-
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
The Lucille and Bruce Lambert Charitable Foundation Inc
Number and street (or P.O. box number if mail is not delivered to street address)
2100 Powhatan Street
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Falls Church
,
VA
22043
A Employer identification number
54-1898273
B
Telephone number (see instructions)
(703) 538-2400
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)
$
22,922,163
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)
225,000
2
Check
.............
3
Interest on savings and temporary cash investments
3,082
3,082
0
4
Dividends and interest from securities
...
256,313
290,519
0
5a
Gross rents
............
40,050
40,050
0
b
Net rental income or (loss)
-83,706
6a
Net gain or (loss) from sale of assets not on line 10
1,031,883
b
Gross sales price for all assets on line 6a
6,672,553
7
Capital gain net income (from Part IV, line 2)
...
1,031,883
8
Net short-term capital gain
.........
8,161
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
0
11
Other income (attach schedule)
.......
2,564
2,564
12
Total.
Add lines 1 through 11
........
1,558,892
1,368,098
8,161
13
Compensation of officers, directors, trustees, etc.
600,000
480,000
0
120,000
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
85,000
68,000
0
17,000
c
Other professional fees (attach schedule)
....
142,189
142,189
0
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
2,062
2,062
19
Depreciation (attach schedule) and depletion
...
14,571
14,571
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
18,178
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
114,179
111,614
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
976,179
818,436
0
137,000
25
Contributions, gifts, grants paid
.......
1,097,500
1,097,500
26
Total expenses and disbursements.
Add lines 24 and 25
2,073,679
818,436
0
1,234,500
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-514,787
b
Net investment income
(if negative, enter -0-)
549,662
c
Adjusted net income
(if negative, enter -0-)
...
8,161
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
.............
186,672
488,985
488,985
2
Savings and temporary cash investments
.........
2,354,929
2,353,736
2,353,736
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
0
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
..........
40,000
37,938
37,938
10a
Investments—U.S. and state government obligations (attach schedule)
98,152
1,166,913
1,194,311
b
Investments—corporate stock (attach schedule)
.......
10,027,740
7,890,688
14,391,132
c
Investments—corporate bonds (attach schedule)
.......
358,943
554,028
574,711
11
Investments—land, buildings, and equipment: basis
6,300
Less: accumulated depreciation (attach schedule)
0
6,300
6,300
14,000
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
2,648,021
2,721,953
2,862,261
14
Land, buildings, and equipment: basis
400,689
Less: accumulated depreciation (attach schedule)
294,446
120,814
106,243
1,005,089
15
Other assets (describe
)
0
0
0
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
15,841,571
15,326,784
22,922,163
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
0
21
Mortgages and other notes payable (attach schedule)
......
0
22
Other liabilities (describe
)
0
0
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
........
15,841,571
15,326,784
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)
.....
15,841,571
15,326,784
30
Total liabilities and net assets/fund balances
(see instructions)
.
15,841,571
15,326,784
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
15,841,571
2
Enter amount from Part I, line 27a
.....................
2
-514,787
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
15,326,784
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
15,326,784
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
84915.084 shs CIBC Atlas International
P
2019-06-04
2019-10-18
b
262 shs Analog Divices, Inc.
P
2018-12-28
2019-03-29
c
39 shs Blackrock Inc.
P
2018-08-27
2019-03-29
d
160 shs Cigna Corp.
P
2018-04-02
2019-03-29
e
362 shs CVS Health Corp
P
2019-01-01
2019-03-29
641 shs CVS Health Corp
P
2019-01-01
2019-04-02
170 shs Centene Corp
P
2019-02-14
2019-10-02
.667 shs Dow Inc
P
2018-05-10
2019-04-30
489 shs Dowdupont Inc
P
2019-01-01
2019-03-29
92 shs Ecolab Inc
P
2019-01-01
2019-03-29
100 shs Grifols S A Sp ADR
P
2019-07-19
2019-12-03
151 shs Grifols S A Sp ADR
P
2019-07-19
2019-12-03
59 shs Grifols S A Sp ADR
P
2019-07-19
2019-12-03
46.143 shs Kontoor Brands Inc
P
2018-12-28
2019-06-25
485 shs London Stk Exchange Grp
P
2019-07-19
2019-10-15
55.617 shs MFS Inst Int Eq Fd
P
2018-12-13
2019-06-03
13 shs Mercadolibre Inc.
P
2019-07-19
2019-09-10
73 shs New Oriental Ed
P
2019-07-19
2019-09-10
249 shs Occidental Pete Corp
P
2018-09-13
2019-03-29
114 shs Raytheon Co
P
2019-01-01
2019-03-29
50 shs Raytheon Co
P
2019-01-01
2019-03-29
275 shs Raytheon Co
P
2019-01-01
2019-06-25
22 shs Raytheon Co
P
2018-08-20
2019-06-25
397 shs T Mobile US Inc
P
2019-01-01
2019-03-29
1956.226 shs Tweedy Browne Global Val Fd
P
2019-01-01
2019-07-16
67 shs Ultimate Software Grp Inc
P
2019-01-01
2019-02-14
75000 US Treasury Note
P
2019-04-04
2019-10-31
75000 US Treasury Note
P
2019-04-04
2019-11-30
610 shs Wells Fargo & Co
P
2019-01-01
2019-03-29
249 shs Zoetis Inc
P
2018-12-11
2019-03-29
230 shs Mellanox Technologies Ltd
P
2019-02-14
2019-05-20
23 shs ASML Holding NV
P
2019-07-19
2019-09-12
36 shs Interxion Holdings
P
2019-07-19
2019-09-10
102 shs Adobe Inc
P
2018-01-01
2019-03-29
230 shs Alliance Data Sys Corp
P
2018-01-01
2019-04-15
20 shs Alliance Data Sys Corp
P
2018-01-01
2019-04-15
65 shs Alphabet Inc
P
2018-01-01
2019-03-29
20 shs Alphabet Inc
P
2018-01-01
2019-03-29
60 shs Amazon.com Inc.
P
2018-01-01
2019-03-29
138 shs American Tower Corp
P
2018-01-01
2019-03-26
142 shs American Tower Corp
P
2018-01-01
2019-03-29
283 shs Apple Inc
P
2010-12-16
2019-03-29
225 shs ADP Inc
P
2010-06-29
2019-03-29
34 shs Blackrock Inc
P
2018-01-01
2019-03-29
84 shs Boeing Inc
P
2013-01-17
2019-03-29
54 shs Boeing Inc
P
2013-01-17
2019-04-02
17 shs Brown Forman Corp
P
2011-12-05
2019-10-02
151 shs Brown Forman Corp
P
2018-01-01
2019-10-02
.49 shs Cigna Corp
P
2011-10-06
2019-01-18
64 Cigna Corp
P
2011-10-06
2019-03-29
555 shs CVS Health Corp
P
2010-06-29
2019-04-02
28 shs CVS Health Corp
P
2010-06-29
2019-04-02
309 shs Capital One Finl Corp
P
2013-02-28
2019-03-29
428 shs Capital One Finl Corp
P
2013-02-28
2019-07-30
676 shs Centene Corp
P
2018-01-01
2019-10-02
75000 Chevron Corp
P
2018-01-01
2019-03-03
240 shs Chevron Corp
P
2018-01-01
2019-03-29
161 shs Church & Dwight Inc.
P
2011-12-05
2019-01-09
288 shs Cimarex Energy Co
P
2018-01-01
2019-07-11
21 shs Cimarex Energy Co
P
2017-07-05
2019-07-11
921 shs Cisco Sys Inc
P
2017-08-15
2019-03-29
590 shs Citigroup Inc
P
2018-01-01
2019-03-29
651 shs Cognizant Tech Sol
P
2018-01-01
2019-05-03
161 shs Cognizant Tech Sol
P
2011-11-02
2019-10-02
126 shs Cognizant Tech Sol
P
2011-11-02
2019-10-02
106 shs Cognizant Tech Sol
P
2011-11-05
2019-10-02
46 shs Cognizant Tech Sol
P
2011-11-02
2019-10-02
836 shs Comcast Corp
P
2018-01-01
2019-03-29
.667 shs Corteva Inc
P
2018-01-04
2019-06-28
279 shs Corteva Inc
P
2018-01-01
2019-10-29
273 shs Corteva Inc
P
2018-01-01
2019-10-29
405 shs Danaher Corp
P
2017-06-20
2019-03-29
189 shs Dollar Gen Corp
P
2013-01-09
2019-03-29
134 shs Dollar Gen Corp
P
2013-01-09
2019-10-24
381 shs Dow Inc
P
2018-01-01
2019-07-26
103 shs Dow Inc
P
2018-01-01
2019-07-26
68 shs Dow Inc
P
2018-05-10
2019-07-26
.667 shs Dupont De Nemours Inc
P
2018-01-04
2019-06-28
219 shs Eog Res Inc
P
2017-03-06
2019-03-29
212 shs Expedia Inc
P
2018-01-01
2019-03-29
285 shs Expedia Inc
P
2018-01-01
2019-11-07
433 shs Expedia Inc
P
2018-01-01
2019-11-08
375 shs Fidelity Natl Info Svs Inc
P
2018-01-01
2019-03-29
109 shs Fidelity Natl Info Svs Inc
P
2018-01-01
2019-08-02
387 shs Fidelity Natl Info Svs Inc
P
2018-01-01
2019-08-02
.134 shs Fidelity Natl Info Svs Inc
P
2013-11-05
2019-08-07
542 shs Fiserv Inc
P
2010-06-29
2019-01-02
371 shs Fiserv Inc
P
2010-06-29
2019-03-29
190 shs Fiserv Inc
P
2011-12-05
2019-08-02
292 shs Fortive Corp
P
2017-03-13
2019-10-28
59 shs Fortive Corp
P
2017-03-13
2019-10-28
411 shs Fortive Corp
P
2018-01-01
2019-10-28
6 shs Fortive Corp
P
2010-06-29
2019-10-28
441 shs Fortive Corp
P
2018-01-01
2019-10-29
59 shs Fortive Corp
P
2010-06-29
2019-10-29
181 shs Home Depot Inc
P
2018-01-01
2019-03-29
306 shs Honeywell Intl Inc
P
2018-01-01
2019-03-29
570 shs Intercontinental Exc Inc
P
2018-01-01
2019-03-29
11 shs Intercontinental Exc Inc
P
2018-10-01
2019-10-24
210 shs Intercontinental Exc Inc
P
2018-10-01
2019-10-24
447 shs JPMorgan Chase & Co
P
2010-06-29
2019-03-29
308 shs Johnson & Johnson
P
2018-01-01
2019-03-29
547 shs Kinder Morgan Inc
P
2018-01-01
2019-03-13
566 shs Kinder Morgan Inc
P
2018-01-01
2019-03-13
726 shs Kinder Morgan Inc
P
2016-03-04
2019-03-29
99.857 shs Kontoor Brands Inc
P
2010-06-29
2019-06-25
.429 shs Kontoor Brands, Inc.
P
2010-06-29
2019-06-27
1064 shs LKQ Corp
P
2018-01-01
2019-02-14
124 shs Ligand Pharmaceuticals Inc
P
2016-06-27
2019-11-18
.769 shs Livent Corp
P
2017-02-24
2019-03-22
37690.124 shs MFS Inst Intl Eq Fd
P
2018-01-01
2019-06-03
241 shs Merck & Co Inc
P
2018-01-01
2019-03-29
743 shs Microsoft Corp
P
2011-03-15
2019-03-29
468 shs Monster Beverage Corp
P
2011-12-05
2019-03-21
158 shs Nextera Energy Inc
P
2015-08-12
2019-01-17
51 shs Nextera Energy Inc
P
2015-08-12
2019-01-17
63 shs Nextera Energy Inc
P
2018-01-01
2019-03-29
170 shs Occidental Pete Corp
P
2018-01-01
2019-12-09
649 shs Occidental Pete Corp
P
2018-01-01
2019-12-09
22 shs Occidental Pete Corp
P
2018-10-12
2019-12-09
607 shs Oracle Corp
P
2010-06-29
2019-03-29
224 shs Oracle Corp
P
2010-06-29
2019-10-01
243 shs Oracle Corp
P
2010-06-29
2019-10-01
354 shs Oracle Corp
P
2010-06-29
2019-10-01
236 shs Oracle Corp
P
2010-06-29
2019-10-01
208 shs Parker Hannif Corp
P
2018-01-01
2019-07-10
21505.376 shs Pax World Small Cap Fd
P
2018-01-01
2019-10-18
244 shs Pepsico Inc
P
2016-11-14
2019-03-29
172 shs Pioneer Nat Res Co
P
2017-02-01
2019-03-29
274 shs Prudential Finl Inc
P
2014-06-19
2019-03-29
186 shs Prudential Finl Inc
P
2018-01-01
2019-05-06
42 shs Prudential Finl Inc
P
2014-10-06
2019-05-06
62 shs Prudential Finl Inc
P
2014-10-06
2019-10-17
441 shs Prudential Finl Inc
P
2018-01-01
2019-10-17
30 shs Prudential Finl Inc
P
2015-01-23
2019-10-17
144 shs Prudential Finl Inc
P
2015-01-23
2019-10-18
16 shs Prudential Finl Inc
P
2015-01-23
2019-10-18
508 shs Qualcom Inc
P
2018-01-01
2019-03-29
78 shs Red Hat Inc
P
2017-10-06
2019-01-08
113 shs Red Hat Inc
P
2018-01-01
2019-01-08
133 shs Red Hat Inc
P
2017-04-18
2019-03-21
14 shs Red Hat Inc
P
2017-04-18
2019-03-21
231 shs Rexnord Corp
P
2015-01-13
2019-01-08
223 shs Rexnord Corp
P
2018-01-01
2019-01-08
140 shs Ross Stores Inc
P
2012-05-29
2019-11-04
152 shs Skyworks Solution Inc
P
2011-11-02
2019-01-09
4 shs Skyworks Solution Inc
P
2011-11-02
2019-01-09
116 shs Stryker Corp
P
2010-08-23
2019-03-29
257 shs TD Ameritrade Hldg Corp
P
2014-07-31
2019-08-09
498 shs TD Ameritrade Hldg Corp
P
2014-07-31
2019-08-09
396 shs TJX Cos Inc
P
2017-08-21
2019-03-29
124 shs Thermo Fisher Corp
P
2015-07-14
2019-03-29
28474.348 shs Tweedy Browne Global Val Fd
P
2018-01-01
2019-07-16
580 shs US Bancorp
P
2018-01-01
2019-03-29
200 shs Union Pac Corp
P
2018-01-01
2019-03-29
315 shs United Technologies Corp
P
2018-01-01
2019-03-29
204 shs UnitedHealth Group Inc.
P
2010-06-29
2019-03-29
304 shs VF Corp
P
2018-01-01
2019-03-29
447 shs Visa Inc
P
2018-01-01
2019-03-29
163 shs Wells Fargo & Co
P
2016-09-28
2019-03-29
687 shs Wells Fargo & Co
P
2018-01-01
2019-07-17
303 shs Wells Fargo & Co
P
2018-01-01
2019-07-18
1050 shs Worldpay Inc
P
2018-01-01
2019-08-01
597 shs Allergan PLC
P
2018-01-01
2019-01-29
177 shs Linde PLC
P
2010-06-29
2019-03-29
462 shs Medtronic PLC
P
2015-01-26
2019-03-29
190 shs TE Connectivity LTD
P
2018-01-01
2019-10-11
74 shs TE Connectivity LTD
P
2016-03-18
2019-10-11
218 shs TE Connectivity LTD
P
2018-01-01
2019-12-04
12 shs TE Connectivity LTD
P
2014-10-02
2019-12-04
CIBC Atlas Cap Gain Distr
P
2018-01-01
2019-12-31
Bank Of America Corp Cap Gain Distr
P
2018-01-01
2019-12-31
Matthews Pacific Tiger Fund Cap Gain Distr
P
2018-01-01
2019-12-31
Versus Capital Multi-Mgr RE Cap Gain Distr
P
2018-01-01
2019-12-31
Versus Capital Real Asset Fd Cap Gain Distr
P
2018-01-01
2019-12-31
(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
868,681
0
850,000
18,681
b
27,568
0
22,502
5,066
c
16,670
0
16,670
0
d
25,755
0
26,395
-640
e
19,487
0
23,990
-4,503
33,495
0
42,148
-8,653
7,278
0
10,884
-3,606
39
0
45
-6
25,751
0
33,680
-7,929
16,164
0
13,356
2,808
2,238
0
2,208
30
3,392
0
3,334
58
1,323
0
1,303
20
1,214
0
1,412
-198
11,121
0
8,900
2,221
1,402
0
1,278
124
7,109
0
8,371
-1,262
7,755
0
7,158
597
16,466
0
19,147
-2,681
20,677
0
20,677
0
9,069
0
10,053
-984
49,763
0
55,771
-6,008
3,984
0
4,416
-432
27,448
0
25,075
2,373
54,540
0
47,751
6,789
22,264
0
17,281
4,983
75,000
0
75,000
0
75,000
0
75,000
0
29,262
0
33,141
-3,879
24,803
0
22,195
2,608
25,381
0
23,190
2,191
5,535
0
5,139
396
2,743
0
2,746
-3
27,154
0
12,464
14,690
37,666
0
23,624
14,042
3,270
0
2,015
1,255
75,934
0
39,645
36,289
23,429
0
5,524
17,905
106,694
0
18,300
88,394
26,843
0
15,521
11,322
27,731
0
15,346
12,385
53,532
0
12,998
40,534
35,860
0
7,981
27,879
14,533
0
8,887
5,646
32,004
0
6,174
25,830
21,097
0
3,969
17,128
1,058
0
362
696
9,332
0
3,194
6,138
95
0
78
17
10,302
0
10,167
135
29,001
0
16,640
12,361
1,463
0
840
623
25,236
0
15,856
9,380
38,516
0
21,963
16,553
28,940
0
42,054
-13,114
75,000
0
76,170
-1,170
29,485
0
30,150
-665
10,687
0
3,543
7,144
15,984
0
30,374
-14,390
1,155
0
1,996
-841
49,540
0
29,649
19,891
36,668
0
40,136
-3,468
38,553
0
22,835
15,718
9,653
0
5,579
4,074
7,539
0
4,366
3,173
6,331
0
3,673
2,658
2,753
0
1,594
1,159
33,147
0
15,321
17,826
17
0
26
-9
7,535
0
10,442
-2,907
7,390
0
9,825
-2,435
53,313
0
34,716
18,597
22,576
0
8,106
14,470
21,835
0
5,747
16,088
18,669
0
27,755
-9,086
5,060
0
7,238
-2,178
3,335
0
4,587
-1,252
49
0
74
-25
20,890
0
21,861
-971
25,292
0
31,983
-6,691
29,164
0
42,594
-13,430
43,532
0
59,139
-15,607
42,368
0
24,726
17,642
14,129
0
8,531
5,598
50,334
0
18,718
31,616
17
0
4
13
39,178
0
6,247
32,931
32,764
0
4,276
28,488
19,742
0
2,768
16,974
24,490
0
17,095
7,395
4,073
0
3,454
619
28,275
0
19,595
8,680
414
0
108
306
29,990
0
7,904
22,086
4,016
0
1,057
2,959
34,690
0
13,779
20,911
48,645
0
40,731
7,914
43,206
0
40,685
2,521
1,031
0
825
206
19,585
0
15,760
3,825
45,115
0
16,594
28,521
42,953
0
40,787
2,166
10,922
0
14,596
-3,674
11,296
0
13,259
-1,963
14,470
0
12,985
1,485
2,628
0
780
1,848
12
0
3
9
28,236
0
30,390
-2,154
12,832
0
14,057
-1,225
10
0
6
4
950,168
0
954,475
-4,307
20,046
0
8,571
11,475
87,300
0
18,804
68,496
25,591
0
7,364
18,227
27,753
0
17,088
10,665
8,944
0
5,516
3,428
12,116
0
6,646
5,470
6,368
0
13,061
-6,693
24,252
0
49,585
-25,333
824
0
1,673
-849
32,529
0
13,330
19,199
12,158
0
4,919
7,239
13,177
0
5,336
7,841
19,187
0
7,774
11,413
12,769
0
5,182
7,587
33,610
0
31,291
2,319
300,000
0
332,654
-32,654
29,829
0
24,648
5,181
26,264
0
30,880
-4,616
25,172
0
24,606
566
18,981
0
16,521
2,460
4,290
0
3,648
642
5,536
0
5,385
151
39,401
0
37,017
2,384
2,681
0
2,434
247
12,940
0
11,685
1,255
1,437
0
1,298
139
28,971
0
33,094
-4,123
13,638
0
9,100
4,538
19,744
0
10,066
9,678
24,256
0
11,530
12,726
2,554
0
1,214
1,340
5,383
0
6,162
-779
5,176
0
5,932
-756
15,583
0
4,393
11,190
10,176
0
2,865
7,311
266
0
75
191
22,871
0
5,389
17,482
12,604
0
8,286
4,318
22,354
0
16,056
6,298
21,000
0
14,141
6,859
33,877
0
16,934
16,943
793,865
0
741,535
52,330
27,817
0
22,724
5,093
33,336
0
16,922
16,414
40,418
0
38,620
1,798
50,136
0
5,861
44,275
26,482
0
5,513
20,969
69,569
0
36,323
33,246
7,819
0
7,361
458
31,174
0
26,965
4,209
13,764
0
7,926
5,838
11,550
0
0
11,550
87,386
0
158,177
-70,791
30,923
0
28,931
1,992
41,907
0
34,959
6,948
17,242
0
11,983
5,259
6,716
0
4,592
2,124
19,812
0
11,973
7,839
1,099
0
661
438
875
0
0
875
669
0
0
669
30,103
0
0
30,103
6,867
0
0
6,867
2,609
0
0
2,609
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
0
0
0
18,681
b
0
0
0
5,066
c
0
0
0
0
d
0
0
0
-640
e
0
0
0
-4,503
0
0
0
-8,653
0
0
0
-3,606
0
0
0
-6
0
0
0
-7,929
0
0
0
2,808
0
0
0
30
0
0
0
58
0
0
0
20
0
0
0
-198
0
0
0
2,221
0
0
0
124
0
0
0
-1,262
0
0
0
597
0
0
0
-2,681
0
0
0
0
0
0
0
-984
0
0
0
-6,008
0
0
0
-432
0
0
0
2,373
0
0
0
6,789
0
0
0
4,983
0
0
0
0
0
0
0
0
0
0
0
-3,879
0
0
0
2,608
0
0
0
2,191
0
0
0
396
0
0
0
-3
0
0
0
14,690
0
0
0
14,042
0
0
0
1,255
0
0
0
36,289
0
0
0
17,905
0
0
0
88,394
0
0
0
11,322
0
0
0
12,385
0
0
0
40,534
0
0
0
27,879
0
0
0
5,646
0
0
0
25,830
0
0
0
17,128
0
0
0
696
0
0
0
6,138
0
0
0
17
0
0
0
135
0
0
0
12,361
0
0
0
623
0
0
0
9,380
0
0
0
16,553
0
0
0
-13,114
0
0
0
-1,170
0
0
0
-665
0
0
0
7,144
0
0
0
-14,390
0
0
0
-841
0
0
0
19,891
0
0
0
-3,468
0
0
0
15,718
0
0
0
4,074
0
0
0
3,173
0
0
0
2,658
0
0
0
1,159
0
0
0
17,826
0
0
0
-9
0
0
0
-2,907
0
0
0
-2,435
0
0
0
18,597
0
0
0
14,470
0
0
0
16,088
0
0
0
-9,086
0
0
0
-2,178
0
0
0
-1,252
0
0
0
-25
0
0
0
-971
0
0
0
-6,691
0
0
0
-13,430
0
0
0
-15,607
0
0
0
17,642
0
0
0
5,598
0
0
0
31,616
0
0
0
13
0
0
0
32,931
0
0
0
28,488
0
0
0
16,974
0
0
0
7,395
0
0
0
619
0
0
0
8,680
0
0
0
306
0
0
0
22,086
0
0
0
2,959
0
0
0
20,911
0
0
0
7,914
0
0
0
2,521
0
0
0
206
0
0
0
3,825
0
0
0
28,521
0
0
0
2,166
0
0
0
-3,674
0
0
0
-1,963
0
0
0
1,485
0
0
0
1,848
0
0
0
9
0
0
0
-2,154
0
0
0
-1,225
0
0
0
4
0
0
0
-4,307
0
0
0
11,475
0
0
0
68,496
0
0
0
18,227
0
0
0
10,665
0
0
0
3,428
0
0
0
5,470
0
0
0
-6,693
0
0
0
-25,333
0
0
0
-849
0
0
0
19,199
0
0
0
7,239
0
0
0
7,841
0
0
0
11,413
0
0
0
7,587
0
0
0
2,319
0
0
0
-32,654
0
0
0
5,181
0
0
0
-4,616
0
0
0
566
0
0
0
2,460
0
0
0
642
0
0
0
151
0
0
0
2,384
0
0
0
247
0
0
0
1,255
0
0
0
139
0
0
0
-4,123
0
0
0
4,538
0
0
0
9,678
0
0
0
12,726
0
0
0
1,340
0
0
0
-779
0
0
0
-756
0
0
0
11,190
0
0
0
7,311
0
0
0
191
0
0
0
17,482
0
0
0
4,318
0
0
0
6,298
0
0
0
6,859
0
0
0
16,943
0
0
0
52,330
0
0
0
5,093
0
0
0
16,414
0
0
0
1,798
0
0
0
44,275
0
0
0
20,969
0
0
0
33,246
0
0
0
458
0
0
0
4,209
0
0
0
5,838
0
0
0
11,550
0
0
0
-70,791
0
0
0
1,992
0
0
0
6,948
0
0
0
5,259
0
0
0
2,124
0
0
0
7,839
0
0
0
438
0
0
0
875
0
0
0
669
0
0
0
30,103
0
0
0
6,867
0
0
0
2,609
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
1,031,883
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
8,161
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
1,151,717
22,265,812
0.051726
2017
1,225,373
21,622,561
0.056671
2016
1,056,881
20,252,704
0.052185
2015
1,002,562
19,993,821
0.050144
2014
1,072,822
21,575,258
0.049725
2
Total
of line 1, column (d)
.....................
2
0.260451
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
0.052090
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
22,156,568
5
Multiply line 4 by line 3
......................
5
1,154,136
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
5,497
7
Add lines 5 and 6
........................
7
1,159,633
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,234,500
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
5,497
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
5,497
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
5,497
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
37,938
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
37,938
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
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
32,441
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
32,441
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
VA
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
N/A
14
The books are in care of
Cynthia Butler President
Telephone no.
(703) 538-2400
Located at
2100 Powhatan Street Falls
Church
VA
ZIP+4
22043
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
No
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
No
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
Cynthia Butler
Director/ President
16.00
125,000
0
0
5204 Bradwood Street
Springfield
,
VA
22151
Harold Lambert
Director
8.00
75,000
0
0
1409 Sunny Creek Lane
Blue Springs
,
MO
64014
George Levendis
Director
8.00
75,000
0
0
2547 N Vernon St
Arlington
,
VA
22207
Anthony D Hulbert
Director
16.00
75,000
0
0
22888 Lacey Oak Terrace
Sterling
,
VA
20166
Holly Brockman
Director
8.00
75,000
0
0
123 Joe Phillips Road
Madison
,
AL
35758
Scott Lambert
Director
8.00
50,000
0
0
2005 NW Fawn Drive
Blue Springs
,
MO
64015
Roxanna Beach
Director
8.00
50,000
0
0
220 University Parkway
Okatie
,
SC
29909
Scott Gallagher
Director
8.00
75,000
0
0
212 Glenwood Drive
New Bloomfield
,
MO
65063
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
18,928,518
b
Average of monthly cash balances
.......................
1b
2,508,433
c
Fair market value of all other assets (see instructions)
................
1c
1,057,027
d
Total
(add lines 1a, b, and c)
.........................
1d
22,493,978
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
3
Subtract line 2 from line 1d
.........................
3
22,493,978
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
337,410
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
22,156,568
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,107,828
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
1,107,828
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
5,497
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
5,497
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,102,331
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
1,102,331
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
1,102,331
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
1,234,500
b
Program-related investments—total from Part IX-B
..................
1b
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,234,500
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
5,497
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,229,003
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
1,102,331
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
673,119
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,234,500
a
Applied to 2018, but not more than line 2a
673,119
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
561,381
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
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
......
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
..........
540,950
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
none
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.
none
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:
Cynthia Butler President
2100 Powhatan Street
Falls Church
,
VA
22043
(703) 583-2400
b
The form in which applications should be submitted and information and materials they should include:
any reasonable form
c
Any submission deadlines:
none
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
none
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
Central Union Rescue
810 5th Street NW
Washington
,
DC
20001
PC
OperatingExpenses
100,000
Down Syndrome Guild
10200 W 75th Street Suite 281
Shawnee Mission
,
KS
66204
PC
Provide Support for IndividualsWith Down Syndrome
115,000
William Woods University
One University Avenue
Fulton
,
MO
65251
PC
Student SupportCapital Campaign
523,000
Youth for Tomorrow
11835 Hazel Circle Dr
Bristow
,
VA
20136
PC
General Support
100,000
Second Chance Animal Rescue
20215 Blankinship Drive
Orange
,
VA
22960
PC
General Support
112,500
Junior League of Huntsville
115 Manning Drive B101
Huntsville
,
AL
35801
PC
General Support
70,000
Wheeler Mission Ministries
205 E New York Street
Indianapolis
,
IN
46204
PC
OperatingExpenses
50,000
Missouri Courage Scholarship
1701 Big Horn Basin Drive
Wildwood
,
MO
63011
PC
StudentScholarships
7,500
West End Baptist Church
2005 2nd Avenue N
Clanton
,
AL
35045
PC
OperatingExpenses
10,000
Missouri Contemporary Ballet
2811 Lynnwood Drive
Columbia
,
MO
65203
PC
Operating Expenses
2,500
High Tails Animal Sanctuary
9676 Excelsior Road
Gerald
,
MO
63037
PC
OperatingExpenses
2,000
Capitol City Cinema
1739 East Elm Suite 101
Jefferson City
,
MO
65101
PC
Operating Expenses
2,500
Polpar Spring Animal Sanctuary
PO Box 507
Poolesville
,
MD
20837
PC
Operating Expenses
2,500
Total
.................................
3a
1,097,500
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
...........
14
3,082
4
Dividends and interest from securities
....
14
256,313
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
16
-83,706
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
1,031,883
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)
..
1,207,572
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
1,207,572
(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:
Part VI Line 7 -Original Return Overpayment:
-37,938
Form 990PF - Special Condition Description:
Special Condition Description