-
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
09-01-2019
, and ending
08-31-2020
Name of foundation
ELSIE A DREFFEIN CHARITABLE TRUST XXXXX9005
Number and street (or P.O. box number if mail is not delivered to street address)
10 S DEARBORN IL1-0111
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO
,
IL
60603
A Employer identification number
36-7186490
B
Telephone number (see instructions)
(800) 496-2583
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)
$
5,803,077
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
138,478
138,478
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
157,057
b
Gross sales price for all assets on line 6a
1,865,787
7
Capital gain net income (from Part IV, line 2)
...
157,057
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
295,535
295,535
13
Compensation of officers, directors, trustees, etc.
67,638
37,027
30,611
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
4,801
1,458
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
15
15
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
72,454
38,485
0
30,626
25
Contributions, gifts, grants paid
.......
244,000
244,000
26
Total expenses and disbursements.
Add lines 24 and 25
316,454
38,485
0
274,626
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-20,919
b
Net investment income
(if negative, enter -0-)
257,050
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
239
4,685
4,685
2
Savings and temporary cash investments
.........
53,115
50,786
50,786
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
2,557,234
2,230,245
3,092,622
c
Investments—corporate bonds (attach schedule)
.......
1,923,693
2,222,010
2,382,015
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
268,303
273,824
272,969
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
4,802,584
4,781,550
5,803,077
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
4,802,584
4,781,550
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)
.....
4,802,584
4,781,550
30
Total liabilities and net assets/fund balances
(see instructions)
.
4,802,584
4,781,550
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
4,802,584
2
Enter amount from Part I, line 27a
.....................
2
-20,919
3
Other increases not included in line 2 (itemize)
3
7
4
Add lines 1, 2, and 3
..........................
4
4,781,672
5
Decreases not included in line 2 (itemize)
5
122
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
4,781,550
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
. GENERAL MOTORS CO
2019-09-05
b
1015. ISHARES TR BARCLAYS MBS BD FD
2019-02-04
2019-09-19
c
1389. VANGUARD BD INDEX FD INC
2019-03-05
2019-09-19
d
22. DISNEY WALT CO
2016-10-10
2019-10-25
e
6. ACCENTURE PLC
2014-04-22
2019-10-25
7. ACCENTURE PLC
2014-04-22
2019-10-28
15. NISOURCE INC
2013-10-17
2019-11-11
19. NISOURCE INC
2013-02-26
2019-11-11
15. NISOURCE INC
2013-02-26
2019-11-12
39. NISOURCE INC
2013-02-26
2019-11-12
4. NISOURCE INC
2013-02-26
2019-11-12
3. NISOURCE INC
2013-02-26
2019-11-13
62. CELGENE CORP.
2019-03-14
2019-11-21
28. CELGENE CORP.
2009-04-02
2019-11-21
401.494 FIDELITY 500 INDEX-INST PRM
2018-02-07
2019-11-22
785. ISHARES MISCI EAFE INDEX FUND
2016-07-19
2019-11-22
53. ISHARES MISCI EAFE INDEX FUND
2016-07-19
2019-11-22
35. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
4. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
1. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
1. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
42. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-26
7. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-27
2377.549 EQUINOX IMP SYSTEM MACRO-I
2016-05-12
2019-12-09
2777.403 CRM LNG/SHRT OPPORT-INST
2016-12-16
2020-01-09
2.513 CORTEVA INC
2017-02-22
2020-01-13
6.487 CORTEVA INC
2019-04-08
2020-01-13
7. CORTEVA INC
2019-04-08
2020-01-13
9. CORTEVA INC
2019-04-08
2020-01-14
9. CORTEVA INC
2019-06-27
2020-01-14
3. CORTEVA INC
2019-06-27
2020-01-14
3. CORTEVA INC
2019-06-27
2020-01-14
1. CORTEVA INC
2019-06-27
2020-01-14
11. CORTEVA INC
2019-06-27
2020-01-15
3.312 CORTEVA INC
2015-06-18
2020-01-15
9.688 CORTEVA INC
2019-06-28
2020-01-15
5. CORTEVA INC
2015-06-18
2020-01-15
1. CORTEVA INC
2016-08-10
2020-01-15
7. CORTEVA INC
2016-08-10
2020-01-15
8. CORTEVA INC
2015-07-15
2020-01-15
1. CORTEVA INC
2015-07-15
2020-01-15
2555.458 CRM LNG/SHRT OPPORT-INST
2016-12-16
2020-01-16
3. CORTEVA INC
2015-07-15
2020-01-16
2. CORTEVA INC
2015-07-15
2020-01-16
1. CORTEVA INC
2015-07-15
2020-01-16
2387.479 EQUINOX IMP SYSTEM MACRO-I
2016-05-12
2020-01-16
27. QUALCOMM INC
2019-05-01
2020-01-23
. MERCK & CO INC
2020-01-24
14. EOG RESOURCES INC
2016-05-02
2020-01-28
2. EOG RESOURCES INC
2016-05-23
2020-01-28
1. EOG RESOURCES INC
2016-05-23
2020-01-29
1. EOG RESOURCES INC
2016-05-23
2020-01-29
1. EOG RESOURCES INC
2016-05-23
2020-01-29
10. EOG RESOURCES INC
2016-05-20
2020-01-29
10. EOG RESOURCES INC
2016-05-19
2020-01-29
10. EOG RESOURCES INC
2016-03-07
2020-01-29
13. EOG RESOURCES INC
2016-03-07
2020-01-30
3. EOG RESOURCES INC
2016-03-07
2020-01-30
13. ABBVIE INC
2019-11-11
2020-02-11
3. ADOBE SYS INC
2012-08-03
2020-02-11
3. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-02-11
1. ALPHABET INC-CL C
2019-10-25
2020-02-11
1. ALPHABET INC-CL C
2012-09-26
2020-02-11
1. ALPHABET INC-CL A
2012-07-11
2020-02-11
2. AMAZON COM INC
2019-10-25
2020-02-11
10. AMERICAN EXPRESS CO
2019-05-16
2020-02-11
15. APPLE COMPUTER INC
2006-04-07
2020-02-11
3. AUTOMATIC DATA PROCESSING INC
2019-08-14
2020-02-11
2. AUTOMATIC DATA PROCESSING INC
2018-12-03
2020-02-11
45. BANK OF AMERICA CORPORATION
2012-10-22
2020-02-11
6. BERKSHIRE HATHAWAY INC DEL CL B
2017-04-20
2020-02-11
28. BOSTON SCIENTIFIC CORP
2016-12-05
2020-02-11
17. BRISTOL MYERS SQUIBB CO
2019-11-20
2020-02-11
5. BROADCOM INC
2013-05-16
2020-02-11
3. CHARTER COMMUNICATIONS INC-A
2016-03-30
2020-02-11
19. CITIGROUP INC NEW
2012-01-23
2020-02-11
13. COCA-COLA CO
2018-04-13
2020-02-11
8. COMCAST CORP NEW CL A
2019-01-29
2020-02-11
30. COMCAST CORP NEW CL A
2019-03-14
2020-02-11
11. DIAMONDBACK ENERGY INC
2017-05-15
2020-02-11
7. DISNEY WALT CO
2016-10-07
2020-02-11
1.487 DUPONT DE NEMOURS INC-WI
2019-04-08
2020-02-11
8.513 DUPONT DE NEMOURS INC-WI
2017-02-22
2020-02-11
9. ELECTRONIC ARTS
2018-09-20
2020-02-11
7. FACEBOOK INC-A
2020-01-08
2020-02-11
4. FIDELITY NATL INFORMATION SVCS INC
2019-08-14
2020-02-11
5. FIDELITY NATL INFORMATION SVCS INC
2014-12-18
2020-02-11
18. FISERV INC
2019-07-18
2020-02-11
5. GENERAL DYNAMICS CORP
2016-08-15
2020-02-11
6. HOME DEPOT INC
2011-09-29
2020-02-11
11. HONEYWELL INTL INC
2009-12-16
2020-02-11
4. INTERCONTINENTALEXCHANGE GROUP, INC
2017-01-31
2020-02-11
39. KEYCORP NEW
2016-03-01
2020-02-11
9. LILLY ELI & CO
2015-06-04
2020-02-11
8. LOWES COS INC
2011-09-22
2020-02-11
20. MARATHON PETROLEUM CORPORATION
2018-03-09
2020-02-11
8. MASTERCARD INC - CLASS A
2009-07-16
2020-02-11
4. MCDONALDS CORP
2019-06-10
2020-02-11
14. MERCK & CO INC
2016-08-05
2020-02-11
2. MERCK & CO INC
2019-03-14
2020-02-11
36. MICROSOFT CORP
2003-02-24
2020-02-11
19. MONDELEZ INTERNATIONAL-W/I
2011-09-09
2020-02-11
32. MORGAN STANLEY DEAN WITTER & CO NEW
2013-01-16
2020-02-11
3. NETFLIX.COM INC
2018-09-13
2020-02-11
4. NEXTERA ENERGY INC
2016-10-18
2020-02-11
7. NORFOLK SOUTHN CORP
2018-03-09
2020-02-11
2. NORTHROP GRUMMAN CORP
2017-09-22
2020-02-11
1. NORTHROP GRUMMAN CORP
2019-05-20
2020-02-11
5. NVIDIA CORP
2018-06-12
2020-02-11
1. O'REILLY AUTOMOTIVE INC
2017-05-04
2020-02-11
11. PAYPAL HOLDINGS INC
2018-01-26
2020-02-11
10. PEPSICO INC
2014-10-13
2020-02-11
39. PFIZER INC
2015-04-02
2020-02-11
6. PHILIP MORRIS INTERNATIONAL
2018-10-24
2020-02-11
6. PIONEER NAT RES CO
2015-12-07
2020-02-11
9. PROCTER & GAMBLE CO
2019-06-05
2020-02-11
7. ROSS STORES INC
2018-12-11
2020-02-11
9. SALESFORCE.COM INC
2019-10-25
2020-02-11
1. SALESFORCE.COM INC
2018-10-08
2020-02-11
6. STANLEY BLACK & DECKER,INC.
2016-02-12
2020-02-11
5. TEXAS INSTRS INC
2016-03-10
2020-02-11
9. TEXAS INSTRS INC
2020-01-23
2020-02-11
2. THERMO ELECTRON CORP
2020-01-14
2020-02-11
8. UNION PAC CORP
2017-05-18
2020-02-11
3. UNITED TECHNOLOGIES CORP
2017-12-07
2020-02-11
10. UNITEDHEALTH GROUP INC
2010-12-02
2020-02-11
3. VERTEX PHARMACEUTICALS INC
2011-12-15
2020-02-11
6. VISA INC CLASS A SHARES
2015-10-19
2020-02-11
7. WASTE CONNECTIONS INC
2016-07-26
2020-02-11
14. WELLS FARGO & CO NEW
2009-02-05
2020-02-11
3. WEX INC
2016-05-31
2020-02-11
4. YUM BRANDS INC
2018-11-28
2020-02-11
10. ZIMMER HLDGS INC
2017-11-20
2020-02-11
6. ALLEGION PLC
2015-10-30
2020-02-11
3. ACCENTURE PLC
2014-04-03
2020-02-11
10. LINDE PLC
2019-04-08
2020-02-11
7. CHUBB LTD
2008-12-10
2020-02-11
8. NXP SEMICONDUCTORS NV
2019-02-20
2020-02-11
275. ISHARES CORE MSCI EAFE ETF
2018-01-16
2020-02-12
654. JPMORGAN BETABUILDERS JAPAN ETF
2018-07-25
2020-02-13
299. JPMORGAN BETABUILDERS JAPAN ETF
2018-07-25
2020-02-13
7. ELECTRONIC ARTS
2019-01-29
2020-02-25
10. ELECTRONIC ARTS
2018-11-27
2020-02-25
2. ACCENTURE PLC
2014-04-03
2020-02-25
12. ACCENTURE PLC
2014-04-03
2020-02-26
28. DISNEY WALT CO
2016-10-07
2020-03-04
65. WELLS FARGO & CO NEW
2009-03-16
2020-03-04
2. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-11
1. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-11
1. DUPONT DE NEMOURS INC-WI
2019-04-08
2020-03-11
11.688 DUPONT DE NEMOURS INC-WI
2019-04-08
2020-03-11
31.312 DUPONT DE NEMOURS INC-WI
2015-06-18
2020-03-11
3. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-12
2. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-12
5. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-13
3140. ISHARES MISCI EAFE INDEX FUND
2016-01-14
2020-03-16
1060. SCHWAB U.S. TIPS ETF
2018-10-01
2020-03-26
17. UNITED TECHNOLOGIES CORP
2017-12-05
2020-03-31
17. COMCAST CORP NEW CL A
2019-01-29
2020-04-16
31. COMCAST CORP NEW CL A
2018-10-19
2020-04-16
21. COMCAST CORP NEW CL A
2009-12-07
2020-04-16
3. COMCAST CORP NEW CL A
2009-12-07
2020-04-16
4. ROSS STORES INC
2018-12-11
2020-04-16
5. ROSS STORES INC
2018-12-11
2020-04-16
6. ROSS STORES INC
2018-12-11
2020-04-16
18. ROSS STORES INC
2018-12-11
2020-04-16
13. ABBVIE INC
2019-11-11
2020-04-24
2. ADOBE SYS INC
2012-08-03
2020-04-24
2. ALPHABET INC-CL C
2012-08-13
2020-04-24
1. ALPHABET INC-CL A
2012-07-11
2020-04-24
1. AMAZON COM INC
2020-02-25
2020-04-24
6. AMERICAN EXPRESS CO
2019-05-16
2020-04-24
11. APPLE COMPUTER INC
2006-04-07
2020-04-24
4. AUTOMATIC DATA PROCESSING INC
2018-10-22
2020-04-24
30. BANK OF AMERICA CORPORATION
2012-10-22
2020-04-24
4. BERKSHIRE HATHAWAY INC DEL CL B
2017-04-20
2020-04-24
1. BIOGEN IDEC INC
2020-03-11
2020-04-24
19. BOSTON SCIENTIFIC CORP
2016-12-05
2020-04-24
11. BRISTOL MYERS SQUIBB CO
2019-11-20
2020-04-24
4. BROADCOM INC
2013-05-16
2020-04-24
3. CHARTER COMMUNICATIONS INC-A
2020-04-16
2020-04-24
14. CITIGROUP INC NEW
2012-01-23
2020-04-24
10. COCA-COLA CO
2018-04-13
2020-04-24
15. COMCAST CORP NEW CL A
2009-12-07
2020-04-24
7. DIAMONDBACK ENERGY INC
2017-05-15
2020-04-24
4. ELECTRONIC ARTS
2018-11-27
2020-04-24
6. FACEBOOK INC-A
2020-01-08
2020-04-24
6. FIDELITY NATL INFORMATION SVCS INC
2014-12-18
2020-04-24
13. FISERV INC
2019-06-14
2020-04-24
3. GENERAL DYNAMICS CORP
2016-08-16
2020-04-24
5. HOME DEPOT INC
2011-09-29
2020-04-24
8. HONEYWELL INTL INC
2009-12-16
2020-04-24
3. INTERCONTINENTALEXCHANGE GROUP, INC
2017-01-31
2020-04-24
2. INTUIT
2020-02-25
2020-04-24
27. KEYCORP NEW
2016-03-01
2020-04-24
7. LILLY ELI & CO
2015-06-05
2020-04-24
7. LOWES COS INC
2020-04-16
2020-04-24
13. MARATHON PETROLEUM CORPORATION
2018-03-09
2020-04-24
5. MASTERCARD INC - CLASS A
2009-07-16
2020-04-24
2. MCDONALDS CORP
2019-06-10
2020-04-24
11. MERCK & CO INC
2016-08-05
2020-04-24
23. MICROSOFT CORP
2003-02-24
2020-04-24
12. MONDELEZ INTERNATIONAL-W/I
2011-09-09
2020-04-24
22. MORGAN STANLEY DEAN WITTER & CO NEW
2013-01-16
2020-04-24
1. NETFLIX.COM INC
2018-09-13
2020-04-24
3. NEXTERA ENERGY INC
2016-10-18
2020-04-24
5. NORFOLK SOUTHN CORP
2017-11-21
2020-04-24
3. NORTHROP GRUMMAN CORP
2017-09-22
2020-04-24
3. NVIDIA CORP
2017-10-03
2020-04-24
1. O'REILLY AUTOMOTIVE INC
2020-04-16
2020-04-24
10. PAYPAL HOLDINGS INC
2020-03-04
2020-04-24
7. PEPSICO INC
2014-10-13
2020-04-24
26. PFIZER INC
2015-06-04
2020-04-24
3. PHILIP MORRIS INTERNATIONAL
2018-10-24
2020-04-24
4. PIONEER NAT RES CO
2015-12-07
2020-04-24
5. PROCTER & GAMBLE CO
2019-06-05
2020-04-24
6. SALESFORCE.COM INC
2019-10-25
2020-04-24
5682.172 SIX CIRCLES ULTR SHRT DUR
2018-10-18
2020-04-24
4. STANLEY BLACK & DECKER,INC.
2016-02-12
2020-04-24
9. TEXAS INSTRS INC
2016-03-10
2020-04-24
2. THERMO ELECTRON CORP
2020-01-14
2020-04-24
6. UNION PAC CORP
2015-10-08
2020-04-24
6. UNITEDHEALTH GROUP INC
2010-12-02
2020-04-24
2. VERTEX PHARMACEUTICALS INC
2011-12-15
2020-04-24
4. VISA INC CLASS A SHARES
2015-12-11
2020-04-24
5. WASTE CONNECTIONS INC
2016-07-26
2020-04-24
2. WEX INC
2016-05-27
2020-04-24
5. YUM BRANDS INC
2018-11-28
2020-04-24
7. ZIMMER HLDGS INC
2017-11-14
2020-04-24
4. ALLEGION PLC
2015-11-04
2020-04-24
6. LINDE PLC
2019-04-25
2020-04-24
1. LINDE PLC
2019-04-08
2020-04-24
5. CHUBB LTD
2008-12-10
2020-04-24
2. ASML HOLDING NV-NY REG SHS
2020-03-04
2020-04-24
5. NXP SEMICONDUCTORS NV
2019-02-21
2020-04-24
75. MARATHON PETROLEUM CORPORATION
2018-03-09
2020-04-27
9. ADOBE SYS INC
2012-08-03
2020-05-04
2. ADOBE SYS INC
2012-08-03
2020-05-04
443. ISHARES TR 7-10 YR TREAS INDEX FD
2019-09-19
2020-05-11
5203.07 BLACKSTONE ALT MULTI-STRAT-Y
2019-06-14
2020-05-29
627.406 BLACKSTONE ALT MULTI-STRAT-Y
2018-11-14
2020-05-29
2157. ISHARES CORE MSCI EAFE ETF
2017-06-28
2020-06-10
5569.258 MTRPLTN WST TTL RTRN BND-PLN
2019-02-07
2020-06-10
10380.518 JPM GL RES ENH IDX FD - USD - R6 ISIN US48129C2070
2013-04-18
2020-06-11
25. BERKSHIRE HATHAWAY INC DEL CL B
2017-04-20
2020-06-24
48. KEYCORP NEW
2016-03-01
2020-06-30
5. KEYCORP NEW
2016-03-01
2020-06-30
35. PFIZER INC
2015-07-27
2020-06-30
12. KEYCORP NEW
2016-03-01
2020-07-01
4. KEYCORP NEW
2016-03-01
2020-07-01
21. KEYCORP NEW
2016-03-01
2020-07-01
9. KEYCORP NEW
2016-03-01
2020-07-01
1. KEYCORP NEW
2016-03-01
2020-07-01
9. KEYCORP NEW
2016-03-01
2020-07-01
18. KEYCORP NEW
2016-02-29
2020-07-02
1. KEYCORP NEW
2016-02-29
2020-07-02
18. KEYCORP NEW
2016-02-29
2020-07-02
1. KEYCORP NEW
2016-02-29
2020-07-02
104. PFIZER INC
2016-11-09
2020-07-10
5. PFIZER INC
2016-11-09
2020-07-10
13. GENERAL DYNAMICS CORP
2016-08-11
2020-08-04
3. GENERAL DYNAMICS CORP
2016-08-11
2020-08-04
2. GENERAL DYNAMICS CORP
2016-08-10
2020-08-04
14. PHILIP MORRIS INTERNATIONAL
2018-10-24
2020-08-04
5. PHILIP MORRIS INTERNATIONAL
2018-10-24
2020-08-04
1. PHILIP MORRIS INTERNATIONAL
2018-10-24
2020-08-04
120. ISHARES TR 20+ TREAS INDEX FD
2019-09-19
2020-08-14
552. ISHARES TR 7-10 YR TREAS INDEX FD
2019-09-19
2020-08-14
532. ISHARES CORE MSCI EAFE ETF
2017-06-28
2020-08-14
380.599 FIDELITY 500 INDEX-INST PRM
2020-02-13
2020-08-17
2745.583 SIX CIRCLES US UNCONSTR EQ
2019-04-10
2020-08-17
11302.278 VANGUARD TOT BD MKT IDX-ADM
2019-11-25
2020-08-17
5093.696 VANGUARD TOT BD MKT IDX-ADM
2019-02-04
2020-08-17
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
23
23
b
109,583
106,415
3,168
c
111,858
109,515
2,343
d
2,889
2,062
827
e
1,099
478
621
1,286
558
728
393
168
225
496
194
302
391
146
245
1,015
378
637
104
39
65
79
29
50
6,698
5,785
913
3,025
551
2,474
43,510
37,684
5,826
53,428
45,049
8,379
3,605
3,004
601
73
81
-8
8
9
-1
2
2
2
2
89
97
-8
15
16
-1
23,086
25,606
-2,520
28,024
27,469
555
71
82
-11
184
194
-10
200
209
-9
257
268
-11
258
268
-10
86
89
-3
86
89
-3
28
30
-2
316
325
-9
95
93
2
278
286
-8
143
140
3
29
28
1
201
195
6
228
220
8
29
27
2
25,657
25,273
384
87
82
5
58
55
3
29
27
2
23,469
24,951
-1,482
2,481
2,335
146
55
55
1,079
1,156
-77
154
163
-9
77
81
-4
77
81
-4
77
81
-4
755
811
-56
767
805
-38
757
731
26
966
940
26
225
217
8
1,252
1,111
141
1,113
96
1,017
306
404
-98
1,521
1,260
261
1,521
376
1,145
1,521
286
1,235
4,318
3,574
744
1,334
1,217
117
4,829
209
4,620
538
493
45
359
294
65
1,574
427
1,147
1,362
1,052
310
1,187
580
607
1,141
959
182
1,600
172
1,428
1,582
812
770
1,507
619
888
773
579
194
355
289
66
1,332
1,239
93
805
1,141
-336
990
649
341
79
126
-47
453
786
-333
980
995
-15
1,466
1,498
-32
601
524
77
751
315
436
2,214
1,804
410
933
803
130
1,450
203
1,247
1,973
434
1,539
380
233
147
770
430
340
1,296
702
594
983
153
830
1,114
1,498
-384
2,663
144
2,519
859
804
55
1,195
892
303
171
163
8
6,767
880
5,887
1,120
416
704
1,797
658
1,139
1,130
1,112
18
1,090
589
501
1,490
1,012
478
733
563
170
366
313
53
1,358
1,304
54
389
251
138
1,317
982
335
1,449
956
493
1,477
1,342
135
539
535
4
827
838
-11
1,123
961
162
838
564
274
1,710
1,360
350
190
151
39
993
550
443
658
276
382
1,185
1,190
-5
675
665
10
1,483
859
624
473
367
106
2,887
379
2,508
735
94
641
1,233
460
773
698
349
349
674
216
458
642
277
365
412
366
46
1,588
1,122
466
819
392
427
640
238
402
2,185
1,856
329
1,146
338
808
1,092
1,051
41
18,025
18,976
-951
15,911
16,069
-158
7,285
7,346
-61
742
608
134
1,054
854
200
396
158
238
2,372
948
1,424
3,310
2,592
718
2,647
942
1,705
167
269
-102
85
135
-50
36
85
-49
432
992
-560
1,158
2,482
-1,324
238
404
-166
153
269
-116
399
673
-274
148,950
170,750
-21,800
62,096
57,024
5,072
1,607
2,054
-447
633
614
19
1,153
1,119
34
783
728
55
112
25
87
351
322
29
438
403
35
526
484
42
1,574
1,428
146
1,075
1,109
-34
673
64
609
2,516
653
1,863
1,253
286
967
2,398
1,968
430
492
718
-226
3,076
109
2,967
544
577
-33
656
283
373
739
660
79
293
298
-5
697
393
304
683
621
62
1,043
137
906
1,491
1,519
-28
590
420
170
452
445
7
545
127
418
255
726
-471
459
340
119
1,102
1,284
-182
735
378
357
1,231
1,225
6
388
459
-71
1,033
169
864
1,069
314
755
265
174
91
519
583
-64
290
295
-5
1,139
524
615
682
664
18
338
914
-576
1,274
90
1,184
364
402
-38
900
696
204
3,940
547
3,393
613
262
351
827
452
375
423
371
52
717
376
341
782
676
106
1,002
844
158
854
701
153
383
373
10
1,181
1,146
35
927
667
260
961
893
68
221
267
-46
303
546
-243
595
534
61
911
904
7
56,481
56,879
-398
417
366
51
1,011
494
517
646
665
-19
927
600
327
1,719
227
1,492
534
63
471
660
305
355
425
249
176
210
184
26
423
456
-33
793
783
10
383
259
124
1,082
1,057
25
180
185
-5
515
241
274
574
602
-28
453
469
-16
1,968
4,855
-2,887
3,136
288
2,848
697
64
633
53,680
49,366
4,314
49,169
55,933
-6,764
5,929
6,682
-753
128,786
133,219
-4,433
60,204
54,969
5,235
202,628
159,784
42,844
4,448
4,126
322
584
515
69
61
53
8
1,133
1,185
-52
144
128
16
49
43
6
245
224
21
105
96
9
12
11
1
105
96
9
218
192
26
12
11
1
211
190
21
12
11
1
3,507
3,395
112
168
161
7
1,914
1,978
-64
442
453
-11
294
302
-8
1,077
1,248
-171
387
444
-57
77
88
-11
19,652
16,840
2,812
67,047
61,482
5,565
32,437
32,600
-163
44,713
44,621
92
34,018
28,197
5,821
131,785
127,581
4,204
59,393
53,433
5,960
20,256
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
23
b
3,168
c
2,343
d
827
e
621
728
225
302
245
637
65
50
913
2,474
5,826
8,379
601
-8
-1
-8
-1
-2,520
555
-11
-10
-9
-11
-10
-3
-3
-2
-9
2
-8
3
1
6
8
2
384
5
3
2
-1,482
146
55
-77
-9
-4
-4
-4
-56
-38
26
26
8
141
1,017
-98
261
1,145
1,235
744
117
4,620
45
65
1,147
310
607
182
1,428
770
888
194
66
93
-336
341
-47
-333
-15
-32
77
436
410
130
1,247
1,539
147
340
594
830
-384
2,519
55
303
8
5,887
704
1,139
18
501
478
170
53
54
138
335
493
135
4
-11
162
274
350
39
443
382
-5
10
624
106
2,508
641
773
349
458
365
46
466
427
402
329
808
41
-951
-158
-61
134
200
238
1,424
718
1,705
-102
-50
-49
-560
-1,324
-166
-116
-274
-21,800
5,072
-447
19
34
55
87
29
35
42
146
-34
609
1,863
967
430
-226
2,967
-33
373
79
-5
304
62
906
-28
170
7
418
-471
119
-182
357
6
-71
864
755
91
-64
-5
615
18
-576
1,184
-38
204
3,393
351
375
52
341
106
158
153
10
35
260
68
-46
-243
61
7
-398
51
517
-19
327
1,492
471
355
176
26
-33
10
124
25
-5
274
-28
-16
-2,887
2,848
633
4,314
-6,764
-753
-4,433
5,235
42,844
322
69
8
-52
16
6
21
9
1
9
26
1
21
1
112
7
-64
-11
-8
-171
-57
-11
2,812
5,565
-163
92
5,821
4,204
5,960
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
157,057
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
280,272
5,477,002
0.051173
2017
256,176
5,603,713
0.045715
2016
257,549
5,275,101
0.048824
2015
286,943
5,164,086
0.055565
2014
282,537
5,643,600
0.050063
2
Total
of line 1, column (d)
.....................
2
0.25134
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
0.050268
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5,546,158
5
Multiply line 4 by line 3
......................
5
278,794
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
2,571
7
Add lines 5 and 6
........................
7
281,365
8
Enter qualifying distributions from Part XII, line 4
,.............
8
274,626
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
5,141
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
5,141
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
5,141
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
4,168
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
4,168
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
973
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
IL
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
JP MORGAN CHASE BANK NA
Telephone no.
(800) 496-2583
Located at
10 S DEARBORN ST MC IL1-0111
CHICAGO
IL
ZIP+4
60603
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
JP MORGAN CHASE BANK NA
TRUSTEE
2
67,638
10 S DEARBORN ST MC IL1-0111
CHICAGO
,
IL
60603
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
5,493,083
b
Average of monthly cash balances
.......................
1b
137,534
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
5,630,617
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
5,630,617
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
84,459
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
5,546,158
6
Minimum investment return.
Enter 5% of line 5
..................
6
277,308
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
277,308
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
5,141
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
5,141
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
272,167
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
272,167
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
272,167
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
274,626
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
274,626
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
274,626
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
272,167
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
243,056
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
274,626
a
Applied to 2018, but not more than line 2a
243,056
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
.....
31,570
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
240,597
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
ILLINOIS INSTITUTE OF TECHNOLOGY
3300 SOUTH FEDERAL STREET
CHICAGO
,
IL
60616
NONE
PC
GENERAL
109,800
OUTREACH COMMUNITY MINISTRIES
122 W LIBERTY DR
WHEATON
,
IL
60187
NONE
PC
GENERAL
36,600
SALVATION ARMY- METROPOLITAN
DIVISION
5040 N PULASKI RD
CHICAGO
,
IL
60630
NONE
PC
GENERAL
12,200
GLEN ELLYN EVANGELICAL COVENANT CHURCH
277 HAWTHORNE BLVD
GLEN ELLYN
,
IL
60137
NONE
PC
GENERAL
12,200
PLYMOUTH HARBOR ENDOWMENT FUND
700 JOHN RINGLING BLVD
SARASOTA
,
FL
342361542
NONE
PC
GENERAL
73,200
Total
.................................
3a
244,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
138,478
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
157,057
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)
..
295,535
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
295,535
(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