-
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
CHASE FOUNDATION
MACK C CHASE TRUSTEE
Number and street (or P.O. box number if mail is not delivered to street address)
2103 W MAIN ST
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ARTESIA
,
NM
88210
A Employer identification number
36-7466258
B
Telephone number (see instructions)
(575) 746-4610
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)
$
40,714,046
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)
336,790
2
Check
.............
3
Interest on savings and temporary cash investments
158,193
158,193
158,193
4
Dividends and interest from securities
...
412,943
412,943
412,943
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
663,855
b
Gross sales price for all assets on line 6a
4,728,544
7
Capital gain net income (from Part IV, line 2)
...
663,807
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)
.......
-338,758
3,602,716
-338,758
12
Total.
Add lines 1 through 11
........
1,233,023
4,837,659
232,378
13
Compensation of officers, directors, trustees, etc.
14
Other employee salaries and wages
......
584,682
584,682
15
Pension plans, employee benefits
.......
2,457
2,457
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
24,599
24,599
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
31,136
20,000
11,136
19
Depreciation (attach schedule) and depletion
...
31,943
31,943
20
Occupancy
..............
16,989
16,989
21
Travel, conferences, and meetings
.......
11,914
11,914
22
Printing and publications
..........
9,294
9,294
23
Other expenses (attach schedule)
.......
392,962
153,159
239,804
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
1,105,976
205,102
900,875
25
Contributions, gifts, grants paid
.......
2,173,104
2,173,104
26
Total expenses and disbursements.
Add lines 24 and 25
3,279,080
205,102
3,073,979
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-2,046,057
b
Net investment income
(if negative, enter -0-)
4,632,557
c
Adjusted net income
(if negative, enter -0-)
...
232,378
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
.............
40,944
282,303
282,303
2
Savings and temporary cash investments
.........
5,601
34,180
34,180
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)
b
Investments—corporate stock (attach schedule)
.......
17,510,033
16,526,191
20,840,036
c
Investments—corporate bonds (attach schedule)
.......
5,474,773
5,650,010
5,782,395
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14,231,485
12,756,210
12,756,210
14
Land, buildings, and equipment: basis
1,073,922
Less: accumulated depreciation (attach schedule)
235,254
870,611
838,668
1,018,922
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
38,133,447
36,087,562
40,714,046
17
Accounts payable and accrued expenses
..........
1,258
1,430
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)
.........
1,258
1,430
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
........
38,132,188
36,086,132
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
1
29
Total net assets or fund balances
(see instructions)
.....
38,132,189
36,086,132
30
Total liabilities and net assets/fund balances
(see instructions)
.
38,133,447
36,087,562
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
38,132,189
2
Enter amount from Part I, line 27a
.....................
2
-2,046,057
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
36,086,132
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
36,086,132
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
AMER EXPRESS COMPANY
P
2019-08-13
2019-08-21
b
BLACKROCK INC
P
2018-06-18
2019-08-13
c
CVS HEALTH CORP
P
2018-03-16
2019-07-02
d
INGERSOLL-RAND PLC
P
2018-06-18
2019-08-21
e
MEDTRONIC PLC SHS
P
2018-06-18
2019-06-25
PACKAGING CORP AMERICA
P
2018-06-18
2019-11-19
WEC ENERGY GROUP INC SHS
P
2018-06-18
2019-07-02
HONEYWELL INTL INC DEL
P
2018-06-18
2019-02-22
REALTY INCM CRP MD PV1.
P
2018-10-03
2019-01-07
WHIRLPOOL CORP
P
2018-06-18
2019-03-26
ALTRIA GROUP INC 2.85% 22
P
2017-12-06
2019-02-15
US TSY 1.375% AUG 31 2020
P
2018-09-10
2019-12-10
CVS HEALTH CORP 3.87% 2025
P
2019-01-08
2019-09-25
ANHEUSER-BUSCH IN 3.65% 26
P
2017-08-03
2019-02-11
MARSH & MCLENNAN 3.87% 24
P
2019-01-09
2019-10-11
OAKMARK INTL FD CL
P
2018-06-13
2019-12-23
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-06-06
FIRST EAG OVERSEAS I
P
2013-12-18
2019-04-24
FIRST EAG OVERSEAS I
P
2012-04-12
2019-04-24
FIRST EAGLE OVERSEAS
P
2014-10-22
2019-12-23
TETON WESTWOOD MIGHTY
P
2011-02-22
2019-07-29
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-06-06
CHIRON CAPITAL
P
2018-06-29
2019-01-09
OAKMARK INTL FD CL
P
2018-06-13
2019-04-24
WRIGHT MED GROUP N V CMN
P
2019-08-07
2019-12-06
CHURCHILL DOWNS INCORPORATED CMN
P
2019-03-04
2019-10-17
TUPPERWARE BRANDS CORPORATION CMN
P
2011-02-01
2019-08-07
MEDIDATA SOLUTIONS, INC. CMN
P
2015-02-05
2019-06-17
HEALTHCARE SVCS GROUP INC CMN
P
2013-03-12
2019-04-26
DIPLOMAT PHARMACY, INC. CMN
P
2015-11-20
2019-02-25
UNITED PARCEL SERVICE, INC. CLASS B
P
2018-04-03
2019-02-05
UNITEDHEALTH GROUP INC
P
2018-06-18
2019-08-21
CARNIVAL CORP PAIRED SHS
P
2018-08-29
2019-10-22
CVS HEALTH CORP
P
2018-03-16
2019-11-05
JOHNSON AND JOHNSON COM
P
2018-06-18
2019-07-10
MEDTRONIC PLC SHS
P
2018-06-18
2019-07-10
PACKAGING CORP AMERICA
P
2018-06-18
2019-11-18
WEC ENERGY GROUP INC SHS
P
2018-06-18
2019-08-21
LOWE'S COMPANIES INC
P
2018-06-18
2019-05-17
REALTY INCM CRP MD PV1.
P
2018-10-03
2019-06-25
BURLINGTN NORTH S 4.70% 19
P
2011-02-09
2019-10-01
ANHEUSER-BUSCH IN 3.65% 26
P
2017-10-23
2019-02-11
US TSY 1.375% AUG 31 2020
P
2018-09-07
2019-12-10
CVS HEALTH CORP 4.30% 2028
P
2018-03-07
2019-01-08
ANHEUSER-BUSCH IN 3.65% 26
P
2016-01-14
2019-02-11
U.S. TRSY INFLATION NTE
P
2019-06-04
2019-11-05
CHIRON CAPITAL
P
2017-12-29
2019-01-09
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-06-13
FIRST EAG OVERSEAS I
P
2013-12-18
2019-04-24
FIRST EAGLE GLOBAL FUND I
P
2011-03-14
2019-07-29
FIRST EAGLE OVERSEAS
P
2014-10-09
2019-12-23
TETON WESTWOOD MIGHTY
P
2011-02-22
2019-07-29
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-04-24
CHIRON CAPITAL
P
2018-06-13
2019-01-09
OAKMARK INTL FD CL
P
2018-06-13
2019-06-06
WRIGHT MED GROUP N V CMN
P
2015-03-17
2019-12-06
FIVE BELOW INC CMN
P
2015-08-07
2019-10-17
FISERV, INC. CMN (DC)
P
2012-02-01
2019-07-29
MEDIDATA SOLUTIONS, INC. CMN
P
2013-03-12
2019-06-17
GENERAL ELECTRIC CO CMN (DC)
P
2014-03-12
2019-04-22
DIPLOMAT PHARMACY, INC. CMN
P
2015-10-19
2019-02-25
EPAM SYS INC CMN
P
2017-03-02
2019-02-01
ACCENTURE PLC SHS
P
2018-06-18
2019-07-02
CARNIVAL CORP PAIRED SHS
P
2018-08-29
2019-10-23
CVS HEALTH CORP
P
2018-03-16
2019-10-01
JOHNSON AND JOHNSON COM
P
2018-06-18
2019-11-07
MEDTRONIC PLC SHS
P
2018-06-18
2019-08-21
PACKAGING CORP AMERICA
P
2018-06-18
2019-11-15
ACCENTURE PLC SHS
P
2018-06-18
2019-05-17
MARSH & MCLENNAN COS INC
P
2018-06-18
2019-02-08
REALTY INCM CRP MD PV1.
P
2018-10-03
2019-06-28
BURLINGTN NORTH S 4.70% 19
P
2010-08-10
2019-10-01
ANHEUSER-BUSCH IN 3.65% 26
P
2017-10-12
2019-02-11
US TSY 1.375% AUG 31 2020
P
2018-08-23
2019-12-10
ONEOK INC 3.40%SEP01 29
P
2019-08-14
2019-10-30
U.S. TRSY INFLATION NTE
P
2016-01-28
2019-07-31
US TSY 2.250% DEC 31 2024
P
2018-08-31
2019-02-28
CHIRON CAPITAL
P
2017-07-31
2019-01-09
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-04-24
FIRST EAG OVERSEAS I
P
2013-12-18
2019-04-24
FIRST EAGLE GLOBAL FUND I
P
2011-03-14
2019-07-29
FIRST EAGLE OVERSEAS FUND I
P
2014-10-22
2019-07-29
TETON WESTWOOD MIGHTY
P
2011-02-22
2019-12-23
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-02-26
CHIRON CAPITAL
P
2018-05-31
2019-01-09
OAKMARK INTL FD CL
P
2018-06-13
2019-06-06
S&P GLOBAL INC. 3.3% 08/14/2020 SR L
P
2018-09-26
2019-11-26
LITHIA MOTORS INC CL-A CMN CLASS A
P
2016-11-22
2019-10-17
POWER INTEGRATIONS, INC. CMN
P
2013-03-12
2019-07-29
L3 TECHNOLOGIES, INC. 4.95% 02/15/20
P
2018-10-16
2019-06-07
EPAM SYS INC CMN
P
2013-11-05
2019-04-11
DIPLOMAT PHARMACY, INC. CMN
P
2015-10-16
2019-02-25
WRIGHT MED GROUP N V CMN
P
2017-06-29
2019-02-01
ACCENTURE PLC SHS
P
2018-06-18
2019-08-21
CARNIVAL CORP PAIRED SHS
P
2018-06-18
2019-07-10
CYRUSONE INC
P
2018-06-18
2019-08-19
JPMORGAN CHASE & CO
P
2018-06-18
2019-06-25
MICROSOFT CORP
P
2018-06-18
2019-07-02
PEPSICO INC
P
2018-06-18
2019-07-02
ALLERGAN PLC
P
2018-06-18
2019-05-17
MARSH & MCLENNAN COS INC
P
2018-06-18
2019-02-07
SCHLUMBERGER LTD
P
2019-01-08
2019-06-10
DOMINION RESOURCE 5.20% 19
P
2011-02-09
2019-08-15
CATERPILLAR INC
P
2016-05-20
2019-05-20
US TSY 1.375% AUG 31 2020
P
2018-08-09
2019-12-05
OWENS CORNING INC 7.00% 36
P
2018-08-16
2019-07-19
U.S. TRSY INFLATION NTE
P
2015-09-30
2019-07-31
US TSY 2.250% DEC 31 2024
P
2018-08-20
2019-02-28
CHIRON CAPITAL
P
2017-07-31
2019-01-09
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-04-24
FIRST EAG OVERSEAS I
P
2013-12-18
2019-04-24
FIRST EAGLE GLOBAL FUND I
P
2011-03-10
2019-07-29
FIRST EAGLE OVERSEAS FUND I
P
2014-10-09
2019-07-29
TETON WESTWOOD MIGHTY
P
2011-02-22
2019-12-23
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-04-24
CHIRON CAPITAL
P
2018-04-30
2019-01-09
TETON WESTWOOD MIGHTY
P
2018-11-28
2019-01-09
AON PLC CMN
P
2018-04-03
2019-11-15
SILICON LABORATORIES INC. CMN
P
2018-09-13
2019-10-17
HELEN OF TROY LTD (NEW) CMN
P
2016-06-03
2019-07-24
UNITEDHEALTH GROUP INCORPORATE CMN
P
2018-04-03
2019-05-24
EPAM SYS INC CMN
P
2013-11-04
2019-04-11
DIPLOMAT PHARMACY, INC. CMN
P
2015-09-29
2019-02-25
BARCLAYS PLC,AMER DEP SHS ADR CMN
P
2018-09-17
2019-01-24
ALLERGAN PLC
P
2018-06-18
2019-06-25
CARNIVAL CORP PAIRED SHS
P
2018-06-18
2019-10-21
CYRUSONE INC
P
2018-06-18
2019-07-02
JPMORGAN CHASE & CO
P
2018-06-18
2019-07-10
MICROSOFT CORP
P
2018-06-18
2019-12-20
PEPSICO INC
P
2018-06-18
2019-07-10
APPLE INC
P
2018-06-18
2019-04-17
MICROSOFT CORP
P
2018-06-18
2019-05-17
SCHLUMBERGER LTD
P
2019-01-07
2019-06-10
DOMINION RESOURCE 5.20% 19
P
2010-08-11
2019-08-15
CATERPILLAR INC
P
2016-05-18
2019-05-20
US TSY 1.375% AUG 31 2020
P
2018-08-09
2019-12-04
US TSY 1.375% AUG 31 2020
P
2019-06-04
2019-12-10
US TSY 1.500% JUN 15 2020
P
2017-06-28
2019-09-12
US TSY 2.250% DEC 31 2024
P
2018-03-22
2019-01-09
CHIRON CAPITAL
P
2017-06-13
2019-01-09
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-01-09
FIRST EAG OVERSEAS I
P
2013-12-18
2019-06-06
FIRST EAGLE GLOBAL FUND I
P
2011-02-25
2019-07-29
FIRST EAGLE OVERSEAS FUND I
P
2014-10-09
2019-07-29
TETON WESTWOOD MIGHTY
P
2011-02-09
2019-06-06
VANGUARD HIGH DVD YIELD
P
2017-04-03
2019-02-26
CHIRON CAPITAL
P
2018-04-30
2019-01-09
SITEONE LANDSCAPE SUPPLY, INC. CMN
P
2019-03-15
2019-12-19
IBERIABANK CORPORATION CMN
P
2013-03-12
2019-11-05
SILICON LABORATORIES INC. CMN
P
2017-02-02
2019-10-17
ICU MEDICAL INC CMN
P
2013-03-12
2019-07-24
COMERICA INC 2.125% 05/23/2019 SR LI
P
2015-05-28
2019-05-23
EPAM SYS INC CMN
P
2013-10-10
2019-04-11
EPAM SYS INC CMN
P
2013-11-04
2019-02-14
BARCLAYS PLC,AMER DEP SHS ADR CMN
P
2018-05-09
2019-01-24
ALLERGAN PLC
P
2018-06-18
2019-10-01
CARNIVAL CORP PAIRED SHS
P
2018-06-18
2019-10-22
CYRUSONE INC
P
2018-06-18
2019-08-21
JPMORGAN CHASE & CO
P
2018-06-18
2019-08-21
MICROSOFT CORP
P
2018-06-18
2019-08-21
PHILIP MORRIS INTL INC
P
2018-06-18
2019-07-02
APPLE INC
P
2018-06-18
2019-04-16
MICROSOFT CORP
P
2018-06-18
2019-01-04
SCHLUMBERGER LTD
P
2019-01-04
2019-06-10
MCDONALD'S CORP
P
2011-02-09
2019-02-01
DEUTSCHE BANK AG 3.12% 21
P
2016-04-11
2019-01-22
US TSY 1.375% AUG 31 2020
P
2018-08-09
2019-12-10
US TSY 3.000% FEB 15 2049
P
2019-09-13
2019-10-21
US TSY 1.500% OCT 31 2019
P
2014-11-26
2019-06-04
US TSY 2.250% DEC 31 2024
P
2018-03-22
2019-02-28
COH & STR GLB REALTY I
P
2011-10-19
2019-01-09
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-01-09
FIRST EAG OVERSEAS I
P
2013-12-18
2019-06-06
FIRST EAGLE GLOBAL FUND I
P
2011-02-25
2019-07-29
NEU BER INST VLE CL INST
P
2011-06-30
2019-01-09
TETON WESTWOOD MIGHTY
P
2011-02-09
2019-06-06
VANGUARD HIGH DVD YIELD
P
2014-07-10
2019-02-26
CHIRON CAPITAL
P
2018-03-29
2019-01-09
CANTEL MEDICAL CORP. CMN
P
2019-03-15
2019-12-18
IBERIABANK CORPORATION CMN
P
2013-03-12
2019-11-04
ENTERPRISE PRODUCTS OPERATING 2.55%
P
2015-06-16
2019-10-15
PROASSURANCE CORPORATION CMN
P
2013-03-12
2019-07-24
AMNEAL PHARMACEUTICALS, INC. CMN
P
2017-10-19
2019-05-21
ORACLE CORPORATION CMN
P
2018-04-03
2019-04-10
INSTALLED BLDG PRODS INC CMN
P
2018-03-12
2019-02-12
BARCLAYS PLC,AMER DEP SHS ADR CMN
P
2018-05-01
2019-01-24
APPLE INC
P
2018-06-18
2019-07-10
CHEVRON CORP
P
2018-06-18
2019-07-10
CYRUSONE INC
P
2018-06-18
2019-08-20
LINDE PLC REG SHS
P
2018-06-18
2019-07-02
MICROSOFT CORP
P
2018-06-18
2019-07-10
PHILLIPS 66 SHS
P
2018-06-18
2019-06-25
CARNIVAL CORP PAIRED SHS
P
2019-05-17
2019-10-23
PEPSICO INC
P
2018-06-18
2019-05-17
SCHLUMBERGER LTD
P
2018-08-30
2019-06-10
MCDONALD'S CORP
P
2010-08-10
2019-02-01
GENL ELEC CAP COR 6.87% 39
P
2011-02-09
2019-03-13
US TSY 1.375% AUG 31 2020
P
2018-08-09
2019-12-10
US TSY 3.000% FEB 15 2049
P
2019-07-09
2019-10-21
US TSY 1.500% OCT 31 2019
P
2014-11-26
2019-01-31
US TSY 2.250% DEC 31 2024
P
2018-01-23
2019-01-09
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-06-06
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-06-13
FIRST EAG OVERSEAS I
P
2013-12-18
2019-06-13
FIRST EAGLE OVERSEAS
P
2015-12-18
2019-12-23
NEU BER INST VLE CL INST
P
2011-06-30
2019-02-26
TETON WESTWOOD MIGHTY
P
2011-02-09
2019-06-13
VANGUARD HIGH DVD YIELD
P
2012-07-23
2019-07-29
COH & STR GLB REALTY I
P
2018-12-06
2019-01-09
CANTEL MEDICAL CORP. CMN
P
2018-10-24
2019-12-18
IBERIABANK CORPORATION CMN
P
2013-12-18
2019-10-31
INSULET CORPORATION CMN
P
2019-03-04
2019-09-10
MORGAN STANLEY MTN 2.375% 07/23/2019
P
2015-05-12
2019-07-23
AMNEAL PHARMACEUTICALS, INC. CMN
P
2017-10-19
2019-05-20
VERIZON COMMUNICATIONS INC. 3.0% 11/
P
2015-05-12
2019-03-29
INSTALLED BLDG PRODS INC CMN
P
2018-02-08
2019-02-12
EPAM SYS INC CMN
P
2017-03-02
2019-01-17
APPLE INC
P
2018-06-18
2019-07-02
CHUBB LTD
P
2018-06-18
2019-07-02
DISNEY (WALT) CO COM STK
P
2018-06-18
2019-07-02
LINDE PLC REG SHS
P
2018-06-18
2019-07-10
MONDELEZ INTERNATIONAL
P
2018-06-18
2019-06-25
PHILLIPS 66 SHS
P
2018-06-18
2019-07-02
CARNIVAL CORP PAIRED SHS
P
2019-03-22
2019-10-23
PFIZER INC
P
2018-06-18
2019-01-04
SCHLUMBERGER LTD
P
2018-08-29
2019-06-07
SYNCHRONY FINCL 3.00% 2019
P
2018-02-09
2019-05-15
GENL ELEC CAP COR 6.87% 39
P
2010-08-10
2019-03-13
US TSY 1.375% AUG 31 2020
P
2016-02-26
2019-11-04
US TSY 3.000% FEB 15 2049
P
2019-07-01
2019-10-21
US TSY 1.500% OCT 31 2019
P
2014-11-26
2019-07-08
US TSY 2.250% DEC 31 2024
P
2018-01-23
2019-01-09
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-04-24
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-06-13
FIRST EAG OVERSEAS I
P
2013-12-18
2019-06-13
FIRST EAGLE OVERSEAS
P
2015-12-18
2019-12-23
NEU BER INST VLE CL INST
P
2011-06-30
2019-06-13
TETON WESTWOOD MIGHTY
P
2011-02-09
2019-07-29
VANGUARD HIGH DVD YIELD
P
2012-07-23
2019-06-06
FID ADV NEW INSIGHTS I
P
2019-02-11
2019-04-24
COHEN & STEERS, INC. CMN
P
2013-03-12
2019-12-06
IBERIABANK CORPORATION CMN
P
2013-03-12
2019-10-31
INSULET CORPORATION CMN
P
2019-02-01
2019-09-10
JEFFERIES GROUP INC. 8.5% 07/15/2019
P
2018-09-12
2019-07-15
AMNEAL PHARMACEUTICALS, INC. CMN
P
2017-10-19
2019-05-17
TWENTY-FIRST CENTURY FOX, INC. CMN
P
2018-04-03
2019-03-20
INSTALLED BLDG PRODS INC CMN
P
2018-01-12
2019-02-12
NOBLE ENERGY INC CMN
P
2018-04-03
2019-01-17
AT&T INC
P
2018-06-18
2019-07-02
CHUBB LTD
P
2018-06-18
2019-08-21
DISNEY (WALT) CO COM STK
P
2018-06-18
2019-07-10
LOCKHEED MARTIN CORP
P
2018-06-18
2019-06-25
MONDELEZ INTERNATIONAL
P
2018-06-18
2019-07-10
TEXAS INSTRUMENTS
P
2018-04-03
2019-07-02
CARNIVAL CORP PAIRED SHS
P
2019-01-22
2019-10-23
PFIZER INC
P
2018-06-18
2019-01-18
SCHLUMBERGER LTD
P
2018-08-29
2019-06-10
SYNCHRONY FINCL C 3.00% 19
P
2018-03-02
2019-07-15
GEORGIA PACIFIC 7.75% 2029
P
2011-02-09
2019-06-27
US TSY 1.375% AUG 31 2020
P
2016-02-26
2019-12-04
US TSY 3.000% FEB 15 2049
P
2019-06-19
2019-10-21
US TSY 1.500% OCT 31 2019
P
2014-11-26
2019-06-28
US TSY 2.375% MAY 15 2029
P
2019-06-04
2019-08-14
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-07-29
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-06-06
FIRST EAG OVERSEAS I
P
2013-12-18
2019-06-06
FIRST EAGLE OVERSEAS
P
2015-12-18
2019-12-23
NEU BER INST VLE CL INST
P
2011-06-30
2019-02-26
TETON WESTWOOD MIGHTY
P
2011-02-09
2019-07-29
CHIRON CAPITAL
P
2018-12-31
2019-01-09
FIRST EAG GLOBAL CL I
P
2018-12-13
2019-01-09
FORUM ENERGY TECHNOLOGIES INC CMN
P
2014-04-30
2019-12-06
IBERIABANK CORPORATION CMN
P
2019-09-10
2019-10-30
OCCIDENTAL PETROLEUM CORP CMN
P
2019-08-09
2019-09-10
TEXAS CAPITAL BANCSHARES, INC. CMN
P
2014-08-15
2019-07-11
AMNEAL PHARMACEUTICALS, INC. CMN
P
2017-10-19
2019-05-16
TWENTY-FIRST CENTURY FOX, INC. CMN
P
2018-04-03
2019-03-19
INSTALLED BLDG PRODS INC CMN
P
2017-12-12
2019-02-12
POWER INTEGRATIONS, INC. CMN
P
2014-04-30
2019-01-17
AT&T INC
P
2018-06-18
2019-08-21
CISCO SYSTEMS INC COM
P
2018-06-18
2019-07-02
FIDELITY NATL INFO SVCS
P
2018-06-18
2019-06-25
LOCKHEED MARTIN CORP
P
2018-06-18
2019-07-02
NEXTERA ENERGY INC SHS
P
2018-05-02
2019-05-17
TEXAS INSTRUMENTS
P
2018-04-03
2019-07-10
CARNIVAL CORP PAIRED SHS
P
2019-01-18
2019-10-23
PNC FINCL SERVICES GROUP
P
2019-01-09
2019-07-10
SCHLUMBERGER LTD
P
2018-06-18
2019-06-07
SYNCHRONY FINCL C 3.00% 19
P
2018-02-09
2019-07-15
GEORGIA PACIFIC 7.75% 2029
P
2010-08-10
2019-06-27
US TSY 2.750% NOV 15 2023
P
2018-10-12
2019-12-18
US TSY 1.125% APR 30 2020
P
2017-07-31
2019-09-12
US TSY 1.500% OCT 31 2019
P
2014-10-31
2019-01-31
US TSY 2.750% AUG 31 2025
P
2018-11-21
2019-01-14
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-01-09
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-04-24
FIRST EAG OVERSEAS I
P
2013-12-18
2019-06-06
FIRST EAGLE OVERSEAS
P
2015-12-18
2019-12-23
NEU BER INST VLE CL INST
P
2011-06-30
2019-06-13
TETON WESTWOOD MIGHTY
P
2011-02-09
2019-06-13
CHIRON CAPITAL
P
2018-12-31
2019-01-09
FIRST EAG OVERSEAS I
P
2018-12-13
2019-04-24
FORUM ENERGY TECHNOLOGIES INC CMN
P
2013-11-18
2019-12-06
IBERIABANK CORPORATION CMN
P
2013-12-18
2019-10-30
ANADARKO PETROLEUM CORP CMN
P
2018-04-03
2019-08-09
TEXAS CAPITAL BANCSHARES, INC. CMN
P
2014-04-25
2019-07-11
AMNEAL PHARMACEUTICALS, INC. CMN
P
2016-04-22
2019-05-16
HEALTHCARE SVCS GROUP INC CMN
P
2018-03-28
2019-03-15
INSTALLED BLDG PRODS INC CMN
P
2017-12-08
2019-02-12
POWER INTEGRATIONS, INC. CMN
P
2013-03-12
2019-01-17
BECTON DICKINSON CO
P
2018-06-18
2019-07-10
CISCO SYSTEMS INC COM
P
2018-06-18
2019-08-21
FIDELITY NATL INFO SVCS
P
2018-06-18
2019-07-10
LOCKHEED MARTIN CORP
P
2018-06-18
2019-08-21
NEXTERA ENERGY INC SHS
P
2018-05-02
2019-06-28
TEXAS INSTRUMENTS
P
2018-02-02
2019-02-22
CISCO SYSTEMS INC COM
P
2018-06-18
2019-05-17
PNC FINCL SERVICES GROUP
P
2019-01-08
2019-05-17
TEXAS INSTRUMENTS
P
2018-04-03
2019-02-22
US TSY 1.375% AUG 31 2020
P
2015-09-17
2019-08-14
OWENS CORNING INC 7.00% 36
P
2016-02-26
2019-07-19
US TSY 3.000% MAY 15 2045
P
2015-06-04
2019-10-08
US TSY 1.125% APR 30 2020
P
2017-01-31
2019-09-12
US TSY 2.750% JUL 31 2023
P
2018-07-31
2019-08-29
US TSY 2.750% AUG 31 2025
P
2018-11-21
2019-02-01
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-04-24
FIRST EAG GLOBAL CL I
P
2011-02-25
2019-06-06
FIRST EAG OVERSEAS I
P
2012-12-14
2019-04-24
FIRST EAGLE OVERSEAS
P
2014-12-17
2019-12-23
NEU BER INST VLE CL INST
P
2011-06-30
2019-06-13
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-02-26
CHIRON CAPITAL
P
2018-09-28
2019-01-09
FIRST EAG OVERSEAS I
P
2018-12-13
2019-01-09
FORUM ENERGY TECHNOLOGIES INC CMN
P
2013-11-15
2019-12-06
SITEONE LANDSCAPE SUPPLY, INC. CMN
P
2019-05-06
2019-10-30
ICU MEDICAL INC CMN
P
2013-03-12
2019-08-09
TEXAS CAPITAL BANCSHARES, INC. CMN
P
2014-04-10
2019-07-11
AMNEAL PHARMACEUTICALS, INC. CMN
P
2016-02-22
2019-05-16
HEALTHCARE SVCS GROUP INC CMN
P
2014-09-05
2019-03-15
INSTALLED BLDG PRODS INC CMN
P
2017-11-13
2019-02-12
SUN HYDRAULICS INC CMN
P
2018-02-02
2019-01-17
BECTON DICKINSON CO
P
2018-06-18
2019-08-21
COLGATE PALMOLIVE
P
2018-06-18
2019-07-02
HONEYWELL INTL INC DEL
P
2018-06-18
2019-07-02
LOWE'S COMPANIES INC
P
2018-06-18
2019-07-02
NEXTERA ENERGY INC SHS
P
2018-05-02
2019-07-02
UNION PACIFIC CORP
P
2018-06-18
2019-06-25
CME GROUP INC
P
2018-07-11
2019-05-17
PNC FINCL SERVICES GROUP
P
2019-01-08
2019-07-10
UNITEDHEALTH GROUP INC
P
2018-06-18
2019-05-17
US TSY 1.375% AUG 31 2020
P
2015-09-17
2019-11-04
OWENS CORNING INC 7.00% 36
P
2011-02-09
2019-07-19
VIRGINIA ELEC & P 3.80% 28
P
2018-04-02
2019-05-14
US TSY 1.125% APR 30 2020
P
2015-07-24
2019-09-12
US TSY 3.125% MAY 15 2019
P
2014-05-30
2019-01-31
US TSY 2.750% AUG 31 2025
P
2018-11-01
2019-01-14
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-06-13
FIRST EAG GLOBAL CL I
P
2011-02-22
2019-01-09
FIRST EAG OVERSEAS I
P
2012-12-14
2019-04-24
FIRST EAGLE OVERSEAS
P
2014-12-17
2019-12-23
NEU BER INST VLE CL INST
P
2011-06-30
2019-04-24
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-02-26
CHIRON CAPITAL
P
2018-09-28
2019-01-09
NEU BER INST VLE CL INST
P
2018-12-18
2019-02-26
FORUM ENERGY TECHNOLOGIES INC CMN
P
2013-08-05
2019-12-06
CAMBREX CORPORATION CMN
P
2018-06-27
2019-10-17
MEDIDATA SOLUTIONS, INC. CMN
P
2013-03-12
2019-08-07
ORACLE CORPORATION CMN
P
2018-04-03
2019-07-09
MEDIDATA SOLUTIONS, INC. CMN
P
2015-12-31
2019-04-29
MCKESSON CORPORATION 2.284% 03/15/20
P
2015-09-30
2019-03-15
INSTALLED BLDG PRODS INC CMN
P
2017-11-10
2019-02-12
SUN HYDRAULICS INC CMN
P
2017-08-08
2019-01-17
BLACKROCK INC
P
2018-06-18
2019-07-10
COLGATE PALMOLIVE
P
2018-06-18
2019-08-21
HONEYWELL INTL INC DEL
P
2018-06-18
2019-08-21
LOWE'S COMPANIES INC
P
2018-06-18
2019-08-21
PACKAGING CORP AMERICA
P
2018-06-18
2019-11-14
UNION PACIFIC CORP
P
2018-06-18
2019-07-10
CME GROUP INC
P
2018-07-11
2019-07-02
REALTY INCM CRP MD PV1.
P
2018-10-04
2019-06-28
WEC ENERGY GROUP INC SHS
P
2018-06-18
2019-05-17
21ST CENTY FOX AM 4.50% 21
P
2016-02-26
2019-03-20
OWENS CORNING INC 7.00% 36
P
2010-08-11
2019-07-19
VIRGINIA ELEC & P 3.80% 28
P
2018-03-21
2019-05-14
US TSY 1.125% APR 30 2020
P
2015-03-31
2019-07-08
VERIZON COMMUN 3.37% 2025
P
2018-06-28
2019-10-11
US TSY 2.750% AUG 31 2025
P
2018-09-28
2019-01-14
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-07-29
FIRST EAG OVERSEAS I
P
2014-10-09
2019-06-13
FIRST EAG OVERSEAS I
P
2012-12-14
2019-04-24
FIRST EAGLE OVERSEAS
P
2014-12-17
2019-12-23
NEU BER INST VLE CL INST
P
2011-06-30
2019-04-24
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-01-09
CHIRON CAPITAL
P
2018-08-31
2019-01-09
NEU BER INST VLE CL INST
P
2018-12-18
2019-01-09
FORUM ENERGY TECHNOLOGIES INC CMN
P
2013-07-29
2019-12-06
CAMBREX CORPORATION CMN
P
2018-02-14
2019-10-17
TUPPERWARE BRANDS CORPORATION CMN
P
2015-02-03
2019-08-07
HUBSPOT INC. CMN
P
2016-08-04
2019-06-27
MEDIDATA SOLUTIONS, INC. CMN
P
2015-02-05
2019-04-29
DIPLOMAT PHARMACY, INC. CMN
P
2017-08-16
2019-02-27
BLACKBAUD, INC CMN
P
2013-03-12
2019-02-07
BLACKROCK INC
P
2018-06-18
2019-07-02
COMCAST CORP NEW CL A
P
2018-06-18
2019-07-10
INGERSOLL-RAND PLC
P
2018-06-18
2019-06-25
MARSH & MCLENNAN COS INC
P
2018-06-18
2019-08-21
PACKAGING CORP AMERICA
P
2018-06-18
2019-08-21
UNITEDHEALTH GROUP INC
P
2018-06-18
2019-07-10
COMCAST CORP NEW CL A
P
2018-06-18
2019-05-17
REALTY INCM CRP MD PV1.
P
2018-10-04
2019-07-01
WHIRLPOOL CORP
P
2018-06-18
2019-03-22
21ST CENTY FOX AM 6.40% 35
P
2011-02-09
2019-03-27
ROYAL BANK OF CANADA
P
2016-04-12
2019-04-15
WELLS FARGO & COMPANY
P
2017-06-14
2019-06-14
US TSY 1.125% APR 30 2020
P
2015-03-31
2019-07-31
VISA INC 3.15%DEC14 25
P
2015-12-10
2019-10-11
CHESAPEAKE ENERGY OKLA
P
2019-03-27
2019-12-05
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-07-29
FIRST EAG OVERSEAS I
P
2014-10-09
2019-06-13
FIRST EAG OVERSEAS I
P
2012-12-14
2019-04-24
FIRST EAGLE OVERSEAS
P
2014-12-17
2019-12-23
OAKMARK INTL FD CL
P
2018-06-13
2019-12-23
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-01-09
CHIRON CAPITAL
P
2018-07-31
2019-01-09
OAKMARK INTL FD CL
P
2018-12-13
2019-04-24
PEBBLEBROOK HOTEL TRUST CMN
P
2017-06-29
2019-12-06
CAMBREX CORPORATION CMN
P
2017-08-04
2019-10-17
TUPPERWARE BRANDS CORPORATION CMN
P
2013-03-12
2019-08-07
FIVE BELOW INC CMN
P
2015-08-07
2019-06-17
CELGENE CORP 3.55% 08/15/2022 USD SR
P
2016-05-02
2019-04-26
DIPLOMAT PHARMACY, INC. CMN
P
2015-09-29
2019-02-27
BLACKBAUD, INC CMN
P
2014-05-15
2019-02-05
BLACKROCK INC
P
2018-06-18
2019-08-14
CVS HEALTH CORP
P
2018-03-16
2019-08-21
INGERSOLL-RAND PLC
P
2018-06-18
2019-07-10
MARSH & MCLENNAN COS INC
P
2018-06-18
2019-06-25
PACKAGING CORP AMERICA
P
2018-06-18
2019-07-02
UNITEDHEALTH GROUP INC
P
2018-06-18
2019-12-20
FIDELITY NATL INFO SVCS
P
2018-06-18
2019-05-17
REALTY INCM CRP MD PV1.
P
2018-10-04
2019-07-02
WHIRLPOOL CORP
P
2018-06-18
2019-03-25
21ST CENTY FOX AM 6.40% 35
P
2010-08-10
2019-03-27
SYNCHRONY FINCL C 3.00% 19
P
2018-03-14
2019-07-15
CVS HEALTH CORP 3.87% 2025
P
2019-05-14
2019-09-25
US TSY 1.125% APR 30 2020
P
2015-03-31
2019-09-12
ANHEUSER-BUSCH IN 4.75% 29
P
2019-02-13
2019-10-11
FID ADV NEW INSIGHTS I
P
2018-12-10
2019-01-09
FID ADV NEW INSIGHTS I
P
2013-02-07
2019-06-06
FIRST EAG OVERSEAS I
P
2014-10-09
2019-06-13
FIRST EAG OVERSEAS I
P
2012-04-12
2019-01-09
FIRST EAGLE OVERSEAS
P
2014-12-17
2019-12-23
TETON WESTWOOD MIGHTY
P
2011-02-25
2019-12-23
TETON WESTWOOD MIGHTY
P
2011-02-02
2019-06-06
CHIRON CAPITAL
P
2018-07-31
2019-01-09
OAKMARK INTL FD CL
P
2018-06-13
2019-04-24
WD 40 CO CMN
P
2013-03-12
2019-12-06
CAMBREX CORPORATION CMN
P
2017-08-03
2019-10-17
TUPPERWARE BRANDS CORPORATION CMN
P
2011-12-22
2019-08-07
GRAND CANYON EDUCATION, INC. CMN
P
2015-01-26
2019-06-17
HEALTHCARE SVCS GROUP INC CMN
P
2014-09-05
2019-04-26
DIPLOMAT PHARMACY, INC. CMN
P
2018-07-27
2019-02-25
BLACKBAUD, INC CMN
P
2013-03-12
2019-02-05
(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
1,348
1,348
b
37,760
46,983
-9,223
c
1,586
2,061
-475
d
2,020
1,564
456
e
1,589
1,380
209
4,654
4,887
-233
2,105
1,520
585
12,543
11,815
728
11,319
10,216
1,103
19,828
22,923
-3,095
7,843
8,051
-208
998
991
7
12,688
11,762
926
13,159
14,470
-1,311
21,273
20,068
1,205
4,165
4,165
19
15
4
2,660
2,542
118
4,073
3,726
347
76,261
72,601
3,660
12,080
8,094
3,986
4
3
1
593
645
-52
7
9
-2
888
844
44
1,300
911
389
233
785
-552
912
442
470
1,517
1,108
409
206
1,235
-1,029
36,450
35,634
816
1,451
1,451
1,581
2,305
-724
43,390
45,621
-2,231
1,982
1,697
285
2,167
1,897
270
7,032
7,390
-358
1,565
1,034
531
3,848
3,455
393
1,712
1,349
363
3,000
3,000
2,820
3,089
-269
998
991
7
11,825
11,909
-84
4,700
4,995
-295
10,634
10,525
109
347
384
-37
11
8
3
17
16
1
81,968
65,024
16,944
3
3
6
4
2
49,982
32,801
17,181
219,732
249,934
-30,202
9
12
-3
592
525
67
2,659
737
1,922
19
19
912
271
641
31
31
176
884
-708
1,428
754
674
2,635
2,281
354
988
1,433
-445
5,836
6,680
-844
5,786
5,333
453
1,401
1,121
280
4,170
4,410
-240
1,611
1,466
145
9,660
8,914
746
277
225
52
8,000
8,000
11,279
12,365
-1,086
3,993
3,965
28
1,976
1,987
-11
5,454
5,318
136
2,945
2,912
33
11
12
-1
49,967
41,820
8,147
24
22
2
27
22
5
29,181
27,388
1,793
21
14
7
13
9
4
201
226
-25
19,991
25,564
-5,573
50,481
50,011
470
1,914
1,349
565
452
211
241
51,640
51,015
625
5,162
1,094
4,068
88
427
-339
1,618
1,478
140
2,749
2,281
468
1,592
2,255
-663
5,858
4,691
1,167
1,843
1,840
3
3,269
2,421
848
2,115
1,685
430
2,005
2,405
-400
8,223
7,593
630
9,264
10,463
-1,199
3,000
3,000
4,000
3,989
11
2,995
2,972
23
1,171
1,164
7
5,454
5,325
129
11,781
11,675
106
212
226
-14
14
12
2
13,106
12,526
580
116,938
93,796
23,142
70,802
66,708
4,094
44,565
29,407
15,158
18
12
6
112
125
-13
5
5
21,228
14,808
6,420
1,097
932
165
1,472
1,045
427
25,535
22,923
2,612
2,581
550
2,031
182
834
-652
474
530
-56
14,291
14,943
-652
5,087
7,602
-2,515
3,785
3,617
168
2,822
2,706
116
9,107
5,850
3,257
2,002
1,580
422
31,451
29,834
1,617
1,955
1,513
442
2,154
2,363
-209
6,000
6,000
4,000
3,989
11
7,985
7,925
60
998
995
3
7,978
7,999
-21
11,768
11,674
94
30,186
31,522
-1,336
28,215
25,589
2,626
5,269
5,038
231
5
4
1
17
16
1
10
7
3
25,772
23,181
2,591
11
12
-1
1,309
819
490
1,409
905
504
1,097
706
391
3,791
900
2,891
50,000
49,934
66
1,721
366
1,355
2,323
550
1,773
21,431
29,327
-7,896
5,689
5,840
-151
18,759
28,283
-9,524
2,695
2,204
491
1,837
1,840
-3
2,084
1,513
571
2,871
2,880
-9
14,355
13,595
760
17,863
17,750
113
2,837
3,038
-201
2,000
2,000
7,762
7,975
-213
2,995
2,973
22
8,150
7,971
179
12,960
12,976
-16
3,927
3,894
33
49,956
35,101
14,855
35
32
3
2
2
1,061
859
202
24,999
22,220
2,779
13,697
9,527
4,170
128,859
99,973
28,886
246
274
-28
713
675
38
1,456
956
500
50,000
50,000
2,586
3,290
-704
650
1,486
-836
7,074
5,863
1,211
675
928
-253
4,540
6,096
-1,556
1,829
1,699
130
4,371
4,405
-34
6,084
4,917
1,167
2,035
1,635
400
3,162
2,320
842
1,440
1,842
-402
4,039
5,052
-1,013
2,869
2,317
552
6,248
11,250
-5,002
3,000
3,000
3,428
3,321
107
4,991
4,954
37
2,329
2,192
137
6,946
6,987
-41
4,903
4,908
-5
19,971
15,256
4,715
9,992
8,402
1,590
5
5
24
22
2
24,993
19,265
5,728
9
6
3
199,985
107,699
92,286
44
45
-1
1,070
1,215
-145
1,172
994
178
1,462
924
538
50,000
50,000
451
1,131
-680
50,531
50,043
488
1,125
1,557
-432
1,359
754
605
2,632
2,455
177
1,481
1,294
187
2,137
1,607
530
1,412
1,144
268
2,890
2,090
800
2,099
2,533
-434
5,629
7,393
-1,764
23,038
19,482
3,556
2,433
4,387
-1,954
8,008
8,047
-39
10,283
10,047
236
1,996
2,003
-7
1,164
1,092
72
3,992
3,993
-1
1,961
1,983
-22
12
9
3
8
7
1
1,424
1,351
73
24
22
2
9,988
8,100
1,888
7
5
2
19,932
11,155
8,777
5
5
2,016
975
1,041
220
151
69
4,386
2,461
1,925
100,000
100,000
86
209
-123
65,519
44,970
20,549
450
731
-281
13,593
17,319
-3,726
2,874
2,740
134
1,704
1,423
281
1,428
1,071
357
1,443
1,238
205
1,939
1,407
532
1,504
1,321
183
988
1,258
-270
47,321
40,266
7,055
1,688
3,032
-1,344
1,000
1,000
1,410
1,076
334
998
1,001
-3
1,164
1,087
77
12,975
12,976
-1
9,633
9,200
433
12
9
3
19,972
16,995
2,977
24
23
1
795
721
74
4
3
1
87,907
58,635
29,272
7
7
9
9
33
748
-715
751
739
12
3,006
3,010
-4
1,195
1,031
164
44
105
-61
23,532
16,454
7,078
450
704
-254
1,562
1,118
444
1,900
1,741
159
2,345
1,861
484
1,701
1,502
199
1,831
1,547
284
2,585
2,128
457
2,930
2,541
389
5,457
6,957
-1,500
1,267
1,086
181
19,675
36,865
-17,190
6,000
6,000
7,052
5,097
1,955
8,309
7,905
404
995
995
10,915
10,940
-25
5,047
4,932
115
49,999
42,559
7,440
19
16
3
14,705
14,061
644
2,048
1,857
191
5
4
1
9,991
6,818
3,173
671
652
19
2
2
46
992
-946
676
559
117
16,226
13,198
3,028
1,493
1,392
101
220
909
-689
776
1,085
-309
540
865
-325
937
633
304
4,062
3,694
368
1,854
1,684
170
2,408
2,038
370
1,527
1,238
289
21,664
17,349
4,315
15,820
15,992
-172
2,384
1,861
523
4,885
4,472
413
5,058
4,776
282
4,978
4,978
1,171
1,073
98
5,986
4,963
1,023
995
995
5,249
4,977
272
13,128
12,824
304
49,982
37,658
12,324
28
24
4
24
22
2
13,897
12,437
1,460
6
5
1
24,983
16,304
8,679
805
880
-75
5
5
39
857
-818
1,271
965
306
1,517
540
977
3,286
3,395
-109
924
3,426
-2,502
931
828
103
1,035
1,439
-404
1,027
1,685
-658
2,274
2,078
196
1,671
1,456
215
1,765
1,441
324
1,640
1,579
61
1,867
1,473
394
1,664
1,468
196
4,237
3,806
431
1,408
1,209
199
3,617
3,821
-204
10,978
10,978
2,342
2,008
334
1,040
1,016
24
17,914
17,914
8,015
8,037
-22
7,066
6,875
191
9,989
7,508
2,481
21,740
19,651
2,089
19,863
18,238
1,625
4,681
4,189
492
49,995
38,321
11,674
4
3
1
11
12
-1
3
2
1
125
2,654
-2,529
1,488
1,261
227
6,391
1,896
4,495
25,291
19,066
6,225
1,364
746
618
50,000
50,000
945
1,321
-376
342
475
-133
1,427
1,584
-157
2,626
2,279
347
2,135
1,873
262
9,991
9,181
810
1,467
1,549
-82
2,878
2,495
383
2,992
2,482
510
832
672
160
1,857
1,399
458
7,179
7,255
-76
2,342
2,027
315
7,283
7,007
276
31,756
31,756
22,164
20,293
1,871
11,104
10,831
273
199,969
144,140
55,829
5
5
2,564
2,354
210
24
23
1
5
4
1
24,982
17,394
7,588
458
500
-42
1
1
7
142
-135
1,488
1,344
144
233
1,064
-831
861
279
582
455
221
234
600
1,583
-983
1,795
732
1,063
2,341
2,639
-298
3,920
2,940
980
2,257
1,656
601
2,150
1,816
334
2,026
2,384
-358
2,970
3,057
-87
3,100
2,320
780
3,755
3,079
676
2,067
2,413
-346
1,216
1,036
180
8,000
7,990
10
14,344
14,228
116
13,898
13,898
10,650
10,004
646
41,869
35,930
5,939
19
14
5
24
23
1
7,667
7,040
627
24
22
2
95,835
107,727
-11,892
13
9
4
246
271
-25
15
14
1
1,190
1,477
-287
1,488
1,456
32
543
2,690
-2,147
1,311
368
943
50,931
51,315
-384
215
915
-700
1,053
490
563
7,894
10,030
-2,136
2,116
2,416
-300
2,742
2,024
718
1,586
1,321
265
1,960
2,384
-424
15,016
12,992
2,024
1,434
1,287
147
10,554
8,565
1,989
9,848
11,461
-1,613
4,864
4,301
563
1,000
998
2
1,057
1,012
45
2,986
2,986
11,566
10,396
1,170
1
1
9
7
2
8,542
8,248
294
49,995
48,684
1,311
2,219
1,986
233
55,414
36,877
18,537
6,289
4,344
1,945
11
12
-1
49,977
58,515
-8,538
1,952
543
1,409
2,024
2,095
-71
78
275
-197
1,240
448
792
169
138
31
235
887
-652
2,456
1,024
1,432
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
b
-9,223
c
-475
d
456
e
209
-233
585
728
1,103
-3,095
-208
7
926
-1,311
1,205
4
118
347
3,660
3,986
1
-52
-2
44
389
-552
470
409
-1,029
816
-724
-2,231
285
270
-358
531
393
363
-269
7
-84
-295
109
-37
3
1
16,944
2
17,181
-30,202
-3
67
1,922
19
641
31
-708
674
354
-445
-844
453
280
-240
145
746
52
-1,086
28
-11
136
33
-1
8,147
2
5
1,793
7
4
-25
-5,573
470
565
241
625
4,068
-339
140
468
-663
1,167
3
848
430
-400
630
-1,199
11
23
7
129
106
-14
2
580
23,142
4,094
15,158
6
-13
6,420
165
427
2,612
2,031
-652
-56
-652
-2,515
168
116
3,257
422
1,617
442
-209
11
60
3
-21
94
-1,336
2,626
231
1
1
3
2,591
-1
490
504
391
2,891
66
1,355
1,773
-7,896
-151
-9,524
491
-3
571
-9
760
113
-201
-213
22
179
-16
33
14,855
3
202
2,779
4,170
28,886
-28
38
500
-704
-836
1,211
-253
-1,556
130
-34
1,167
400
842
-402
-1,013
552
-5,002
107
37
137
-41
-5
4,715
1,590
2
5,728
3
92,286
-1
-145
178
538
-680
488
-432
605
177
187
530
268
800
-434
-1,764
3,556
-1,954
-39
236
-7
72
-1
-22
3
1
73
2
1,888
2
8,777
1,041
69
1,925
-123
20,549
-281
-3,726
134
281
357
205
532
183
-270
7,055
-1,344
334
-3
77
-1
433
3
2,977
1
74
1
29,272
-715
12
-4
164
-61
7,078
-254
444
159
484
199
284
457
389
-1,500
181
-17,190
1,955
404
-25
115
7,440
3
644
191
1
3,173
19
-946
117
3,028
101
-689
-309
-325
304
368
170
370
289
4,315
-172
523
413
282
98
1,023
272
304
12,324
4
2
1,460
1
8,679
-75
-818
306
977
-109
-2,502
103
-404
-658
196
215
324
61
394
196
431
199
-204
334
24
-22
191
2,481
2,089
1,625
492
11,674
1
-1
1
-2,529
227
4,495
6,225
618
-376
-133
-157
347
262
810
-82
383
510
160
458
-76
315
276
1,871
273
55,829
210
1
1
7,588
-42
-135
144
-831
582
234
-983
1,063
-298
980
601
334
-358
-87
780
676
-346
180
10
116
646
5,939
5
1
627
2
-11,892
4
-25
1
-287
32
-2,147
943
-384
-700
563
-2,136
-300
718
265
-424
2,024
147
1,989
-1,613
563
2
45
1,170
2
294
1,311
233
18,537
1,945
-1
-8,538
1,409
-71
-197
792
31
-652
1,432
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
663,807
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
-27,832
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
3,003,668
41,702,760
0.072026
2017
3,029,446
41,436,910
0.073110
2016
2,585,778
38,041,221
0.067973
2015
2,749,928
41,330,482
0.066535
2014
2,285,770
43,933,218
0.052028
2
Total
of line 1, column (d)
.....................
2
0.331672
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
0.066334
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
39,426,932
5
Multiply line 4 by line 3
......................
5
2,615,346
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
46,326
7
Add lines 5 and 6
........................
7
2,661,672
8
Enter qualifying distributions from Part XII, line 4
,.............
8
3,073,979
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
46,326
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
3
Add lines 1 and 2
...........................
3
46,326
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
46,326
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
48,199
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
48,199
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
48
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
1,825
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
1,825
Refunded
11
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)
NM
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
WWW.CHASEFOUNDATION.COM
14
The books are in care of
JOHNATHAN L SHUMAN
Telephone no.
(575) 748-1213
Located at
512 W TEXAS AVE
ARTESIA
NM
ZIP+4
88210
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
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
MACK C CHASE
TRUSTEE/ADVI
000.00
0
0
0
2103 W MAIN ST
ARTESIA
,
NM
88210
RICHARD PRICE
EXECUTIVE DI
000.00
0
0
0
2103 W MAIN ST
ARTESIA
,
NM
88210
GEREN FERGUSON
ADVISOR
000.00
0
0
0
2103 W MAIN STREET
ARTESAI
,
NM
88210
ROBERT CHASE
ADVISOR
000.00
0
0
0
2103 W MAIN STREET
ARTESIA
,
NM
88210
DEB CHASE
ADVISOR
000.00
0
0
0
2103 W MAIN STREET
ARTESIA
,
NM
88210
RICHARD CHASE
ADVISOR
000.00
0
0
0
2103 W MAIN STREET
ARTESIA
,
NM
88210
KARLA CHASE
ADVISOR
000.00
0
0
0
2103 W MAIN STREET
ARTESIA
,
NM
88210
JOHNNY KNORR
ADVISOR
000.00
0
0
0
2103 W MAIN STREET
ARTESIA
,
NM
88210
CHANCE CHASE
ADVISOR
000.00
0
0
0
2103 W MAIN ST
ARTESIA
,
NM
88210
KORTNEY CHASE
ADVISOR
000.00
0
0
0
2103 W MAIN ST
ARTESIA
,
NM
88210
BRAD BARTEK
ADVISOR
000.00
0
0
0
2103 W MAIN ST
ARTESIA
,
NM
88210
DEREK CHASE
ADVISOR
000.00
0
0
0
2103 W MAIN ST
ARTESIA
,
NM
88210
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
...................
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
.............
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
N/A
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
38,899,255
b
Average of monthly cash balances
.......................
1b
54,165
c
Fair market value of all other assets (see instructions)
................
1c
1,073,922
d
Total
(add lines 1a, b, and c)
.........................
1d
40,027,342
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
3
Subtract line 2 from line 1d
.........................
3
40,027,342
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
600,410
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
39,426,932
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,971,347
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
1,971,347
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
46,326
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
46,326
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,925,021
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
1,925,021
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
1,925,021
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
3,073,979
b
Program-related investments—total from Part IX-B
..................
1b
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
3,073,979
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
46,326
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
3,027,653
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
1,925,021
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
172,676
b
From 2015
......
683,404
c
From 2016
......
764,479
d
From 2017
......
1,015,040
e
From 2018
......
969,572
f
Total
of lines 3a through e
........
3,605,171
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
3,073,979
a
Applied to 2018, but not more than line 2a
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
1,925,021
e
Remaining amount distributed out of corpus
1,148,958
5
Excess distributions carryover applied to 2019.
(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
4,754,129
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
172,676
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
4,581,453
10
Analysis of line 9:
a
Excess from 2015
....
683,404
b
Excess from 2016
....
764,479
c
Excess from 2017
....
1,015,040
d
Excess from 2018
....
969,572
e
Excess from 2019
....
1,148,958
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 e-mail address of the person to whom applications should be addressed:
CHASE FOUNDATION
2103 W MAIN STREET
ARTESIA
,
NM
88210
(575) 746-4610
INFO@CHASEFOUNDATION.COM
b
The form in which applications should be submitted and information and materials they should include:
SEE APPLICATION FORMS AT WWW.CHASEFOUNDATION.COM
c
Any submission deadlines:
THE 2019 APPLICATION DEADLINE IS APRIL 25, 2019 FOR FALL 2019 SCHOLARSHIPS.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
GRADUATING SENIOR FROM ARTESIA NM HIGH SCHOOL OR A PRIOR AWARD RECIPIENT.
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
AMARILLO COLLEGE
2201 S WASHINGTON ST
AMARILLO
,
TX
79109
NO
SCHOLARSHIP
5,500
ANGELO STATE UNIVERSITY
2601 W AVE N
SAN ANGELO
,
TX
76909
NO
SCHOLARSHIP
13,000
ARTESIA AQUATIC CENTER FOUNDATION
PO BOX 508
ARTESIA
,
NM
88211
FOUNDATION
GRANT
250,000
ARTESIA GIRLS SOFTBALL ASSOCIATION
PO BOX 1561
ARTESIA
,
NM
88211
NO
GRANT
4,000
ARTESIA LITERACY COUNCIL
1507 W HERMOSA DR
ARTESIA
,
NM
88210
NO
GRANT
6,500
ARTESIA LITTLE LEAGUE
PO BOX 1108
ARTESIA
,
NM
88211
NO
GRANT
32,500
ARTESIA PUBLIC SCHOOLS
1106 W QUAY
ARTESIA
,
NM
88210
NO
GRANT
255,844
BAYLOR UNIVERSITY
1301 S UNIVERSITY PARKS
WACO
,
TX
76798
NO
SCHOLARSHIP
3,250
BIOLA UNIVERSITY
13800 BIOLA AVE
LA MIRANDA
,
CA
90639
NO
SCHOLARSHIP
6,500
BRIGHAM YOUNG UNIVERSITY
270 CLYDE BUILDING
PROVO
,
UT
84602
NO
SCHOLARSHIP
3,250
CENTRAL NEW MEXICO COMMUNITY
COLLEGE
525 BUENA VISTA DR SE
ALBUQUERQUE
,
NM
87106
NO
SCHOLARSHIP
18,249
CHARLESTON SOUTHER UNIVERSITY
9200 UNIVERSTIY BLVD
NORTH CHARLESTON
,
SC
29406
NO
SCHOLARSHIP
9,750
CLARENDON COLLEGE
1122 W 2ND ST
CLARENDON
,
TX
79226
NO
SCHOLARSHIP
3,250
COLORADO CHRISTIAN UNIVERSITY
8787 W ALAMEDA AVE
LAKEWOOD
,
CO
80226
NO
SCHOLARSHIP
6,000
DALLAS BAPTIST UNIVERSITY
3000 MOUNTAIN CREEK PKWY
DALLAS
,
TX
75211
NO
SCHOLARSHIP
3,113
DIXIE STATE COLLEGE
225 S 700 E
ST GEORGE
,
UT
84770
NO
SCHOLARSHIP
2,750
DODGE CITY COMMUNITY COLLEGE
2501 N 14TH AVE
DODGE CITY
,
KS
67801
NO
SCHOLARSHIP
6,000
DONA ANA COMMUNITY COLLEGE
3400 S ESPINA ST
LAS CRUCES
,
NM
88003
NO
SCHOLARSHIP
22,500
EASTERN NEW MEXICO UNIVERSITY
1500 S AVENUE K
PORTALES
,
NM
88130
NO
SCHOLARSHIP
122,750
ENMU-ROSWELL
52 UNIVERSITY BLVD
ROSWELL
,
NM
88203
NO
SCHOLARSHIP
27,000
EVANGEL UNIVERSITY
1111 N GLENSTONE AVE
SPRINGFIELD
,
MO
65802
NO
SCHOLARSHIP
6,500
GREATER ARTESIA FOUNDATION
PO BOX 1344
ARTESIA
,
NM
88211
YES
SENIOR SALUTE/RIDE FOR BIKES
3,500
HARDIN SIMMONS UNIVERSITY
2200 HICKORY ST
ABILENE
,
TX
79601
NO
SCHOLARSHIP
6,000
IDAHO STATE UNIVERSITY
921 S 8TH AVE
POCATELLO
,
ID
83209
NO
SCHOLARSHIP
6,500
LUBBOCK CHRISTIAN UNIVERSITY
5601 19TH ST
LUBBOCK
,
TX
79407
NO
SCHOLARSHIP
47,750
MCMURRY UNIVERSIY
1400 SAYLES BLVD
ABILENE
,
TX
79605
NO
SCHOLARSHIP
16,250
MISSISSIPPI STATE UNIVERSITY
BS HOOD RD
MISSISSIPPI STATE UNIV
,
MS
39759
NO
SCHOLARSHIP
3,250
NEW MEXICO INSTITUTE OF MINING &
TECHNOLOGY
801 LEROY PL
SOCORRO
,
NM
87801
NO
SCHOLARSHIP
12,000
NEW MEXICO MILITARY INSTITUTE
101 W COLLEGE BLVD
ROSWELL
,
NM
88210
NO
SCHOLARSHIP
7,750
NEW MEXICO STATE UNIVERSITY
CARLSBAD
1500 UNIVERSITY DR
CARLSBAD
,
NM
88220
NO
SCHOLARSHIP
26,000
NEW MEXICO STATE UNIVERSITY
1780 E UNIVERSITY AVE
LAS CRUCES
,
NM
88003
NO
SCHOLARSHIP
462,900
NORTHERN ARIZONA UNIVERSITY
S SAN FRANCISCO ST
FLAGSTAFF
,
AZ
86011
NO
SCHOLARSHIP
12,500
UNIVERSITY OF NOTRE DAME
220 MAIN BUILDING
NOTRE DAME
,
IN
46556
NO
SCHOLARSHIP
9,750
OKLAHOMA BAPTIST UNIVERSITY
500 W UNIVERSITY ST
SHAWNEE
,
OK
74804
NO
SCHOLARSHIP
3,250
OKLAHOMA CHRISTIAN UNIVERSITY
2501 E MEMORIAL RD
EDMOND
,
OK
73013
NO
SCHOLARSHIP
6,500
OKLAHOMA STATE UNIVERSITY
OKLAHOMA STATE UNIVERSITY
STILLWATER
,
OK
74074
NO
SCHOLARSHIP
12,500
OLYMPIAN UNIVERSITY
4501 N MAIN ST
ROSWELL
,
NM
88201
NO
SCHOLARSHIP
5,500
PATHWAY
1802 W HERMOSA DR
ARTESIA
,
NM
88210
NO
GRANT
3,000
SAM HOUSTON STATE UNIVERSITY
1905 UNIVERSITY AVE
HUNTSVILLE
,
TX
77340
NO
SCHOLARSHIP
3,250
SAN JUAN COLLEGE
4601 COLLEGE BLVD
FARMINGTON
,
NM
87402
NO
SCHOLARSHIP
2,750
SOUTH PLAINS COLLEGE
1401 COLLEGE AVE
LEVELLAND
,
TX
79336
NO
SCHOLARSHIP
40,250
SOUTHERN WESLEYAN UNIVERSITY
215 CLAYTON ST
CENTRAL
,
SC
29630
NO
SCHOLARSHIP
6,500
SUL ROSS STATE UNIVERSITY
79830 US-90
ALPINE
,
TX
79830
NO
SCHOLARSHIP
6,500
SWARTHMORE COLLEGE
500 COLLEGE AVE
SWARTHMORE
,
PA
19081
NO
SCHOLARSHIP
9,250
TEXAS A&M
1372 TAMU
COLLEGE STATION
,
TX
778431372
NO
SCHOLARSHIP
9,250
TEXAS CHRISTIAN UNIVERSITY
2800 S UNIVERSITY DR
FORT WORTH
,
TX
76129
NO
SCHOLARSHIP
2,750
TEXAS TECH UNIVERSITY
2500 BROADWAY
LUBBOCK
,
TX
79409
NO
SCHOLARSHIP
222,873
UNIVERSITY OF DALLAS
1845 E NORTHGATE DR
IRVING
,
TX
75062
NO
SCHOLARSHIP
3,250
UNIVERSITY OF ILLINOIS URBANA CHAMP
901 WEST ILLINOIS ST
URBANA
,
IL
61801
NO
SCHOLARSHIP
6,500
UNIVERSITY OF NEW MEXICO
1155 UNIVERSITY BLVD
ALBUQUERQUE
,
NM
87131
NO
SCHOLARSHIP
244,000
UNIVERSITY OF TEXAS - PERMIAN BASIN
4901 E UNIVERSITY BLVD
ODESSA
,
TX
79762
NO
SCHOLARSHIP
9,750
UNIVERSITY OF THE SOUTHWEST
6610 N LOVINGTON HWY
HOBBS
,
NM
88240
NO
SCHOLARSHIP
4,375
UNM FOUNDATION
700 LOMAS NE STE 108
ALBUQUERQUE
,
NM
87102
FOUNDATION
GRANT
1,000
WAYLAND BAPTIST UNIVERSITY
1900 W 7TH ST
PLAINVIEW
,
TX
79072
NO
SCHOLARSHIP
31,000
WEST TEXAS A&M UNIVERSITY
2501 4TH AVE
CANYON
,
TX
79016
NO
SCHOLARSHIP
29,000
ABILENE CHRISTIAN UNIVERSITY
1600 CAMPUS CT
ABILENE
,
TX
79601
NO
SCHOLARSHIP
2,750
ARIZONA STATE UNIVERSITY
1711 S RURAL ROAD
TEMPE
,
AZ
85281
NO
SCHOLARSHIP
2,750
BLINN COLLEGE
902 COLLEGE AVE
BRENHAM
,
TX
77833
NO
SCHOLARSHIP
3,250
BYU - PROVO
A-41 ASB
PROVO
,
UT
84602
NO
SCHOLARSHIP
3,250
COVENANT SCHOOL OF NURSING
1919 FRANKFORD AVE
LUBBOCK
,
TX
79407
NO
SCHOLARSHIP
6,500
HILLSONG COLLEGE USA
655 E UNIVERSITY DR BUILD
MESA
,
AZ
85203
NO
SCHOLARSHIP
3,250
MCCLELLAN COMMUNITY COLLEGE
1400 COLLEGE DR
WACO
,
TX
76708
NO
SCHOLARSHIP
3,250
NEW MEXICO HIGHLANDS COLLEGE
1005 DIAMOND ST
LAS VEGAS
,
NM
87701
NO
SCHOLARSHIP
6,000
SOUTH TEXAS COLLEGE
3201 W PECAN BLVD
MCALLEN
,
TX
78501
NO
SCHOLARSHIP
3,250
TARLETON STATE UNIVERSITY
1333 W WASHINGTON ST
STEPHENVILLE
,
TX
76401
NO
SCHOLARSHIP
3,250
TULSA WELDING SCHOOL
2545 E 11TH ST
TULSA
,
OK
74104
NO
SCHOLARSHIP
33,000
UNIVERSITY OF MINNESOTA
2818 COMO AVENUE SE
MINNEAPOLIS
,
MN
55414
NO
SCHOLARSHIP
5,500
UTEP
102 ACADEMIC SERVICES BLD
EL PASO
,
TX
79968
NO
SCHOLARSHIP
2,750
WESTERN TEXAS COLLEGE
6200 COLLEGE AVE
SNYDER
,
TX
79549
NO
SCHOLARSHIP
2,000
HEARING THE HOMELESS
6433 BRIDGEWATER DRIVE
AUSTIN
,
TX
78723
FOUNDATION
GRANT
2,000
KNIGHTS OF COLUMBUS
1 COLUMBUS PLAZA
NEW HAVEN
,
CT
06510
NO
GRANT
2,500
MAKE A WISH FOUNDATION
1702 E HIGHLAND AVE 400
PHOENIX
,
AZ
85016
FOUNDATION
GRANT
2,500
Total
.................................
3a
2,173,104
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
...........
14
158,193
4
Dividends and interest from securities
....
14
412,943
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
.....
14
33,497
8
Gain or (loss) from sales of assets other than
inventory
............
14
663,855
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
RENT
16
3,900
b
PASSTHROUGH INV INC(LOSS)
14
190,925
c
PY PASSTHROUGH INCOME
14
3,378,294
d
ENCAP ENERGY X
900099
-233,858
e
ENCAP ENERGY IX
900099
-266,751
f
ENCAP FLATROCK
900099
-175,099
g
SI SILICON BEACH
900099
1,934
h
PENNYBACKER IV
900099
-19,235
i
PENNYBACKER V
900099
-7,389
j
NGP
900099
62,592
k
BP NATURAL GAS PTNRS
900099
-6,030
l
PENNYBACKER III
900099
76,756
m
PY UBTI ENCAP X
900099
-436,737
n
PY UBTI ENCAP IX
900099
-1,275,355
o
PY UBTI ENCAP FLATROCK
900099
-534,209
p
PY UBTI SILICON BEACH
900099
-16,880
q
PY UBTI PENNYBACKER IV
900099
-15,643
r
PY UBTI NGP
900099
-433,226
s
PY UBTI BP NAT GAS PTNR
900099
-644,460
t
PY PENNYBACKER III
900099
-21,784
12
Subtotal. Add columns (b), (d), and (e)
..
-3,945,374
4,841,607
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
896,233
(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