-
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
WILLIAM C FORD JR SCHOLARSHIP PROGRAM
Number and street (or P.O. box number if mail is not delivered to street address)
1901 ST ANTOINE 6TH FL FORD FIEL
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DETROIT
,
MI
48226
A Employer identification number
20-2462203
B
Telephone number (see instructions)
(313) 259-7777
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)
$
204,962
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)
300,000
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
4,399
4,399
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
1,660
b
Gross sales price for all assets on line 6a
14,309
7
Capital gain net income (from Part IV, line 2)
...
1,660
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
........
306,059
6,059
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)
.......
c
Other professional fees (attach schedule)
....
68
68
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
67
7
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
24,020
0
24,020
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
24,155
75
24,020
25
Contributions, gifts, grants paid
.......
288,000
288,000
26
Total expenses and disbursements.
Add lines 24 and 25
312,155
75
312,020
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-6,096
b
Net investment income
(if negative, enter -0-)
5,984
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
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
59,757
51,567
51,567
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)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
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)
.......
24,573
27,246
54,342
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
78,909
80,111
97,121
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
1,992
1,932
1,932
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
165,231
160,856
204,962
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
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
........
3,087,835
3,089,495
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
-2,922,604
-2,928,639
29
Total net assets or fund balances
(see instructions)
.....
165,231
160,856
30
Total liabilities and net assets/fund balances
(see instructions)
.
165,231
160,856
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
165,231
2
Enter amount from Part I, line 27a
.....................
2
-6,096
3
Other increases not included in line 2 (itemize)
3
1,721
4
Add lines 1, 2, and 3
..........................
4
160,856
5
Decreases not included in line 2 (itemize)
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
160,856
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
COMERICA- PUBLICLY TRADED SECURITIES
b
CAPITAL GAINS DIVIDENDS
P
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
14,197
12,649
1,548
b
112
112
c
d
e
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
1,548
b
112
c
d
e
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
1,660
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
351,514
444,135
0.791458
2017
337,315
742,252
0.454448
2016
348,592
992,356
0.351277
2015
362,893
801,446
0.452798
2014
381,981
775,507
0.492556
2
Total
of line 1, column (d)
.....................
2
2.542537
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
0.508507
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
193,537
5
Multiply line 4 by line 3
......................
5
98,415
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
60
7
Add lines 5 and 6
........................
7
98,475
8
Enter qualifying distributions from Part XII, line 4
,.............
8
312,020
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
60
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
60
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
60
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,992
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
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
1,992
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
1,932
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
1,932
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
MI
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
CHRISTINE JAGGI
Telephone no.
(313) 961-0500
Located at
2000 BRUSH STREET SUITE 440
DETROIT
MI
ZIP+4
482262251
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
No
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
WILLIAM C FORD JR
PRESIDENT/DIRECTOR
0.25
0
0
0
2000 BRUSH STREET STE 440
DETROIT
,
MI
48226
DAVID M HEMPSTEAD
SECRETARY/DIRECTOR
0.25
0
0
0
1901 ST ANTOINE STREET 6TH FL
DETROIT
,
MI
48226
JAMES G VELLA
TREASURER/DIRECTOR
0.25
0
0
0
2000 BRUSH STREET STE 440
DETROIT
,
MI
48226
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
.........................
0
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
144,149
b
Average of monthly cash balances
.......................
1b
52,335
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
196,484
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
196,484
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
2,947
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
193,537
6
Minimum investment return.
Enter 5% of line 5
..................
6
9,677
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
9,677
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
60
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
60
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
9,617
4
Recoveries of amounts treated as qualifying distributions
................
4
1,721
5
Add lines 3 and 4
............................
5
11,338
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
11,338
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
312,020
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
312,020
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
60
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
311,960
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
11,338
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
339,289
b
From 2015
......
333,389
c
From 2016
......
292,372
d
From 2017
......
299,850
e
From 2018
......
328,319
f
Total
of lines 3a through e
........
1,593,219
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
312,020
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
11,338
e
Remaining amount distributed out of corpus
300,682
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
1,893,901
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
339,289
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
1,554,612
10
Analysis of line 9:
a
Excess from 2015
....
333,389
b
Excess from 2016
....
292,372
c
Excess from 2017
....
299,850
d
Excess from 2018
....
328,319
e
Excess from 2019
....
300,682
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).)
WILLIAM C FORD JR
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
SCHOLARSHIP MANAGEMENT SERVICES
ONE SCHOLARSHIP WAY
SAINT PETER
,
MN
56082
(800) 537-4180
b
The form in which applications should be submitted and information and materials they should include:
THE APPLICATION MATERIALS ARE AVAILABLE ON THE FORD MOTOR COMPANY, INC. HR ONLINE (PROGRAMS & POLICIES)OR THROUGH THE EMPLOYEE NETWORK. OFFICIAL TRANSCRIPTS FROM POSTSECONDARY INSTITUTIONS SHOULD BE SUBMITTED WITH THE APPLICATION.
c
Any submission deadlines:
APPLICATION POSTMARK DEADLINE IS JULY 15, WITH NOTIFICATION OF AWARDS IN LATE SEPTEMBER.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
THE WILLIAM C. FORD, JR. SCHOLARSHIP PROGRAM IS AVAILABLE TO DEPENDENT CHILDREN OF FULL-TIME ACTIVE FORD MOTOR COMPANY EMPLOYEES WHO ARE FIRST TIME APPLICANTS, UNITED STATES CITIZENS, UNMARRIED AND UNDER THE AGE OF 25. SEE APPLICATION GUIDELINES FOR ADDITIONAL INFORMATION AND RESTRICTIONS.
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
AHN TIMOTHY S
601 NE 93RD COURT
KANSAS CITY
,
MO
64155
NONE
N/A
SCHOLARSHIP
1,500
AKELLA KESHAV G
1028 BICENTENNIAL PKWY
ANN ARBOR
,
MI
48108
NONE
N/A
SCHOLARSHIP
1,500
ALLURI ABHINAV
16005 CRYSTAL DOWNS EAST
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
ALMUJAHID TAHANI
13860 WELLESLEY ST
DEARBORN
,
MI
48126
NONE
N/A
SCHOLARSHIP
1,500
ARORA SACHI
29776 ENGLISH WAY
NOVI
,
MI
48377
NONE
N/A
SCHOLARSHIP
1,500
ASCHER JENNIFER
6804 HARVEST CT
SOUTH LYON
,
MI
48178
NONE
N/A
SCHOLARSHIP
1,500
BANK MADISON
13850 MARTINSVILLE RD
CARLETON
,
MI
48117
NONE
N/A
SCHOLARSHIP
1,500
BARBOUR EMILY E
202 MCKINLEY
GROSSE POINTE FARMS
,
MI
48236
NONE
N/A
SCHOLARSHIP
1,500
BARTON MARISSA L
8403 SIESTA WAY
LOUISVILLE
,
KY
40219
NONE
N/A
SCHOLARSHIP
1,500
BASS JUSTIN D
26140 POWER RD
FARMINGTON HILLS
,
MI
48334
NONE
N/A
SCHOLARSHIP
1,500
BAZE MADELYNN
8801 S SHROUT RD
GRAIN VALLEY
,
MO
64029
NONE
N/A
SCHOLARSHIP
1,500
BEAUDOIN CHARLOTTE
41311 STONE HAVEN
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
BENEDICT LAUREN R
1971 UNIVERSITY BOULEVARD
LYNCHBURG
,
VA
24515
NONE
N/A
SCHOLARSHIP
1,500
BERCEAU KAYLEY N
22667 FAWN ROAD
BROWNSTOWN
,
MI
48183
NONE
N/A
SCHOLARSHIP
1,500
BERGERON LAUREN
14124 STRATFORD
RIVERVIEW
,
MI
48193
NONE
N/A
SCHOLARSHIP
1,500
BEYER ANDREW
46474 MORNINGTON RD
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
BOALS LOGAN
53534 SHOAL CREEK ROAD
SOUTH LYON
,
MI
48178
NONE
N/A
SCHOLARSHIP
1,500
BOWDISH ANNA
9210 HENRY ST
DYER
,
IN
46311
NONE
N/A
SCHOLARSHIP
1,500
BRAUKMANN BENJAMIN J
5170 NW 172ND PL
PORTLAND
,
OR
97229
NONE
N/A
SCHOLARSHIP
1,500
BREWSTER GARRETT
3927 STILL MEADOW DR
WHEATFIELD
,
IN
46392
NONE
N/A
SCHOLARSHIP
1,500
BROSKI CHRISTOPHER M
10719 HART AVE
HUNTINGTON WOODS
,
MI
48070
NONE
N/A
SCHOLARSHIP
1,500
BROUWER HEATHER
7201 WEBSTER STATION DR
DEXTER
,
MI
48130
NONE
N/A
SCHOLARSHIP
1,500
BROWN MARGARET H
32760 WOODSDALE LANE
SOLON
,
OH
44139
NONE
N/A
SCHOLARSHIP
1,500
BRUCE SYDNEY L
2128 LOCKLIN LANE
WEST BLOOMFIELD
,
MI
48324
NONE
N/A
SCHOLARSHIP
1,500
BRYLINSKI STEVEN
9357 STONEHOUSE AVE
LIVONIA
,
MI
48150
NONE
N/A
SCHOLARSHIP
1,500
BURNAM JACOB
4607 OAK FOREST ROAD
LOUISVILLE
,
KY
40245
NONE
N/A
SCHOLARSHIP
1,500
CALDWELL MADISON
1840 SANDY CREEK LANE
ANN ARBOR
,
MI
48103
NONE
N/A
SCHOLARSHIP
1,500
CANTRELL REBECCA L
9071 LEBARRON CT
SALINE
,
MI
48176
NONE
N/A
SCHOLARSHIP
1,500
CHARNEY LAUREN
202 E HENRY ST
SALINE
,
MI
48176
NONE
N/A
SCHOLARSHIP
1,500
CHITALIA NEIL
2591 SEQUOIA CT
BLOOMFIELD HILLS
,
MI
48304
NONE
N/A
SCHOLARSHIP
1,500
CHRISTENSEN JACOB A
46289 SPINNING WHEEL DR
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
CLEMENTS KAYLEY E
2625 SW SPRINGTOWN ROAD
PLATTSBURG
,
MO
64477
NONE
N/A
SCHOLARSHIP
1,500
COOK OLIVIA M
7624 BRIDGEWAY DR
TEMPERANCE
,
MI
48182
NONE
N/A
SCHOLARSHIP
1,500
COPELAND NOAH
562 THORNHILL CT
BELLEVILLE
,
MI
48111
NONE
N/A
SCHOLARSHIP
1,500
CRAFT KYLE
1265 JUNIPER COURT
MACEDONIA
,
OH
44056
NONE
N/A
SCHOLARSHIP
1,500
CRAWFORD MADELYN J
3791 N COLE ST
LIMA
,
OH
45807
NONE
N/A
SCHOLARSHIP
1,500
CREED MAKAYLA L
100 PARK AVE PO BOX 61
LYNCHBURG
,
OH
45142
NONE
N/A
SCHOLARSHIP
1,500
CSEH ELENA
4626 NORTHRIDGE CIRCLE
CRESTWOOD
,
KY
40014
NONE
N/A
SCHOLARSHIP
1,500
DONG HANNA
21931 CHASE DRIVE
NOVI
,
MI
48375
NONE
N/A
SCHOLARSHIP
1,500
DUBEY MORGAN E
16283 FESTIAN DRIVE
CLINTON TOWNSHIP
,
MI
48038
NONE
N/A
SCHOLARSHIP
1,500
DUFFNER CASEY
1018 WALLACE CT
GRAFTON
,
OH
44044
NONE
N/A
SCHOLARSHIP
1,500
DUKKIPATI RESHMA
50538 TAMARACK TRAIL
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
EISENHAUER NATALIE M
3714 PETOSKEY AVE
CINCINNATI
,
OH
45227
NONE
N/A
SCHOLARSHIP
1,500
ELLISON KATHRYN N
25702 GROVELAND
NOVI
,
MI
48374
NONE
N/A
SCHOLARSHIP
1,500
FALAHEE ELEANOR
1792 VALLEYVIEW DRIVE
ANN ARBOR
,
MI
48105
NONE
N/A
SCHOLARSHIP
1,500
FLAHERTY CAROLINE
2308 VILLAGE DRIVE
LOUISVILLE
,
KY
40205
NONE
N/A
SCHOLARSHIP
1,500
FLUHARTY SABRINA N
23129 LEIGHWOOD DRIVE
WOODHAVEN
,
MI
48183
NONE
N/A
SCHOLARSHIP
1,500
FORTMAN CASEY
22255 WATERLAND DR
NORTHVILLE
,
MI
48167
NONE
N/A
SCHOLARSHIP
1,500
FRANKO KATHRYN
7196 BETHEL HILLS DR
SALINE
,
MI
48176
NONE
N/A
SCHOLARSHIP
1,500
FRANZ NICK
45357 THORN TREE LANE
MACOMB
,
MI
48044
NONE
N/A
SCHOLARSHIP
1,500
GAMBRELL DREW
540 RIVER RUN 212
NEW BRAUNFELS
,
TX
78132
NONE
N/A
SCHOLARSHIP
1,500
GIBEAU ASUMI M
50489 BLACK HORSE LANE
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
GODWIN LAUREN B
16152 RYLAND
REDFORD
,
MI
48240
NONE
N/A
SCHOLARSHIP
1,500
GOODWIN JAYCI L
1807 SE 3RD STREET
LEES SUMMIT
,
MO
64063
NONE
N/A
SCHOLARSHIP
1,500
GORDON ALEXANDER
22830 PENTON RISE CT
NOVI
,
MI
48375
NONE
N/A
SCHOLARSHIP
1,500
GRESH GARRETT
1125 GLENGARY ROAD
WALLED LAKE
,
MI
48390
NONE
N/A
SCHOLARSHIP
1,500
GRIFFITH HUNTER
19523 PLUMWOODE COURT
BROWNSTOWN TWP
,
MI
48183
NONE
N/A
SCHOLARSHIP
1,500
GRIGSBY HANNAH C
15783 OLD STATE ROUTE 12
COLUMBUS GROVE
,
OH
45830
NONE
N/A
SCHOLARSHIP
1,500
GROOMS AMBER N
4114 ANDREW DRIVE
FLOYDS KNOBS
,
IN
47119
NONE
N/A
SCHOLARSHIP
1,500
GROOMS ASHLEY
4114 ANDREW DRIVE
FLOYDS KNOBS
,
IN
47119
NONE
N/A
SCHOLARSHIP
1,500
GU JAMES
811 QUILL CREEK DRIVE
TROY
,
MI
48085
NONE
N/A
SCHOLARSHIP
1,500
GUTTA MADELINE
46017 GREEN VALLEY RD
PLYMOUTH
,
MI
48170
NONE
N/A
SCHOLARSHIP
1,500
HACKER BRETTON J
309 HIGHLAND SPRINGS DRIVE
MOUNT WASHINGTON
,
KY
40047
NONE
N/A
SCHOLARSHIP
1,500
HAJDUK GABBY
1102 BUTTERFIELD CIR W
SHOREWOOD
,
IL
60404
NONE
N/A
SCHOLARSHIP
1,500
HARDIN LILLIAN A
5511 VALLEY PARK DRIVE
LOUISVILLE
,
KY
40299
NONE
N/A
SCHOLARSHIP
1,500
HARTSTANG ALEXANDRA J
7860 HOWARD ST
WHITMORE LAKE
,
MI
48189
NONE
N/A
SCHOLARSHIP
1,500
HASSELL AUTUMN
3601 STONYRUN DRIVE
LOUISVILLE
,
KY
40220
NONE
N/A
SCHOLARSHIP
1,500
HAVENER ANNA
1311 HENDRIE
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
HERRERA ANDREA
39106 CHESHIRE DRIVE
NORTHVILLE
,
MI
48167
NONE
N/A
SCHOLARSHIP
1,500
HOJNACKI MOLLY G
53469 SPRINGDALE ST
MACOMB
,
MI
48042
NONE
N/A
SCHOLARSHIP
1,500
HOST SHELBY
110 RIVERSIDE DR
MOUNT CLEMENS
,
MI
48043
NONE
N/A
SCHOLARSHIP
1,500
HUANG JENNIFER
48675 GREENWICH CIRCLE
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
HUANG NICHOLAS
6748 FOX HILLS RD
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
HURT KATHRYN
527 RIVER RIDGE DR
WATERFORD
,
MI
48327
NONE
N/A
SCHOLARSHIP
1,500
ISRAILOV JASON
5335 POTOMAC RUN NORTH
WEST BLOOMFIELD
,
MI
48322
NONE
N/A
SCHOLARSHIP
1,500
IYER MONICA
3845 OAKLAND DR
BLOOMFIELD HILLS
,
MI
48301
NONE
N/A
SCHOLARSHIP
1,500
JABLONSKI DANIEL
49045 POPPLETON CT
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
JADHAV SOHAN
49553 S GLACIER
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
JAVKAR RICHA P
384 PINEHURST DR
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
JIANG EVAN
2254 COURTNEY CIRCLE CT
ANN ARBOR
,
MI
48103
NONE
N/A
SCHOLARSHIP
1,500
JIANG KEVIN
330 FERNDALE AVE
BIRMINGHAM
,
MI
48009
NONE
N/A
SCHOLARSHIP
1,500
JULIETTE KENDRA
14474 RONNIE
LIVONIA
,
MI
48154
NONE
N/A
SCHOLARSHIP
1,500
KAIPAINEN ALEXANDER
3982 THORNWOOD COURT
ANN ARBOR
,
MI
48105
NONE
N/A
SCHOLARSHIP
1,500
KALERGIS AMALIA
7280 HILLSBORO DR
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
KANTHALA SRI CHARAN R
14024 BEN KINGSLEY CT
CARMEL
,
IN
46033
NONE
N/A
SCHOLARSHIP
1,500
KERN GEORGIA
24316 WARRINGTON CT
EASTPOINTE
,
MI
48021
NONE
N/A
SCHOLARSHIP
1,500
KERNAHAN MADELINE E
8009 CHATHAM CT
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
KNAPKE JOSH
8300 RIDGEVALLEY CT
CINCINNATI
,
OH
45247
NONE
N/A
SCHOLARSHIP
1,500
KOBERSTEIN EMMA
6461 CRABAPPLE DRIVE
TROY
,
MI
48098
NONE
N/A
SCHOLARSHIP
1,500
KONDRAD ZACHARY
20378 HUMMINGBIRD LANE
MACOMB
,
MI
48044
NONE
N/A
SCHOLARSHIP
1,500
KORT NATALIANA
15537 HUBBARD
LIVONIA
,
MI
48154
NONE
N/A
SCHOLARSHIP
1,500
KOWALSKI-DUNCAN JANNA
517 ATLANTIC ST
MILFORD
,
MI
48381
NONE
N/A
SCHOLARSHIP
1,500
KRAUS JILL A
4284 ELDER AVE
SEAL BEACH
,
CA
90740
NONE
N/A
SCHOLARSHIP
1,500
KRESS KATHLEEN
50302 JACKSON LANE
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
KRULIKOWSKI CARLY
1009 REGENTS PARK DRIVE
MONROE
,
MI
48161
NONE
N/A
SCHOLARSHIP
1,500
LAIRD ANNA
5547 AMBER WAY
YPSILANTI
,
MI
48197
NONE
N/A
SCHOLARSHIP
1,500
LALATA CHARLENE D
11718 WASHINGTON GREEN ROAD
LOUISVILLE
,
KY
40229
NONE
N/A
SCHOLARSHIP
1,500
LAMOUREUX DANIELLE
39585 EAGLE TRACE DRIVE
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
LAPINE CEDRIC
6222 GYERS MEADOW LANE
ANN ARBOR
,
MI
48108
NONE
N/A
SCHOLARSHIP
1,500
LATIF RAYYAN
45308 THORNHILL ROAD
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
LEE HANNAH
2996 BRIARCLIFF STREET
ANN ARBOR
,
MI
48105
NONE
N/A
SCHOLARSHIP
1,500
LI HENRY W
6511 CANMOOR DR
TROY
,
MI
48098
NONE
N/A
SCHOLARSHIP
1,500
LISKEY ANNE C
54860 GRENELEFE CIR E
SOUTH LYON
,
MI
48178
NONE
N/A
SCHOLARSHIP
1,500
LIU KELLEY
4736 BENTLEY DRIVE
TROY
,
MI
48098
NONE
N/A
SCHOLARSHIP
1,500
LOHR ANNALESE L
16920 GEORGINA ST
BEVERLY HILLS
,
MI
48025
NONE
N/A
SCHOLARSHIP
1,500
LOSSING JOSEPHINE G
14288 HERITAGE
RIVERVIEW
,
MI
48193
NONE
N/A
SCHOLARSHIP
1,500
LOVSIN AVA
7394 DERBY ST
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
LYLES CHLOE
804 ENGLEWOOD DRIVE
KEARNEY
,
MO
64060
NONE
N/A
SCHOLARSHIP
1,500
MASSE LAUREN
17814 DEVONSHIRE CT
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
MASSENBURG NAKAJEYA
105 MATLOCK MEADOW DR
ARLINGTON
,
TX
76002
NONE
N/A
SCHOLARSHIP
1,500
MATTI NICOLINA
38272 TRILLIUM PLACE
HARRISON TOWNSHIP
,
MI
48045
NONE
N/A
SCHOLARSHIP
1,500
MCALINDEN ERIN P
17301 WAYNE RD
LIVONIA
,
MI
48152
NONE
N/A
SCHOLARSHIP
1,500
MCCAIN LAUREN E
14468 JONATHON DR
MONROE
,
MI
48161
NONE
N/A
SCHOLARSHIP
1,500
MCCANN ELISABET A
37521 MALLORY DRIVE
LIVONIA
,
MI
48154
NONE
N/A
SCHOLARSHIP
1,500
MCCLOSKEY KENZIE
29735 ALEXANDRA LN
CHESTERFIELD
,
MI
48047
NONE
N/A
SCHOLARSHIP
1,500
MCKENNA JILLIAN
905 PATRICIA AVE
ANN ARBOR
,
MI
48103
NONE
N/A
SCHOLARSHIP
1,500
MCMANAMAN REGINA
4190 PINEHURST DR
WEST BLOOMFIELD
,
MI
48322
NONE
N/A
SCHOLARSHIP
1,500
MCSWEENEY SEAN S
22055 CHERRYWOOD
WOODHAVEN
,
MI
48183
NONE
N/A
SCHOLARSHIP
1,500
MEARS DAVIS
12007 RYZNAR DR
BELLEVILLE
,
MI
48111
NONE
N/A
SCHOLARSHIP
1,500
MERAM EMMANUEL
42417 FLIS DR
STERLING HEIGHTS
,
MI
48314
NONE
N/A
SCHOLARSHIP
1,500
MICALLEF MADILYN R
3612 DUDLEY ST
DEARBORN
,
MI
48124
NONE
N/A
SCHOLARSHIP
1,500
MICHELS JOHN
1727 DEERWOOD AVE
LOUISVILLE
,
KY
40205
NONE
N/A
SCHOLARSHIP
1,500
MOLIASSA MATTHEW
48568 MEADOW COURT
PLYMOUTH
,
MI
48170
NONE
N/A
SCHOLARSHIP
1,500
MUNSON LAUREN
34136 STATE ST
FARMINGTON
,
MI
48335
NONE
N/A
SCHOLARSHIP
1,500
MURPHY CAILA R
510 CAIRNVIEW DRIVE
FRANKLIN
,
TN
37064
NONE
N/A
SCHOLARSHIP
1,500
NADELLA AKASH
5918 ARBAN DR
TROY
,
MI
48098
NONE
N/A
SCHOLARSHIP
1,500
NADELLA MOHNISH
5918 ARBAN DR
TROY
,
MI
48098
NONE
N/A
SCHOLARSHIP
1,500
NARAYANAN PREETHI
1664 NAPA DR
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
NG ABIGAIL J
2763 COOK CREEK DR
ANN ARBOR
,
MI
48103
NONE
N/A
SCHOLARSHIP
1,500
NGO OLIVIA
6060 EVANSWOOD ROAD
TROY
,
MI
48085
NONE
N/A
SCHOLARSHIP
1,500
O'BRIEN KEENAN
5121 POLO FIELDS DR
ANN ARBOR
,
MI
48103
NONE
N/A
SCHOLARSHIP
1,500
OLSON SKYLA
6937 BUNKERHILL LANE
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
OSIP WILLIAM D
42879 BROOKSTONE DRIVE
NOVI
,
MI
48377
NONE
N/A
SCHOLARSHIP
1,500
PARLOW ERIN
7550 TRUMBLE RD
COLUMBUS
,
MI
48063
NONE
N/A
SCHOLARSHIP
1,500
PARSON HANNAH
150 HIDDEN TREE LANE
AMHERST
,
OH
44001
NONE
N/A
SCHOLARSHIP
1,500
PEREZ BARRADAS NOHEMI
21721 FLANDERS ST
FARMINGTON HILLS
,
MI
48335
NONE
N/A
SCHOLARSHIP
1,500
PIERCE MCKENNA
6493 NORWOOD DR
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
PONCE-CARDENAS ALLISON
8950 EAST 31ST STREET
KANSAS CITY
,
MO
66102
NONE
N/A
SCHOLARSHIP
1,500
POONAWALA ABDEALI M
28953 E KING WILLIAM DR
FARMINGTON HILLS
,
MI
48331
NONE
N/A
SCHOLARSHIP
1,500
PUDA SYDNEY T
47229 CURTIS
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
QUICK MAGGIE
19625 BLUE JAY TRAIL CIRCLE
LAWSON
,
MO
64062
NONE
N/A
SCHOLARSHIP
1,500
RAM SRINA M
2833 OAK HILL TRAIL 11125 FIELDCRES
MEADOWS CT
COMMERCE TOWNSHIP
,
MI
48382
NONE
N/A
SCHOLARSHIP
1,500
RAVI ADITYA
21884 MERIDIAN LANE
NOVI
,
MI
48375
NONE
N/A
SCHOLARSHIP
1,500
RIPPER MADISON
1047 REDWOOD LANE
LIBERTY
,
MO
64068
NONE
N/A
SCHOLARSHIP
1,500
RUPPERT MCKENNA
44464 WHITE PINE CIRCLE EAST
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
SATAWA SAMANTHA
21979 N LYON TRAIL
SOUTH LYON
,
MI
48178
NONE
N/A
SCHOLARSHIP
1,500
SCHAFER ANNA
9407 THORNBIRD WAY
SALINE
,
MI
48176
NONE
N/A
SCHOLARSHIP
1,500
SCHIAVONE ALANNA G
1344 GLEN VALLEY DRIVE
HOWELL
,
MI
48843
NONE
N/A
SCHOLARSHIP
1,500
SCHILDCROUT ANDREW
13123 LASALLE BLVD
HUNTINGTON WOODS
,
MI
48070
NONE
N/A
SCHOLARSHIP
1,500
SCHOENLE CHRISTEN E
48143 HILLTOP DR EAST
PLYMOUTH
,
MI
48170
NONE
N/A
SCHOLARSHIP
1,500
SENERPIDA ANDRE
1315 CRAIG DR
WESTLAND
,
MI
48186
NONE
N/A
SCHOLARSHIP
1,500
SHAIK TANYEEM
40795 DEER PINES DR
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
SHAO KATHARINE
16049 PINE VALLEY DRIVE
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
SHEFFERLY JILLIAN
1538 HENRIETTA ST
BIRMINGHAM
,
MI
48009
NONE
N/A
SCHOLARSHIP
1,500
SIEBERT CORINNE
106 MILWAUKEE AVE
LAWSON
,
MO
64062
NONE
N/A
SCHOLARSHIP
1,500
SIEVERT ALEXANDRA
9822 CAVEN AVENUE
LOUISVILLE
,
KY
40229
NONE
N/A
SCHOLARSHIP
1,500
SKARBINSKI ABIGAIL
15281 REGINA
ALLEN PARK
,
MI
48101
NONE
N/A
SCHOLARSHIP
1,500
SMITH JACOB
45278 SEABROOK DR
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
SMITH TAYLOR
5505 KNOBVIEW LANE
LOUISVILLE
,
KY
40219
NONE
N/A
SCHOLARSHIP
1,500
SONG SOLOMON J
32000 OLDE FRANKLIN DRIVE
FARMINGTON HILLS
,
MI
48334
NONE
N/A
SCHOLARSHIP
1,500
SPRINGSTEEN EMMA L
1463 WEDGEWOOD DR
SALINE
,
MI
48176
NONE
N/A
SCHOLARSHIP
1,500
SRIRAM VIJAY
24008 WATERCREST CT
FARMINGTON HILLS
,
MI
48336
NONE
N/A
SCHOLARSHIP
1,500
STALDER CALEB P
21138 JONATHAN DRIVE
STRONGSVILLE
,
OH
44149
NONE
N/A
SCHOLARSHIP
1,500
STEC JACOB R
48605 GREENWICH CIR
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
SURELLA NICOLE A
38705 WAKEFIELD CT
NORTHVILLE
,
MI
48167
NONE
N/A
SCHOLARSHIP
1,500
SWAMY HAILEY
21442 ASTOR CT
GROSSE ILE
,
MI
48138
NONE
N/A
SCHOLARSHIP
1,500
TAPP MACKENZIE
127 TRAVOIS ROAD
LOUISVILLE
,
KY
40207
NONE
N/A
SCHOLARSHIP
1,500
TAYLOR EMILY
1667 HILLSIDE LN
ROCHESTER HILLS
,
MI
48307
NONE
N/A
SCHOLARSHIP
1,500
TSENG NATHAN
47028 GLASTONBURY DR
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
TURNER EMMETT W
5554 HEARTHSTONE CT
ANN ARBOR
,
MI
48108
NONE
N/A
SCHOLARSHIP
1,500
VALENTE MICHAEL A
49908 LABAERE DRIVE
MACOMB
,
MI
48044
NONE
N/A
SCHOLARSHIP
1,500
VAN NIEUWSTADT SASKIA
3904 PENBERTON DRIVE
ANN ARBOR
,
MI
48105
NONE
N/A
SCHOLARSHIP
1,500
VATALARO NATASHA
969 WESTCHESTER
GROSSE POINTE PARK
,
MI
48230
NONE
N/A
SCHOLARSHIP
1,500
VAUGHN ALANA G
4507 MARGARET COURT
MASON
,
OH
45040
NONE
N/A
SCHOLARSHIP
1,500
VEGA DESIREE L
10317 S AVENUE L
CHICAGO
,
IL
60617
NONE
N/A
SCHOLARSHIP
1,500
VINTON LAURA
6 JAIMIE ANN DR
RUTLAND
,
MA
15433
NONE
N/A
SCHOLARSHIP
1,500
WANG SERENA
45394 PEBBLE BEACH COURT
NORTHVILLE
,
MI
48168
NONE
N/A
SCHOLARSHIP
1,500
WARMAN ANDREW L
1419 MIAMI LAKE DRIVE
LOVELAND
,
OH
45140
NONE
N/A
SCHOLARSHIP
1,500
WARNER ANASTASIA S
36720 SAXONY RD
FARMINGTON
,
MI
48335
NONE
N/A
SCHOLARSHIP
1,500
WENE SARAH
1526 CENTENNIAL CT
CANTON
,
MI
48187
NONE
N/A
SCHOLARSHIP
1,500
WENG MAXWELL
47577 GREENWICH DRIVE
NOVI
,
MI
48374
NONE
N/A
SCHOLARSHIP
1,500
WESTON GRANT A
560 BRAGG RD
DEERFIELD
,
MI
49238
NONE
N/A
SCHOLARSHIP
1,500
WIDNER AUDREY
5038 DURNHAM DRIVE
WATERFORD
,
MI
48327
NONE
N/A
SCHOLARSHIP
1,500
WILSON BEN
7246 N 500 W
MCCORDSVILLE
,
IN
46055
NONE
N/A
SCHOLARSHIP
1,500
WILSON MAKENNA
27227 SUPERIOR
CHESTERFIELD
,
MI
48051
NONE
N/A
SCHOLARSHIP
1,500
WU EMILY
255 PRINCETON ST
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
XU ROBERT
24320 WOODHAM ROAD
NOVI
,
MI
48374
NONE
N/A
SCHOLARSHIP
1,500
YALAMANCHILI RITI
36177 NORTH PARK DRIVE
AVON
,
OH
44011
NONE
N/A
SCHOLARSHIP
1,500
YANG JOHN Z
3370 HONEYSUCKLE DR
ANN ARBOR
,
MI
48103
NONE
N/A
SCHOLARSHIP
1,500
ZEMAN KATHERINE E
110 GEORGE ST
WHEATON
,
IL
60189
NONE
N/A
SCHOLARSHIP
1,500
ZHANG JUSTIN J
1562 MARTINIQUE DR
TROY
,
MI
48084
NONE
N/A
SCHOLARSHIP
1,500
ZHAO ANTHONY
1755 BRIDGEWATER CT
CANTON
,
MI
48188
NONE
N/A
SCHOLARSHIP
1,500
Total
.................................
3a
288,000
b
Approved for future payment
Total
.................................
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
4,399
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
1,660
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
6,059
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
6,059
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description