-
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
03-01-2019
, and ending
02-29-2020
Name of foundation
CASADO VERA J CHAR TR
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX ONE TRUST TAX DEPT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WICHITA
,
KS
672015001
A Employer identification number
43-6906116
B
Telephone number (see instructions)
(316) 383-1455
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
1,786,660
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
9,338
9,338
4
Dividends and interest from securities
...
38,302
38,302
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
23,522
b
Gross sales price for all assets on line 6a
777,999
7
Capital gain net income (from Part IV, line 2)
...
23,522
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)
.......
328
328
12
Total.
Add lines 1 through 11
........
71,490
71,490
13
Compensation of officers, directors, trustees, etc.
25,064
12,532
12,532
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)
.......
1,559
780
0
780
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
1,454
1,454
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)
.......
197
197
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
28,274
14,963
0
13,312
25
Contributions, gifts, grants paid
.......
99,985
99,985
26
Total expenses and disbursements.
Add lines 24 and 25
128,259
14,963
0
113,297
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-56,769
b
Net investment income
(if negative, enter -0-)
56,527
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
.........
57,062
57,465
57,465
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)
39,711
54,472
55,951
b
Investments—corporate stock (attach schedule)
.......
958,099
945,739
1,033,228
c
Investments—corporate bonds (attach schedule)
.......
671,998
613,031
637,797
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
)
2,825
2,219
2,219
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
1,729,695
1,672,926
1,786,660
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
1,729,695
1,672,926
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
1,729,695
1,672,926
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,729,695
1,672,926
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
1,729,695
2
Enter amount from Part I, line 27a
.....................
2
-56,769
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
1,672,926
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
1,672,926
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
.564 ENCANA CORP COM
2019-01-14
2019-03-01
b
.424 WABTEC CORP COM
2019-03-07
c
.424 WABTEC CORP COM
2019-03-14
d
9.211 TWENTY FIRST CENTY FOX INC CL B
2019-03-20
e
4.737 TWENTY FIRST CENTY FOX INC CL B
2018-10-18
2019-03-20
119. ACS ACTIV DE CONSTRUC Y SERV ADR
2019-04-09
13. ASGN INC COM
2018-06-04
2019-04-09
363.799 AQR MULTI STRATEGY ALTERNATIVE CL I #15217
2019-04-09
10006.162 AQR MULTI STRATEGY ALTERNATIVE CL I #15217
2019-04-09
13. AVERY DENNISON CORP COM
2019-04-09
8. AVERY DENNISON CORP COM
2017-05-10
2019-04-09
39. BHP GROUP PLC
2019-04-09
6. BHP GROUP PLC
2018-06-04
2019-04-09
20. BANNER CORP COM NEW
2019-02-15
2019-04-09
36. BOOT BARN HLDGS INC COM
2019-04-09
31. BOYD GAMING CORP COM
2018-09-04
2019-04-09
7. BURLINGTON STORES INC COM
2019-04-09
2. BURLINGTON STORES INC COM
2018-02-23
2019-04-09
36. CENTRAL GARDEN & PET CO COM
2017-03-22
2019-04-09
3. CHARLES RIV LABORATORIES INTL INC COM
2017-12-21
2019-04-09
9. CHARLES RIV LABORATORIES INTL INC COM
2019-04-09
11. CHESAPEAKE UTILITIES CORP COM
2019-04-09
18. CHURCH & DWIGHT INC COM
2016-04-05
2019-04-09
1. CINTAS CORP COM
2018-06-04
2019-04-09
8. CINTAS CORP COM
2016-04-05
2019-04-09
24. COMFORT SYS USA INC COM
2016-04-05
2019-04-09
9. CORESITE RLTY CORP COM
2019-04-09
7. DOW INC COM
2016-04-05
2019-04-09
27. ETSY INC COM
2018-09-20
2019-04-09
47. FERRO CORP COM
2019-04-09
9. FIVE BELOW INC COM
2018-12-11
2019-04-09
31. G-III APPAREL GROUP LTD COM
2018-07-27
2019-04-09
4521.486 GOLDMAN SACHS SATELLITE STRATEGIES FUND INST #2402
2019-04-09
3397.774 GOLDMAN SACHS SATELLITE STRATEGIES FUND INST #2402
2019-04-09
3046.473 GOLDMAN SACHS STRATEGIC INCOME FUND INST #3716
2016-12-06
2019-04-09
10. INDEPENDENT BANK CORP MASS COM
2019-02-15
2019-04-09
148. INTERNATIONAL CONS AIRLS GROUP SPONSORED ADR
2019-04-09
117. ISHARES TR CORE MSCI EAFE ETF
2018-02-23
2019-04-09
2173.354 JOHN HANCOCK MULTI ASSET ABSOLUTE RETURN FUND I
2019-04-09
22. KEYSIGHT TECHNOLOGIES INC COM
2019-01-14
2019-04-09
43. KUBOTA CORP SPONS ADR
2019-04-09
12. LAMB WESTON HLDGS INC COM
2018-02-23
2019-04-09
7. LIGAND PHARMACEUTICALS INC COM NEW
2017-06-23
2019-04-09
25. MASTEC INC COM
2019-04-09
11. MONOLITHIC PWR SYS INC COM
2019-04-09
1. MONOLITHIC PWR SYS INC COM
2018-11-20
2019-04-09
10. MOOG INC CL A
2019-01-14
2019-04-09
9. OLD DOMINION FGHT LINES INC COM
2018-02-23
2019-04-09
20. POLYONE CORPORATION -W/I
2018-06-08
2019-04-09
11. POOL CORPORATION COM
2017-02-23
2019-04-09
1. PREFERRED APT CMNTYS INC COM
2018-11-29
2019-04-09
52. PREFERRED APT CMNTYS INC COM
2018-03-21
2019-04-09
1004.252 PRINCIPAL DIVERSIFIED REAL ASSET FUND - INSTITUTION #4683
2018-06-19
2019-04-09
2511.304 PRINCIPAL DIVERSIFIED REAL ASSET FUND - INSTITUTION #4683
2019-04-09
53. PROPETRO HLDG CORP COM
2018-06-28
2019-04-09
20. REALPAGE INC COM
2017-12-21
2019-04-09
18. ROLLINS INC COM
2018-09-20
2019-04-09
52. ROYAL DSM N V SPONSORED ADR
2019-04-09
11. SOUTHWEST GAS HOLDINGS, INC.
2016-04-05
2019-04-09
2. STAG INDL INC COM
2019-01-14
2019-04-09
32. STAG INDL INC COM
2018-02-23
2019-04-09
29. TEXAS ROADHOUSE INC COM CL A
2019-04-09
8. THE TRADE DESK INC COM CL A
2018-06-28
2019-04-09
23. TIMKEN CO COM
2018-06-04
2019-04-09
13. UNITED CMNTY BKS BLAIRSVLE GA COM
2018-03-21
2019-04-09
29. UNITED CMNTY BKS BLAIRSVLE GA COM
2019-02-15
2019-04-09
26. WEIGHT WATCHERS INTL INC NEW COM
2019-02-15
2019-04-09
31. WESTERN ALLIANCE BANCORP COM
2019-01-14
2019-04-09
28. XYLEM INC COM
2019-04-09
8. ZEBRA TECHNOLOGIES CORP CL A
2019-01-14
2019-04-09
14. ALLEGION PUB LTD CO ORD SHS
2018-06-04
2019-04-09
16. ALLEGION PUB LTD CO ORD SHS
2019-04-09
42. GENPACT LIMITED
2016-08-22
2019-04-09
15. MELLANOX TECHNOLOGIES LTD
2018-09-04
2019-04-09
1858.743 AQR MULTI STRATEGY ALTERNATIVE CL I #15217
2018-10-25
2019-04-10
94.812 BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO - INS #446
2019-04-10
445.665 GOLDMAN SACHS SATELLITE STRATEGIES FUND INST #2402
2019-04-10
288.011 GOLDMAN SACHS SATELLITE STRATEGIES FUND INST #2402
2019-04-10
149.366 GOLDMAN SACHS STRATEGIC INCOME FUND INST #3716
2016-07-15
2019-04-10
572.352 GUGGENHEIM MACRO OPPORTUNITIES FUND CLASS I
2019-04-10
345.852 JOHN HANCOCK MULTI ASSET ABSOLUTE RETURN FUND I
2019-04-10
437.062 PRINCIPAL DIVERSIFIED REAL ASSET FUND - INSTITUTION #4683
2019-04-10
55.973 PRINCIPAL DIVERSIFIED REAL ASSET FUND - INSTITUTION #4683
2018-12-13
2019-04-10
31.613 JPMORGAN UNDISCOVERED MANAGERS BEHAVIORAL VALUE FUND CL L #1368
2019-04-10
3. ALIGN TECHNOLOGY INC COM
2018-06-08
2019-04-25
16. AMERICAN ELEC PWR INC COM
2019-04-25
5. AMERICAN ELEC PWR INC COM
2018-09-04
2019-04-25
18. BIOTELEMETRY INC COM
2018-02-23
2019-04-25
28. BOYD GAMING CORP COM
2019-04-25
4. BRIGHTHOUSE FINL INC COM
2019-04-25
6. COPART INC COM
2018-06-04
2019-04-25
10. COPART INC COM
2017-12-21
2019-04-25
8. DTE ENERGY CO COM
2018-07-27
2019-04-25
51. DAIMLER AG UNSPONSOR ADR
2018-05-22
2019-04-25
21. DELEK US HLDGS INC NEW COM
2019-02-15
2019-04-25
15. EMERGENT BIOSOLUTIONS INC COM
2018-03-21
2019-04-25
45. FERRO CORP COM
2017-07-14
2019-04-25
18. FIRST MERCHANTS CORP COM
2016-04-05
2019-04-25
19. FIRST MERCHANTS CORP COM
2018-10-18
2019-04-25
10. INDEPENDENT BANK CORP MASS COM
2019-02-15
2019-04-25
7. LIGAND PHARMACEUTICALS INC COM NEW
2019-02-15
2019-04-25
9. LITTLEFUSE INC COM
2018-06-28
2019-04-25
10. MASTERCARD INC CL A
2016-08-22
2019-04-25
42. MATADOR RES CO COM
2017-10-12
2019-04-25
2. METTLER-TOLEDO INTL INC COM
2017-05-10
2019-04-25
10. MICRO FOCUS INTERNATIONAL PLC SPON ADR NEW
2016-04-05
2019-04-25
127. NAVIENT CORP COM
2019-04-25
3. PEPSICO INC COM
2018-03-28
2019-04-25
17. PEPSICO INC COM
2019-04-25
6. RBC BEARINGS INC COM
2018-11-20
2019-04-25
2. RESIDEO TECHNOLOGIES INC COM
2019-04-25
87. SEVEN & I HLDGS CO LTD ADR
2017-10-12
2019-04-25
86. SEVEN & I HLDGS CO LTD ADR
2019-04-25
43. UNIVERSAL INS HLDGS INC COM
2018-02-23
2019-04-25
32. URBAN OUTFITTERS INC COM
2018-06-28
2019-04-25
18. VERIZON COMMUNICATIONS COM
2014-08-27
2019-04-25
11. WINTRUST FINL CORP COM
2019-01-14
2019-04-25
26. AMN HEALTHCARE SERVICES INC COM
2019-04-30
7. ALEXION PHARMACEUTICALS INC COM
2019-04-30
7. CHEVRONTEXACO CORP COM
2016-04-05
2019-04-30
.667 DOW INC COM
2016-04-05
2019-04-30
35. ECHO GLOBAL LOGISTICS INC COM
2018-09-04
2019-04-30
21. FIRST BANCORP N C COM
2019-02-15
2019-04-30
6. FIRST BANCORP N C COM
2018-02-23
2019-04-30
9. RAYMOND JAMES FINL INC COM
2016-04-05
2019-04-30
13. REALPAGE INC COM
2017-12-21
2019-04-30
42. ROCHE HLDG LTD SPONSORED ADR
2016-02-25
2019-04-30
57. ROCHE HLDG LTD SPONSORED ADR
2019-04-30
4. TEXAS ROADHOUSE INC COM CL A
2018-03-28
2019-04-30
14. TEXAS ROADHOUSE INC COM CL A
2018-06-04
2019-04-30
23. ANI PHARMACEUTICALS INC COM
2019-05-06
18. APPLIED MATERIALS COM
2017-12-27
2019-05-06
2. APPLIED MATERIALS COM
2018-06-08
2019-05-06
18. GENERAC HLDGS INC COM
2018-10-18
2019-05-06
11. LABORATORY CORP AMER HLDGS COM NEW
2019-05-06
41. MATADOR RES CO COM
2019-04-30
2019-05-06
44. MONDELEZ INTL INC COM
2019-05-06
129. OASIS PETE INC NEW COM
2019-04-30
2019-05-06
5. PAYCOM SOFTWARE INC COM
2018-06-04
2019-05-06
15. QUALYS INC COM
2018-06-28
2019-05-06
29. ROYAL DSM N V SPONSORED ADR
2019-05-06
19. SYNOPSYS INC COM
2019-05-06
27. AERCAP HOLDINGS NV
2019-05-06
23. BOSTON SCIENTIFIC CORP COM
2019-05-13
22. BRITISH AMERN TOB PLC SPONSORED ADR
2018-11-20
2019-05-13
103. CARLSBERG AS SPONSORED ADR
2019-05-13
55.7 GUGGENHEIM MACRO OPPORTUNITIES FUND CLASS I
2018-02-23
2019-05-13
38. HARSCO CORP COM
2018-03-21
2019-05-13
22. HYATT HOTELS CORP COM CL A
2019-05-13
10. REPUBLIC SERVICES INC COM
2019-04-09
2019-05-13
13. REPUBLIC SERVICES INC COM
2017-06-23
2019-05-13
6.497 T ROWE PRICE INTERNATIONAL DISCOVERY FUND #38
2018-02-23
2019-05-13
34. SMITH & NEPHEW PLC-SPON ADR
2019-05-13
52. HORIZON THERAPEUTICS PUB LTD SHS
2019-05-13
12. JAZZ PHARMACEUTICALS PLC
2018-06-22
2019-05-13
5000. SYNCHRONY FINL SR GLBL NT 3.00% DTD 08/11/2014 DUE 08/15/2019
2016-07-18
2019-05-14
11.666 FOX CORP CL B COM
2019-05-21
6. FOX CORP CL B COM
2018-10-18
2019-05-21
.64 DISNEY WALT CO COM
2019-05-23
.666 FOX CORP CL B COM
2019-05-23
13. ASGN INC COM
2019-05-06
2019-06-12
85. ARCELORMITTAL SA LUXEMBOURG NY REGISTRY SH
2017-06-08
2019-06-12
63. ARCELORMITTAL SA LUXEMBOURG NY REGISTRY SH
2019-06-12
159.496 BANCO SANTANDER SA ADR
2019-06-12
521.504 BANCO SANTANDER SA ADR
2019-06-12
188. DEUTSCHE BOERSE ADR
2019-06-12
20. G-III APPAREL GROUP LTD COM
2018-11-29
2019-06-12
29. HARSCO CORP COM
2018-09-20
2019-06-12
9. HENRY JACK & ASSOC INC COM
2019-06-12
175. INTESA SANPAOLO SPON ADR
2019-06-12
57. INTESA SANPAOLO SPON ADR
2018-09-04
2019-06-12
28. ISHARES TR CORE MSCI EAFE ETF
2018-02-23
2019-06-12
16. MASTEC INC COM
2019-05-06
2019-06-12
58. NAVIENT CORP COM
2019-05-06
2019-06-12
52. PREFERRED APT CMNTYS INC COM
2018-11-29
2019-06-12
14. RYDER SYSTEM INC COM
2019-06-12
16. TIMKEN CO COM
2019-05-13
2019-06-12
8. STERIS PLC SHS USD
2019-06-12
12. ANI PHARMACEUTICALS INC COM
2019-06-17
23. ALARM COM HLDGS INC COM
2018-03-21
2019-06-17
8. CABOT MICROELECTRONICS CORP COM
2019-01-14
2019-06-17
7. EASTGROUP PPTY INC COM
2019-04-25
2019-06-17
23.163 GUGGENHEIM MACRO OPPORTUNITIES FUND CLASS I
2018-02-23
2019-06-17
27. HD SUPPLY HLDGS INC COM
2019-06-17
20. KRAFT HEINZ CO COM
2016-02-23
2019-06-17
33. QUANTENNA COMMUNICATIONS INC COM
2019-04-25
2019-06-17
12. RESMED INC COM
2019-06-17
94. SECOM LTD ADR
2014-01-02
2019-06-17
12. TAKE-TWO INTERACTIVE SOFTWARE COM
2018-09-04
2019-06-17
.667 DUPONT DE NEMOURS INC COM
2016-04-05
2019-06-27
.667 CORTEVA INC COM
2016-04-05
2019-06-28
16. APPLIED MATERIALS COM
2019-04-30
2019-07-01
15. APPLIED MATERIALS COM
2018-06-08
2019-07-01
15. BANNER CORP COM NEW
2019-06-17
2019-07-01
17. CARNIVAL CORP PAIRED CTF
2016-04-05
2019-07-01
24. CHEFS WHSE INC COM
2018-03-21
2019-07-01
1. COMFORT SYS USA INC COM
2019-06-12
2019-07-01
15. COMFORT SYS USA INC COM
2016-04-05
2019-07-01
236. ENCANA CORP COM
2019-07-01
11. INDEPENDENT BANK CORP MASS COM
2019-06-17
2019-07-01
15. MARRIOTT VACATIONS WRLDWDE CP COM
2019-07-01
13. SAP SE ADR
2018-02-23
2019-07-01
15. TEXTRON INC COM
2017-07-14
2019-07-01
46. TOTAL S A SPONSORED ADR
2019-07-01
633.376 GOLDMAN SACHS SATELLITE STRATEGIES FUND INST #2402
2009-01-15
2019-07-09
36.524 GOLDMAN SACHS SATELLITE STRATEGIES FUND INST #2402
2018-10-25
2019-07-09
28.107 JOHN HANCOCK MULTI ASSET ABSOLUTE RETURN FUND I
2018-08-24
2019-07-09
112.518 PRINCIPAL DIVERSIFIED REAL ASSET FUND - INSTITUTION #4683
2019-07-09
5000. SYNCHRONY FINL SR GLBL NT 3.00% DTD 08/11/2014 DUE 08/15/2019
2016-07-18
2019-07-15
15000. EBAY INC SR GLBL 2.20% DTD 07/28/2014 DUE 08/01/2019
2019-04-15
2019-08-01
7. ADOBE SYSTEMS INC
2018-06-08
2019-08-06
53.365 GUGGENHEIM MACRO OPPORTUNITIES FUND CLASS I
2018-02-23
2019-08-06
24. HONEYWELL INTERNATIONAL INC COM
2019-08-06
5. LITTLEFUSE INC COM
2019-05-06
2019-08-06
4. LITTLEFUSE INC COM
2018-07-27
2019-08-06
54. ORANGE SPONSORED ADR
2019-02-15
2019-08-06
149. ORANGE SPONSORED ADR
2019-08-06
40. PROPETRO HLDG CORP COM
2019-04-25
2019-08-06
16. TABULA RASA HEALTHCARE INC COM
2019-08-06
14. TARGET CORP COM
2019-08-06
2. TARGET CORP COM
2019-04-09
2019-08-06
33. WESTERN ALLIANCE BANCORP COM
2019-07-01
2019-08-06
59. AERCAP HOLDINGS NV
2017-03-22
2019-08-06
13. BAIDU, INC
2019-08-19
12. BAIDU, INC
2019-08-19
20. ESSILOR LUXOTTICA
2017-02-17
2019-08-19
9. INGEVITY CORP COM
2019-08-06
2019-08-19
10. MARRIOTT VACATIONS WRLDWDE CP COM
2019-08-06
2019-08-19
55. MATADOR RES CO COM
2019-07-01
2019-08-19
17. PVH CORP COM
2019-08-19
382. SUMITOMO MITSUI FINL GROUP INC SPONSORED ADR
2019-08-19
8. SYNOPSYS INC COM
2019-08-19
36. URBAN OUTFITTERS INC COM
2019-08-06
2019-08-19
131. DAIMLER AG UNSPONSOR ADR
2019-08-30
116. DAIMLER AG UNSPONSOR ADR
2019-08-30
14. EOG RES INC COM
2017-02-17
2019-08-30
23. MERIT MEDICAL SYSTEMS INC COM
2018-02-23
2019-08-30
6. MONOLITHIC PWR SYS INC COM
2018-11-20
2019-08-30
10. OLD DOMINION FGHT LINES INC COM
2019-08-30
5. OLD DOMINION FGHT LINES INC COM
2019-08-06
2019-08-30
78. QUINSTREET INC COM
2019-01-14
2019-08-30
1. STERIS PLC SHS USD
2019-06-17
2019-08-30
6. STERIS PLC SHS USD
2018-06-08
2019-08-30
74. PROSUS N V SPONSORED ADR
2019-09-19
12. ANI PHARMACEUTICALS INC COM
2019-10-17
4. ALIGN TECHNOLOGY INC COM
2019-10-17
64. BHP GROUP PLC
2019-10-17
12. BHP GROUP PLC
2018-06-04
2019-10-17
27. CBRE GROUP INC CL A
2018-10-23
2019-10-17
10. DTE ENERGY CO COM
2019-10-17
11. HYATT HOTELS CORP COM CL A
2019-10-17
11. HYATT HOTELS CORP COM CL A
2019-06-12
2019-10-17
25. LINCOLN NATL CORP IND COM
2019-10-17
8. MCCORMICK & CO INC COM NON VTG
2019-10-17
89. REPSOL S.A. ADR
2018-10-18
2019-10-17
9. ASML HOLDING N V NYREGISTRY SHS
2019-10-17
23. BOSTON SCIENTIFIC CORP COM
2019-11-01
29. DXC TECHNOLOGY CO COM
2019-01-14
2019-11-01
31. ONTO INNOVATION INC COM
2018-06-04
2019-11-01
43. PROLOGIS INC COM
2019-11-01
1.52 T ROWE PRICE INTERNATIONAL DISCOVERY FUND #38
2018-02-23
2019-11-01
36. SS&C TECHNOLOGIES HLDGS INC COM
2019-11-01
325. TESCO PLC-SPON ADR
2019-11-01
3. ULTA BEAUTY, INC
2019-02-25
2019-11-01
12. ARGO GROUP INTL HLDGS LTD COM
2019-08-19
2019-11-01
19. NXP SEMICONDUCTORS N V COM
2019-01-14
2019-11-01
27. DIODES INC COM
2019-11-06
11. EOG RES INC COM
2019-11-06
181. ENCANA CORP COM
2019-08-06
2019-11-06
5. FEDEX CORP COM
2019-11-06
5. FEDEX CORP COM
2019-04-09
2019-11-06
74. NASPERS LTD SPONSORED ADR
2019-11-06
56. NAVIENT CORP COM
2019-05-06
2019-11-06
154. NORDEA BK ABP SPONSORED ADS
2018-09-20
2019-11-06
7. RBC BEARINGS INC COM
2019-11-06
46. RUTH'S HOSPITATLITY GROUP INC.
2018-07-27
2019-11-06
14. THERMO FISHER CORP COM
2019-11-06
7. ABIOMED INC COM
2019-11-14
7. CORTEVA INC COM
2016-04-05
2019-11-14
37. CORTEVA INC COM
2019-11-14
29. DXC TECHNOLOGY CO COM
2019-10-17
2019-11-14
83. GENERAL ELEC CO COM
2019-04-09
2019-11-14
79. GENERAL ELEC CO COM
2019-11-14
73. HARSCO CORP COM
2019-11-14
9. INGEVITY CORP COM
2019-11-06
2019-11-14
5. LABORATORY CORP AMER HLDGS COM NEW
2019-05-13
2019-11-14
18. PHILIP MORRIS INTL INC COM
2019-11-14
26. ROYAL DUTCH SHELL PLC SPONSORED ADR REPSTG A SHS
2019-11-14
12. SKYWORKS SOLUTIONS INC COM
2019-11-14
52. TORAY INDS INC ADR
2019-01-14
2019-11-14
168. TORAY INDS INC ADR
2019-11-14
39. WESTERN DIGITAL CORP COM
2019-01-14
2019-11-14
22. CELGENE CORP COM
2017-02-17
2019-11-20
.364 ONTO INNOVATION INC COM
2018-06-04
2019-11-22
24. AIRBUS SE ADR
2016-11-16
2019-12-18
13. ALEXION PHARMACEUTICALS INC COM
2019-12-18
8. APPLE INC COM
2019-12-18
22. BRISTOL MYERS SQUIBB CO CONTNGNT VAL RT
2017-02-17
2019-12-18
7. CHARLES RIV LABORATORIES INTL INC COM
2019-12-18
6. CHARLES RIV LABORATORIES INTL INC COM
2018-09-04
2019-12-18
20. CITIZENS FINL GROUP INC COM
2016-04-05
2019-12-18
8. CORESITE RLTY CORP COM
2018-11-20
2019-12-18
47. DEVON ENERGY CORP (NEW) COM
2019-12-18
16. FIDELITY NATL INFORMATION SVCS INC COM
2019-12-18
11. FOX FACTORY HLDG CORP COM
2019-04-09
2019-12-18
8. MARRIOTT VACATIONS WRLDWDE CP COM
2019-10-17
2019-12-18
17. MICROSOFT CORP COM
2014-01-02
2019-12-18
79. MURATA MFG CO LTD ADR
2018-11-20
2019-12-18
1. NUCOR CORP COM
2019-01-14
2019-12-18
14. NUCOR CORP COM
2018-10-18
2019-12-18
20. PERFORMANCE FOOD GROUP CO COM
2019-06-12
2019-12-18
13. REALPAGE INC COM
2019-05-06
2019-12-18
78. SECOM LTD ADR
2019-12-18
71. SECOM LTD ADR
2019-12-18
23. SKYWEST INC COM
2019-12-18
.735 TRUIST FINL CORP COM
2018-03-28
2019-12-26
13. ANI PHARMACEUTICALS INC COM
2020-02-11
18. ALTRIA GROUP INC COM
2016-04-05
2020-02-11
28. APPLIED MATERIALS COM
2020-02-11
19. BIOTELEMETRY INC COM
2020-02-11
8. CABOT MICROELECTRONICS CORP COM
2019-07-01
2020-02-11
52. CENTERSTATE BANK CORPORATION
2020-02-11
7. EASTGROUP PPTY INC COM
2019-06-12
2020-02-11
11. ESSILOR LUXOTTICA
2019-08-30
2020-02-11
33. ESSILOR LUXOTTICA
2020-02-11
8. FACEBOOK INC CL A
2013-12-23
2020-02-11
10. GENERAC HLDGS INC COM
2018-10-18
2020-02-11
6. HENRY JACK & ASSOC INC COM
2018-06-04
2020-02-11
6. HENRY JACK & ASSOC INC COM
2019-08-30
2020-02-11
10. MCCORMICK & CO INC COM NON VTG
2020-02-11
6. MCDONALDS CORP COM
2020-02-11
18. METLIFE INC COM
2020-02-11
59. NAVIENT CORP COM
2020-02-11
33. OUTFRONT MEDIA INC COM
2020-02-11
45. ROCHE HLDG LTD SPONSORED ADR
2020-02-11
46. ROLLINS INC COM
2020-02-11
59. ROYAL DSM N V SPONSORED ADR
2020-02-11
1. ROYAL DSM N V SPONSORED ADR
2019-04-25
2020-02-11
7. UNIVERSAL HEALTH SVCS INC CL B
2016-04-05
2020-02-11
7. VISA INC COM CL A
2013-05-13
2020-02-11
29. YETI HLDGS INC COM
2019-06-17
2020-02-11
15. ASGN INC COM
2020-02-11
2020-02-14
24. DELEK US HLDGS INC NEW COM
2019-12-18
2020-02-14
55. DEVON ENERGY CORP (NEW) COM
2020-02-11
2020-02-14
128. E ON SE SPONSORED ADR
2020-02-14
32. FIRST BANCORP N C COM
2019-05-06
2020-02-14
8. FIRST REP BK SAN FRAN CALI NEW COM
2017-12-21
2020-02-14
34. FORMFACTOR INC COM
2020-02-14
28. GILEAD SCIENCES INC COM
2016-04-05
2020-02-14
13. INGEVITY CORP COM
2020-02-11
2020-02-14
16. ELI LILLY & CO COM
2016-04-05
2020-02-14
5. ELI LILLY & CO COM
2019-04-09
2020-02-14
210. REPSOL S.A. ADR
2020-02-14
12. GRACE W R & CO DEL NEW COM
2019-11-14
2020-02-20
91. NAVIENT CORP COM
2020-02-20
68. PROPETRO HLDG CORP COM
2019-08-19
2020-02-20
28. RYDER SYSTEM INC COM
2020-02-20
10. RYDER SYSTEM INC COM
2019-04-09
2020-02-20
28. ABBOTT LABS COM 09/1998 .01
2014-01-17
2020-02-26
3. ALPHABET INC CAP STK CL C
2016-02-25
2020-02-26
7. AMERICAN ELEC PWR INC COM
2018-09-04
2020-02-26
6. AMERICAN ELEC PWR INC COM
2019-04-09
2020-02-26
7. AMERICAN TOWER CORPORATION
2014-07-22
2020-02-26
11. APPLE INC COM
2015-10-09
2020-02-26
10. BERKSHIRE HATHAWAY INC DEL CL B NEW
2016-04-05
2020-02-26
47. CAPGEMINI S E UNSPONSORED ADR
2019-10-17
2020-02-26
17. CITIGROUP INC COM NEW
2014-03-13
2020-02-26
13. COGNIZANT TECH SOLUTIONS CRP COM
2016-02-23
2020-02-26
24. COMCAST CORP CL A
2016-02-23
2020-02-26
4. COOPER COS INC COM NEW
2020-02-26
9. DOLLAR GEN CORP NEW COM
2017-10-12
2020-02-26
6. EDWARDS LIFESCIENCES CORP COM
2016-08-22
2020-02-26
45. EXELON CORPORATION COM
2016-04-05
2020-02-26
52. EXXON MOBIL CORP COM
2016-04-05
2020-02-26
22.69 GUGGENHEIM MACRO OPPORTUNITIES FUND CLASS I
2019-04-09
2020-02-26
393.119 GUGGENHEIM MACRO OPPORTUNITIES FUND CLASS I
2020-02-26
17. HONEYWELL INTERNATIONAL INC COM
2020-02-26
11. IDEX CORP COM
2020-02-26
26. INTEL CORP COM
2020-02-26
26. ISHARES TR CORE MSCI EAFE ETF
2018-02-23
2020-02-26
9. JP MORGAN CHASE & CO COM
2016-02-01
2020-02-26
13. JOHNSON & JOHNSON COM
2020-02-26
3. LAM RESH CORP COM
2016-04-05
2020-02-26
9. LIGAND PHARMACEUTICALS INC COM NEW
2020-02-26
18. LOWES COS INC COM
2020-02-26
12. MASTERCARD INC CL A
2020-02-26
20. MERCK & CO INC NEW COM
2014-04-09
2020-02-26
14. MICROSOFT CORP COM
2020-02-26
6. MONOLITHIC PWR SYS INC COM
2019-05-13
2020-02-26
7. NEXTERA ENERGY INC COM
2016-04-05
2020-02-26
5. PAYCOM SOFTWARE INC COM
2020-02-26
5. PEPSICO INC COM
2019-04-09
2020-02-26
14. PEPSICO INC COM
2020-02-26
74. PFIZER INC COM
2020-02-26
12. PHILIP MORRIS INTL INC COM
2019-04-09
2020-02-26
1. PHILIP MORRIS INTL INC COM
2018-12-11
2020-02-26
14. PINNACLE FINANCIAL PARTNERS COM
2020-02-11
2020-02-26
17. PRUDENTIAL FINANCIAL INC COM
2016-04-05
2020-02-26
59. QUANTA SVCS INC COM
2019-01-14
2020-02-26
56.314 T ROWE PRICE INTERNATIONAL DISCOVERY FUND #38
2018-02-23
2020-02-26
5. SNAP-ON INC COM
2019-02-15
2020-02-26
5. SNAP-ON INC COM
2019-04-09
2020-02-26
5. ASML HOLDING N V NYREGISTRY SHS
2020-02-26
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
4
4
b
c
31
33
-2
d
469
236
233
e
241
216
25
1,045
750
295
853
1,045
-192
2,783
3,072
-289
76,547
97,247
-20,700
1,469
1,386
83
904
668
236
1,961
1,331
630
302
276
26
1,107
1,208
-101
1,096
847
249
879
1,101
-222
1,102
1,062
40
315
250
65
938
1,292
-354
434
327
107
1,303
1,038
265
998
696
302
1,312
842
470
205
187
18
1,641
708
933
1,294
776
518
982
953
29
396
360
36
1,806
1,319
487
829
666
163
1,129
904
225
1,263
1,380
-117
36,760
26,299
10,461
27,624
27,825
-201
28,393
28,848
-455
850
825
25
1,970
2,441
-471
7,212
7,862
-650
22,755
23,634
-879
1,986
1,490
496
3,144
3,570
-426
873
655
218
883
861
22
1,244
1,244
1,611
1,158
453
146
120
26
886
814
72
1,361
1,253
108
615
878
-263
1,780
1,265
515
15
15
774
753
21
11,388
11,720
-332
28,478
30,224
-1,746
1,249
828
421
1,244
887
357
749
753
-4
1,474
862
612
907
718
189
59
52
7
936
759
177
1,772
1,412
360
1,560
742
818
1,070
1,082
-12
343
436
-93
766
828
-62
530
795
-265
1,342
1,328
14
2,229
1,960
269
1,777
1,308
469
1,312
1,096
216
1,499
1,341
158
1,490
1,002
488
1,774
1,196
578
14,201
14,517
-316
928
911
17
3,637
3,192
445
2,350
2,370
-20
1,394
1,409
-15
14,881
15,154
-273
3,631
3,575
56
4,978
5,033
-55
638
621
17
1,996
1,761
235
884
1,042
-158
1,358
1,123
235
424
362
62
1,071
624
447
866
831
35
163
244
-81
395
335
60
658
435
223
995
867
128
815
1,032
-217
822
728
94
808
819
-11
784
854
-70
672
419
253
709
821
-112
799
825
-26
874
849
25
1,795
2,034
-239
2,458
959
1,499
880
1,086
-206
1,455
1,109
346
247
295
-48
1,687
1,569
118
378
330
48
2,140
1,784
356
797
878
-81
43
54
-11
1,463
1,765
-302
1,446
1,637
-191
1,328
1,298
30
963
1,477
-514
1,008
891
117
837
782
55
1,349
1,235
114
946
967
-21
839
650
189
39
34
5
804
1,160
-356
802
814
-12
229
214
15
822
415
407
846
577
269
1,381
1,374
7
1,874
1,669
205
217
230
-13
761
875
-114
1,650
1,385
265
762
926
-164
85
102
-17
1,060
1,020
40
1,796
1,760
36
796
811
-15
2,256
1,687
569
707
799
-92
1,029
538
491
1,337
1,291
46
796
580
216
2,290
1,659
631
1,384
1,019
365
827
814
13
817
759
58
2,688
2,411
277
1,449
1,494
-45
962
878
84
1,636
1,730
-94
835
794
41
1,085
832
253
398
485
-87
1,433
954
479
1,379
1,087
292
1,627
2,151
-524
5,005
4,980
25
71
39
32
24
27
-3
737
816
-79
1,400
1,823
-423
1,038
1,691
-653
702
872
-170
2,295
3,579
-1,284
2,671
2,162
509
496
784
-288
781
829
-48
1,245
796
449
2,142
2,817
-675
698
908
-210
1,718
1,882
-164
783
821
-38
758
812
-54
818
769
49
777
1,107
-330
770
771
-1
1,129
844
285
875
860
15
1,249
916
333
842
764
78
811
792
19
602
621
-19
1,064
1,135
-71
605
1,460
-855
799
805
-6
1,422
1,027
395
2,023
1,418
605
1,334
1,625
-291
49
50
-1
17
18
-1
726
705
21
680
765
-85
816
786
30
788
879
-91
815
594
221
51
49
2
762
485
277
1,205
1,547
-342
835
793
42
1,458
1,670
-212
1,793
1,358
435
794
744
50
2,572
2,335
237
5,232
3,382
1,850
302
277
25
300
285
15
1,287
1,239
48
5,000
5,000
14,980
14,980
1,989
1,760
229
1,384
1,431
-47
3,950
3,695
255
774
942
-168
619
881
-262
797
821
-24
2,200
2,460
-260
624
944
-320
911
910
1
1,157
1,079
78
165
162
3
1,452
1,484
-32
3,036
2,606
430
1,357
2,924
-1,567
1,252
1,763
-511
1,422
1,152
270
692
771
-79
898
850
48
855
1,071
-216
1,230
2,225
-995
2,468
3,016
-548
1,036
942
94
749
782
-33
1,520
2,558
-1,038
1,346
1,604
-258
1,030
1,386
-356
793
1,065
-272
897
718
179
1,627
1,520
107
813
822
-9
894
1,425
-531
154
142
12
922
640
282
874
852
22
860
1,045
-185
2,634
2,580
54
494
552
-58
1,419
1,068
351
1,291
1,181
110
767
920
-153
767
826
-59
1,471
1,490
-19
1,303
1,117
186
1,441
1,653
-212
2,288
1,802
486
961
850
111
818
1,759
-941
1,004
1,302
-298
3,739
2,080
1,659
100
113
-13
2,064
1,800
264
2,970
3,208
-238
704
927
-223
758
810
-52
2,250
1,505
745
1,238
1,056
182
782
1,015
-233
834
747
87
814
1,211
-397
814
951
-137
2,164
3,602
-1,438
791
784
7
1,138
1,700
-562
1,159
1,060
99
1,156
1,366
-210
4,122
2,673
1,449
1,548
2,065
-517
185
184
1
978
1,013
-35
1,030
809
221
931
773
158
886
2,417
-1,531
1,561
1,611
-50
810
819
-9
843
813
30
1,506
1,538
-32
1,535
1,513
22
1,191
1,047
144
730
770
-40
2,359
2,835
-476
1,960
1,477
483
2,377
2,665
-288
13
15
-2
868
353
515
1,416
1,634
-218
2,248
912
1,336
59
47
12
1,033
963
70
885
748
137
811
421
390
901
732
169
1,168
1,725
-557
2,204
984
1,220
744
818
-74
1,022
876
146
2,634
634
2,000
1,181
914
267
57
57
796
814
-18
970
818
152
697
820
-123
1,753
1,679
74
1,596
1,171
425
1,485
1,223
262
41
38
3
856
860
-4
818
1,134
-316
1,798
1,223
575
1,004
935
69
1,324
904
420
1,259
1,308
-49
982
806
176
829
812
17
2,486
2,165
321
1,670
462
1,208
1,104
567
537
1,011
761
250
1,011
871
140
1,633
1,415
218
1,292
1,162
130
947
735
212
851
818
33
1,017
883
134
1,954
1,508
446
1,804
1,832
-28
1,874
1,477
397
32
28
4
986
869
117
1,440
313
1,127
1,012
783
229
947
1,033
-86
681
813
-132
1,247
1,264
-17
1,522
915
607
1,181
1,259
-78
936
708
228
912
885
27
1,886
2,687
-801
867
865
2
2,254
1,168
1,086
704
640
64
2,837
3,715
-878
766
815
-49
1,307
1,270
37
729
799
-70
1,126
1,968
-842
402
644
-242
2,274
1,102
1,172
4,145
2,105
2,040
689
506
183
591
500
91
1,686
649
1,037
3,195
1,229
1,966
2,169
1,422
747
1,071
1,143
-72
1,172
804
368
827
729
98
1,016
692
324
1,347
827
520
1,460
739
721
1,327
700
627
2,144
1,565
579
2,762
4,282
-1,520
585
590
-5
10,135
10,504
-369
2,845
2,900
-55
1,761
1,769
-8
1,546
799
747
1,574
1,747
-173
1,140
529
611
1,872
1,205
667
888
247
641
912
954
-42
2,031
1,434
597
3,596
2,922
674
1,604
1,135
469
2,370
557
1,813
979
767
212
1,897
815
1,082
1,453
614
839
709
609
100
1,985
1,645
340
2,569
2,237
332
1,034
1,027
7
86
84
2
779
859
-80
1,404
1,216
188
2,193
1,907
286
3,729
4,203
-474
752
786
-34
752
788
-36
1,431
961
470
938
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
b
c
-2
d
233
e
25
295
-192
-289
-20,700
83
236
630
26
-101
249
-222
40
65
-354
107
265
302
470
18
933
518
29
36
487
163
225
-117
10,461
-201
-455
25
-471
-650
-879
496
-426
218
22
453
26
72
108
-263
515
21
-332
-1,746
421
357
-4
612
189
7
177
360
818
-12
-93
-62
-265
14
269
469
216
158
488
578
-316
17
445
-20
-15
-273
56
-55
17
235
-158
235
62
447
35
-81
60
223
128
-217
94
-11
-70
253
-112
-26
25
-239
1,499
-206
346
-48
118
48
356
-81
-11
-302
-191
30
-514
117
55
114
-21
189
5
-356
-12
15
407
269
7
205
-13
-114
265
-164
-17
40
36
-15
569
-92
491
46
216
631
365
13
58
277
-45
84
-94
41
253
-87
479
292
-524
25
32
-3
-79
-423
-653
-170
-1,284
509
-288
-48
449
-675
-210
-164
-38
-54
49
-330
-1
285
15
333
78
19
-19
-71
-855
-6
395
605
-291
-1
-1
21
-85
30
-91
221
2
277
-342
42
-212
435
50
237
1,850
25
15
48
229
-47
255
-168
-262
-24
-260
-320
1
78
3
-32
430
-1,567
-511
270
-79
48
-216
-995
-548
94
-33
-1,038
-258
-356
-272
179
107
-9
-531
12
282
22
-185
54
-58
351
110
-153
-59
-19
186
-212
486
111
-941
-298
1,659
-13
264
-238
-223
-52
745
182
-233
87
-397
-137
-1,438
7
-562
99
-210
1,449
-517
1
-35
221
158
-1,531
-50
-9
30
-32
22
144
-40
-476
483
-288
-2
515
-218
1,336
12
70
137
390
169
-557
1,220
-74
146
2,000
267
-18
152
-123
74
425
262
3
-4
-316
575
69
420
-49
176
17
321
1,208
537
250
140
218
130
212
33
134
446
-28
397
4
117
1,127
229
-86
-132
-17
607
-78
228
27
-801
2
1,086
64
-878
-49
37
-70
-842
-242
1,172
2,040
183
91
1,037
1,966
747
-72
368
98
324
520
721
627
579
-1,520
-5
-369
-55
-8
747
-173
611
667
641
-42
597
674
469
1,813
212
1,082
839
100
340
332
7
2
-80
188
286
-474
-34
-36
470
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
23,522
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
131,082
1,878,874
0.069766
2017
111,914
1,963,311
0.057003
2016
113,852
1,874,703
0.060731
2015
84,491
1,924,137
0.043911
2014
93,048
2,014,789
0.046183
2
Total
of line 1, column (d)
.....................
2
0.277594
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
0.055519
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,850,010
5
Multiply line 4 by line 3
......................
5
102,711
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
565
7
Add lines 5 and 6
........................
7
103,276
8
Enter qualifying distributions from Part XII, line 4
,.............
8
113,297
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
565
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
565
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
565
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
588
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
588
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
23
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
23
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)
KS
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
MAUREEN FREY
,
INTRUST BANK NA
Telephone no.
(316) 383-1911
Located at
PO BOX ONE
WICHITA
KS
ZIP+4
67201
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
INTRUST BANK NA
TRUSTEE
1
25,064
P O BOX ONE
WICHITA
,
KS
67201
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
1,822,933
b
Average of monthly cash balances
.......................
1b
55,250
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,878,183
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
1,878,183
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
28,173
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,850,010
6
Minimum investment return.
Enter 5% of line 5
..................
6
92,501
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
92,501
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
565
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
565
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
91,936
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
91,936
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
91,936
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
113,297
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
113,297
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
565
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
112,732
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
91,936
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
21,323
d
From 2017
......
16,754
e
From 2018
......
38,314
f
Total
of lines 3a through e
........
76,391
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
113,297
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
91,936
e
Remaining amount distributed out of corpus
21,361
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
97,752
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
97,752
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
21,323
c
Excess from 2017
....
16,754
d
Excess from 2018
....
38,314
e
Excess from 2019
....
21,361
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
EARLHAM SCHOOL OF RELIGION
ATTN DIRECTOR OF COMM ENGAGEMENT
RICHMOND
,
IN
473745360
NONE
PUBLIC
EDUCATION
4,649
FRIENDS UNITED MEETING
101 QUAKER HILL DR
RICHMOND
,
IN
473741926
NONE
PUBLIC
RELIGIOUS
13,948
WILLIAM PENN COLLEGE
201 TRUEBLOOD AVE
OSKALOOSA
,
IA
525771757
NONE
PUBLIC
EDUCATION
23,247
FRIENDS UNIVERSITY
C/O JOAN GALLAGHER
2100 W UNIVERSITY AVE
WICHITA
,
KS
672133379
NONE
PUBLIC
EDUCATION
39,544
WICHITA FAMILY CRISIS CENTER
1111 N ST FRANCIS ST
WICHITA
,
KS
672142813
NONE
PUBLIC
CHARITABLE
4,649
UNIVERSITY FRIENDS CHURCH
1840 W UNIVERSITY AVE
WICHITA
,
KS
672133966
NONE
PUBLIC
RELIGIOUS
9,299
MID AMERICA YEARLY MEETING
OF FRIENDS
2018 MAPLE ST
WICHITA
,
KS
672133314
NONE
PUBLIC
RELIGIOUS
4,649
Total
.................................
3a
99,985
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
9,338
4
Dividends and interest from securities
....
14
38,302
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
23,522
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)
..
71,490
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
71,490
(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