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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
A D WILLIAMS & SUE W MASSIE FUND
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 40200 FL9-300-01-16
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
JACKSONVILLE
,
FL
322030200
A Employer identification number
54-6034753
B
Telephone number (see instructions)
(877) 446-1410
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)
$
11,565,491
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
...
249,073
246,855
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
2,910,038
b
Gross sales price for all assets on line 6a
9,677,100
7
Capital gain net income (from Part IV, line 2)
...
2,910,038
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
........
3,159,111
3,156,893
13
Compensation of officers, directors, trustees, etc.
4,683
2,810
1,873
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)
.......
845
507
0
338
c
Other professional fees (attach schedule)
....
1,473
1,473
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
4,098
1,443
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)
.......
5,668
62
5,606
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
16,767
6,295
0
7,817
25
Contributions, gifts, grants paid
.......
482,513
482,513
26
Total expenses and disbursements.
Add lines 24 and 25
499,280
6,295
0
490,330
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
2,659,831
b
Net investment income
(if negative, enter -0-)
3,150,598
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
.........
634,486
323,409
323,409
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)
.......
5,353,542
9,529,689
11,242,082
c
Investments—corporate bonds (attach schedule)
.......
1,206,779
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
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)
7,194,807
9,853,098
11,565,491
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
........
7,194,807
9,853,098
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)
.....
7,194,807
9,853,098
30
Total liabilities and net assets/fund balances
(see instructions)
.
7,194,807
9,853,098
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
7,194,807
2
Enter amount from Part I, line 27a
.....................
2
2,659,831
3
Other increases not included in line 2 (itemize)
3
2,203
4
Add lines 1, 2, and 3
..........................
4
9,856,841
5
Decreases not included in line 2 (itemize)
5
3,743
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
9,853,098
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
619.881 AQR LONG-SHORT EQUITY FUND CL I
2018-02-26
2019-09-24
b
21.033 AQR MANAGED FUTURES STRATEGY FUND CL I
2018-02-26
2019-09-24
c
67.282 AQR MANAGED FUTURES STRATEGY FUND CL I
2018-02-26
2020-03-18
d
800. AT&T INC
2005-05-24
2020-06-17
e
65. ABBOTT LABORATORIES
2020-06-17
2020-08-12
1000. ABBVIE INC COM
2006-11-28
2020-06-17
23. ACTIVISION BLIZZARD INC COM
2020-06-17
2020-08-12
12. ADOBE SYS INC
2020-06-17
2020-08-12
350. AIR PRODUCTS AND CHEMICALS INC
2011-12-14
2020-06-17
5. ALIBABA GROUP HLDG LTD ADS
2020-07-06
2020-07-09
5. ALIBABA GROUP HLDG LTD ADS
2020-06-29
2020-07-09
10. ALPHABET INC CL A COM
2014-10-27
2020-06-17
50. ALPHABET INC CL A COM
2015-02-04
2020-06-17
2. ALPHABET INC CL A COM
2012-10-10
2020-06-17
4. ALPHABET INC CL A COM
2012-10-10
2020-08-12
81. AMAZON COM INC
2010-02-03
2020-06-17
4. AMAZON COM INC
2010-02-03
2020-08-12
20. AMERICAN WTR WKS CO INC NEW COM
2020-06-17
2020-08-12
100000. ANHEUSER BUSCH INBEV FIN INC SR UNSECD NT
2015-03-10
2020-06-15
101. APPLE INC COM
2013-01-14
2020-06-17
37. APPLE INC COM
2013-01-14
2020-08-12
3.386 ARBITRAGE FUND CL I
2019-09-24
2020-02-03
6.994 ARBITRAGE FUND CL I
2019-12-30
2020-02-03
353.024 ARBITRAGE FUND CL I
2018-02-26
2020-02-03
13000. BHP BILLITON FIN USA LTD SR UNSECD NT AUSTRALIA
2018-06-06
2020-06-15
87000. BHP BILLITON FIN USA LTD SR UNSECD NT AUSTRALIA
2018-06-06
2020-06-15
102. BP AMOCO P L C SPONSORED ADR
2020-06-17
2020-08-12
100000. BP CAP MKTS PLC SR UNSECD GTD NT UNITED KINGDOM
2018-06-06
2020-06-15
4244.482 BAIRD AGGREGATE BD FUND INSTL CL SHS
2020-06-12
2020-06-26
6297.229 BAIRD AGGREGATE BD FUND INSTL CL SHS
2020-06-12
2020-08-12
100000. BANK NOVA SCOTIA B C SR UNSECD NT CANADA
2015-02-09
2020-06-15
12. BAXTER INTERNATIONAL INC
2020-06-17
2020-08-12
88. BECTON DICKINSON & COMPANY
2017-12-29
2020-06-17
300. BECTON DICKINSON & COMPANY
2012-11-07
2020-06-17
28. BERKSHIRE HATHAWAY INC DEL NEW CL B COM
2020-06-17
2020-08-12
50. BLACKROCK INC CL A
2012-11-07
2020-06-17
87. BLACKROCK INC CL A
2012-10-10
2020-06-17
5. BLACKROCK INC CL A
2012-10-10
2020-08-12
5.476 BLACKROCK EVENT DRIVEN EQUITY FUND INSTL SHS
2019-01-31
2019-09-24
2.642 BLACKROCK EVENT DRIVEN EQUITY FUND INSTL SHS
2020-02-03
2020-03-18
2000. BLACKSTONE ALTERNATIVE MULTI- STRATEGY FUND-ISTL
2015-12-15
2020-06-11
2500. BLACKSTONE ALTERNATIVE MULTI- STRATEGY FUND-ISTL
2015-10-26
2020-06-11
4000. BLACKSTONE ALTERNATIVE MULTI- STRATEGY FUND-ISTL
2015-10-21
2020-06-11
5000. BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO INSTL CL
2017-03-30
2020-06-11
6500. BLACKROCK STRATEGIC INCOME OPPORTUNITIES PORTFOLIO INSTL CL
2017-04-03
2020-06-11
2.889 BLACKROCK GLOBAL LONG/SHORT CREDIT FUND INSTL
2018-02-26
2019-09-24
14.034 BLACKROCK GLOBAL LONG/SHORT CREDIT FUND INSTL
2018-02-26
2020-03-18
190. BOEING CO
2012-10-10
2020-06-17
3. BOEING CO
2012-10-10
2020-08-12
33. BOOZ ALLEN HAMILTON HLDG CORP CL A COM
2020-06-17
2020-08-12
53. BOSTON SCIENTIFIC CORPORATION
2020-06-17
2020-08-12
10. BROADCOM INC COM
2020-06-17
2020-08-12
68. BUNZL PLC SPONSORED ADR NEW
2020-06-29
2020-07-29
54. CANTEL MED CORP COM
2020-06-29
2020-07-27
62. CANTEL MED CORP COM
2020-06-29
2020-08-31
350. CAPITAL ONE FINANCIAL CORPORATION
2016-03-18
2020-06-17
400. CAPITAL ONE FINANCIAL CORPORATION
2016-02-04
2020-06-17
25. CARMAX INC
2020-06-17
2020-08-12
400. CARRIER GLOBAL CORP COM
2002-06-06
2020-06-17
100. CARRIER GLOBAL CORP COM
2001-12-28
2020-06-17
21. CATERPILLAR INCORPORATED
2020-06-17
2020-08-12
100000. CATERPILLAR FINL SVCS CORP UNSECD MTN
2015-12-11
2019-12-01
1102. CENTENE CORP DELAWARE COM
2017-01-12
2020-06-17
17. CENTENE CORP DELAWARE COM
2017-01-12
2020-08-12
167. CHEVRONTEXACO CORP COM
2009-03-26
2020-06-17
35. CHEVRONTEXACO CORP COM
2009-03-26
2020-08-12
100000. CHEVRON CORP NEW SR UNSECD NT CALL 10/17/20 @100
2017-03-28
2020-06-15
33. CHURCH & DWIGHT INC
2020-06-17
2020-08-12
560. CISCO SYSTEMS INCORPORATED
2012-08-21
2020-06-17
309. CISCO SYSTEMS INCORPORATED
2012-08-21
2020-06-24
72. CISCO SYSTEMS INCORPORATED
2012-08-21
2020-08-12
87. CITIGROUP INC NEW COM
2020-06-17
2020-08-12
100. COCA COLA CO COM
2016-11-30
2020-06-17
107. COCA COLA CO COM
2002-07-25
2020-06-17
89. COCA COLA CO COM
2002-07-25
2020-08-12
1750. COLUMBIA MID CAP INDEX FUND INSTL CL
2013-01-03
2020-06-11
6.04 COLUMBIA MID CAP INDEX FUND INSTL CL
2003-05-14
2020-06-11
22495. COLUMBIA MID CAP INDEX FUND INSTL CL
2002-08-14
2020-06-11
7306. COLUMBIA MID CAP INDEX FUND INSTL CL
2002-09-24
2020-06-11
3204.516 COLUMBIA MID CAP INDEX FUND INSTL CL
2009-03-26
2020-06-11
8535.426 COLUMBIA MID CAP INDEX FUND INSTL CL
2009-01-27
2020-06-11
2000. COLUMBIA SMALL CAP INDEX FUND INSTL CL
2016-11-30
2020-06-11
1000. COLUMBIA SMALL CAP INDEX FUND INSTL CL
2016-12-08
2020-06-11
1291.264 COLUMBIA SMALL CAP INDEX FUND INSTL CL
2013-01-03
2020-06-11
4643.642 COLUMBIA SMALL CAP INDEX FUND INSTL CL
2010-08-16
2020-06-11
2287.812 COLUMBIA SMALL CAP INDEX FUND INSTL CL
2009-08-20
2020-06-11
4671.678 COLUMBIA SMALL CAP INDEX FUND INSTL CL
2002-08-14
2020-06-11
4246. COLUMBIA SMALL CAP INDEX FUND INSTL CL
2002-09-24
2020-06-11
2558.384 COLUMBIA SMALL CAP INDEX FUND INSTL CL
2009-01-27
2020-06-11
2571.523 COLUMBIA SMALL CAP INDEX FUND INSTL CL
2009-03-26
2020-06-11
76. COMCAST CORP NEW CL A COM
2020-06-17
2020-08-12
97. CONTINENTAL AG SPONSORED ADR
2020-08-17
2020-08-28
374. CONTINENTAL AG SPONSORED ADR
2020-06-29
2020-08-28
320. CORTEVA INC COM
2012-10-10
2020-06-17
300. CORTEVA INC COM
2013-07-25
2020-06-17
215. COSTCO WHSL CORP NEW COM
2014-02-12
2020-06-17
12. COSTCO WHSL CORP NEW COM
2014-02-12
2020-08-12
100000. COSTCO WHOLESALE CORP NEW SR UNSECD NT
2016-02-04
2020-05-28
4. CROWN CASTLE INTL CORP REITS
2020-06-17
2020-08-12
52. DBS GROUP HLDGS LTD SPONSORED ADR
2020-06-29
2020-07-27
43. DR HORTON
2020-06-29
2020-08-27
35. DANONE SPONSORED ADR
2020-06-29
2020-08-04
158. DANONE SPONSORED ADR
2020-06-29
2020-08-04
11. DEERE & COMPANY
2020-06-17
2020-08-12
10. DEUTSCHE POST AG SPONSORED ADR
2020-06-29
2020-07-10
15. DISNEY WALT CO
2020-06-17
2020-08-12
250. DOMINION ENERGY INC COM
2016-06-21
2020-06-17
400. DOMINION ENERGY INC COM
2016-02-04
2020-06-17
320. DOW INC COM
2012-10-10
2020-06-17
300. DOW INC COM
2013-07-25
2020-06-17
100000. DUKE ENERGY IND INC 1ST MTG BD
2015-03-10
2020-06-15
320. DUPONT DE NEMOURS INC COM
2012-10-10
2020-06-17
79. DUPONT DE NEMOURS INC COM
2013-07-25
2020-06-17
19. DUPONT DE NEMOURS INC COM
2013-07-25
2020-08-12
250. EOG RESOURCES INC
2015-07-09
2020-06-17
150. EOG RESOURCES INC
2016-06-21
2020-06-17
200. EOG RESOURCES INC
2016-01-28
2020-06-17
11. ELECTRONIC ARTS
2020-06-17
2020-08-12
83. EMERGENT BIOSOLUTIONS INC COM
2020-06-29
2020-08-03
2. EQUINIX INC REITS
2020-06-17
2020-08-12
69. ESSILOR INT'L ADR
2020-06-29
2020-07-29
850. EXXON MOBIL CORPORATION
1992-07-06
2020-06-17
100. FACEBOOK INC CL A COM
2016-08-26
2020-06-17
203. FACEBOOK INC CL A COM
2016-02-04
2020-06-17
9. FACEBOOK INC CL A COM
2016-02-04
2020-08-12
2109.796 FIDELITY ADVISOR FLTG RATE HIGH INCOME FUND CL Z
2020-06-11
2020-06-26
2362.869 FIDELITY ADVISOR FLTG RATE HIGH INCOME FUND CL Z
2017-02-08
2020-06-26
3500. FIDELITY ADVISOR FLTG RATE HIGH INCOME FUND CL Z
2017-03-27
2020-06-26
2637.131 FIDELITY ADVISOR FLOATING RATE HIGH INCOME FUND INSTL
2017-02-08
2019-12-30
26. FORTIVE CORP COM
2020-06-24
2020-08-12
20. FRESHPET INC COM
2020-06-29
2020-07-30
15. FRESHPET INC COM
2020-06-29
2020-08-18
67. GARRETT MOTION INC COM
2010-08-17
2020-06-17
21. GENERAC HLDGS INC COM
2020-06-29
2020-08-10
250. GENERAL DYNAMICS CORP
2016-06-21
2020-06-17
50000. GENERAL ELEC CAP CORP MTN
2011-03-03
2020-06-15
42. GENERAL MTRS CO COM
2020-06-17
2020-08-12
153. GENMARK DIAGNOSTICS INC COM
2020-06-29
2020-07-08
500. GILEAD SCIENCES INC
2012-10-10
2020-06-17
100. GOLDMAN SACHS GROUP INC
2015-09-28
2020-06-17
150. GOLDMAN SACHS GROUP INC
2016-07-11
2020-06-17
150. GOLDMAN SACHS GROUP INC
2016-06-21
2020-06-17
22. GRAND CANYON ED INC COM
2020-06-29
2020-08-05
19. GRAND CANYON ED INC COM
2020-06-29
2020-08-12
10. GRAND CANYON ED INC COM
2020-06-29
2020-08-13
70. HEALTHCARE SVCS GROUP INC COM
2020-06-29
2020-07-22
11. HEALTHCARE SVCS GROUP INC COM
2020-06-29
2020-07-23
39. HILL ROM HLDGS INC COM
2020-06-17
2020-08-12
149. HOME DEPOT INC
2012-10-10
2020-06-17
30. HOME DEPOT INC
2012-10-10
2020-08-12
443. HONEYWELL INTERNATIONAL INC
2010-08-17
2020-06-17
20. HONEYWELL INTERNATIONAL INC
2010-08-17
2020-08-12
.818 IBERDROLA S A SPONSORED ADR REPSTG 1 ORD SHS
2020-08-17
2020-08-25
12. IDEXX LABS INC
2020-06-17
2020-08-12
9. ILLINOIS TOOL WORKS INCORPORATED
2020-06-17
2020-08-12
2000. INTEL CORPORATION
1993-07-15
2020-06-17
27. INTERCONTINENTAL EXCHANGE INC COM
2020-06-17
2020-08-12
100000. IBM CORP DEB RATE: 7.00% DUE: 10/30/2025
2002-02-01
2020-06-15
4335. ISHR MSCI EAFE INDEX FUND
2009-01-27
2020-06-11
1750. ISHR MSCI EAFE INDEX FUND
2009-03-26
2020-06-11
485. ISHARES US AEROSPACE & DEFENSE ETF
2017-06-13
2020-06-11
1350. ISHARES MSCI INDIA ETF
2017-08-09
2020-02-28
100. ISHARES MSCI INDIA ETF
2017-08-09
2020-06-11
1315. ISHARES MSCI INDIA ETF
2017-06-13
2020-06-11
2150. ISHARES EDGE MSCI USA QUALITY FACTOR ETF
2019-06-13
2020-06-11
100. ISHARES MSCI JAPAN ETF NEW
2017-10-23
2020-06-11
820. ISHARES MSCI JAPAN ETF NEW
2017-06-08
2020-06-11
940. ISHARES MSCI JAPAN ETF NEW
2017-06-13
2020-06-11
568. J P MORGAN CHASE & CO COM
2007-01-26
2020-06-17
50. J P MORGAN CHASE & CO COM
2007-01-26
2020-08-12
100000. JPMORGAN CHASE & CO SR UNSECD MTN
2015-02-09
2020-06-15
455. JOHNSON & JOHNSON
1997-06-04
2020-06-17
21. JOHNSON & JOHNSON
1997-06-04
2020-08-12
.799 KONINKLIJKE PHILIPS ELECTRS N V
2020-06-29
2020-07-31
12. L3HARRIS TECHNOLOGIES INC COM
2020-06-17
2020-08-12
500. ESTEE LAUDER COMPANIES CL A
2017-01-12
2020-06-17
6.015 LEGG MASON BW ABSOLUTE RETURN OPPORTUNITIES FUND CL I
2018-02-26
2019-12-30
3.804 LEGG MASON BW ABSOLUTE RETURN OPPORTUNITIES FUND CL I
2018-02-26
2020-03-18
600. LILLY ELI & COMPANY
2016-11-30
2020-06-17
87. LIVERAMP HLDGS INC COM
2020-06-29
2020-08-06
33. LIVERAMP HLDGS INC COM
2020-06-29
2020-08-26
15. MCDONALDS CORP
2020-06-17
2020-08-12
300. MERCK & CO INC NEW COM
2005-02-14
2020-06-17
1000. MERCK & CO INC NEW COM
2004-11-12
2020-06-17
1.025 THE MERGER FD
2018-02-26
2019-09-24
1.763 THE MERGER FD
2018-02-26
2019-12-30
11.932 THE MERGER FD
2020-02-03
2020-03-18
1030. MICROSOFT CORPORATION
1997-06-06
2020-06-17
70. MICROSOFT CORPORATION
1997-06-06
2020-08-12
79. MONDELEZ INTL INC COM
2020-06-17
2020-08-12
3. MORGAN STANLEY DEAN WITTER DISCOVER & CO
2016-08-26
2020-06-17
98. MORGAN STANLEY DEAN WITTER DISCOVER & CO
2016-08-26
2020-08-12
32.934 NEUBERGER BERMAN LONG SHORT FUND INSTL CL
2018-02-26
2019-09-24
3.402 NEUBERGER BERMAN LONG SHORT FUND INSTL CL
2020-02-03
2020-03-18
5500. NEUBERGER BERMAN LONG SHORT FUND INSTL CL
2016-06-21
2020-06-11
55. NEW RELIC INC COM
2020-06-29
2020-07-06
52. NEW RELIC INC COM
2020-06-29
2020-08-26
21. NIKE INC CL B
2020-06-17
2020-08-12
500. NORFOLK SOUTHERN CORP
2012-10-10
2020-06-17
22. NVIDIA CORP COM
2020-06-17
2020-06-24
12. NVIDIA CORP COM
2020-06-17
2020-08-12
93. NUTRIEN LTD COM CANADA
2020-06-29
2020-07-07
203. NUTRIEN LTD COM CANADA
2020-06-29
2020-07-28
200. OTIS WORLDWIDE CORP COM
2002-06-06
2020-06-17
50. OTIS WORLDWIDE CORP COM
2001-12-28
2020-06-17
293. OVERSEA-CHINESE BKG CORP LTD UNSPONSORED ADR
2020-06-29
2020-08-05
750. PNC BK CORP
2009-01-27
2020-06-17
13. PALO ALTO NETWORKS INC COM
2020-06-17
2020-08-12
16. PAYLOCITY HLDG CORP COM
2020-06-29
2020-07-06
27. PAYPAL HOLDINGS INC COM
2020-06-17
2020-08-12
100. PEPSICO INCORPORATED
2001-01-02
2020-06-17
250. PEPSICO INCORPORATED
2001-08-10
2020-06-17
150. PEPSICO INCORPORATED
2002-09-30
2020-06-17
400. PFIZER INC
1997-08-26
2020-06-17
1600. PFIZER INC
2009-07-14
2020-06-17
150. PHILLIPS 66 COM
2016-06-21
2020-06-17
350. PHILLIPS 66 COM
2009-11-02
2020-06-17
27.048 PIMCO UNCONSTRAINED BD FUND INSTL CL
2019-01-31
2020-03-18
5000. PRINCIPAL PFD SECS FUND INSTL CL
2015-02-04
2020-06-11
2500. PRINCIPAL PFD SECS FUND INSTL CL
2015-05-11
2020-06-11
3500. PRINCIPAL PFD SECS FUND INSTL CL
2015-10-26
2020-06-11
5000. PRINCIPAL PFD SECS FUND INSTL CL
2013-09-10
2020-06-11
250. PROCTER & GAMBLE CO COM
1997-08-26
2020-06-17
500. PROCTER & GAMBLE CO COM
2000-07-03
2020-06-17
30. PROLOGIS INC REITS
2020-06-17
2020-08-12
600. PRUDENTIAL FINL INC COM
2016-03-18
2020-06-17
4440.497 PRUDENTIAL SHORT-TERM CORPORATE BD FUND INC CL Z
2020-06-12
2020-06-26
6596.306 PRUDENTIAL SHORT-TERM CORPORATE BD FUND INC CL Z
2020-06-12
2020-08-12
2.722 BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2018-02-26
2019-12-30
140.318 BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2018-02-26
2020-02-03
1.53 BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2019-09-24
2020-02-03
10.898 BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2019-01-31
2020-02-03
2000. BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2014-08-05
2020-06-11
4500. BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2014-03-24
2020-06-11
2000. BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2014-02-12
2020-06-11
1500. BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2013-11-15
2020-06-11
3000. BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2013-10-02
2020-06-11
2000. BOSTON PARTNERS LONG/SHORT RESH FUND INSTL CL
2013-08-05
2020-06-11
8. RWE AG SPONSORED ADR REPSTG ORD PAR
2020-06-29
2020-08-12
.92 RAYTHEON TECHNOLOGIES CORP COM
2015-07-28
2020-05-29
933. RAYTHEON TECHNOLOGIES CORP COM
2015-07-28
2020-06-17
400. RAYTHEON TECHNOLOGIES CORP COM
2002-06-06
2020-06-17
100. RAYTHEON TECHNOLOGIES CORP COM
2001-12-28
2020-06-17
36. REPLIGEN CORP COM
2020-06-17
2020-08-12
112. RESIDEO TECHNOLOGIES INC COM
2010-08-17
2020-06-17
57. RITCHIE BROS AUCTIONEERS INC COM
2020-06-29
2020-08-18
71. ROCHE HLDG LTD SPONSORED ADR
2020-06-29
2020-07-29
44. ROCHE HLDG LTD SPONSORED ADR
2020-06-17
2020-08-12
6. ROCKWELL INTL CORP
2020-06-29
2020-08-24
625. S&P DEPOSITARY RECEIPTS SERIES 1
2019-06-13
2020-06-11
36. SPDR S&P BIOTECH ETF
2020-06-17
2020-08-12
100. SALESFORCE.COM INC COMMON
2015-03-11
2020-06-17
488. SALESFORCE.COM INC COMMON
2015-02-04
2020-06-17
26. SALESFORCE.COM INC COMMON
2015-02-04
2020-08-12
5. SAP AG ADR
2020-06-29
2020-07-13
392. SELECT SECTOR SPDR TR HEALTHCARE SHS BEN INT
2018-02-28
2020-06-11
3380. SELECT SECTOR SPDR TR FINANCIAL SHS BEN INT
2017-10-23
2020-06-11
900. SELECT SECTOR SPDR TR INDUSTRIAL SHS BEN INT
2017-10-30
2020-06-11
464. SEMPRA ENERGY
2009-10-28
2020-06-17
12. SEMPRA ENERGY
2009-10-28
2020-08-12
104. SHISEIDO CO LTD SPONS ADR JAPAN
2020-06-29
2020-08-13
2. SHOPIFY INC COM
2020-06-17
2020-08-12
40. SIEMENS HEALTHINEERS AG UNSPONSORED ADR
2020-06-29
2020-08-21
99. SIEMENS HEALTHINEERS AG UNSPONSORED ADR
2020-06-29
2020-08-21
99. SIEMENS HEALTHINEERS AG UNSPONSORED ADR
2020-06-25
2020-08-24
15. SIEMENS HEALTHINEERS AG UNSPONSORED ADR
2020-06-29
2020-08-24
123. SIEMENS HEALTHINEERS AG UNSPONSORED ADR
2020-06-29
2020-08-25
19. SIMPSON MFG INC
2020-06-29
2020-08-18
25. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR
2020-06-29
2020-07-24
3. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR
2020-07-13
2020-07-27
47. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR
2020-06-29
2020-07-27
42. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR
2020-06-29
2020-07-28
33. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR
2020-06-29
2020-08-14
52. TARGET CORP
2020-06-17
2020-08-12
22. TELADOC HEALTH INC COM
2020-06-17
2020-08-12
82. TENCENT HLDGS LTD ADR
2020-06-17
2020-08-12
1250. TEXAS INSTRS INC
2008-04-01
2020-06-17
10. THERMON GROUP HLDGS INC COM
2020-06-29
2020-07-31
105. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-03
58. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-04
31. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-05
78. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-07
87. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-10
56. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-11
17. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-12
26. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-13
82. THERMON GROUP HLDGS INC COM
2020-06-29
2020-08-14
50. 3M CO COM
2015-03-06
2020-06-17
350. 3M CO COM
2015-02-04
2020-06-17
100000. TOTAL CAP INTL SA CO GTD NT FRANCE
2015-02-09
2020-06-15
100. TRAVELERS COS INC COM
2014-02-12
2020-06-17
400. TRAVELERS COS INC COM
2012-10-10
2020-06-17
37. TRUIST FINL CORP COM
2020-06-17
2020-08-12
58. 2U INC COM
2020-06-29
2020-07-06
55. 2U INC COM
2020-06-29
2020-07-08
15. UNION PAC CORP COM
2020-06-17
2020-08-12
250000. UNITEDHEALTH GROUP INC UNSECD SR PIDI NT
2019-12-18
2020-06-15
38. VALERO ENERGY CORP - NEW
2020-06-17
2020-08-12
300. VANGUARD TOTAL BD MARKET ETF
2015-10-27
2020-06-11
1000. VANGUARD TOTAL BD MARKET ETF
2015-03-06
2020-06-11
1250. VANGUARD FTSE EMERGING MKTS ETF
2016-10-28
2020-06-11
2400. VANGUARD FTSE EMERGING MKTS ETF
2008-11-13
2020-06-11
3600. VANGUARD FTSE EMERGING MKTS ETF
2009-01-27
2020-06-11
875. VANGUARD MID-CAP ETF
2019-06-13
2020-06-11
260. VANGUARD LARGE-CAP ETF
2018-06-12
2020-06-11
1280. VANGUARD INDEX TR VANGUARD TOTAL STK MKT VIPERS
2018-06-05
2020-06-11
41. VERIZON COMMUNICATIONS
2005-02-07
2020-06-17
50. VERIZON COMMUNICATIONS
2002-09-30
2020-06-17
415. VERIZON COMMUNICATIONS
1992-02-14
2020-06-17
64. VERIZON COMMUNICATIONS
1992-02-14
2020-08-12
1200. VICTORY SMALL CO OPPTY FUND CL I SHS
2016-02-23
2020-06-11
1750. VICTORY SMALL CO OPPTY FUND CL I SHS
2016-02-05
2020-06-11
300. VISA INC CL A COM
2015-03-06
2020-06-17
43. VISA INC CL A COM
2015-03-06
2020-08-12
16. VULCAN MATERIALS COMPANY
2020-06-17
2020-08-12
50000. WELLS FARGO & CO NEW MEDIUM TERM SR NT
2011-04-01
2020-06-15
6.17 WESTERN ASSET MACRO OPPORTUNITIES FUND CL I
2018-02-26
2019-09-24
400. WEYERHAEUSER CO COM
2016-07-21
2020-06-17
250. WEYERHAEUSER CO COM
2016-07-11
2020-06-17
1250. WEYERHAEUSER CO COM
2016-02-04
2020-06-17
100. WEYERHAEUSER CO COM
2016-02-05
2020-06-17
4250. INTERMEDIATE CROSSOVER FIXED INCOME COMMON TRUST FUND
2014-08-08
2020-06-12
10000. INTERMEDIATE CROSSOVER FIXED INCOME COMMON TRUST FUND
2014-07-18
2020-06-12
267. EATON CORP PLC COM
2016-03-18
2020-06-17
41. EATON CORP PLC COM
2016-03-18
2020-08-12
71. MARVELL TECHNOLOGY GROUP LTD COM
2020-06-17
2020-08-12
95. UBS GROUP AG COM
2020-08-17
2020-08-28
394. UBS GROUP AG COM
2020-06-29
2020-08-28
19. LYONDELLBASELL INDUSTRIES NV CL A COM
2020-06-17
2020-08-12
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
6,658
8,889
-2,231
b
186
193
-7
c
581
617
-36
d
24,369
18,935
5,434
e
6,543
5,903
640
96,337
24,235
72,102
1,875
1,700
175
5,327
4,965
362
83,464
25,659
57,805
1,285
1,168
117
1,285
1,076
209
14,439
5,503
8,936
72,193
26,590
45,603
2,888
745
2,143
6,024
1,490
4,534
213,772
9,574
204,198
12,600
473
12,127
2,928
2,567
361
104,442
97,964
6,478
35,700
7,263
28,437
16,640
2,661
13,979
45
46
-1
94
93
1
4,734
4,663
71
14,345
13,234
1,111
96,004
88,496
7,508
2,467
2,468
-1
103,580
96,388
7,192
50,000
49,830
170
75,000
73,929
1,071
102,509
100,264
2,245
995
1,021
-26
20,835
18,860
1,975
71,030
22,757
48,273
5,957
5,112
845
27,848
9,512
18,336
48,456
16,326
32,130
2,947
938
2,009
54
52
2
23
26
-3
19,460
20,680
-1,220
24,325
25,800
-1,475
38,920
41,120
-2,200
49,050
49,396
-346
63,765
64,102
-337
29
30
-1
130
147
-17
36,740
13,378
23,362
523
211
312
2,824
2,585
239
2,114
1,940
174
3,338
3,122
216
2,002
1,840
162
2,724
2,348
376
3,283
2,696
587
25,399
24,707
692
29,027
25,397
3,630
2,639
2,430
209
8,738
2,559
6,179
2,184
616
1,568
2,974
2,713
261
100,000
100,000
69,836
34,256
35,580
1,108
528
580
15,579
11,622
3,957
3,148
2,436
712
100,669
100,121
548
3,128
2,495
633
26,025
10,777
15,248
13,765
5,947
7,818
3,442
1,386
2,056
4,612
4,676
-64
4,681
4,102
579
5,008
2,550
2,458
4,320
2,121
2,199
23,398
21,228
2,170
81
47
34
300,758
169,162
131,596
97,681
50,265
47,416
42,844
20,861
21,983
114,119
55,310
58,809
36,880
48,500
-11,620
18,440
24,140
-5,700
23,811
23,553
258
85,629
64,129
21,500
42,187
28,918
13,269
86,146
58,256
27,890
78,296
48,956
29,340
47,177
25,686
21,491
47,419
25,098
22,321
3,289
3,014
275
1,050
1,070
-20
4,049
3,660
389
8,725
6,002
2,723
8,180
5,416
2,764
64,576
24,747
39,829
4,043
1,381
2,662
103,340
100,323
3,017
662
683
-21
3,104
3,057
47
3,172
2,331
841
462
490
-28
2,083
2,213
-130
2,095
1,729
366
384
358
26
1,959
1,771
188
21,018
18,595
2,423
33,628
28,188
5,440
13,391
11,721
1,670
12,554
10,576
1,978
100,222
100,130
92
16,942
17,200
-258
4,183
4,087
96
1,113
983
130
13,397
21,444
-8,047
8,038
12,751
-4,713
10,718
13,433
-2,715
1,534
1,404
130
9,567
6,184
3,383
1,545
1,397
148
4,733
4,570
163
40,337
9,967
30,370
23,399
12,444
10,955
47,499
22,305
25,194
2,343
989
1,354
18,524
18,672
-148
20,746
22,754
-2,008
30,730
33,670
-2,940
25,000
25,396
-396
1,935
1,716
219
1,910
1,616
294
1,665
1,212
453
358
302
56
3,695
2,504
1,191
39,365
34,901
4,464
50,387
48,450
1,937
1,171
1,159
12
2,885
2,113
772
37,205
16,989
20,216
20,781
17,376
3,405
31,172
22,868
8,304
31,172
22,247
8,925
2,287
1,994
293
1,855
1,722
133
973
906
67
1,900
1,696
204
295
267
28
3,778
3,746
32
37,682
8,979
28,703
8,413
1,808
6,605
65,815
17,820
47,995
3,185
804
2,381
42
42
4,628
3,795
833
1,789
1,533
256
121,082
6,688
114,394
2,690
2,557
133
131,608
104,459
27,149
261,634
170,539
91,095
105,619
68,530
37,089
81,280
76,807
4,473
42,605
45,696
-3,091
2,686
3,385
-699
35,320
42,988
-7,668
202,552
194,930
7,622
5,520
5,783
-263
45,260
44,775
485
51,883
51,261
622
57,439
28,410
29,029
5,105
2,501
2,604
110,714
102,721
7,993
65,898
13,578
52,320
3,138
627
2,511
43
36
7
2,205
2,272
-67
97,933
39,464
58,469
72
76
-4
40
48
-8
97,150
40,396
56,754
4,353
3,706
647
1,762
1,406
356
3,093
2,879
214
22,902
8,790
14,112
76,341
26,710
49,631
18
17
1
30
29
1
187
206
-19
200,755
15,804
184,951
14,608
1,074
13,534
4,433
4,176
257
144
93
51
5,110
3,042
2,068
483
486
-3
46
51
-5
82,225
70,070
12,155
3,818
3,692
126
3,253
3,491
-238
2,185
2,084
101
89,442
33,184
56,258
8,138
8,043
95
5,447
4,387
1,060
3,061
3,036
25
6,680
6,628
52
11,551
3,579
7,972
2,888
861
2,027
3,673
3,892
-219
85,253
22,830
62,423
3,372
2,991
381
2,436
2,240
196
5,138
4,404
734
13,275
4,911
8,364
33,187
11,458
21,729
19,912
5,414
14,498
13,406
7,315
6,091
53,623
23,480
30,143
11,213
11,922
-709
26,164
8,077
18,087
268
291
-23
49,150
51,750
-2,600
24,575
25,800
-1,225
34,405
35,945
-1,540
49,150
50,350
-1,200
29,632
8,475
21,157
59,264
13,825
45,439
3,082
2,905
177
39,076
44,636
-5,560
50,000
49,822
178
75,000
74,011
989
43
48
-5
2,159
2,449
-290
24
24
168
164
4
25,980
29,700
-3,720
58,455
65,385
-6,930
25,980
28,660
-2,680
19,485
21,060
-1,575
38,970
40,710
-1,740
25,980
27,060
-1,080
313
277
36
63
41
22
62,891
41,914
20,977
26,963
7,553
19,410
6,741
1,818
4,923
5,153
4,206
947
1,244
813
431
3,607
2,261
1,346
3,176
3,099
77
1,906
1,968
-62
1,376
1,250
126
188,548
180,866
7,682
3,936
3,791
145
18,177
6,422
11,755
88,702
28,774
59,928
5,020
1,533
3,487
778
688
90
38,033
33,638
4,395
78,582
90,146
-11,564
61,168
64,638
-3,470
56,911
23,983
32,928
1,605
620
985
5,563
6,687
-1,124
1,987
1,643
344
920
962
-42
2,278
2,381
-103
2,311
2,484
-173
350
361
-11
2,833
2,959
-126
1,921
1,568
353
1,866
1,400
466
244
198
46
3,817
2,632
1,185
3,327
2,352
975
2,589
1,848
741
6,963
6,138
825
4,056
4,275
-219
5,563
4,790
773
158,208
36,498
121,710
135
147
-12
1,436
1,539
-103
795
850
-55
437
454
-17
1,106
1,143
-37
1,279
1,275
4
836
821
15
246
249
-3
365
381
-16
1,156
1,202
-46
7,975
8,283
-308
55,827
57,843
-2,016
103,298
100,682
2,616
11,494
8,212
3,282
45,975
27,780
18,195
1,494
1,503
-9
2,257
2,147
110
2,318
2,036
282
2,877
2,581
296
284,943
265,145
19,798
2,056
2,424
-368
26,315
24,681
1,634
87,716
82,143
5,573
48,163
46,931
1,232
92,473
54,552
37,921
138,709
78,038
60,671
139,191
144,082
-4,891
36,271
33,389
2,882
195,078
181,779
13,299
2,327
1,361
966
2,838
1,236
1,602
23,558
9,573
13,985
3,754
1,476
2,278
42,144
40,404
1,740
61,460
57,558
3,902
58,228
20,427
37,801
8,532
2,928
5,604
2,092
1,945
147
51,575
49,377
2,198
72
70
2
9,008
12,953
-3,945
5,630
7,844
-2,214
28,151
32,205
-4,054
2,252
2,438
-186
44,256
43,387
869
104,132
101,899
2,233
23,495
14,319
9,176
4,200
2,199
2,001
2,516
2,483
33
1,173
1,166
7
4,867
4,474
393
1,320
1,302
18
45,838
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
-2,231
b
-7
c
-36
d
5,434
e
640
72,102
175
362
57,805
117
209
8,936
45,603
2,143
4,534
204,198
12,127
361
6,478
28,437
13,979
-1
1
71
1,111
7,508
-1
7,192
170
1,071
2,245
-26
1,975
48,273
845
18,336
32,130
2,009
2
-3
-1,220
-1,475
-2,200
-346
-337
-1
-17
23,362
312
239
174
216
162
376
587
692
3,630
209
6,179
1,568
261
35,580
580
3,957
712
548
633
15,248
7,818
2,056
-64
579
2,458
2,199
2,170
34
131,596
47,416
21,983
58,809
-11,620
-5,700
258
21,500
13,269
27,890
29,340
21,491
22,321
275
-20
389
2,723
2,764
39,829
2,662
3,017
-21
47
841
-28
-130
366
26
188
2,423
5,440
1,670
1,978
92
-258
96
130
-8,047
-4,713
-2,715
130
3,383
148
163
30,370
10,955
25,194
1,354
-148
-2,008
-2,940
-396
219
294
453
56
1,191
4,464
1,937
12
772
20,216
3,405
8,304
8,925
293
133
67
204
28
32
28,703
6,605
47,995
2,381
833
256
114,394
133
27,149
91,095
37,089
4,473
-3,091
-699
-7,668
7,622
-263
485
622
29,029
2,604
7,993
52,320
2,511
7
-67
58,469
-4
-8
56,754
647
356
214
14,112
49,631
1
1
-19
184,951
13,534
257
51
2,068
-3
-5
12,155
126
-238
101
56,258
95
1,060
25
52
7,972
2,027
-219
62,423
381
196
734
8,364
21,729
14,498
6,091
30,143
-709
18,087
-23
-2,600
-1,225
-1,540
-1,200
21,157
45,439
177
-5,560
178
989
-5
-290
4
-3,720
-6,930
-2,680
-1,575
-1,740
-1,080
36
22
20,977
19,410
4,923
947
431
1,346
77
-62
126
7,682
145
11,755
59,928
3,487
90
4,395
-11,564
-3,470
32,928
985
-1,124
344
-42
-103
-173
-11
-126
353
466
46
1,185
975
741
825
-219
773
121,710
-12
-103
-55
-17
-37
4
15
-3
-16
-46
-308
-2,016
2,616
3,282
18,195
-9
110
282
296
19,798
-368
1,634
5,573
1,232
37,921
60,671
-4,891
2,882
13,299
966
1,602
13,985
2,278
1,740
3,902
37,801
5,604
147
2,198
2
-3,945
-2,214
-4,054
-186
869
2,233
9,176
2,001
33
7
393
18
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
2,910,038
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
531,775
10,612,589
0.050108
2017
344,622
10,991,334
0.031354
2016
512,360
10,432,548
0.049112
2015
499,209
9,704,545
0.051441
2014
521,470
9,962,716
0.052342
2
Total
of line 1, column (d)
.....................
2
0.234357
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
0.046871
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
10,741,751
5
Multiply line 4 by line 3
......................
5
503,477
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
31,506
7
Add lines 5 and 6
........................
7
534,983
8
Enter qualifying distributions from Part XII, line 4
,.............
8
490,330
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
63,012
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
63,012
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
63,012
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
4,116
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
4,116
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
58,896
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)
VA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
BANK OF AMERICA NA
Telephone no.
(877) 446-1410
Located at
P O BOX 40200 FL9-300-01-16
JACKSONVILLE
FL
ZIP+4
322030200
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
BANK OF AMERICA N A
TRUSTEE
01
4,683
P O BOX 40200 FL9-300-01-16
JACKSONVILLE
,
FL
322030200
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
10,284,965
b
Average of monthly cash balances
.......................
1b
620,366
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
10,905,331
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
10,905,331
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
163,580
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
10,741,751
6
Minimum investment return.
Enter 5% of line 5
..................
6
537,088
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
537,088
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
63,012
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
63,012
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
474,076
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
474,076
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
474,076
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
490,330
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
490,330
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
490,330
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
474,076
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
77,054
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:
$
490,330
a
Applied to 2018, but not more than line 2a
77,054
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
.....
413,276
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
..........
60,800
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).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or 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
AGECROFT ASSOCIATION
RICHARD W MOXLEY EXEC DIR
4305 SULGRAVE RD
RICHMOND
,
VA
232213256
N/A
PC
UNRESTRICTED GENERAL
482,513
Total
.................................
3a
482,513
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
249,073
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
2,910,038
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)
..
3,159,111
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
3,159,111
(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