Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 01-01-2019 , and ending 12-31-2019
Name of foundation
NATHAN WEIDNER MEMORIAL FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)1392 SOUTH VALLEY CENTER DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BAY CITY, MI487069798
A Employer identification number

38-3262641
B Telephone number (see instructions)

(989) 684-8888
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,325,035
J Accounting method:
Modified Cash
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,457
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 29,813 29,813  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -5,106
b Gross sales price for all assets on line 6a 499,024
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 26,164 29,813  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 995 0   995
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 1,567 467   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 12,843 11,698   1,145
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 15,405 12,165   2,140
25 Contributions, gifts, grants paid....... 67,973 67,973
26 Total expenses and disbursements. Add lines 24 and 25 83,378 12,165   70,113
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -57,214
b Net investment income (if negative, enter -0-) 17,648
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2019)
Form 990-PF (2019)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 5,312 6,532 6,532
2 Savings and temporary cash investments......... 112,013 134,893 134,893
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet        
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)....... 1,011,655 Click to see attachment968,341 1,063,807
c Investments—corporate bonds (attach schedule)....... 137,057 Click to see attachment99,057 119,803
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,266,037 1,208,823 1,325,035
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
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 bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 1,266,037 1,208,823
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 1,266,037 1,208,823
30 Total liabilities and net assets/fund balances (see instructions). 1,266,037 1,208,823
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,266,037
2
Enter amount from Part I, line 27a .....................
2
-57,214
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,208,823
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,208,823
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 14.00 SHS ASTRAZENECA PLC SPND ADR   2019-09-17 2019-11-21
b 1.00 SHS CHIPOTLE MEXICAN GRILL   2019-09-17 2019-10-04
c 2.00 SHS DOLLAR GENERAL CORP   2019-09-17 2019-12-04
d 4.00 SHS GOLDMAN SACHS GROUP INC   2019-09-17 2019-11-21
e 2.00 SHS GRUBHUB INC SHS   2019-09-17 2019-11-01
15.00 SHS JOHNSON CONTROLS INTER   2019-09-17 2019-09-27
3.00 SHS MARSH & MCLENNAN COS INC   2019-09-17 2019-09-27
18.00 SHS MATTEL INC COM   2019-09-17 2019-11-04
11.00 SHS MATTEL INC COM   2019-09-17 2019-11-01
1.00 SHS NOVO NORDISK A S ADR   2019-09-17 2019-12-24
4.00 SHS ONEOK INC (OKLAHOMA)   2019-09-17 2019-09-27
2.00 SHS PEPSICO INC   2019-09-17 2019-09-25
3.00 SHS SONY CORP ADR NEW   2019-09-17 2019-11-26
3.00 SHS SONY CORP ADR NEW   2019-09-17 2019-11-25
4.00 SHS SONY CORP ADR NEW   2019-09-17 2019-11-22
3.00 SHS SONY CORP ADR NEW   2019-09-17 2019-11-21
55.00 SHS SYMANTEC CORP COM   2019-09-06 2019-09-17
6.00 SHS UNIVERSAL HEALTH SVCS B   2019-09-06 2019-09-17
8.00 SHS BEST BUY CO INC   2019-08-23 2019-09-17
2.00 SHS FMC CORP COM NEW   2019-08-06 2019-12-18
14.00 SHS LENNAR CORP CL A   2019-08-01 2019-09-17
2.00 SHS LAM RESEARCH CORP COM   2019-07-24 2019-09-17
1.00 SHS KLA CORP   2019-07-22 2019-09-17
6.00 SHS KLA CORP   2019-07-17 2019-09-17
4.00 SHS CATERPILLAR INC DEL   2019-06-17 2019-09-06
4.00 SHS COCA COLA COM   2019-06-17 2019-08-02
2.00 SHS GRUBHUB INC SHS   2019-06-17 2019-11-01
5.354.00 SHS JP MORGAN UNDSCVRD MNGRS   2019-06-17 2019-09-17
1.00 SHS ALTICE USA INC CL A   2019-06-07 2019-09-17
0.00 SHS CORTEVA INC REG SHS   2019-06-06 2019-06-06
5.00 SHS WYNDHAM HOTELS AND   2019-05-22 2019-10-04
4.00 SHS WYNDHAM HOTELS AND   2019-05-22 2019-09-17
10.00 SHS FOX CORP REG SHS CL A   2019-05-10 2019-09-17
1.00 SHS C.H. ROBINSON WORLDWIDE,   2019-05-08 2019-09-17
1.00 SHS VALERO ENERGY CORP NEW   2019-05-06 2019-09-17
3.00 SHS C.H. ROBINSON WORLDWIDE,   2019-05-02 2019-09-17
7.00 SHS ZIMMER BIOMET HOLDI   2019-05-02 2019-09-17
4.00 SHS C.H. ROBINSON WORLDWIDE,   2019-05-01 2019-09-17
19.00 SHS VALERO ENERGY CORP NEW   2019-04-25 2019-09-17
31.00 SHS FOX CORP REG SHS CL A   2019-04-22 2019-09-17
21.00 SHS ALTICE USA INC CL A   2019-04-12 2019-09-17
9.00 SHS ALTICE USA INC CL A   2019-04-12 2019-09-06
30.00 SHS BARRICK GOLD CORPORATION   2019-04-12 2019-09-17
3.00 SHS GRUBHUB INC SHS   2019-04-05 2019-11-01
5.00 SHS BB&T CORPORATION   2019-03-25 2019-10-10
11.00 SHS BB&T CORPORATION   2019-03-25 2019-09-17
2.00 SHS ESSEX PPTY TR INC COM   2019-03-25 2019-11-20
3.00 SHS ESSEX PPTY TR INC COM   2019-03-25 2019-09-17
3.00 SHS SUNTRUST BKS INC COM   2019-03-25 2019-10-10
9.00 SHS SUNTRUST BKS INC COM   2019-03-25 2019-09-17
0.425.00 SHS TRUIST FINL CORP   2019-03-25 2019-12-17
83.00 SHS BARRICK GOLD CORPORATION   2019-03-22 2019-09-17
0.4.00 SHS ALCON SA ACT NOM   2019-03-21 2019-04-26
2.00 SHS ALCON SA ACT NOM   2019-03-21 2019-04-12
7.00 SHS CORTEVA INC REG SHS   2019-03-21 2019-06-06
7.00 SHS DOW INC REG   2019-03-21 2019-08-20
0.3333.00 SHS DOW INC REG   2019-03-21 2019-04-05
0.3333.00 SHS DUPONT DE NEMOURS INC   2019-03-21 2019-06-06
6.00 SHS LOWE'S COMPANIES INC   2019-03-21 2019-09-23
12.00 SHS NOVARTIS ADR   2019-03-21 2019-07-09
2.00 SHS GRUBHUB INC SHS   2019-03-19 2019-11-01
1.00 SHS ADVANCE AUTO PARTS INC   2019-03-18 2019-09-17
10.00 SHS NUTRIEN LTD REG SHS   2019-03-14 2019-07-05
42.00 SHS PETRLEO BRAS VTG SPD ADR   2019-03-14 2019-04-12
15.00 SHS TOLL BROS INC COM   2019-03-14 2019-09-17
4.00 SHS GRUBHUB INC SHS   2019-03-08 2019-11-01
11.00 SHS KANSAS CITY SOUTHERN   2019-03-08 2019-09-17
5.00 SHS QUEST DIAGNOSTICS INC   2019-03-08 2019-10-18
8.00 SHS QUEST DIAGNOSTICS INC   2019-03-08 2019-09-17
2.00 SHS GRUBHUB INC SHS   2019-03-06 2019-10-29
5.00 SHS CIMAREX ENERGY CO   2019-03-04 2019-09-18
1.00 SHS EATON CORP PLC   2019-03-04 2019-10-16
7.00 SHS NUTRIEN LTD REG SHS   2019-03-04 2019-07-05
18.00 SHS BB&T CORPORATION   2019-03-01 2019-09-17
11.00 SHS NUTANIX INC   2019-03-01 2019-09-17
14.00 SHS SUNTRUST BKS INC COM   2019-03-01 2019-09-17
7.00 SHS NUTRIEN LTD REG SHS   2019-02-27 2019-07-05
10.00 SHS THE MOSAIC COMPANY   2019-02-27 2019-09-17
11.00 SHS DOW INC REG   2019-02-25 2019-11-21
1.00 SHS AON PLC   2019-02-19 2019-12-12
2.00 SHS CORTEVA INC REG SHS   2019-02-15 2019-06-06
2.00 SHS DOW INC REG   2019-02-15 2019-08-20
8.00 SHS DXC TECHNOLOGY CO   2019-02-15 2019-08-06
2.00 SHS GRUBHUB INC SHS   2019-02-12 2019-10-29
1.00 SHS AON PLC   2019-02-11 2019-12-12
2.00 SHS AON PLC   2019-02-11 2019-09-17
12.00 SHS MONDELEZ INTERNATIONAL   2019-02-11 2019-12-12
12.00 SHS MONDELEZ INTERNATIONAL   2019-02-11 2019-09-17
12.00 SHS GRUBHUB INC SHS   2019-02-07 2019-10-29
1.00 SHS NUTRIEN LTD REG SHS   2019-02-07 2019-07-05
3.00 SHS NUTRIEN LTD REG SHS   2019-02-07 2019-07-03
9.00 SHS LIBERTY GLOBAL PLC CL C   2019-02-05 2019-11-07
1.00 SHS LIBERTY GLOBAL PLC CL C   2019-02-05 2019-10-23
3.00 SHS DELTA AIR LINES INC   2019-01-30 2019-11-20
4.00 SHS NXP SEMICONDUCTORS N.V.   2019-01-30 2019-09-17
20.00 SHS CORTEVA INC REG SHS   2019-01-28 2019-06-06
9.00 SHS DOW INC REG   2019-01-28 2019-08-20
11.00 SHS DOW INC REG   2019-01-28 2019-08-20
11.00 SHS DUPONT DE NEMOURS INC   2019-01-28 2019-09-17
18.00 SHS EBAY INC COM   2019-01-28 2019-06-05
12.00 SHS EBAY INC COM   2019-01-28 2019-05-15
15.00 SHS EBAY INC COM   2019-01-28 2019-05-10
99.00 SHS HEWLETT PACKARD   2019-01-28 2019-05-10
1.00 SHS ISHARES RUSSELL 1000   2019-01-23 2019-09-17
17.00 SHS ISHARES RUSSELL 1000   2019-01-23 2019-06-17
2.00 SHS ISHARES RUSSELL 1000   2019-01-23 2019-09-17
6.00 SHS ISHARES RUSSELL 1000   2019-01-23 2019-06-17
94.00 SHS NUVEEN SM CAP VAL FD I   2019-01-23 2019-06-17
6.00 SHS KEYCORP NEW COM   2019-01-17 2019-03-21
8.00 SHS MOLSON COOR BREW CO CL B   2019-01-17 2019-06-07
6.00 SHS CANADIAN NATURAL RES LTD   2019-01-15 2019-07-16
13.00 SHS CANADIAN NATURAL RES LTD   2019-01-10 2019-07-16
8.00 SHS CANADIAN NATURAL RES LTD   2019-01-10 2019-07-16
25.00 SHS CANADIAN NATURAL RES LTD   2019-01-10 2019-06-27
8.00 SHS CANADIAN NATURAL RES LTD   2019-01-10 2019-01-23
7.00 SHS MOLSON COOR BREW CO CL B   2019-01-10 2019-06-07
3.00 SHS MOLSON COOR BREW CO CL B   2019-01-10 2019-01-23
3.00 SHS TYSON FOODS INC CL A   2019-01-07 2019-12-12
5.00 SHS TYSON FOODS INC CL A   2019-01-07 2019-09-17
4.00 SHS TARGET CORP COM   2018-12-26 2019-05-22
2.00 SHS TOLL BROS INC COM   2018-12-26 2019-02-12
8.00 SHS TOLL BROS INC COM   2018-12-26 2019-02-11
7.00 SHS TYSON FOODS INC CL A   2018-12-26 2019-09-17
2.00 SHS TYSON FOODS INC CL A   2018-12-26 2019-01-23
31.00 SHS HUNTNGTN BANCSHS INC MD   2018-12-21 2019-03-21
27.00 SHS KEYCORP NEW COM   2018-12-21 2019-03-21
6.00 SHS NUTANIX INC   2018-12-18 2019-09-17
2.00 SHS NOVO NORDISK A S ADR   2018-12-13 2019-12-24
6.00 SHS NOVO NORDISK A S ADR   2018-12-13 2019-12-23
2.00 SHS NOVO NORDISK A S ADR   2018-12-13 2019-12-20
2.00 SHS NOVO NORDISK A S ADR   2018-12-13 2019-11-22
4.00 SHS NOVO NORDISK A S ADR   2018-12-13 2019-11-21
3.00 SHS NOVO NORDISK A S ADR   2018-12-13 2019-01-23
0.0006.00 SHS OAKMARK INTL FD CL   2018-12-11 2019-09-17
29.00 SHS HP INC   2018-12-06 2019-04-02
6.00 SHS SL GREEN REALTY CORP   2018-11-30 2019-06-19
2.00 SHS BOEING COMPANY   2018-11-27 2019-08-01
5.00 SHS LOWE'S COMPANIES INC   2018-11-27 2019-09-23
3.00 SHS TARGET CORP COM   2018-11-27 2019-05-22
9.00 SHS TARGET CORP COM   2018-11-27 2019-05-22
10.00 SHS TARGET CORP COM   2018-11-27 2019-04-26
3.00 SHS TARGET CORP COM   2018-11-27 2019-01-23
2.00 SHS ALCON SA ACT NOM   2018-11-21 2019-04-12
2.00 SHS NOVARTIS ADR   2018-11-21 2019-07-09
7.00 SHS NOVARTIS ADR   2018-11-21 2019-05-20
1.00 SHS AON PLC   2018-11-18 2019-09-17
3.00 SHS EDISON INTL CALIF   2018-11-13 2019-09-17
6.00 SHS PROCTER & GAMBLE CO   2018-11-12 2019-11-21
22.00 SHS PROCTER & GAMBLE CO   2018-11-12 2019-09-17
9.00 SHS PROCTER & GAMBLE CO   2018-11-12 2019-04-22
2.00 SHS PROCTER & GAMBLE CO   2018-11-12 2019-04-02
9.00 SHS PROCTER & GAMBLE CO   2018-11-12 2019-01-23
6.00 SHS FMC CORP COM NEW   2018-11-08 2019-09-17
0.6413.00 SHS LIVENT CORP   2018-11-08 2019-03-07
5.00 SHS LIVENT CORP   2018-11-08 2019-03-07
32.00 SHS THE MOSAIC COMPANY   2018-11-08 2019-09-17
5.00 SHS THE MOSAIC COMPANY   2018-11-08 2019-01-23
20.00 SHS NOBLE ENERGY INC   2018-11-07 2019-09-17
2.00 SHS AON PLC   2018-10-30 2019-09-17
5.00 SHS AON PLC   2018-10-30 2019-07-26
1.00 SHS AON PLC   2018-10-30 2019-01-23
26.00 SHS PULTE GROUP   2018-10-30 2019-02-11
16.00 SHS TOLL BROS INC COM   2018-10-30 2019-02-11
4.00 SHS TOLL BROS INC COM   2018-10-30 2019-01-23
28.00 SHS WALGREENS BOOTS ALLIANCE   2018-10-30 2019-03-04
5.00 SHS WALGREENS BOOTS ALLIANCE   2018-10-30 2019-01-23
1.00 SHS ALCON SA ACT NOM   2018-10-25 2019-04-12
4.00 SHS IHS MARKIT LTD SHS   2018-10-25 2019-01-23
5.00 SHS LAS VEGAS SANDS CORP   2018-10-25 2019-09-17
5.00 SHS NOVARTIS ADR   2018-10-25 2019-04-12
2.00 SHS CATERPILLAR INC DEL   2018-10-24 2019-09-04
108.00 SHS NUVEEN SM CAP VAL FD I   2018-10-24 2019-06-17
4.00 SHS RED HAT INC   2018-10-24 2019-06-21
2.00 SHS ANTHEM INC   2018-10-23 2019-04-12
6.00 SHS NUTANIX INC   2018-10-23 2019-09-17
41.00 SHS HUNTNGTN BANCSHS INC MD   2018-10-18 2019-03-21
29.00 SHS KEYCORP NEW COM   2018-10-18 2019-03-21
2.00 SHS UNION PACIFIC CORP   2018-10-18 2019-10-10
4.00 SHS NUTANIX INC   2018-10-16 2019-09-17
1.00 SHS UNION PACIFIC CORP   2018-10-12 2019-10-10
5.00 SHS UNION PACIFIC CORP   2018-10-12 2019-09-17
8.00 SHS NUTANIX INC   2018-10-11 2019-09-17
7.00 SHS NUTANIX INC   2018-10-09 2019-09-17
3.00 SHS NUTANIX INC   2018-10-09 2019-01-23
1.00 SHS UNION PACIFIC CORP   2018-10-09 2019-09-17
1.00 SHS UNION PACIFIC CORP   2018-10-09 2019-07-17
1.00 SHS HUNTNGTN BANCSHS INC MD   2018-10-04 2019-03-21
48.00 SHS HUNTNGTN BANCSHS INC MD   2018-10-04 2019-03-07
31.00 SHS HUNTNGTN BANCSHS INC MD   2018-10-04 2019-03-01
17.00 SHS HUNTNGTN BANCSHS INC MD   2018-10-04 2019-02-11
25.00 SHS HUNTNGTN BANCSHS INC MD   2018-10-04 2019-01-23
14.00 SHS NORDSTROM INC   2018-10-04 2019-01-28
8.00 SHS NUTANIX INC   2018-10-04 2019-01-23
8.00 SHS LIBERTY GLOBAL PLC CL C   2018-10-03 2019-10-23
10.00 SHS LAS VEGAS SANDS CORP   2018-10-01 2019-09-17
10.00 SHS LAS VEGAS SANDS CORP   2018-10-01 2019-09-17
4.00 SHS LAS VEGAS SANDS CORP   2018-10-01 2019-01-23
7.00 SHS DOLLAR TREE INC   2018-09-25 2019-01-15
4.00 SHS FMC CORP COM NEW   2018-09-24 2019-09-17
4.00 SHS LIVENT CORP   2018-09-24 2019-03-07
10.00 SHS LIBERTY GLOBAL PLC CL C   2018-09-20 2019-10-23
33.00 SHS LIBERTY GLOBAL PLC CL C   2018-09-20 2019-09-17
8.00 SHS LIBERTY GLOBAL PLC CL C   2018-09-20 2019-01-23
4.00 SHS UNION PACIFIC CORP   2018-09-20 2019-07-17
2.00 SHS UNION PACIFIC CORP   2018-09-20 2019-01-23
2.00 SHS BOEING COMPANY   2018-09-07 2019-08-01
10.00 SHS DOLLAR TREE INC   2018-09-07 2019-01-15
10.00 SHS NOBLE ENERGY INC   2018-08-30 2019-09-17
2.00 SHS ALIBABA GROUP HOLDING LT   2018-08-24 2019-09-17
2.00 SHS ALIBABA GROUP HOLDING LT   2018-08-24 2019-01-23
2.00 SHS BOEING COMPANY   2018-08-21 2019-08-01
6.00 SHS MEDTRONIC PLC SHS   2018-08-21 2019-01-23
14.00 SHS VERIZON COMMUNICATNS COM   2018-08-21 2019-01-28
32.00 SHS VERIZON COMMUNICATNS COM   2018-08-14 2019-01-28
28.00 SHS NOBLE ENERGY INC   2018-08-03 2019-09-17
10.00 SHS NOBLE ENERGY INC   2018-08-03 2019-01-23
1.00 SHS BOEING COMPANY   2018-07-25 2019-03-21
3.00 SHS OWENS CORNING INC   2018-07-25 2019-09-17
7.00 SHS CIMAREX ENERGY CO   2018-07-18 2019-09-18
5.00 SHS OWENS CORNING INC   2018-07-13 2019-09-17
1.00 SHS BOEING COMPANY   2018-07-10 2019-03-21
1.00 SHS BOEING COMPANY   2018-07-10 2019-03-12
18.00 SHS HP INC   2018-07-10 2019-04-02
6.00 SHS DXC TECHNOLOGY CO   2018-07-03 2019-08-06
6.00 SHS APERGY CORP REG SHS   2018-06-29 2019-09-11
2.00 SHS CATERPILLAR INC DEL   2018-06-22 2019-09-04
4.00 SHS COCA COLA COM   2018-06-22 2019-08-02
1.00 SHS CUMMINS INC COM   2018-06-22 2019-01-30
8.00 SHS ISHARES 1-3 YEAR   2018-06-22 2019-01-23
2.00 SHS PIONEER NATURAL RES CO   2018-06-22 2019-10-18
2.00 SHS RED HAT INC   2018-06-22 2019-06-12
5.00 SHS YUM CHINA HOLDINGS INC   2018-06-22 2019-05-17
9.00 SHS CIMAREX ENERGY CO   2018-06-21 2019-09-18
7.00 SHS CIMAREX ENERGY CO   2018-06-21 2019-07-10
2.00 SHS CIMAREX ENERGY CO   2018-06-21 2019-01-23
5.00 SHS WYNDHAM DESTINATIONS INC   2018-06-21 2019-09-17
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9.00 SHS COCA-COLA EUROPEAN   2017-11-29 2019-04-02
5.00 SHS COCA-COLA EUROPEAN   2017-11-29 2019-01-28
5.00 SHS COCA-COLA EUROPEAN   2017-11-29 2019-01-23
2.00 SHS COMCAST CORP NEW CL A   2017-11-29 2019-12-18
16.00 SHS COMCAST CORP NEW CL A   2017-11-29 2019-09-17
17.00 SHS COMCAST CORP NEW CL A   2017-11-29 2019-09-17
6.00 SHS COMCAST CORP NEW CL A   2017-11-29 2019-09-17
37.00 SHS COMCAST CORP NEW CL A   2017-11-29 2019-06-27
11.00 SHS COMCAST CORP NEW CL A   2017-11-29 2019-06-26
29.00 SHS COMCAST CORP NEW CL A   2017-11-29 2019-01-23
6.00 SHS CONOCOPHILLIPS   2017-11-29 2019-09-18
8.00 SHS CONOCOPHILLIPS   2017-11-29 2019-01-23
1.00 SHS COSTCO WHOLESALE CRP DEL   2017-11-29 2019-09-17
1.00 SHS COSTCO WHOLESALE CRP DEL   2017-11-29 2019-06-17
3.00 SHS CVS HEALTH CORP   2017-11-29 2019-03-04
4.00 SHS CVS HEALTH CORP   2017-11-29 2019-03-04
9.00 SHS CVS HEALTH CORP   2017-11-29 2019-03-04
9.00 SHS CVS HEALTH CORP   2017-11-29 2019-01-23
19.00 SHS DELTA AIR LINES INC   2017-11-29 2019-04-12
8.00 SHS DELTA AIR LINES INC   2017-11-29 2019-01-23
3.00 SHS DISCOVER FINL SVCS   2017-11-29 2019-09-17
6.00 SHS DISCOVER FINL SVCS   2017-11-29 2019-05-23
6.00 SHS DISCOVER FINL SVCS   2017-11-29 2019-05-10
7.00 SHS DISCOVER FINL SVCS   2017-11-29 2019-05-08
5.00 SHS DISCOVER FINL SVCS   2017-11-29 2019-01-23
1052.00 SHS DOUBLELINE TOT RTRN BD I   2017-11-29 2019-01-23
8.00 SHS DXC TECHNOLOGY CO   2017-11-29 2019-05-29
1.00 SHS DXC TECHNOLOGY CO   2017-11-29 2019-05-29
20.00 SHS DXC TECHNOLOGY CO   2017-11-29 2019-05-20
8.00 SHS DXC TECHNOLOGY CO   2017-11-29 2019-01-23
12.00 SHS EATON CORP PLC   2017-11-29 2019-09-17
3.00 SHS EATON CORP PLC   2017-11-29 2019-01-23
1.00 SHS ECOLAB INC   2017-11-29 2019-06-17
3.00 SHS ECOLAB INC   2017-11-29 2019-03-01
2.00 SHS ECOLAB INC   2017-11-29 2019-01-23
1.00 SHS FACEBOOK INC   2017-11-29 2019-01-23
3.00 SHS FACEBOOK INC   2017-11-29 2019-01-23
5.00 SHS FMC CORP COM NEW   2017-11-29 2019-05-13
4.00 SHS FMC CORP COM NEW   2017-11-29 2019-01-23
7.00 SHS GILEAD SCIENCES INC COM   2017-11-29 2019-04-22
9.00 SHS GILEAD SCIENCES INC COM   2017-11-29 2019-02-27
7.00 SHS GILEAD SCIENCES INC COM   2017-11-29 2019-02-19
6.00 SHS GILEAD SCIENCES INC COM   2017-11-29 2019-01-23
2.00 SHS HOME DEPOT INC   2017-11-29 2019-01-23
21.00 SHS HP INC   2017-11-29 2019-03-22
50.00 SHS HP INC   2017-11-29 2019-02-28
24.00 SHS HP INC   2017-11-29 2019-01-23
18.00 SHS INV OPN INTL GROWTH FD Y   2017-11-29 2019-06-17
343.00 SHS ISHARES TR CORE MSCI EAF   2017-11-29 2019-06-17
224.00 SHS ISHARES TR CORE MSCI EAF   2017-11-29 2019-01-23
269.00 SHS ISHARES US TREASURY BOND   2017-11-29 2019-01-23
2.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-09-06
2.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-09-06
2.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-08-01
3.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-08-01
7.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-07-12
2.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-07-12
11.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-05-02
5.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-03-04
10.00 SHS JOHNSON AND JOHNSON COM   2017-11-29 2019-01-23
29.00 SHS JPMORGAN CHASE & CO   2017-11-29 2019-03-22
9.00 SHS JPMORGAN CHASE & CO   2017-11-29 2019-03-21
5.00 SHS JPMORGAN CHASE & CO   2017-11-29 2019-01-28
9.00 SHS JPMORGAN CHASE & CO   2017-11-29 2019-01-23
6.00 SHS JPMORGAN CHASE & CO   2017-11-29 2019-01-23
12.00 SHS KEYCORP NEW COM   2017-11-29 2019-03-21
26.00 SHS KEYCORP NEW COM   2017-11-29 2019-03-21
1.00 SHS KEYCORP NEW COM   2017-11-29 2019-03-21
25.00 SHS KEYCORP NEW COM   2017-11-29 2019-03-01
12.00 SHS KEYCORP NEW COM   2017-11-29 2019-02-11
26.00 SHS KEYCORP NEW COM   2017-11-29 2019-01-23
1.00 SHS LINDE PLC REG SHS   2017-11-29 2019-06-17
4.00 SHS LIVENT CORP   2017-11-29 2019-03-07
56.00 SHS LLOYDS BANKING GROUP PLC   2017-11-29 2019-02-11
73.00 SHS LLOYDS BANKING GROUP PLC   2017-11-29 2019-01-28
42.00 SHS LLOYDS BANKING GROUP PLC   2017-11-29 2019-01-23
112.00 SHS LLOYDS BANKING GROUP PLC   2017-11-29 2019-01-15
3.00 SHS MARATHON PETROLEUM CORP   2017-11-29 2019-01-10
12.00 SHS MARATHON PETROLEUM CORP   2017-11-29 2019-01-02
2.00 SHS MC CORMICK NON VTG   2017-11-29 2019-01-10
2.00 SHS MC CORMICK NON VTG   2017-11-29 2019-01-07
2.00 SHS MC CORMICK NON VTG   2017-11-29 2019-01-02
6.00 SHS MICROSOFT CORP   2017-11-29 2019-04-08
6.00 SHS MICROSOFT CORP   2017-11-29 2019-01-23
5.00 SHS MICROSOFT CORP   2017-11-29 2019-01-15
939.00 SHS NB EMERG MKTS EQTY FD I   2017-11-29 2019-06-17
206.00 SHS NB EMERG MKTS EQTY FD I   2017-11-29 2019-01-23
44.372.00 SHS NEUBERGER BERMAN EMERG   2017-11-29 2019-09-17
347.00 SHS NUVEEN SM CAP VAL FD I   2017-11-29 2019-06-17
55.1134.00 SHS OAKMARK INTL FD CL   2017-11-29 2019-09-17
205.00 SHS OAKMARK INTL FD CL   2017-11-29 2019-01-23
192.00 SHS OPPEN INTL GROWTH FD Y   2017-11-29 2019-01-23
6.00 SHS ORACLE CORP $0.01 DEL   2017-11-29 2019-10-10
2.00 SHS ORACLE CORP $0.01 DEL   2017-11-29 2019-10-10
3.00 SHS ORACLE CORP $0.01 DEL   2017-11-29 2019-09-17
13.00 SHS ORACLE CORP $0.01 DEL   2017-11-29 2019-01-23
1.00 SHS PALO ALTO NETWORKS INC   2017-11-29 2019-01-23
1.00 SHS PAYPAL HOLDINGS INC SHS   2017-11-29 2019-06-04
3.00 SHS PAYPAL HOLDINGS INC SHS   2017-11-29 2019-05-29
3.00 SHS PAYPAL HOLDINGS INC SHS   2017-11-29 2019-05-24
4.00 SHS PAYPAL HOLDINGS INC SHS   2017-11-29 2019-05-23
4.00 SHS PAYPAL HOLDINGS INC SHS   2017-11-29 2019-01-23
17.00 SHS PFIZER INC   2017-11-29 2019-01-23
44.00 SHS PFIZER INC   2017-11-29 2019-01-15
1.00 SHS PIONEER NATURAL RES CO   2017-11-29 2019-01-23
1.00 SHS REGENERON PHARMACTCLS   2017-11-29 2019-03-07
1.00 SHS REGENERON PHARMACTCLS   2017-11-29 2019-02-06
18.00 SHS REGIONS FINL CORP   2017-11-29 2019-01-23
3.00 SHS ROYAL DUTCH SHELL PLC   2017-11-29 2019-09-17
12.00 SHS ROYAL DUTCH SHELL PLC   2017-11-29 2019-08-06
14.00 SHS ROYAL DUTCH SHELL PLC   2017-11-29 2019-06-27
10.00 SHS ROYAL DUTCH SHELL PLC   2017-11-29 2019-01-23
3.00 SHS SCHLUMBERGER LTD   2017-11-29 2019-05-08
7.00 SHS SCHLUMBERGER LTD   2017-11-29 2019-01-23
7.00 SHS SCHWAB CHARLES CORP NEW   2017-11-29 2019-12-05
6.00 SHS SCHWAB CHARLES CORP NEW   2017-11-29 2019-01-23
8.00 SHS SOUTHWEST AIRLNS CO   2017-11-29 2019-05-31
8.00 SHS SOUTHWEST AIRLNS CO   2017-11-29 2019-01-23
2.00 SHS SPLUNK INC   2017-11-29 2019-09-17
6.00 SHS SPLUNK INC   2017-11-29 2019-01-23
5.00 SHS UNITED PARCEL SVC CL B   2017-11-29 2019-09-17
2.00 SHS UNITED PARCEL SVC CL B   2017-11-29 2019-01-23
3.00 SHS UNITEDHEALTH GROUP INC   2017-11-29 2019-09-17
4.00 SHS VISA INC CL A SHRS   2017-11-29 2019-01-23
1.00 SHS VMWARE INC   2017-11-29 2019-01-23
1.00 SHS W W GRAINGER INCORP   2017-11-29 2019-09-17
2.00 SHS W W GRAINGER INCORP   2017-11-29 2019-01-23
12.00 SHS WELLS FARGO & CO NEW DEL   2017-11-29 2019-02-11
17.00 SHS WELLS FARGO & CO NEW DEL   2017-11-29 2019-01-23
3.00 SHS WESTROCK CO SHS   2017-11-29 2019-02-05
5.00 SHS WESTROCK CO SHS   2017-11-29 2019-01-28
3.00 SHS WESTROCK CO SHS   2017-11-29 2019-01-23
8.00 SHS WESTROCK CO SHS   2017-11-29 2019-01-09
3.00 SHS YUM CHINA HOLDINGS INC   2017-11-29 2019-04-01
5.00 SHS YUM CHINA HOLDINGS INC   2017-11-29 2019-03-28
5.00 SHS YUM CHINA HOLDINGS INC   2017-11-29 2019-03-25
2.00 SHS YUM CHINA HOLDINGS INC   2017-11-29 2019-03-18
9.00 SHS YUM CHINA HOLDINGS INC   2017-11-29 2019-02-08
9.00 SHS YUM CHINA HOLDINGS INC   2017-11-29 2019-01-23
3.00 SHS HONEYWELL INTL INC DEL   2017-08-03 2019-06-04
2.00 SHS TEXAS INSTRUMENTS   2017-03-23 2019-10-02
4.00 SHS TEXAS INSTRUMENTS   2017-03-23 2019-09-17
14.00 SHS UNITED TECHS CORP COM   2017-02-15 2019-09-17
5.00 SHS UNITED TECHS CORP COM   2017-02-15 2019-01-23
2.00 SHS DISNEY (WALT) CO COM STK   2016-12-29 2019-06-17
3.00 SHS DISNEY (WALT) CO COM STK   2016-12-29 2019-01-23
3.00 SHS ZOETIS INC   2016-12-29 2019-06-17
1.00 SHS THERMO FISHER SCIENTIFIC   2016-12-02 2019-09-17
2.00 SHS THERMO FISHER SCIENTIFIC   2016-12-02 2019-01-23
6.00 SHS COCA COLA COM   2016-10-13 2019-07-31
11.00 SHS COCA COLA COM   2016-10-13 2019-07-25
4.00 SHS COCA COLA COM   2016-10-13 2019-01-23
25000.00 SHS FORD MOTOR CREDIT CO LLC   2016-02-22 2019-02-20
2000.00 SHS SX5E LIRN ISSUER RBC   2014-01-30 2019-01-25
13000.00 SHS MBIA INC 6.40%AUG15 22   2002-08-16 2019-08-29
CAPITAL GAINS 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 660   605 55
b 822   827 -5
c 308   311 -3
d 868   859 9
e 67   129 -62
653   658 -5
300   303 -3
218   208 10
131   127 4
58   51 7
293   306 -13
270   271 -1
188   179 9
186   179 7
245   239 6
184   179 5
1,336   1,353 -17
905   889 16
542   530 12
201   166 35
745   679 66
471   433 38
153   137 16
919   752 167
493   510 -17
209   203 6
67   145 -78
333   320 13
29   25 4
9     9
254   279 -25
212   223 -11
331   386 -55
85   84 1
84   87 -3
255   251 4
971   861 110
340   323 17
1,602   1,748 -146
1,026   1,177 -151
618   486 132
264   208 56
536   405 131
101   215 -114
256   226 30
577   496 81
639   579 60
983   868 115
198   172 26
611   516 95
24   19 5
1,484   1,124 360
23   23 0
109   114 -5
191   212 -21
308   384 -76
19   18 1
24   38 -14
664   632 32
1,092   987 105
67   145 -78
155   161 -6
531   536 -5
633   684 -51
606   542 64
135   294 -159
1,450   1,220 230
512   421 91
850   674 176
68   155 -87
250   372 -122
82   79 3
372   385 -13
945   931 14
290   376 -86
950   925 25
372   391 -19
222   323 -101
579   669 -90
205   173 32
55   58 -3
88   104 -16
401   520 -119
68   160 -92
205   170 35
386   341 45
643   567 76
657   567 90
406   958 -552
53   52 1
159   157 2
208   225 -17
23   25 -2
166   151 15
429   351 78
546   624 -78
396   507 -111
484   484 0
791   946 -155
657   611 46
442   407 35
559   509 50
1,469   1,527 -58
162   137 25
2,650   2,321 329
260   233 27
750   698 52
2,117   2,076 41
97   98 -1
450   495 -45
161   167 -6
349   350 -1
215   235 -20
682   672 10
203   203 0
394   435 -41
192   187 5
266   170 96
443   283 160
311   257 54
73   64 9
288   258 30
620   359 261
120   102 18
393   360 33
435   387 48
158   243 -85
116   94 22
347   281 66
116   94 22
109   94 15
216   187 29
142   140 2
      0
577   690 -113
510   577 -67
680   633 47
554   455 99
233   195 38
700   635 65
770   705 65
209   209 0
109   107 2
182   156 26
576   545 31
193   176 17
215   167 48
725   559 166
2,662   2,051 611
955   839 116
207   186 21
846   839 7
545   435 110
8   8 0
62   61 1
709   1,185 -476
153   185 -32
509   563 -54
386   317 69
972   792 180
153   153 0
689   649 40
576   530 46
138   133 5
1,805   2,199 -394
355   393 -38
54   52 2
204   203 1
290   270 20
404   378 26
238   232 6
2,432   2,510 -78
751   480 271
502   548 -46
158   232 -74
519   582 -63
467   523 -56
307   296 11
106   166 -60
153   152 1
836   761 75
211   313 -102
185   285 -100
149   122 27
167   177 -10
166   176 -10
13   15 -2
658   739 -81
445   477 -32
233   262 -29
335   385 -50
647   833 -186
397   343 54
183   257 -74
580   597 -17
580   580 0
228   239 -11
671   597 74
363   310 53
50   52 -2
229   284 -55
875   939 -64
171   171 0
664   660 4
305   305 0
680   698 -18
958   819 139
255   358 -103
357   348 9
303   348 -45
680   707 -27
516   573 -57
776   769 7
1,774   1,686 88
713   934 -221
216   216 0
374   351 23
178   178 0
351   565 -214
297   323 -26
374   348 26
369   348 21
358   429 -71
300   494 -194
171   251 -80
238   281 -43
209   173 36
147   137 10
669   666 3
251   370 -119
370   291 79
207   202 5
451   451 0
399   399 0
143   189 -46
234   236 -2
53   62 -9
400   499 -99
369   356 13
1,564   1,423 141
708   712 -4
255   298 -43
86   99 -13
416   456 -40
228   326 -98
431   477 -46
171   272 -101
736   746 -10
111   87 24
204   175 29
720   612 108
181   175 6
181   109 72
816   473 343
91   53 38
91   53 38
626   583 43
603   703 -100
185   170 15
182   151 31
25   25 0
172   200 -28
351   400 -49
94   92 2
100   121 -21
228   292 -64
257   355 -98
1,276   986 290
157   152 5
188   199 -11
195   199 -4
157   199 -42
169   196 -27
283   326 -43
193   261 -68
876   781 95
442   515 -73
144   172 -28
54   49 5
485   429 56
515   488 27
681   650 31
440   406 34
1,176   1,138 38
199   217 -18
212   189 23
251   224 27
114   144 -30
262   254 8
36   59 -23
483   452 31
105   87 18
163   123 40
144   159 -15
221   212 9
100   171 -71
163   147 16
143   126 17
75   66 9
186   218 -32
159   169 -10
418   417 1
900   972 -72
64   77 -13
127   161 -34
12   12 0
64   82 -18
123   144 -21
184   187 -3
197   180 17
106   91 15
593   370 223
251   333 -82
185   145 40
370   291 79
190   237 -47
292   317 -25
196   318 -122
240   292 -52
222   189 33
76   125 -49
124   119 5
95   79 16
60   58 2
215   189 26
852   615 237
425   369 56
350   307 43
948   1,060 -112
499   532 -33
114   148 -34
114   148 -34
350   344 6
822   325 497
314   256 58
237   157 80
361   235 126
280   349 -69
366   304 62
510   846 -336
121   104 17
95   82 13
190   164 26
375   328 47
1,030   1,053 -23
106   97 9
536   485 51
443   451 -8
59   56 3
931   829 102
187   191 -4
271   319 -48
390   419 -29
229   311 -82
485   517 -32
380   518 -138
343   456 -113
409   514 -105
592   543 49
114   159 -45
583   495 88
461   390 71
514   435 79
1,017   760 257
229   294 -65
114   153 -39
391   459 -68
643   643 0
445   457 -12
289   343 -54
360   515 -155
250   277 -27
534   497 37
176   206 -30
1,588   1,590 -2
8,062   9,981 -1,919
257   224 33
240   332 -92
249   332 -83
501   535 -34
252   252 0
129   140 -11
260   281 -21
136   136 0
226   285 -59
540   492 48
780   701 79
1,053   1,007 46
643   658 -15
900   923 -23
857   829 28
3,681   3,199 482
636   490 146
197   196 1
1,255   1,133 122
220   155 65
220   173 47
1,984   1,729 255
678   678 0
1,046   995 51
461   649 -188
231   322 -91
470   470 0
238   238 0
496   512 -16
438   512 -74
263   328 -65
263   328 -65
352   437 -85
201   376 -175
1,571   1,561 10
497   480 17
815   315 500
794   743 51
647   818 -171
835   722 113
449   380 69
325   266 59
890   684 206
52   46 6
529   462 67
596   431 165
347   315 32
780   687 93
136   170 -34
534   501 33
232   223 9
499   448 51
442   734 -292
50   82 -32
245   218 27
685   581 104
514   445 69
225   238 -13
806   978 -172
228   183 45
1,098   1,097 1
80   84 -4
588   649 -61
78   84 -6
2,257   2,267 -10
1,949   2,137 -188
650   712 -62
128   142 -14
4,800   5,094 -294
451   554 -103
127   159 -32
37   40 -3
364   451 -87
982   1,081 -99
192   197 -5
448   459 -11
189   197 -8
138   101 37
140   101 39
122   115 7
7,522   8,924 -1,402
241   148 93
343   222 121
465   297 168
441   297 144
108   74 34
419   473 -54
137   158 -21
179   128 51
176   128 48
351   256 95
175   128 47
824   772 52
336   394 -58
458   480 -22
231   257 -26
934   1,034 -100
466   517 -51
157   250 -93
443   689 -246
223   257 -34
191   257 -66
117   82 35
641   770 -129
155   192 -37
850   829 21
961   878 83
610   579 31
453   753 -300
177   163 14
177   163 14
131   122 9
134   122 12
182   163 19
45   41 4
191   209 -18
385   426 -41
850   835 15
554   528 26
243   243 0
514   432 82
215   216 -1
820   887 -67
281   247 34
124   115 9
159   149 10
1,802   2,166 -364
170   166 4
318   300 18
64   69 -5
168   206 -38
464   445 19
55   51 4
750   658 92
815   899 -84
159   152 7
241   178 63
177   111 66
153   111 42
326   328 -2
535   510 25
503   510 -7
487   510 -23
509   509 0
1,228   1,022 206
466   466 0
193   232 -39
294   464 -170
590   458 132
597   458 139
529   458 71
170   169 1
5,439   4,955 484
1,392   1,334 58
238   312 -74
241   241 0
241   321 -80
232   232 0
668   639 29
1,216   1,502 -286
88   104 -16
526   621 -95
174   207 -33
261   311 -50
175   207 -32
741   932 -191
374   724 -350
162   241 -79
1,988   1,861 127
506   465 41
1,313   1,280 33
995   1,047 -52
815   295 520
739   295 444
476   458 18
794   763 31
391   458 -67
485   620 -135
970   1,236 -266
582   582 0
3,742   2,520 1,222
1,701   1,166 535
160   113 47
1,083   903 180
1,413   1,653 -240
919   1,127 -208
380   269 111
460   346 114
224   192 32
232   192 40
87   76 11
741   610 131
788   610 178
278   223 55
1,550   1,376 174
465   409 56
1,050   1,079 -29
360   301 59
522   401 121
290   176 114
261   176 85
168   231 -63
225   289 -64
505   668 -163
585   668 -83
1,096   996 100
376   376 0
250   207 43
459   415 44
474   415 59
552   484 68
326   345 -19
10,962   11,225 -263
397   584 -187
50   83 -33
1,101   1,662 -561
489   489 0
1,027   861 166
209   222 -13
195   135 60
510   405 105
303   270 33
144   144 0
433   433 0
374   400 -26
311   370 -59
434   515 -81
589   663 -74
470   515 -45
409   442 -33
349   357 -8
410   452 -42
973   1,077 -104
510   517 -7
705   782 -77
20,508   22,549 -2,041
12,837   14,726 -1,889
6,655   6,763 -108
257   281 -24
257   279 -22
259   279 -20
388   388 0
972   976 -4
278   278 0
1,543   1,533 10
692   697 -5
1,286   1,394 -108
2,900   3,004 -104
925   932 -7
516   518 -2
920   920 0
613   622 -9
193   220 -27
419   480 -61
16   19 -3
437   475 -38
203   203 0
437   437 0
203   163 40
50   54 -4
163   203 -40
217   265 -48
123   152 -29
312   406 -94
189   193 -4
721   774 -53
280   205 75
277   205 72
271   205 66
719   502 217
633   502 131
521   418 103
17,456   20,104 -2,648
3,784   4,410 -626
859   950 -91
7,814   9,442 -1,628
1,290   1,594 -304
4,459   5,930 -1,471
6,960   8,344 -1,384
328   287 41
109   97 12
158   145 13
636   630 6
205   146 59
108   73 35
330   220 110
330   220 110
439   293 146
359   293 66
707   616 91
1,875   1,593 282
137   150 -13
412   360 52
413   360 53
275   298 -23
175   191 -16
684   762 -78
918   889 29
586   635 -49
121   186 -65
300   435 -135
341   338 3
281   281 0
382   476 -94
401   476 -75
234   160 74
705   480 225
607   592 15
199   199 0
696   667 29
545   437 108
148   110 38
290   216 74
593   432 161
569   680 -111
843   963 -120
113   180 -67
208   300 -92
122   180 -58
311   480 -169
136   123 13
217   206 11
216   206 10
86   82 4
364   370 -6
305   370 -65
504   400 104
254   162 92
515   323 192
1,922   1,567 355
574   560 14
281   209 72
330   314 16
333   161 172
294   142 152
478   284 194
317   250 67
585   459 126
191   167 24
25,000   25,000 0
20,726   20,000 726
13,000   13,000 0
4,426     4,426
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       55
b       -5
c       -3
d       9
e       -62
      -5
      -3
      10
      4
      7
      -13
      -1
      9
      7
      6
      5
      -17
      16
      12
      35
      66
      38
      16
      167
      -17
      6
      -78
      13
      4
      9
      -25
      -11
      -55
      1
      -3
      4
      110
      17
      -146
      -151
      132
      56
      131
      -114
      30
      81
      60
      115
      26
      95
      5
      360
      0
      -5
      -21
      -76
      1
      -14
      32
      105
      -78
      -6
      -5
      -51
      64
      -159
      230
      91
      176
      -87
      -122
      3
      -13
      14
      -86
      25
      -19
      -101
      -90
      32
      -3
      -16
      -119
      -92
      35
      45
      76
      90
      -552
      1
      2
      -17
      -2
      15
      78
      -78
      -111
      0
      -155
      46
      35
      50
      -58
      25
      329
      27
      52
      41
      -1
      -45
      -6
      -1
      -20
      10
      0
      -41
      5
      96
      160
      54
      9
      30
      261
      18
      33
      48
      -85
      22
      66
      22
      15
      29
      2
      0
      -113
      -67
      47
      99
      38
      65
      65
      0
      2
      26
      31
      17
      48
      166
      611
      116
      21
      7
      110
      0
      1
      -476
      -32
      -54
      69
      180
      0
      40
      46
      5
      -394
      -38
      2
      1
      20
      26
      6
      -78
      271
      -46
      -74
      -63
      -56
      11
      -60
      1
      75
      -102
      -100
      27
      -10
      -10
      -2
      -81
      -32
      -29
      -50
      -186
      54
      -74
      -17
      0
      -11
      74
      53
      -2
      -55
      -64
      0
      4
      0
      -18
      139
      -103
      9
      -45
      -27
      -57
      7
      88
      -221
      0
      23
      0
      -214
      -26
      26
      21
      -71
      -194
      -80
      -43
      36
      10
      3
      -119
      79
      5
      0
      0
      -46
      -2
      -9
      -99
      13
      141
      -4
      -43
      -13
      -40
      -98
      -46
      -101
      -10
      24
      29
      108
      6
      72
      343
      38
      38
      43
      -100
      15
      31
      0
      -28
      -49
      2
      -21
      -64
      -98
      290
      5
      -11
      -4
      -42
      -27
      -43
      -68
      95
      -73
      -28
      5
      56
      27
      31
      34
      38
      -18
      23
      27
      -30
      8
      -23
      31
      18
      40
      -15
      9
      -71
      16
      17
      9
      -32
      -10
      1
      -72
      -13
      -34
      0
      -18
      -21
      -3
      17
      15
      223
      -82
      40
      79
      -47
      -25
      -122
      -52
      33
      -49
      5
      16
      2
      26
      237
      56
      43
      -112
      -33
      -34
      -34
      6
      497
      58
      80
      126
      -69
      62
      -336
      17
      13
      26
      47
      -23
      9
      51
      -8
      3
      102
      -4
      -48
      -29
      -82
      -32
      -138
      -113
      -105
      49
      -45
      88
      71
      79
      257
      -65
      -39
      -68
      0
      -12
      -54
      -155
      -27
      37
      -30
      -2
      -1,919
      33
      -92
      -83
      -34
      0
      -11
      -21
      0
      -59
      48
      79
      46
      -15
      -23
      28
      482
      146
      1
      122
      65
      47
      255
      0
      51
      -188
      -91
      0
      0
      -16
      -74
      -65
      -65
      -85
      -175
      10
      17
      500
      51
      -171
      113
      69
      59
      206
      6
      67
      165
      32
      93
      -34
      33
      9
      51
      -292
      -32
      27
      104
      69
      -13
      -172
      45
      1
      -4
      -61
      -6
      -10
      -188
      -62
      -14
      -294
      -103
      -32
      -3
      -87
      -99
      -5
      -11
      -8
      37
      39
      7
      -1,402
      93
      121
      168
      144
      34
      -54
      -21
      51
      48
      95
      47
      52
      -58
      -22
      -26
      -100
      -51
      -93
      -246
      -34
      -66
      35
      -129
      -37
      21
      83
      31
      -300
      14
      14
      9
      12
      19
      4
      -18
      -41
      15
      26
      0
      82
      -1
      -67
      34
      9
      10
      -364
      4
      18
      -5
      -38
      19
      4
      92
      -84
      7
      63
      66
      42
      -2
      25
      -7
      -23
      0
      206
      0
      -39
      -170
      132
      139
      71
      1
      484
      58
      -74
      0
      -80
      0
      29
      -286
      -16
      -95
      -33
      -50
      -32
      -191
      -350
      -79
      127
      41
      33
      -52
      520
      444
      18
      31
      -67
      -135
      -266
      0
      1,222
      535
      47
      180
      -240
      -208
      111
      114
      32
      40
      11
      131
      178
      55
      174
      56
      -29
      59
      121
      114
      85
      -63
      -64
      -163
      -83
      100
      0
      43
      44
      59
      68
      -19
      -263
      -187
      -33
      -561
      0
      166
      -13
      60
      105
      33
      0
      0
      -26
      -59
      -81
      -74
      -45
      -33
      -8
      -42
      -104
      -7
      -77
      -2,041
      -1,889
      -108
      -24
      -22
      -20
      0
      -4
      0
      10
      -5
      -108
      -104
      -7
      -2
      0
      -9
      -27
      -61
      -3
      -38
      0
      0
      40
      -4
      -40
      -48
      -29
      -94
      -4
      -53
      75
      72
      66
      217
      131
      103
      -2,648
      -626
      -91
      -1,628
      -304
      -1,471
      -1,384
      41
      12
      13
      6
      59
      35
      110
      110
      146
      66
      91
      282
      -13
      52
      53
      -23
      -16
      -78
      29
      -49
      -65
      -135
      3
      0
      -94
      -75
      74
      225
      15
      0
      29
      108
      38
      74
      161
      -111
      -120
      -67
      -92
      -58
      -169
      13
      11
      10
      4
      -6
      -65
      104
      92
      192
      355
      14
      72
      16
      172
      152
      194
      67
      126
      24
      0
      726
      0
      4,426
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 -5,106
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 ...................
Bracket 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?
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 45,120 1,250,668 0.036077
2017      
2016      
2015      
2014      
2
Total of line 1, column (d) .....................
2
0.036077
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
0.036077
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
1,271,134
5
Multiply line 4 by line 3......................
5
45,859
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
176
7
Add lines 5 and 6........................
7
46,035
8
Enter qualifying distributions from Part XII, line 4,.............
8
70,113
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 Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
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 1 176
hereBulletand 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........................... 3 176
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- ..... 5 176
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 575
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 1,500
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,075
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,899
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet1,899 RefundedBullet 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. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletMI
    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 addressbulletNATHANWEIDNERFOUNDATION.ORG
    14
    The books are in care ofbulletMARK WEIDNER Telephone no.bullet (989) 684-8888

    Located atbullet1392 S VALLEY CENTER DRIVEBAY CITYMI ZIP+4bullet48706
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo
    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 bullet
    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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?...............
    (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.).......
    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
     
     
    ........bullet
    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?.............
    If "Yes," list the years bullet20, 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.
    bullet20, 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?......................
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    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
     
     
    .........bullet
    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?..........
    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?.....................
    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?
    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? .................
    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
    SALLY PRESTON DIRECTOR
    0.25
    0 0 0
    4752 BIRNBAUM DR
    BAY CITY,MI48706
    SANDY MEYER DIRECTOR
    0.25
    0 0 0
    5649 CORTLAND CIRCLE
    BAY CITY,MI48706
    JUDGE KENNETH SCHMIDT DIRECTOR
    0.10
    0 0 0
    1230 WASHINGTON ST
    BAY CITY,MI48708
    MATTHEW WEIDNER DIRECTOR
    1.00
    0 0 0
    815 FROST DR
    BAY CITY,MI48706
    DEBBIE EVERITT DIRECTOR
    0.25
    0 0 0
    213 CURTIS ST
    BAY CITY,MI48706
    MATT SCHMIDT PRESIDENT
    0.25
    0 0 0
    2316 GUSHOW LANE
    AUBURN,MI48611
    MARK WEIDNER TREASURER
    1.00
    0 0 0
    409 HART ST
    ESSEXVILLE,MI48732
    PATRICIA HUBERT DIRECTOR
    0.50
    0 0 0
    928 HARBORVIEW DR
    BAY CITY,MI48706
    ANN WEIDNER SECRETARY
    2.00
    0 0 0
    5613 FIRETHORNE DR
    BAY CITY,MI48706
    GLENN EYRE VICE PRESIDENT
    0.25
    0 0 0
    6721 HIGHLAND DR
    LANSING,MI48848
    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...................bullet 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.............bullet0
    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.........................bullet0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,132,309
    b
    Average of monthly cash balances.......................
    1b
    158,182
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,290,491
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,290,491
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    19,357
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,271,134
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    63,557
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    63,557
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    176
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    176
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    63,381
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    63,381
    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
    63,381
    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
    70,113
    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
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    70,113
    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
    176
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    69,937
    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 63,381
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only....... 16,909
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2019:
    a From 2014......  
    b From 2015......  
    c From 2016......  
    d From 2017......  
    e From 2018......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 70,113
    a Applied to 2018, but not more than line 2a 16,909
    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..... 53,204
    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).)
    6Enter 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 .............
    0
    f Undistributed income for 2019. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2020 ..........
    10,177
    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
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2015....  
    b Excess from 2016....  
    c Excess from 2017....  
    d Excess from 2018....  
    e Excess from 2019....  
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2019, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    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.)
    1Information Regarding Foundation Managers:
    aList 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).)
    bList 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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny 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)
    aPaid during the year
    CAN COUNCIL
    715 N EUCLID AVE
    BAY CITY,MI48706
      PC AID ABUSED CHILDREN IN BAY COUNTY 28,909
    DELTA COLLEGE FOUNDATION
    1961 DELTA ROAD
    UNIVERSITY CENTER,MI48710
      PC SCHOLARSHIPS 39,064
    Total .................................bullet 3a 67,973
    bApproved for future payment
    Total .................................bullet 3b 0
    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.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees 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 29,813  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot 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 -5,106  
    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).. 0 24,707 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    24,707
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2019)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description