Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 12-01-2018 , and ending 11-30-2019
Name of foundation
ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CONCORD, NH033020477
A Employer identification number

02-6046966
B Telephone number (see instructions)

(877) 773-1229
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$13,680,472
J Accounting method:
 
(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)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 321,927 321,927  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 450,015
b Gross sales price for all assets on line 6a 8,434,049
7 Capital gain net income (from Part IV, line 2)... 450,015
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........ 771,942 771,942  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 141,080 141,080    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 1,380 1,380 0 0
b Accounting fees (attach schedule)....... 850 850 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 10,815 4,960   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)....... 7,404 7,404    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 161,529 155,674 0 0
25 Contributions, gifts, grants paid....... 671,452 671,452
26 Total expenses and disbursements. Add lines 24 and 25 832,981 155,674 0 671,452
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -61,039
b Net investment income (if negative, enter -0-) 616,268
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 438,614 240,279 240,279
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 3,481,738 Click to see attachment3,642,078 3,731,323
b Investments—corporate stock (attach schedule)....... 5,458,133 Click to see attachment5,684,260 7,203,662
c Investments—corporate bonds (attach schedule)....... 2,690,827 Click to see attachment2,442,153 2,505,208
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 12,069,312 12,008,770 13,680,472
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 12,069,312 12,008,770
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 12,069,312 12,008,770
31 Total liabilities and net assets/fund balances (see instructions). 12,069,312 12,008,770
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 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
12,069,312
2
Enter amount from Part I, line 27a .....................
2
-61,039
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
497
4
Add lines 1, 2, and 3 ..........................
4
12,008,770
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
12,008,770
Form 990-PF (2018)
Form 990-PF (2018)
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 60000. US TREASURY NOTE 1% 11/15/2019 DTD 11/15/2016   2017-03-29 2018-12-12
b 20. DOLLAR GENERAL CORP   2018-08-01 2019-01-25
c 190. DOLLAR GENERAL CORP   2017-01-13 2019-01-25
d 20. STARBUCKS CORP   2018-08-01 2019-01-25
e 650. STARBUCKS CORP   2017-11-10 2019-01-25
210. ALLERGAN PLC   2016-02-08 2019-02-01
470. FORTUNE BRANDS HOME & SEC IN COM   2017-08-25 2019-02-04
160. FORTUNE BRANDS HOME & SEC IN COM   2017-08-25 2019-02-05
250. FORTUNE BRANDS HOME & SEC IN COM   2018-08-01 2019-02-05
10. ALLERGAN PLC   2018-08-01 2019-02-05
130. ALLERGAN PLC   2017-10-31 2019-02-05
20000. FHLMC 2.375% 1/13/2022 DTD 1/13/2012   2016-04-20 2019-02-06
60000. U S TREASURY NOTES 1.125% 08/31/2021 DTD 08/31/2016   2016-09-15 2019-02-06
15000. US TREASURY NOTE 1.875% 09/30/2022 DTD 10/02/2017   2017-10-04 2019-02-06
10000. US TREASURY NOTES 2.25% 11/15/2027 DTD 11/15/2017   2018-01-19 2019-02-06
25000. U.S. TREASURY NOTE 1.594% 04/30/2020 DTD 04/30/2018 VARIABLE   2018-10-30 2019-02-06
5000. U.S. TREASURY BOND 2.875% 08/15/2028 DTD 08/15/2018   2018-12-12 2019-02-06
40000. US TREASURY BOND 2.125% 01/31/2021 DTD 01/31/2014   2016-04-20 2019-02-06
15000. US TREASURY NOTE 2.25% 11/15/2024 DTD 11/17/2014   2015-04-02 2019-02-06
25000. U S TREASURY BOND 2.000% 02/15/2025 DTD 02/17/15   2016-04-20 2019-02-06
65000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2017-04-05 2019-02-06
35000. U S TREAS. BONDS 1.75% 05/15/2022 DTD 05/15/2012   2015-01-26 2019-02-06
15000. US TREASURY NOTES 2% 11/15/2026 DTD 11/15/2016   2018-10-30 2019-02-06
40000. US TREASURY NOTE 1% 11/15/2019 DTD 11/15/2016   2018-01-19 2019-02-06
10000. US TREASURY NOTES 2.25% 02/15/2027 DTD 02/15/2017   2017-07-20 2019-02-06
70000. US TREASURY BOND 2.5% 08/15/2023 DTD 08/15/2013   2017-04-05 2019-02-06
15000. US TREASURY BOND 2.5% 05/15/2024 DTD 05/15/2014   2014-09-15 2019-02-06
2318.137 INVESCO INTL GROWTH-Y   2018-08-01 2019-02-07
7742.331 INVESCO INTL GROWTH-Y   2017-06-23 2019-02-07
2966.724 VANGUARD SHORT-TERM FED-ADM #549   2016-08-10 2019-02-07
10. ALLERGAN PLC   2019-02-06 2019-02-07
140. ALLERGAN PLC   2017-11-06 2019-02-07
68487.94 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2017-06-23 2019-02-20
69238.187 TDAM 1 TO 5 CORP BD PORTFOLIO   2017-07-21 2019-02-20
200000. U S TREASURY NOTES 1.125% 08/31/2021 DTD 08/31/2016   2018-10-30 2019-02-20
10000. U S TREASURY NOTES 1.125% 08/31/2021 DTD 08/31/2016   2018-08-01 2019-02-20
200000. U S TREASURY NOTES 1.125% 08/31/2021 DTD 08/31/2016   2017-05-05 2019-02-20
10000. US TREASURY NOTES 2.25% 11/15/2027 DTD 11/15/2017   2018-01-19 2019-02-20
15000. U.S. TREASURY NOTE 3.125% 11/15/2028 DTD 11/15/2018   2018-12-12 2019-02-20
60000. U S TREASURY BOND 2.000% 02/15/2025 DTD 02/17/15   2018-10-30 2019-02-20
30000. U S TREASURY BOND 2.000% 02/15/2025 DTD 02/17/15   2018-03-22 2019-02-20
5000. U S TREASURY BOND 2.000% 02/15/2025 DTD 02/17/15   2015-08-21 2019-02-20
95000. US TREASURY NOTES 2% 11/15/2026 DTD 11/15/2016   2018-10-30 2019-02-20
130000. US TREASURY NOTE 1% 11/15/2019 DTD 11/15/2016   2018-01-19 2019-02-20
5000. US TREASURY NOTES 2.25% 02/15/2027 DTD 02/15/2017   2018-05-09 2019-02-20
65000. US TREASURY NOTES 2.25% 02/15/2027 DTD 02/15/2017   2017-07-20 2019-02-20
105000. US TREASURY BOND 2.5% 08/15/2023 DTD 08/15/2013   2017-03-29 2019-02-20
45000. US TREASURY BOND 2.5% 05/15/2024 DTD 05/15/2014   2014-09-15 2019-02-20
30000. US TREASURY BOND 2.5% 05/15/2024 DTD 05/15/2014   2018-12-12 2019-02-20
5000. US TREASURY BOND 2.5% 05/15/2024 DTD 05/15/2014   2018-05-09 2019-02-20
6149.372 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2018-08-01 2019-02-25
19799.462 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2018-01-19 2019-02-25
27619.104 TDAM 1 TO 5 CORP BD PORTFOLIO   2018-01-19 2019-02-25
17586.804 TDAM 1 TO 5 CORP BD PORTFOLIO   2018-08-01 2019-02-25
200. UNIVERSAL DISPLAY CORP COM   2017-12-01 2019-02-26
80441.287 EPOCH US SMALL MID CAP EQUITY FD #37   2016-02-10 2019-03-01
20. DISCOVER FINANCIAL SERVICES INC COM   2019-02-06 2019-03-07
600. DISCOVER FINANCIAL SERVICES INC COM   2017-05-19 2019-03-07
1090. CVS CORP   2019-02-06 2019-03-08
280. APPLE COMPUTER, INC   2013-07-01 2019-03-28
30. APPLE COMPUTER, INC   2018-08-01 2019-03-28
30. APPLE COMPUTER, INC   2019-02-06 2019-03-28
80000. U.S. TREASURY NOTE 1.594% 04/30/2020 DTD 04/30/2018 VARIABLE   2018-05-24 2019-03-28
125000. U.S. TREASURY NOTE 1.594% 04/30/2020 DTD 04/30/2018 VARIABLE   2019-02-25 2019-03-28
10. CHUBB LTD   2018-08-01 2019-04-08
10. CHUBB LTD   2019-02-06 2019-04-08
270. CHUBB LTD   2016-02-09 2019-04-08
.667 DOW INC   2017-12-14 2019-04-09
66.667 DOW INC   2018-09-19 2019-04-09
26.667 DOW INC   2019-02-06 2019-04-09
406.666 DOW INC   2017-12-14 2019-04-09
110. BANK AMER CORP COM   2019-02-06 2019-04-10
430. BANK AMER CORP COM   2017-06-21 2019-04-10
90. BANK AMER CORP COM   2018-08-01 2019-04-10
40. CITIZENS FINANCIAL GROUP INC   2019-02-06 2019-04-10
30. CITIZENS FINANCIAL GROUP INC   2015-03-30 2019-04-10
700. CITIZENS FINANCIAL GROUP INC   2018-08-01 2019-04-10
50. EVEREST REINSURANCE GROUP LTD   2018-09-20 2019-04-11
50. EVEREST REINSURANCE GROUP LTD   2018-11-02 2019-04-11
70. ANADARKO PETROLEUM   2018-08-01 2019-04-15
690. ANADARKO PETROLEUM   2017-02-15 2019-04-15
100. APPLE COMPUTER, INC   2013-07-01 2019-04-15
100. MARVELL TECHNOLOGY GROUP LTD ORD   2018-08-01 2019-04-17
110. MARVELL TECHNOLOGY GROUP LTD ORD   2019-02-06 2019-04-17
1200. MARVELL TECHNOLOGY GROUP LTD ORD   2017-10-11 2019-04-17
560. MARVELL TECHNOLOGY GROUP LTD ORD   2017-10-11 2019-04-18
80. UNIVERSAL DISPLAY CORP COM   2017-12-01 2019-04-25
880. MARVELL TECHNOLOGY GROUP LTD ORD   2017-07-06 2019-04-25
420. BANK AMER CORP COM   2017-06-21 2019-04-30
180. CAPITAL ONE FINANCIAL CORP   2018-04-04 2019-04-30
1850. MARVELL TECHNOLOGY GROUP LTD ORD   2017-07-06 2019-05-01
60000. CHEVRON CORP 2.954% 05/16/2026 DTD 05/16/2016   2019-02-25 2019-05-16
60000. U S TREAS. BONDS 1.75% 05/15/2022 DTD 05/15/2012   2015-01-26 2019-05-16
115000. US TREASURY NOTE 1% 11/15/2019 DTD 11/15/2016   2018-05-15 2019-05-16
120. DOLLAR GENERAL CORP   2017-01-13 2019-06-06
50. DOLLAR GENERAL CORP   2019-02-06 2019-06-06
40. UNIVERSAL HLTH SVCS INC CL B   2019-02-06 2019-06-06
270. UNIVERSAL HLTH SVCS INC CL B   2018-04-05 2019-06-06
210. UNIVERSAL HLTH SVCS INC CL B   2018-08-01 2019-06-10
140. UNIVERSAL HLTH SVCS INC CL B   2018-04-05 2019-06-10
.667 CORTEVA INC   2017-12-14 2019-06-12
.667 DUPONT DE NEMOURS INC   2017-12-14 2019-06-12
36.667 CORTEVA INC   2018-09-19 2019-06-13
26.667 CORTEVA INC   2019-02-06 2019-06-13
436.666 CORTEVA INC   2018-04-13 2019-06-13
10. AMERIPRISE FINANCIAL INC   2018-08-01 2019-06-21
90. AMERIPRISE FINANCIAL INC   2013-11-29 2019-06-21
10. AMERIPRISE FINANCIAL INC   2019-02-06 2019-06-21
330. APPLE COMPUTER, INC   2013-07-01 2019-06-25
270000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2017-03-29 2019-06-25
250. AMERIPRISE FINANCIAL INC   2016-02-08 2019-06-28
170. APPLE COMPUTER, INC   2013-07-01 2019-06-28
400. BOSTON SCIENTIFIC   2018-07-06 2019-07-03
50. BOSTON SCIENTIFIC   2019-02-06 2019-07-03
30. HOME DEPOT INC   2019-02-04 2019-07-03
30. UNITEDHEALTH GROUP INC COM   2019-02-06 2019-07-03
60. UNITEDHEALTH GROUP INC COM   2002-06-05 2019-07-03
10. VISA INC. - CL A   2019-02-06 2019-07-03
90. VISA INC. - CL A   2013-11-29 2019-07-03
30. VISA INC. - CL A   2018-08-01 2019-07-03
210. UNIVERSAL DISPLAY CORP COM   2018-01-29 2019-07-16
80. VISA INC. - CL A   2013-11-29 2019-07-16
170. ANADARKO PETROLEUM   2019-04-25 2019-07-26
290. ANADARKO PETROLEUM   2018-04-25 2019-07-26
60000. BRISTOL-MYERS SQUIBB 3.2% 06/15/2026 DTD 05/16/2019   2019-05-16 2019-07-26
10. COSTCO WHSL CORP NEW   2018-08-01 2019-07-26
10. COSTCO WHSL CORP NEW   2019-02-06 2019-07-26
150. COSTCO WHSL CORP NEW   2018-01-29 2019-07-26
45000. JOHNSON & JOHNSON 2.9% 01/15/2028 DTD 11/10/2017   2019-02-20 2019-07-26
40000. U.S. TREASURY BOND 2.875% 08/15/2028 DTD 08/15/2018   2019-02-20 2019-07-26
85000. U.S. TREASURY NOTE 2.625% 02/15/2029 DTD 02/15/2019   2019-06-25 2019-07-26
25000. US TREASURY NOTE 2.25% 11/15/2024 DTD 11/17/2014   2015-04-09 2019-07-26
40000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2013-08-06 2019-07-26
20000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2019-03-28 2019-07-26
75000. WELLS FARGO & CO. 2.5% 03/04/2021 DTD 03/04/2016   2019-02-25 2019-07-26
20. INGERSOLL-RAND PLC SHS   2018-08-01 2019-07-26
30. INGERSOLL-RAND PLC SHS   2019-02-06 2019-07-26
200. INGERSOLL-RAND PLC SHS   2013-11-29 2019-07-26
30. ANADARKO PETROLEUM   2019-02-06 2019-07-29
300. ANADARKO PETROLEUM   2018-01-26 2019-07-29
90. COSTCO WHSL CORP NEW   2018-01-26 2019-07-29
140. CAPITAL ONE FINANCIAL CORP   2018-11-07 2019-07-31
50. CAPITAL ONE FINANCIAL CORP   2019-02-06 2019-07-31
400. CAPITAL ONE FINANCIAL CORP   2018-05-09 2019-07-31
180. APPLE COMPUTER, INC   2013-07-01 2019-08-01
240. APPLE COMPUTER, INC   2013-07-01 2019-08-07
1780. SYMANTEC CORP COM   2019-04-18 2019-08-21
105000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2019-02-20 2019-08-23
40000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2019-03-28 2019-08-23
10. NVR INC   2019-03-07 2019-08-26
230. DANAHER CORP   2018-08-01 2019-09-11
20. DANAHER CORP   2019-02-06 2019-09-11
80. UNIVERSAL DISPLAY CORP COM   2018-01-29 2019-09-11
120. VISA INC. - CL A   2013-11-29 2019-09-11
260. EASTMAN CHEMICAL CO.   2018-08-01 2019-09-18
20. EASTMAN CHEMICAL CO.   2019-02-06 2019-09-20
450. EASTMAN CHEMICAL CO.   2017-10-11 2019-09-20
60000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2019-02-20 2019-09-30
30000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2018-08-01 2019-09-30
220. MARTIN MARIETTA MATLS INC COM   2018-08-01 2019-10-07
10. MARTIN MARIETTA MATLS INC COM   2019-02-06 2019-10-07
150. MARTIN MARIETTA MATLS INC COM   2016-10-14 2019-10-08
490. PTC INC.   2018-08-01 2019-10-28
20. PTC INC.   2019-02-06 2019-10-28
250. TIFFANY & CO   2019-07-24 2019-10-28
60. APPLIED MATERIALS   2019-02-06 2019-10-30
750. APPLIED MATERIALS   2018-08-01 2019-10-30
460. PTC INC.   2017-10-30 2019-10-30
10. BOOKING HOLDINGS INC   2019-06-05 2019-11-08
20. BOOKING HOLDINGS INC   2018-05-22 2019-11-08
40000. US TREASURY NOTES 2.25% 11/15/2027 DTD 11/15/2017   2019-07-26 2019-11-21
55000. US TREASURY NOTE 2.250 11/15/2025 DTD 11/15/2015   2019-07-26 2019-11-21
100000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-06-21 2019-11-21
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 59,018   59,040 -22
b 2,285   1,935 350
c 21,705   13,907 7,798
d 1,338   1,041 297
e 43,497   37,080 6,417
30,171   62,208 -32,037
21,357   29,460 -8,103
7,242   9,988 -2,746
11,315   15,367 -4,052
1,388   1,843 -455
18,048   30,398 -12,350
19,914   20,420 -506
57,945   59,883 -1,938
14,678   14,966 -288
9,664   9,664  
24,989   25,008 -19
5,077   4,983 94
39,689   40,511 -822
14,757   15,283 -526
24,211   24,975 -764
65,069   66,030 -961
34,184   35,140 -956
14,301   13,859 442
39,267   39,267  
9,719   9,991 -272
69,992   71,286 -1,294
14,981   14,929 52
70,031   81,065 -11,034
233,896   255,002 -21,106
31,329   32,050 -721
1,323   1,371 -48
18,519   24,707 -6,188
690,358   707,669 -17,311
691,689   698,387 -6,698
192,728   190,594 2,134
9,636   9,503 133
192,728   197,851 -5,123
9,668   9,664 4
15,604   15,268 336
58,005   56,517 1,488
29,002   28,570 432
4,834   4,979 -145
90,814   87,771 3,043
127,618   127,618  
4,873   4,711 162
63,351   64,655 -1,304
105,090   106,412 -1,322
44,993   44,786 207
29,995   29,536 459
4,999   4,886 113
61,924   60,573 1,351
199,381   200,537 -1,156
275,915   276,686 -771
175,692   172,944 2,748
28,916   35,316 -6,400
790,738   880,371 -89,633
1,393   1,380 13
41,800   38,434 3,366
57,343   77,949 -20,606
52,752   16,413 36,339
5,652   6,011 -359
5,652   5,229 423
79,950   80,008 -58
124,921   125,006 -85
1,370   1,389 -19
1,370   1,298 72
36,977   29,812 7,165
38   41 -3
3,757   3,912 -155
1,503   1,240 263
22,916   16,356 6,560
3,199   3,165 34
12,507   9,964 2,543
2,618   2,828 -210
1,366   1,384 -18
1,024   730 294
23,903   27,661 -3,758
11,058   11,584 -526
11,058   10,998 60
4,348   4,764 -416
42,862   55,082 -12,220
19,919   5,862 14,057
2,482   2,125 357
2,731   2,095 636
29,789   22,261 7,528
14,022   10,314 3,708
13,072   14,127 -1,055
22,233   14,151 8,082
12,830   9,678 3,152
16,630   17,344 -714
45,712   29,748 15,964
60,143   59,183 960
59,302   60,075 -773
112,616   112,586 30
15,790   8,783 7,007
6,579   5,832 747
4,852   5,402 -550
32,748   34,264 -1,516
25,977   25,452 525
17,318   16,856 462
17   11 6
49   89 -40
912   579 333
663   328 335
10,863   4,783 6,080
1,477   1,442 35
13,290   9,790 3,500
1,477   1,267 210
64,653   19,344 45,309
272,194   272,641 -447
36,303   25,741 10,562
33,536   9,965 23,571
17,001   13,442 3,559
2,125   1,942 183
6,365   5,572 793
7,362   8,094 -732
14,724   1,364 13,360
1,764   1,414 350
15,880   4,597 11,283
5,293   4,142 1,151
42,886   34,672 8,214
14,340   4,087 10,253
12,508   12,261 247
21,337   18,968 2,369
62,156   60,609 1,547
2,814   2,171 643
2,814   2,113 701
42,212   29,852 12,360
46,434   44,101 2,333
42,720   40,720 2,000
89,087   88,617 470
25,466   25,423 43
40,256   40,335 -79
20,128   20,062 66
75,005   74,274 731
2,451   1,948 503
3,677   3,026 651
24,515   11,386 13,129
2,196   1,373 823
21,957   17,670 4,287
25,225   17,901 7,324
12,984   12,676 308
4,637   4,002 635
37,097   37,833 -736
37,604   10,551 27,053
47,016   14,068 32,948
41,984   43,214 -1,230
105,890   105,084 806
40,339   40,116 223
35,792   27,422 8,370
32,031   14,071 17,960
2,785   2,189 596
15,480   12,962 2,518
20,997   6,130 14,867
18,712   25,474 -6,762
1,444   1,617 -173
32,498   39,956 -7,458
60,401   60,043 358
30,200   29,930 270
57,685   41,763 15,922
2,622   1,830 792
39,520   26,165 13,355
32,989   33,468 -479
1,346   1,730 -384
32,153   23,599 8,554
3,312   2,425 887
41,403   14,576 26,827
30,729   30,424 305
18,819   17,598 1,221
37,637   41,649 -4,012
41,580   40,780 800
56,781   56,002 779
100,719   99,334 1,385
      237,199
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       -22
b       350
c       7,798
d       297
e       6,417
      -32,037
      -8,103
      -2,746
      -4,052
      -455
      -12,350
      -506
      -1,938
      -288
       
      -19
      94
      -822
      -526
      -764
      -961
      -956
      442
       
      -272
      -1,294
      52
      -11,034
      -21,106
      -721
      -48
      -6,188
      -17,311
      -6,698
      2,134
      133
      -5,123
      4
      336
      1,488
      432
      -145
      3,043
       
      162
      -1,304
      -1,322
      207
      459
      113
      1,351
      -1,156
      -771
      2,748
      -6,400
      -89,633
      13
      3,366
      -20,606
      36,339
      -359
      423
      -58
      -85
      -19
      72
      7,165
      -3
      -155
      263
      6,560
      34
      2,543
      -210
      -18
      294
      -3,758
      -526
      60
      -416
      -12,220
      14,057
      357
      636
      7,528
      3,708
      -1,055
      8,082
      3,152
      -714
      15,964
      960
      -773
      30
      7,007
      747
      -550
      -1,516
      525
      462
      6
      -40
      333
      335
      6,080
      35
      3,500
      210
      45,309
      -447
      10,562
      23,571
      3,559
      183
      793
      -732
      13,360
      350
      11,283
      1,151
      8,214
      10,253
      247
      2,369
      1,547
      643
      701
      12,360
      2,333
      2,000
      470
      43
      -79
      66
      731
      503
      651
      13,129
      823
      4,287
      7,324
      308
      635
      -736
      27,053
      32,948
      -1,230
      806
      223
      8,370
      17,960
      596
      2,518
      14,867
      -6,762
      -173
      -7,458
      358
      270
      15,922
      792
      13,355
      -479
      -384
      8,554
      887
      26,827
      305
      1,221
      -4,012
      800
      779
      1,385
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 450,015
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 ...................
Bracket 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?
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))
2017 676,345 13,426,466 0.050374
2016 607,472 13,473,475 0.045087
2015 691,882 13,142,273 0.052646
2014 689,220 13,872,630 0.049682
2013 538,992 13,933,128 0.038684
2
Total of line 1, column (d) .....................
2
0.236473
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
0.047295
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
13,037,621
5
Multiply line 4 by line 3......................
5
616,614
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
6,163
7
Add lines 5 and 6........................
7
622,777
8
Enter qualifying distributions from Part XII, line 4,.............
8
671,452
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 (2018)
Form 990-PF (2018)
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 Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
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 6,163
hereBulletand 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 6,163
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 6,163
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 6,588
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 6,588
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 425
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet425 RefundedBullet 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. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
    bulletNH
    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 2018 or the taxable year beginning in 2018? 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 (2018)
    Form 990-PF (2018)
    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 addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (877) 773-1229

    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet033020477
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    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 bullet  
    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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?...............
    (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.).......
    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
    ........bullet
    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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 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.
    bullet20, 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?......................
    b
    If "Yes," did it have excess business holdings in 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    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
     
     
    .........bullet
    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?..........
    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?.....................
    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?
    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? .................
    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
    TD Bank NA Co-Trustee
    1
    124,035    
    PO Box 477
    Concord,NH033020477
    Harold C Hansen Esq Co-Trustee
    1
    17,045    
    24070 Copperleaf Blvd The Brooks
    Bonita Springs,FL34135
    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...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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.............bullet0
    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.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    12,813,352
    b
    Average of monthly cash balances.......................
    1b
    422,811
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    13,236,163
    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
    13,236,163
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    198,542
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    13,037,621
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    651,881
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    651,881
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    6,163
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    6,163
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    645,718
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    645,718
    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
    645,718
    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
    671,452
    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
    671,452
    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
    6,163
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    665,289
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 645,718
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 0
    b From 2014...... 0
    c From 2015...... 0
    d From 2016...... 0
    e From 2017...... 9,101
    fTotal of lines 3a through e........ 9,101
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 671,452
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2018 distributable amount..... 645,718
    e Remaining amount distributed out of corpus 25,734
    5 Excess distributions carryover applied to 2018. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 34,835
    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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    34,835
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 0
    c Excess from 2016.... 0
    d Excess from 2017.... 9,101
    e Excess from 2018.... 25,734
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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.)
    1Information Regarding Foundation Managers:
    aList 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).)
    bList 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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    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)
    aPaid during the year
    ROMAN CATHOLIC BISHOP OF
    MANCHESTER - ST HEDWIG'S PARISH
    153 ASH STREET
    MANCHESTER,NH031050310
    NONE 501(C)(3) GENERAL OPERATIONS 167,863
    FELICIAN SISTERS OF THE THIRD
    ORDER OF ST FRANCIS INC
    SEAN BANNON DIRECTOR OF FINANCE
    BEAVER FALLS,PA150106815
    NONE 501(C)(3) GENERAL OPERATIONS 167,863
    ALBANY MEDICAL COLLEGE
    ATTN LAURA HAVENS-O'BRIEN
    43 NEW SCOTLAND AVE - MC119
    ALBANY,NY12208
    NONE 501(C)(3) GENERAL OPERATIONS 167,863
    HEALTHALLIANCE HOSPITAL
    MARY'S AVENUE CAMPUS
    741 GRANT AVENUE
    LAKE KATHERINE,NY12449
    NONE 501(C)(3) GENERAL OPERATIONS 167,863
    Total .................................bullet 3a 671,452
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 321,927  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot 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 ............
        18 450,015  
    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)..   771,942  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    771,942
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    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 (2018)
    Form 990-PF (2018)
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
    EIN:
    02-6046966
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 850 850    

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
    EIN:
    02-6046966
    Name of Bond End of Year Book Value End of Year Fair Market Value
    60000 APPLE INC 3.45% 61,245 63,713
    30000 BB&T CORP 2.75% 29,819 30,479
    60000 BANK OF AMERICA 3.248% 57,632 62,555
    60000 BANK OF AMERICA 3.004% 59,237 61,279
    60000 BANK OF MONTREAL 2.55% 58,943 60,940
    60000 BANK OF NOVA SCOTIA 2.8% 59,818 60,877
    100000 BERKSHIRE HATHAWAY 2.75 99,981 102,694
    30000 BP CAP MKTS AMER 4.234% 31,602 33,792
    60000 BRISTOOL-MYERS SQUIBB 3. 62,671 64,384
    45000 CANADIAN IMP BK 2.55% 44,521 45,660
    75000 COMCAST CORP 2.85% 74,712 76,930
    60000 EXXON MOBIL 2.222% 59,472 60,301
    45000 GENERAL DYNAMICS 3% 45,127 45,733
    30000 JP MORGAN CHASE 3.25% 30,202 30,993
    70000 JPMORGAN CHASE & CO 3.2% 68,213 73,061
    30000 MANULIFE FINANCIAL 4.15% 31,045 33,215
    45000 MICROSOFT CORP 2.4% 42,927 45,797
    160000 ONTARIO PROVINCE 2.2% 156,800 161,747
    100000 PROVOINCE OF QUEBEC 2.7 100,148 101,627
    30000 ROYAL BANK OF CANADA 2.7 29,918 30,538
    45000 SHELL INTL FIN 2.5% 42,760 45,527
    30000 STATE STREET CORP 3.55% 30,673 32,184
    45000 TOTAL CAP INTL SA 3.455% 47,880 48,778
    75000 TOYOTA MOTOR CO 2.6% 74,531 76,078
    30000 US BANCORP 3.15% 29,696 31,614
    45000 WELLS FARGO 3% 43,072 46,264
    30000 WELLS FARGO 4.15% 32,818 33,411
    30000 WESTPAC BKG CORP 2.85% 28,693 30,710
    42363.014 FIDELITY HIGH INCOME 366,016 374,489
    50311.045 VANGUARD SHORT-TERM 541,981 539,838

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
    EIN:
    02-6046966
    Name of Stock End of Year Book Value End of Year Fair Market Value
    660 CARMAX INC 44,094 64,192
    520 DOLLAR GENERAL CORP 37,228 81,827
    350 HOME DEPOT INC 37,465 77,179
    170 INTL FLAVORS & FRAGRANCES 22,130 24,009
    990 LIBERTY SIRIUSXM GROUP 46,696 48,213
    2800 MGM RESORTS INTERNATIOINA 85,488 89,460
    1520 TJX COMPANIES INC 49,106 92,918
    1650 COCA COLA CO 71,765 88,110
    170 COSTCO WHSL CORP NEW 33,812 50,968
    540 POST HLDGS INC 57,431 57,024
    1570 OCCIDENTAL PETROLEUM CO 121,549 60,555
    310 WILLIS TOWERS WATSON 41,045 60,896
    1640 AMERICAN INTL GROUP INC C 79,713 86,362
    4330 AXA EQUITABLE HOLDINGS IN 90,126 107,124
    4040 BANK AMER CORP 96,293 134,613
    2150 BANK OZK 93,785 63,812
    1990 CITIZENS FINANCIAL GROUP 57,515 76,535
    1560 DISCOVERY COMMUNICATIONS- 44,895 47,611
    330 JONES LANG LASALLE INC COM 47,646 54,889
    2750 KKR & CO INC - A 70,406 81,098
    1990 METLIFE INC 93,555 99,321
    2150 MORGAN STANLEY 92,002 106,382
    1670 SCHWAB CHARLES CORP NEW 71,811 82,665
    1230 VENTAS INC COM REIT 75,893 71,721
    360 VISA INC - CL A 18,390 66,424
    950 WEATERN ALLIANCE BANCORP 47,262 49,552
    1070 AGILENT TECHNOLOGIES INC 80,260 86,424
    1730 BOSTON SCIENTIFIC 57,179 74,823
    2060 CENTENE CORP 102,990 124,568
    440 CHARLES RIV LABS INTL INC 58,884 63,910
    2710 PFIZER 101,697 104,389
    470 UNITEDHEALTH GROUP INC 10,682 131,539
    700 INGERSOLL-RAND PLC SHS 39,388 91,777
    720 AMETEK AEROSPACE PRODUCTS 55,957 71,287
    340 BOEING CO 50,325 124,501
    640 DANAHER CORP SHS BEN INT 36,655 93,427
    320 HUNTINGTON INGALLS INDS IN 67,479 80,534
    830 JACOBS ENGR GROUP INC DEL 52,808 76,435
    330 MIDDLEBY CORP 45,520 38,201
    10 NVR INC 24,279 37,919
    360 NORFOLK SOUTHERN CORP 34,403 69,660
    550 UNITED TECHNOLOGIES 70,431 81,587
    220 UNIVERSAL DISPLAY CORP COM 26,925 42,728
    830 XPO LOGISTICS INC 69,502 68,633
    1650 APPLIED MATERIALS 28,564 95,535
    290 ARISTA NETWORKS INC 71,891 56,588
    330 BROADCOM INC 80,966 104,349
    210 CHARTER COMMUNICATIONS 89,983 98,702
    2295 MICROSOFT CORPORATION 69,171 347,417
    1310 MICRON TECHNOLOGY INC COM 52,442 62,238
    370 LINDE PLC 62,446 76,298
    760 DUPONT DE NEMOURS INC 66,329 49,256
    140 ALPHABET INC CL-C 95,545 182,694
    550 ELECTRONIC ARTS COM 50,160 55,556
    890 FACEBOOK INC-A 163,007 179,460
    1090 WEC ENERGY GROUP INC 47,051 96,629
    19081.512 INVESCO INTL GROWTH- 504,698 661,747
    20254.773 OAKMARK INTERNATIONA 514,606 497,052
    7490 ISHARES CORE MSCI EMERGIN 385,732 383,263
    14263.574 NEUBERGER BERMAN EQU 789,204 871,076

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
    EIN:
    02-6046966
    US Government Securities - End of Year Book Value:

    3,642,078
    US Government Securities - End of Year Fair Market Value:

    3,731,323
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2018 LegalFeesSchedule
    Name:
    ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
    EIN:
    02-6046966
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NON-ALLOCABLE LEGAL FEES 1,380 1,380    


    TY 2018 OtherExpensesSchedule
    Name:
    ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
    EIN:
    02-6046966
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 3,702 3,702   0
    OTHER NON-ALLOCABLE EXPENSE - 3,702 3,702   0


    TY 2018 OtherIncreasesSchedule
    Name:
    ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
    EIN:
    02-6046966
    Description Amount
    NONDIVIDEND DISTRIBUTION 482
    ROUNDING ADJUSTMENT 15


    TY 2018 TaxesSchedule
    Name:
    ADELE GIFFORD RESIDUARY TRUST XXX-XX-XXXX
    EIN:
    02-6046966
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 601 601   0
    FEDERAL ESTIMATES - PRINCIPAL 5,855 0   0
    FOREIGN TAXES ON QUALIFIED FOR 4,185 4,185   0
    FOREIGN TAXES ON NONQUALIFIED 174 174   0