-
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
11-01-2019
, and ending
10-31-2020
Name of foundation
HENDRICKSON FAMILY FOUNDATION UAD APRIL 27
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 803878
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO
,
IL
60680
A Employer identification number
20-7449840
B
Telephone number (see instructions)
(312) 630-6000
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)
$
14,864,844
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
...
361,389
360,459
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
175,394
b
Gross sales price for all assets on line 6a
2,553,729
7
Capital gain net income (from Part IV, line 2)
...
175,394
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
........
536,783
535,853
13
Compensation of officers, directors, trustees, etc.
179,716
50,207
129,510
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
545
0
0
545
b
Accounting fees (attach schedule)
.......
2,500
1,250
0
1,250
c
Other professional fees (attach schedule)
....
15,776
15,776
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
7,271
4,920
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)
.......
780
780
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
206,588
72,153
0
132,085
25
Contributions, gifts, grants paid
.......
658,920
658,920
26
Total expenses and disbursements.
Add lines 24 and 25
865,508
72,153
0
791,005
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-328,725
b
Net investment income
(if negative, enter -0-)
463,700
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
.............
2
Savings and temporary cash investments
.........
167,794
770,784
770,784
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)
.......
8,651,386
7,735,380
9,596,271
c
Investments—corporate bonds (attach schedule)
.......
3,340,604
3,262,315
3,353,088
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
1,028,068
1,089,876
1,144,701
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)
13,187,852
12,858,355
14,864,844
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
........
13,187,852
12,858,355
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)
.....
13,187,852
12,858,355
30
Total liabilities and net assets/fund balances
(see instructions)
.
13,187,852
12,858,355
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
13,187,852
2
Enter amount from Part I, line 27a
.....................
2
-328,725
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
12,859,127
5
Decreases not included in line 2 (itemize)
5
772
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
12,858,355
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
7.54 ALPHA CORE STRATEGIES FEEDER FUND
2019-02-28
2020-09-22
b
1. AGCO CORP
2019-10-17
2020-08-17
c
5. AES CORP
2019-10-17
2020-01-07
d
43. AT&T INC
2020-01-07
2020-08-17
e
26. ABBOTT LABORATORIES
2016-07-07
2020-02-27
59. ABBOTT LABORATORIES
2016-07-07
2020-02-28
136. ABBOTT LABORATORIES
2016-07-07
2020-08-14
2. ABBVIE INC COM USD0.01
2018-03-29
2020-01-07
169. ABBVIE INC COM USD0.01
2020-07-13
2020-08-14
2. ACTIVISION BLIZZARD INC COM STK
2019-10-17
2020-01-07
16. AGILENT TECHNOLOGIES INC
2019-10-17
2020-01-07
9. AGILENT TECHNOLOGIES INC
2019-10-17
2020-08-17
3. AIR PRODUCTS & CHEMICALS INC
2017-01-06
2020-07-13
82. AIR PRODUCTS & CHEMICALS INC
2017-02-14
2020-08-14
52. ALIGN TECHNOLOGY INC COM
2019-02-28
2020-08-21
2. ALLISON TRANSMISSION HOLDING
2019-01-11
2020-08-17
16. AMERICAN EXPRESS CO
2019-10-17
2020-08-17
21. AMERISOURCE BERGEN CORP
2019-10-17
2020-01-07
15. AMERISOURCE BERGEN CORP
2017-04-17
2020-08-17
10. AMERISOURCE BERGEN CORP
2019-10-17
2020-08-17
6. AMERIPRISE FINANCIAL INC
2019-10-17
2020-01-07
33. AMGEN INC
2016-08-26
2020-08-14
14. AMGEN INC
2020-01-07
2020-08-17
24. APPLE COMPUTER INC
2019-10-17
2020-08-17
270. AUTOMATIC DATA PROCESSING INC
2017-04-17
2020-08-04
79. AUTOMATIC DATA PROCESSING INC
2019-10-17
2020-08-04
96. AUTOMATIC DATA PROCESSING INC
2019-03-07
2020-08-14
4. AVALONBAY CMNTYS INC REIT
2019-10-17
2020-08-17
62. AVNET INC
2020-01-07
2020-08-17
11. BEST BUY INC
2019-10-17
2020-01-07
12. BEST BUY INC
2019-10-17
2020-08-17
11. BIOGEN INC COMMON STOCK
2019-01-11
2020-08-17
33. BLACKROCK INC CL A
2019-07-09
2020-08-14
30. BOEING CO
2017-04-17
2020-01-07
26. BOEING CO
2019-10-17
2020-01-07
15. BOEING CO
2016-12-14
2020-02-05
4. BOOKING HLDGS INC COM
2019-10-17
2020-03-20
13. BOOKING HLDGS INC COM
2017-04-17
2020-03-20
8. BSTN PPTYS INC
2017-04-17
2020-01-07
10. BSTN PPTYS INC
2019-10-17
2020-01-07
10. BRISTOL MYERS SQUIBB CO
2019-11-21
2020-01-07
14. BRISTOL MYERS SQUIBB CO
2016-12-14
2020-01-07
22. BRISTOL MYERS SQUIBB CO CONTINGENT VALUE RIGHTS
2019-11-21
2019-11-22
5. BROADCOM INC COM
2019-12-19
2020-08-14
37. BROADCOM INC COM
2018-06-04
2020-08-14
20. CADENCE DESIGN SYS INC
2019-10-17
2020-08-17
19. CARDINAL HEALTH INC
2017-04-17
2020-01-07
22. CARDINAL HEALTH INC
2017-04-17
2020-08-17
7. CELGENE CORP
2017-04-17
2019-11-21
15. CELGENE CORP
2019-10-17
2019-11-21
146. CHEVRONTEXACO CORP
2019-02-04
2020-08-14
29. CISCO SYS INC
2019-04-04
2020-01-07
77. CISCO SYS INC
2017-05-17
2020-01-08
464. CISCO SYS INC
2016-02-17
2020-08-14
101. CISCO SYS INC
2013-01-16
2020-10-15
92. CITIGROUP INC COM NEW COM NEW
2019-10-17
2020-08-17
18. CLOROX CO
2019-10-17
2020-01-07
9. CLOROX CO
2019-10-17
2020-08-17
123. COCA COLA CO
2019-02-04
2020-08-14
214. COMCAST CORP NEW CL A
2019-06-13
2020-08-14
14. COMERICA INC
2017-04-17
2020-08-17
7. COMERICA INC
2019-10-17
2020-08-17
2. CONOCOPHILLIPS
2019-01-11
2020-01-07
40. CONOCOPHILLIPS
2019-01-11
2020-08-17
32. CROWN CASTLE INTL CORP NEW COM
2016-02-04
2020-03-17
124. CROWN CASTLE INTL CORP NEW COM
2015-12-07
2020-08-14
3. CUMMINS ENGINE INC
2017-09-26
2020-01-07
4. CUMMINS ENGINE INC
2017-09-26
2020-08-17
82. DARDEN RESTAURANTS INC
2019-10-17
2020-03-17
108. DOLLAR GEN CORP NEW COM
2018-02-06
2020-01-08
219. DOMTAR CORP COM NEW COM NEW
2020-01-07
2020-08-17
2. ECOLAB INC
2019-10-17
2020-01-07
16. ELECTRONIC ARTS
2019-10-17
2020-01-07
34. EVERSOURCE ENERGY COM
2019-04-09
2020-08-14
3. EXPEDITORS INTL WASH INC
2019-10-17
2020-01-07
2. EXPEDITORS INTL WASH INC
2019-10-17
2020-08-17
89. EXXON MOBIL CORP
2019-10-17
2020-03-09
157. EXXON MOBIL CORP
2017-01-24
2020-03-09
90. FACEBOOK INC COM USD0.000006 CL 'A'
2017-04-17
2019-11-08
6. FACTSET RESH SYS INC
2019-10-17
2020-08-17
1. F5 NETWORKS INC
2019-10-17
2020-08-17
2. F5 NETWORKS INC
2017-04-17
2020-08-17
20000. MFC FLEXSHARES TR MORNINGSTAR GLOBAL UPSTREAM NAT RES INDEX FD
2018-05-08
2020-03-25
43. FOOT LOCKER INC
2019-10-17
2020-01-07
31. FOOT LOCKER INC
2017-09-26
2020-01-07
86. FRANKLIN RESOURCES INC
2016-12-14
2020-01-07
51. FRANKLIN RESOURCES INC
2019-10-17
2020-01-07
156. GENERAL ELECTRIC CO
2016-12-14
2020-01-07
25. GENERAL MILLS INC
2020-01-07
2020-08-17
14. GILEAD SCIENCES INC
2016-12-14
2020-01-07
71. GILEAD SCIENCES INC
2019-01-11
2020-08-17
12. GOLDMAN SACHS GROUP INC
2016-12-14
2020-08-17
5. HCA HEALTHCARE INC COM
2019-10-17
2020-01-07
11. HP INC COM
2018-03-11
2020-01-07
56. HANESBRANDS INC COM STK
2020-01-07
2020-08-17
92. HEALTHPEAK PROPERTIES INC
2019-10-17
2020-01-07
4. HOME DEPOT INC
2019-10-17
2020-01-07
103. HOME DEPOT INC
2016-02-04
2020-08-14
36. HOME DEPOT INC
2019-10-17
2020-08-17
8. HOME DEPOT INC
2015-04-08
2020-09-18
127. HONEYWELL INTL INC
2017-07-21
2020-08-14
43. HONEYWELL INTL INC
2017-01-06
2020-08-24
52. HOST MARRIOTT CORP NEW REIT
2017-04-17
2020-08-17
27. HOST MARRIOTT CORP NEW REIT
2019-10-17
2020-08-17
14. IDA CORP INC COM
2019-10-17
2020-08-17
60. ILLINOIS TOOL WORKS INC
2017-09-07
2020-08-14
10. ILLINOIS TOOL WORKS INC
2016-11-02
2020-09-18
.06 INGERSOLL RAND INC COM
2019-10-17
2020-03-02
22.94 INGERSOLL RAND INC COM
2019-01-11
2020-08-17
14.06 INGERSOLL RAND INC COM
2019-10-17
2020-08-17
5. INTL BUSINESS MACHINES CORP
2017-04-17
2020-01-07
63. J P MORGAN CHASE & CO
2017-07-21
2020-01-08
211. J P MORGAN CHASE & CO
2014-11-19
2020-08-14
35. J P MORGAN CHASE & CO
2019-10-17
2020-08-17
69. JOHNSON & JOHNSON
2016-01-28
2020-07-13
103. JOHNSON & JOHNSON
2015-08-25
2020-08-14
9. JOHNSON & JOHNSON
2013-07-12
2020-08-28
27. JOHNSON & JOHNSON
2013-07-12
2020-08-31
11. JOHNSON & JOHNSON
2019-10-17
2020-10-15
11. JOHNSON & JOHNSON
2013-07-12
2020-10-15
22. KEURIG DR PEPPER INC COM
2016-12-14
2020-01-07
46. KILROY RLTY CORP COM
2019-10-17
2020-08-17
18. KOHLS CORP
2017-04-17
2020-01-07
11. KOHLS CORP
2019-10-17
2020-01-07
36. KROGER CO
2016-12-14
2020-01-07
6. LENNOX INTL INC
2019-10-17
2020-01-07
8. LENNOX INTL INC
2017-06-29
2020-01-07
18. LIBERTY PPTY TR SH BEN INT
2019-10-17
2020-01-07
80. ELI LILLY & CO
2018-11-16
2020-08-14
2. ELI LILLY & CO
2020-01-07
2020-08-17
59. LOCKHEED MARTIN CORP
2019-05-02
2020-08-14
5. LOCKHEED MARTIN CORP
2013-08-21
2020-09-18
22. LOWES COMPANIES INC
2019-10-17
2020-08-17
39. MSCI INC COMMON
2019-09-12
2020-08-03
131. MARSH & MCLENNAN COS INC
2018-06-15
2020-08-14
19. MARRIOTT INTL INC NEW CL A
2018-03-29
2020-08-17
59. MASTERCARD INC CL A
2019-10-17
2020-08-17
78. MAXIM INTEGRATED PRODS INC
2017-06-08
2020-07-27
76. MAXIM INTEGRATED PRODS INC
2014-08-01
2020-08-14
5. MAXIM INTEGRATED PRODS INC
2014-08-01
2020-08-28
15. MAXIM INTEGRATED PRODS INC
2014-08-01
2020-08-31
61. MAXIM INTEGRATED PRODS INC
2019-10-17
2020-09-03
3. MAXIM INTEGRATED PRODS INC
2014-08-01
2020-09-03
36. MAXIM INTEGRATED PRODS INC
2019-10-17
2020-09-15
91. MCDONALDS CORP
2018-09-25
2020-04-16
77. MCDONALDS CORP
2018-08-10
2020-08-14
230. MERCK & CO INC
2020-04-16
2020-08-14
86. MERCK & CO INC
2020-01-07
2020-08-17
3. METTLER TOLEDO INTERNATIONAL INC
2020-01-07
2020-08-17
27. MICROSOFT CORP COM
2013-07-12
2019-11-18
81. MICROSOFT CORP COM
2018-06-06
2019-11-20
26. MICROSOFT CORP COM
2013-07-12
2020-02-05
27. MICROSOFT CORP COM
2013-07-12
2020-02-21
44. MICROSOFT CORP COM
2013-07-12
2020-03-09
52. MICROSOFT CORP COM
2013-07-12
2020-03-19
28. MICROSOFT CORP COM
2013-07-12
2020-03-24
116. MICROSOFT CORP COM
2013-07-12
2020-08-14
224. MICROSOFT CORP COM
2018-06-06
2020-09-29
19. MOLINA HEALTHCARE INC COM
2019-04-04
2020-08-17
330. MONDELEZ INTL INC COM
2019-08-13
2020-08-14
53. NATIONAL-OILWELL INC
2017-04-17
2020-01-07
47. NATIONAL-OILWELL INC
2019-10-17
2020-01-07
156. NESTLE S A SPONSORED ADR REPSTG REG SH
2017-04-17
2020-01-15
128. NESTLE S A SPONSORED ADR REPSTG REG SH
2019-10-17
2020-03-13
276. NESTLE S A SPONSORED ADR REPSTG REG SH
2017-02-23
2020-03-13
27. NEW YORK TIMES CO CL A
2019-09-06
2020-01-07
65. NEW YORK TIMES CO CL A
2019-09-06
2020-08-17
4. NEXTERA ENERGY INC COM
2017-02-14
2020-07-13
120. NEXTERA ENERGY INC COM
2015-08-07
2020-08-14
183. NIKE INC CLASS B
2017-02-23
2020-01-07
172. NIKE INC CLASS B
2017-02-23
2020-06-11
59. NIKE INC CLASS B
2019-10-17
2020-08-17
7. NIKE INC CLASS B
2018-10-04
2020-08-17
53460.14 MFB NORTHN HI YIELD FXD INC FD
2018-08-15
2020-08-14
1944.52 MFB NORTHERN FDS STK INDEX FD
2015-11-17
2020-08-10
29. NUCOR CORP
2019-10-17
2020-01-07
66. NUCOR CORP
2017-09-26
2020-01-07
15. NUCOR CORP
2019-10-17
2020-08-17
2. NVIDIA CORP
2019-10-17
2020-01-07
44. O REILLY AUTOMOTIVE INC NEW COM USD0.01
2017-04-17
2020-01-22
79. O REILLY AUTOMOTIVE INC NEW COM USD0.01
2017-07-06
2020-03-24
40. O REILLY AUTOMOTIVE INC NEW COM USD0.01
2019-10-17
2020-03-24
43. ONEOK INC NEW
2019-10-17
2020-03-11
77. ONEOK INC NEW
2019-01-29
2020-03-11
35. OSHKOSH TRUCK CORP CL B
2020-01-07
2020-08-17
56. PNC BANK CORP
2019-08-05
2020-08-14
39. PNC BANK CORP
2020-01-08
2020-08-14
61. PAYCHEX INC
2016-02-11
2019-12-19
24. PAYCHEX INC
2014-08-01
2019-12-20
193. PAYCHEX INC
2014-08-01
2020-08-14
100. PAYPAL HLDGS INC COM
2019-02-26
2020-08-18
158. PEPSICO INC
2017-02-14
2020-08-14
129. PEPSICO INC
2017-04-17
2020-08-17
72. PEPSICO INC
2019-10-17
2020-08-17
240. PFIZER INC
2015-01-23
2019-11-18
159. PFIZER INC
2015-01-23
2020-02-05
440. PFIZER INC
2019-10-17
2020-05-13
163. PFIZER INC
2015-01-23
2020-05-13
73. PHILLIPS 66 COM
2018-04-20
2020-08-14
19. PHILLIPS 66 COM
2020-01-07
2020-08-17
37. PHILLIPS 66 COM
2019-01-11
2020-08-17
2. PIONEER NAT RES CO
2017-04-17
2020-01-07
59. PROCTER & GAMBLE CO
2020-04-16
2020-08-14
.53 PROLOGIS INC COM
2019-10-17
2020-02-04
42. PROLOGIS INC COM
2020-07-27
2020-08-14
82. PROLOGIS INC COM
2019-06-20
2020-08-14
147.6 PROLOGIS INC COM
2020-01-07
2020-08-17
20.4 PROLOGIS INC COM
2018-06-29
2020-08-17
99. RLTY INC CORP COM
2019-02-04
2020-04-06
101. RLTY INC CORP COM
2016-02-11
2020-08-14
89. ROYAL GOLD INC
2020-01-07
2020-08-17
23. SCHLUMBERGER LTD ISIN #AN8068571086
2019-10-17
2020-01-07
121. SCHLUMBERGER LTD ISIN #AN8068571086
2017-04-17
2020-01-07
75. CHARLES SCHWAB CORP NEW
2018-01-03
2020-08-17
103. SEMPRA ENERGY INC
2018-07-13
2020-08-14
19. SERVICENOW INC COM USD0.001
2020-01-22
2020-08-18
1. SIMON PPTY GROUP INC NEW
2019-04-04
2020-01-07
10. SIMON PPTY GROUP INC NEW
2017-04-17
2020-01-07
75. SIMON PPTY GROUP INC NEW
2019-01-24
2020-03-17
69. SIMON PPTY GROUP INC NEW
2019-10-17
2020-03-19
52. SIMON PPTY GROUP INC NEW
2018-03-14
2020-03-19
1. SIMON PPTY GROUP INC NEW
2017-04-17
2020-08-17
7. SIMON PPTY GROUP INC NEW
2019-10-17
2020-08-17
200. STARBUCKS CORP
2018-08-24
2020-08-14
228. SYSCO CORP
2019-10-17
2020-03-19
24. TEXAS INSTRUMENTS INC
2017-10-30
2020-07-13
186. TEXAS INSTRUMENTS INC
2017-01-24
2020-08-14
53. 3M CO
2016-12-14
2020-01-07
20. 3M CO
2019-10-17
2020-01-07
21. TIFFANY & CO NEW
2019-10-17
2020-01-07
35. TIFFANY & CO NEW
2018-01-03
2020-01-07
25. TOLL BROTHERS INC
2020-01-07
2020-08-17
46. TOLL BROTHERS INC
2019-01-11
2020-08-17
9. TRACTOR SUPPLY CO
2019-10-17
2020-01-07
8. TRACTOR SUPPLY CO
2017-04-17
2020-01-07
6. THE TRAVELERS COMPANIES INC.
2019-10-17
2020-01-07
24. TRIPADVISOR INC COM USD0.001
2019-10-17
2020-01-07
428. TRUIST FINL CORP COM
2017-06-08
2020-08-14
11. UDR INC COM STK
2020-01-07
2020-08-17
8. UDR INC COM STK
2016-12-14
2020-08-17
48. UGI CORP NEW COM
2017-04-17
2020-01-07
20. UGI CORP NEW COM
2019-10-17
2020-01-07
217. US BANCORP DEL NEW
2019-05-16
2020-08-14
250. US FOODS HLDG CORP COM
2019-10-17
2020-01-07
15. V F CORP
2018-03-29
2020-08-17
42. V F CORP
2019-10-17
2020-08-17
119. VALERO ENERGY CORP NEW
2017-06-12
2020-03-24
13. VALERO ENERGY CORP NEW
2017-05-30
2020-08-14
21. VALERO ENERGY CORP NEW
2019-10-17
2020-08-14
30. VALERO ENERGY CORP NEW
2019-10-17
2020-08-17
3. VEEVA SYS INC CL A COM CL A COM
2017-04-17
2020-01-07
7. VEEVA SYS INC CL A COM CL A COM
2019-10-17
2020-01-07
227. VERIZON COMMUNICATIONS
2020-05-13
2020-08-14
1. VERIZON COMMUNICATIONS
2019-10-17
2020-08-17
179. VISA INC CLASS A SHARES
2017-04-17
2020-03-16
1. VISA INC CLASS A SHARES
2020-01-07
2020-08-17
23. VMWARE INC CL A COM CL A COM
2020-01-07
2020-08-17
39. WEC ENERGY GROUP INC COM
2015-12-07
2020-03-17
6. WEC ENERGY GROUP INC COM
2013-11-19
2020-07-13
154. WEC ENERGY GROUP INC COM
2013-11-20
2020-08-14
118. WELLS FARGO & CO NEW
2019-10-17
2020-01-23
41. WELLS FARGO & CO NEW
2019-03-07
2020-02-27
70. WELLS FARGO & CO NEW
2019-04-16
2020-02-28
186. JOHN WILEY & SONS INC CLASS A
2019-10-17
2020-08-17
383. WILLIAMS COS INC
2017-06-08
2020-02-21
53. WILLIAMS COS INC
2019-10-17
2020-02-27
66. WILLIAMS COS INC
2017-06-08
2020-02-27
204. WILLIAMS COS INC
2019-10-17
2020-02-28
13. WILLIAMS SONOMA INC
2019-10-17
2020-01-07
3. XEROX HLDGS CORP COM NEW COM NEW
2019-04-04
2020-01-07
26. XEROX HLDGS CORP COM NEW COM NEW
2019-10-17
2020-08-17
46. XEROX HLDGS CORP COM NEW COM NEW
2017-04-17
2020-08-17
143. ZOETIS INC COM USD0.01 CL 'A'
2018-02-01
2020-03-16
18. AON PLC
2019-10-17
2020-08-17
47. ACCENTURE PLC SHS CL A NEW
2019-10-17
2020-01-07
57. BUNGE LIMITED
2017-09-26
2020-01-07
42. EATON CORP PLC COM USD0.50
2020-02-05
2020-08-14
7. HERBALIFE NUTRITION LTD COM STK
2019-10-17
2020-08-17
16. HERBALIFE NUTRITION LTD COM STK
2017-04-17
2020-08-17
2. JOHNSON CTLS INTL PLC COM USD0.01
2019-09-06
2020-08-17
138. MEDTRONIC PLC COMMON STOCK
2018-11-16
2020-08-14
20. PERRIGO COMPANY LIMITED COM EUR0.001
2019-10-17
2020-01-07
32. PERRIGO COMPANY LIMITED COM EUR0.001
2018-06-29
2020-01-07
156. LYONDELLBASELL INDUSTRIES N V COM USD0.01 CLASS 'A'
2016-02-04
2020-03-17
35. LYONDELLBASELL INDUSTRIES N V COM USD0.01 CLASS 'A'
2019-10-17
2020-08-14
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
142
127
15
b
73
74
-1
c
100
81
19
d
1,283
1,688
-405
e
2,086
1,078
1,008
4,480
2,446
2,034
13,614
5,638
7,976
178
189
-11
16,066
15,570
496
121
111
10
1,361
1,199
162
877
674
203
837
431
406
23,834
11,637
12,197
15,311
12,019
3,292
74
95
-21
1,561
1,906
-345
1,777
1,880
-103
1,551
1,300
251
1,034
895
139
994
843
151
7,903
5,660
2,243
3,402
3,333
69
11,002
5,647
5,355
36,794
24,700
12,094
10,766
12,981
-2,215
13,439
9,876
3,563
621
876
-255
1,739
2,613
-874
972
769
203
1,329
839
490
3,181
3,054
127
19,436
12,004
7,432
10,118
4,708
5,410
8,769
9,596
-827
4,943
2,317
2,626
5,038
8,163
-3,125
16,374
21,152
-4,778
1,082
1,095
-13
1,352
1,277
75
639
559
80
895
819
76
46
47
-1
1,635
1,624
11
12,101
9,795
2,306
2,190
1,320
870
946
1,555
-609
1,160
1,632
-472
756
829
-73
1,620
1,426
194
13,166
17,021
-3,855
1,377
1,594
-217
3,656
2,411
1,245
19,668
10,192
9,476
3,994
2,131
1,863
4,730
6,404
-1,674
2,727
2,828
-101
2,041
1,345
696
5,948
6,055
-107
9,432
8,426
1,006
570
941
-371
285
452
-167
133
133
1,628
2,656
-1,028
4,715
2,658
2,057
20,458
10,122
10,336
523
503
20
842
671
171
3,266
9,707
-6,441
16,391
10,305
6,086
6,647
8,007
-1,360
375
388
-13
1,734
1,548
186
2,963
2,396
567
230
223
7
173
149
24
3,793
6,079
-2,286
6,690
13,392
-6,702
17,106
12,538
4,568
2,133
1,511
622
135
137
-2
270
272
-2
450,290
596,597
-146,307
1,692
1,900
-208
1,220
1,089
131
2,197
3,382
-1,185
1,303
1,406
-103
1,878
4,916
-3,038
1,607
1,306
301
912
1,060
-148
4,909
5,020
-111
2,437
2,879
-442
741
620
121
227
268
-41
886
816
70
3,167
2,991
176
874
947
-73
28,882
11,999
16,883
10,376
8,524
1,852
2,215
923
1,292
20,261
16,297
3,964
6,826
4,881
1,945
566
970
-404
294
444
-150
1,217
1,526
-309
11,868
7,608
4,260
2,019
1,131
888
1
2
-1
798
538
260
489
419
70
671
856
-185
8,636
5,054
3,582
21,633
12,827
8,806
3,489
4,213
-724
10,011
6,849
3,162
15,312
9,446
5,866
1,382
808
574
4,131
2,424
1,707
1,614
1,510
104
1,614
988
626
620
341
279
2,696
3,599
-903
903
900
3
552
562
-10
1,029
1,250
-221
1,440
1,505
-65
1,919
1,468
451
1,074
910
164
11,985
8,754
3,231
303
265
38
23,076
10,086
12,990
1,986
615
1,371
3,485
2,477
1,008
14,577
9,089
5,488
15,292
10,482
4,810
1,818
2,584
-766
19,483
16,315
3,168
5,379
2,863
2,516
5,254
2,263
2,991
351
149
202
1,037
447
590
4,174
3,530
644
205
89
116
2,421
2,083
338
16,341
14,876
1,465
15,925
12,282
3,643
19,284
18,414
870
7,288
7,224
64
2,879
2,392
487
4,029
960
3,069
12,169
8,272
3,897
4,674
925
3,749
4,874
960
3,914
6,806
1,565
5,241
7,604
1,849
5,755
4,056
996
3,060
24,214
4,125
20,089
46,684
20,977
25,707
3,715
2,743
972
18,505
16,786
1,719
1,324
2,045
-721
1,174
1,060
114
16,687
11,787
4,900
12,012
13,478
-1,466
25,900
20,579
5,321
876
820
56
2,883
1,973
910
1,042
466
576
33,665
11,930
21,735
18,602
11,343
7,259
16,811
9,950
6,861
6,233
5,639
594
740
561
179
344,283
379,989
-35,706
75,000
50,129
24,871
1,560
1,525
35
3,551
3,950
-399
695
776
-81
480
389
91
19,139
11,622
7,517
22,299
17,258
5,041
11,290
16,210
-4,920
1,551
2,903
-1,352
2,777
4,698
-1,921
2,801
3,313
-512
6,263
7,479
-1,216
4,362
6,220
-1,858
5,183
2,746
2,437
2,055
987
1,068
14,391
7,861
6,530
19,529
9,668
9,861
21,762
15,468
6,294
17,790
13,832
3,958
9,929
9,862
67
8,884
7,869
1,015
6,058
5,213
845
16,233
16,699
-466
6,014
5,344
670
4,607
7,954
-3,347
1,185
2,038
-853
2,307
3,430
-1,123
314
366
-52
7,958
7,206
752
50
47
3
4,349
4,216
133
8,491
6,642
1,849
15,380
12,218
3,162
2,126
1,329
797
4,693
6,239
-1,546
6,210
5,748
462
12,232
10,697
1,535
934
734
200
4,913
9,946
-5,033
2,596
3,865
-1,269
13,555
11,893
1,662
8,314
5,959
2,355
144
183
-39
1,444
1,793
-349
4,604
13,268
-8,664
3,919
10,284
-6,365
2,953
8,232
-5,279
68
175
-107
477
1,042
-565
15,699
10,332
5,367
8,571
16,853
-8,282
3,150
1,900
1,250
25,639
11,821
13,818
9,428
9,360
68
3,558
3,271
287
2,806
1,923
883
4,677
3,409
1,268
1,053
1,019
34
1,938
1,697
241
810
836
-26
720
580
140
811
843
-32
731
1,225
-494
17,003
17,457
-454
385
504
-119
280
270
10
2,130
2,203
-73
887
963
-76
8,187
11,561
-3,374
10,122
10,067
55
947
1,044
-97
2,651
3,845
-1,194
4,264
7,606
-3,342
695
806
-111
1,122
1,893
-771
1,668
2,703
-1,035
418
152
266
974
1,042
-68
13,340
12,401
939
59
60
-1
29,024
15,912
13,112
199
189
10
3,137
3,458
-321
3,976
1,824
2,152
529
254
275
14,095
6,520
7,575
5,708
5,856
-148
1,762
2,034
-272
2,895
3,361
-466
6,374
8,147
-1,773
8,239
11,369
-3,130
1,011
1,193
-182
1,259
1,865
-606
3,845
4,593
-748
959
914
45
108
99
9
471
769
-298
833
1,224
-391
16,044
11,109
4,935
3,541
3,482
59
9,584
8,744
840
3,251
4,065
-814
4,263
4,294
-31
331
274
57
756
424
332
81
86
-5
13,943
11,773
2,170
999
1,076
-77
1,598
2,333
-735
6,268
12,532
-6,264
2,413
3,023
-610
11,707
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
15
b
-1
c
19
d
-405
e
1,008
2,034
7,976
-11
496
10
162
203
406
12,197
3,292
-21
-345
-103
251
139
151
2,243
69
5,355
12,094
-2,215
3,563
-255
-874
203
490
127
7,432
5,410
-827
2,626
-3,125
-4,778
-13
75
80
76
-1
11
2,306
870
-609
-472
-73
194
-3,855
-217
1,245
9,476
1,863
-1,674
-101
696
-107
1,006
-371
-167
-1,028
2,057
10,336
20
171
-6,441
6,086
-1,360
-13
186
567
7
24
-2,286
-6,702
4,568
622
-2
-2
-146,307
-208
131
-1,185
-103
-3,038
301
-148
-111
-442
121
-41
70
176
-73
16,883
1,852
1,292
3,964
1,945
-404
-150
-309
4,260
888
-1
260
70
-185
3,582
8,806
-724
3,162
5,866
574
1,707
104
626
279
-903
3
-10
-221
-65
451
164
3,231
38
12,990
1,371
1,008
5,488
4,810
-766
3,168
2,516
2,991
202
590
644
116
338
1,465
3,643
870
64
487
3,069
3,897
3,749
3,914
5,241
5,755
3,060
20,089
25,707
972
1,719
-721
114
4,900
-1,466
5,321
56
910
576
21,735
7,259
6,861
594
179
-35,706
24,871
35
-399
-81
91
7,517
5,041
-4,920
-1,352
-1,921
-512
-1,216
-1,858
2,437
1,068
6,530
9,861
6,294
3,958
67
1,015
845
-466
670
-3,347
-853
-1,123
-52
752
3
133
1,849
3,162
797
-1,546
462
1,535
200
-5,033
-1,269
1,662
2,355
-39
-349
-8,664
-6,365
-5,279
-107
-565
5,367
-8,282
1,250
13,818
68
287
883
1,268
34
241
-26
140
-32
-494
-454
-119
10
-73
-76
-3,374
55
-97
-1,194
-3,342
-111
-771
-1,035
266
-68
939
-1
13,112
10
-321
2,152
275
7,575
-148
-272
-466
-1,773
-3,130
-182
-606
-748
45
9
-298
-391
4,935
59
840
-814
-31
57
332
-5
2,170
-77
-735
-6,264
-610
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
175,394
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
737,107
14,653,013
0.050304
2017
624,923
15,078,607
0.041444
2016
305,476
13,214,611
0.023117
2015
284,363
7,011,734
0.040555
2014
212,560
3,980,702
0.053398
2
Total
of line 1, column (d)
.....................
2
0.208818
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
0.041764
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
14,595,895
5
Multiply line 4 by line 3
......................
5
609,583
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
4,637
7
Add lines 5 and 6
........................
7
614,220
8
Enter qualifying distributions from Part XII, line 4
,.............
8
791,005
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
4,637
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
4,637
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
4,637
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
5,400
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
5,400
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
763
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
763
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)
FL
,
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
Yes
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
THE NORTHERN TRUST COMPANY
Telephone no.
(312) 630-6000
Located at
PO BOX 803878
CHICAGO
IL
ZIP+4
60680
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
THE NORTHERN TRUST COMPANY
CO-TRUSTEE
40
119,716
4001 TAMIAMI TRAIL NORTH
NAPLES
,
FL
34103
JULIE HENDRICKSON
CO-TRUSTEE
20
60,000
411 WALNUT ST 12078
GREEN COVE SPRINGS
,
FL
32043
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
14,818,168
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
14,818,168
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
14,818,168
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
222,273
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
14,595,895
6
Minimum investment return.
Enter 5% of line 5
..................
6
729,795
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
729,795
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
4,637
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
4,637
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
725,158
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
725,158
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
725,158
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
791,005
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
791,005
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
4,637
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
786,368
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
725,158
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
654,962
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:
$
791,005
a
Applied to 2018, but not more than line 2a
654,962
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
.....
136,043
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
..........
589,115
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
GUADALUPE CENTER
1015 AVENIDA CESAR E CHAVEZ
KANSAS CITY
,
MO
64108
N/A
PUBLIC
GENERAL
50,000
NEIGHBORHOOD OUTREACH
CONNECTION
5325 DR MARTIN LUTHER KING DR
ST LOUIS
,
MO
63112
N/A
PUBLIC
GENERAL
75,000
ANTIOCH EDUCATION CENTER
PO BOX 1930
RIDGELAND
,
SC
29936
N/A
PUBLIC
GENERAL
20,000
SACH'A MUNAY
6744 DUNE DR
MALIBU
,
CA
90265
N/A
PUBLIC
GENERAL
15,000
COMMUNITY ENGAGEMENT LAB
41 SUMMER ST
MONTPELIER
,
VT
05602
N/A
PUBLIC
GENERAL
20,000
ACADEMY PREP
1407 E COLUMBUS DR
TAMPA
,
FL
33605
N/A
PUBLIC
GENERAL
10,000
CEDAR FOUNDATION
FOR HARDING ELEM SCHOOL
100 S EIGHTH ST
LEBANON
,
PA
17042
N/A
PUBLIC
GENERAL
1,220
INVERNESS GARDEN CLUB SCHOLARSHIP
POINT REYES PENISULA
INVERNESS
,
CA
94937
N/A
PUBLIC
GENERAL
5,000
BIG BROTHER BIG SISTER
560 W LAKE STREET
CHICAGO
,
IL
60661
NONE
PUBLIC
GENERAL
20,000
THE LITERACY CENTER
PO BOX 3725
BLUFFTON
,
SC
29910
NONE
PUBLIC
GENERAL
3,500
THE WEST MARIN FUND
65 THIRD STREET 24
POINT REYES STATION
,
CA
94956
NONE
PUBLIC
GENERAL
40,000
URBAN CREATORS
2315 N 11TH STREET
PHILADELPHIA
,
PA
19133
NONE
PUBLIC
GENERAL
20,000
ST PETERSBURG FREE CLINIC
863 3RD AVE
ST PETERSBURG
,
FL
33701
NONE
PUBLIC
GENERAL
20,000
SANDALWOOD FOOD PANTRY
PO BOX 5061
HILTON HEAD ISLAND
,
SC
29938
NONE
PUBLIC
GENERAL
20,000
SAKALA INTERNATIONAL
415 CONGRESS ST 202A
PORTLAND
,
ME
04101
NONE
PUBLIC
GENERAL
25,000
COLLEGE FOR EVERY STUDENT INC
1634 ROUTE 30
CORNWALL
,
VT
05753
N/A
PUBLIC
GENERAL
45,000
ORAL LEE BROWN FOUNDATION
9901 MACARTHUR BLVD
OAKLAND
,
CA
94605
N/A
PUBLIC
GENERAL
100,000
VERMONT WORKS FOR WOMEN
32A MALLETTS BAY AVE
WINOOSKI
,
VT
05404
N/A
PUBLIC
GENERAL
20,000
FIRST GRADUATE
PB BOX 29415
SAN FRANCISCO
,
CA
94129
N/A
PUBLIC
GENERAL
30,000
WHAT IF FOUNDATION
1563 SOLANO AVE 3192
BERKELEY
,
CA
94707
N/A
PUBLIC
GENERAL
42,600
GLOBAL IMPACT
PO BOX 5682
ROCKFORD
,
IL
61125
N/A
PUBLIC
GENERAL
26,600
SAINT MARY'S UNIVERSITY
700 TERRACE HEIGHTS 12
WINONA
,
MN
55987
N/A
PUBLIC
GENERAL
50,000
Total
.................................
3a
658,920
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
361,389
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
175,394
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)
..
536,783
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
536,783
(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