019-06-21
20. BB&T CORP
2019-01-23
2019-06-21
14. BB&T CORP
2018-01-10
2019-06-21
24. BP AMOCO PLC
2018-12-12
2019-01-14
19. BP AMOCO PLC
2018-12-12
2019-03-14
39. BP AMOCO PLC
2018-12-12
2019-06-21
176. BANK OF AMERICA CORP
2018-12-17
2019-01-23
36. BANK OF AMERICA CORP
2018-12-17
2019-06-21
10000. BANK AMER FDG CORP 2.65% 04/01/2019
2016-03-31
2019-04-01
81. BANK NEW YORK MELLON CORP
2018-06-07
2019-05-28
44. BANK NEW YORK MELLON CORP
2019-01-23
2019-06-21
14. BANK NEW YORK MELLON CORP
2018-06-07
2019-06-21
413. BANK NEW YORK MELLON CORP
2018-06-07
2019-07-23
27. BOEING CO COMMON
2016-12-22
2019-03-12
6. BOEING CO COMMON
2016-12-22
2019-06-21
25. BOEING CO COMMON
2018-08-20
2019-10-25
23. BOEING CO COMMON
2019-01-23
2019-10-25
166. BOSTON SCIENTIFIC CORP
2018-04-12
2019-01-14
21. BOSTON SCIENTIFIC CORP
2018-04-12
2019-03-14
103. BOSTON SCIENTIFIC CORP
2018-04-12
2019-06-21
8. BOSTON SCIENTIFIC CORP
2018-04-12
2019-10-01
22. CVS CORPORATION (DEL)
2019-02-14
2019-03-14
162. CVS CORPORATION (DEL)
2019-02-14
2019-04-08
53. CVS CORPORATION (DEL)
2019-02-14
2019-06-21
64. CVS CORPORATION (DEL)
2019-02-14
2019-10-01
5. CATERPILLAR INC
2019-01-14
2019-03-14
8. CATERPILLAR INC
2019-01-14
2019-06-21
7. CHEVRONTEXACO CORP
2018-12-12
2019-03-14
23. CHEVRONTEXACO CORP
2018-12-12
2019-06-21
118. CISCO SYS INC
2015-03-30
2019-01-23
179. CISCO SYS INC
2015-03-30
2019-05-28
107. CISCO SYS INC
2014-11-25
2019-06-21
13. CITIGROUP INC
2019-01-14
2019-03-14
56. CITIGROUP INC
2019-01-14
2019-06-21
12. CITIGROUP INC
2019-01-14
2019-10-01
211. COMCAST CORP CL A
2015-11-25
2019-06-21
22000. COMCAST CORP 5.15% 03/01/2020
2011-12-07
2019-09-03
7. CONOCOPHILLIPS
2018-12-12
2019-01-14
12. CONOCOPHILLIPS
2018-12-12
2019-03-14
344. CONOCOPHILLIPS
2019-10-01
2019-11-21
38. CONSTELLATION BRANDS INC CL A
2018-09-12
2019-01-14
5. CONSTELLATION BRANDS INC CL A
2018-09-12
2019-03-14
6. CONSTELLATION BRANDS INC CL A
2018-09-12
2019-10-01
35. CONSTELLATION BRANDS INC CL A
2018-11-20
2019-10-08
113. CORNING INCORPORATED
2018-11-01
2019-06-21
483. CORNING INCORPORATED
2018-11-01
2019-11-21
61. CORNING INCORPORATED
2019-01-23
2019-11-21
13. CROWN CASTLE INTL CORP NEW
2017-01-26
2019-01-23
44. CROWN CASTLE INTL CORP NEW
2017-01-26
2019-06-21
6. DIAGEO PLC SPNSRD ADR NEW
2015-05-12
2019-01-23
23. DIAGEO PLC SPNSRD ADR NEW
2015-05-12
2019-06-21
78. DIAGEO PLC SPNSRD ADR NEW
2015-05-12
2019-09-06
31. WALT DISNEY CO
2018-01-09
2019-01-14
11. WALT DISNEY CO
2018-01-09
2019-03-14
63. WALT DISNEY CO
2016-01-07
2019-06-21
22. DOWDUPONT INC
2019-01-14
2019-03-14
461. DOWDUPONT INC
2017-11-17
2019-03-29
97. DOWDUPONT INC
2019-01-14
2019-03-29
10000. DU PONT E I DE NEMOURS & CO NT 4.25% 04/
2018-08-17
2019-04-22
16. ECOLAB INC
2018-01-10
2019-01-23
31. ECOLAB INC
2018-03-22
2019-06-21
33. EMERSON ELEC CO
2019-09-04
2019-10-01
2. EQUINIX INC
2018-03-19
2019-03-14
15. EQUINIX INC
2018-03-19
2019-06-21
23. EQUINIX INC
2018-03-19
2019-09-04
51. EXXON MOBIL CORP COMMON STOCK
2019-06-13
2019-06-21
7. FACEBOOK INC
2016-09-13
2019-03-14
54. FACEBOOK INC
2016-11-03
2019-06-21
10000. HEWLETT PACKARD CO 2.75% 01/14/2019
2015-08-11
2019-01-14
1673. HEWLETT PACKARD ENTERPRISE CO
2019-01-23
2019-04-24
35. HOME DEPOT INC
2018-05-29
2019-06-21
28. HONEYWELL INTERNATIONAL INC
2018-08-23
2019-01-14
8. HONEYWELL INTERNATIONAL INC
2015-11-25
2019-03-14
53. HONEYWELL INTERNATIONAL INC
2015-11-25
2019-06-21
189. INTEL CORP
2019-03-12
2019-06-21
189. INTEL CORP
2019-03-29
2019-07-01
804. ISHARES S&P GLBL ENERGY SECTOR EXCHANGE
2018-01-10
2019-01-23
39. J P MORGAN CHASE & CO
2014-12-02
2019-06-21
33. JOHNSON & JOHNSON
2014-01-08
2019-01-14
7. JOHNSON & JOHNSON
2013-10-23
2019-03-14
21. JOHNSON & JOHNSON
2013-10-23
2019-06-21
13. LOCKHEED MARTIN CORP
2018-02-08
2019-01-23
19. LOCKHEED MARTIN CORP
2018-02-08
2019-06-21
50. LOCKHEED MARTIN CORP
2018-01-10
2019-11-21
32. LOWES COS INC
2017-04-25
2019-06-21
9. MARSH & MCLENNAN COS INC
2013-08-14
2019-01-14
79. MARSH & MCLENNAN COS INC
2013-08-14
2019-03-05
9. MARSH & MCLENNAN COS INC
2013-07-12
2019-03-14
35. MARSH & MCLENNAN COS INC
2013-07-12
2019-06-21
12. MARSH & MCLENNAN COS INC
2013-07-12
2019-10-01
19000. MARRIOTT INTL INC NEW CL A 3% 03/01/2019
2016-03-08
2019-03-01
74. MASTERCARD INC
2014-10-16
2019-01-14
4. MASTERCARD INC
2014-10-16
2019-03-14
30. MASTERCARD INC
2014-10-16
2019-06-21
4. MASTERCARD INC
2014-10-16
2019-10-01
11. MCDONALDS CORP
2018-04-11
2019-01-23
17. MCDONALDS CORP
2018-04-11
2019-06-21
10000. MEDTRONIC INC 2.5% 03/15/2020
2017-01-18
2019-04-08
105. MERCK & CO INC NEW
2018-05-24
2019-01-23
61. MERCK & CO INC NEW
2018-05-24
2019-06-21
94. MICROSOFT CORP
2013-07-01
2019-01-14
13. MICROSOFT CORP
2013-07-01
2019-03-14
99. MICROSOFT CORP
2013-10-23
2019-06-21
12. MICROSOFT CORP
2013-10-23
2019-10-01
19. MONDELEZ INTL INC
2018-01-10
2019-01-23
123. MONDELEZ INTL INC
2017-10-17
2019-06-21
25000. NATIONAL RURAL 3% 11/15/2019
2013-07-10
2019-11-15
9. NESTLE SA SPONSORED ADR
2015-12-30
2019-03-14
51. NESTLE SA SPONSORED ADR
2015-12-30
2019-06-21
13. NESTLE SA SPONSORED ADR
2013-12-10
2019-10-01
37. NEXTERA ENERGY INC
2017-01-26
2019-01-23
37. NEXTERA ENERGY INC
2015-05-18
2019-06-21
10. NOVARTIS A G ADR
2013-08-14
2019-03-14
22. NOVARTIS A G ADR
2013-08-14
2019-06-21
223. OCCIDENTAL PETROLEUM CORP
2019-01-23
2019-06-13
37. ORACLE CORPORATION
2014-05-22
2019-01-14
558. ORACLE CORPORATION
2014-06-26
2019-03-05
8. PNC FINANCIAL SERVICES GROUP
2017-01-23
2019-03-14
27. PNC FINANCIAL SERVICES GROUP
2015-03-23
2019-06-21
12. PNC FINANCIAL SERVICES GROUP
2015-03-23
2019-10-01
58. PAYPAL HLDGS INC
2018-06-07
2019-01-14
12. PAYPAL HLDGS INC
2018-06-07
2019-03-14
86. PAYPAL HLDGS INC
2018-06-07
2019-06-21
10. PEPSICO INC
2013-07-12
2019-01-14
7. PEPSICO INC
2013-10-23
2019-03-14
43. PEPSICO INC
2014-01-08
2019-06-21
10. PEPSICO INC
2013-08-14
2019-10-01
132. PFIZER INC
2014-04-02
2019-01-23
69. PFIZER INC
2014-04-02
2019-06-21
34. PROLOGIS INC (REIT)
2015-11-13
2019-01-23
116. PROLOGIS INC (REIT)
2016-02-02
2019-06-21
5. RAYTHEON COMPANY
2019-02-15
2019-03-14
7. RAYTHEON COMPANY
2019-02-15
2019-06-21
5. RAYTHEON COMPANY
2019-09-10
2019-10-01
52. SPDR BASIC INDUSTRIES
2019-04-23
2019-06-21
10. SPDR BASIC INDUSTRIES
2019-04-23
2019-10-01
498. SELECT SECTOR SPDR - CONSUMER SERVICES
2018-11-07
2019-01-14
1. INDUSTRIAL SELECT SECT SPDR CONSUMER DISCRETIONARY
2018-06-12
2019-01-14
22. INDUSTRIAL SELECT SECT SPDR CONSUMER DISCRETIONARY
2018-06-12
2019-03-14
92. INDUSTRIAL SELECT SECT SPDR CONSUMER DISCRETIONARY
2018-06-12
2019-06-21
22. INDUSTRIAL SELECT SECT SPDR CONSUMER DISCRETIONARY
2018-06-07
2019-10-01
828. AMEX FINANCIAL SELECT INDEX
2018-11-13
2019-01-14
149. SELECT SECTOR SPDR - INDUSTRIAL
2018-10-30
2019-01-14
17. SELECT SECTOR SPDR - INDUSTRIAL
2018-10-30
2019-03-14
69. SELECT SECTOR SPDR - INDUSTRIAL
2018-10-30
2019-06-21
184. SELECT SECTOR SPDR - INDUSTRIAL
2018-10-30
2019-08-22
15. SELECT SECTOR SPDR - INDUSTRIAL
2018-10-30
2019-10-01
90. SELECT SECTOR SPDR - TECHNOLOGY
2019-04-24
2019-06-21
8. SEMPRA ENERGY
2018-12-17
2019-03-14
55. SEMPRA ENERGY
2018-12-17
2019-06-21
14. SEMPRA ENERGY
2018-12-03
2019-10-01
10000. SIMON PROPERTY GROUP INC 4.375% 03/01/20
2018-08-07
2019-10-07
10000. SIMON PROPERTY GROUP INC 3.375% 03/15/20
2019-07-01
2019-10-07
29. THERMO ELECTRON CORP
2017-01-23
2019-01-14
4. THERMO ELECTRON CORP
2015-09-01
2019-03-14
23. THERMO ELECTRON CORP
2015-09-01
2019-06-21
3. THERMO ELECTRON CORP
2015-09-01
2019-10-01
23000. TIME WARNER INC NT 4.75% 03/29/2021
2011-10-13
2019-03-27
10000. TORONTO DOMINION BANK 2.25% 11/05/2019
2017-01-18
2019-11-05
24. US BANCORP
2018-01-09
2019-03-14
74. US BANCORP
2018-01-09
2019-06-21
209. US BANCORP
2015-02-04
2019-07-30
11. US BANCORP
2014-09-04
2019-10-01
48000. UNITED STATES TREAS BDS 3.375% 11/15/201
2012-03-16
2019-11-15
52. UNITED TECHNOLOGIES CORP
2018-05-24
2019-06-21
2. UNITEDHEALTH GROUP INC
2019-01-23
2019-06-21
120. VANGUARD DIVIDEND APPRECIATION ETF
2018-06-12
2019-06-21
97. VANGUARD ENERGY
2018-12-03
2019-06-21
425. VANGUARD ENERGY
2019-06-13
2019-11-21
5. VANGUARD INFORMATION TECHNOLOGY INDEX ET
2019-03-05
2019-03-14
29. VANGUARD INFORMATION TECHNOLOGY INDEX ET
2019-04-08
2019-06-21
9. VANGUARD INFORMATION TECHNOLOGY INDEX ET
2019-04-08
2019-10-01
69. VERIZON COMMUNICATIONS
2018-01-10
2019-01-23
42. VERIZON COMMUNICATIONS
2014-01-08
2019-06-21
10000. VIRGINIA ELEC & PWR CO SR NT 2009 SER A
2016-10-21
2019-07-01
46. VISA INC CL A
2014-09-25
2019-01-14
8. VISA INC CL A
2018-02-27
2019-03-14
53. VISA INC CL A
2018-02-27
2019-06-21
8. VISA INC CL A
2014-09-25
2019-10-01
44. WAL-MART STORES INC
2017-10-25
2019-01-23
57. WAL-MART STORES INC
2017-10-25
2019-06-21
27. WASTE MANAGEMENT INC
2018-05-31
2019-01-23
48. WASTE MANAGEMENT INC
2018-05-31
2019-06-21
40. XILINX INC
2018-03-09
2019-01-23
122. XILINX INC
2018-03-09
2019-01-28
12. XILINX INC
2018-03-02
2019-06-21
24. ZIMMER HOLDINGS INC
2019-04-29
2019-06-21
49. ACCENTURE PLC CL A
2016-07-26
2019-06-21
27. MEDTRONIC PLC
2015-02-13
2019-01-14
9. MEDTRONIC PLC
2015-02-13
2019-03-14
41. MEDTRONIC PLC
2015-02-13
2019-06-21
26. MEDTRONIC PLC
2015-02-13
2019-10-01
.6 ALCON INC
2013-08-14
2019-04-12
52.8 ALCON INC
2017-01-23
2019-04-22
.2 ALCON INC
2019-01-14
2019-04-22
8. CHUBB LTD
2013-10-23
2019-03-14
30. CHUBB LTD
2014-02-05
2019-06-21
28. CHUBB LTD
2013-10-03
2019-07-02
18. CHUBB LTD
2013-08-14
2019-10-01
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
1,240
1,279
-39
b
2,860
2,744
116
c
5,832
4,865
967
d
4,359
3,840
519
e
7,366
5,389
1,977
16,373
16,294
79
23,550
19,700
3,850
14,000
15,134
-1,134
6,285
3,185
3,100
1,188
531
657
9,647
4,246
5,401
1,185
670
515
936
558
378
1,934
1,117
817
10,283
10,188
95
2,857
2,278
579
1,285
839
446
11,619
4,027
7,592
9,012
7,798
1,214
4,945
1,351
3,594
765
656
109
6,577
5,116
1,461
983
986
-3
688
599
89
971
950
21
835
752
83
1,660
1,543
117
5,127
4,281
846
1,021
876
145
10,000
10,174
-174
3,610
4,668
-1,058
1,923
2,310
-387
612
807
-195
19,109
19,340
-231
10,303
4,258
6,045
2,241
946
1,295
8,537
5,475
3,062
7,854
8,291
-437
5,842
4,743
1,099
841
600
241
4,270
2,943
1,327
322
229
93
1,229
1,496
-267
8,753
11,017
-2,264
2,852
3,604
-752
3,965
4,352
-387
668
659
9
1,072
1,054
18
873
818
55
2,869
2,689
180
5,362
3,281
2,081
9,742
4,869
4,873
6,158
2,909
3,249
831
769
62
3,842
3,314
528
819
710
109
9,205
6,451
2,754
22,323
22,370
-47
462
466
-4
809
799
10
20,653
22,465
-1,812
6,045
8,267
-2,222
853
1,088
-235
1,258
1,305
-47
6,613
6,707
-94
3,748
3,658
90
13,743
15,636
-1,893
1,736
1,798
-62
1,420
1,146
274
5,961
3,531
2,430
861
659
202
3,952
2,527
1,425
13,301
8,571
4,730
3,486
3,423
63
1,260
1,193
67
8,925
6,277
2,648
1,211
1,223
-12
23,820
20,679
3,141
5,012
5,393
-381
10,320
10,304
16
2,454
1,879
575
5,884
4,203
1,681
2,166
1,966
200
878
827
51
7,579
6,202
1,377
12,834
9,510
3,324
3,934
3,812
122
1,192
894
298
10,307
6,712
3,595
10,000
10,125
-125
27,675
27,543
132
7,341
6,457
884
3,843
4,246
-403
1,242
788
454
9,224
5,167
4,057
8,942
10,179
-1,237
9,032
10,157
-1,125
25,288
27,470
-2,182
4,328
2,383
1,945
4,238
3,091
1,147
967
645
322
2,975
1,922
1,053
3,691
4,550
-859
6,832
6,466
366
19,604
15,713
3,891
3,235
2,726
509
733
380
353
7,323
3,292
4,031
830
373
457
3,415
1,451
1,964
1,188
497
691
19,000
19,413
-413
14,477
5,600
8,877
918
282
636
8,007
2,113
5,894
1,085
282
803
2,039
1,799
240
3,489
2,781
708
10,000
10,135
-135
7,893
6,200
1,693
5,122
3,598
1,524
9,575
3,253
6,322
1,492
448
1,044
13,558
3,385
10,173
1,648
403
1,245
821
800
21
6,832
5,048
1,784
25,000
25,662
-662
847
680
167
5,296
3,746
1,550
1,385
951
434
6,534
3,958
2,576
7,697
3,802
3,895
921
739
182
2,026
1,428
598
10,981
14,562
-3,581
1,777
1,542
235
29,149
20,439
8,710
1,037
913
124
3,634
2,578
1,056
1,649
1,146
503
5,239
4,805
434
1,190
994
196
10,001
6,977
3,024
1,073
840
233
810
586
224
5,753
3,581
2,172
1,370
829
541
5,538
4,265
1,273
3,023
2,230
793
2,208
1,402
806
9,452
4,472
4,980
903
918
-15
1,261
1,285
-24
956
952
4
3,009
2,982
27
569
573
-4
25,601
28,084
-2,483
104
111
-7
2,426
2,433
-7
11,018
10,161
857
2,635
2,419
216
20,454
22,158
-1,704
10,101
10,248
-147
1,269
1,169
100
5,325
4,746
579
13,883
12,655
1,228
1,137
1,032
105
7,069
7,099
-30
995
944
51
7,778
6,426
1,352
2,063
1,624
439
10,340
10,278
62
10,390
10,305
85
6,858
3,818
3,040
1,044
489
555
6,714
2,814
3,900
866
367
499
23,915
24,444
-529
10,000
10,065
-65
1,242
1,347
-105
3,870
3,432
438
11,921
8,977
2,944
594
467
127
48,000
47,879
121
6,729
6,628
101
504
537
-33
13,910
11,895
2,015
8,198
8,901
-703
33,205
37,098
-3,893
984
966
18
6,145
5,950
195
1,921
1,846
75
3,956
3,508
448
2,430
2,048
382
10,000
10,906
-906
6,312
2,428
3,884
1,235
996
239
9,215
4,735
4,480
1,394
422
972
4,367
3,867
500
6,381
5,009
1,372
2,560
2,245
315
5,569
3,991
1,578
3,629
3,067
562
13,469
8,728
4,741
1,352
852
500
2,857
2,906
-49
9,097
5,584
3,513
2,289
2,078
211
840
693
147
4,055
3,155
900
2,815
2,001
814
32
27
5
2,906
2,294
612
11
11
1,083
770
313
4,486
2,801
1,685
4,138
2,581
1,557
2,863
1,626
1,237
192
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
-39
b
116
c
967
d
519
e
1,977
79
3,850
-1,134
3,100
657
5,401
515
378
817
95
579
446
7,592
1,214
3,594
109
1,461
-3
89
21
83
117
846
145
-174
-1,058
-387
-195
-231
6,045
1,295
3,062
-437
1,099
241
1,327
93
-267
-2,264
-752
-387
9
18
55
180
2,081
4,873
3,249
62
528
109
2,754
-47
-4
10
-1,812
-2,222
-235
-47
-94
90
-1,893
-62
274
2,430
202
1,425
4,730
63
67
2,648
-12
3,141
-381
16
575
1,681
200
51
1,377
3,324
122
298
3,595
-125
132
884
-403
454
4,057
-1,237
-1,125
-2,182
1,945
1,147
322
1,053
-859
366
3,891
509
353
4,031
457
1,964
691
-413
8,877
636
5,894
803
240
708
-135
1,693
1,524
6,322
1,044
10,173
1,245
21
1,784
-662
167
1,550
434
2,576
3,895
182
598
-3,581
235
8,710
124
1,056
503
434
196
3,024
233
224
2,172
541
1,273
793
806
4,980
-15
-24
4
27
-4
-2,483
-7
-7
857
216
-1,704
-147
100
579
1,228
105
-30
51
1,352
439
62
85
3,040
555
3,900
499
-529
-65
-105
438
2,944
127
121
101
-33
2,015
-703
-3,893
18
195
75
448
382
-906
3,884
239
4,480
972
500
1,372
315
1,578
562
4,741
500
-49
3,513
211
147
900
814
5
612
313
1,685
1,557
1,237
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
200,821
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
138,658
2,728,028
0.050827
2017
138,135
2,752,525
0.050185
2016
143,258
2,693,370
0.053189
2015
148,278
2,788,889
0.053167
2014
144,196
2,888,070
0.049928
2
Total
of line 1, column (d)
.....................
2
0.257296
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
0.051459
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
2,775,727
5
Multiply line 4 by line 3
......................
5
142,836
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
2,223
7
Add lines 5 and 6
........................
7
145,059
8
Enter qualifying distributions from Part XII, line 4
,.............
8
223,457
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
2,223
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
2,223
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
2,223
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
224
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
224
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
1,999
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
COMERICA BANK
Telephone no.
(313) 222-3568
Located at
411 WEST LAFAYETTE M/C 3420
DETROIT
MI
ZIP+4
48226
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
COMERICA BANK TRUST NA
TRUSTEE
2
16,152
PO BOX 75000 M/C 7874
DETROIT
,
MI
482757874
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
2,626,202
b
Average of monthly cash balances
.......................
1b
191,795
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
2,817,997
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
2,817,997
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
42,270
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,775,727
6
Minimum investment return.
Enter 5% of line 5
..................
6
138,786
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
138,786
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
2,223
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
2,223
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
136,563
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
136,563
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
136,563
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
223,457
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
223,457
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
2,223
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
221,234
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
136,563
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
89,701
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:
$
223,457
a
Applied to 2018, but not more than line 2a
89,701
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
.....
133,756
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
..........
2,807
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
NATIONAL AUDUBON SOCIETY INC
224 VARICK STREET 7TH FLOOR
NEW YORK
,
NY
10014
NONE
EXEMPT
SUPPORT
38,798
HUMANE SOCIETY OF THE USA
2100 L STREET NW
WASHINGTON
,
DC
20037
NONE
EXEMPT
SUPPORT
34,227
HUMANE SOCIETY OF BROWARD
COUNTY
2070 GRIFFIN ROAD
FT LAUDERDALE
,
FL
33312
NONE
EXEMPT
SUPPORT
45,636
THE ABANDONED PET RESCUE OF
BROWARD COUNTY FLORIDA
1137 NE 9TH AVENUE
FT LAUDERDALE
,
FL
33304
NONE
EXEMPT
SUPPORT
34,227
SIERRA CLUB FOUNDATION
85 SECOND STREET SUITE 750
SAN FRANCISCO
,
CA
941053441
NONE
EXEMPT
SUPPORT
68,454
Total
.................................
3a
221,342
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
557
4
Dividends and interest from securities
....
14
69,429
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
200,821
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
OTHER INCOME
14
2
b
FEDERAL TAX REFUND
14
244
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
271,053
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
271,053
(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