-
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
SUHLING F G CHAR TR XXXXX9009
Number and street (or P.O. box number if mail is not delivered to street address)
10 S DEARBORN IL1-0111
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO
,
IL
60603
A Employer identification number
36-6211892
B
Telephone number (see instructions)
(800) 496-2583
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)
$
1,114,589
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
...
25,006
25,006
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
29,229
b
Gross sales price for all assets on line 6a
314,837
7
Capital gain net income (from Part IV, line 2)
...
29,229
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
........
54,235
54,235
13
Compensation of officers, directors, trustees, etc.
17,712
11,856
5,856
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)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
1,715
499
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)
.......
15
15
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
19,442
12,355
0
5,871
25
Contributions, gifts, grants paid
.......
47,140
47,140
26
Total expenses and disbursements.
Add lines 24 and 25
66,582
12,355
0
53,011
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-12,347
b
Net investment income
(if negative, enter -0-)
41,880
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
.............
5,636
5,166
5,166
2
Savings and temporary cash investments
.........
4,204
7,272
7,272
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)
.......
476,733
432,633
649,096
c
Investments—corporate bonds (attach schedule)
.......
415,770
444,696
453,055
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
902,343
889,767
1,114,589
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
........
902,343
889,767
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)
.....
902,343
889,767
30
Total liabilities and net assets/fund balances
(see instructions)
.
902,343
889,767
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
902,343
2
Enter amount from Part I, line 27a
.....................
2
-12,347
3
Other increases not included in line 2 (itemize)
3
47
4
Add lines 1, 2, and 3
..........................
4
890,043
5
Decreases not included in line 2 (itemize)
5
276
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
889,767
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
25. ISHARES MSCI ACWI ETF
2015-11-12
2019-01-08
b
5000. USA TREAS NOTES
2012-05-15
2019-01-08
c
5000. US TREAS 1.75% 11/30/21
2018-01-12
2019-01-08
d
5000. US TREAS 2% 02/15/23
2014-07-18
2019-01-08
e
. FHLMC
2019-01-17
3. GILEAD SCIENCES INC
2015-01-08
2019-01-23
1. GILEAD SCIENCES INC
2015-01-08
2019-01-23
1. GILEAD SCIENCES INC
2015-01-08
2019-01-23
1. MASTERCARD INC - CLASS A
2018-10-29
2019-01-23
4. WORLDPAY INC CL A
2018-10-08
2019-01-23
5. GILEAD SCIENCES INC
2015-01-08
2019-01-24
1. MASTERCARD INC - CLASS A
2018-10-24
2019-01-24
1. MASTERCARD INC - CLASS A
2018-02-07
2019-01-24
2. MASTERCARD INC - CLASS A
2012-12-14
2019-01-24
7. WORLDPAY INC CL A
2018-10-08
2019-01-24
1. GILEAD SCIENCES INC
2016-02-10
2019-01-25
2. GILEAD SCIENCES INC
2016-02-10
2019-01-25
5. MASTERCARD INC - CLASS A
2009-07-16
2019-01-25
6. WORLDPAY INC CL A
2017-09-22
2019-01-25
2. WORLDPAY INC CL A
2018-10-08
2019-01-25
1. GILEAD SCIENCES INC
2016-02-10
2019-01-28
1. GILEAD SCIENCES INC
2016-02-10
2019-01-28
5. WORLDPAY INC CL A
2017-09-22
2019-01-28
1. GILEAD SCIENCES INC
2016-02-10
2019-01-29
1. WORLDPAY INC CL A
2017-09-22
2019-01-29
1. GILEAD SCIENCES INC
2016-02-10
2019-01-30
6. WORLDPAY INC CL A
2017-09-22
2019-01-30
1. GILEAD SCIENCES INC
2016-02-10
2019-01-31
1. GILEAD SCIENCES INC
2018-12-27
2019-02-01
330. ISHARES MISCI EAFE INDEX FUND
2013-12-09
2019-02-15
5. ANALOG DEVICES INC
2018-09-13
2019-02-19
2. ANALOG DEVICES INC
2018-09-13
2019-02-19
6. ANALOG DEVICES INC
2018-09-13
2019-02-19
9. ANALOG DEVICES INC
2016-10-28
2019-02-19
8. ANALOG DEVICES INC
2018-09-13
2019-02-19
2. ANALOG DEVICES INC
2016-10-28
2019-02-19
8. ANALOG DEVICES INC
2016-10-27
2019-02-20
1. AMERICAN EXPRESS CO
2018-10-29
2019-03-08
1. APPLE COMPUTER INC
2018-10-24
2019-03-08
5. BANK OF AMERICA CORPORATION
2018-02-07
2019-03-08
2. BOSTON SCIENTIFIC CORP
2018-10-24
2019-03-08
1. BRISTOL MYERS SQUIBB CO
2018-02-07
2019-03-08
1. BROADCOM INC
2018-12-27
2019-03-08
1. CHARTER COMMUNICATIONS INC-A
2018-10-29
2019-03-08
2. CITIGROUP INC NEW
2018-02-07
2019-03-08
1. COCA-COLA CO
2018-10-24
2019-03-08
2. COMCAST CORP NEW CL A
2019-01-29
2019-03-08
1. DISNEY WALT CO
2018-10-29
2019-03-08
1. DOLLAR TREE INC
2018-02-07
2019-03-08
2. DOWDUPONT INC
2018-02-07
2019-03-08
1. EOG RESOURCES INC
2018-10-24
2019-03-08
1. FACEBOOK INC-A
2018-10-24
2019-03-08
1. FISERV INC
2019-01-25
2019-03-08
1. HOME DEPOT INC
2018-10-24
2019-03-08
1. HONEYWELL INTL INC
2018-02-07
2019-03-08
1. INTERCONTINENTALEXCHANGE GROUP, INC
2018-12-27
2019-03-08
125. ISHARES MSCI JAPAN ETF
2018-01-05
2019-03-08
1. MARATHON PETROLEUM CORPORATION
2018-09-20
2019-03-08
1. MERCK & CO INC
2018-12-27
2019-03-08
3. MICROSOFT CORP
2018-10-29
2019-03-08
2. MONDELEZ INTERNATIONAL-W/I
2018-02-07
2019-03-08
3. MORGAN STANLEY DEAN WITTER & CO NEW
2018-02-07
2019-03-08
1. NETFLIX.COM INC
2018-09-13
2019-03-08
2. OCCIDENTAL PETE CORP
2014-10-17
2019-03-08
1. PEPSICO INC
2018-02-07
2019-03-08
4. PFIZER INC
2018-10-24
2019-03-08
1. PHILIP MORRIS INTERNATIONAL
2017-04-24
2019-03-08
1. PRUDENTIAL FINL INC
2018-12-21
2019-03-08
1. ROSS STORES INC
2018-12-11
2019-03-08
1. SALESFORCE.COM INC
2018-10-08
2019-03-08
1. TEXAS INSTRS INC
2019-02-19
2019-03-08
1. UNION PAC CORP
2018-10-24
2019-03-08
1. UNITEDHEALTH GROUP INC
2018-10-24
2019-03-08
1. VISA INC CLASS A SHARES
2018-10-29
2019-03-08
2. WELLS FARGO & CO NEW
2018-02-07
2019-03-08
1. YUM BRANDS INC
2018-11-29
2019-03-08
1. ZIMMER HLDGS INC
2018-10-24
2019-03-08
1. ALLEGION PLC
2018-10-24
2019-03-08
1. MEDTRONIC PLC
2018-10-24
2019-03-08
1. APTIV PLC
2018-04-26
2019-03-08
1. NXP SEMICONDUCTORS NV
2019-02-20
2019-03-08
3. BIOGEN IDEC INC
2018-10-08
2019-03-14
3. BIOGEN IDEC INC
2010-06-18
2019-03-14
60. BRISTOL MYERS SQUIBB CO
2013-03-13
2019-03-14
3. BRISTOL MYERS SQUIBB CO
2018-10-24
2019-03-14
1. DISNEY WALT CO
2018-10-24
2019-03-14
13. DISNEY WALT CO
2016-12-16
2019-03-14
100. ISHARES MSCI ACWI ETF
2015-11-12
2019-03-18
. PFIZER INC
2019-04-03
1. ADOBE SYS INC
2018-10-24
2019-04-04
2. ADOBE SYS INC
2012-08-03
2019-04-04
2. ALEXION PHARMACEUTICALS INC
2019-03-14
2019-04-04
1. ALPHABET INC-CL C
2018-10-24
2019-04-04
1. ALPHABET INC-CL C
2018-02-07
2019-04-04
1. ALPHABET INC-CL A
2016-07-11
2019-04-04
1. AMAZON COM INC
2015-04-08
2019-04-04
2. AMERICAN EXPRESS CO
2018-07-18
2019-04-04
7. APPLE COMPUTER INC
2006-04-06
2019-04-04
3. APPLE COMPUTER INC
2018-10-24
2019-04-04
3. AUTOMATIC DATA PROCESSING INC
2018-12-03
2019-04-04
39. BANK OF AMERICA CORPORATION
2018-02-06
2019-04-04
5. BERKSHIRE HATHAWAY INC DEL CL B
2018-09-11
2019-04-04
15. BOSTON SCIENTIFIC CORP
2016-09-15
2019-04-04
5. BOSTON SCIENTIFIC CORP
2018-10-24
2019-04-04
1. BROADCOM INC
2018-10-24
2019-04-04
3. BROADCOM INC
2013-04-25
2019-04-04
5. CELGENE CORP.
2016-10-28
2019-04-04
2. CHARTER COMMUNICATIONS INC-A
2018-04-13
2019-04-04
12. CITIGROUP INC NEW
2017-05-15
2019-04-04
2. CITIGROUP INC NEW
2018-10-24
2019-04-04
9. COCA-COLA CO
2018-04-16
2019-04-04
22. COMCAST CORP NEW CL A
2019-03-14
2019-04-04
6. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-04-04
4. DIAMONDBACK ENERGY INC
2018-10-24
2019-04-04
7. DISNEY WALT CO
2016-12-08
2019-04-04
5. DOLLAR TREE INC
2017-10-27
2019-04-04
5. DOW INC
2018-04-06
2019-04-04
16. DOWDUPONT INC
2018-04-06
2019-04-04
1. EOG RESOURCES INC
2018-10-29
2019-04-04
8. EOG RESOURCES INC
2016-08-05
2019-04-04
7. ELECTRONIC ARTS
2018-09-20
2019-04-04
1. FACEBOOK INC-A
2018-12-27
2019-04-04
2. FACEBOOK INC-A
2014-07-25
2019-04-04
3. FIDELITY NATL INFORMATION SVCS INC
2015-04-10
2019-04-04
2. FIDELITY NATL INFORMATION SVCS INC
2018-10-24
2019-04-04
5. FISERV INC
2019-01-25
2019-04-04
2. GENERAL DYNAMICS CORP
2017-02-10
2019-04-04
1. GENERAL DYNAMICS CORP
2018-12-13
2019-04-04
1. HOME DEPOT INC
2018-10-29
2019-04-04
3. HOME DEPOT INC
2011-09-29
2019-04-04
2. HONEYWELL INTL INC
2018-10-24
2019-04-04
5. HONEYWELL INTL INC
2012-06-15
2019-04-04
3. INTERCONTINENTALEXCHANGE GROUP, INC
2017-02-01
2019-04-04
2. KEYCORP NEW
2018-02-07
2019-04-04
18. KEYCORP NEW
2018-10-08
2019-04-04
5. LILLY ELI & CO
2015-06-12
2019-04-04
2. LILLY ELI & CO
2018-10-24
2019-04-04
4. LOWES COS INC
2011-08-04
2019-04-04
2. LOWES COS INC
2018-10-24
2019-04-04
10. MARATHON PETROLEUM CORPORATION
2018-07-26
2019-04-04
6. MASTERCARD INC - CLASS A
2009-07-16
2019-04-04
11. MERCK & CO INC
2019-03-14
2019-04-04
19. MICROSOFT CORP
2015-02-13
2019-04-04
5. MICROSOFT CORP
2018-10-24
2019-04-04
4. MONDELEZ INTERNATIONAL-W/I
2018-10-24
2019-04-04
9. MONDELEZ INTERNATIONAL-W/I
2016-02-24
2019-04-04
8. MORGAN STANLEY DEAN WITTER & CO NEW
2018-10-24
2019-04-04
14. MORGAN STANLEY DEAN WITTER & CO NEW
2014-09-16
2019-04-04
1. NETFLIX.COM INC
2018-09-13
2019-04-04
3. NEXTERA ENERGY INC
2018-07-18
2019-04-04
2. NISOURCE INC
2018-10-24
2019-04-04
9. NISOURCE INC
2015-12-02
2019-04-04
5. NORFOLK SOUTHN CORP
2018-05-15
2019-04-04
2. NORTHROP GRUMMAN CORP
2017-10-10
2019-04-04
3. NVIDIA CORP
2018-10-08
2019-04-04
1. O'REILLY AUTOMOTIVE INC
2017-05-08
2019-04-04
8. OCCIDENTAL PETE CORP
2014-10-17
2019-04-04
5. OCCIDENTAL PETE CORP
2018-08-09
2019-04-04
2. PARKER HANNIFIN CORP
2018-01-11
2019-04-04
7. PAYPAL HOLDINGS INC
2019-01-23
2019-04-04
7. PEPSICO INC
2018-05-22
2019-04-04
26. PFIZER INC
2018-10-24
2019-04-04
7. PHILIP MORRIS INTERNATIONAL
2017-04-24
2019-04-04
3. PIONEER NAT RES CO
2015-12-10
2019-04-04
1. PIONEER NAT RES CO
2018-10-29
2019-04-04
3. PRUDENTIAL FINL INC
2018-12-21
2019-04-04
1. REGENERON PHARMACEUTICALS INC
2019-01-31
2019-04-04
5. ROSS STORES INC
2018-12-11
2019-04-04
1. SVB FINANCIAL GROUP
2018-10-24
2019-04-04
4. SALESFORCE.COM INC
2018-10-08
2019-04-04
2. SCHWAB CHARLES CORP NEW
2018-10-24
2019-04-04
6. SCHWAB CHARLES CORP NEW
2016-06-03
2019-04-04
1. STANLEY BLACK & DECKER,INC.
2018-10-29
2019-04-04
3. STANLEY BLACK & DECKER,INC.
2015-11-09
2019-04-04
8. TEXAS INSTRS INC
2019-02-19
2019-04-04
5. UNION PAC CORP
2018-02-22
2019-04-04
1. UNITED TECHNOLOGIES CORP
2018-10-24
2019-04-04
1. UNITED TECHNOLOGIES CORP
2017-12-11
2019-04-04
6. UNITEDHEALTH GROUP INC
2010-12-02
2019-04-04
1. UNITEDHEALTH GROUP INC
2018-12-27
2019-04-04
1. VERTEX PHARMACEUTICALS INC
2018-10-24
2019-04-04
1. VERTEX PHARMACEUTICALS INC
2014-03-14
2019-04-04
3. VISA INC CLASS A SHARES
2015-10-19
2019-04-04
4. WASTE CONNECTIONS INC
2016-08-10
2019-04-04
1. WASTE CONNECTIONS INC
2018-12-27
2019-04-04
10. WELLS FARGO & CO NEW
2009-02-05
2019-04-04
5. WELLS FARGO & CO NEW
2018-10-24
2019-04-04
1. WEX INC
2018-10-24
2019-04-04
1. WEX INC
2016-05-02
2019-04-04
2. YUM BRANDS INC
2018-11-29
2019-04-04
7. ZIMMER HLDGS INC
2018-04-26
2019-04-04
1. ALLEGION PLC
2018-12-27
2019-04-04
3. ALLEGION PLC
2015-11-02
2019-04-04
3. ACCENTURE PLC
2014-01-17
2019-04-04
1. ACCENTURE PLC
2018-10-29
2019-04-04
3. LINDE PLC
2018-12-11
2019-04-04
6. MEDTRONIC PLC
2018-07-18
2019-04-04
5. APTIV PLC
2018-04-26
2019-04-04
1. CHUBB LTD
2018-10-29
2019-04-04
4. CHUBB LTD
2008-12-10
2019-04-04
4. NXP SEMICONDUCTORS NV
2019-02-20
2019-04-04
150. ISHARES MISCI EAFE INDEX FUND
2013-12-09
2019-04-05
10. DOW INC
2017-02-22
2019-04-08
2. DOW INC
2017-02-22
2019-04-08
1. DOW INC
2017-02-22
2019-04-08
13. DOW INC
2015-06-18
2019-04-08
5.333 DOW INC
2015-07-15
2019-04-08
1.667 DOW INC
2018-10-24
2019-04-08
.336 DOW INC
2018-12-27
2019-04-09
.664 DOW INC
2015-07-15
2019-04-09
15. OCCIDENTAL PETE CORP
2014-12-10
2019-04-25
8. OCCIDENTAL PETE CORP
2018-08-09
2019-04-25
3. OCCIDENTAL PETE CORP
2018-12-27
2019-04-25
21. OCCIDENTAL PETE CORP
2008-10-15
2019-04-25
5. OCCIDENTAL PETE CORP
2008-10-15
2019-05-01
1. OCCIDENTAL PETE CORP
2008-10-15
2019-05-01
3. REGENERON PHARMACEUTICALS INC
2019-01-24
2019-05-01
1. REGENERON PHARMACEUTICALS INC
2019-01-23
2019-05-01
15. OCCIDENTAL PETE CORP
2007-01-12
2019-05-02
1. OCCIDENTAL PETE CORP
2007-01-12
2019-05-02
1. OCCIDENTAL PETE CORP
2007-01-12
2019-05-02
3. OCCIDENTAL PETE CORP
2007-01-12
2019-05-02
1. OCCIDENTAL PETE CORP
2007-01-12
2019-05-02
2. OCCIDENTAL PETE CORP
2007-01-12
2019-05-03
5. OCCIDENTAL PETE CORP
2007-01-12
2019-05-03
1. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
11. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
6. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
2. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
2. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
16. SCHWAB CHARLES CORP NEW
2015-10-19
2019-05-15
15. SCHWAB CHARLES CORP NEW
2015-01-14
2019-05-16
4. SCHWAB CHARLES CORP NEW
2015-01-14
2019-05-16
9. SCHWAB CHARLES CORP NEW
2015-01-15
2019-05-16
12. MEDTRONIC PLC
2018-07-18
2019-05-16
1. MEDTRONIC PLC
2018-04-10
2019-05-16
11. MEDTRONIC PLC
2018-04-09
2019-05-16
4. MEDTRONIC PLC
2018-04-09
2019-05-17
8. MEDTRONIC PLC
2018-04-06
2019-05-17
3. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
4. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
2. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
15. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-05
6. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-05
3. PHILIP MORRIS INTERNATIONAL
2018-10-24
2019-06-05
15. PHILIP MORRIS INTERNATIONAL
2017-04-24
2019-06-05
5. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
5. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2018-10-24
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2018-12-27
2019-06-07
75. ISHARES MSCI ACWI ETF
2015-11-12
2019-06-07
31. BANK OF AMERICA CORPORATION
2012-11-08
2019-06-10
14. BANK OF AMERICA CORPORATION
2018-10-24
2019-06-10
10. DOLLAR TREE INC
2017-10-27
2019-06-10
36. WELLS FARGO & CO NEW
2009-02-05
2019-06-10
6. DOLLAR TREE INC
2018-12-17
2019-06-11
8. DOLLAR TREE INC
2017-10-27
2019-06-11
3. DOLLAR TREE INC
2018-10-29
2019-06-11
. CORTEVA INC
2019-06-13
. DUPONT DE NEMOURS INC-WI
2019-06-13
3. ADOBE SYS INC
2012-08-03
2019-06-27
1. AMERICAN EXPRESS CO
2019-06-10
2019-07-19
2. APPLE COMPUTER INC
2006-04-06
2019-07-19
1. AUTOMATIC DATA PROCESSING INC
2018-12-03
2019-07-19
7. BANK OF AMERICA CORPORATION
2012-11-08
2019-07-19
1. BERKSHIRE HATHAWAY INC DEL CL B
2018-09-11
2019-07-19
3. BOSTON SCIENTIFIC CORP
2016-09-15
2019-07-19
1. CELGENE CORP.
2019-05-16
2019-07-19
1. CELGENE CORP.
2016-10-28
2019-07-19
2. CITIGROUP INC NEW
2017-05-15
2019-07-19
2. COCA-COLA CO
2018-04-16
2019-07-19
4. COMCAST CORP NEW CL A
2019-05-14
2019-07-19
2. CORTEVA INC
2017-03-17
2019-07-19
1. DISNEY WALT CO
2016-12-08
2019-07-19
1. DUPONT DE NEMOURS INC-WI
2018-04-06
2019-07-19
1. EOG RESOURCES INC
2016-08-05
2019-07-19
1. ELECTRONIC ARTS
2018-09-20
2019-07-19
1. FACEBOOK INC-A
2014-07-25
2019-07-19
1. FIDELITY NATL INFORMATION SVCS INC
2014-12-19
2019-07-19
1. FISERV INC
2019-07-18
2019-07-19
1. GENERAL DYNAMICS CORP
2018-12-13
2019-07-19
1. HOME DEPOT INC
2011-09-29
2019-07-19
1. HONEYWELL INTL INC
2012-06-15
2019-07-19
4. KEYCORP NEW
2018-10-08
2019-07-19
1. LILLY ELI & CO
2015-06-12
2019-07-19
1. LOWES COS INC
2011-08-04
2019-07-19
2. MARATHON PETROLEUM CORPORATION
2018-07-26
2019-07-19
1. MASTERCARD INC - CLASS A
2009-07-16
2019-07-19
1. MCDONALDS CORP
2019-06-10
2019-07-19
2. MERCK & CO INC
2019-03-14
2019-07-19
4. MICROSOFT CORP
2009-07-24
2019-07-19
2. MONDELEZ INTERNATIONAL-W/I
2016-02-24
2019-07-19
3. MORGAN STANLEY DEAN WITTER & CO NEW
2015-12-02
2019-07-19
1. NETFLIX.COM INC
2018-09-13
2019-07-19
1. NEXTERA ENERGY INC
2018-07-18
2019-07-19
2. NISOURCE INC
2015-12-03
2019-07-19
1. NORFOLK SOUTHN CORP
2018-05-15
2019-07-19
1. NORTHROP GRUMMAN CORP
2019-05-20
2019-07-19
1. NVIDIA CORP
2018-10-08
2019-07-19
2. PAYPAL HOLDINGS INC
2019-01-23
2019-07-19
1. PEPSICO INC
2018-05-22
2019-07-19
4. PFIZER INC
2015-04-08
2019-07-19
1. PHILIP MORRIS INTERNATIONAL
2018-10-24
2019-07-19
1. PIONEER NAT RES CO
2015-12-10
2019-07-19
1. PROCTER & GAMBLE CO
2019-06-05
2019-07-19
1. QUALCOMM INC
2019-05-01
2019-07-19
1. ROSS STORES INC
2018-12-11
2019-07-19
1. SVB FINANCIAL GROUP
2015-02-06
2019-07-19
1. SALESFORCE.COM INC
2018-10-08
2019-07-19
1. STANLEY BLACK & DECKER,INC.
2015-11-09
2019-07-19
2. TEXAS INSTRS INC
2019-02-19
2019-07-19
1. UNION PAC CORP
2018-02-22
2019-07-19
1. UNITED TECHNOLOGIES CORP
2017-12-08
2019-07-19
1. UNITEDHEALTH GROUP INC
2010-12-02
2019-07-19
1. VISA INC CLASS A SHARES
2015-10-19
2019-07-19
1. WASTE CONNECTIONS INC
2016-08-10
2019-07-19
2. WELLS FARGO & CO NEW
2009-03-16
2019-07-19
1. YUM BRANDS INC
2018-11-29
2019-07-19
1. ZIMMER HLDGS INC
2018-04-26
2019-07-19
1. ACCENTURE PLC
2014-01-15
2019-07-19
1. LINDE PLC
2019-05-20
2019-07-19
1. APTIV PLC
2018-04-26
2019-07-19
1. CHUBB LTD
2008-12-10
2019-07-19
1. NXP SEMICONDUCTORS NV
2019-02-20
2019-07-19
25000. USA TREAS NOTES
2014-05-19
2019-07-31
15000. US TREAS 1.625% 07/31/19
2018-01-12
2019-07-31
3. SVB FINANCIAL GROUP
2015-02-05
2019-08-14
2. SVB FINANCIAL GROUP
2015-02-05
2019-08-14
5. APTIV PLC
2018-04-26
2019-08-14
3. APTIV PLC
2018-04-26
2019-08-14
6. APTIV PLC
2017-05-18
2019-08-14
1. APTIV PLC
2018-10-29
2019-08-14
4. SVB FINANCIAL GROUP
2015-02-05
2019-08-15
1. APTIV PLC
2018-12-27
2019-08-15
12. APTIV PLC
2017-05-18
2019-08-15
. GENERAL MOTORS CO
2019-09-05
100. ISHARES MSCI ACWI ETF
2015-08-27
2019-09-23
155. VANGUARD BD INDEX FD INC
2019-03-11
2019-09-23
16. DISNEY WALT CO
2016-10-27
2019-10-25
1. DISNEY WALT CO
2018-12-27
2019-10-25
4. ACCENTURE PLC
2014-01-15
2019-10-25
6. ACCENTURE PLC
2014-01-15
2019-10-28
11. NISOURCE INC
2015-01-14
2019-11-11
14. NISOURCE INC
2015-01-14
2019-11-11
12. NISOURCE INC
2013-02-27
2019-11-12
29. NISOURCE INC
2013-02-26
2019-11-12
2. NISOURCE INC
2013-02-26
2019-11-12
3. NISOURCE INC
2013-02-26
2019-11-13
40000. U S A NOTES
2010-02-12
2019-11-15
15. CELGENE CORP.
2009-04-02
2019-11-21
52. CELGENE CORP.
2018-12-27
2019-11-21
45. SPDR TR UNIT SER 1
2019-04-05
2019-11-22
26. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
3. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
1. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
32. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-26
5. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-27
(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
1,648
1,434
214
b
4,945
5,202
-257
c
4,888
4,907
-19
d
4,893
4,893
e
54
54
205
305
-100
68
102
-34
68
102
-34
198
200
-2
329
388
-59
339
470
-131
200
199
1
199
170
29
398
96
302
576
679
-103
68
89
-21
138
178
-40
1,013
181
832
497
432
65
166
188
-22
68
89
-21
68
89
-21
416
360
56
69
89
-20
82
72
10
69
89
-20
501
432
69
70
88
-18
70
61
9
20,990
21,533
-543
523
461
62
209
184
25
630
553
77
939
575
364
835
716
119
210
127
83
847
507
340
108
103
5
172
219
-47
142
157
-15
78
72
6
50
62
-12
263
243
20
337
310
27
123
151
-28
45
47
-2
76
72
4
113
115
-2
103
107
-4
109
142
-33
87
108
-21
168
149
19
85
85
181
179
2
151
147
4
72
72
6,666
7,756
-1,090
58
82
-24
79
73
6
329
322
7
93
88
5
123
165
-42
347
371
-24
124
170
-46
115
115
162
174
-12
87
112
-25
93
80
13
90
81
9
154
151
3
105
108
-3
163
141
22
237
263
-26
146
139
7
99
115
-16
96
92
4
120
122
-2
88
81
7
90
92
-2
82
87
-5
92
94
-2
961
1,027
-66
961
138
823
2,952
2,494
458
148
148
114
113
1
1,487
1,378
109
7,223
5,736
1,487
75
75
271
244
27
541
64
477
282
269
13
1,214
1,078
136
1,214
1,057
157
1,219
727
492
1,828
381
1,447
219
206
13
1,368
69
1,299
586
588
-2
481
442
39
1,133
1,187
-54
1,017
1,070
-53
574
360
214
191
168
23
306
222
84
917
115
802
470
521
-51
692
612
80
782
737
45
130
129
1
417
405
12
886
876
10
343
322
21
399
432
-33
799
725
74
522
464
58
296
322
-26
600
680
-80
94
106
-12
749
755
-6
699
797
-98
177
130
47
354
151
203
344
192
152
229
205
24
451
422
29
339
368
-29
169
172
-3
198
176
22
595
101
494
321
271
50
803
301
502
232
189
43
33
42
-9
295
369
-74
634
427
207
254
217
37
449
82
367
225
193
32
605
812
-207
1,427
108
1,319
912
896
16
2,280
1,010
1,270
600
507
93
199
165
34
448
365
83
358
344
14
627
490
137
370
371
-1
567
510
57
56
52
4
252
181
71
960
769
191
539
630
-91
568
805
-237
397
254
143
529
663
-134
331
391
-60
359
416
-57
733
633
100
854
725
129
1,114
1,105
9
603
786
-183
438
473
-35
146
148
-2
290
240
50
410
429
-19
479
403
76
236
261
-25
646
605
41
90
83
7
269
198
71
141
113
28
424
374
50
911
861
50
849
668
181
132
124
8
132
123
9
1,485
741
744
248
237
11
187
167
20
187
79
108
475
275
200
353
226
127
88
72
16
492
246
246
246
251
-5
197
179
18
197
94
103
201
184
17
889
807
82
94
77
17
281
200
81
532
334
198
177
156
21
551
482
69
534
528
6
429
435
-6
137
125
12
548
293
255
386
376
10
9,936
9,788
148
571
636
-65
114
126
-12
57
63
-6
744
733
11
305
282
23
95
89
6
19
17
2
38
35
3
932
1,087
-155
497
603
-106
186
176
10
1,304
1,403
-99
288
221
67
58
44
14
1,023
1,246
-223
340
400
-60
860
645
215
57
43
14
57
43
14
172
128
44
57
43
14
116
85
31
291
214
77
98
80
18
1,083
876
207
593
478
115
195
159
36
198
158
40
684
463
221
654
424
230
174
108
66
391
241
150
1,058
1,055
3
88
79
9
972
871
101
352
316
36
707
622
85
489
625
-136
653
833
-180
326
394
-68
824
803
21
330
321
9
232
268
-36
1,158
1,661
-503
274
267
7
273
267
6
55
53
2
55
53
2
55
52
3
56
49
7
5,429
4,302
1,127
874
557
317
395
362
33
1,038
920
118
1,670
574
1,096
640
518
122
853
732
121
320
258
62
9
9
25
25
881
96
785
127
123
4
411
20
391
168
147
21
207
66
141
207
214
-7
128
70
58
91
96
-5
91
104
-13
144
123
21
104
89
15
178
172
6
54
66
-12
142
103
39
72
95
-23
85
90
-5
89
114
-25
202
75
127
132
64
68
97
97
184
172
12
215
34
181
174
53
121
70
82
-12
107
85
22
104
20
84
111
161
-50
279
18
261
215
201
14
164
163
1
557
133
424
111
79
32
133
105
28
322
371
-49
211
169
42
59
38
21
198
150
48
323
313
10
172
268
-96
241
181
60
133
100
33
172
140
32
88
89
-1
136
146
-10
115
107
8
75
87
-12
108
81
27
219
127
92
159
151
8
144
106
38
238
215
23
177
133
44
132
123
9
261
38
223
181
77
104
96
53
43
92
30
62
113
92
21
124
115
9
196
84
112
203
186
17
81
87
-6
150
48
102
97
94
3
25,000
25,000
15,000
15,000
573
375
198
380
240
140
398
435
-37
241
260
-19
479
425
54
80
79
1
747
481
266
79
60
19
951
850
101
12
12
7,409
5,505
1,904
12,506
12,250
256
2,101
1,598
503
131
103
28
733
336
397
1,102
492
610
289
182
107
365
214
151
313
144
169
755
282
473
52
19
33
79
29
50
40,000
41,963
-1,963
1,620
370
1,250
5,618
4,816
802
13,992
12,986
1,006
54
60
-6
6
7
-1
2
2
68
74
-6
11
12
-1
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
214
b
-257
c
-19
d
e
54
-100
-34
-34
-2
-59
-131
1
29
302
-103
-21
-40
832
65
-22
-21
-21
56
-20
10
-20
69
-18
9
-543
62
25
77
364
119
83
340
5
-47
-15
6
-12
20
27
-28
-2
4
-2
-4
-33
-21
19
2
4
-1,090
-24
6
7
5
-42
-24
-46
-12
-25
13
9
3
-3
22
-26
7
-16
4
-2
7
-2
-5
-2
-66
823
458
1
109
1,487
75
27
477
13
136
157
492
1,447
13
1,299
-2
39
-54
-53
214
23
84
802
-51
80
45
1
12
10
21
-33
74
58
-26
-80
-12
-6
-98
47
203
152
24
29
-29
-3
22
494
50
502
43
-9
-74
207
37
367
32
-207
1,319
16
1,270
93
34
83
14
137
-1
57
4
71
191
-91
-237
143
-134
-60
-57
100
129
9
-183
-35
-2
50
-19
76
-25
41
7
71
28
50
50
181
8
9
744
11
20
108
200
127
16
246
-5
18
103
17
82
17
81
198
21
69
6
-6
12
255
10
148
-65
-12
-6
11
23
6
2
3
-155
-106
10
-99
67
14
-223
-60
215
14
14
44
14
31
77
18
207
115
36
40
221
230
66
150
3
9
101
36
85
-136
-180
-68
21
9
-36
-503
7
6
2
2
3
7
1,127
317
33
118
1,096
122
121
62
9
25
785
4
391
21
141
-7
58
-5
-13
21
15
6
-12
39
-23
-5
-25
127
68
12
181
121
-12
22
84
-50
261
14
1
424
32
28
-49
42
21
48
10
-96
60
33
32
-1
-10
8
-12
27
92
8
38
23
44
9
223
104
43
62
21
9
112
17
-6
102
3
198
140
-37
-19
54
1
266
19
101
12
1,904
256
503
28
397
610
107
151
169
473
33
50
-1,963
1,250
802
1,006
-6
-1
-6
-1
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
29,229
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
53,173
1,078,223
0.049315
2017
49,986
1,059,597
0.047175
2016
51,692
1,011,285
0.051115
2015
39,851
1,052,687
0.037856
2014
67,621
1,081,777
0.062509
2
Total
of line 1, column (d)
.....................
2
0.24797
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
0.049594
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,057,896
5
Multiply line 4 by line 3
......................
5
52,465
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
419
7
Add lines 5 and 6
........................
7
52,884
8
Enter qualifying distributions from Part XII, line 4
,.............
8
53,011
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
419
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
419
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
419
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
864
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
864
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
445
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
420
Refunded
11
25
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)
IL
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
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
JP MORGAN CHASE BANK NA
Telephone no.
(800) 496-2583
Located at
10 S DEARBORN ST MC IL 1-0111
CHICAGO
IL
ZIP+4
60603
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
JP MORGAN CHASE
TRUSTEE
2
17,712
10 S DEARBORN ST MC IL 1-0111
CHICAGO
,
IL
60603
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
1,055,636
b
Average of monthly cash balances
.......................
1b
18,370
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,074,006
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
1,074,006
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
16,110
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,057,896
6
Minimum investment return.
Enter 5% of line 5
..................
6
52,895
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
52,895
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
419
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
419
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
52,476
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
52,476
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
52,476
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
53,011
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
53,011
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
419
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
52,592
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
52,476
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
47,139
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
53,011
a
Applied to 2018, but not more than line 2a
47,139
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
.....
5,872
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
46,604
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
SHRINERS HOSPITAL FOR
CHILDREN
2211 N OAK PARK AVE
Chicago
,
IL
60707
NONE
PC
GENERAL
11,785
NORTHWESTERN MEMORIAL FOUNDATION
C/O HOLLY GIBOUT VP
ATTN DONOR RELATIONS
CHICAGO
,
IL
606113732
NONE
PC
GENERAL
11,785
SALVATION ARMY
5040 N PULASKI RD
CHICAGO
,
IL
60630
NONE
PC
GENERAL
11,785
ANN & ROBERT H LURIE CHILDREN
HOSPITAL OF CHICAGO
225 E CHICAGO AVE
Chicago
,
IL
60611
NONE
PC
GENERAL
11,785
Total
.................................
3a
47,140
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
25,006
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
29,229
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)
..
54,235
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
54,235
(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