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TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
Treacy Foundation
Number and street (or P.O. box number if mail is not delivered to street address)
PO Box 1479
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Helena
,
MT
59624
A Employer identification number
81-0270257
B
Telephone number (see instructions)
(406) 443-3549
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)
$
44,620,590
J
Accounting method:
Cash
Accrual
Other (specify)
Modified Cash
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
1,417,344
1,417,344
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
1,274,832
b
Gross sales price for all assets on line 6a
8,097,094
7
Capital gain net income (from Part IV, line 2)
...
1,274,832
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
2,692,176
2,692,176
13
Compensation of officers, directors, trustees, etc.
84,360
19,000
65,360
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
5,758
1,267
4,491
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
6,200
4,200
2,000
c
Other professional fees (attach schedule)
....
244,060
244,060
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
28,637
10,463
19
Depreciation (attach schedule) and depletion
...
463
463
20
Occupancy
..............
17,753
4,438
13,315
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
12,991
4,812
8,179
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
400,222
288,703
93,345
25
Contributions, gifts, grants paid
.......
1,900,198
1,900,198
26
Total expenses and disbursements.
Add lines 24 and 25
2,300,420
288,703
1,993,543
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
391,756
b
Net investment income
(if negative, enter -0-)
2,403,473
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
14,416
25,842
25,842
2
Savings and temporary cash investments
.........
1,447,003
1,901,922
1,901,922
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
2,582,754
2,322,567
2,381,375
b
Investments—corporate stock (attach schedule)
.......
21,910,676
22,206,081
29,400,255
c
Investments—corporate bonds (attach schedule)
.......
10,683,254
10,223,590
10,592,196
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
321,121
Less: accumulated depreciation (attach schedule)
5,198
2,718
315,923
319,000
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
36,640,821
36,995,925
44,620,590
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
)
1,876
1,872
23
Total liabilities
(add lines 17 through 22)
.........
1,876
1,872
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
36,638,945
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
........
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)
.....
36,638,945
36,994,053
30
Total liabilities and net assets/fund balances
(see instructions)
.
36,640,821
36,995,925
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
36,638,945
2
Enter amount from Part I, line 27a
.....................
2
391,756
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
37,030,701
5
Decreases not included in line 2 (itemize)
5
36,648
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
36,994,053
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
86 shares Cognizant Tech Sltns
P
2018-12-03
2019-07-18
b
148 shares Kar Auction Svcs Inc
P
2019-04-29
2019-07-18
c
154 shares Starbucks Corp
P
2018-08-03
2019-01-07
d
27 shares Amphenol Corp
P
2013-03-06
2019-08-26
e
22 shares Apple Inc
P
2013-03-06
2019-10-30
38 shares Cognizant Tech Sltns
P
2006-01-01
2019-06-12
243 shares Cognizant Tech Sltns
P
2006-01-01
2019-07-18
167 shares Dollar Tree Inc
P
2006-01-01
2019-01-24
30 shares Dollar Tree Inc
P
2006-01-01
2019-10-09
79 shares Ecolab Inc
P
2006-01-01
2019-07-31
18 shares Expedia Group Inc
P
2017-11-01
2019-08-21
372 shares Fastenal Co
P
2015-03-19
2019-02-07
71 shares Middleby Corp
P
2016-03-01
2019-10-18
365 shares Novo Nordisck as ADR
P
2006-01-01
2019-02-27
155 shares Pepsico Inc
P
2006-01-01
2019-04-16
9 shares Sherwin Williams
P
2015-10-30
2019-08-29
18 shares Sherwin Williams
P
2015-10-30
2019-10-11
214 shares Starbucks Corp
P
2006-01-01
2019-01-07
45 shares TJX Cos
P
2013-03-06
2019-08-21
335 shares Walgreens Boots Alliance
P
2006-01-01
2019-11-05
58 shares Wells Fargo & Co
P
2013-03-06
2019-04-16
600 shares Celgene Corp
P
2006-01-01
2019-05-21
Principal Bk Nova Scot
P
2014-04-24
2019-10-29
Principal Brcly Mtn
P
2017-03-27
2019-09-30
Principal Brcly Mtn
P
2017-07-24
2019-09-27
500 shares Compass Minrls Intl Inc
P
2017-11-15
2019-12-30
Principal CS Mtn
P
2015-02-24
2019-08-28
1,000 shares Ft Dyn Euro Eq Incm
P
2015-09-24
2019-02-21
Principal Gs Mtn
P
2016-12-22
2019-09-30
Principal Msdw Mtn
P
2010-12-10
2019-12-16
Principal Nokia Corp
P
2006-01-01
2019-05-15
Principal Seaspan Corp
P
2006-01-01
2019-04-30
1,000 shares Seaspan Pfd
P
2016-08-04
2019-02-21
500 shares Ventas Inc
P
2018-01-24
2019-08-14
Principal WF Mtn
P
2013-08-21
2019-08-26
Principal WF Bk NA
P
2016-08-11
2019-03-04
500 shares Dominion Energy Inc
P
2018-05-23
2019-03-11
750 shares Ebay Inc
P
2019-03-22
2019-11-12
1,000 shares United Sts Steel
P
2018-11-07
2019-04-17
583 shares Annaly Cap Mgmt
P
2012-05-09
2019-07-22
300 shares Apple Inc
P
2012-12-21
2019-11-26
750 shares Avery Dennison Corp
P
2006-01-01
2019-03-22
2,000 shares Blkrck Tcp Cap Corp Bdc
P
2006-01-01
2019-11-26
Principal Dawson MT
P
2010-04-21
2019-07-01
Principal Evergreen MT
P
2010-04-21
2019-10-25
600 shares Expedia Group Inc
P
2006-01-01
2019-11-12
Principal Flathead MT
P
2010-04-21
2019-07-01
Principal Great Falls MT
P
2010-04-21
2019-02-01
750 shares LAM Research Corporation
P
2014-04-23
2019-08-14
1,000 shares Leggett & Platt Inc
P
2018-09-05
2019-10-29
Principal Missoula MT
P
2010-04-21
2019-07-01
Principal Missoula MT
P
2010-04-21
2019-07-01
Principal Missoula MT
P
2010-04-21
2019-07-01
1,000 shares Northwestern Corp
P
2017-07-19
2019-03-11
2,000 shares Finl Sel Sect Spdr
P
2006-01-01
2019-11-26
1,500 shares Unilever Plc
P
2006-01-01
2019-05-08
1000 shares Summit Materials Inc
P
2018-10-03
2019-07-16
Fractional WABTEC Corp
P
2019-02-25
2019-02-25
13 shares WABTEC Corp
P
2019-02-26
2019-12-04
Principal G N M A Pass Thru (33 sales)
P
2006-01-01
2019-01-01
750 shares AmTrust Financial Services Inc
P
2016-09-20
2019-07-16
Principal Digital Realty Trust Co
P
2014-03-19
2019-04-01
Principal Ford Motor Credit Co LLC
P
2015-02-17
2019-10-28
Principal HSBC Bk USA
P
2017-06-22
2019-09-30
Principal Kemper Corporation
P
2014-02-20
2019-06-18
500 shares Magna International Inc
P
2017-08-01
2019-01-17
Principal Public Storage
P
2012-06-06
2019-10-21
964 shares UIT FT AI & Robotics Oppty
P
2018-01-04
2019-01-15
500 shares United Technologies Corp
P
2015-01-16
2019-01-23
500 shares Amerigas Par Tne
P
2014-10-16
2019-08-26
Principal Bank Nova Scotia B C
P
2013-11-22
2019-11-27
Principal Bank of America Corporation
P
2014-09-29
2019-09-09
300 shares BCE Inc
P
2010-04-20
2019-09-06
700 shares BCE Inc
P
2010-07-21
2019-09-06
750 shares EQM Midstream Partners LP
P
2017-05-12
2019-10-22
750 shares First Trust Energy
P
2010-11-22
2019-10-21
Principal Flathead Cnty Mont Sch Dist
P
2010-04-20
2019-07-01
Principal Government Natl Mtg (12 sales)
P
2006-01-01
2019-01-01
Principal J P Morgan Chase (10 sales)
P
2006-01-01
2019-01-01
500 shares Matthews Asia Dividend Fund
P
2010-04-20
2019-05-21
Principal Prospect Capital Corporation
P
2015-12-24
2019-04-24
Principal Toyota Mtr Cr Corp
P
2012-09-10
2019-09-19
Principal Toyota Mtr Cr Corp
P
2014-01-24
2019-09-19
2,229 shares UIT First Trust Divid Growth
P
2017-04-18
2019-04-23
2,480 shares UIT FT S&P Divid
P
2018-08-15
2019-10-11
3 shares Chipotle Mexican Grill Inc
P
2017-10-23
2019-04-22
5 shares Chipotle Mexican Grill Inc
P
2017-10-23
2019-04-23
8 shares Chipotle Mexican Grill Inc
P
2017-10-23
2019-04-24
2 shares Chipotle Mexican Grill Inc
P
2017-10-23
2019-05-02
Principal Vanguard Treasury Money Market
P
2017-10-23
2019-09-26
Principal Wells Fargo & Co
P
2012-12-14
2019-09-19
1,496 shares GS Access Trsy
P
2017-07-10
2019-01-04
1,791 shares GS Access Trsy
P
2017-07-10
2019-03-07
127 shares Microsoft Corp
P
2012-11-14
2019-07-05
500 shares Applied Materials Inc
P
2018-08-22
2019-07-30
500 shares Boeing Co
P
2018-11-26
2019-10-21
1,000 shares Dycom Inds Inc
P
2018-11-21
2019-03-18
50 shares Garrett Motion Inc
P
2018-06-19
2019-02-11
500 shares Honeywell Intl Inc
P
2018-06-19
2019-06-18
500 shares Kraft Heinz Co
P
2018-03-08
2019-02-22
4,015 shares Power Corp Canada
P
2006-01-01
2019-11-06
Principal Apollo Invt
P
2014-06-06
2019-08-12
500 shares Applied Materials Inc
P
2018-06-19
2019-07-30
Principal Arcelormittl
P
2012-10-22
2019-08-30
Principal BAALT04-5-3A2
P
2013-02-27
2019-06-25
Principal BAALT04-111C
P
2014-02-03
2019-07-05
Principal BAMSI 04-J3A1
P
2014-11-25
2019-06-25
Principal Boeing Sr Nt
P
2010-04-20
2019-10-28
500 shares Boeing Co
P
2016-01-28
2019-10-21
Principal Burlington
P
2009-09-22
2019-10-01
Principal CWMBS
P
2014-06-13
2019-12-27
Principal CWMBS
P
2014-02-13
2019-01-01
Principal CWMBS
P
2014-05-15
2019-01-01
Principal CWMBS
P
2013-10-28
2019-01-01
Principal CWHEQ
P
2016-03-23
2019-02-25
500 shares Chesapk Engy
P
2018-11-13
2019-12-05
Principal Co SPrgs Co
P
2010-04-20
2019-12-02
Fractional Corteva Inc
P
2017-09-06
2019-06-06
1,313 shares Dominion Energy Inc
P
2006-01-01
2019-02-22
Fractional Dow Inc
P
2017-09-06
2019-04-05
Fractional Dupont De Nemours Inc
P
2017-09-06
2019-06-05
1,000 shares Dycom Inds Inc
P
2017-06-14
2019-03-18
Principal Gallatin MT
P
2010-04-20
2019-07-01
Principal Helena MT
P
2010-04-20
2019-01-02
1,000 shares Huntsman Corp
P
2006-01-01
2019-11-14
Principal RAST 03-A10A2
P
2013-05-22
2019-01-01
Principal RAST 04-A1A1
P
2006-01-01
2019-12-26
500 shares Intl Business Machs Corp
P
2018-02-06
2019-07-30
1,000 shares Kinder Morgan Inc
P
2014-05-20
2019-06-18
1,500 shares Kraft Heinz Co
P
2006-01-01
2019-02-22
500 shares Microchip Technology Inc
P
2012-08-06
2019-03-18
Principal MSCII 04-32A4
P
2013-06-04
2019-01-01
1,000 shares Northwestern Corp
P
2012-10-26
2019-07-30
Principal PMT 03-2 A11
P
2013-05-23
2019-01-01
8,814 shares Resolute Forest Prods
P
2006-01-01
2019-11-14
83 shares Resideo Techs Inc
P
2018-06-19
2019-11-14
500 shares Royal Dutch Shell
P
2014-05-27
2019-06-18
1,634 shares SPX Corp
P
2016-03-30
2019-10-31
Principal Shell Intl
P
2006-01-01
2019-09-23
Merger Shire PLC Spon Adr
P
2017-08-04
2019-01-10
Principal SURF 04-AA1
P
2012-02-17
2019-01-25
Principal Wal Mart
P
2010-04-20
2019-02-01
Principal WA St D
P
2010-04-20
2019-01-02
Principal WA St
P
2010-04-20
2019-07-01
Principal WFMBS 04-GA3
P
2014-11-25
2019-10-25
517 shares Liberty Latin Amer C
P
2016-02-11
2019-11-14
1,000 shares Mellanox Techs Ltd
P
2016-10-26
2019-03-11
Principal BAALT04-5-3A2
P
2006-01-01
2019-01-01
Principal BAALT04-64-A1
P
2006-01-01
2019-01-01
Principal BAALT04-102
P
2006-01-01
2019-01-01
Principal BAALT 04-111C
P
2006-01-01
2019-01-01
Principal BAMSI3-82NC2
P
2006-01-01
2019-01-01
Principal BAMSI 04-J3A1
P
2006-01-01
2019-01-01
Principal BAFCP04-23A10
P
2006-01-01
2019-01-01
Principal BSAT 04-6IIA1
P
2006-01-01
2019-01-01
Principal CWALT 04-12CB
P
2006-01-01
2019-01-01
Principal CWALT 04-16CB
P
2006-01-01
2019-01-01
Principal CWALT 04-22 26.25
P
2006-01-01
2019-01-01
Principal CWALT28CB-3A1
P
2006-01-01
2019-01-01
Principal CWMBS03-J12A1
P
2006-01-01
2019-01-01
Principal CWMBS04-19A12
P
2006-01-01
2019-01-01
Principal CWMBS03J141A25.25
P
2006-01-01
2019-01-01
Principal CWMBS 04-J2A6
P
2006-01-01
2019-01-01
Principal CWMBS 04-4 A9
P
2006-01-01
2019-01-01
Principal CWMBS HYB6A3
P
2006-01-01
2019-01-01
Principal CWHEQ S2A3
P
2006-01-01
2019-01-01
Principal CSFB0329VIIA1
P
2006-01-01
2019-01-01
Principal CSFB03-27VA4
P
2006-01-01
2019-01-01
Principal CSFB03-233A6
P
2006-01-01
2019-01-01
Principal CSFB04-8IIIA3
P
2006-01-01
2019-01-01
Principal FNMA 04-60JC
P
2006-01-01
2019-01-01
Principal GMACM 04-J2A85.75
P
2006-01-01
2019-01-01
Principal ICT 04-42A1
P
2006-01-01
2019-01-01
Principal RAST 04-A3A4
P
2006-01-01
2019-01-01
Principal RAST 04-A1A1
P
2006-01-01
2019-01-01
Principal JPMMT05-S12A2
P
2006-01-01
2019-01-01
Principal MAST 03123A7
P
2006-01-01
2019-01-01
Principal MARMT ARM44A1
P
2006-01-01
2019-01-01
Principal MALT 03-22A
P
2006-01-01
2019-01-01
Principal MALT 03-7 6A1
P
2006-01-01
2019-01-01
Principal MALT 04-67A1
P
2006-01-01
2019-01-01
Principal MALT 04-ALT7
P
2006-01-01
2019-01-01
Principal MALT 04-137A1
P
2006-01-01
2019-01-01
Principal RESI 05-QS3IA25.5
P
2006-01-01
2019-01-01
Principal SARM 04-201A1
P
2006-01-01
2019-01-01
Principal WAMU02-AR19A6
P
2006-01-01
2019-01-01
Principal WMMS 05-1 1A1
P
2006-01-01
2019-01-01
Principal WMMS 05-16A1
P
2006-01-01
2019-01-01
Principal WFMBS 04-GA3
P
2006-01-01
2019-01-01
Principal CWMBS 04-9A5
P
2019-07-10
2019-08-29
Principal CWMBS 04-9A5
P
2019-07-10
2019-10-28
Principal CMSI 05-5IA1
P
2019-07-10
2019-07-30
Principal CMSI 05-5IA1
P
2019-07-10
2019-09-25
Principal CMSI 05-5IA1
P
2019-07-10
2019-11-26
27 shares FT Sab Bkr Dozn
P
2006-01-01
2019-02-20
Principal WAMU 04-Rs1A3
P
2019-07-10
2019-10-28
Principal WAMU 04-Rs1A3
P
2019-07-10
2019-11-26
Principal FT Stifel Best 12/17
P
2019-01-24
2018-01-23
4,950 shares FT Sab Bkr Dozn
P
2019-02-20
2018-01-23
Principal FT Stifel Best 5/18
P
2019-07-01
2018-06-28
Principal FT SAB Ba
P
2019-11-20
2018-10-23
Principal FHMT 05AR12A1
P
2019-09-25
2017-01-31
Principal BAALT 04-012
P
2006-01-01
2019-09-25
Principal BSAT 03-6
P
2006-01-01
2019-01-01
Principal CWALT28CB-3A1
P
2006-01-01
2019-01-01
Principal CWALT28CB-6A1
P
2006-01-01
2019-01-01
Principal CWMBS04-19A12
P
2006-01-01
2019-01-01
Principal CWMBS 04-4
P
2006-01-01
2019-09-25
Principal CWMBS04-292A1
P
2006-01-01
2019-01-01
Principal CWMBS 04-252A1VAR
P
2006-01-01
2019-01-01
Principal FHMT 04AA2IIA1VAR
P
2006-01-01
2019-01-01
Principal FHMT 05AR12A1
P
2006-01-01
2019-01-01
Principal GMACM 04-J2A85
P
2006-01-01
2019-01-01
Principal ICT 04-42A1
P
2006-01-01
2019-01-01
Principal RAST 04-A2
P
2006-01-01
2019-01-01
Principal RAST 04-AR43A
P
2006-01-01
2019-01-01
Principal IMI 04-AR65A1
P
2006-01-01
2019-01-01
Principal MALT 04-67A1
P
2006-01-01
2019-01-01
Principal MALT 04-ALT7
P
2006-01-01
2019-01-01
Principal RESI5-QS3IA11
P
2006-01-01
2019-01-01
Principal SARM 04-201A1
P
2006-01-01
2019-01-01
Principal WAMU02-AR19A6
P
2006-01-01
2019-01-01
387 shares McDonalds Corp
P
2006-01-01
2019-07-15
163 shares Union Pacific Corp
P
2017-07-19
2019-03-01
1,092 shares Walgreens Boots Alliance
P
2006-01-01
2019-04-02
300 shares Fastenal Co
P
2018-05-04
2019-02-19
671 shares Johnson & Johnson
P
2006-01-01
2019-01-18
188 shares Schlumberger LTD
P
2019-07-31
2019-12-18
1,126 shares Schlumberger LTD
P
2006-01-01
2019-12-18
481 shares Starbucks Corp
P
2018-05-04
2019-07-10
9 shares WABTEC Corp
P
2019-01-31
2019-01-01
Principal Bank of Montreal
P
2018-07-11
2019-05-29
Principal United Technologies
P
2018-08-30
2019-04-22
4060 shares UBS Group AG
P
2006-01-01
2019-01-01
25 shares Alphabet Inc
P
2012-09-05
2019-09-25
500 shares Ameriprise Finl Inc
P
2006-01-01
2019-01-01
95 shares Berkshire Hathaway Inc
P
2015-07-01
2019-09-25
1,000 shares Comcast Corp
P
2006-01-01
2019-01-01
200 shares Cummins Inc
P
2016-03-23
2019-09-25
20 shares Garrett Motion Inc
P
2014-05-29
2019-08-20
200 shares Honeywell International Inc
P
2014-05-29
2019-09-25
200 shares McKesson Corp
P
2012-11-09
2019-08-20
4,647 shares PIMCO Foreign Bd Fd USD
P
2012-04-03
2019-08-16
33 shares Resideo Technologies Inc
P
2014-05-29
2019-08-20
275 shares Visa Inc
P
2016-02-02
2019-08-20
500 shares American Express Company
P
2006-01-01
2019-01-01
280 shares Apple Computer Inc
P
2013-02-01
2019-11-04
Principal Bank of America Corp
P
2006-01-01
2019-02-01
800 shares Bayer A G Sponsored
P
2017-04-26
2019-12-12
205 shares Berkshire Hathaway Inc
P
2006-01-01
2019-01-01
105 shares CME Group Inc
P
2006-01-01
2019-11-04
Principal CVS Health Corp
P
2018-09-11
2019-01-01
600 shares Chevron Corp
P
2000-08-01
2019-01-01
Principal Dow Chemical Co
P
2006-01-01
2019-11-12
Principal Dow DuPont Inc
P
2018-11-15
2019-12-17
500 shares Emerson Electric Co
P
2005-08-11
2019-11-04
350 shares Exxon Mobil Corporation
P
1970-03-03
2019-12-12
Principal Fed natl Mtg Assn
P
2015-02-24
2019-01-01
1,700 shares General Electric Co
P
1971-06-14
2019-09-25
Principal JPMorgan Chase & Co
P
2006-01-01
2019-09-26
200 shares Johnson & Johnson
P
2005-12-08
2019-09-25
350 shares McDonalds Corp
P
2003-10-22
2019-01-01
300 shares Nextera Energy Inc
P
1991-03-25
2019-01-01
14,162 shares PIMCO Foreign Bd Fd USD
P
2006-01-01
2019-08-16
1,000 shares Pepsico Inc
P
1973-02-09
2019-01-01
Principal Procter & Gamble Co
P
2006-01-01
2019-08-20
600 shares Public Svc Enterprise Group Inc
P
2002-05-07
2019-08-20
700 shares Roche Holdings Ltd
P
2018-01-30
2019-12-12
500 shares Schlumberger Ltd
P
2006-01-01
2019-11-04
7,962 shares Templeton Global Bond Fd
P
2009-12-21
2019-08-16
105 shares Thermo Fischer Scientific Inc
P
2006-01-01
2019-11-04
350 shares 3M Co
P
1972-06-23
2019-11-04
200 shares Tractor Supply Co Com
P
2017-03-10
2019-12-12
500 shares Travelers Cos Inc
P
2006-01-01
2019-01-01
Principal US Treasury Note 2.125%
P
2015-07-02
2019-09-25
Principal US Treasury Note 3.125%
P
2006-01-01
2019-01-01
Principal US Treasury Note 2.000%
P
2017-02-27
2019-07-18
Principal United Technologies
P
2015-02-24
2019-04-22
225 shares Visa Inc
P
2016-02-02
2019-12-12
500 shares Accenture PLC
P
2006-11-02
2019-01-01
1,500 shares UBS Group AG
P
2018-01-30
2019-11-04
(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
5,613
6,136
-523
b
3,700
3,209
491
c
9,877
8,025
1,852
d
2,297
979
1,318
e
5,343
1,344
3,999
2,377
1,980
397
15,860
11,748
4,112
15,783
9,198
6,585
3,426
1,635
1,791
16,155
8,292
7,863
2,348
2,219
129
22,560
15,783
6,777
8,159
6,607
1,552
17,954
13,543
4,411
18,946
13,275
5,671
4,745
2,404
2,341
9,976
4,808
5,168
13,726
7,915
5,811
2,356
1,014
1,342
20,051
25,695
-5,644
2,763
2,088
675
56,985
47,543
9,442
25,000
25,334
-334
25,000
25,000
50,000
50,000
30,118
33,456
-3,338
25,000
25,000
14,206
18,629
-4,423
25,000
25,000
10,000
10,005
-5
50,000
50,000
50,000
49,944
56
22,943
20,637
2,306
35,225
28,093
7,132
25,000
25,000
25,000
25,000
38,095
31,975
6,120
26,364
27,795
-1,431
16,791
29,589
-12,798
14,575
14,578
-3
79,928
22,092
57,836
83,114
63,589
19,525
28,369
32,107
-3,738
50,000
50,000
25,000
25,000
57,851
79,776
-21,925
50,000
49,980
20
50,000
50,000
149,737
40,227
109,510
49,814
45,930
3,884
5,000
5,000
25,000
25,000
25,000
25,000
70,443
59,680
10,763
60,020
30,787
29,233
90,525
63,484
27,041
19,002
18,098
904
31
33
-2
1,006
1,015
-9
24,535
26,881
-2,346
10,740
18,750
-8,010
25,000
25,000
47,821
50,000
-2,179
25,000
25,000
25,159
25,000
159
24,946
23,184
1,762
25,000
25,000
9,153
9,977
-824
57,323
57,363
-40
16,285
5,020
11,265
50,000
50,000
25,000
25,000
14,448
9,078
5,370
33,711
21,075
12,636
24,932
39,703
-14,771
16,984
16,189
795
55,000
55,000
3,633
3,614
19
44,387
44,414
-27
8,085
6,607
1,478
25,239
25,000
239
25,000
25,000
19,000
17,211
1,789
24,827
21,521
3,306
26,139
24,999
1,140
2,106
970
1,136
3,511
1,616
1,895
5,664
2,586
3,078
1,417
647
770
1,524
1,524
40,000
40,000
149,718
149,645
73
179,304
179,154
150
17,324
3,446
13,878
25,514
21,610
3,904
165,027
156,200
8,827
49,423
66,690
-17,267
738
796
-58
88,069
70,968
17,101
17,595
33,465
-15,870
96,358
74,645
21,713
25,000
25,000
25,514
24,190
1,324
30,845
29,790
1,055
7,341
7,546
-205
23,062
23,072
-10
18,167
16,988
1,179
25,000
25,500
-500
165,027
57,910
107,117
15,000
15,103
-103
15,000
15,151
-151
2,000
2,030
-30
4,000
4,020
-20
3,000
3,000
133
138
-5
9,415
27,575
-18,160
25,000
25,500
-500
9
11
-2
98,227
97,004
1,223
19
22
-3
25
32
-7
49,423
88,830
-39,407
50,000
50,000
75,000
76,500
-1,500
23,150
23,088
62
26,000
26,782
-782
74
74
74,929
75,706
-777
20,820
33,256
-12,436
52,784
109,385
-56,601
42,556
14,351
28,205
10,000
10,276
-276
70,157
35,270
34,887
4,000
4,121
-121
36,583
141,059
-104,476
776
2,125
-1,349
31,975
39,758
-7,783
75,193
24,244
50,949
45,000
45,184
-184
93,381
77,865
15,516
12,249
12,523
-274
25,000
25,475
-475
45,000
45,000
5,000
5,000
44,522
44,527
-5
9,492
16,236
-6,744
118,518
44,250
74,268
1,154
1,154
876
876
33,877
33,877
2,117
2,117
5,816
5,816
353
353
411
411
7,757
7,757
81
81
2,617
2,617
3,354
3,354
5,129
5,129
568
568
2,555
2,555
3,393
3,393
2,840
2,840
4,145
4,145
6,686
6,686
1,942
1,942
41
41
2,930
2,930
2,733
2,733
2,903
2,903
1,197
1,197
6,272
6,272
1,492
1,492
969
969
397
397
1,339
1,339
4,097
4,097
2,305
2,305
3,789
3,789
865
865
4,372
4,372
10,879
10,879
5,986
5,986
15,238
15,238
24,241
24,241
24,032
24,032
740
740
470
470
12,223
12,223
1,000
1,006
-6
1,000
1,006
-6
2,000
2,025
-25
1,000
1,012
-12
1,000
1,012
-12
233
244
-11
1,000
971
29
1,000
971
29
47,296
56,035
-8,739
43,402
50,002
-6,600
377,141
383,396
-6,255
35,860
31,691
4,169
9,966
9,971
-5
1,250
1,250
7,251
7,251
6,828
6,828
5,106
5,106
1,696
1,696
1,024
1,024
7,529
7,529
5,394
5,394
29,495
29,495
15,835
15,835
4,046
4,046
260
260
22,418
22,418
9,498
9,498
7,464
7,464
5,709
5,709
2,078
2,078
6,010
6,010
2,058
2,058
960
960
82,724
60,378
22,346
27,288
17,465
9,823
60,490
83,811
-23,321
18,754
15,126
3,628
87,562
82,473
5,089
7,490
7,583
-93
44,860
78,977
-34,117
42,532
27,682
14,850
620
703
-83
20,122
19,990
132
10,033
9,886
147
49,508
48,158
1,350
30,655
8,539
22,116
66,965
54,661
12,304
19,649
13,028
6,621
45,015
16,038
28,977
32,139
21,676
10,463
222
199
23
33,315
17,724
15,591
29,032
18,689
10,343
52,695
49,887
2,808
474
527
-53
49,340
20,196
29,144
60,223
18,535
41,688
71,973
18,206
53,767
16,590
18,493
-1,903
15,457
23,537
-8,080
45,446
17,074
28,372
20,737
5,785
14,952
25,461
24,977
484
71,941
23,705
48,236
27,103
27,655
-552
20,309
20,032
277
36,312
17,158
19,154
24,490
167
24,323
41,873
41,035
838
15,352
451
14,901
35,796
38,254
-2,458
26,270
12,096
14,174
75,554
8,351
67,203
66,675
4,553
62,122
160,594
149,656
10,938
133,180
1,092
132,088
45,588
44,557
1,031
35,011
13,911
21,100
26,872
21,690
5,182
18,135
38,336
-20,201
85,748
97,544
-11,796
31,672
5,773
25,899
60,941
819
60,122
19,662
14,484
5,178
70,449
19,292
51,157
25,200
25,217
-17
40,050
43,014
-2,964
25,283
25,158
125
20,067
20,864
-797
41,111
16,524
24,587
97,953
16,475
81,478
18,382
30,750
-12,368
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
-523
b
491
c
1,852
d
1,318
e
3,999
397
4,112
6,585
1,791
7,863
129
6,777
1,552
4,411
5,671
2,341
5,168
5,811
1,342
-5,644
675
9,442
-334
-3,338
-4,423
-5
56
2,306
7,132
6,120
-1,431
-12,798
-3
57,836
19,525
-3,738
-21,925
20
109,510
3,884
10,763
29,233
27,041
904
-2
-9
-2,346
-8,010
-2,179
159
1,762
-824
-40
11,265
5,370
12,636
-14,771
795
19
-27
1,478
239
1,789
3,306
1,140
1,136
1,895
3,078
770
73
150
13,878
3,904
8,827
-17,267
-58
17,101
-15,870
21,713
1,324
1,055
-205
-10
1,179
-500
107,117
-103
-151
-30
-20
-5
-18,160
-500
-2
1,223
-3
-7
-39,407
-1,500
62
-782
74
-777
-12,436
-56,601
28,205
-276
34,887
-121
-104,476
-1,349
-7,783
50,949
-184
15,516
-274
-475
-5
-6,744
74,268
-6
-6
-25
-12
-12
-11
29
29
-8,739
-6,600
-6,255
4,169
-5
22,346
9,823
-23,321
3,628
5,089
-93
-34,117
14,850
-83
132
147
1,350
22,116
12,304
6,621
28,977
10,463
23
15,591
10,343
2,808
-53
29,144
41,688
53,767
-1,903
-8,080
28,372
14,952
484
48,236
-552
277
19,154
24,323
838
14,901
-2,458
14,174
67,203
62,122
10,938
132,088
1,031
21,100
5,182
-20,201
-11,796
25,899
60,122
5,178
51,157
-17
-2,964
125
-797
24,587
81,478
-12,368
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
1,274,832
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
-21,977
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
2017
2016
2015
2014
2
Total
of line 1, column (d)
.....................
2
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
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5
Multiply line 4 by line 3
......................
5
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7
Add lines 5 and 6
........................
7
8
Enter qualifying distributions from Part XII, line 4
,.............
8
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
48,069
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
3
Add lines 1 and 2
...........................
3
48,069
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
48,069
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
40,000
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
25,000
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
65,000
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
266
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
16,665
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
16,665
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(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)
MT
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
www.treacyfoundation.org
14
The books are in care of
Kimmy Skiftun
Telephone no.
(406) 443-3549
Located at
PO Box 1479
Helena
MT
ZIP+4
59624
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
Tom McCarvel
Chairman
1.00
2,400
PO Box 1479
Helena
,
MT
59624
Kelly O'Connell
Trustee
1.00
1,800
PO Box 1479
Helena
,
MT
59624
Colleen Brady
Trustee
1.00
1,200
PO Box 1479
Helena
,
MT
59624
Mike Cooney
Trustee
1.00
2,400
PO Box 1479
Helena
,
MT
59624
Kimmy Skiftun
Executive Direc
40.00
74,160
PO Box 1479
Helena
,
MT
59624
Michele Bazzanella
Trustee
1.00
2,400
PO Box 1479
Helena
,
MT
59624
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
...................
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
Wells Fargo
Investment advisor
68,865
6325 S Rainbow Blvd Ste 300
Las Vegas
,
NV
89118
Stifel Nicolaus
Investment advisor
101,792
One Financial Plaza 501 N Broadway
St Louis
,
MO
63102
Total
number of others receiving over $50,000 for professional services
.............
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
41,335,260
b
Average of monthly cash balances
.......................
1b
1,692,990
c
Fair market value of all other assets (see instructions)
................
1c
319,000
d
Total
(add lines 1a, b, and c)
.........................
1d
43,347,250
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
3
Subtract line 2 from line 1d
.........................
3
43,347,250
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
650,209
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
42,697,041
6
Minimum investment return.
Enter 5% of line 5
..................
6
2,134,852
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
2,134,852
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
48,069
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
48,069
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
2,086,783
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
2,086,783
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
2,086,783
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
1,993,543
b
Program-related investments—total from Part IX-B
..................
1b
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,993,543
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
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,993,543
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
2,086,783
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
1,923,710
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,993,543
a
Applied to 2018, but not more than line 2a
1,923,710
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
69,833
e
Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2019.
(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
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
2,016,950
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
Treacy Foundation
PO Box 1479
Helena
,
MT
59624
(406) 443-3549
b
The form in which applications should be submitted and information and materials they should include:
Grant information and applications can be obtained at the website; treacyfoundation.org. Organizations that apply for grants must qualify as an exempt organization under I.R.C. Section 501(c)(3). The organization should submit a letter outlining the needs of the grant.
c
Any submission deadlines:
May 1
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
The Treacy Foundation also awards scholarship grants to starting freshman and sophmore college students who are residents of Montana and Idaho. The scholarships are generally $ 3,000.00 per year and are renewable for 4 years provided the student requests renewal each year. Scholarships are not offered to junior, senior or graduate college students. The grants are paid directly to the school to be applied to the student's account rather than to the student directly. Scholarship applicants can obtain the application form from the website - treacyfoundation.org.Upon receipt of the student's application form, the application is reviewed by the Scholarship Selection Committee which meets between the first and the fifteenth day of May. The applicant will then be notified of his/her selection or nonselection following the review of all applicants.Once the student has been selected for a Treacy Foundation scholarship, they will receive a preference for renewal provided they write the Treacy Fo
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
Angel Fund
PO Box 7436
Helena
,
MT
59604
N/A
PC
Provide coats for students.
2,000
Big Brothers and Sisters
30 W 6th Ave
Helena
,
MT
59601
N/A
PC
Assist with funding for purchase of new equipment
1,000
Intermountain Childrens Home
500 South Lamborn
Helena
,
MT
59601
N/A
PC
Capital campaign.
50,000
Good Samaritan Thrift Store
PO Box 5177
Helena
,
MT
59601
N/A
PC
Assist with funding of new HVAC system
37,500
Exploration Works
995 Carousel Way
Helena
,
MT
59601
N/A
PC
Funding for remodel costs
18,750
Helena Education Foundation
55 S Rodney St
Helena
,
MT
59601
N/A
PC
Assist with funding for purchase of books
2,000
Special K Ranch
PO Box 479
Columbus
,
MT
59019
N/A
PC
Support of capital campaign
40,000
Yellowstone Foundation
222 East Main St Ste 301
Bozeman
,
MT
59715
N/A
PC
Support of capital campaign
15,000
Family Promise
PO Box 939
Helena
,
MT
59624
N/A
PC
Funding for remodel costs
4,700
Helena Food Share
1616 Lewis St
Helena
,
MT
59601
N/A
PC
Funding for purchase of food
11,000
Montana Non-Profit Association
432 N Last Chance Gulch
Helena
,
MT
59601
N/A
PC
Assist with funding of scholarships given.
1,000
Rocky Mountain Development Council
PO Box 1717
Helena
,
MT
59624
N/A
PC
Assist with funding for purchase of new equipment
20,000
Grandstreet Theatre
325 N Park
Helena
,
MT
59601
N/A
PC
Assist with funding for purchase of new equipment
10,000
Camp Bighorn
1850 M Highway 135
Plains
,
MT
59859
N/A
PC
Support of capital campaign
26,000
Flathead Biological Station
32125 Bio Station Lane
Polson
,
MT
59860
N/A
PC
Assist with funding of new heating system
30,000
Shane Lalani Center
PO Box 58
Livingston
,
MT
59047
N/A
PC
Support of capital campaign
75,000
YWCA Billings
909 Wyoming Ave
Billings
,
MT
59101
N/A
PC
Support of capital campaign
50,000
Zootown
235 N 1st
Missoula
,
MT
59802
N/A
PC
Support of capital campaign.
50,000
Leadership Montana
PO Box 5155
Bozeman
,
MT
59717
N/A
PC
Funding for remodel costs
2,000
Lost River Medical Center
551 Highland Dr
Arco
,
ID
83213
N/A
PC
Support of capital campaign
50,000
Madison-Thompson Hickman Library
PO Box 128
Virginia City
,
MT
59755
N/A
PC
Assist with funding for new roof
5,000
YWCA
PO Box 518
Helena
,
MT
59624
N/A
PC
Assist with funding for purchase of new equipment
10,000
Family Outreach
1236 Helena Ave
Helena
,
MT
59601
N/A
PC
Assist with funding of new heating system
20,000
Liberty Place
PO Box 446
Whitehall
,
MT
59759
N/A
PC
Assist with funding for a new building
27,000
Powder River First Responder
Box 125
Boyes
,
MT
59316
N/A
PC
Assist with funding for purchase of new equipment
9,000
Ronald McDonald House
1144 N 30th St
Billings
,
MT
59101
N/A
PC
Support of capital campaign.
83,000
St Jude's Thadeus School
PO Box 407
Havre
,
MT
59501
N/A
PC
To assist with purchase of solar panels for School.
25,000
Community Leadership Development In
109 1/2 S 32nd St
Billings
,
MT
59101
N/A
PC
Support of capital campaign
15,000
Emerson Center
111 S Grant Ave
Bozeman
,
MT
59715
N/A
PC
Assist with funding for new roof
38,000
Family Service Billings
PO Box 1020
Billings
,
MT
59103
N/A
Support of capital campaign.
50,000
Heisy Community Center
PO Box 5021
Great Falls
,
MT
59403
N/A
PC
Assist with funding of renovations.
5,000
Montana Wilderness Association
80 S Warren St
Helena
,
MT
59601
N/A
PC
Funding for remodel costs
15,000
Rocky Mountain College
1511 Poly Dr
Billings
,
MT
59102
N/A
PC
Assist with funding for purchase of new aircrafts
25,000
Alberta Bair Theater
2801 3rd Ave N
Billings
,
MT
59101
N/A
PC
Support of capital campaign
50,000
Glacier National Park
PO Box 128
West Glacier
,
MT
59936
N/A
GOV
Assist with funding for new roof
28,000
Liberty County Library
100 1st St E
Chester
,
MT
59522
N/A
PC
Funding for remodel costs
1,300
Meagher County Senior Center
101 1st Ave SE
White Sulphur Spring
,
MT
59645
N/A
PC
Funding for remodel costs
15,000
Roundup Memorial Hospital
1202 3rd St W
Roundup
,
MT
59072
N/A
PC
Support of capital campaign.
50,000
YWCA - Missoula
1130 W Broadway St
Missoula
,
MT
59802
N/A
PC
Support of capital campaign.
50,000
Anaconda Vietnam Memorial
PO Box 126
Anaconda
,
MT
59711
N/A
PC
Provide funding for memorial
20,000
Baker Assembly of God
801 Colorado Ave
Baker
,
MT
59313
N/A
PC
Assist with funding for a new roof
8,000
Barrett Hospital
600 MT Hwy 91S
Dillon
,
MT
59725
N/A
PC
Assist with funding for a new building
25,000
Big Sky Youth Empowerment Project
PO Box 6757
Bozeman
,
MT
59771
N/A
PC
Assist with funding for purchase of new equipment
5,000
Belgrade Senior Center
92 E Cameron Ave
Belgrade
,
MT
59714
N/A
PC
Assist with remodel costs
10,000
Billings Park Recreation
390 N 23rd St
Billings
,
MT
59101
N/A
PC
Funding for new playground equipment
5,000
Blankets and Bears
1133 Kootenai Ave
Billings
,
MT
59105
N/A
PC
Funding for purchase of blankets
2,100
Butte Food Bank
1019 E 2nd St
Butte
,
MT
59701
N/A
PC
Funding for purchase of food
5,000
Chester United Methodist Church
510 Monroe Ave
Chester
,
MT
59522
N/A
PC
Assist with remodel costs
5,000
Eastern Montana CASA
2705 E Main St
Miles City
,
MT
59301
N/A
PC
Assist with funding for purchase of new equipment
2,000
Flathead Luthern
550 Lutheran Camp Rd
Lakeside
,
MT
59922
N/A
PC
Assist with bathroom renovation costs
30,000
Flathead Valley Comm College
777 Grandview Dr
Kalispell
,
MT
59901
N/A
PC
Support of capital campaign
50,000
Frenchtown School
17620 Frenchtown Frontage Rd
Frenchtown
,
MT
59834
N/A
PC
Assist with funding for purchase of new equipment
9,582
Great Falls Clinic Legacy
1400 29th St S
Great Falls
,
MT
59405
N/A
PC
Support of capital campaign
50,000
Jefferson County Fire Department
13 Spring St
Jefferson City
,
MT
59638
N/A
PC
Assist with remodel costs
6,800
Lewistown Art Center
323 W Main St
Lewistown
,
MT
59457
N/A
PC
Assist with funding for purchase of new equipment
2,400
Liberty Medical Center
315 W Madison Ave
Chester
,
MT
59522
N/A
PC
Assist with remodel costs
20,000
Montana State University - Northern
PO Box 7751
Havre
,
MT
59501
N/A
PC
Support of capital campaign
50,000
Montana Wilderness School
PO Box 1183
Bozeman
,
MT
59771
N/A
PC
Assist with funding for purchase of new equipment
5,500
Ninepipes Museum
69316 US-93
Charlo
,
MT
59824
N/A
PC
Funding for restoration costs
10,000
North Idaho College
1000 W Garden
Coeur dAlene
,
ID
83814
N/A
PC
Assist with funding of learning center
6,000
Northwest Montana Historical Societ
124 2nd Ave E
Kalispell
,
MT
59901
N/A
PC
Assist with remodel costs
10,000
Peak Foundation
PO Box 36
Alberton
,
MT
59820
N/A
PC
Assist with fund for new skating park
25,000
Rising Star Academy
400 Missouri Ave
Deer Lodge
,
MT
59722
N/A
PC
Assist with funding for new roof
15,000
Rose Park Elementary School
1812 19th St W
Billings
,
MT
59102
N/A
PC
Funding for new playground equipment
5,000
Seeley Lake Comm Foundation
3150 Mount Hwy 83 N
Seeley Lake
,
MT
59868
N/A
PC
Funding for remodel costs
10,000
Sheridan Senior Center
PO Box 283
Sheridan
,
MT
59749
N/A
PC
Support of capital campaign
41,000
St Mary's Mission
315 Charlos St
Stevensville
,
MT
59870
N/A
PC
Assist with funding for new roof
20,000
Townsend School District
201 N Spruce St
Townsend
,
MT
59644
N/A
PC
Funding for new playground equipment
34,000
University of Montana Food Pantry
32 Campus Dr Rm 199
Missoula
,
MT
59812
N/A
PC
Funding for purchase of food
1,000
William Kohrs Memorial Library
501 Missouri Ave
Deer Lodge
,
MT
59722
N/A
PC
Assist with funding for new roof
8,300
Women's Resource Center
236 E Reeder St
Dillon
,
MT
59725
N/A
PC
Funding for remodel costs
30,000
Yellowstone Boys and Girls Club
1732 S 72nd St W
Billings
,
MT
59106
N/A
PC
Assist with remodel costs
2,100
Zion Luthern Church
401 Riverview Ave
Glendive
,
MT
59330
N/A
PC
Assist with remodel costs
5,000
Camp Make-A-Dream
90 Church Rd
Goldcreek
,
MT
59733
N/A
PC
Funding for remodel costs
36,000
Flathead Food Bank
1203 Hwy 2 W
Kalispell
,
MT
59901
N/A
PC
Funding for purchase of food
5,000
Missoula Food Bank
1720 Wyoming St
Missoula
,
MT
59801
N/A
PC
Assist with funding of solar project
20,000
Various Higher Education Institutio
Various-see attached schedule
Various
,
MT
59601
N/A
PC
College scholarships paid directly to schools of higher learning.
288,166
Total
.................................
3a
1,900,198
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
1,417,344
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
1,274,832
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)
..
2,692,176
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
2,692,176
(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:
19009920
Software Version:
2019v5.0
Form 990PF - Special Condition Description:
Special Condition Description