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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
CINCY PK BD TR UA FLEISCH ENDMT FD
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
52-6140558
B
Telephone number (see instructions)
(513) 632-4939
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)
$
766,273
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
...
17,476
17,472
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
81,366
b
Gross sales price for all assets on line 6a
1,148,072
7
Capital gain net income (from Part IV, line 2)
...
81,366
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
98,842
98,838
13
Compensation of officers, directors, trustees, etc.
4,338
3,904
434
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
1,522
217
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)
.......
200
200
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
6,060
4,121
0
634
25
Contributions, gifts, grants paid
.......
22,159
22,159
26
Total expenses and disbursements.
Add lines 24 and 25
28,219
4,121
0
22,793
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
70,623
b
Net investment income
(if negative, enter -0-)
94,717
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
.............
260
2
Savings and temporary cash investments
.........
25,518
9,553
9,553
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)
.......
558,922
470,481
501,332
c
Investments—corporate bonds (attach schedule)
.......
72,909
219,258
226,066
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
28,804
29,133
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
249
189
189
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
657,858
728,285
766,273
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
........
657,858
728,285
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)
.....
657,858
728,285
30
Total liabilities and net assets/fund balances
(see instructions)
.
657,858
728,285
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
657,858
2
Enter amount from Part I, line 27a
.....................
2
70,623
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
728,481
5
Decreases not included in line 2 (itemize)
5
196
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
728,285
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
1194.28 EATON VANCE GLOBAL MACRO FD CL I
2019-01-23
b
19. MICRON TECHNOLOGY INC COM
2018-09-14
2019-01-23
c
4. EDWARDS LIFESCIENCES CORP COM
2017-11-14
2019-01-29
d
10. WESTERN DIGITAL CORPORATION COM
2018-03-27
2019-01-29
e
11. AMERICAN TOWER CORP
2011-12-09
2019-02-08
61. BANK AMER CORP COM
2019-02-08
23. CENTENE CORP COM
2018-03-27
2019-02-08
19. RINGCENTRAL INC
2018-08-02
2019-02-08
15. SPLUNK INC
2017-08-01
2019-02-08
2. APTIV PLC
2018-09-14
2019-02-08
151.599 AQR LONG SHORT EQUITY I
2019-01-23
2019-03-04
1632.934 AQR LONG SHORT EQUITY I
2019-03-04
280.334 INV BALANCE RISK COMM STR Y
2019-01-23
2019-03-04
3864.063 INV BALANCE RISK COMM STR Y
2019-03-04
1045.637 BAIRD AGGREGATE BOND FD INSTL
2019-03-04
1722.672 FEDERATED INST HI YLD BD FD
2018-08-02
2019-03-04
80.128 HARDING LOEVNER FDS INC INTL EQUITY PR
2018-06-07
2019-03-04
2221.285 HARDING LOEVNER FDS INC INTL EQUITY PR
2019-03-04
295. ISHARES MSCI EMERGING MARKETS ETF
2019-03-04
1985. ISHARES MSCI EMERGING MARKETS ETF
2019-03-04
862. ISHARES CORE MSCI EAFE ETF
2018-01-24
2019-03-04
129. ISHARES CORE MSCI EAFE ETF
2019-03-04
1901.378 LOOMIS SAYLES STRATEGIC ALPHA FUND Y
2019-03-04
2011.498 NUVEEN REAL ESTATE SECUR R6
2019-03-04
1447.377 OPPENHEIMER SENIOR FLOATING RATE I
2019-03-04
4238.747 PRINCIPAL GL R E SEC INS
2019-03-04
262.821 ROBECO BOSTON PARTNERS L S RSRCH
2019-03-04
1061.322 ROBECO BOSTON PARTNERS L S RSRCH
2019-03-04
157.857 ROWE T PRICE MID CAP GROWTH FD INC
2019-03-04
78.663 ROWE T PRICE MID CAP GROWTH FD INC
2018-12-31
2019-03-04
435.657 ROWE T PRICE MID CAP GROWTH FD INC
2019-03-04
10. AMERICAN CAMPUS COMMUNITIES
2016-09-09
2019-03-07
1. APPLE COMPUTER INC COM
2015-07-29
2019-03-07
23. BANK AMER CORP COM
2016-03-23
2019-03-07
1. BIOGEN, INC
2016-03-23
2019-03-07
36. CABOT OIL & GAS CORP CL A
2017-01-04
2019-03-07
3. COGNEX CORP COM
2018-12-07
2019-03-07
1. COSTCO WHOLESALE CORP COM
2015-10-16
2019-03-07
10. DELTA AIR LINES INC
2016-06-08
2019-03-07
1. EDWARDS LIFESCIENCES CORP COM
2016-12-13
2019-03-07
4. EDWARDS LIFESCIENCES CORP COM
2017-11-14
2019-03-07
1. FIDELITY NATL INFORMATION SVCS INC
2018-11-05
2019-03-07
3. HORMEL FOODS CORPORATIONCOM
2017-11-14
2019-03-07
1. JP MORGAN CHASE & CO COM
2016-12-01
2019-03-07
6. MASTERCARD INC
2019-03-07
1. PAYPAL HOLDINGS INC
2018-10-29
2019-03-07
2. RINGCENTRAL INC
2018-08-02
2019-03-07
8. SERVICENOW INC
2017-06-07
2019-03-07
3. SQUARE INC A
2018-01-24
2019-03-07
5. TRANSDIGM GROUP INC
2017-03-22
2019-03-07
1. TRANSUNION
2018-11-05
2019-03-07
1. TYLER TECHNOLOGIES INC COM
2017-09-20
2019-03-07
12. WESTERN DIGITAL CORPORATION COM
2018-01-04
2019-03-07
21. APTIV PLC
2019-03-07
1. PFIZER INC COM W/RTS ATTACHED EXP 10/15/2007
1911-11-11
2019-03-13
3. AMERICAN TOWER CORP
2017-03-22
2019-04-03
43.99744 CABOT OIL & GAS CORP CL A
2018-11-05
2019-04-03
2.00256 CABOT OIL & GAS CORP CL A
2018-11-05
2019-04-03
5. BIOGEN, INC
2016-03-23
2019-04-26
2. CITIGROUP INC
2018-12-07
2019-04-26
1. COGNEX CORP COM
2018-12-07
2019-04-26
1. EDWARDS LIFESCIENCES CORP COM
2017-11-14
2019-04-26
1. MASTERCARD INC
2016-03-23
2019-04-26
1. PAYPAL HOLDINGS INC
2018-10-29
2019-04-26
6. SERVICENOW INC
2017-06-07
2019-04-26
2. SPLUNK INC
2017-08-01
2019-04-26
2. WESTERN DIGITAL CORPORATION COM
2018-01-04
2019-04-26
4. APTIV PLC
2018-11-05
2019-04-26
3. CHUBB LTD
2012-04-05
2019-04-26
5. TRANSDIGM GROUP INC
2017-06-07
2019-05-07
6. ALBEMARLE CORP COM
2017-03-22
2019-05-10
4. ALPHABET INC CL A
2019-05-10
3. AMAZON COM INC COM
2019-05-10
28. AMERICAN CAMPUS COMMUNITIES
2019-05-10
19. AMERICAN TOWER CORP
2019-05-10
62. BANK AMER CORP COM
2016-03-23
2019-05-10
2. BIOGEN, INC
2016-03-23
2019-05-10
14. CABOT OIL & GAS CORP CL A
2017-01-04
2019-05-10
33. CELGENE CORPORATION COM
2019-05-10
13. CENTENE CORP COM
2018-03-27
2019-05-10
28. CENTENE CORP COM
2018-08-02
2019-05-10
2. CENTENE CORP COM
2018-12-31
2019-05-10
7. CENTENE CORP COM
2019-03-07
2019-05-10
11. CITIGROUP INC
2018-12-07
2019-05-10
15. COGNEX CORP COM
2018-12-07
2019-05-10
5. COSTCO WHOLESALE CORP COM
2017-08-01
2019-05-10
32. DELTA AIR LINES INC
2016-09-09
2019-05-10
3. EDWARDS LIFESCIENCES CORP COM
2017-11-14
2019-05-10
10. FACEBOOK INC A
2013-12-17
2019-05-10
3. FIDELITY NATL INFORMATION SVCS INC
2018-11-05
2019-05-10
11. FIVE BELOW
2019-03-07
2019-05-10
16. HORMEL FOODS CORPORATIONCOM
2017-11-14
2019-05-10
11. JP MORGAN CHASE & CO COM
2017-06-07
2019-05-10
1. MASTERCARD INC
2016-03-23
2019-05-10
36. MICROSOFT CORP COM
2015-07-29
2019-05-10
9. MICRON TECHNOLOGY INC COM
2018-09-14
2019-05-10
10. MOHAWK INDS INC COM
2018-06-07
2019-05-10
97. PARSLEY ENERGY INC-CLASS A
2019-05-10
8. PAYPAL HOLDINGS INC
2018-10-29
2019-05-10
15. RAYTHEON CO COM
2017-01-04
2019-05-10
3. RINGCENTRAL INC
2018-08-02
2019-05-10
8. RINGCENTRAL INC
2018-12-07
2019-05-10
8. S P GLOBAL INC
2018-01-24
2019-05-10
3. SERVICENOW INC
2018-12-31
2019-05-10
8. SPLUNK INC
2017-08-01
2019-05-10
21. SQUARE INC A
2018-01-24
2019-05-10
50. TC ENERGY CORP
2016-02-26
2019-05-10
1. TRANSDIGM GROUP INC
2017-06-07
2019-05-10
11. TRANSUNION
2018-11-05
2019-05-10
3. TYLER TECHNOLOGIES INC COM
2017-09-20
2019-05-10
2. TYLER TECHNOLOGIES INC COM
2018-12-31
2019-05-10
9. UNITEDHEALTH GRP INC COM
2016-02-26
2019-05-10
349.092 VANGUARD MIDCAP VALUE INDEX ADMIRAL
2019-03-04
2019-05-10
14. WESTERN DIGITAL CORPORATION COM
2018-01-04
2019-05-10
7. APTIV PLC
2018-11-05
2019-05-10
11. CHUBB LTD
2012-04-05
2019-05-10
8. LYONDELLBASELL INDUSTRIES CL A
2019-04-03
2019-05-10
66. MYLAN NV
2019-05-10
1654.492 P I M C O FOREIGN BOND FD US HD INST
2019-03-04
2019-05-20
331. SCHWAB U.S. TIPS ETF
2019-03-04
2019-05-20
165.519 CALVERT SHORT DURATION INCOME I
2019-05-20
2019-05-29
41. ISHARES BARCLAYS SHORT TREASURY ETF
2019-05-29
1431.118 CALVERT SHORT DURATION INCOME I
2019-06-20
192. ISHARES BARCLAYS SHORT TREASURY ETF
2019-03-04
2019-06-20
99. ISHARES S P U S PREFERRED STOCK ETF
2019-06-20
547.554 PARNASSUS ENDEAVOR INSTITUTIONAL
2019-06-20
79.308 AMERICAN BEACON STEPHENS MID CAP GR
2019-03-04
2019-06-21
53. ISHARES CORE TOTAL US BOND MARKETETF
2019-03-04
2019-06-21
7. MICROSOFT CORP COM
2015-06-09
2019-06-21
4. MICROSOFT CORP COM
2015-07-29
2019-06-21
5. MICROSOFT CORP COM
2016-05-11
2019-06-21
9. RAYTHEON CO COM
2018-03-27
2019-06-21
11. RAYTHEON CO COM
2019-06-21
18. WAL MART STORES INC COM
2015-10-16
2019-06-21
18. ISHARES CORE TOTAL US BOND MARKETETF
2019-03-04
2019-08-13
8. MOHAWK INDS INC COM
2018-06-20
2019-08-13
6. FIDELITY NATL INFORMATION SVCS INC
2019-09-05
24. TC ENERGY CORP
2017-01-04
2019-09-05
661.542 ROWE T PRICE MID-CAP VALUE FD INC
2019-09-24
1. AMERICAN TOWER CORP
2015-06-09
2019-10-03
1. APPLE COMPUTER INC COM
2015-07-29
2019-10-03
1. CELGENE CORPORATION COM
2016-03-23
2019-10-03
1. CENTENE CORP COM
2019-03-07
2019-10-03
25.791 COLUMBIA FDS SER DIVIDEND INC CL Z
2019-03-04
2019-10-03
21.933 COLUMBIA SMALL CAP GROWTH I FUND
2019-03-04
2019-10-03
45.599 DOUBLELINE TOTAL RET BD I
2016-07-18
2019-10-03
2. EDWARDS LIFESCIENCES CORP COM
2017-11-14
2019-10-03
1. FIVE BELOW
2019-03-07
2019-10-03
2. ISHARES CORE TOTAL US BOND MARKETETF
2019-03-04
2019-10-03
11. ISHARES IBOXX INVEST GRADE CORP ETF
2019-03-04
2019-10-03
4. ISHARES SP 500 GROWTH INDEX ETF
2019-03-04
2019-10-03
12. ISHARES MSCI ACWI EX US ETF
2019-03-04
2019-10-03
7. ISHARES S P U S PREFERRED STOCK ETF
2019-03-04
2019-10-03
21. ISHARES MSCI USA MIN VOLATILITY ETF
2019-03-04
2019-10-03
61. PARSLEY ENERGY INC-CLASS A
2017-11-14
2019-10-03
96.507 PGIM TOTAL RETURN BOND CL R6
2019-03-04
2019-10-03
8. RINGCENTRAL INC
2018-12-07
2019-10-03
37. SCHWAB CHARLES CORP NEW COM
2016-03-23
2019-10-03
14. SQUARE INC A
2018-01-24
2019-10-03
1. APTIV PLC
2018-11-05
2019-10-03
5. ALBEMARLE CORP COM
2017-03-22
2019-10-21
1. AMAZON COM INC COM
2017-03-22
2019-10-21
7.826 AMERICAN BEACON STEPHENS MID CAP GR
2019-03-04
2019-10-21
7. AMERICAN CAMPUS COMMUNITIES
2016-12-01
2019-10-21
3. AMERICAN TOWER CORP
2015-06-09
2019-10-21
4. APPLE COMPUTER INC COM
2017-11-14
2019-10-21
2. ARISTA NETWORKS INC
2019-05-20
2019-10-21
1. BANK AMER CORP COM
2016-03-23
2019-10-21
12. BANK AMER CORP COM
2016-12-01
2019-10-21
1. BIOGEN, INC
2016-03-23
2019-10-21
3. CABOT OIL & GAS CORP CL A
2017-01-04
2019-10-21
5. CELGENE CORPORATION COM
2016-03-23
2019-10-21
7. CENTENE CORP COM
2019-03-07
2019-10-21
8. CENTENE CORP COM
2019-04-26
2019-10-21
3. CITIGROUP INC
2018-12-07
2019-10-21
4. COGNEX CORP COM
2018-12-07
2019-10-21
1.553 COLUMBIA FDS SER DIVIDEND INC CL Z
2019-03-04
2019-10-21
14.556 COLUMBIA SMALL CAP GROWTH I FUND
2019-03-04
2019-10-21
2. COSTCO WHOLESALE CORP COM
2017-08-01
2019-10-21
12. DELTA AIR LINES INC
2019-10-21
1. EDWARDS LIFESCIENCES CORP COM
2017-11-14
2019-10-21
5. ELECTRONIC ARTS COM
2019-05-20
2019-10-21
4. FACEBOOK INC A
2013-12-17
2019-10-21
3. FIVE BELOW
2019-03-07
2019-10-21
7.831 HARDING LOEVNER FDS INC INTL EQUITY PR
2017-01-10
2019-10-21
4. HORMEL FOODS CORPORATIONCOM
2017-11-14
2019-10-21
2. ISHARES SP 500 GROWTH INDEX ETF
2019-03-04
2019-10-21
1. ISHARES RUSSELL MIDCAP VALUE ETF
2019-05-10
2019-10-21
1. ISHARES RUSSELL 2000 VALUE INDEX FUND
2019-03-04
2019-10-21
2. ISHARES RUSSELL 2000 INDEX FUND
2014-09-30
2019-10-21
19. ISHARES MSCI ACWI EX US ETF
2019-03-04
2019-10-21
17. ISHARES INTERNATIONAL SELECT DIV ETF
2019-03-04
2019-10-21
3. JP MORGAN CHASE & CO COM
2017-06-07
2019-10-21
12. MARATHON PETROLEUM CORP
2017-09-20
2019-10-21
9. MICROSOFT CORP COM
2016-05-11
2019-10-21
2. MICRON TECHNOLOGY INC COM
2018-09-14
2019-10-21
13. PARSLEY ENERGY INC-CLASS A
2019-10-21
4. PAYPAL HOLDINGS INC
2018-10-29
2019-10-21
3. RINGCENTRAL INC
2018-12-07
2019-10-21
2. S P GLOBAL INC
2018-01-24
2019-10-21
3. SCHWAB CHARLES CORP NEW COM
2015-07-29
2019-10-21
8. SCHWAB CHARLES CORP NEW COM
2016-03-23
2019-10-21
1. SPLUNK INC
2018-12-31
2019-10-21
3. SPLUNK INC
2017-08-01
2019-10-21
3. SQUARE INC A
2018-01-24
2019-10-21
2. TC ENERGY CORP
2017-01-04
2019-10-21
1. TRADE DESK INC THE CLASS A
2019-10-03
2019-10-21
5. TRANSUNION
2018-11-05
2019-10-21
2. TYLER TECHNOLOGIES INC COM
2018-12-31
2019-10-21
4. UNITEDHEALTH GRP INC COM
2016-02-26
2019-10-21
5. WAL MART STORES INC COM
2015-10-16
2019-10-21
4. WESTERN DIGITAL CORPORATION COM
2018-01-04
2019-10-21
2. APTIV PLC
2018-11-05
2019-10-21
3. CHUBB LTD
2012-04-05
2019-10-21
2. LYONDELLBASELL INDUSTRIES CL A
2019-04-03
2019-10-21
2. MYLAN NV
2016-09-09
2019-10-21
20. MYLAN NV
2019-10-21
10. ALBEMARLE CORP COM
2019-10-25
2. ALPHABET INC CL A
2018-01-04
2019-10-25
1. AMAZON COM INC COM
2018-01-04
2019-10-25
14. AMERICAN CAMPUS COMMUNITIES
2016-12-01
2019-10-25
1. AMERICAN TOWER CORP
2015-06-09
2019-10-25
5. AMERICAN TOWER CORP
2017-03-22
2019-10-25
5. APPLE COMPUTER INC COM
2017-11-14
2019-10-25
5. ARISTA NETWORKS INC
2019-10-25
25. BANK AMER CORP COM
2016-12-01
2019-10-25
2. BOEING CO COM
2019-10-03
2019-10-25
7. CABOT OIL & GAS CORP CL A
2017-01-04
2019-10-25
5. CELGENE CORPORATION COM
2016-03-23
2019-10-25
6. CELGENE CORPORATION COM
2018-03-27
2019-10-25
25. CENTENE CORP COM
2019-04-26
2019-10-25
5. CITIGROUP INC
2018-12-07
2019-10-25
7. COGNEX CORP COM
2018-12-07
2019-10-25
3. COSTCO WHOLESALE CORP COM
2017-08-01
2019-10-25
22. DELTA AIR LINES INC
2017-08-01
2019-10-25
9. ELECTRONIC ARTS COM
2019-05-20
2019-10-25
4. FACEBOOK INC A
2013-12-17
2019-10-25
5. FACEBOOK INC A
2016-03-23
2019-10-25
6. FIVE BELOW
2019-03-07
2019-10-25
4.828 HARDING LOEVNER FDS INC INTL EQUITY PR
2017-01-10
2019-10-25
7. HORMEL FOODS CORPORATIONCOM
2017-11-14
2019-10-25
101. ISHARES SP 500 GROWTH INDEX ETF
2019-03-04
2019-10-25
2. ISHARES RUSSELL MIDCAP VALUE ETF
2019-05-10
2019-10-25
1. ISHARES RUSSELL 2000 VALUE INDEX FUND
2019-02-14
2019-10-25
1. ISHARES RUSSELL 2000 INDEX FUND
2014-09-30
2019-10-25
5. ISHARES MSCI ACWI EX US ETF
2019-03-04
2019-10-25
2. ISHARES INTERNATIONAL SELECT DIV ETF
2019-03-04
2019-10-25
5. JP MORGAN CHASE & CO COM
2017-06-07
2019-10-25
.99885 MARATHON PETROLEUM CORP
2018-11-05
2019-10-25
9.00115 MARATHON PETROLEUM CORP
2018-11-05
2019-10-25
13. MARATHON PETROLEUM CORP
2017-09-20
2019-10-25
2. MASTERCARD INC
2016-03-23
2019-10-25
15. MICROSOFT CORP COM
2016-05-11
2019-10-25
5. MICRON TECHNOLOGY INC COM
2018-09-14
2019-10-25
1. MOHAWK INDS INC COM
2018-06-07
2019-10-25
24. PARSLEY ENERGY INC-CLASS A
2018-01-04
2019-10-25
7. PAYPAL HOLDINGS INC
2019-10-25
2. RINGCENTRAL INC
2018-12-07
2019-10-25
3. S P GLOBAL INC
2018-12-31
2019-10-25
20. SCHWAB CHARLES CORP NEW COM
2019-10-25
2. SERVICENOW INC
2018-12-31
2019-10-25
11. SPLUNK INC
2019-10-25
5. SQUARE INC A
2018-01-24
2019-10-25
5. TC ENERGY CORP
2017-01-04
2019-10-25
2. TRADE DESK INC THE CLASS A
2019-10-03
2019-10-25
10. TRANSUNION
2018-11-05
2019-10-25
2. TYLER TECHNOLOGIES INC COM
2018-12-31
2019-10-25
2. UNITEDHEALTH GRP INC COM
2016-02-26
2019-10-25
4. UNITEDHEALTH GRP INC COM
2016-07-18
2019-10-25
10. WAL MART STORES INC COM
2015-10-16
2019-10-25
7. WESTERN DIGITAL CORPORATION COM
2018-01-04
2019-10-25
4. APTIV PLC
2018-11-05
2019-10-25
4. CHUBB LTD
2012-04-05
2019-10-25
4. LYONDELLBASELL INDUSTRIES CL A
2019-04-03
2019-10-25
40. MYLAN NV
2017-07-20
2019-10-25
30.089 AMERICAN BEACON STEPHENS MID CAP GR
2019-03-04
2019-10-29
19.895 BAIRD AGGREGATE BOND FD INSTL
2019-06-20
2019-10-29
2. BANK AMER CORP COM
2016-12-01
2019-10-29
1. CABOT OIL & GAS CORP CL A
2017-01-04
2019-10-29
1. CENTENE CORP COM
2019-04-26
2019-10-29
2. CITIGROUP INC
2018-12-07
2019-10-29
1. COGNEX CORP COM
2018-12-07
2019-10-29
15.25 COLUMBIA FDS SER DIVIDEND INC CL Z
2019-03-04
2019-10-29
30.154 COLUMBIA SMALL CAP GROWTH I FUND
2019-03-04
2019-10-29
1. DELTA AIR LINES INC
2017-08-01
2019-10-29
8.888 HARDING LOEVNER FDS INC INTL EQUITY PR
2017-01-10
2019-10-29
1. HORMEL FOODS CORPORATIONCOM
2017-11-14
2019-10-29
4. ISHARES DOW JONES SELECT DIV ETF
2019-03-04
2019-10-29
10. ISHARES S&P 500 INDEX FUND
2019-05-10
2019-10-29
4. ISHARES CORE TOTAL US BOND MARKETETF
2019-03-04
2019-10-29
1. ISHARES IBOXX INVEST GRADE CORP ETF
2019-03-04
2019-10-29
3. ISHARES SP 500 GROWTH INDEX ETF
2019-03-04
2019-10-29
8. ISHARES RUSSELL MIDCAP VALUE ETF
2019-05-10
2019-10-29
5. ISHARES RUSSELL 2000 VALUE INDEX FUND
2019-03-04
2019-10-29
8. ISHARES RUSSELL 2000 INDEX FUND
2014-09-30
2019-10-29
18. ISHARES MSCI ACWI EX US ETF
2019-03-04
2019-10-29
6. ISHARES INTERNATIONAL SELECT DIV ETF
2019-03-04
2019-10-29
2. ISHARES S P U S PREFERRED STOCK ETF
2019-03-04
2019-10-29
1. ISHARES MSCI USA MIN VOLATILITY ETF
2019-03-04
2019-10-29
1. MICROSOFT CORP COM
2016-05-11
2019-10-29
1. MOHAWK INDS INC COM
2018-06-07
2019-10-29
1. PARSLEY ENERGY INC-CLASS A
2018-01-04
2019-10-29
18.867 PGIM TOTAL RETURN BOND CL R6
2019-03-04
2019-10-29
2. SCHWAB CHARLES CORP NEW COM
2016-12-01
2019-10-29
2. MYLAN NV
2016-08-22
2019-10-29
6. ARISTA NETWORKS INC
2019-09-24
2019-11-05
2. BIOGEN, INC
2019-11-05
15. CELGENE CORPORATION COM
2018-03-27
2019-11-05
1. EDWARDS LIFESCIENCES CORP COM
2017-11-14
2019-11-05
4.695 HARDING LOEVNER FDS INC INTL EQUITY PR
2017-01-10
2019-11-05
5. ISHARES MSCI ACWI EX US ETF
2019-03-04
2019-11-05
3. ISHARES MSCI USA QUALITY FACTOR ETF
2019-10-25
2019-11-05
35. PARSLEY ENERGY INC-CLASS A
2018-01-04
2019-11-05
6. ALBEMARLE CORP COM
2018-03-27
2019-11-07
5. AMERICAN CAMPUS COMMUNITIES
2016-12-01
2019-11-07
4. AMERICAN TOWER CORP
2017-03-22
2019-11-07
2. APPLE COMPUTER INC COM
2017-11-14
2019-11-07
2. APPLE COMPUTER INC COM
2018-12-31
2019-11-07
6.597 BAIRD AGGREGATE BOND FD INSTL
2019-06-20
2019-11-07
9. BANK AMER CORP COM
2016-12-01
2019-11-07
8. CABOT OIL & GAS CORP CL A
2019-11-07
4. CENTENE CORP COM
2019-04-26
2019-11-07
11. CENTENE CORP COM
2019-05-07
2019-11-07
2. CITIGROUP INC
2018-12-07
2019-11-07
4. COGNEX CORP COM
2018-12-07
2019-11-07
4.778 COLUMBIA FDS SER DIVIDEND INC CL Z
2019-03-04
2019-11-07
.745 COLUMBIA SMALL CAP GROWTH I FUND
2019-03-04
2019-11-07
1. COSTCO WHOLESALE CORP COM
2017-08-01
2019-11-07
1. COSTCO WHOLESALE CORP COM
2018-12-31
2019-11-07
11. DELTA AIR LINES INC
2017-08-01
2019-11-07
6. ELECTRONIC ARTS COM
2019-11-07
5. FACEBOOK INC A
2016-03-23
2019-11-07
3. FIVE BELOW
2019-03-07
2019-11-07
1.999 HARDING LOEVNER FDS INC INTL EQUITY PR
2017-01-10
2019-11-07
2. HORMEL FOODS CORPORATIONCOM
2017-11-14
2019-11-07
3. ISHARES MSCI ACWI EX US ETF
2019-03-04
2019-11-07
1. ISHARES INTERNATIONAL SELECT DIV ETF
2019-03-04
2019-11-07
2. JP MORGAN CHASE & CO COM
2017-06-07
2019-11-07
10. MARATHON PETROLEUM CORP
2018-11-05
2019-11-07
1. MARATHON PETROLEUM CORP
2018-10-14
2019-11-07
1. MICROSOFT CORP COM
2016-05-11
2019-11-07
8. MICROSOFT CORP COM
2017-11-14
2019-11-07
2. MICRON TECHNOLOGY INC COM
2018-09-14
2019-11-07
5. PAYPAL HOLDINGS INC
2019-11-07
3. S P GLOBAL INC
2018-12-31
2019-11-07
8. SCHWAB CHARLES CORP NEW COM
2016-12-01
2019-11-07
1. SERVICENOW INC
2018-12-31
2019-11-07
6. SPLUNK INC
2019-09-05
2019-11-07
2. SQUARE INC A
2018-01-24
2019-11-07
1. SQUARE INC A
2018-12-31
2019-11-07
3. TC ENERGY CORP
2017-01-04
2019-11-07
1. TRADE DESK INC THE CLASS A
2019-10-03
2019-11-07
6. TRANSUNION
2019-10-03
2019-11-07
3. TYLER TECHNOLOGIES INC COM
2018-12-31
2019-11-07
3. UNITEDHEALTH GRP INC COM
2016-07-18
2019-11-07
6. WAL MART STORES INC COM
2015-10-16
2019-11-07
1. WESTERN DIGITAL CORPORATION COM
2018-01-04
2019-11-07
3. WESTERN DIGITAL CORPORATION COM
2018-03-27
2019-11-07
3. APTIV PLC
2018-11-05
2019-11-07
2. CHUBB LTD
2012-04-05
2019-11-07
2. CHUBB LTD
2015-07-29
2019-11-07
2. LYONDELLBASELL INDUSTRIES CL A
2019-04-03
2019-11-07
19. MYLAN NV
2017-09-20
2019-11-07
9. ALBEMARLE CORP COM
2018-03-27
2019-11-20
1. ALPHABET INC CL A
2019-11-05
2019-11-20
1. ALPHABET INC CL A
2015-11-24
2019-11-20
1. AMAZON COM INC COM
2018-12-07
2019-11-20
1. AMAZON COM INC COM
2018-01-04
2019-11-20
560.943 AMERICAN BEACON STEPHENS MID CAP GR
2019-03-04
2019-11-20
15. AMERICAN CAMPUS COMMUNITIES
2016-12-01
2019-11-20
1. AMERICAN TOWER CORP
2019-05-20
2019-11-20
3. AMERICAN TOWER CORP
2017-03-22
2019-11-20
4. APPLE COMPUTER INC COM
2018-12-31
2019-11-20
26. BANK AMER CORP COM
2016-12-01
2019-11-20
1. BOEING CO COM
2019-10-03
2019-11-20
32. CABOT OIL & GAS CORP CL A
2019-11-20
32. CENTENE CORP COM
2019-11-20
6. CITIGROUP INC
2019-11-20
7. COGNEX CORP COM
2019-11-20
20.796 COLUMBIA SMALL CAP GROWTH I FUND
2019-03-04
2019-11-20
2. COSTCO WHOLESALE CORP COM
2018-12-31
2019-11-20
2. DELTA AIR LINES INC
2017-08-01
2019-11-20
19. DELTA AIR LINES INC
2019-10-03
2019-11-20
1. EDWARDS LIFESCIENCES CORP COM
2017-11-14
2019-11-20
8. ELECTRONIC ARTS COM
2019-10-03
2019-11-20
6. FACEBOOK INC A
2016-03-23
2019-11-20
2. FACEBOOK INC A
2019-10-03
2019-11-20
6. FIVE BELOW
2019-03-07
2019-11-20
8. GILEAD SCIENCES INC COM
2019-11-05
2019-11-20
136.262 HARDING LOEVNER FDS INC INTL EQUITY PR
2019-11-20
337.546 HARDING LOEVNER FDS INC INTL EQUITY PR
2017-01-10
2019-11-20
2. HORMEL FOODS CORPORATIONCOM
2018-12-31
2019-11-20
7. HORMEL FOODS CORPORATIONCOM
2017-11-14
2019-11-20
538. ISHARES S&P 500 INDEX FUND
2019-11-20
153. ISHARES RUSSELL MIDCAP VALUE ETF
2019-05-10
2019-11-20
146. ISHARES RUSSELL 2000 VALUE INDEX FUND
2019-11-20
65. ISHARES MSCI ACWI EX US ETF
2019-03-04
2019-11-20
3. ISHARES MSCI USA QUALITY FACTOR ETF
2019-10-25
2019-11-20
6. JP MORGAN CHASE & CO COM
2018-12-31
2019-11-20
23. MARATHON PETROLEUM CORP
2018-11-05
2019-11-20
1. MASTERCARD INC
2016-03-23
2019-11-20
14. MICROSOFT CORP COM
2017-11-14
2019-11-20
5. MICRON TECHNOLOGY INC COM
2018-09-14
2019-11-20
2. MOHAWK INDS INC COM
2018-06-20
2019-11-20
7. PAYPAL HOLDINGS INC
2019-10-03
2019-11-20
4. RINGCENTRAL INC
2019-11-20
2. S P GLOBAL INC
2018-12-31
2019-11-20
21. SCHWAB CHARLES CORP NEW COM
2016-12-01
2019-11-20
1. SERVICENOW INC
2018-12-31
2019-11-20
10. SPLUNK INC
2019-09-05
2019-11-20
5. SQUARE INC A
2018-12-31
2019-11-20
5. TC ENERGY CORP
2017-01-04
2019-11-20
2. TRADE DESK INC THE CLASS A
2019-10-03
2019-11-20
1. TRANSDIGM GROUP INC
2017-06-07
2019-11-20
9. TRANSUNION
2019-10-03
2019-11-20
1. TYLER TECHNOLOGIES INC COM
2018-12-31
2019-11-20
5. UNITEDHEALTH GRP INC COM
2016-07-18
2019-11-20
9. WAL MART STORES INC COM
2015-10-16
2019-11-20
7. WESTERN DIGITAL CORPORATION COM
2018-03-27
2019-11-20
3. APTIV PLC
2018-12-31
2019-11-20
3. CHUBB LTD
2015-07-29
2019-11-20
5. LYONDELLBASELL INDUSTRIES CL A
2019-04-03
2019-11-20
38. MYLAN NV
2017-09-20
2019-11-20
15.77 FIDELITY 500 INDEX FUND
2019-11-21
2019-12-23
1. ISHARES SP 500 GROWTH INDEX ETF
2019-03-04
2019-12-23
1. ISHARES RUSSELL MIDCAP VALUE ETF
2019-05-10
2019-12-23
5. ISHARES RUSSELL 2000 INDEX FUND
2014-09-30
2019-12-23
3. ISHARES INTERNATIONAL SELECT DIV ETF
2019-03-04
2019-12-23
1. ISHARES MSCI USA QUALITY FACTOR ETF
2019-10-25
2019-12-23
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
10,247
10,607
-360
b
645
845
-200
c
670
419
251
d
428
945
-517
e
1,886
643
1,243
1,703
983
720
1,438
1,179
259
1,858
1,470
388
1,945
906
1,039
149
173
-24
1,709
1,696
13
18,403
22,360
-3,957
1,822
1,794
28
25,116
25,991
-875
11,105
11,414
-309
16,675
16,779
-104
1,710
1,867
-157
47,402
41,332
6,070
12,558
12,961
-403
84,501
73,802
10,699
52,176
60,926
-8,750
7,808
8,209
-401
18,538
18,667
-129
42,040
45,500
-3,460
11,449
11,750
-301
41,794
38,230
3,564
3,966
4,389
-423
16,015
17,096
-1,081
13,869
10,073
3,796
6,911
6,008
903
38,277
34,210
4,067
462
481
-19
173
123
50
655
317
338
318
238
80
905
805
100
156
125
31
217
152
65
493
423
70
171
90
81
685
419
266
106
104
2
130
98
32
103
82
21
1,336
298
1,038
96
84
12
203
155
48
1,868
864
1,004
223
136
87
2,135
982
1,153
63
66
-3
199
169
30
570
981
-411
1,726
1,807
-81
15
15
581
355
226
1,133
1,141
-8
52
52
1,136
1,190
-54
138
117
21
55
42
13
176
105
71
245
92
153
109
84
25
1,586
648
938
274
121
153
98
163
-65
341
310
31
427
221
206
2,407
1,256
1,151
422
631
-209
4,595
2,129
2,466
5,597
1,961
3,636
1,272
1,330
-58
3,673
1,248
2,425
1,810
854
956
447
476
-29
360
313
47
3,118
3,924
-806
688
667
21
1,482
1,871
-389
106
115
-9
371
399
-28
733
644
89
685
626
59
1,203
793
410
1,764
1,240
524
529
315
214
1,852
546
1,306
343
313
30
1,460
1,290
170
630
525
105
1,218
921
297
242
92
150
4,469
1,659
2,810
339
400
-61
1,310
2,074
-764
1,958
2,553
-595
863
674
189
2,660
2,200
460
359
232
127
959
636
323
1,679
1,474
205
802
536
266
1,043
483
560
1,362
950
412
2,310
1,842
468
463
251
212
715
731
-16
637
508
129
425
370
55
2,133
1,098
1,035
19,825
19,619
206
620
1,144
-524
533
542
-9
1,560
809
751
651
726
-75
1,438
2,595
-1,157
18,084
17,835
249
18,249
17,844
405
2,668
2,665
3
4,531
4,532
-1
23,198
22,867
331
21,231
21,195
36
3,668
3,616
52
18,458
18,950
-492
2,125
1,983
142
5,885
5,658
227
961
320
641
549
184
365
686
258
428
1,642
1,955
-313
2,007
1,926
81
2,006
1,066
940
2,032
1,922
110
931
1,682
-751
835
624
211
1,241
1,098
143
17,967
17,891
76
222
93
129
219
123
96
98
101
-3
43
57
-14
586
561
25
440
421
19
493
498
-5
443
210
233
121
117
4
227
214
13
1,403
1,274
129
702
681
21
540
554
-14
260
255
5
1,318
1,213
105
969
1,605
-636
1,458
1,358
100
1,006
636
370
1,302
1,043
259
848
633
215
83
77
6
334
526
-192
1,773
847
926
204
196
8
347
317
30
685
278
407
961
692
269
488
490
-2
31
14
17
371
259
112
224
238
-14
54
67
-13
516
504
12
328
399
-71
375
412
-37
214
176
38
207
167
40
36
34
2
299
279
20
603
317
286
657
476
181
226
105
121
480
472
8
754
218
536
395
352
43
175
143
32
163
131
32
361
341
20
90
87
3
122
125
-3
309
220
89
894
877
17
543
540
3
369
251
118
784
653
131
1,240
464
776
90
89
1
201
347
-146
405
337
68
487
238
249
499
369
130
122
104
18
326
225
101
111
104
7
333
181
152
181
136
45
103
92
11
202
186
16
409
332
77
530
370
160
970
488
482
596
296
300
235
327
-92
178
155
23
460
221
239
176
182
-6
37
81
-44
366
801
-435
649
1,001
-352
2,527
2,198
329
1,751
1,211
540
702
633
69
216
93
123
1,082
591
491
1,226
865
361
1,222
1,216
6
793
539
254
682
737
-55
132
156
-24
527
504
23
633
522
111
1,201
1,286
-85
366
293
73
367
292
75
888
476
412
1,200
1,093
107
862
849
13
753
218
535
941
564
377
780
704
76
109
88
21
284
230
54
18,325
17,200
1,125
181
173
8
123
118
5
155
110
45
236
231
5
64
64
632
419
213
68
70
-2
611
627
-16
883
708
175
542
185
357
2,108
774
1,334
241
222
19
146
207
-61
406
740
-334
747
590
157
322
159
163
747
509
238
817
676
141
479
358
121
1,306
1,150
156
314
226
88
256
229
27
403
373
30
827
665
162
525
370
155
489
244
245
977
563
414
1,188
592
596
427
572
-145
358
310
48
595
294
301
362
363
-1
749
1,575
-826
789
753
36
223
220
3
64
43
21
19
22
-3
50
51
-1
146
117
29
51
42
9
360
332
28
633
579
54
56
50
6
201
162
39
41
33
8
412
394
18
3,056
2,848
208
449
427
22
127
116
11
549
511
38
726
694
32
618
624
-6
1,254
881
373
854
831
23
191
191
75
73
2
64
58
6
143
52
91
144
207
-63
17
31
-14
281
265
16
83
79
4
39
81
-42
1,132
1,444
-312
586
530
56
1,612
1,305
307
231
105
126
109
86
23
241
231
10
287
283
4
612
1,079
-467
417
570
-153
236
226
10
820
473
347
519
346
173
519
316
203
74
73
1
302
194
108
146
204
-58
210
206
4
576
608
-32
152
117
35
215
167
48
114
104
10
16
14
2
306
159
147
306
204
102
636
547
89
591
563
28
961
564
397
387
352
35
47
36
11
83
66
17
146
138
8
32
32
262
167
95
662
697
-35
66
61
5
145
52
93
1,157
670
487
97
89
8
507
452
55
762
509
253
350
316
34
242
179
63
740
659
81
132
90
42
66
56
10
150
137
13
190
186
4
485
471
14
829
555
274
766
423
343
723
355
368
54
82
-28
162
283
-121
291
232
59
306
147
159
306
216
90
194
182
12
328
595
-267
588
855
-267
1,309
1,293
16
1,309
763
546
1,762
1,656
106
1,762
1,211
551
15,218
14,029
1,189
710
678
32
217
198
19
651
355
296
1,060
631
429
850
560
290
369
369
535
613
-78
1,887
1,733
154
444
368
76
356
285
71
452
399
53
605
408
197
112
99
13
1,065
1,002
63
245
105
140
783
746
37
1,195
677
518
398
354
44
740
704
36
521
526
-5
3,146
2,632
514
7,794
6,160
1,634
85
86
-1
299
230
69
168,631
158,690
9,941
14,084
13,269
815
18,124
18,146
-22
3,118
2,999
119
292
283
9
781
584
197
1,391
1,602
-211
287
92
195
2,104
1,173
931
232
222
10
282
421
-139
734
703
31
690
409
281
541
340
201
926
829
97
280
179
101
1,266
1,099
167
335
281
54
256
229
27
481
373
108
578
247
331
778
707
71
289
185
104
1,368
704
664
1,077
533
544
339
661
-322
272
183
89
455
323
132
462
454
8
661
1,190
-529
1,762
1,705
57
193
170
23
94
87
7
829
551
278
100
95
5
101
94
7
3,284
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
-360
b
-200
c
251
d
-517
e
1,243
720
259
388
1,039
-24
13
-3,957
28
-875
-309
-104
-157
6,070
-403
10,699
-8,750
-401
-129
-3,460
-301
3,564
-423
-1,081
3,796
903
4,067
-19
50
338
80
100
31
65
70
81
266
2
32
21
1,038
12
48
1,004
87
1,153
-3
30
-411
-81
15
226
-8
-54
21
13
71
153
25
938
153
-65
31
206
1,151
-209
2,466
3,636
-58
2,425
956
-29
47
-806
21
-389
-9
-28
89
59
410
524
214
1,306
30
170
105
297
150
2,810
-61
-764
-595
189
460
127
323
205
266
560
412
468
212
-16
129
55
1,035
206
-524
-9
751
-75
-1,157
249
405
3
-1
331
36
52
-492
142
227
641
365
428
-313
81
940
110
-751
211
143
76
129
96
-3
-14
25
19
-5
233
4
13
129
21
-14
5
105
-636
100
370
259
215
6
-192
926
8
30
407
269
-2
17
112
-14
-13
12
-71
-37
38
40
2
20
286
181
121
8
536
43
32
32
20
3
-3
89
17
3
118
131
776
1
-146
68
249
130
18
101
7
152
45
11
16
77
160
482
300
-92
23
239
-6
-44
-435
-352
329
540
69
123
491
361
6
254
-55
-24
23
111
-85
73
75
412
107
13
535
377
76
21
54
1,125
8
5
45
5
213
-2
-16
175
357
1,334
19
-61
-334
157
163
238
141
121
156
88
27
30
162
155
245
414
596
-145
48
301
-1
-826
36
3
21
-3
-1
29
9
28
54
6
39
8
18
208
22
11
38
32
-6
373
23
2
6
91
-63
-14
16
4
-42
-312
56
307
126
23
10
4
-467
-153
10
347
173
203
1
108
-58
4
-32
35
48
10
2
147
102
89
28
397
35
11
17
8
95
-35
5
93
487
8
55
253
34
63
81
42
10
13
4
14
274
343
368
-28
-121
59
159
90
12
-267
-267
16
546
106
551
1,189
32
19
296
429
290
-78
154
76
71
53
197
13
63
140
37
518
44
36
-5
514
1,634
-1
69
9,941
815
-22
119
9
197
-211
195
931
10
-139
31
281
201
97
101
167
54
27
108
331
71
104
664
544
-322
89
132
8
-529
57
23
7
278
5
7
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
81,366
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
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
1,894
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
1,894
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
1,894
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,056
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
838
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
1,894
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
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
OH
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.
(513) 632-4393
Located at
PO BOX 1118
CINCINNATI
OH
ZIP+4
45201
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
2018
,
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
Yes
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
U S BANK N A
TRUSTEE
1
4,338
PO BOX 1118
CINCINNATI
,
OH
45201
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
717,769
b
Average of monthly cash balances
.......................
1b
11,319
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
729,088
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
729,088
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
10,936
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
718,152
6
Minimum investment return.
Enter 5% of line 5
..................
6
35,908
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
35,908
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,894
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,894
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
34,014
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
34,014
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
34,014
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
22,793
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
22,793
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
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
22,793
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
34,014
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
27,352
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
22,793
a
Applied to 2018, but not more than line 2a
22,793
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
.....
0
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
4,559
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
34,014
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
CINCINATTI PARK BOARD
2625 READING ROAD
CINCINNATI
,
OH
45026
NONE
PC
GENERAL PURPOSE
22,159
Total
.................................
3a
22,159
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
17,476
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
81,366
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)
..
98,842
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
98,842
(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