-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
KATHRYN WILLIS CHARITABLE TRUST XXX-XX-XXXX
Number and street (or P.O. box number if mail is not delivered to street address)
P O BOX 207
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
EVANSVILLE
,
IN
477020207
A Employer identification number
45-6226360
B
Telephone number (see instructions)
(812) 464-1584
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)
$
1,712,788
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
...
27,039
27,039
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
109,400
b
Gross sales price for all assets on line 6a
472,051
7
Capital gain net income (from Part IV, line 2)
...
109,400
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
........
136,439
136,439
13
Compensation of officers, directors, trustees, etc.
18,674
3,711
14,964
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)
.......
1,000
0
0
1,000
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
2,617
370
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)
.......
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
22,291
4,081
0
15,964
25
Contributions, gifts, grants paid
.......
59,180
59,180
26
Total expenses and disbursements.
Add lines 24 and 25
81,471
4,081
0
75,144
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
54,968
b
Net investment income
(if negative, enter -0-)
132,358
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
.........
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)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
1,380,148
1,435,107
1,712,788
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)
1,380,148
1,435,107
1,712,788
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
........
1,380,148
1,435,107
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)
.....
1,380,148
1,435,107
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,380,148
1,435,107
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
1,380,148
2
Enter amount from Part I, line 27a
.....................
2
54,968
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
1,435,116
5
Decreases not included in line 2 (itemize)
5
9
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,435,107
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
163.673 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-01-24
b
160.18 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-01-24
c
162.176 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-01-24
d
159.681 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-01-24
e
160.679 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-01-24
186.712 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-01-24
184.287 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-01-24
185.257 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-01-24
189.137 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-01-24
185.742 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-01-24
160.343 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2012-04-23
2019-01-24
159.44 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2013-03-06
2019-01-24
160.343 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2013-03-06
2019-01-24
163.505 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2013-03-06
2019-01-24
161.698 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2013-03-06
2019-01-24
2.724 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-05-23
2.724 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-05-23
2.822 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-05-23
2.724 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-05-23
2.822 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-05-23
5.734 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-05-23
5.583 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-05-23
5.621 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-05-23
5.545 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-05-23
5.696 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-05-23
34.38 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-05-23
34.38 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-05-23
36.107 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-05-23
34.694 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-05-23
35.165 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-05-23
4.96 OPPENHEIMER INTL GROWTH CL I FD #1961
2018-01-29
2019-05-23
4.96 OPPENHEIMER INTL GROWTH CL I FD #1961
2018-01-29
2019-05-23
4.96 OPPENHEIMER INTL GROWTH CL I FD #1961
2018-01-29
2019-05-23
4.96 OPPENHEIMER INTL GROWTH CL I FD #1961
2018-01-29
2019-05-23
5.221 OPPENHEIMER INTL GROWTH CL I FD #1961
2018-01-29
2019-05-23
5.282 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2018-01-29
2019-05-23
5.282 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2018-01-29
2019-05-23
5.486 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2018-01-29
2019-05-23
5.282 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2018-01-29
2019-05-23
5.892 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2018-01-29
2019-05-23
22.007 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-05-23
22.502 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-05-23
21.917 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-05-23
22.772 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-05-23
22.052 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-05-23
714.833 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-05-23
711.962 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-05-23
724.88 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-05-23
717.225 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-05-23
730.144 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-05-23
12.42 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2018-01-29
2019-05-23
12.42 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2018-01-29
2019-05-23
12.687 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2018-01-29
2019-05-23
13.088 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2018-01-29
2019-05-23
12.42 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2018-01-29
2019-05-23
42.272 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2018-01-29
2019-06-11
43.115 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2018-01-29
2019-06-11
42.515 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2018-01-29
2019-06-11
42.764 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2018-01-29
2019-06-11
42.39 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2018-01-29
2019-06-11
1.066 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-06-11
1.151 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-06-11
1.21 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-06-11
1.139 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-06-11
1.169 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-06-11
24.203 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-06-11
25.138 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-06-11
24.661 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-06-11
24.904 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-06-11
24.875 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-06-11
41.611 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-06-11
40.838 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-06-11
41.206 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-06-11
41.001 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-06-11
40.982 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-06-11
.834 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-06-11
.957 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-06-11
.87 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-06-11
1.028 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-06-11
1.016 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-06-11
69.281 OAKMARK INTL INSTL FD #2886
2018-01-29
2019-06-11
68.707 OAKMARK INTL INSTL FD #2886
2018-01-29
2019-06-11
69.091 OAKMARK INTL INSTL FD #2886
2018-01-29
2019-06-11
68.81 OAKMARK INTL INSTL FD #2886
2018-01-29
2019-06-11
70. OAKMARK INTL INSTL FD #2886
2018-01-29
2019-06-11
2.813 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-06-11
2.825 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-06-11
2.83 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-06-11
2.824 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-06-11
2.794 JANUS HENDERSON ENTERPRISE CL I FD #102
2016-04-21
2019-06-11
26.157 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-06-11
26.387 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-06-11
26.307 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-06-11
26.569 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-06-11
26.555 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-06-11
94.275 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-06-11
94.489 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-06-11
94.508 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-06-11
94.313 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-06-11
94.383 PIMCO MODERATE DURATION INSTL FUND #120
2012-04-23
2019-06-11
10.088 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-06-11
9.855 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-06-11
10.18 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-06-11
10.155 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-06-11
10.266 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-06-11
9.393 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-06-11
9.318 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-06-11
9.248 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-06-11
9.137 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-06-11
9.354 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-06-11
81.948 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-06-11
81.955 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-06-11
82.02 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-06-11
81.865 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-06-11
81.72 VANGUARD SHORT TERM BOND INDEX ADM FD #5132
2011-04-27
2019-06-11
137.7 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2017-06-06
2019-06-11
137.891 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2017-06-06
2019-06-11
137.498 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2017-06-06
2019-06-11
137.8 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2017-06-06
2019-06-11
137.725 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2017-06-06
2019-06-11
2.662 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-06-11
2.699 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-06-11
2.762 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-06-11
2.773 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-06-11
.921 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-06-11
1.791 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-06-11
12.23 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-06-11
12.23 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-06-11
12.057 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-06-11
12.198 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-06-11
12.149 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-06-11
6.775 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-09-18
6.775 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-09-18
6.775 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-09-18
6.87 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-09-18
6.966 CARILLON EAGLE SMALL CAP GROWTH CL I FD #3933
2018-01-29
2019-09-18
150.158 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-09-18
149.028 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-09-18
149.706 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-09-18
153.098 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-09-18
149.706 DELAWARE VALUE INSTL FD #459
2018-09-10
2019-09-18
45.315 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-09-18
46.339 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-09-18
45.315 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-09-18
45.571 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-09-18
45.059 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2018-01-29
2019-09-18
160.457 JPMORGAN US SMALL COMPANY CL L FD #1384
2018-01-29
2019-09-18
161.358 JPMORGAN US SMALL COMPANY CL L FD #1384
2018-01-29
2019-09-18
163.462 JPMORGAN US SMALL COMPANY CL L FD #1384
2018-01-29
2019-09-18
160.156 JPMORGAN US SMALL COMPANY CL L FD #1384
2018-01-29
2019-09-18
159.255 JPMORGAN US SMALL COMPANY CL L FD #1384
2018-01-29
2019-09-18
141.022 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-09-18
140.424 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-09-18
144.159 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-09-18
141.321 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-09-18
141.47 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-09-18
77.145 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-09-18
79.261 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-09-18
77.722 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-09-18
77.722 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-09-18
77.53 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-09-18
159.04 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-09-18
156.095 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-09-18
156.736 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-09-18
154.9 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-09-18
155.583 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-09-18
872.881 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2016-02-02
2019-09-18
889.407 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2016-02-02
2019-09-18
869.915 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2016-02-02
2019-09-18
866.102 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2016-02-02
2019-09-18
875.847 VANGUARD INTERMEDIATE TERM BOND INDEX ADM FD #5314
2016-02-02
2019-09-18
.995 VANGUARD VALUE INDEX ADM FD #506
2019-01-24
2019-09-18
1.119 VANGUARD VALUE INDEX ADM FD #506
2019-01-24
2019-09-18
.995 VANGUARD VALUE INDEX ADM FD #506
2019-01-24
2019-09-18
133.995 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-09-18
.995 VANGUARD VALUE INDEX ADM FD #506
2019-01-24
2019-09-18
135.002 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-09-18
.995 VANGUARD VALUE INDEX ADM FD #506
2019-01-24
2019-09-18
137.597 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-09-18
135.886 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-09-18
134.441 VANGUARD VALUE INDEX ADM FD #506
2018-01-29
2019-09-18
48.532 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-09-18
48.407 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-09-18
48.158 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-09-18
48.407 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-09-18
49.527 VICTORY SYCAMORE ESTABLISHED VALUE CL I FD #203
2016-04-21
2019-09-18
9.046 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2017-06-06
2019-11-20
9.398 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2017-06-06
2019-11-20
9.281 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2017-06-06
2019-11-20
9.164 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2017-06-06
2019-11-20
9.046 INVESCO OPPENHEIMER INTL GROWTH CL R6 FD #7063
2017-06-06
2019-11-20
7.02 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-11-20
7.02 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-11-20
7.02 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-11-20
7.02 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-11-20
7.152 DRIEHAUS EMERGING MKTS GROWTH INSTL FD #23
2018-01-29
2019-11-20
173.287 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2016-08-09
2019-11-20
170.673 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2016-08-09
2019-11-20
83.756 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2019-05-23
2019-11-20
171.851 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2016-08-09
2019-11-20
84.824 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2019-05-23
2019-11-20
86.148 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2019-05-23
2019-11-20
174.992 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2016-08-09
2019-11-20
171.149 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2016-08-09
2019-11-20
84.288 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2019-05-23
2019-11-20
84.554 FEDERATED CLOVER SMALL VALUE CL IS FD #659
2019-05-23
2019-11-20
19.051 OAKMARK INTL INSTL FD #2886
2017-06-06
2019-11-20
18.849 OAKMARK INTL INSTL FD #2886
2017-06-06
2019-11-20
19.051 OAKMARK INTL INSTL FD #2886
2017-06-06
2019-11-20
19.051 OAKMARK INTL INSTL FD #2886
2017-06-06
2019-11-20
19.457 OAKMARK INTL INSTL FD #2886
2017-06-06
2019-11-20
.292 JPMORGAN US SMALL COMPANY CL L FD #1384
2016-12-20
2019-11-20
.292 JPMORGAN US SMALL COMPANY CL L FD #1384
2016-12-20
2019-11-20
.292 JPMORGAN US SMALL COMPANY CL L FD #1384
2016-12-20
2019-11-20
13.596 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-11-20
13.74 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-11-20
13.451 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-11-20
13.306 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-11-20
13.306 CLEARBRIDGE LARGE CAP VALUE CL I FD #3
2012-11-30
2019-11-20
19.196 PIONEER FUNDAMENTAL GROWTH CL Y FD #740
2019-09-18
2019-11-20
18.83 PIONEER FUNDAMENTAL GROWTH CL Y FD #740
2019-09-18
2019-11-20
18.647 PIONEER FUNDAMENTAL GROWTH CL Y FD #740
2019-09-18
2019-11-20
18.647 PIONEER FUNDAMENTAL GROWTH CL Y FD #740
2019-09-18
2019-11-20
18.464 PIONEER FUNDAMENTAL GROWTH CL Y FD #740
2019-09-18
2019-11-20
6.682 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-11-20
6.682 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-11-20
6.496 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-11-20
6.496 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-11-20
6.496 BOSTON PARTNERS ALL-CAP VALUE INSTL FD #7007
2014-01-27
2019-11-20
.666 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-11-20
.708 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-11-20
.666 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-11-20
.666 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-11-20
.666 ROWE T PRICE BLUE CHIP GROWTH
2012-08-09
2019-11-20
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
1,640
1,771
-131
b
1,605
1,733
-128
c
1,625
1,755
-130
d
1,600
1,728
-128
e
1,610
1,739
-129
1,925
1,972
-47
1,900
1,946
-46
1,910
1,956
-46
1,950
1,997
-47
1,915
1,961
-46
1,775
1,903
-128
1,765
1,893
-128
1,775
1,903
-128
1,810
1,941
-131
1,790
1,919
-129
140
181
-41
140
181
-41
145
187
-42
140
181
-41
145
187
-42
755
515
240
735
501
234
740
505
235
730
498
232
750
511
239
1,095
691
404
1,095
691
404
1,150
725
425
1,105
697
408
1,120
706
414
190
229
-39
190
229
-39
190
229
-39
190
229
-39
200
241
-41
130
126
4
130
124
6
135
130
5
130
126
4
145
147
-2
2,445
974
1,471
2,500
996
1,504
2,435
970
1,465
2,530
1,008
1,522
2,450
976
1,474
7,470
7,549
-79
7,440
7,518
-78
7,575
7,655
-80
7,495
7,574
-79
7,630
7,710
-80
465
475
-10
465
475
-10
475
485
-10
490
508
-18
465
475
-10
1,687
1,925
-238
1,720
1,965
-245
1,696
1,936
-240
1,706
1,950
-244
1,691
1,931
-240
56
71
-15
60
76
-16
63
80
-17
59
76
-17
61
78
-17
512
553
-41
532
575
-43
522
564
-42
527
569
-42
527
569
-42
1,483
1,779
-296
1,456
1,746
-290
1,469
1,762
-293
1,462
1,753
-291
1,461
1,752
-291
16
22
-6
18
25
-7
17
23
-6
20
27
-7
20
27
-7
1,553
2,056
-503
1,540
2,033
-493
1,548
2,045
-497
1,542
2,037
-495
1,569
2,073
-504
384
253
131
385
254
131
386
254
132
385
254
131
381
251
130
851
525
326
858
530
328
856
529
327
864
534
330
864
533
331
969
1,020
-51
971
1,022
-51
972
1,023
-51
970
1,020
-50
970
1,021
-51
254
204
50
248
199
49
256
206
50
255
205
50
258
207
51
1,066
416
650
1,058
412
646
1,050
409
641
1,037
404
633
1,062
414
648
860
865
-5
861
865
-4
861
866
-5
860
864
-4
858
863
-5
1,592
1,600
-8
1,594
1,606
-12
1,589
1,596
-7
1,593
1,615
-22
1,592
1,603
-11
114
117
-3
115
119
-4
118
121
-3
118
122
-4
39
40
-1
76
79
-3
471
392
79
471
392
79
464
387
77
470
391
79
468
390
78
355
382
-27
355
384
-29
355
383
-28
360
389
-29
365
394
-29
3,320
3,433
-113
3,295
3,407
-112
3,310
3,422
-112
3,385
3,500
-115
3,310
3,422
-112
885
1,187
-302
905
1,214
-309
885
1,186
-301
890
1,195
-305
880
1,180
-300
2,670
3,015
-345
2,685
3,033
-348
2,720
3,072
-352
2,665
3,009
-344
2,650
2,993
-343
4,720
2,833
1,887
4,700
2,821
1,879
4,825
2,896
1,929
4,730
2,839
1,891
4,735
2,842
1,893
2,005
1,559
446
2,060
1,602
458
2,020
1,571
449
2,020
1,571
449
2,015
1,567
448
18,630
7,039
11,591
18,285
6,909
11,376
18,360
6,937
11,423
18,145
6,856
11,289
18,225
6,886
11,339
10,300
9,891
409
10,495
10,084
411
10,265
9,864
401
10,220
9,813
407
10,335
9,927
408
44
40
4
49
45
4
44
40
4
5,865
5,890
-25
44
40
4
5,909
5,934
-25
44
40
4
6,023
6,048
-25
5,948
5,973
-25
5,884
5,910
-26
1,950
1,556
394
1,945
1,552
393
1,935
1,544
391
1,945
1,552
393
1,990
1,588
402
385
371
14
400
385
15
395
380
15
390
375
15
385
371
14
265
300
-35
265
300
-35
265
300
-35
265
300
-35
270
306
-36
3,466
3,747
-281
3,413
3,691
-278
1,675
1,575
100
3,437
3,716
-279
1,696
1,595
101
1,723
1,620
103
3,500
3,784
-284
3,423
3,700
-277
1,686
1,585
101
1,691
1,590
101
470
502
-32
465
497
-32
470
502
-32
470
502
-32
480
513
-33
5
5
5
5
5
5
470
273
197
475
276
199
465
270
195
460
267
193
460
267
193
525
508
17
515
499
16
510
494
16
510
494
16
505
489
16
180
135
45
180
135
45
175
131
44
175
131
44
175
131
44
80
29
51
85
31
54
80
29
51
80
29
51
80
29
51
31,696
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
-131
b
-128
c
-130
d
-128
e
-129
-47
-46
-46
-47
-46
-128
-128
-128
-131
-129
-41
-41
-42
-41
-42
240
234
235
232
239
404
404
425
408
414
-39
-39
-39
-39
-41
4
6
5
4
-2
1,471
1,504
1,465
1,522
1,474
-79
-78
-80
-79
-80
-10
-10
-10
-18
-10
-238
-245
-240
-244
-240
-15
-16
-17
-17
-17
-41
-43
-42
-42
-42
-296
-290
-293
-291
-291
-6
-7
-6
-7
-7
-503
-493
-497
-495
-504
131
131
132
131
130
326
328
327
330
331
-51
-51
-51
-50
-51
50
49
50
50
51
650
646
641
633
648
-5
-4
-5
-4
-5
-8
-12
-7
-22
-11
-3
-4
-3
-4
-1
-3
79
79
77
79
78
-27
-29
-28
-29
-29
-113
-112
-112
-115
-112
-302
-309
-301
-305
-300
-345
-348
-352
-344
-343
1,887
1,879
1,929
1,891
1,893
446
458
449
449
448
11,591
11,376
11,423
11,289
11,339
409
411
401
407
408
4
4
4
-25
4
-25
4
-25
-25
-26
394
393
391
393
402
14
15
15
15
14
-35
-35
-35
-35
-36
-281
-278
100
-279
101
103
-284
-277
101
101
-32
-32
-32
-32
-33
197
199
195
193
193
17
16
16
16
16
45
45
44
44
44
51
54
51
51
51
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
109,400
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
82,683
1,607,391
0.051439
2017
79,662
1,583,323
0.050313
2016
77,204
1,456,816
0.052995
2015
57,629
1,485,201
0.038802
2014
79,032
1,467,026
0.053872
2
Total
of line 1, column (d)
.....................
2
0.247421
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
0.049484
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,611,111
5
Multiply line 4 by line 3
......................
5
79,724
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,324
7
Add lines 5 and 6
........................
7
81,048
8
Enter qualifying distributions from Part XII, line 4
,.............
8
75,144
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
2,647
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
2,647
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
2,647
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,900
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
1,900
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
30
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
777
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)
IN
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
NA
14
The books are in care of
OLD NATIONAL WEALTH MANAGMENT
Telephone no.
(812) 464-1584
Located at
PO BOX 207
EVANSVILLE
IN
ZIP+4
47702
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
OLD NATIONAL WEALTH MANAGEMENT
TRUSTEE
1
18,674
PO BOX 207
EVANSVILLE
,
IN
47702
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
1,635,646
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,635,646
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
1,635,646
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
24,535
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,611,111
6
Minimum investment return.
Enter 5% of line 5
..................
6
80,556
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
80,556
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
2,647
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
2,647
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
77,909
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
77,909
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
77,909
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
75,144
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
75,144
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
75,144
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
77,909
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
8,071
b
From 2015
......
0
c
From 2016
......
4,817
d
From 2017
......
1,986
e
From 2018
......
5,991
f
Total
of lines 3a through e
........
20,865
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
75,144
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
75,144
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
2,765
2,765
(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
18,100
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
5,306
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
12,794
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
4,817
c
Excess from 2017
....
1,986
d
Excess from 2018
....
5,991
e
Excess from 2019
....
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
POSEY COUNTY THRIFT SHOP INC
1105 MAIN ST
MT VERNON
,
IN
47620
NONE
PC
PROGRAM SUPPORT
11,836
POSEY HUMANE SOCIETY INC
6500 LEONARD RD N
MT VERNON
,
IN
47620
NONE
PC
PROGRAM SUPPORT
11,836
TRINITY UNITED CHURCH OF CHRIST
505 MULBERRY ST
MOUNT VERNON
,
IN
47620
NONE
PC
PROGRAM SUPPORT
11,836
POSEY COUNTY COUNCIL ON AGING
C/O KAY GILES
611 W 8TH ST
MT VERNON
,
IN
47620
NONE
PC
PROGRAM SUPPORT
11,836
ALZHEIMER'S ASSOCIATION
225 N MICHIGAN AVE 17TH FL
CHICAGO
,
IL
60601
NONE
PC
PROGRAM SUPPORT
11,836
Total
.................................
3a
59,180
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
27,039
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
109,400
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)
..
136,439
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
136,439
(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