-
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
PHILIP S MILLER FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 0634
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE
,
WI
532010634
A Employer identification number
84-6290472
B
Telephone number (see instructions)
(503) 464-3580
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)
$
33,115,795
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
715,693
702,531
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
102,553
b
Gross sales price for all assets on line 6a
10,032,505
7
Capital gain net income (from Part IV, line 2)
...
102,553
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)
.......
38,364
38,762
12
Total.
Add lines 1 through 11
........
856,610
843,846
13
Compensation of officers, directors, trustees, etc.
229,325
206,392
22,932
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)
.......
1,500
0
0
1,500
c
Other professional fees (attach schedule)
....
27,573
24,816
2,757
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
11,884
11,884
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)
.......
7,000
7,000
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
277,282
250,092
0
27,189
25
Contributions, gifts, grants paid
.......
1,400,000
1,400,000
26
Total expenses and disbursements.
Add lines 24 and 25
1,677,282
250,092
0
1,427,189
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-820,672
b
Net investment income
(if negative, enter -0-)
593,754
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
.........
1,324,151
954,630
954,630
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
16,864,720
15,329,480
20,255,138
c
Investments—corporate bonds (attach schedule)
.......
9,027,849
10,427,207
10,610,425
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
1,431,784
1,141,468
1,293,607
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
2,474
1,995
1,995
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
28,650,978
27,854,780
33,115,795
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
........
28,650,978
27,854,780
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)
.....
28,650,978
27,854,780
30
Total liabilities and net assets/fund balances
(see instructions)
.
28,650,978
27,854,780
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
28,650,978
2
Enter amount from Part I, line 27a
.....................
2
-820,672
3
Other increases not included in line 2 (itemize)
3
77,595
4
Add lines 1, 2, and 3
..........................
4
27,907,901
5
Decreases not included in line 2 (itemize)
5
53,121
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
27,854,780
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
294. ABB LTD A D R
2016-07-07
2019-01-08
b
394. BHP LTD SPONSORED ADR
2019-01-08
c
74. CNOOC LTD A D R
2019-01-08
d
1020. CANON INC ADR REPSTG 5 SHS
2016-07-07
2019-01-08
e
28. CHINA PETROLEUM CHEM A D R
2019-01-08
861. EQUINOR ASA SPON ADR
2019-01-08
457. FRESENIUS MED AKTIENGESELLSCHAFT ADR
2019-01-08
620. HONDA MOTOR LTD ADR COMMON 50YEN
2019-01-08
55. JOHNSON & JOHNSON
2018-09-04
2019-01-08
194. KONINKLIJKE PHILIPS NVR NY A D R
2019-01-08
33. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-07-07
2019-01-08
442. RELX PLC SPON A D R
2016-07-07
2019-01-08
59. SONY CORP AMERN SH NEW
2017-08-21
2019-01-08
7. SONY CORP AMERN SH NEW
2018-11-29
2019-01-08
1303. TEVA PHARMACEUTICALS INDS LTD ADR
2019-01-08
250000. ORACLE CORP 2.375% 1/15/19
2013-07-17
2019-01-15
7. AVIANCA HOLDINGS A D R
2018-04-09
2019-01-18
717. AVIANCA HOLDINGS A D R
2019-01-18
64. BHP LTD SPONSORED ADR
2018-10-05
2019-01-18
167. CNOOC LTD A D R
2019-01-18
392. CANON INC ADR REPSTG 5 SHS
2016-07-07
2019-01-18
147. CHINA PETROLEUM CHEM A D R
2019-01-18
376. EQUINOR ASA SPON ADR
2019-01-18
255. EQUINOR ASA SPON ADR
2018-10-30
2019-01-18
74. FRESENIUS MED AKTIENGESELLSCHAFT ADR
2018-10-17
2019-01-18
372. FRESENIUS MED AKTIENGESELLSCHAFT ADR
2019-01-18
163.00054 INTERCONTINENTAL HOTELS A D R
2019-01-18
83.99946 INTERCONTINENTAL HOTELS A D R
2018-03-06
2019-01-18
577. KONINKLIJKE PHILIPS NVR NY A D R
2019-01-18
266. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-07-07
2019-01-18
289. RELX PLC SPON A D R
2019-01-18
125. SANOFI-SYNTHELABO SPONSORED ADR
2018-11-13
2019-01-18
16. SMITH NEPHEW P L C A D R
2017-11-16
2019-01-18
175. SONY CORP AMERN SH NEW
2019-01-18
357. ALTRIA GROUP INC
2016-11-01
2019-01-22
148. ALTRIA GROUP INC
2019-01-17
2019-01-22
109. KELLOGG CO
2018-03-07
2019-01-22
26683.426 AQR MANAGED FUTURES STR I
2015-12-11
2019-01-25
28680.278 SALIENT MLP ENERGY INFRASTRUCTURE I
2016-03-02
2019-01-25
785. ALTRIA GROUP INC
2019-01-29
.2 INTERCONTINENTAL HOTELS A D R
2018-01-03
2019-01-29
287. AEGON N V NY REG SHR
2018-04-11
2019-01-30
86. CNOOC LTD A D R
2019-01-30
425. CANON INC ADR REPSTG 5 SHS
2016-07-07
2019-01-30
1277. EQUINOR ASA SPON ADR
2019-01-30
393. KONINKLIJKE PHILIPS NVR NY A D R
2018-06-12
2019-01-30
144. NATIONAL GRID PLC A D R
2019-01-18
2019-01-30
201. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-07-07
2019-01-30
24. NICE SYS LTD SPONSORED A D R
2018-01-17
2019-01-30
128. PETRO CHINA COMPANY LTD A D R
2019-01-30
1188. CHEFS WAREHOUSE HOLDINGS LLC
2016-06-24
2019-02-01
662. FOX FACTORY HOLDING CORP
2016-07-07
2019-02-01
736. AEGON N V NY REG SHR
2019-02-11
55. CNOOC LTD A D R
2017-12-13
2019-02-11
348. CANON INC ADR REPSTG 5 SHS
2019-02-11
4. FAST RETAILING CO UNSPON A D R
2018-05-04
2019-02-11
51. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-07-07
2019-02-11
116. NOVARTIS AG SPONSORED ADR
2018-11-29
2019-02-11
76. NOVARTIS AG SPONSORED ADR
2017-10-18
2019-02-11
141. NOVO-NORDISK A S SPONSORED ADR
2018-04-02
2019-02-11
56. ORIX CORP SPONS A D R
2019-02-11
74. ORIX CORP SPONS A D R
2019-02-11
55. PETRO CHINA COMPANY LTD A D R
2018-01-03
2019-02-11
98. PETRO CHINA COMPANY LTD A D R
2019-02-11
35. SMITH NEPHEW P L C A D R
2017-11-16
2019-02-11
189. SONY CORP AMERN SH NEW
2017-10-19
2019-02-11
39. CREDICORP LTD
2019-01-30
2019-02-11
1017. ELLIE MAE INC
2019-02-14
599. ELLIE MAE INC
2019-02-14
281. KELLOGG CO
2019-02-19
827. KELLOGG CO
2017-11-14
2019-02-19
1. BANK OF AMERICA CLASS ACTION PROCEEDS
1911-11-11
2019-02-19
409. AEGON N V NY REG SHR
2018-05-04
2019-02-26
6. CNOOC LTD A D R
2018-02-22
2019-02-26
32. CARNIVAL PLC A D R
2018-11-29
2019-02-26
185. COMPANHIA BRASILEIRA DE DIST A D R
2019-02-26
222. CIA CERVECERIAS UNIDAS A D R
2018-12-11
2019-02-26
21. FAST RETAILING CO UNSPON A D R
2019-02-26
139. NATIONAL GRID PLC A D R
2019-02-11
2019-02-26
7. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-07-07
2019-02-26
799. NOVARTIS AG SPONSORED ADR
2019-02-26
7. NOVARTIS AG SPONSORED ADR
2017-10-18
2019-02-26
75. ORIX CORP SPONS A D R
2019-02-26
13. PETRO CHINA COMPANY LTD A D R
2018-01-03
2019-02-26
286. SONY CORP AMERN SH NEW
2019-02-26
43196.544 AQR LONG SHORT EQUITY I
2018-04-11
2019-02-27
177. ADECCO SA A D R
2017-11-30
2019-03-08
614. BARCLAYS PLC COM
2018-10-30
2019-03-08
32. CNOOC LTD A D R
2018-02-22
2019-03-08
64. CARNIVAL PLC A D R
2018-11-29
2019-03-08
479. COMPANHIA BRASILEIRA DE DIST A D R
2019-01-18
2019-03-08
31. FAST RETAILING CO UNSPON A D R
2017-12-13
2019-03-08
73. INTERCONTINENTAL HOTELS A D R
2018-03-30
2019-03-08
160. NESTLE S A SPONSORED ADR REPSTG REG SH
2019-03-08
79. NOVARTIS AG SPONSORED ADR
2018-08-23
2019-03-08
71. ORIX CORP SPONS A D R
2019-03-08
66. PETRO CHINA COMPANY LTD A D R
2018-01-03
2019-03-08
509. SMITH NEPHEW P L C A D R
2019-03-08
182. SONY CORP AMERN SH NEW
2017-10-06
2019-03-08
49. BOEING COMPANY
2019-03-12
1. PFIZER INC COM
1911-11-11
2019-03-13
35. CNOOC LTD A D R
2019-03-20
124. CARNIVAL PLC A D R
2019-03-20
30. FAST RETAILING CO UNSPON A D R
2019-03-20
181. FERGUSON PLC ADR
2019-01-08
2019-03-20
76.8 INTERCONTINENTAL HOTELS A D R
2019-03-20
124.2 INTERCONTINENTAL HOTELS A D R
2019-03-20
242. NOVARTIS AG SPONSORED ADR
2019-03-20
92. ORIX CORP SPONS A D R
2019-03-20
170. SMITH NEPHEW P L C A D R
2019-03-20
216. SONY CORP AMERN SH NEW
2017-10-06
2019-03-20
644. ALLEGION PLC
2017-09-21
2019-03-22
8. BOEING COMPANY
2017-03-21
2019-03-25
276. COMCAST CORP CL A
2016-11-01
2019-03-25
89. J P MORGAN CHASE & CO
2019-01-17
2019-03-25
82. MICROSOFT CORP COM
2016-11-01
2019-03-25
228. AEGON N V NY REG SHR
2018-05-04
2019-04-02
1196. BARCLAYS PLC COM
2019-04-02
87. CNOOC LTD A D R
2019-04-02
203. CRH PLC ADR
2019-03-20
2019-04-02
181. CARNIVAL PLC A D R
2019-04-02
10. FAST RETAILING CO UNSPON A D R
2017-12-13
2019-04-02
75.95 INTERCONTINENTAL HOTELS A D R
2019-04-02
24.05 INTERCONTINENTAL HOTELS A D R
2018-11-29
2019-04-02
179. KONINKLIJKE PHILIPS NVR NY A D R
2019-04-02
90. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-04-19
2019-04-02
9. NICE SYS LTD SPONSORED A D R
2018-03-12
2019-04-02
201. NOVARTIS AG SPONSORED ADR
2019-04-02
127. ORIX CORP SPONS A D R
2019-04-02
135. PETRO CHINA COMPANY LTD A D R
2019-04-02
93. SMITH NEPHEW P L C A D R
2019-04-02
13. ADIDAS AG A D R
2016-07-07
2019-04-15
18. CNOOC LTD A D R
2017-11-16
2019-04-15
70. CNOOC LTD A D R
2019-04-15
207. FERGUSON PLC ADR
2019-01-08
2019-04-15
151. INTERCONTINENTAL HOTELS A D R
2019-04-15
281. KOREA ELEC PWR CORP SPONSORED ADR
2019-04-15
179. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-04-19
2019-04-15
48. NICE SYS LTD SPONSORED A D R
2018-03-12
2019-04-15
93. NOVO-NORDISK A S SPONSORED ADR
2019-04-15
18. NOVO-NORDISK A S SPONSORED ADR
2017-12-27
2019-04-15
122. ORIX CORP SPONS A D R
2019-04-15
292. SMITH NEPHEW P L C A D R
2019-04-15
100.0015 UNILEVER PLC COM
2019-04-02
2019-04-15
174.9985 UNILEVER PLC COM
2019-04-02
2019-04-15
.3333 DOW INC
2017-02-22
2019-04-17
94. FERGUSON PLC ADR
2019-01-08
2019-04-25
102. KONINKLIJKE PHILIPS NVR NY A D R
2019-04-25
455. KOREA ELEC PWR CORP SPONSORED ADR
2019-01-18
2019-04-25
25. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-04-19
2019-04-25
137. NICE SYS LTD SPONSORED A D R
2019-04-25
155. NOVO-NORDISK A S SPONSORED ADR
2018-05-16
2019-04-25
83. ORIX CORP SPONS A D R
2019-04-25
464. SMITH NEPHEW P L C A D R
2019-04-25
8. WNS HOLDINGS LTD ADR
2018-04-13
2019-04-25
624. FIAT CHRYSLER AUTOMOBILES NV
2019-03-20
2019-04-25
872. TEXAS ROADHOUSE INC
2019-04-29
94. APPLE COMPUTER INC
2016-11-01
2019-04-30
44. BOEING COMPANY
2017-03-21
2019-04-30
146. EXXON MOBIL CORP
2016-04-19
2019-04-30
133. INTEL CORP COM
2018-04-17
2019-04-30
51. ELI LILLY & CO
2019-01-17
2019-04-30
9. ELI LILLY & CO
2017-08-08
2019-04-30
135. PHILIP MORRIS INTL
2019-04-30
90. LYONDELLBASELL INDUSTRIES CL A
2019-04-30
118. LYONDELLBASELL INDUSTRIES CL A
2019-04-30
216. PAYCOM SOFTWARE INC
2018-03-28
2019-05-07
15. ADIDAS AG A D R
2016-07-07
2019-05-08
1045. AEGON N V NY REG SHR
2019-05-08
988. AEGON N V NY REG SHR
2018-01-08
2019-05-08
661. BHP LTD SPONSORED ADR
2019-05-08
77. BHP LTD SPONSORED ADR
2019-05-08
10. FAST RETAILING CO UNSPON A D R
2018-04-23
2019-05-08
7. INDUSTRIAS BACHOCO SAB DE CV A D R
2019-05-08
90. INTERCONTINENTAL HOTELS A D R
2018-10-30
2019-05-08
56. KONINKLIJKE PHILIPS NVR NY A D R
2018-05-30
2019-05-08
236. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-04-19
2019-05-08
79. ORIX CORP SPONS A D R
2019-05-08
168. RIO TINTO PLC SPONSORED ADR
2019-04-15
2019-05-08
467. SMITH NEPHEW P L C A D R
2019-05-08
100. UNILEVER PLC COM
2019-04-12
2019-05-08
72. EROS INTERNATIONAL PLC
2019-04-02
2019-05-08
1148. DHT HOLDINGS INC
2019-04-25
2019-05-08
150. APPLE COMPUTER INC
2016-11-01
2019-05-14
60. BOEING COMPANY
2017-03-21
2019-05-14
22. BOEING COMPANY
2019-01-17
2019-05-14
52. LYONDELLBASELL INDUSTRIES CL A
2019-01-17
2019-05-14
175. LYONDELLBASELL INDUSTRIES CL A
2016-11-01
2019-05-14
443. BHP LTD SPONSORED ADR
2019-05-20
1150. COMPANHIA SIDERURGICA NACIONAL A D R
2019-05-20
9. FAST RETAILING CO UNSPON A D R
2018-04-11
2019-05-20
366. KONINKLIJKE PHILIPS NVR NY A D R
2019-05-20
97. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-04-19
2019-05-20
23. NICE SYS LTD SPONSORED A D R
2018-04-23
2019-05-20
37. ORIX CORP SPONS A D R
2016-07-07
2019-05-20
363.99949 RIO TINTO PLC SPONSORED ADR
2019-04-15
2019-05-20
239.00051 RIO TINTO PLC SPONSORED ADR
2019-05-20
55. SMITH NEPHEW P L C A D R
2019-05-20
152. YUM CHINA HOLDINGS INC W I
2019-04-25
2019-05-20
149. EROS INTERNATIONAL PLC
2019-05-20
213. BANCO SANTANDER MEXICO A D R
2019-04-15
2019-05-31
3185. MELCO CROWN ENTERTAINMENT LMTD A D R
2019-05-31
17. NESTLE S A SPONSORED ADR REPSTG REG SH
2016-04-19
2019-05-31
583. NOVO-NORDISK A S SPONSORED ADR
2019-05-31
81. ORIX CORP SPONS A D R
2016-07-07
2019-05-31
55. SMITH NEPHEW P L C A D R
2016-07-07
2019-05-31
12. ADIDAS AG A D R
2016-07-07
2019-06-12
937. BARCLAYS PLC COM
2019-05-08
2019-06-12
1559. COMPANHIA SIDERURGICA NACIONAL A D R
2019-02-26
2019-06-12
806. LLOYDS BANKING GROUP P L C A D R
2019-05-08
2019-06-12
364.0016 MELCO CROWN ENTERTAINMENT LMTD A D R
2019-06-12
143.9984 MELCO CROWN ENTERTAINMENT LMTD A D R
2019-03-20
2019-06-12
270. NOVO-NORDISK A S SPONSORED ADR
2019-06-12
239. SMITH NEPHEW P L C A D R
2019-06-12
.3333 CORTEVA INC
2017-02-22
2019-06-18
.333 DUPONT DE NEMOURS INC WI
2017-02-22
2019-06-19
362. AAON INC
2018-06-12
2019-06-24
11712. AEGON N V NY REG SHR
2014-06-03
2019-06-24
47. ANSYS INC COMMON STOCK
2016-07-07
2019-06-24
180. ASPEN TECHNOLOGY INC COM
2016-06-24
2019-06-24
21212. AUTO TRADER GROUP UNSP A D R
2018-03-22
2019-06-24
152. AUTOHOME INC
2016-06-24
2019-06-24
164. AVALARA INC
2019-03-05
2019-06-24
8953. BANCO BILBAO VIZCAYA ARGEN A D R
2019-06-24
338. BLACKLINE INC
2019-03-06
2019-06-24
323. CHEFS WAREHOUSE HOLDINGS LLC
2016-06-24
2019-06-24
1410. CHINA MOBILE HONG KONG LTD SPONSORED ADR
2015-11-16
2019-06-24
376. COPART INC COM
2016-07-07
2019-06-24
425. DOCUSIGN INC
2018-05-01
2019-06-24
174. DONALDSON CO INC
2016-06-24
2019-06-24
2220. EMBRAER SA A D R
2015-05-26
2019-06-24
48. FACTSET RESEARCH SYSTEMS INC
2016-07-07
2019-06-24
505. FOX FACTORY HOLDING CORP
2016-07-07
2019-06-24
136. H E I C O CORPORATION CL A
2016-06-24
2019-06-24
354. INTERACTIVE BROKERS GROUP CL A
2019-06-24
54. MARKETAXESS HLDGS INC
2016-07-07
2019-06-24
297. MOELIS CO
2018-12-06
2019-06-24
148. MORNINGSTAR INC
2017-08-23
2019-06-24
167. NVE CORP
2016-06-24
2019-06-24
120. OLD DOMINION FGHT LINE INC
2016-09-23
2019-06-24
172. OLLIES BARGAIN OUTLET HOLDI
2016-06-24
2019-06-24
124. PAYCOM SOFTWARE INC
2016-07-07
2019-06-24
66. PRICE SMART INC
2016-06-24
2019-06-24
91. RBC BEARINGS INC
2016-07-01
2019-06-24
1982. RIGHTMOVE PLC UNSP A D R
2018-02-14
2019-06-24
19942. KONINKLIJKE ROYAL KPN NV SP ADR
2014-03-20
2019-06-24
1643. SCHLUMBERGER LTD ISIN #AN8068571086
2019-06-24
50. U S PHYSICAL THERAPY INC
2017-10-06
2019-06-24
4341. VODAFONE GROUP PLC A D R
2019-06-24
4346. WILLIAM HILL PLC UNSPON A D R
2014-03-20
2019-06-24
67. APPLE COMPUTER INC
2016-11-01
2019-06-25
1361. BANK OF NEW YORK MELLON CORP
2019-06-25
61.6667 CORTEVA INC
2019-06-25
251.3333 CORTEVA INC
2019-06-25
38. MCDONALDS CORP
2016-11-01
2019-06-25
373. MICROSOFT CORP COM
2019-06-25
1593. AEGON N V NY REG SHR
2019-06-26
30. BT GROUP LLC ADR WI COM
2019-03-20
2019-06-26
239. DANONE SPONS A D R
2016-04-19
2019-06-26
8. FAST RETAILING CO UNSPON A D R
2019-06-26
299. HSBC HLDGS PLC SPONSORED ADR NEW
2019-05-08
2019-06-26
13. INDUSTRIAS BACHOCO SAB DE CV A D R
2016-04-19
2019-06-26
346. NESTLE S A SPONSORED ADR REPSTG REG SH
2019-06-26
323. NOVO-NORDISK A S SPONSORED ADR
2019-06-26
338. PEARSON P L C A D R
2019-01-08
2019-06-26
163. SMITH NEPHEW P L C A D R
2017-05-03
2019-06-26
927. AEGON N V NY REG SHR
2018-03-06
2019-07-08
1529. COMPANHIA SIDERURGICA NACIONAL A D R
2019-02-26
2019-07-08
424. DANONE SPONS A D R
2019-07-08
96. FAST RETAILING CO UNSPON A D R
2017-12-13
2019-07-08
126. FERGUSON NEWCO PLC A D R
2019-01-08
2019-07-08
151. HSBC HLDGS PLC SPONSORED ADR NEW
2019-05-08
2019-07-08
315. NESTLE S A SPONSORED ADR REPSTG REG SH
2019-07-08
460. NOVO-NORDISK A S SPONSORED ADR
2019-07-08
35. PEARSON P L C A D R
2019-01-08
2019-07-08
500000. TOYOTA MOTOR MTN 2.125% 7/18/19
2016-12-09
2019-07-18
164. CIA SANEAMENTO BASICO DE A D R
2019-01-30
2019-07-19
152. HSBC HLDGS PLC SPONSORED ADR NEW
2019-05-08
2019-07-19
676. LLOYDS BANKING GROUP P L C A D R
2019-04-15
2019-07-19
127. NESTLE S A SPONSORED ADR REPSTG REG SH
2019-07-19
3. NICE SYS LTD SPONSORED A D R
2018-04-23
2019-07-19
17283.097 T ROWE PRICE REAL ESTATE FD
2019-07-19
43. WPP PLC SPONSORED A D R
2019-07-19
56. APPLE COMPUTER INC
2016-11-01
2019-07-23
150. JOHNSON & JOHNSON
2019-07-23
207. WAL MART STORES INC
2019-07-23
17705.382 BARON EMERGING MARKETS INSTITUTIONAL
2016-08-19
2019-07-29
28749.202 T ROWE PRICE REAL ESTATE FD
2017-02-02
2019-07-29
940. ENERSUS S A RT 7/23/19
2019-07-31
540.9993 BT GROUP LLC ADR WI COM
2019-08-02
48.0007 BT GROUP LLC ADR WI COM
2019-03-20
2019-08-02
1227. BANCO SANTANDER MEXICO A D R
2019-04-15
2019-08-02
858. CRH PLC ADR
2019-08-02
166. DANONE SPONS A D R
2016-07-07
2019-08-02
306. LLOYDS BANKING GROUP P L C A D R
2019-08-02
140. NATIONAL GRID PLC A D R
2019-07-19
2019-08-02
111. NICE SYS LTD SPONSORED A D R
2018-04-23
2019-08-02
557. COCA COLA EUROREAN PARTNERS
2019-08-02
1203. EROS INTERNATIONAL PLC
2019-08-02
250000. TEXAS INSTRUMENTS 1.650% 8/03/19
2013-05-15
2019-08-03
253. LITTELFUSE INC
2018-06-22
2019-08-05
183. CISCO SYS INC
2018-04-17
2019-08-06
485. PVH CORP
2019-08-13
43. BHP LTD SPONSORED ADR
2019-06-12
2019-08-16
319. CRH PLC ADR
2019-05-31
2019-08-16
125. INTERCONTINENTAL HOTELS A D R
2019-07-08
2019-08-16
73. LEXINFINTECH HLDGS LTD A D R
2019-04-15
2019-08-16
4429. LLOYDS BANKING GROUP P L C A D R
2019-08-16
51. NICE SYS LTD SPONSORED A D R
2019-08-16
417.00032 RIO TINTO PLC SPONSORED ADR
2019-08-16
6.99968 RIO TINTO PLC SPONSORED ADR
2019-04-15
2019-08-16
151. UNILEVER PLC COM
2019-07-19
2019-08-16
65. WPP PLC SPONSORED A D R
2019-08-16
879. QIAGEN N V
2019-08-16
1096. DHT HOLDINGS INC
2019-05-20
2019-08-16
93. EXXON MOBIL CORP
2019-01-17
2019-08-20
433. PFIZER INC COM
2018-04-17
2019-08-20
797. PFIZER INC COM
2019-08-20
211. SYNOPSYS INC COM
2017-07-18
2019-08-20
414. OLD DOMINION FGHT LINE INC
2018-02-09
2019-08-22
1123. BHP LTD SPONSORED ADR
2019-09-03
1124. CIA SANEAMENTO BASICO DE A D R
2019-09-03
646. RIO TINTO PLC SPONSORED ADR
2019-09-03
147. COCA COLA EUROREAN PARTNERS
2019-05-08
2019-09-03
149. QIAGEN N V
2019-03-20
2019-09-03
724. HYATT HOTELS CORP - CL A
2018-03-19
2019-09-06
1776. BT GROUP LLC ADR WI COM
2019-09-13
188. HSBC HLDGS PLC SPONSORED ADR NEW
2019-05-08
2019-09-13
35. IMPERIAL BRANDS PLC A D R
2018-10-30
2019-09-13
394. RELX PLC SPON A D R
2019-09-13
30. RIO TINTO PLC SPONSORED ADR
2019-09-13
34. SMITH NEPHEW P L C A D R
2017-05-03
2019-09-13
254.00085 SMITH NEPHEW P L C A D R
2019-09-03
2019-09-13
98.99915 SMITH NEPHEW P L C A D R
2019-09-03
2019-09-13
157. COCA COLA EUROREAN PARTNERS
2019-09-13
1141. DHT HOLDINGS INC
2019-09-13
161. BB & T CORPORATION COMMON STOCK
2018-08-21
2019-09-18
149. GENERAL MOTORS CO
2018-04-17
2019-09-18
925. PFIZER INC COM
2019-09-18
1604. MOELIS CO
2018-03-21
2019-09-19
540. MOELIS CO
2018-12-06
2019-09-19
18. BHP LTD SPONSORED ADR
2019-05-31
2019-09-26
517. CIA SANEAMENTO BASICO DE A D R
2019-09-26
120. FERGUSON NEWCO PLC A D R
2019-01-08
2019-09-26
518. HSBC HLDGS PLC SPONSORED ADR NEW
2019-09-26
221. IMPERIAL BRANDS PLC A D R
2019-09-26
154. PEARSON P L C A D R
2019-09-26
702. RIO TINTO PLC SPONSORED ADR
2019-09-26
260. SMITH NEPHEW P L C A D R
2019-09-26
455. COCA COLA EUROREAN PARTNERS
2019-09-26
274. QIAGEN N V
2019-09-26
64. GENERAL DYNAMICS CORP
2016-11-01
2019-10-01
326. CRH PLC ADR
2019-09-13
2019-10-11
366. CIA SANEAMENTO BASICO DE A D R
2019-02-11
2019-10-11
537. DANONE SPONS A D R
2016-07-07
2019-10-11
481. HSBC HLDGS PLC SPONSORED ADR NEW
2019-10-11
194. MELCO CROWN ENTERTAINMENT LMTD A D R
2019-10-11
711. NVE CORP
2019-10-11
620. PEARSON P L C A D R
2019-10-11
99. SMITH NEPHEW P L C A D R
2019-08-06
2019-10-11
52. SMITH NEPHEW P L C A D R
2017-04-05
2019-10-11
131. COCA COLA EUROREAN PARTNERS
2019-01-08
2019-10-11
117. QIAGEN N V
2019-03-08
2019-10-11
32. DUPONT DE NEMOURS INC WI
2019-01-17
2019-10-15
281. DUPONT DE NEMOURS INC WI
2019-10-15
1072. DONALDSON CO INC
2019-10-17
1365. SS&C TECHNOLOGIES HOLDINGS
2017-10-04
2019-10-22
276. CIA SANEAMENTO BASICO DE A D R
2019-02-11
2019-10-25
1711. CREDIT SUISSE GROUP A D R
2019-09-26
2019-10-25
914. DANONE SPONS A D R
2019-10-25
165. HSBC HLDGS PLC SPONSORED ADR NEW
2019-10-25
81. NOVO-NORDISK A S SPONSORED ADR
2017-02-03
2019-10-25
569. PEARSON P L C A D R
2019-10-25
40. SMITH NEPHEW P L C A D R
2017-04-05
2019-10-25
601. SMITH NEPHEW P L C A D R
2019-10-25
154. WNS HOLDINGS LTD ADR
2019-10-25
16. WPP PLC SPONSORED A D R
2019-05-08
2019-10-25
37. QIAGEN N V
2019-03-08
2019-10-25
23. BLACKROCK INC
2016-11-01
2019-10-29
2074. COPART INC COM
2019-10-29
54. WALT DISNEY CO
2019-04-30
2019-10-29
62. HONEYWELL INTERNATIONAL INC COMMON STOCK
2016-11-01
2019-10-29
151. JOHNSON & JOHNSON
2018-02-20
2019-10-29
27. LOCKHEED MARTIN CORP
2018-02-07
2019-10-29
33. NEXTERA ENERGY INC
2016-11-01
2019-10-29
109. PEPSICO INC
2016-11-01
2019-10-29
102. PUBLIC STORAGE INC COMMON STOCK
2016-11-01
2019-10-29
69. WEC ENERGY GROUP INC
2017-09-05
2019-10-29
59. INGERSOLL RAND PLC
2017-07-11
2019-10-29
424. CIA SANEAMENTO BASICO DE A D R
2019-02-11
2019-11-08
398. DANONE SPONS A D R
2019-11-08
130. NOVO-NORDISK A S SPONSORED ADR
2019-09-26
2019-11-08
64. NOVO-NORDISK A S SPONSORED ADR
2017-02-03
2019-11-08
94. PEARSON P L C A D R
2019-11-08
413. PEARSON P L C A D R
2019-11-08
600. UNILEVER PLC COM
2019-11-08
231. WPP PLC SPONSORED A D R
2019-11-08
1086. QIAGEN N V
2019-11-08
47. APPLE COMPUTER INC
2016-11-01
2019-11-12
187. DOW INC
2019-04-30
2019-11-12
23. EXXON MOBIL CORP
2019-11-12
81. EXXON MOBIL CORP
2019-01-17
2019-11-12
133. J P MORGAN CHASE & CO
2019-11-12
91. MICROSOFT CORP COM
2016-11-16
2019-11-12
127. PHILIP MORRIS INTL
2016-11-01
2019-11-12
35. 3M CO
2019-11-12
104. VALERO ENERGY CORP NEW COM
2019-11-12
32119.914 ALLIANZGI EMERGING MARKETS OPPS
2017-08-17
2019-11-20
464. BARCLAYS PLC COM
2019-10-25
2019-11-25
206. CIA SANEAMENTO BASICO DE A D R
2019-02-11
2019-11-25
1663. ERICSSON LM TEL SP A D R
2019-11-25
23. NICE SYS LTD SPONSORED A D R
2019-10-25
2019-11-25
6. NOVO-NORDISK A S SPONSORED ADR
2019-09-26
2019-11-25
96. NOVO-NORDISK A S SPONSORED ADR
2018-11-13
2019-11-25
548. PEARSON P L C A D R
2019-11-25
697. VODAFONE GROUP PLC A D R
2019-11-25
143. WNS HOLDINGS LTD ADR
2019-11-25
288. WPP PLC SPONSORED A D R
2019-11-25
27. COCA COLA EUROREAN PARTNERS
2019-01-08
2019-11-25
63. NXP SEMICONDUCTORS NV
2019-09-26
2019-11-25
361. QIAGEN N V
2019-02-11
2019-11-25
60. AMEREN CORP
2018-08-21
2019-11-26
112. CMS ENERGY CORP COM
2016-11-01
2019-11-26
51. COMCAST CORP CL A
2016-11-01
2019-11-26
92. EVERSOURCE ENERGY
2018-08-21
2019-11-26
60. KLA-TENCOR CORP COM
2017-10-09
2019-11-26
75. MARSH & MCLENNAN COS INC COM
2019-11-26
126. PFIZER INC COM
2016-11-01
2019-11-26
22. PUBLIC STORAGE INC COMMON STOCK
2019-01-17
2019-11-26
102. PUBLIC STORAGE INC COMMON STOCK
2016-11-01
2019-11-26
415. GENERAL DYNAMICS CORP
2016-11-01
2019-12-10
46. GENERAL DYNAMICS CORP
2019-01-17
2019-12-10
634. BARCLAYS PLC COM
2019-12-12
12. MELCO CROWN ENTERTAINMENT LMTD A D R
2019-12-12
111. NICE SYS LTD SPONSORED A D R
2019-12-12
509. PEARSON P L C A D R
2019-12-12
74. SILICON MOTION TECHNOLOGY CORP A D R
2019-11-25
2019-12-12
40. SONY CORP AMERN SH NEW
2019-11-08
2019-12-12
245. WPP PLC SPONSORED A D R
2019-05-20
2019-12-12
116. COCA COLA EUROREAN PARTNERS
2019-01-08
2019-12-12
54. NXP SEMICONDUCTORS NV
2019-12-12
666. QIAGEN N V
2019-12-12
491. COPART INC COM
2017-12-11
2019-12-18
1488. ROLLINS INC COM
2018-09-17
2019-12-18
1. QUALITY SYSTEMS INC
1911-11-11
2019-12-23
81. BAXTER INTL INC
2018-12-11
2019-12-27
105. GENERAL MOTORS CO
2019-01-17
2019-12-27
657. GENERAL MOTORS CO
2019-12-27
121. MERCK AND CO INC
2018-08-21
2019-12-27
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
5,743
5,754
-11
b
19,627
20,050
-423
c
11,849
12,702
-853
d
28,379
28,747
-368
e
2,079
2,599
-520
19,436
22,714
-3,278
15,182
22,922
-7,740
17,675
20,490
-2,815
7,127
7,367
-240
6,719
9,848
-3,129
2,739
2,584
155
9,340
7,604
1,736
2,932
2,273
659
348
364
-16
23,108
27,997
-4,889
250,000
252,923
-2,923
32
60
-28
3,315
4,340
-1,025
3,092
3,153
-61
27,768
26,001
1,767
11,028
11,048
-20
11,712
13,098
-1,386
8,487
8,451
36
5,756
6,499
-743
2,601
3,045
-444
13,075
14,791
-1,716
9,403
10,770
-1,367
4,845
5,559
-714
20,594
25,182
-4,588
22,525
20,828
1,697
6,231
4,843
1,388
5,168
5,648
-480
611
577
34
8,752
6,733
2,019
15,989
23,458
-7,469
6,628
6,989
-361
6,357
7,551
-1,194
218,537
290,316
-71,779
205,638
163,392
42,246
35,999
50,511
-14,512
12
13
-1
1,472
2,050
-578
14,086
12,780
1,306
12,229
11,978
251
28,507
26,056
2,451
14,762
16,885
-2,123
7,732
7,490
242
17,400
15,738
1,662
2,588
2,213
375
8,150
9,975
-1,825
38,294
18,431
19,863
40,720
11,485
29,235
3,724
5,182
-1,458
8,983
7,764
1,219
9,986
9,778
208
173
180
-7
4,397
3,993
404
10,255
10,463
-208
6,719
6,646
73
6,839
6,936
-97
4,081
4,822
-741
5,393
6,318
-925
3,438
3,925
-487
6,127
7,085
-958
1,341
1,262
79
8,370
7,066
1,304
8,989
9,304
-315
100,621
67,180
33,441
59,264
52,948
6,316
16,227
19,576
-3,349
47,758
53,982
-6,224
60
60
2,156
2,871
-715
1,052
884
168
1,850
1,935
-85
4,705
4,678
27
6,378
5,608
770
961
830
131
7,837
7,569
268
639
548
91
73,146
68,261
4,885
641
612
29
5,467
6,272
-805
872
928
-56
13,769
10,674
3,095
492,009
600,000
-107,991
4,473
6,684
-2,211
5,035
5,386
-351
5,330
4,713
617
3,452
3,871
-419
11,141
11,501
-360
1,443
1,218
225
4,347
4,895
-548
14,685
12,348
2,337
7,032
6,622
410
4,957
5,845
-888
4,173
4,710
-537
19,572
18,343
1,229
8,259
6,723
1,536
18,285
12,997
5,288
126
126
6,143
5,002
1,141
6,920
7,098
-178
1,455
1,180
275
1,262
1,217
45
4,718
5,094
-376
7,629
8,128
-499
22,463
19,265
3,198
6,500
7,331
-831
6,781
5,997
784
9,410
7,979
1,431
56,871
53,816
3,055
2,936
1,410
1,526
10,807
8,477
2,330
8,822
9,151
-329
9,612
4,904
4,708
1,122
1,600
-478
9,952
10,184
-232
16,161
11,873
4,288
6,409
6,402
7
9,306
9,691
-385
469
393
76
4,704
4,753
-49
1,490
1,426
64
7,113
7,580
-467
8,525
6,933
1,592
1,113
895
218
19,059
15,239
3,820
9,209
9,687
-478
8,878
9,438
-560
3,734
3,276
458
1,664
907
757
3,368
2,449
919
13,097
11,289
1,808
1,441
1,392
49
9,701
8,767
934
3,571
4,234
-663
16,802
13,788
3,014
6,059
4,771
1,288
4,673
4,842
-169
904
901
3
8,737
8,768
-31
11,430
10,241
1,189
5,705
5,765
-60
9,983
10,089
-106
20
21
-1
651
632
19
4,066
4,234
-168
5,466
6,845
-1,379
2,368
1,926
442
18,874
13,602
5,272
7,467
7,558
-91
5,753
5,772
-19
17,742
16,160
1,582
453
388
65
9,523
9,324
199
52,915
42,018
10,897
18,914
10,464
8,450
16,562
7,756
8,806
11,718
12,573
-855
6,790
7,134
-344
5,954
6,037
-83
1,051
741
310
11,651
13,149
-1,498
7,944
7,056
888
10,416
13,315
-2,899
44,462
22,965
21,497
2,129
1,046
1,083
5,120
6,535
-1,415
4,841
7,081
-2,240
33,881
32,777
1,104
3,947
3,998
-51
576
437
139
318
377
-59
5,881
4,909
972
2,324
2,320
4
22,741
18,179
4,562
5,538
5,316
222
9,698
10,485
-787
19,295
16,157
3,138
6,010
5,928
82
588
651
-63
6,295
6,032
263
28,193
16,698
11,495
20,617
10,577
10,040
7,560
7,822
-262
4,198
4,431
-233
14,127
13,641
486
23,106
21,099
2,007
4,200
4,064
136
528
387
141
14,739
14,843
-104
9,563
7,472
2,091
3,278
2,255
1,023
2,588
2,332
256
21,836
22,717
-881
14,337
14,993
-656
2,299
1,893
406
6,260
6,765
-505
1,184
1,364
-180
1,557
1,810
-253
61,982
76,509
-14,527
1,681
1,310
371
27,491
28,269
-778
5,697
5,104
593
2,317
1,893
424
1,741
837
904
7,066
7,740
-674
6,888
5,448
1,440
2,297
2,587
-290
7,322
8,298
-976
2,896
3,282
-386
14,129
11,610
2,519
10,294
8,184
2,110
9
11
-2
25
31
-6
17,635
12,025
5,610
56,334
102,830
-46,496
9,486
4,214
5,272
22,319
7,014
15,305
36,938
26,201
10,737
13,506
3,511
9,995
11,542
8,534
3,008
49,464
105,821
-56,357
18,268
15,980
2,288
10,617
5,011
5,606
63,354
81,873
-18,519
27,857
9,229
18,628
21,860
16,727
5,133
8,635
6,035
2,600
45,068
70,803
-25,735
14,109
7,679
6,430
40,510
8,762
31,748
13,863
3,544
10,319
18,740
13,753
4,987
18,065
8,042
10,023
10,268
7,510
2,758
21,092
12,058
9,034
11,878
9,714
2,164
17,250
8,059
9,191
15,420
4,121
11,299
28,121
5,579
22,542
3,392
5,912
-2,520
14,694
6,644
8,050
28,441
24,076
4,365
62,674
74,583
-11,909
63,668
140,914
-77,246
5,944
3,179
2,765
69,281
158,218
-88,937
31,986
100,262
-68,276
13,238
7,458
5,780
58,638
73,288
-14,650
1,703
2,068
-365
6,939
7,344
-405
7,826
4,264
3,562
50,211
22,288
27,923
7,688
11,063
-3,375
381
460
-79
4,058
3,523
535
484
329
155
12,301
12,840
-539
672
684
-12
35,536
25,927
9,609
16,409
13,046
3,363
3,457
4,291
-834
6,987
5,406
1,581
4,709
6,424
-1,715
6,774
5,343
1,431
7,144
6,184
960
5,756
3,771
1,985
898
848
50
6,308
6,484
-176
32,706
23,040
9,666
23,070
16,248
6,822
364
444
-80
500,000
503,012
-3,012
2,317
1,894
423
6,268
6,527
-259
1,872
2,298
-426
13,246
9,189
4,057
443
294
149
492,050
490,998
1,052
2,460
2,736
-276
11,615
6,234
5,381
19,299
19,888
-589
23,094
16,923
6,171
249,823
212,415
37,408
832,864
809,003
23,861
152
152
6,239
8,247
-2,008
554
736
-182
8,405
10,429
-2,024
27,419
27,473
-54
2,817
2,390
427
738
1,007
-269
7,258
7,312
-54
16,740
10,885
5,855
30,840
31,751
-911
1,774
10,701
-8,927
250,000
251,118
-1,118
39,136
59,150
-20,014
9,527
8,156
1,371
36,319
54,538
-18,219
2,103
2,371
-268
10,204
10,009
195
7,885
8,523
-638
784
996
-212
10,385
13,778
-3,393
7,744
4,960
2,784
20,357
25,988
-5,631
342
437
-95
9,211
9,475
-264
3,764
4,346
-582
30,399
35,460
-5,061
5,833
6,684
-851
6,416
6,673
-257
15,011
15,752
-741
27,630
34,095
-6,465
27,573
15,956
11,617
68,034
54,469
13,565
54,545
59,827
-5,282
13,528
12,412
1,116
32,184
39,833
-7,649
8,223
7,974
249
5,135
5,980
-845
53,831
57,771
-3,940
18,706
24,532
-5,826
7,373
8,073
-700
945
1,209
-264
9,091
9,392
-301
1,648
1,814
-166
1,587
1,128
459
11,853
12,193
-340
4,620
4,752
-132
8,762
8,366
396
6,846
6,720
126
8,441
8,548
-107
5,699
5,863
-164
33,835
28,894
4,941
55,236
80,694
-25,458
18,596
18,405
191
892
935
-43
6,008
5,632
376
865
807
58
19,855
22,151
-2,296
4,991
7,614
-2,623
1,397
1,911
-514
36,331
40,444
-4,113
12,651
8,364
4,287
25,281
22,205
3,076
9,056
10,737
-1,681
11,604
9,614
1,990
11,076
11,526
-450
4,481
3,982
499
9,352
7,732
1,620
18,419
19,960
-1,541
3,946
5,103
-1,157
44,519
41,225
3,294
5,373
7,539
-2,166
4,671
4,729
-58
2,453
1,622
831
7,407
6,094
1,313
3,175
4,543
-1,368
2,106
2,676
-570
18,490
23,269
-4,779
55,589
36,833
18,756
67,815
55,974
11,841
3,612
3,003
609
21,457
21,027
430
14,946
13,023
1,923
6,500
6,797
-297
4,387
2,739
1,648
4,865
6,814
-1,949
1,741
1,248
493
26,151
24,048
2,103
9,424
7,127
2,297
996
1,012
-16
1,067
1,437
-370
10,753
7,854
2,899
175,861
49,782
126,079
7,038
7,415
-377
10,709
6,506
4,203
19,565
19,834
-269
10,091
9,381
710
7,674
4,156
3,518
14,907
11,608
3,299
23,913
21,007
2,906
6,376
4,515
1,861
7,570
5,489
2,081
5,500
4,613
887
6,438
5,467
971
7,440
6,835
605
3,663
2,164
1,499
843
1,173
-330
3,705
4,710
-1,005
35,926
38,685
-2,759
14,862
14,596
266
34,132
41,753
-7,621
12,303
5,232
7,071
10,214
10,601
-387
1,592
1,975
-383
5,606
5,812
-206
17,183
13,652
3,531
13,362
5,414
7,948
10,678
12,207
-1,529
5,975
6,563
-588
10,430
8,568
1,862
874,625
900,000
-25,375
4,090
4,050
40
2,643
2,241
402
15,058
13,763
1,295
3,491
3,477
14
335
315
20
5,362
4,256
1,106
4,609
6,712
-2,103
14,044
14,093
-49
8,927
4,530
4,397
18,503
17,837
666
1,353
1,256
97
7,465
6,858
607
15,075
13,330
1,745
4,447
3,845
602
6,869
4,666
2,203
2,206
1,566
640
7,588
5,772
1,816
9,743
6,237
3,506
8,119
4,877
3,242
4,835
3,900
935
4,635
4,481
154
21,491
21,007
484
75,345
62,341
13,004
8,352
7,579
773
5,707
5,529
178
265
334
-69
17,083
10,772
6,311
4,291
6,106
-1,815
3,573
3,259
314
2,689
2,415
274
15,936
14,899
1,037
5,796
5,396
400
6,706
5,659
1,047
27,641
24,565
3,076
44,178
21,564
22,614
48,963
63,000
-14,037
330
330
6,824
5,362
1,462
3,826
3,976
-150
23,937
25,454
-1,517
11,076
8,412
2,664
339
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
-11
b
-423
c
-853
d
-368
e
-520
-3,278
-7,740
-2,815
-240
-3,129
155
1,736
659
-16
-4,889
-2,923
-28
-1,025
-61
1,767
-20
-1,386
36
-743
-444
-1,716
-1,367
-714
-4,588
1,697
1,388
-480
34
2,019
-7,469
-361
-1,194
-71,779
42,246
-14,512
-1
-578
1,306
251
2,451
-2,123
242
1,662
375
-1,825
19,863
29,235
-1,458
1,219
208
-7
404
-208
73
-97
-741
-925
-487
-958
79
1,304
-315
33,441
6,316
-3,349
-6,224
60
-715
168
-85
27
770
131
268
91
4,885
29
-805
-56
3,095
-107,991
-2,211
-351
617
-419
-360
225
-548
2,337
410
-888
-537
1,229
1,536
5,288
126
1,141
-178
275
45
-376
-499
3,198
-831
784
1,431
3,055
1,526
2,330
-329
4,708
-478
-232
4,288
7
-385
76
-49
64
-467
1,592
218
3,820
-478
-560
458
757
919
1,808
49
934
-663
3,014
1,288
-169
3
-31
1,189
-60
-106
-1
19
-168
-1,379
442
5,272
-91
-19
1,582
65
199
10,897
8,450
8,806
-855
-344
-83
310
-1,498
888
-2,899
21,497
1,083
-1,415
-2,240
1,104
-51
139
-59
972
4
4,562
222
-787
3,138
82
-63
263
11,495
10,040
-262
-233
486
2,007
136
141
-104
2,091
1,023
256
-881
-656
406
-505
-180
-253
-14,527
371
-778
593
424
904
-674
1,440
-290
-976
-386
2,519
2,110
-2
-6
5,610
-46,496
5,272
15,305
10,737
9,995
3,008
-56,357
2,288
5,606
-18,519
18,628
5,133
2,600
-25,735
6,430
31,748
10,319
4,987
10,023
2,758
9,034
2,164
9,191
11,299
22,542
-2,520
8,050
4,365
-11,909
-77,246
2,765
-88,937
-68,276
5,780
-14,650
-365
-405
3,562
27,923
-3,375
-79
535
155
-539
-12
9,609
3,363
-834
1,581
-1,715
1,431
960
1,985
50
-176
9,666
6,822
-80
-3,012
423
-259
-426
4,057
149
1,052
-276
5,381
-589
6,171
37,408
23,861
152
-2,008
-182
-2,024
-54
427
-269
-54
5,855
-911
-8,927
-1,118
-20,014
1,371
-18,219
-268
195
-638
-212
-3,393
2,784
-5,631
-95
-264
-582
-5,061
-851
-257
-741
-6,465
11,617
13,565
-5,282
1,116
-7,649
249
-845
-3,940
-5,826
-700
-264
-301
-166
459
-340
-132
396
126
-107
-164
4,941
-25,458
191
-43
376
58
-2,296
-2,623
-514
-4,113
4,287
3,076
-1,681
1,990
-450
499
1,620
-1,541
-1,157
3,294
-2,166
-58
831
1,313
-1,368
-570
-4,779
18,756
11,841
609
430
1,923
-297
1,648
-1,949
493
2,103
2,297
-16
-370
2,899
126,079
-377
4,203
-269
710
3,518
3,299
2,906
1,861
2,081
887
971
605
1,499
-330
-1,005
-2,759
266
-7,621
7,071
-387
-383
-206
3,531
7,948
-1,529
-588
1,862
-25,375
40
402
1,295
14
20
1,106
-2,103
-49
4,397
666
97
607
1,745
602
2,203
640
1,816
3,506
3,242
935
154
484
13,004
773
178
-69
6,311
-1,815
314
274
1,037
400
1,047
3,076
22,614
-14,037
330
1,462
-150
-1,517
2,664
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
102,553
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
1,589,869
31,326,436
0.050752
2017
1,500,784
31,244,269
0.048034
2016
1,502,632
28,016,601
0.053634
2015
1,570,413
30,518,496
0.051458
2014
1,553,018
31,692,130
0.049003
2
Total
of line 1, column (d)
.....................
2
0.252881
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
0.050576
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
24,062,586
5
Multiply line 4 by line 3
......................
5
1,216,989
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
5,938
7
Add lines 5 and 6
........................
7
1,222,927
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,427,189
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
5,938
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
5,938
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
5,938
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
17,320
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
17,320
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
11,382
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
5,940
Refunded
11
5,442
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)
CO
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
US BANK
Telephone no.
(503) 464-3580
Located at
555 SW OAK
PORTLAND
OR
ZIP+4
97204
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
US BANK N A
TRUSTEE
1
229,325
PO BOX 0634
MILWAUKEE
,
WI
532010634
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
23,298,375
b
Average of monthly cash balances
.......................
1b
1,130,646
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
24,429,021
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
24,429,021
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
366,435
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
24,062,586
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,203,129
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
1,203,129
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
5,938
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
5,938
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,197,191
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
1,197,191
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
1,197,191
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
1,427,189
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
1,427,189
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
5,938
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,421,251
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
1,197,191
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
......
7,904
c
From 2016
......
139,148
d
From 2017
......
0
e
From 2018
......
58,185
f
Total
of lines 3a through e
........
205,237
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,427,189
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
.....
1,197,191
e
Remaining amount distributed out of corpus
229,998
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
435,235
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
......
435,235
10
Analysis of line 9:
a
Excess from 2015
....
7,904
b
Excess from 2016
....
139,148
c
Excess from 2017
....
0
d
Excess from 2018
....
58,185
e
Excess from 2019
....
229,998
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).)
NA
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.
NA
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
SHRINERS HOSPITALS FOR CHILDREN
2900 N ROCKY POINT DRIVE
TAMPA
,
FL
336071435
NONE
PC
GENERAL OPERATING
280,000
CHILDRENS HOSPITAL FOUNDATION
13123 E 16TH AVENUE B045
AURORA
,
CO
80045
NONE
PC
GENERAL OPERATING
280,000
DOUGLAS COUNTY FAIR FOUNDATION
500 FAIRGROUNDS DRIVE
CASTLE ROCK
,
CO
801042680
NONE
PC
GENERAL OPERATING
28,000
DOUGLAS COUNTY LIBRARY
100 S WILCOX STREET
CASTLE ROCK
,
CO
801041911
NONE
PC
GENERAL OPERATING
140,000
DOUGLAS COUNTY 4-H COUNCIL
410 FAIRGROUNDS ROAD
CASTLE ROCK
,
CO
801042680
NONE
PC
GENERAL OPERATING
28,000
TOWN OF CASTLE ROCK FIRE DEPARTMENT
ATTN EDWARD MCWILLIAMS
CASTLE ROCK
,
CO
801041907
NONE
PC
GENERAL OPERATING
308,000
DOUGLAS COUNTY
ATTN PAT NEEF
CASTLE ROCK
,
CO
80104
NONE
PC
GENERAL OPERATING
280,000
DOUGLAS COUNTY SCHOOL DISTRICT RE-1
701 PRAIRIE HAWK DR
CASTLE ROCK
,
CO
80109
NONE
PC
GENERAL OPERATING
56,000
Total
.................................
3a
1,400,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
715,693
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
102,553
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FED TAX REFUND
1
1,342
b
OTHER INCOME
1
26
c
WHITE OAKS ORDINAR
1
26,725
d
WHITE OAKS UBTI
900099
-1,740
e
WHITE OAKS OTHER I
1
12,011
12
Subtotal. Add columns (b), (d), and (e)
..
-1,740
858,350
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
856,610
(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