-
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
THE CONESTOGA ROAD FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
CO ERBOYNTON30 VALLEY STREAM PKWY
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MALVERN
,
PA
19355
A Employer identification number
27-5271188
B
Telephone number (see instructions)
(610) 640-5800
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)
$
7,875,622
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
6,000
6,000
4
Dividends and interest from securities
...
155,222
155,222
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
390,063
b
Gross sales price for all assets on line 6a
9,340,155
7
Capital gain net income (from Part IV, line 2)
...
374,272
8
Net short-term capital gain
.........
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
........
551,285
535,494
13
Compensation of officers, directors, trustees, etc.
45,000
22,500
22,500
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
22,749
5,687
17,062
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
47,250
11,812
35,438
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
19,125
0
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
1,177
588
0
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
24
24
0
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
135,325
40,611
75,000
25
Contributions, gifts, grants paid
.......
300,000
300,000
26
Total expenses and disbursements.
Add lines 24 and 25
435,325
40,611
375,000
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
115,960
b
Net investment income
(if negative, enter -0-)
494,883
c
Adjusted net income
(if negative, enter -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
.............
20,885
3,339
3,339
2
Savings and temporary cash investments
.........
684,817
94,676
94,676
3
Accounts receivable
Less: allowance for doubtful accounts
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
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
797,189
0
0
b
Investments—corporate stock (attach schedule)
.......
710,239
3,828,745
4,581,634
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
4,584,563
2,986,893
3,195,973
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)
6,797,693
6,913,653
7,875,622
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
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
........
0
0
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
6,797,693
6,913,653
29
Total net assets or fund balances
(see instructions)
.....
6,797,693
6,913,653
30
Total liabilities and net assets/fund balances
(see instructions)
.
6,797,693
6,913,653
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
6,797,693
2
Enter amount from Part I, line 27a
.....................
2
115,960
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
6,913,653
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
6,913,653
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
US TREASURY NOTE 1.5% 1/31/19
P
2018-08-01
2019-01-31
b
7,315.4 SHARES BLACKROCK HELATH SCIENCES OPPORTUNITIES FUND
P
2011-06-28
2019-02-11
c
2,500 SHARES AT&T INC
P
2017-11-08
2019-02-12
d
900 SHARES CAMPBELL SOUP CO
P
2017-11-10
2019-02-12
e
750 SHARES ISHARES US AEROSPACE & DEFENSE ETF
P
2016-11-14
2019-02-12
4,100 SHARES KAYNE ANDERSON MLP INVT CO
P
2017-11-10
2019-02-12
7,750 SHARES NUVEEN ALL CAP ENERGY MLP
P
2017-10-04
2019-02-12
1,600 SHARES NUVEEN GLOBAL HIGH INCOME FUND
P
2017-11-14
2019-02-12
6,900 SHARES NUVEEN GLOBAL HIGH INCOME FUND
P
2017-11-14
2019-02-12
5,700 SHARES NUVEEN ENERGY MLP TOTAL RETURN FUND
P
2017-11-04
2019-02-12
500 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
100 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
1,600 SHARES NUVEEN REAL ESTATE ICOME FUND
P
2017-10-02
2019-02-12
300 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
2,700 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
1,200 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
1,000 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
100 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
1,000 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
400 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
100 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
200 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
2,300 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2017-10-02
2019-02-12
12,112 SHARES NUVEEN REAL ESTATE INCOME FUND
P
2018-02-06
2019-02-12
2,439 SHARES PFIZER INC
P
2011-08-01
2019-02-12
1,500 SHARES SPDR S&P AEROSPACE & DEFENSE ETF
P
2016-11-14
2019-02-12
1,500 SHARES TECHNOLOGY SECTOR SPDR ETF
P
2016-11-14
2019-02-12
100 SHARES UNILEVER
P
2014-12-02
2019-02-12
1,068 SHARES VANGUARD FTSE DEVELOPED MARKETS
P
2018-01-16
2018-01-16
24,668.738 SHARES FEDERATED STRATEGIC VALUE DIVIDEND
P
2011-08-02
2019-02-13
17,164.397 SHARES BLACKROCK HIGH YIELD BOND FUND
P
2018-09-30
2019-02-13
12,871.159 SHARES PIMCO INCOME FUND
P
2017-11-03
2019-02-13
8,073.415 SHARES PRINCIPAL MID CAP FUND
P
2018-01-16
2019-02-13
4,626.097 SHARES VIRTUS KAR SMALL CAP GROWTH FUND
P
2018-02-06
2019-02-13
4,459.288 SHARES HARBOR SMALL CAP VALUE FUND
P
2018-08-10
2019-02-13
1,411.5 SHARES VANGUARD SPECIALIZED ENERGY FUND
P
2019-02-13
8,875.115 SHARES WESTERN ASSET CORE PLUS BOND FUND
P
2017-11-30
2019-02-13
2,771.271 SHARES BLACKROCK GLOBAL SCIENCE & TECH FUND
P
2019-02-13
2,031.404 SHARES DODGE & COX STOCK FUND
P
2019-02-13
18,553.733 SHARES OAKMARK INTL FUND
P
2018-03-01
2019-02-13
149,970.006 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-14
374,962.504 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-15
473 SHARES CONSTELLATION BRANDS INC
P
2014-01-06
2019-02-19
99,980.004 SHARES UBS SELECT PRIME INSTITUTIONAL
P
2019-02-19
149,970.006 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-21
199,960.008 SHARES UBS SELECT PRIME INSTITUTIONAL
P
2019-02-26
.8373 SHARES WABTEC INC
P
2019-02-26
48 SHARES LOREAL CO
P
2019-02-22
2019-02-27
717 SHARES CATERPILLAR INC
P
2013-03-28
2019-02-28
173,965.207 SHARES UBS SELECT PRIME INSTITUTIONAL
P
2019-03-06
29 SHARES WOLTERS KLUWER
P
2019-02-22
2019-03-07
149,970.006 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-03-12
40 SHARES AMERIPRISE FINANCIAL INC
P
2019-02-13
2019-03-13
13 SHARES BLACKROCK INC
P
2019-02-13
2019-03-13
115 SHARES MODNELEZ INTL INC
P
2019-02-13
2019-03-13
154 SHARES SCHLUMBERGER LTD
P
2019-02-13
2019-03-13
49,990.002 SHARES UBS SELECT PRIME INSTITUTIONAL
P
2019-03-26
10 SHARES PROCTER & GAMBLE CO
P
2010-05-27
2019-03-27
1,000 SHARES PROCTER & GAMBLE CO
P
2011-07-07
2019-03-27
2,000 SHARES TAPESTRY INC
P
2019-02-15
2019-03-27
1 SHARE INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-03-27
1 SHARE INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-03-28
1 SHARE INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-03-29
.333 SHARES DOW INC
P
2019-02-19
2019-04-02
6 SHARES HELLA KGAA HUECK & CO
P
2019-02-25
2019-04-08
109 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-04-08
13 SHARES HELLA KGAA HUECK & CO
P
2019-02-25
2019-04-09
6 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-04-09
406,959.304 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-04-09
45 SHARES CHEVRON CORP
P
2019-02-13
2019-04-10
40 SHARES JOHNSON & JOHNSON
P
2019-02-13
2019-04-10
188 SHARES SUNCOR ENERGY INC
P
2019-02-13
2019-04-10
2 SHARES TEXAS INSTRUMENTS
P
2019-02-13
2019-04-10
59 SHARES ANGLO AMERN PLC
P
2019-02-22
2019-04-15
21 SHARES LOREAL CO
P
2019-02-22
2019-04-16
89 SHARES PAN PAC INTL HLDGS CORP
P
2019-02-22
2019-04-16
74 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-04-16
35 SHARES ALCON INC
P
2019-02-13
2019-04-16
149,985.001 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-13
2019-04-16
34 SHARES AMERICAN TOWER CORP REIT
P
2019-02-13
2019-04-17
53 SHARES DANAHER CORP
P
2019-02-14
2019-04-17
37 SHARES ECOLAB INC
P
2019-02-14
2019-04-17
260 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-04-17
1 SHARE UNITEDHEALTH GROUP INC
P
2019-02-13
2019-04-18
37 SHARES DEUTSCHE POST AG
P
2019-02-22
2019-04-18
5 SHARES WOLTERS KLUWER
P
2019-02-22
2019-04-18
100,000 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-13
2019-04-18
449,955.004 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-13
2019-04-22
9 SHARES HELLA KGAA HUECK & CO
P
2019-02-25
2019-02-25
.8 SHARES ALCON INC
P
2019-04-26
658 SHARES COCA COLA CO
P
2011-07-13
2019-05-03
1,000 SHARES DOWDUPONT INC
P
2019-02-19
2019-05-03
1,000 SHARES COCA COLA CO
P
2011-07-19
2019-05-13
50 SHARES ALPHABET INC
P
2019-03-12
2019-05-13
333 SHARES DOW INC
P
2019-02-19
2019-05-15
44 SHARES PARKER HANNIFIN CORP
P
2019-02-14
2019-05-15
215 SHARES SCHLUMBERGER LTD
P
2019-04-16
2019-05-15
126 SHARES MITSUBISHI UFJ FINANCIAL GROUP INC
P
2019-02-22
2019-05-17
36 SHARES BNP PARIBAS
P
2019-02-22
2019-05-20
845 SHARES MITSUBISHI UFJ FINANCIAL GROUP INC
P
2019-02-22
2019-05-20
.714 SHARES KONTOOR BRANDS INC
P
2019-02-13
2019-05-23
145 SHARES UNITED TECHNOLOGIES CORP
P
2019-02-13
2019-05-28
24 SHARES KONTOOR BRANDS INC
P
2019-02-13
2019-05-29
88 SHARES ASSOCIATED BRITISH FOODS
P
2019-02-22
2019-05-30
2 SHARES INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-06-03
1 SHARE INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-06-04
52 SHARES AXA
P
2019-02-22
2019-06-05
112 SHARES BNP PARIBAS
P
2019-02-26
2019-06-05
25 SHARES JAPAN AIRLINES CO
P
2019-02-22
2019-06-05
164 SHARES VOLKSWAGEN
P
2019-02-22
2019-06-05
15 SHARES ALIBABA GROUP HOLDINGS LTD
P
2019-02-26
2019-06-06
84 SHARES JAPAN AIRLINES CO
P
2019-02-22
2019-06-06
46 SHARES TENCENT HLDGS LTD
P
2019-02-22
2019-06-06
6,300 SHARES GENERAL ELECTRIC CO
P
2017-11-10
2019-06-07
1,000 SHARES WELLS FARGO & CO
P
2019-04-12
2019-06-07
300 SHARES MACROMILL INC
P
2019-02-22
2019-06-10
40 SHARES AMERIPRISE FINANCIAL INC
P
2019-02-14
2019-06-19
50 SHARES ECOLAB INC
P
2019-04-12
2019-04-12
51 SHARES VISA INC
P
2019-02-13
2019-06-19
77 SHARES JP MORGAN CHASE & CO
P
2019-02-13
2019-07-01
128 SHARES SUNTRUST BANKS INC
P
2019-02-13
2019-07-01
9 SHARES DIAGEO PLC
P
2019-02-22
2019-07-03
20 SHARES INFINEON TECHNOLOGIES
P
2019-02-22
2019-07-03
22 SHARES LOREAL CO
P
2019-02-22
2019-07-03
64 SHARES UNILEVER
P
2019-02-22
2019-07-03
37 SHARES SONY CORP
P
2019-02-22
2019-07-17
3 SHARES INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-07-18
21 SHARES INFINEON TECHNOLOGIES
P
2019-02-22
2019-07-22
27 SHARES BAIDU INC
P
2019-02-22
2019-07-24
169 SHARES VODAFONE GROUP
P
2019-02-22
2019-07-24
4,999.5 SHARES UBS SELECT PRIM INSTITUTIONAL FUND
P
2019-02-13
2019-07-25
12 SHARES WOLTERS KLUWER
P
2019-02-22
2019-07-25
25 SHARES WOLTERS KLUWER
P
2019-02-22
2019-07-29
2,000 SHARES BANK OF AMERICA CORP
P
2019-03-25
2019-08-07
200 SHARES HOME DEPOT INC
P
2019-02-26
2019-08-07
500 SHARES NIKE INC
P
2019-03-25
2019-08-07
1,055 SHARES WALMART STORES INC
P
2011-07-13
2019-08-07
12 SHARES ALIBABA GROUP HOLDINGS LTD
P
2019-12-02
2019-08-07
12 SHARES PRUDENTIAL PLC
P
2019-02-22
2019-08-07
4 SHARES PRUDENTIAL PLC
P
2019-02-22
2019-08-07
15 SHARES YOKOGAWA ELEC
P
2019-02-22
2019-08-07
19 SHARES AIA GROUP LTD
P
2019-02-26
2019-08-08
2 SHARES INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-08-08
97 SHARES PAN PAC INTL HLDGS CORP
P
2019-02-22
2019-08-08
61 SHARES PRUDENTIAL PLC
P
2019-02-22
2019-08-08
199 SHARES VOLKSWAGEN
P
2019-02-22
2019-08-08
1 SHARE INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-08-09
150 SHARES FANUC CORP
P
2019-02-22
2019-08-13
357 SHARES GALP ENERGIA
P
2019-02-22
2019-08-13
335 SHARES FERGUSON PLC
P
2019-02-22
2019-08-13
27 SHARES AMERIPRISE FINANICAL INC
P
2019-02-19
2019-08-14
9 SHARES BLACKROCK INC
P
2019-02-19
2019-08-14
84 SHARES WALT DISNEY CO
P
2019-02-15
2019-08-14
49 SHARES INTERCONTINENTALEXCHANGE GROUP
P
2019-02-13
2019-08-14
77 SHARES ABB LTD
P
2019-02-26
2019-08-14
38 SHARES ABB LTD
P
2019-02-26
2019-08-15
30 SHARES PRUDENTIAL PLC
P
2019-02-22
2019-08-15
389,922.016 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-13
2019-08-15
400 SHARES LINDE PLC
P
2019-02-13
2019-08-16
70 SHARES TOTAL SA
P
2019-02-22
2019-08-20
61 SHARES DEUTSCHE WOHNEN
P
2019-02-22
2019-08-22
78 SHARES DEUTSCHE WOHNEN
P
2019-02-22
2019-09-04
2,000 SHARES CISCO SYSTEM INC
P
2019-02-15
2019-09-05
69 SHARES CHEVRON CORP
P
2019-02-13
2019-09-11
50 SHARES ACCENTURE PLC
P
2019-02-13
2019-09-11
76 SHARES TEXAS INSTRUMENTS
P
2019-02-13
2019-09-11
47 SHARES UNION PACIFIC CORP
P
2019-02-13
2019-09-11
131 SHARES BRENNTAG AG
P
2019-07-23
2019-09-11
13 SHARES SONY CORP
P
2019-02-22
2019-09-11
33 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-09-17
40 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-09-17
26 SHARES BLACKROCK INC
P
2019-02-19
2019-09-18
30 SHARES HONEYWELL INTL INC
P
2019-02-13
2019-09-18
30 SHARES PARKER HANNIFIN CORP
P
2019-02-19
2019-09-18
67 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-09-19
46 SHARES PAN PAC INTL HLDGS
P
2019-02-22
2019-09-20
84 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-09-20
24 SHARES TECHNOPRO HLDGS INC
P
2019-02-22
2019-09-20
14 SHARES YOKOGAWA ELEC
P
2019-02-22
2019-09-20
2 SHARES INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-09-23
1 SHARE INVINCIBLE INVT CORP REIT
P
2019-02-22
2019-09-24
15 SHARES YOKOGAWA ELEC
P
2019-02-22
2019-09-24
92 SHARES ANGLO AMERN PLC
P
2019-02-22
2019-09-25
26 SHARES EBARA CORP
P
2019-02-22
2019-09-25
15 SHARES YOKOGAWA ELEC
P
2019-02-22
2019-09-25
59 SHARES ANGLO AMERN PLC
P
2019-02-22
2019-09-26
31 SHARES EBARA CORP
P
2019-02-22
2019-09-27
34 SHARES EBARA CORP
P
2019-02-22
2019-09-30
16 SHARES EBARA CORP
P
2019-02-22
2019-10-01
68 SHARES VALEO
P
2019-07-22
2019-10-02
163 SHARES ABB LTD
P
2019-02-26
2019-10-07
32 SHARES EBARA CORP
P
2019-02-22
2019-10-07
46 SHARES EBARA CORP
P
2019-02-22
2019-10-08
130 SHARES MEDTRONIC PLC
P
2019-02-13
2019-10-09
28 SHARES EBARA CORP
P
2019-02-22
2019-10-09
15 SHARES YOKOGAWA ELEC
P
2019-02-22
2019-10-09
21 SHARES EBARA CORP
P
2019-02-22
2019-10-10
24 SHARES YOKOGAWA ELEC
P
2019-02-22
2019-10-10
41 SHARES ANGLO AMERN PLC
P
2019-02-22
2019-10-11
16 SHARES EBARA CORP
P
2019-02-22
2019-10-11
14 SHARES INFINEON TECHNOLOGIES
P
2019-02-22
2019-10-11
32 SHARES VALEO
P
2019-07-23
2019-10-11
27 SHARES YOKOGAWA ELEC
P
2019-07-02
2019-10-11
7 SHARES EBARA CORP
P
2019-02-22
2019-10-15
29 SHARES YOKOGAWA ELEC
P
2019-07-03
2019-10-15
4 SHARES YOKOGAWA ELEC
P
2019-07-03
2019-10-16
94 SHARES SEVEN & I HLDGS CO LTD
P
2019-02-22
2019-10-18
76,984.603 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-13
2019-10-25
33 SHARES WABTEC INC
P
2019-02-26
2019-10-29
3,000 SHARES WILLIAMS CO INC
P
2019-02-12
2019-10-29
16.412 SHARES BLACKROCK HIGH YIELD BOND PORTFOLIO
P
2019-11-05
5.593 SHARES WESTERN ASSET CORE PLUS BOND FUND
P
2019-11-05
40 SHARES NEXTERA ENERGY INC
P
2019-02-13
2019-11-06
341,931.614 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-13
2019-11-08
849.83 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-13
2019-11-13
47 SHARES GLAXO SMITHKLINE PLC
P
2019-02-22
2019-11-13
23 SHARES ADOBE INC
P
2019-02-13
2019-11-13
18 SHARES COSTCO WHOLESALE CORP
P
2019-03-11
2019-11-13
43 SHARES HOME DEPOT INC
P
2019-02-13
2019-11-13
55 SHARES UNILEVER
P
2019-02-22
2019-11-29
5 SHARES ROCHE HLDG LTD
P
2019-02-22
2019-12-02
46 SHARES ROYAL DUTCH SHELL
P
2019-02-22
2019-12-03
264 SHARES CHR HANSEN HLDG
P
2019-07-05
2019-12-05
133 SHARES DEUTSCHE WOHNEN AG
P
2019-02-22
2019-12-05
236 SHARES DNB ASA
P
2019-02-22
2019-12-05
40 SHARES ALCON INC
P
2019-08-16
2019-12-05
148 SHARES INFINEON TECHNOLOGIES
P
2019-02-22
2019-12-05
254 SHARES JAPAN AIRLINES CO
P
2019-02-22
2019-12-05
79 SHARES THALES
P
2019-02-22
2019-12-05
100 SHARES PRUDENTIAL PLC
P
2019-02-22
2019-12-05
1,001 SHARES ROYAL BANK SCOTLAND
P
2019-02-22
2019-12-05
157 SHARES ROYAL DUTCH SHELL
P
2019-02-22
2019-12-05
209 SHARES SUNTORY BEVERAGE & FOOD
P
2019-02-22
2019-12-05
190 SHARES SEVEN & I HLDGS CO LTD
P
2019-02-22
2019-12-05
45 SHARES SUZUKI MOTOR CORP
P
2019-02-22
2019-12-05
366 SHARES SWEDBANK
P
2019-04-03
2019-12-05
84 SHARES TENCENT HLDGS LTD
P
2019-02-22
2019-12-05
72 SHARES TOTAL SA
P
2019-02-22
2019-12-05
109 SHARES BANK OF GA GROUP
P
2019-02-25
2019-12-06
300 SHARES JAPAN TOBACCO INC
P
2019-02-22
2019-12-06
300 SHARES TOPCON CORP
P
2019-02-22
2019-12-06
12,522.496 SHARES UBS SELECT PRIME INSTITUTIONAL FUND
P
2019-02-13
2019-12-09
.36 SHARES TRUIST FINANCIAL CORP
P
2019-02-21
2019-12-10
25 SHARES LOCKHEED MARTIN CORP
P
2019-02-13
2019-12-11
55 SHARES ACCENTURE PLC
P
2019-02-13
2019-12-18
77 SHARES FERGUSON PLC
P
2019-02-22
2019-12-20
(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
800,000
797,189
2,811
b
415,807
259,727
156,080
c
74,927
83,492
-8,565
d
31,252
42,560
-11,308
e
152,925
106,236
46,689
63,803
64,903
-1,100
49,052
70,410
-21,358
24,138
25,776
-1,638
103,982
112,359
-8,377
52,035
69,870
-17,835
5,055
5,613
-558
1,012
1,123
-111
16,176
17,961
-1,785
3,033
3,368
-335
27,270
30,309
-3,039
12,120
13,471
-1,351
10,100
11,226
-1,126
1,010
1,123
-113
10,100
11,226
-1,126
4,040
4,490
-450
1,010
1,123
-113
2,020
2,245
-225
23,230
25,819
-2,589
122,330
123,261
-931
102,017
53,662
48,355
140,786
96,020
44,766
103,148
96,020
7,128
5,479
4,224
1,255
42,547
50,229
-7,682
136,665
126,940
9,725
128,046
133,778
-5,732
153,553
157,635
-4,082
208,052
218,440
-10,388
154,789
143,095
11,694
140,155
157,336
-17,181
126,259
168,712
-42,453
101,265
104,763
-3,498
82,085
40,551
41,534
384,159
257,314
126,845
407,254
497,887
-90,633
150,000
150,000
0
375,000
375,038
-38
81,990
32,566
49,424
100,000
100,000
0
150,000
150,000
0
200,000
200,000
0
63
65
-2
2,434
2,458
-24
98,480
61,422
37,058
174,000
174,000
0
1,912
1,913
-1
150,000
150,000
0
4,972
5,192
-220
5,515
5,556
-41
5,364
5,481
-117
6,411
6,851
-440
50,000
50,000
0
1,019
626
393
101,480
64,494
36,986
61,779
72,294
-10,515
484
437
47
483
437
46
489
437
52
19
18
1
299
277
22
1,294
1,194
100
653
600
53
71
66
5
407,000
407,041
-41
5,689
5,359
330
5,438
5,348
90
6,321
6,171
150
228
215
13
850
799
51
1,136
1,075
61
1,451
1,327
124
876
811
65
1,898
1,933
-35
150,000
150,015
-15
6,669
5,904
765
6,956
5,873
1,083
6,816
6,006
810
3,088
2,848
240
235
264
-29
1,268
1,121
147
349
330
19
100,000
100,020
-20
450,000
450,045
-45
492
415
77
45
44
1
32,185
21,668
10,517
38,419
36,373
2,046
47,241
34,514
12,727
57,865
59,818
-1,953
16,934
18,356
-1,422
7,348
7,511
-163
8,298
9,980
-1,682
586
664
-78
919
861
58
3,800
4,452
-652
26
27
-1
19,004
18,573
431
891
904
-13
2,825
2,682
143
1,074
874
200
530
437
93
1,267
1,277
-10
2,570
2,678
-108
392
461
-69
2,563
2,721
-158
2,289
2,638
-349
1,307
1,548
-241
1,924
2,023
-99
62,323
113,025
-50,702
45,751
46,627
-876
3,274
3,825
-551
6,057
5,294
763
9,811
8,675
1,136
8,679
7,312
1,367
8,402
7,985
417
7,880
8,398
-518
1,535
1,420
115
365
445
-80
1,243
1,127
116
3,875
3,549
326
2,064
1,771
293
1,723
1,311
412
390
468
-78
3,022
4,538
-1,516
2,699
3,120
-421
5,000
5,001
-1
886
792
94
1,826
1,649
177
56,593
53,922
2,671
41,392
36,716
4,676
39,842
40,795
-953
113,009
57,206
55,803
1,846
2,110
-264
442
483
-41
147
161
-14
522
582
-60
711
749
-38
1,171
874
297
1,555
1,446
109
2,277
2,455
-178
3,177
3,301
-124
594
437
157
2,521
2,614
-93
2,609
2,952
-343
2,420
2,348
72
3,470
3,515
-45
3,788
3,846
-58
11,506
9,246
2,260
4,499
3,767
732
1,437
1,566
-129
714
773
-59
1,095
1,208
-113
390,000
390,000
0
75,878
67,816
8,062
3,350
3,998
-648
1,002
1,476
-474
1,382
1,888
-506
92,596
98,077
-5,481
8,204
8,266
-62
9,704
7,890
1,814
9,590
8,183
1,407
7,716
7,985
-269
1,320
1,315
5
779
622
157
402
361
41
488
438
50
11,436
11,358
78
5,006
4,550
456
5,411
5,174
237
801
734
67
737
686
51
1,000
920
80
283
263
20
513
543
-30
1,180
874
306
593
437
156
558
582
-24
1,064
1,246
-182
341
375
-34
552
582
-30
672
799
-127
406
448
-42
453
491
-38
211
231
-20
1,099
1,040
59
2,951
3,315
-364
419
462
-43
602
664
-62
14,002
11,896
2,106
367
404
-37
511
582
-71
280
303
-23
814
940
-126
462
555
-93
213
231
-18
244
312
-68
512
505
7
900
1,110
-210
93
101
-8
963
1,188
-225
134
164
-30
1,918
2,105
-187
77,000
77,000
0
2,320
2,576
-256
69,164
79,564
-10,400
126
123
3
68
64
4
9,331
7,368
1,963
342,000
342,000
0
850
850
0
2,076
1,903
173
6,675
5,978
697
5,437
4,127
1,310
9,954
8,055
1,899
3,217
3,050
167
193
174
19
2,650
2,950
-300
5,087
6,107
-1,020
2,587
3,219
-632
3,906
4,419
-513
2,211
2,403
-192
3,130
3,295
-165
3,895
4,361
-466
7,435
9,301
-1,866
3,374
4,166
-792
5,698
6,483
-785
8,849
10,069
-1,220
4,483
4,809
-326
3,528
4,254
-726
7,718
9,114
-1,396
4,660
5,592
-932
3,489
3,694
-205
3,718
4,112
-394
2,133
2,418
-285
6,892
7,923
-1,031
3,839
4,169
-330
12,525
12,525
0
20
19
1
9,605
7,625
1,980
11,412
8,683
2,729
687
540
147
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
2,811
b
156,080
c
-8,565
d
-11,308
e
46,689
-1,100
-21,358
-1,638
-8,377
-17,835
-558
-111
-1,785
-335
-3,039
-1,351
-1,126
-113
-1,126
-450
-113
-225
-2,589
-931
48,355
44,766
7,128
1,255
-7,682
9,725
-5,732
-4,082
-10,388
11,694
-17,181
-42,453
-3,498
41,534
126,845
-90,633
0
-38
49,424
0
0
0
-2
-24
37,058
0
-1
0
-220
-41
-117
-440
0
393
36,986
-10,515
47
46
52
1
22
100
53
5
-41
330
90
150
13
51
61
124
65
-35
-15
765
1,083
810
240
-29
147
19
-20
-45
77
1
10,517
2,046
12,727
-1,953
-1,422
-163
-1,682
-78
58
-652
-1
431
-13
143
200
93
-10
-108
-69
-158
-349
-241
-99
-50,702
-876
-551
763
1,136
1,367
417
-518
115
-80
116
326
293
412
-78
-1,516
-421
-1
94
177
2,671
4,676
-953
55,803
-264
-41
-14
-60
-38
297
109
-178
-124
157
-93
-343
72
-45
-58
2,260
732
-129
-59
-113
0
8,062
-648
-474
-506
-5,481
-62
1,814
1,407
-269
5
157
41
50
78
456
237
67
51
80
20
-30
306
156
-24
-182
-34
-30
-127
-42
-38
-20
59
-364
-43
-62
2,106
-37
-71
-23
-126
-93
-18
-68
7
-210
-8
-225
-30
-187
0
-256
-10,400
3
4
1,963
0
0
173
697
1,310
1,899
167
19
-300
-1,020
-632
-513
-192
-165
-466
-1,866
-792
-785
-1,220
-326
-726
-1,396
-932
-205
-394
-285
-1,031
-330
0
1
1,980
2,729
147
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
374,272
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
349,041
7,354,754
0.047458
2017
363,981
7,314,423
0.049762
2016
325,178
6,512,289
0.049933
2015
336,391
6,918,643
0.048621
2014
335,650
6,929,604
0.048437
2
Total
of line 1, column (d)
.....................
2
0.244211
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
0.048842
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
7,385,383
5
Multiply line 4 by line 3
......................
5
360,717
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
4,949
7
Add lines 5 and 6
........................
7
365,666
8
Enter qualifying distributions from Part XII, line 4
,.............
8
375,000
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
4,949
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
4,949
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
4,949
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
13,420
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
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
13,420
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
8,471
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
8,471
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
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)
PA
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
EDWIN R BOYNTON ESQUIRE
Telephone no.
(610) 640-5800
Located at
30 VALLEY STREAM PARKWAY
MALVERN
PA
ZIP+4
19355
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
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
JONATHAN P DEVER
PRESIDENT/DIRECTOR
5.00
7,500
0
0
30 VALLEY STREAM PARKWAY
MALVERN
,
PA
19355
CHRISTINA A DEVER
VICE PRESIDENT/DIRECTOR
5.00
7,500
0
0
30 VALLEY STREAM PARKWAY
MALVERN
,
PA
19355
WINNIE A O'KEEFE
SECRETARY/TREASURER/DIRECT
5.00
7,500
0
0
30 VALLEY STREAM PARKWAY
MALVERN
,
PA
19355
SEAN B O'KEEFE
VICE PRESIDENT/DIRECTOR
5.00
7,500
0
0
30 VALLEY STREAM PARKWAY
MALVERN
,
PA
19355
SIOBHAN ATTERBURY
VICE PRESIDENT/DIRECTOR
5.00
7,500
0
0
30 VALLEY STREAM PARKWAY
MALVERN
,
PA
19355
GEORGE R ATTERBURY III
VICE PRESIDENT/DIRECTOR
5.00
7,500
0
0
30 VALLEY STREAM PARKWAY
MALVERN
,
PA
19355
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
.........................
0
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
7,237,161
b
Average of monthly cash balances
.......................
1b
260,690
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
7,497,851
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
7,497,851
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
112,468
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
7,385,383
6
Minimum investment return.
Enter 5% of line 5
..................
6
369,269
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
369,269
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
4,949
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
4,949
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
364,320
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
364,320
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
364,320
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
375,000
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
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
375,000
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
4,949
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
370,051
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
364,320
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
......
b
From 2015
......
c
From 2016
......
1,208
d
From 2017
......
30,298
e
From 2018
......
f
Total
of lines 3a through e
........
31,506
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
375,000
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
.....
364,320
e
Remaining amount distributed out of corpus
10,680
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
42,186
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
......
42,186
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
1,208
c
Excess from 2017
....
30,298
d
Excess from 2018
....
e
Excess from 2019
....
10,680
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
ACADEMY OF NOTRE DAME
560 SPROUL ROAD
VILLANOVA
,
PA
19085
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
30,000
ADVOCATES FOR HOMELESS & THOSE IN NEED
PO BOX 184
FAIRLESS HILLS
,
PA
19030
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
500
COALDALE FIRE DEPARTMENT
121 WEST HIGH STREET
COALDALE
,
PA
18218
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
500
CHURCH OF ST IGNATIUS LOYOLA
980 PARK AVENUE
NEW YORK
,
NY
10028
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
5,000
CITY MEALS ON WHEELS
355 LEXINGTON AVENUE
NEW YORK
,
NY
10017
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
1,000
DWIGHT SCHOOL
291 CENTRAL PARK WEST
NEW YORK
,
NY
10024
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
10,000
GARY SINISE FOUNDATION
PO BOX 368
WOODLAND HILLS
,
CA
91365
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
500
GEORGETOWN UNIVERSITY
DEPARTMENT NUMBER 0734
WASHINGTON
,
DC
20073
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
30,000
HO-HO-KUS FIRE DEPARTMENT
52 SHERIDAN AVENUE
HOHOKUS
,
NJ
07423
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,000
HO-HO-KUS PBA LOCAL #353
PO BOX 404
HOHOKUS
,
NJ
07423
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,000
HO-HO-KUS POLICE DEPARTMENT
55 SYCAMORE AVENUE
HOHOKUS
,
NJ
07423
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,000
CURE PSP
1216 BROADWAY
NEW YORK
,
NY
10001
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
1,000
HO-HO-KUS VOLUNTEER AMBULANCE
333 WARREN AVENUE
HOHOKUS
,
NJ
07423
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,000
HO-HO-KUS WORTH PINKHAM MEMORIAL LIBRARY
91 WARREN AVENUE
HOHOKUS
,
NJ
07423
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
5,000
ICAHN SCHOOL OF MEDICINE
BOX 1272
NEW YORK
,
NY
10029
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
1,000
JONATHAN B DEMARIO MEMORIAL SCHOLARSHIP FUND
188 MAIN STREET
PORT REPUBLIC
,
NJ
08241
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
5,000
LITTLE SISTER OF THE ASSUMPTION
333 EAST 115TH STREET
NEW YORK
,
NY
10029
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
1,000
LABS FOR LIBERTY
PO BOX 633
MORGAN
,
UT
84050
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
8,000
MARIA DROSTE COUNSELING SERVICES
171 MADISON AVENUE SUITE 400
NEW YORK
,
NY
10016
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,500
MARYMOUNT SCHOOL OF NY
1026 FIFTH AVENUE
NEW YORK
,
NY
10028
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
20,000
NEW YORK COMMON PANTRY
8 E 109TH STREET
NEW YORK
,
NY
10029
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
500
NORTHERN HIGHLANDS REGION HIGH SCHOOL
298 HILLSIDE ROAD
ALLENDALE
,
NJ
07401
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
20,000
NORTHERN HIGHLANDS SPORTS ASSOCIATION
81 DALE AVENUE
ALLENDALE
,
NJ
07401
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
5,000
PLAYGROUND NYC
PO BOX 150458 VAN BRUNT
BROOKLYN
,
NY
11215
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
13,000
ROSEMONT COLLEGE
1400 MONTGOMERY AVENUE
BRYN MAWR
,
PA
19010
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,500
SOUTH POINTE ELEMENTARY PTA
1050 4TH STREET
MIAMI BEACH
,
FL
33139
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
14,000
WORLD WILDLIFE FUND
1250 24TH STREET NW
WASHINGTON
,
DC
20037
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
12,500
ST JOSEPH'S PREPARATORY SCHOOL
1733 W GIRARD AVENUE
PHILADELPHIA
,
PA
19130
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
10,000
SUSQUEHANNA UNIVERSITY
514 UNIVERSITY AVENUE
SELISGROVE
,
PA
17870
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,000
THE DOE FUND
232 EAST 84TH STREET
NEW YORK
,
NY
10028
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
1,000
SLOAN KETTERING CANCER CENTER
1275 YORK AVENUE
NEW YORK
,
NY
10065
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
1,000
VILLALOBOS RESCUE CENTER
PO BOX 771127
NEW ORLEANS
,
LA
70177
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
500
TOM COUGHLIN JAY FUND FOUNDATION
650 FIRST AVENUE SUITE 7NW
NEW YORK
,
NY
10016
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,000
WESTSIDE NURSERY SCHOOL
6 SOUTH MONROE STREET
RIDGEWOOD
,
NJ
07450
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
1,000
WILLIAM AND MARY COLLEGE
PO BOX 8795
WILLIAMSBURG
,
VA
23187
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,000
WOMEN IN NEED
115 WEST 31ST STREET 7TH FLOOR
NEW YORK
,
NY
10001
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
500
SEMPER FI FUND
BOX 555193
CAMP PENDLETON
,
CA
92055
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
500
PINK HEALS LEHIGH VALLEY CHAPTER
4434 ROSEBAY COURT EAST
BETHLEHEM
,
PA
18020
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
500
HIGHLANDS FOOTBALL TOUCHDOWN CLUB
6 BEECHWOOD ROAD
HOHOKUS
,
NJ
07423
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,500
NORTHERN HIGHLANDS HS MUSIC & PERFORMING ARTS ASSOCIATION
43 HOMEWOOD AVENUE
ALLENDALE
,
NJ
07401
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
2,500
CHILDREN'S AID & FAMILY SERVICES
200 ROBINS ROAD
PARAMUS
,
NJ
07652
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
10,000
HO-HO-KUS EDUCATION FOUNDATION
70 LLOYD ROAD
HOHOKUS
,
NJ
07423
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
10,000
EDIBLE SCHOOL YARD
1517 SHATTUCK AVENUE
BERKLEY
,
CA
94709
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
10,000
FAIRFIELD UNIVERSITY
1073 N BENSON ROAD
FAIRFIELD
,
CT
06824
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
10,000
CHILDREN 4 CHANGE
9780 E INDIGO STREET STE 202
PALMETTO BEACH
,
FL
33157
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
12,500
BOYS & GIRLS CLUB OF GREATER MIAMI
2805 SW 32ND AVENUE
MIAMI
,
FL
33133
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
12,500
HUMANE SOCIETY OF GREATER MIAMI
16101 WEST DIXIE HIGHWAY
NORTH MIAMI BEACH
,
FL
33160
N/A
501(C)(3)
GRANT TO ANOTHER 501(C)(3) ORGANIZATION
12,500
Total
.................................
3a
300,000
b
Approved for future payment
Total
.................................
3b
0
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
...........
14
6,000
4
Dividends and interest from securities
....
14
155,222
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
390,063
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)
..
0
551,285
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
551,285
(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