-
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
GALLAGHER WESTERN MONTANA CHARITABLE
Number and street (or P.O. box number if mail is not delivered to street address)
P O BOX 4787
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MISSOULA
,
MT
59806
A Employer identification number
91-2138399
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)
$
6,310,629
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
...
154,008
153,341
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
122,087
b
Gross sales price for all assets on line 6a
2,440,834
7
Capital gain net income (from Part IV, line 2)
...
122,087
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
........
276,095
275,428
13
Compensation of officers, directors, trustees, etc.
23,139
20,825
2,314
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)
....
51,000
51,000
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
2,054
1,588
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)
.......
3,033
8
3,025
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
80,726
22,421
0
57,839
25
Contributions, gifts, grants paid
.......
320,960
320,960
26
Total expenses and disbursements.
Add lines 24 and 25
401,686
22,421
0
378,799
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-125,591
b
Net investment income
(if negative, enter -0-)
253,007
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
.............
1,346
393
393
2
Savings and temporary cash investments
.........
196,129
177,596
177,596
3
Accounts receivable
Less: allowance for doubtful accounts
3,103
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)
517,345
768,574
769,691
b
Investments—corporate stock (attach schedule)
.......
2,695,228
2,159,019
3,464,894
c
Investments—corporate bonds (attach schedule)
.......
1,642,858
1,691,173
1,703,990
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
129,076
190,728
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
3,337
3,337
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
5,056,009
4,929,168
6,310,629
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
........
5,056,009
4,929,168
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)
.....
5,056,009
4,929,168
30
Total liabilities and net assets/fund balances
(see instructions)
.
5,056,009
4,929,168
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
5,056,009
2
Enter amount from Part I, line 27a
.....................
2
-125,591
3
Other increases not included in line 2 (itemize)
3
14
4
Add lines 1, 2, and 3
..........................
4
4,930,432
5
Decreases not included in line 2 (itemize)
5
1,264
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
4,929,168
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
1035.912 ROBECO BOSTON PARTNERS L S RSRCH
2015-12-23
2019-01-03
b
424.088 CAMBIAR INTL EQUITY FUND INS
2015-02-19
2019-01-08
c
664.137 BAIRD AGGREGATE BOND FD INSTL
2014-10-07
2019-01-08
d
479.846 DOUBLELINE TOTAL RET BD I
2015-04-10
2019-01-08
e
1236.917 NUVEEN CORE PLUS BOND I
2019-01-08
339. ATT INC
2019-01-11
415.282 CAMBIAR INTL EQUITY FUND INS
2019-01-11
50000. APPLE INC 2.250% 2/23/21
2019-01-11
20. MCDONALDS CORP
2019-01-11
50. PFIZER INC COM
2006-04-04
2019-01-11
35. PROCTER & GAMBLE CO
2006-10-09
2019-01-11
54. RAYTHEON COMPANY
2019-01-11
75. STARBUCKS CORP
2010-10-18
2019-01-11
75000. WELLS FARGO CO 2.150% 1/15/19
2019-01-15
50. NIKE INC. CLASS B
2019-01-22
25. PNC FINL SVCS GROUP INC COM W/RIGHTS ATTACHED EXP 5/25/2010
2015-04-10
2019-01-22
102. RAYTHEON COMPANY
2019-01-22
47. STRYKER CORP
2014-02-12
2019-01-22
1. BANK OF AMERICA CLASS ACTION PROCEEDS
1911-11-11
2019-02-13
50000. U S TREASURY NT 2.750% 2/15/19
2018-01-31
2019-02-15
50000. U S TREASURY NT 2.750% 2/15/19
2019-02-15
2799.125 FIDELITY ADV DIVERS INTL CL I
2019-03-05
1. PFIZER INC COM
1911-11-11
2019-03-13
497.018 CAMBIAR INTL EQUITY FUND INS
2019-03-14
997.34 CAUSEWAY INTERNATL VALUE INS
2018-07-26
2019-03-14
200. CISCO SYS INC
2019-03-14
20. COSTCO WHSL CORP NEW
2017-09-27
2019-03-14
571.69 GLENMEDE SMALL CAP EQUITY INSTL
2019-03-14
50. NIKE INC. CLASS B
2017-01-11
2019-03-14
50. PNC FINL SVCS GROUP INC COM W/RIGHTS ATTACHED EXP 5/25/2010
2019-03-14
178. PPG INDS INC COM
2019-03-14
35. MIDCAP SPDR TRUST SERIES I E T F
2007-02-12
2019-03-14
29. SERVICENOW INC
2017-05-26
2019-03-14
50. STRYKER CORP
2014-02-12
2019-03-14
5. ALPHABET INC CL C
2008-11-04
2019-03-15
3. AMAZON COM INC COM
2017-09-12
2019-03-15
25. APPLE COMPUTER INC
2005-05-19
2019-03-15
100. CISCO SYS INC
2013-08-21
2019-03-15
15. COSTCO WHSL CORP NEW
2019-03-15
20. FACEBOOK INC A
2017-09-12
2019-03-15
50. INTEL CORP COM
2006-03-08
2019-03-15
25. J P MORGAN CHASE & CO
2009-08-07
2019-03-15
25. LOWES COMPANIES INC
2013-04-12
2019-03-15
20. MASTERCARD INC
2009-11-18
2019-03-15
50. MICROSOFT CORP COM
2016-09-27
2019-03-15
63. NIKE INC. CLASS B
2019-03-15
20. PNC FINL SVCS GROUP INC COM W/RIGHTS ATTACHED EXP 5/25/2010
2015-04-01
2019-03-15
55. ACCENTURE PLC CL A
2012-05-02
2019-03-15
50000. F H L M C M T N 3.750% 3/27/19
2011-05-31
2019-03-27
25000. VERIZON COMM INC 3.000% 11/01/21
2017-07-07
2019-03-29
1. AMERICAN INTL GROUP INC
1911-11-11
2019-04-04
541. ISHARES SP 500 VALUE INDEX E T F
2019-04-23
25000. U S TREASURY NT 1.625% 4/30/19
2018-04-25
2019-04-30
50000. U S TREASURY NT 1.625% 4/30/19
2019-04-30
50000. VERIZON 2.625% 2/21/20
2017-01-05
2019-05-06
75000. U S TREASURY NT 3.125% 5/15/19
2019-05-15
1688.049 CAUSEWAY INTERNATL VALUE INS
2018-07-26
2019-05-16
2202.937 ROBECO BOSTON PARTNERS L S RSRCH
2019-05-16
1660. IPATH DOW JONES UBS COMMODITY
2019-05-24
2080.444 CAUSEWAY INTERNATL VALUE INS
2019-05-24
15. COSTCO WHSL CORP NEW
2019-05-24
20. MCDONALDS CORP
2019-05-24
5138.746 LOOMIS SAYLES STRATEGIC ALPHA FUND Y
2019-05-24
1161.171 NUVEEN REAL ESTATE SECS I
2019-05-24
4052.366 ROBECO BOSTON PARTNERS L S RSRCH
2019-05-24
4315.66 TCW EMERGING MARKETS INCOME FUND
2019-05-24
55. LINDE PLC
2003-12-19
2019-05-24
4744.487 INV BALANCE RISK COMM STR Y
2019-06-03
2566.735 LOOMIS SAYLES STRATEGIC ALPHA FUND Y
2019-06-03
20. AMERICAN TOWER CORP
2017-03-01
2019-06-06
3. BIOGEN, INC
2017-03-01
2019-06-06
20. BIOGEN, INC
2019-06-06
19. HONEYWELL INTERNATIONAL INC COMMON STOCK
2019-01-22
2019-06-06
26. PROCTER & GAMBLE CO
2006-10-09
2019-06-06
2108.551 CAUSEWAY INTERNATL VALUE INS
2018-10-05
2019-06-07
5029.061 LOOMIS SAYLES STRATEGIC ALPHA FUND Y
2019-06-07
1031.992 LOOMIS SAYLES STRATEGIC ALPHA FUND Y
2019-01-23
2019-06-07
25000. CATERPILLAR FINL MTN 2.100% 6/09/19
2014-06-03
2019-06-09
1. AMGEN INC
1911-11-11
2019-07-15
2369.947 CAMBIAR INTL EQUITY FUND INS
2019-07-31
15. BLACKROCK INC
2018-11-08
2019-07-31
15. BOEING COMPANY
2011-10-07
2019-07-31
50. CITIGROUP INC
2014-06-27
2019-07-31
416. HORMEL FOODS CORPORATIONCOM
2019-07-31
21. MCDONALDS CORP
2009-06-29
2019-07-31
1121. PARSLEY ENERGY INC-CLASS A
2019-07-31
180. PARSLEY ENERGY INC-CLASS A
2018-09-18
2019-07-31
75. PAYPAL HOLDINGS INC
2019-07-31
22. RAYTHEON COMPANY
2019-06-06
2019-07-31
10. SERVICENOW INC
2017-05-26
2019-07-31
43. STARBUCKS CORP
2010-10-18
2019-07-31
100000. U S TREASURY NT 3.625% 8/15/19
2019-07-31
25000. BP CAPITAL MARKETS 2.315% 2/13/20
2015-03-06
2019-08-05
50000. AMERICAN EXPRES MTN 2.250% 8/15/19
2019-08-15
125000. U S TREASURY NT 3.375% 11/15/19
2019-09-04
50000. BANK NY MELLON MTN 2.300% 9/11/19
2019-09-11
15. COSTCO WHSL CORP NEW
2017-09-12
2019-09-11
35. EXXON MOBIL CORP
2005-06-13
2019-09-11
20. LOWES COMPANIES INC
2013-04-12
2019-09-11
25. PNC FINL SVCS GROUP INC COM W/RIGHTS ATTACHED EXP 5/25/2010
2015-04-01
2019-09-11
95. PFIZER INC COM
2006-04-04
2019-09-11
20. PROCTER & GAMBLE CO
2006-10-09
2019-09-11
50. SCHLUMBERGER LTD ISIN #AN8068571086
2012-07-11
2019-09-11
61. SERVICENOW INC
2019-09-11
15. CHUBB LTD
2017-09-27
2019-09-11
25. APPLE COMPUTER INC
2005-05-19
2019-11-06
51. BIOGEN, INC
2019-11-06
4319.164 CAUSEWAY EMERGING MARKETS INSTL
2019-11-06
2157.963 HARDING LOEVNER INTL EQTY
2019-11-06
25. LOWES COMPANIES INC
2013-04-12
2019-11-06
25. PROCTER & GAMBLE CO
2019-11-06
280. SCHLUMBERGER LTD ISIN #AN8068571086
2019-11-06
50. UNITED TECHNOLOGIES CORP
2019-11-06
7576.74 INVESCO OPPENHEIMER SENIOR FLOATING
2019-11-14
25. ABBVIE INC
2014-10-03
2019-11-14
20. APPLE COMPUTER INC
2005-05-19
2019-11-14
35. CITIGROUP INC
2013-04-12
2019-11-14
1461.378 COLUMBIA FDS SER DIVIDEND INC CL Z
2019-11-14
1085.541 HARDING LOEVNER INTL EQTY
2019-11-14
20. JOHNSON & JOHNSON
2015-11-20
2019-11-14
212.074 PRICE T ROWE GROWTH STK FD INC COM
2018-10-31
2019-11-14
37. PROCTER & GAMBLE CO
2019-11-14
20. UNITED TECHNOLOGIES CORP
2005-03-07
2019-11-14
82.666 VANGUARD EQUITY INCOME ADM
2018-10-11
2019-11-14
25. MEDTRONIC PLC
2015-01-27
2019-11-14
445.245 PRICE T ROWE GROWTH STK FD INC COM
2019-12-04
331.227 PRICE T ROWE GROWTH STK FD INC COM
2019-12-04
100000. U S TREASURY NT 3.625% 2/15/20
2019-12-04
15000. U S TREASURY NT 3.625% 2/15/20
2019-02-19
2019-12-04
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
14,865
15,497
-632
b
10,021
10,441
-420
c
6,993
7,166
-173
d
4,995
5,302
-307
e
13,012
13,615
-603
10,431
11,960
-1,529
9,963
10,162
-199
49,428
50,894
-1,466
3,635
1,158
2,477
2,122
1,255
867
3,197
2,203
994
8,489
11,451
-2,962
4,728
1,031
3,697
75,000
75,337
-337
4,027
2,641
1,386
3,107
2,341
766
16,652
20,872
-4,220
7,751
3,805
3,946
122
122
50,000
50,412
-412
50,000
50,258
-258
59,789
52,515
7,274
77
77
12,565
12,104
461
15,160
16,596
-1,436
10,510
5,023
5,487
4,720
3,291
1,429
14,675
15,993
-1,318
4,309
2,639
1,670
6,441
4,656
1,785
19,725
18,776
949
12,098
5,376
6,722
7,045
3,090
3,955
9,557
4,048
5,509
5,940
915
5,025
5,155
2,943
2,212
4,675
132
4,543
5,343
2,428
2,915
3,520
2,468
1,052
3,318
3,450
-132
2,730
1,008
1,722
2,640
1,072
1,568
2,505
969
1,536
4,632
456
4,176
5,841
2,882
2,959
5,479
3,228
2,251
2,595
1,849
746
9,124
3,578
5,546
50,000
53,397
-3,397
25,265
25,368
-103
43
43
63,382
61,078
2,304
25,000
24,838
162
50,000
49,676
324
50,019
50,682
-663
75,000
75,261
-261
25,169
28,089
-2,920
33,110
31,705
1,405
36,386
50,030
-13,644
30,270
34,178
-3,908
3,707
2,437
1,270
3,954
1,150
2,804
50,000
49,360
640
25,058
23,636
1,422
60,583
52,938
7,645
35,043
35,242
-199
10,312
8,990
1,322
29,463
33,000
-3,537
25,026
24,451
575
4,251
2,287
1,964
674
882
-208
4,495
6,325
-1,830
3,238
2,645
593
2,794
1,636
1,158
31,038
34,137
-3,099
49,084
47,189
1,895
10,072
10,000
72
25,000
25,026
-26
18
18
60,126
55,271
4,855
7,084
6,356
728
5,213
937
4,276
3,558
2,354
1,204
17,155
13,790
3,365
4,454
1,204
3,250
18,742
35,820
-17,078
3,009
5,043
-2,034
8,324
6,569
1,755
4,025
4,045
-20
2,795
1,065
1,730
4,090
591
3,499
100,055
100,608
-553
25,022
24,977
45
50,000
50,192
-192
125,332
125,854
-522
50,000
50,581
-581
4,353
2,410
1,943
2,514
2,049
465
2,263
775
1,488
3,395
2,312
1,083
3,538
2,384
1,154
2,418
1,259
1,159
1,866
3,293
-1,427
15,486
6,112
9,374
2,392
2,127
265
6,408
132
6,276
14,776
14,152
624
54,724
54,571
153
50,043
48,043
2,000
2,794
969
1,825
2,998
1,421
1,577
10,029
15,152
-5,123
7,387
3,386
4,001
56,295
61,702
-5,407
2,176
1,467
709
5,263
106
5,157
2,573
1,563
1,010
34,927
32,405
2,522
24,946
23,033
1,913
2,615
2,051
564
15,042
13,976
1,066
4,451
2,049
2,402
2,959
1,026
1,933
6,488
6,288
200
2,719
1,892
827
31,973
25,000
6,973
23,785
18,756
5,029
100,383
101,066
-683
15,057
15,158
-101
6,654
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
-632
b
-420
c
-173
d
-307
e
-603
-1,529
-199
-1,466
2,477
867
994
-2,962
3,697
-337
1,386
766
-4,220
3,946
122
-412
-258
7,274
77
461
-1,436
5,487
1,429
-1,318
1,670
1,785
949
6,722
3,955
5,509
5,025
2,212
4,543
2,915
1,052
-132
1,722
1,568
1,536
4,176
2,959
2,251
746
5,546
-3,397
-103
43
2,304
162
324
-663
-261
-2,920
1,405
-13,644
-3,908
1,270
2,804
640
1,422
7,645
-199
1,322
-3,537
575
1,964
-208
-1,830
593
1,158
-3,099
1,895
72
-26
18
4,855
728
4,276
1,204
3,365
3,250
-17,078
-2,034
1,755
-20
1,730
3,499
-553
45
-192
-522
-581
1,943
465
1,488
1,083
1,154
1,159
-1,427
9,374
265
6,276
624
153
2,000
1,825
1,577
-5,123
4,001
-5,407
709
5,157
1,010
2,522
1,913
564
1,066
2,402
1,933
200
827
6,973
5,029
-683
-101
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
122,087
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
354,545
6,063,858
0.058469
2017
288,189
5,569,725
0.051742
2016
335,968
5,746,245
0.058467
2015
322,714
6,059,187
0.05326
2014
326,797
6,195,014
0.052752
2
Total
of line 1, column (d)
.....................
2
0.27469
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
0.054938
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5,974,374
5
Multiply line 4 by line 3
......................
5
328,220
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
2,530
7
Add lines 5 and 6
........................
7
330,750
8
Enter qualifying distributions from Part XII, line 4
,.............
8
378,799
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
2,530
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
2,530
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
2,530
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
3,212
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
1,848
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
5,060
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
2,530
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
2,530
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)
MT
,
DE
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
AGENT
1
23,139
PO BOX 3168
PORTLAND
,
OR
97208
CAROLYN MAIER
EXECUTIVE DIRECTOR
1
0
PO BOX 3387
MISSOULA
,
MT
89806
RICK HART
CHAIRMAN
1
0
PO BOX 4787
MISSOULA
,
MT
59806
LARRY GIANCHETTA
VICE CHAIRMAN
1
0
PO BOX 4787
MISSOULA
,
MT
59806
RICK BASKETT
SECRETARY/TREASURER
1
0
PO BOX 4787
MISSOULA
,
MT
59806
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
5,887,717
b
Average of monthly cash balances
.......................
1b
177,637
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
6,065,354
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
6,065,354
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
90,980
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
5,974,374
6
Minimum investment return.
Enter 5% of line 5
..................
6
298,719
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
298,719
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
2,530
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
2,530
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
296,189
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
296,189
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
296,189
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
378,799
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
378,799
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
2,530
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
376,269
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
296,189
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
......
21,218
b
From 2015
......
25,119
c
From 2016
......
54,414
d
From 2017
......
15,656
e
From 2018
......
57,772
f
Total
of lines 3a through e
........
174,179
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
378,799
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
.....
296,189
e
Remaining amount distributed out of corpus
82,610
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
256,789
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)
...
21,218
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
235,571
10
Analysis of line 9:
a
Excess from 2015
....
25,119
b
Excess from 2016
....
54,414
c
Excess from 2017
....
15,656
d
Excess from 2018
....
57,772
e
Excess from 2019
....
82,610
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
CAROLYN MONTGOMERY
PO BOX 3387
MISSOULA
,
MT
59806
(406) 240-6353
b
The form in which applications should be submitted and information and materials they should include:
CONTACT ABOVE
c
Any submission deadlines:
CONTACT ABOVE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
CHARITIES IN THE STATE OF MONTANA
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
MONTANA FOOD BANK
5625 EXPRESSWAY
MISSOULA
,
MT
59808
NONE
PC
BACKPACK PROGRAM
5,000
UNITED WAY OF MISSOULA CO
412 W ALDER ST
MISSOULA
,
MT
59802
NONE
PC
W & R GALLAGHER FDN BLDG
50,000
MISSOULA CHILDREN'S THEATRE
200 NORTH ADAMS
MISSOULA
,
MT
59802
NONE
PC
INCR ACCESS MT / ENGAGE
10,000
YOUTH HOMES INC
PO BOX 7616
MISSOULA
,
MT
59807
NONE
PC
PARTNERING FOR GOOD
30,000
MONTANA NATURAL HIST CENT
120 HICKORY STREET
MISSOULA
,
MT
59801
NONE
PC
VISITING NATURALIST IN
2,500
ART MOBILE OF MONTANA
C/O SOUTHWEST MT ACCOUNTANCY GP
100 DEERFIELD LANE
DILLON
,
MT
59725
NONE
PC
RURAL SCHOOLS W OF DIVIDE
3,500
A CAROUSEL FOR MISSOULA
101 CAROUSEL DRIVE
MISSOULA
,
MT
59802
NONE
PC
DRAGON HALLOW RENOVATION
5,000
MISSOULA WRITING COLLABORATIVE
PO BOX 9237
MISSOULA
,
MT
59807
NONE
PC
CREATIVE WRITING FLOR&DARBY
3,000
BOYS & GIRLS CLUB-RONAN
FLATHEAD RESERVATION & LAKE CO
PO BOX 334
RONAN
,
MT
59864
NONE
PC
GRANT CAMPAIGN
5,000
YWCA OF MISSOULA MT
1130 W BROADWAY
MISSOULA
,
MT
59802
NONE
PC
CAPITAL CAMPAIGN
35,000
WATSON CHILDREN'S SHELTER
4978 BUCKHOUSE LANE
MISSOULA
,
MT
59804
NONE
PC
SUMMER ENRICH PROGRAMS
5,000
ROCKY MOUNTAIN BALLET THEATRE
2704 BROOKS ST STE 2
MISSOULA
,
MT
59801
NONE
PC
GLOBAL CULTURAL EXC MT
7,500
ARTS MISSOULA
PO BOX 7662
MISSOULA
,
MT
59807
NONE
PC
FIRST NIGHT MISSOULA
3,000
MISSOULA AGING SERVICES
337 STEPHENS AVE
MISSOULA
,
MT
59801
NONE
PC
RESPITE CARE AND INHOME
10,000
MAIN STREET UPTOWN BUTTE
66 WEST PARK SUITE 210
BUTTE
,
MT
59701
NONE
PC
2018 MT FOLK FESTIVAL
4,000
GARDEN CITY HARVEST
PO BOX 205
MISSOULA
,
MT
59806
NONE
PC
GRANT FOR COMMUNITY GARDENS
5,000
MISSOULA FOOD BANK
219 SOUTH 3RD ST
MISSOULA
,
MT
59801
NONE
PC
CAPITAL CAMPAIGN
25,000
WRITING COACHES OF MISSOULA
PO BOX 7592
MISSOULA
,
MT
59807
NONE
PC
WRITING COACH RAVALLI
2,500
INTERNATIONAL CHORAL FESTIVAL
PO BOX 8203
MISSOULA
,
MT
59807
NONE
PC
GENERAL PURPOSE
5,000
ZOOTOWN COMMUNITY ARTS CENTER
235 NORTH 1ST ST W
MISSOULA
,
MT
59802
NONE
PC
GENERAL PURPOSE
25,000
BITTERROOT PERFORMING ARTS CO INC
127 W MAIN STE 103
HAMILTON
,
MT
59840
NONE
PC
2018-2019 PERFORM ARTS
5,000
BIG BROTHERS BIG SISTERS FLATHEAD CO
137 S MAIN ST
KALISPELL
,
MT
59901
NONE
PC
GENERAL PURPOSE
7,000
MISSOULA BUTTERFLY HOUSE&INSECTARIUM
PO BOX 8885
MISSOULA
,
MT
59807
NONE
PC
GENERAL PURPOSE
25,000
THE SALVATION ARMY
355 S RUSSELL ST
MISSOULA
,
MT
59801
NONE
PC
GENERAL PURPOSE
3,000
BARRETT HOSPITAL FOUNDATION
600 MONTANA HWY 91 S
DILLON
,
MT
59725
NONE
PC
GENERAL PURPOSE
5,000
SUMMIT FOR PARKINSON'S
PO BOX 2235
MISSOULA
,
MT
59806
NONE
PC
GENERAL PURPOSE
2,500
WORD
2405 MCINTOSH LOOP
MISSOULA
,
MT
59801
NONE
PC
GENERAL PURPOSE
2,500
MOUNTAIN HOME MONTANA INC
2606 S AVE W
MISSOULA
,
MT
59804
NONE
PC
GENERAL PURPOSE
10,000
THE LIFE GUARD GROUP
13320 BUNCHGRASS LANE
MISSOULA
,
MT
59808
NONE
PC
GENERAL PURPOSE
5,060
MISSOULA COMMUNITY FOUNDATION
508 E BROADWAY ST
MISSOULA
,
MT
59802
NONE
PC
GENERAL OPERATING
150
CASA LAKE & SANDERS COUNTIES
PO BOX 511
POLSON
,
MT
59860
NONE
PC
GENERAL PURPOSE
4,000
SUMMIT INDEPENDENT LIVING
700 SW HIGGINS SUITE 101
MISSOULA
,
MT
59803
NONE
PC
GENERAL PURPOSE
3,000
TAMARACK GRIEF RESOURCE
405 S 1ST ST W
MISSOULA
,
MT
59801
NONE
PC
GENERAL OPERATING
250
BOYS & GIRLS CLUB OF MISSOULA COUNTY
1515 FAIRVIEW AVE SUITE 243
MISSOULA
,
MT
59801
NONE
PC
GENERAL PURPOSE
7,500
Total
.................................
3a
320,960
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
154,008
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
122,087
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)
..
276,095
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
276,095
(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