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TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
WILLIAM RANDOLPH WHIMPLE TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 0634
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE
,
WI
532010634
A Employer identification number
43-6069388
B
Telephone number (see instructions)
(314) 418-2643
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)
$
1,189,645
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
...
28,372
28,260
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
79,371
b
Gross sales price for all assets on line 6a
895,836
7
Capital gain net income (from Part IV, line 2)
...
79,371
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
........
107,743
107,631
13
Compensation of officers, directors, trustees, etc.
18,440
16,596
1,844
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)
.......
1,250
0
0
1,250
c
Other professional fees (attach schedule)
....
654
589
65
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
3,972
651
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)
.......
208
208
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
24,524
18,044
0
3,159
25
Contributions, gifts, grants paid
.......
53,227
53,227
26
Total expenses and disbursements.
Add lines 24 and 25
77,751
18,044
0
56,386
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
29,992
b
Net investment income
(if negative, enter -0-)
89,587
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
.........
44,420
13,140
13,140
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)
.......
575,805
680,669
783,787
c
Investments—corporate bonds (attach schedule)
.......
424,636
380,847
392,618
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
72
100
100
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
1,044,933
1,074,756
1,189,645
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
........
1,044,933
1,074,756
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)
.....
1,044,933
1,074,756
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,044,933
1,074,756
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
1,044,933
2
Enter amount from Part I, line 27a
.....................
2
29,992
3
Other increases not included in line 2 (itemize)
3
15
4
Add lines 1, 2, and 3
..........................
4
1,074,940
5
Decreases not included in line 2 (itemize)
5
184
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,074,756
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
25000. WELLS FARGO BANK C D 1.750% 2/18/20
2017-02-07
2019-02-07
b
50. BANK OF AMERICA CORP
2017-02-03
2019-02-11
c
25. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2017-02-03
2019-02-11
d
60. DOLLAR TREE INC
2018-10-11
2019-02-11
e
20. FACEBOOK INC A
2018-07-10
2019-02-11
35. FORTIVE CORP WI
2015-07-22
2019-02-11
40. FRESENIUS MED AKTIENGESELLSCHAFT ADR
2018-07-10
2019-02-11
25. GILEAD SCIENCES INC COM
2015-07-22
2019-02-11
70. MARATHON PETROLEUM CORP
2017-02-03
2019-02-11
25. MASTERCARD INC
2014-03-18
2019-02-11
65. NETAPP INC
2018-07-10
2019-02-11
20. POST HOLDINGS INC
2015-07-22
2019-02-11
90. CANON INC ADR REPSTG 5 SHS
2015-07-22
2019-03-15
5. FACEBOOK INC A
2018-07-10
2019-03-15
5. FACEBOOK INC A
2018-10-11
2019-03-15
65. FRESENIUS MED AKTIENGESELLSCHAFT ADR
2018-07-10
2019-03-15
30. GILEAD SCIENCES INC COM
2019-03-15
1040. LLOYDS BANKING GROUP P L C A D R
2018-07-10
2019-03-15
45. SONY CORP AMERN SH NEW
2018-07-10
2019-03-15
230. ABB LTD A D R
2018-07-10
2019-04-16
16. ANTHEM INC
2015-07-22
2019-04-16
15. APPLE COMPUTER INC COM
2011-08-05
2019-04-16
310. BANK OF AMERICA CORP
2017-02-03
2019-04-16
25. BAXTER INTL INC COM W/RIGHTS ATTACHED EXP 3/23/2009
2017-02-03
2019-04-16
30. B H P BILLITON LIMITED A D R
2018-10-11
2019-04-16
125. BOSTON SCIENTIFIC CORP
2017-02-03
2019-04-16
15. CNOOC LTD A D R
2018-07-10
2019-04-16
165. CANON INC ADR REPSTG 5 SHS
2018-10-11
2019-04-16
70. CANON INC ADR REPSTG 5 SHS
2015-07-22
2019-04-16
130. CISCO SYS INC
2018-07-10
2019-04-16
150. CITIGROUP INC
2011-08-29
2019-04-16
40. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2017-02-03
2019-04-16
30. CUMMINS INC.
2018-07-10
2019-04-16
14. DXC TECHNOLOGY CO
2015-07-22
2019-04-16
25. DXC TECHNOLOGY CO
2018-07-10
2019-04-16
65. DELTA AIR LINES INC
2015-07-22
2019-04-16
110. EQT CORPORATION
2018-10-11
2019-04-16
110. EBAY INC
2017-02-03
2019-04-16
88. EQUITRANS MIDSTREAM CORP
2018-10-11
2019-04-16
10. FACEBOOK INC A
2018-10-11
2019-04-16
95. FIRST DATA CORP CLASS A
2018-07-10
2019-04-16
5. FORTIVE CORP WI
2015-07-22
2019-04-16
25. FORTIVE CORP WI
2018-07-10
2019-04-16
35. GILEAD SCIENCES INC COM
2017-02-03
2019-04-16
65. HD SUPPLY HOLDINGS INC
2018-07-10
2019-04-16
215. HP INC
2018-07-10
2019-04-16
35. JP MORGAN CHASE & CO COM
2011-12-20
2019-04-16
125. KEYCORP NEW COM
2019-02-11
2019-04-16
450. LLOYDS BANKING GROUP P L C A D R
2018-07-10
2019-04-16
210. MARATHON OIL CORP COM
2017-02-03
2019-04-16
35. MARATHON PETROLEUM CORP
2017-02-03
2019-04-16
70. MARATHON PETROLEUM CORP
2018-07-10
2019-04-16
80. MASCO CORP COM W/RIGHTS ATTACHED EXP 12/06/2005
2017-02-03
2019-04-16
12. MASTERCARD INC
2018-10-11
2019-04-16
25. MCKESSON HBOC INC
2018-07-10
2019-04-16
55. MERCK AND CO INC
2014-03-18
2019-04-16
20. MICROSOFT CORP COM
2015-07-22
2019-04-16
25. ORIX CORP SPONS A D R
2018-07-10
2019-04-16
40. PFIZER INC
2009-01-26
2019-04-16
5. POST HOLDINGS INC
2018-07-10
2019-04-16
40. POST HOLDINGS INC
2015-07-22
2019-04-16
55. SONY CORP AMERN SH NEW
2018-07-10
2019-04-16
55. SOUTHWEST AIRLINES CO COM
2018-07-10
2019-04-16
25. V F CORP COM W/RTS ATTACHED EXP 01/25/2008
2018-07-10
2019-04-16
95. MARVELL TECHNOLOGY GROUP LTD ORD
2017-02-03
2019-04-16
50. TE CONNECTIVITY LTD
2017-02-03
2019-04-16
190. ISHARES S P 500 E T F
2019-04-16
2019-05-24
420. ISHARES S&P SMALL CAP 600 INDEX FD
2019-04-16
2019-05-24
940. ISHARES CORE MSCI EMERGING MKTS ETF
2019-04-16
2019-05-24
20. ALLSTATE CORP
2018-07-10
2019-05-28
6. ANTHEM INC
2015-07-22
2019-05-28
35. BAXTER INTL INC COM W/RIGHTS ATTACHED EXP 3/23/2009
2017-02-03
2019-05-28
15. BERKSHIRE HATHAWAY INC CL B
2018-10-11
2019-05-28
45. BERKSHIRE HATHAWAY INC CL B
2015-07-22
2019-05-28
25. B H P BILLITON LIMITED A D R
2018-10-11
2019-05-28
90. BRISTOL MEYER SQUIBB
2018-07-10
2019-05-28
50. CVS CORP COM
2015-07-22
2019-05-28
25. CHEVRONTEXACO CORP COM
2018-07-10
2019-05-28
45. CHEVRONTEXACO CORP COM
2017-02-03
2019-05-28
125. COMCAST CORP CL A
2015-07-22
2019-05-28
100. CONOCOPHILLIPS COM
2018-07-10
2019-05-28
35. DXC TECHNOLOGY CO
2018-07-10
2019-05-28
15. DANAHER CORP COM
2015-07-22
2019-05-28
45. DOWDUPONT INC
2019-02-11
2019-05-28
30. NOVARTIS AG SPONSORED ADR
2019-02-11
2019-05-28
60. NOVARTIS AG SPONSORED ADR
2015-07-22
2019-05-28
40. NUTRIEN LTD
2019-03-15
2019-05-28
110. PFIZER INC
2009-01-26
2019-05-28
20. POST HOLDINGS INC
2018-07-10
2019-05-28
75. ROYAL DUTCH SHELL PLC A D R
2018-07-10
2019-05-28
55. TARGET CORP
2018-07-10
2019-05-28
95. VERIZON COMMUNICATIONS
2018-10-11
2019-05-28
180. WELLS FARGO & CO NEW
2019-05-28
8. EVEREST RE GROUP LTD
2018-07-10
2019-05-28
65. MARVELL TECHNOLOGY GROUP LTD ORD
2017-02-03
2019-05-28
90. NVENT ELECTRIC PLC
2017-02-03
2019-05-28
25000. MICROSOFT CORP 4.200% 6/01/19
2010-03-11
2019-06-01
.7143 KONTOOR BRANDS INC W I
2018-07-10
2019-06-05
15. ADIDAS AG A D R
2018-07-10
2019-06-17
500. AEGON N V NY REG SHR
2018-07-10
2019-06-17
35. ALLSTATE CORP
2018-07-10
2019-06-17
6. ALPHABET INC CL C
2014-03-18
2019-06-17
90. AMERICAN INTL GROUP INC NEW
2018-07-10
2019-06-17
13. ANTHEM INC
2015-07-22
2019-06-17
110. ASTELLAS PHARMA INC A D R
2018-07-10
2019-06-17
45. BAXTER INTL INC COM W/RIGHTS ATTACHED EXP 3/23/2009
2017-02-03
2019-06-17
10. BERKSHIRE HATHAWAY INC CL B
2018-10-11
2019-06-17
8. BIOGEN, INC
2018-10-11
2019-06-17
8. BOEING CO
2018-07-10
2019-06-17
75. BOSTON SCIENTIFIC CORP
2017-02-03
2019-06-17
15. CIGNA CORP
2019-02-11
2019-06-17
20. CNOOC LTD A D R
2018-07-10
2019-06-17
45. CRH PLC ADR
2018-07-10
2019-06-17
75. CVS CORP COM
2018-07-10
2019-06-17
20. CVS CORP COM
2015-07-22
2019-06-17
15. CHEVRONTEXACO CORP COM
2018-07-10
2019-06-17
90. CISCO SYS INC
2018-10-11
2019-06-17
35. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2017-02-03
2019-06-17
35. COMCAST CORP CL A
2015-07-22
2019-06-17
55. COMCAST CORP CL A
2018-10-11
2019-06-17
30. CONOCOPHILLIPS COM
2018-07-10
2019-06-17
65. DANAHER CORP COM
2015-07-22
2019-06-17
85. E TRADE FINANCIAL CORP
2015-07-22
2019-06-17
50. EBAY INC
2017-02-03
2019-06-17
80. EQUITY RESIDENTIAL PPTYS TR
2018-07-10
2019-06-17
100. FLIR SYSTEMS INC
2018-07-10
2019-06-17
135. FIRST DATA CORP CLASS A
2018-07-10
2019-06-17
165. FLY LEASING LTD A D R
2014-03-18
2019-06-17
50. HD SUPPLY HOLDINGS INC
2018-07-10
2019-06-17
125. HUNTINGTON BANCSHARES INC
2019-02-11
2019-06-17
35. INTERCONTINENTAL HOTELS A D R
2019-02-11
2019-06-17
80. JP MORGAN CHASE & CO COM
2019-06-17
110. JOHNSON & JOHNSON
2019-06-17
65. KONINKLIJKE AHOLD DELHAIZE NV ADR
2014-03-18
2019-06-17
75. KONINKLIJKE PHILIPS ELECTRS SPONSORED ADR NEW 2000
2018-07-10
2019-06-17
5. KONTOOR BRANDS INC W I
2018-07-10
2019-06-17
15. MCKESSON HBOC INC
2018-07-10
2019-06-17
75. MELCO CROWN ENTERTAINMENT LMTD A D R
2019-03-15
2019-06-17
20. MERCK AND CO INC
2014-03-18
2019-06-17
35. NESTLE S A SPONSORED ADR REPSTG REG SH
2017-02-03
2019-06-17
15. NICE SYSTEMS LTD-SPONSORED ADR
2014-03-18
2019-06-17
30. NIPPON TELEG & TEL CORP
2014-03-18
2019-06-17
65. NOVO-NORDISK A S ADR
2018-07-10
2019-06-17
140. ORACLE CORPORATION
2015-07-22
2019-06-17
40. ORIX CORP SPONS A D R
2018-07-10
2019-06-17
206. PFIZER INC
2019-06-17
35. POST HOLDINGS INC
2018-07-10
2019-06-17
45. PROCTER & GAMBLE CO
2019-02-11
2019-06-17
25. RIO TINTO PLC SPONSORED ADR
2018-07-10
2019-06-17
75. ROBERT HALF INTL INC
2018-07-10
2019-06-17
30. SL GREEN RLTY CORP
2018-07-10
2019-06-17
85. SMITH NEPHEW P L C A D R
2014-03-18
2019-06-17
40. SOUTHWEST AIRLINES CO COM
2018-07-10
2019-06-17
70. TARGET CORP
2019-06-17
10. UNION PAC CORP COM
2019-02-11
2019-06-17
63. UNITED TECHNOLOGIES CORP COM
2019-06-17
40. V F CORP COM W/RTS ATTACHED EXP 01/25/2008
2018-07-10
2019-06-17
35. WELLS FARGO & CO NEW
2018-10-11
2019-06-17
14. EVEREST RE GROUP LTD
2018-07-10
2019-06-17
165. MARVELL TECHNOLOGY GROUP LTD ORD
2017-02-03
2019-06-17
25. MEDTRONIC PLC
2019-02-11
2019-06-17
6. ALCON INC
2019-02-11
2019-06-17
12. ALCON INC
2015-07-22
2019-06-17
52. ENERSUS S A RT 7/23/19
2019-02-11
2019-07-31
2. ALPHABET INC CL C
2014-03-18
2019-08-22
2. AMAZON COM INC COM
2019-05-28
2019-08-22
25. AMETEK INC
2019-02-11
2019-08-22
95. CRH PLC ADR
2018-07-10
2019-08-22
20. CISCO SYS INC
2018-10-11
2019-08-22
25. CISCO SYS INC
2018-07-10
2019-08-22
70. -DISCOVER FINL SVCS
2017-02-03
2019-08-22
15. DOW INC
2019-02-11
2019-08-22
40. FORTIVE CORP WI
2018-07-10
2019-08-22
90. MARATHON OIL CORP COM
2017-02-03
2019-08-22
50. MICROSOFT CORP COM
2015-07-22
2019-08-22
15. MOHAWK INDS INC COM
2019-05-28
2019-08-22
20. NESTLE S A SPONSORED ADR REPSTG REG SH
2019-02-11
2019-08-22
35. NESTLE S A SPONSORED ADR REPSTG REG SH
2017-02-03
2019-08-22
75. NOBLE ENERGY INC
2019-03-15
2019-08-22
5. NOVO-NORDISK A S ADR
2019-02-11
2019-08-22
40. NOVO-NORDISK A S ADR
2018-07-10
2019-08-22
160. PARSLEY ENERGY INC-CLASS A
2019-08-22
50. RAYTHEON CO COM NEW
2019-08-22
20. SL GREEN RLTY CORP
2018-07-10
2019-08-22
35. SQUARE INC A
2019-05-28
2019-08-22
115. SUNTRUST BKS INC
2015-07-22
2019-08-22
40. TC ENERGY CORP
2019-08-22
30. TOTAL SYSTEM SERVICES INC
2019-08-22
12. UNITED TECHNOLOGIES CORP COM
2011-08-29
2019-08-22
20. CHUBB LTD
2011-08-05
2019-08-22
20. TE CONNECTIVITY LTD
2017-02-03
2019-08-22
.253 GLOBAL PMTS INC
2019-06-17
2019-09-24
50000. ONTARIO PROVINCE 4.000% 10/07/19
2019-10-07
16. ARISTA NETWORKS INC
2019-11-15
85. B H P BILLITON LIMITED A D R
2018-10-11
2019-11-15
8. BIOGEN, INC
2018-10-11
2019-11-15
4. BLACKROCK INC
2019-08-22
2019-11-15
60. BORG-WARNER AUTOMOTIVE INC COM
2019-11-15
40. CABOT CORP COM
2019-08-22
2019-11-15
60. CELGENE CORPORATION COM
2019-11-15
205. DANONE SPONS A D R
2019-02-11
2019-11-15
25. DOVER CORP
2019-11-15
45. ENBRIDGE INC
2019-05-28
2019-11-15
15. GLOBAL PMTS INC
2019-05-28
2019-11-15
85. HSBC HLDGS PLC SPONSORED ADR NEW
2019-06-17
2019-11-15
10. HOME DEPOT INC COM
2019-05-28
2019-11-15
60. IMPERIAL BRANDS PLC A D R
2019-08-22
2019-11-15
35. INTEL CORP
2019-05-28
2019-11-15
15. JOHNSON & JOHNSON
2016-11-30
2019-11-15
45. LEGGETT & PLATT INC
2019-08-22
2019-11-15
105. PARSLEY ENERGY INC-CLASS A
2019-06-17
2019-11-15
35. RIO TINTO PLC SPONSORED ADR
2019-08-22
2019-11-15
65. RIO TINTO PLC SPONSORED ADR
2018-07-10
2019-11-15
10. S P GLOBAL INC
2019-05-28
2019-11-15
57. SMITH NEPHEW P L C A D R
2014-03-18
2019-11-15
10. TYLER TECHNOLOGIES INC
2019-05-28
2019-11-15
45. UNITED OVERSEAS BK LTD SPSD ADR
2019-08-22
2019-11-15
60. COCA COLA EUROREAN PARTNERS
2019-02-11
2019-11-15
125. QIAGEN N V
2019-11-15
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
24,750
25,000
-250
b
1,416
1,168
248
c
1,840
1,303
537
d
5,863
4,864
999
e
3,336
4,071
-735
2,689
1,457
1,232
1,480
1,960
-480
1,690
2,950
-1,260
4,407
3,593
814
5,444
1,969
3,475
4,306
5,146
-840
2,014
1,078
936
2,596
2,896
-300
831
1,018
-187
831
768
63
2,562
3,184
-622
1,965
3,080
-1,115
3,494
3,536
-42
2,086
2,327
-241
4,575
5,042
-467
3,920
2,501
1,419
2,995
805
2,190
9,255
7,242
2,013
1,962
1,216
746
1,654
1,442
212
4,501
3,162
1,339
2,831
2,509
322
4,844
5,093
-249
2,055
2,252
-197
7,420
5,574
1,846
10,361
4,597
5,764
2,878
2,084
794
5,014
4,113
901
926
567
359
1,654
2,120
-466
3,758
2,909
849
2,368
2,669
-301
4,002
3,526
476
1,873
2,403
-530
1,799
1,536
263
2,382
2,114
268
439
208
231
2,195
1,925
270
2,281
2,519
-238
2,894
2,854
40
4,418
5,143
-725
3,894
1,118
2,776
2,115
2,126
-11
1,512
1,530
-18
3,646
3,612
34
2,108
1,796
312
4,216
5,045
-829
3,234
2,661
573
2,884
2,364
520
2,896
3,458
-562
4,307
3,100
1,207
2,421
922
1,499
1,809
2,050
-241
1,654
619
1,035
557
432
125
4,459
2,156
2,303
2,636
2,844
-208
2,873
2,917
-44
2,320
2,075
245
2,276
1,475
801
4,408
3,762
646
54,302
55,552
-1,250
31,626
33,487
-1,861
45,542
50,375
-4,833
1,926
1,868
58
1,658
938
720
2,626
1,703
923
3,010
3,114
-104
9,030
6,448
2,582
1,333
1,202
131
4,171
5,071
-900
2,644
5,510
-2,866
2,980
3,193
-213
5,365
5,124
241
5,360
4,019
1,341
6,051
7,187
-1,136
1,808
2,967
-1,159
1,974
1,003
971
1,394
1,581
-187
2,617
2,328
289
5,233
5,381
-148
1,919
2,161
-242
4,630
1,702
2,928
2,154
1,727
427
4,726
5,359
-633
4,473
4,293
180
5,663
5,133
530
8,294
9,912
-1,618
1,972
1,871
101
1,411
1,009
402
2,137
1,763
374
25,000
25,532
-532
21
26
-5
2,214
1,630
584
2,335
3,038
-703
3,558
3,269
289
6,566
3,605
2,961
4,796
4,999
-203
3,722
2,032
1,690
1,470
1,746
-276
3,536
2,189
1,347
2,043
2,076
-33
1,861
2,664
-803
2,838
2,781
57
3,037
1,897
1,140
2,385
2,733
-348
3,183
3,345
-162
1,430
1,619
-189
4,074
5,111
-1,037
1,086
2,204
-1,118
1,822
1,916
-94
4,979
4,075
904
2,194
1,824
370
1,490
1,125
365
2,341
1,883
458
1,769
2,156
-387
9,041
4,348
4,693
3,873
2,553
1,320
1,959
1,603
356
6,284
5,189
1,095
5,107
5,286
-179
3,569
3,004
565
2,775
2,521
254
1,969
2,195
-226
1,656
1,720
-64
2,355
2,051
304
8,771
4,050
4,721
15,355
11,294
4,061
1,493
944
549
3,114
3,295
-181
144
181
-37
2,006
2,075
-69
1,493
1,716
-223
1,659
1,127
532
3,558
2,580
978
2,057
633
1,424
1,391
856
535
3,329
3,217
112
7,463
5,530
1,933
2,872
3,280
-408
8,770
3,722
5,048
3,647
3,023
624
4,977
4,412
565
1,515
1,405
110
4,177
4,969
-792
2,641
3,075
-434
3,672
2,662
1,010
2,056
2,122
-66
6,111
5,854
257
1,649
1,632
17
7,840
4,655
3,185
3,505
3,112
393
1,594
1,832
-238
3,521
3,275
246
3,929
2,562
1,367
2,434
2,235
199
348
322
26
697
744
-47
8
8
2,359
1,202
1,157
3,608
3,694
-86
2,131
1,902
229
3,010
3,417
-407
960
906
54
1,200
1,072
128
5,554
4,873
681
642
760
-118
2,806
3,079
-273
1,111
1,548
-437
6,818
2,305
4,513
1,717
2,146
-429
2,194
1,725
469
3,840
2,580
1,260
1,703
1,721
-18
263
244
19
2,103
1,980
123
2,696
2,889
-193
9,160
8,948
212
1,545
2,050
-505
2,243
2,335
-92
6,939
5,135
1,804
1,948
1,981
-33
3,890
3,716
174
1,518
876
642
3,084
1,273
1,811
1,813
1,505
308
40
40
50,000
49,946
54
3,084
3,798
-714
4,285
4,085
200
2,240
2,664
-424
1,964
1,673
291
2,678
2,110
568
1,954
1,558
396
6,600
5,798
802
3,391
3,027
364
2,733
2,267
466
1,711
1,697
14
2,682
2,249
433
3,134
3,484
-350
2,374
1,935
439
1,335
1,510
-175
2,037
1,531
506
1,988
1,677
311
2,385
1,744
641
1,676
1,846
-170
1,868
1,699
169
3,468
3,652
-184
2,624
2,168
456
2,449
1,785
664
2,844
2,194
650
1,761
1,621
140
3,108
2,876
232
4,690
4,813
-123
129
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
-250
b
248
c
537
d
999
e
-735
1,232
-480
-1,260
814
3,475
-840
936
-300
-187
63
-622
-1,115
-42
-241
-467
1,419
2,190
2,013
746
212
1,339
322
-249
-197
1,846
5,764
794
901
359
-466
849
-301
476
-530
263
268
231
270
-238
40
-725
2,776
-11
-18
34
312
-829
573
520
-562
1,207
1,499
-241
1,035
125
2,303
-208
-44
245
801
646
-1,250
-1,861
-4,833
58
720
923
-104
2,582
131
-900
-2,866
-213
241
1,341
-1,136
-1,159
971
-187
289
-148
-242
2,928
427
-633
180
530
-1,618
101
402
374
-532
-5
584
-703
289
2,961
-203
1,690
-276
1,347
-33
-803
57
1,140
-348
-162
-189
-1,037
-1,118
-94
904
370
365
458
-387
4,693
1,320
356
1,095
-179
565
254
-226
-64
304
4,721
4,061
549
-181
-37
-69
-223
532
978
1,424
535
112
1,933
-408
5,048
624
565
110
-792
-434
1,010
-66
257
17
3,185
393
-238
246
1,367
199
26
-47
8
1,157
-86
229
-407
54
128
681
-118
-273
-437
4,513
-429
469
1,260
-18
19
123
-193
212
-505
-92
1,804
-33
174
642
1,811
308
54
-714
200
-424
291
568
396
802
364
466
14
433
-350
439
-175
506
311
641
-170
169
-184
456
664
650
140
232
-123
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
79,371
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
60,941
1,143,378
0.053299
2017
66,272
1,138,408
0.058215
2016
62,330
1,095,349
0.056904
2015
60,197
1,149,227
0.05238
2014
110,798
1,172,837
0.09447
2
Total
of line 1, column (d)
.....................
2
0.315268
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
0.063054
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,124,527
5
Multiply line 4 by line 3
......................
5
70,906
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
896
7
Add lines 5 and 6
........................
7
71,802
8
Enter qualifying distributions from Part XII, line 4
,.............
8
56,386
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
1,792
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
1,792
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
1,792
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,896
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
1,896
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
104
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
104
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)
MO
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
N/A
14
The books are in care of
US BANK NA
Telephone no.
(314) 418-2643
Located at
PO BOX 387
ST LOUIS
MO
ZIP+4
63166
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
US BANK N A
TRUSTEE
1
18,440
PO BOX 0634
MILWAUKEE
,
WI
532010634
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
1,122,103
b
Average of monthly cash balances
.......................
1b
19,549
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,141,652
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
1,141,652
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
17,125
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,124,527
6
Minimum investment return.
Enter 5% of line 5
..................
6
56,226
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
56,226
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,792
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,792
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
54,434
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
54,434
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
54,434
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
56,386
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
56,386
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
56,386
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
54,434
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
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
5,923
e
From 2018
......
5,665
f
Total
of lines 3a through e
........
11,588
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
56,386
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
.....
54,434
e
Remaining amount distributed out of corpus
1,952
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
13,540
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)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
13,540
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
5,923
d
Excess from 2018
....
5,665
e
Excess from 2019
....
1,952
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
HOME FOR LITTLE WANDERERS
PO BOX 3253
SAINT JOSEPH
,
MO
64506
NONE
PC
GENERAL OPERATING
53,227
Total
.................................
3a
53,227
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
28,372
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
79,371
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)
..
107,743
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
107,743
(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