-
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 RUVO FAMILY FOUNDATION
% PIERCY BOWLER TAYLOR & KERN
Number and street (or P.O. box number if mail is not delivered to street address)
900 RANCHO LANE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS
,
NV
89106
A Employer identification number
73-1688102
B
Telephone number (see instructions)
(702) 474-4500
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)
$
5,346,787
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)
1,214,317
2
Check
.............
3
Interest on savings and temporary cash investments
17,178
17,178
4
Dividends and interest from securities
...
105,881
105,881
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
936,981
b
Gross sales price for all assets on line 6a
1,110,390
7
Capital gain net income (from Part IV, line 2)
...
936,981
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
........
2,274,357
1,060,040
13
Compensation of officers, directors, trustees, etc.
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
3,706
0
0
3,706
c
Other professional fees (attach schedule)
....
17
Interest
...............
168
168
18
Taxes (attach schedule) (see instructions)
...
3,824
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
50
50
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
7,748
168
0
3,756
25
Contributions, gifts, grants paid
.......
1,502,170
1,502,170
26
Total expenses and disbursements.
Add lines 24 and 25
1,509,918
168
0
1,505,926
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
764,439
b
Net investment income
(if negative, enter -0-)
1,059,872
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
.............
2
Savings and temporary cash investments
.........
1,084,463
960,532
960,532
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)
.......
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)
..........
2,400,849
2,429,190
4,386,255
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)
3,485,312
3,389,722
5,346,787
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
)
59,343
46,639
23
Total liabilities
(add lines 17 through 22)
.........
59,343
46,639
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
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
3,425,969
3,343,083
29
Total net assets or fund balances
(see instructions)
.....
3,425,969
3,343,083
30
Total liabilities and net assets/fund balances
(see instructions)
.
3,485,312
3,389,722
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
3,425,969
2
Enter amount from Part I, line 27a
.....................
2
764,439
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
4,190,408
5
Decreases not included in line 2 (itemize)
5
847,325
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
3,343,083
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
OP #2695 - 100SHRS PUT LVS JAN 35 EXP 01/17/20
2019-05-01
2019-05-02
b
OP #2695 - 50SHRS CALL WYNN JAN 145 EXP 01117/20
2019-08-09
2019-08-12
c
OP #2695 - 50SHRS CALL WYNN JAN 150 EXP 01/17/20 I
2019-08-09
2019-08-12
d
OP #2695 - 50SHRS CALL WYNN JAN 165 EXP 01/17/20
2019-04-01
2019-04-02
e
OP #2695 - 50SHRS CALL WYNN JAN 170 EXP 01/17/20
2019-04-01
2019-04-02
OP #2695 - 65SHRS CALL LVSJAN 80 EXP 01/17/20
2019-07-11
2019-07-12
OP #2695 - 65SHRS CALL LVS JAN 82.5 EXP 01/17/20
2019-07-11
2019-07-12
GS #6885 - 1SHRS ADOBE INC
2012-06-13
2019-05-03
GS #6885 - 8SHRS ADOBE INC
2011-12-08
2019-05-03
GS #6885 - 9SHRS ADOBE INC
2012-01-17
2019-05-03
GS #6885 - 14SHRS ADOBE INC
2012-01-03
2019-05-03
GS #6885 - 26SHRS ADOBE INC
2011-12-02
2019-05-03
GS #6885 - 38SHRS ADOBE INC
2011-08-16
2019-05-03
GS #6885 - 41SHRS ADOBE INC
2011-12-01
2019-05-03
GS #6885 - 12SHRS ALIGN TECHNOLOGY, INC
2014-10-16
2019-05-03
GS #6885 - 38SHRS ALIGN TECHNOLOGY, INC
2011-01-03
2019-05-03
GS #6885 - 31SHRS ALLSTATE CORPORATION COMMON STOCK
2011-10-03
2019-05-03
GS #6885 - 49SHRS ALLSTATE CORPORATION COMMON STOCK
2011-09-19
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-05-02
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-06-01
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-06-22
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-04-15
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-08-16
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-06-22
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-08-16
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-06-01
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-04-15
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A
2011-05-02
2019-05-03
GS #6885 - 53SHRS AMERICAN WATER WORKS CO, INC. CMN
2011-12-01
2019-05-03
GS #6885 - 107SHRS AMN HEALTHCARE SERVICES INC CMN
2012-03-23
2019-05-03
GS #6885 - 7SHRS BANK OF AMERICA CORP
2012-10-01
2019-05-03
GS #6885 - 188SHRS BANK OF AMERICA CORP
2012-07-18
2019-05-03
GS #6885 - 615SHRS BANK OF AMERICA CORP
2011-10-03
2019-05-03
GS #6885 - 7SHRS BOEING COMPANY
2011-03-01
2019-05-03
GS #6885 - 10SHRS BOEING COMPANY
2011-10-13
2019-05-03
GS #6885 - 10SHRS BOEING COMPANY
2011-01-03
2019-05-03
GS #6885 - 11SHRS BOEING COMPANY
2011-10-03
2019-05-03
GS #6885 - 11SHRS BOEING COMPANY
2011-11-21
2019-05-03
GS #6885 - 18SHRS BOEING COMPANY
2011-09-19
2019-05-03
GS #6885 - 35SHRS BOEING COMPANY
2011-11-01
2019-05-03
GS #6885 - 36SHRS CADENCE DESIGN SYSTEMS INC
2012-01-03
2019-05-03
GS #6885 - 40SHRS CADENCE DESIGN SYSTEMS INC
2011-08-01
2019-05-03
GS #6885 - 54SHRS CADENCE DESIGN SYSTEMS INC
2012-06-13
2019-05-03
GS #6885 - 2SHRS CBRE GROUP, INC.
2016-02-11
2019-05-03
GS #6885 - 113SHRS CBRE GROUP, INC.
2011-10-13
2019-05-03
GS #6885 - 125SHRS CHENIERE ENERGY, INC
2011-01-03
2019-05-03
GS #6885 - 12SHRS CINTAS CORPORATION CMN (XXX-XX-XXXX)
2011-12-02
2019-05-03
GS #6885 - 30SHRS CONSTELLATION BRANDS INC CMN CLASS A (21036P108)
2012-06-13
2019-05-03
GS #6885 - 541SHRS DELTA AIR LINES, INC. CMN (XXX-XX-XXXX)
2011-08-09
2019-05-03
GS #6885 - 7SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2011-02-01
2019-05-03
GS #6885 - 13SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2011-08-16
2019-05-03
GS #6885 - 15SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2011-04-01
2019-05-03
GS #6885 - 20SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2011-01-03
2019-05-03
GS #6885 - 26SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2011-11-01
2019-05-03
GS #6885 - 27SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2011-03-01
2019-05-03
GS #6885 - 42SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2011-10-03
2019-05-03
GS #6885 - 68SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2011-12-02
2019-05-03
GS #6885 - 468SHRS FRESHPET, INC. CMN (XXX-XX-XXXX)
2016-05-12
2019-05-03
GS #6885 - 75SHRS GLOBAL PAYMENTS INC. CMN (37940X102)
2012-10-01
2019-05-03
GS #6885 - 49SHRS GREEN DOT CORPORATION CMN CLASS A (39304D102)
2012-12-03
2019-05-03
GS #6885 - 209SHRS GREEN DOT CORPORATION CMN CLASS A (39304D102)
2012-10-01
2019-05-03
GS #6885 - 1SHRS IDEXX LABORATORIES CMN (45168D104)
2015-05-11
2019-05-03
GS #6885 - 24SHRS IDEXX LABORATORIES CMN (45168D104)
2011-01-03
2019-05-03
GS #6885 - 2SHRS ILLUMINA, INC CMN (XXX-XX-XXXX)
2016-10-26
2019-05-03
GS #6885 - 13SHRS ILLUMINA, INC CMN (XXX-XX-XXXX)
2011-12-02
2019-05-03
GS #6885 - 15SHRS ILLUMINA, INC CMN (XXX-XX-XXXX)
2011-11-21
2019-05-03
GS #6885 - 135SHRS IRIDIUM COMMUNICATIONS INC CMN (46269C102)
2013-12-30
2019-05-03
GS #6885 - 365SHRS IRIDIUM COMMUNICATIONS INC CMN (46269C102)
2017-03-10
2019-05-03
GS #6885 - 2SHRS JPMORGAN CHASE & CO CMN (46625H100)
2012-10-01
2019-05-03
GS #6885 - 16SHRS JPMORGAN CHASE & CO CMN (46625H100)
2012-07-18
2019-05-03
GS #6885 - 26SHRS JPMORGAN CHASE & CO CMN (46625H100)
2011-10-13
2019-05-03
GS #6885 - 45SHRS JPMORGAN CHASE & CO CMN (46625H100)
2011-10-03
2019-05-03
GS #6885 - 63SHRS JPMORGAN CHASE & CO CMN (46625H100)
2012-08-20
2019-05-03
GS #6885 - 69SHRS JPMORGAN CHASE & CO CMN (46625H100)
2011-11-21
2019-05-03
GS #6885 - 82SHRS JPMORGAN CHASE & CO CMN (46625H100)
2011-12-02
2019-05-03
GS #6885 - 97SHRS JPMORGAN CHASE & CO CMN (46625H100)
2011-09-19
2019-05-03
GS #6885 - 30SHRS LEIDOS HLDGS INC CMN (XXX-XX-XXXX)
2011-05-02
2019-05-03
GS #6885 - 99SHRS LEIDOS HLDGS INC CMN (XXX-XX-XXXX)
2011-09-19
2019-05-03
GS #6885 - 131SHRS LEIDOS HLDGS INC CMN (XXX-XX-XXXX)
2011-06-02
2019-05-03
GS #6885 - 11SHRS LENNOX INTERNATIONAL INC CMN (XXX-XX-XXXX)
2011-12-02
2019-05-03
GS #6885 - 11SHRS LENNOX INTERNATIONAL INC CMN (XXX-XX-XXXX)
2012-01-03
2019-05-03
GS #6885 - 3SHRS LOWES COMPANIES INC CMN (XXX-XX-XXXX)
2011-10-13
2019-05-03
GS #6885 - 69SHRS LOWES COMPANIES INC CMN (XXX-XX-XXXX)
2011-10-03
2019-05-03
GS #6885 - 106SHRS LOWES COMPANIES INC CMN (XXX-XX-XXXX)
2011-09-19
2019-05-03
GS #6885 - 39SHRS MASCO CORPORATION CMN (XXX-XX-XXXX)
2011-12-02
2019-05-03
GS #6885 - 44SHRS MASCO CORPORATION CMN (XXX-XX-XXXX)
2011-10-03
2019-05-03
GS #6885 - 52SHRS MASCO CORPORATION CMN (XXX-XX-XXXX)
2011-12-01
2019-05-03
GS #6885 - 2SHRS MASTERCARD INCORPORATED CMN CLASS A (57636Q104)
2011-06-02
2019-05-03
GS #6885 - 5SHRS MASTERCARD INCORPORATED CMN CLASS A (57636Q104)
2011-01-03
2019-05-03
GS #6885 - 45SHRS MASTERCARD INCORPORATED CMN CLASS A (57636Q104)
2011-04-01
2019-05-03
GS #6885 - 51SHRS MASTERCARD INCORPORATED CMN CLASS A (57636Q104)
2011-02-01
2019-05-03
GS #6885 - 497SHRS MGIC INVESTMENT CORP COMMON STOCK (XXX-XX-XXXX)
2012-12-03
2019-05-03
GS #6885 - 23SHRS MICROSOFT CORPORATION CMN (XXX-XX-XXXX)
2011-05-17
2019-05-03
GS #6885 - 41SHRS MICROSOFT CORPORATION CMN (XXX-XX-XXXX)
2011-06-01
2019-05-03
GS #6885 - 172SHRS MICROSOFT CORPORATION CMN (XXX-XX-XXXX)
2011-10-03
2019-05-03
GS #6885 - 2SHRS MOODY'S CORPORATION CMN (XXX-XX-XXXX)
2011-06-23
2019-05-03
GS #6885 - 4SHRS MOODY'S CORPORATION CMN (XXX-XX-XXXX)
2011-02-01
2019-05-03
GS #6885 - 45SHRS MOODY'S CORPORATION CMN (XXX-XX-XXXX)
2012-01-03
2019-05-03
GS #6885 - 140SHRS NETFLIX, INC. CMN (64110L106)
2012-10-01
2019-05-03
GS #6885 - 6SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2012-01-03
2019-05-03
GS #6885 - 7SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2011-02-01
2019-05-03
GS #6885 - 7SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2011-12-02
2019-05-03
GS #6885 - 8SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2011-01-03
2019-05-03
GS #6885 - 8SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2011-11-21
2019-05-03
GS #6885 - 10SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2012-03-23
2019-05-03
GS #6885 - 16SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2011-12-01
2019-05-03
GS #6885 - 23SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2011-11-01
2019-05-03
GS #6885 - 35SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2011-12-01
2019-05-03
GS #6885 - 46SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2011-12-08
2019-05-03
GS #6885 - 9SHRS NISOURCE INC. CMN (65473P105)
2011-08-16
2019-05-03
GS #6885 - 18SHRS NISOURCE INC. CMN (65473P105)
2012-02-06
2019-05-03
GS #6885 - 20SHRS NISOURCE INC. CMN (65473P105)
2011-07-26
2019-05-03
GS #6885 - 24SHRS NISOURCE INC. CMN (65473P105)
2011-12-02
2019-05-03
GS #6885 - 72SHRS NISOURCE INC. CMN (65473P105)
2011-10-03
2019-05-03
GS #6885 - 73SHRS NISOURCE INC. CMN (65473P105)
2011-12-01
2019-05-03
GS #6885 - 22SHRS NORTHROP GRUMMAN CORP CMN (666807102)
2012-01-03
2019-05-03
GS #6885 - 31SHRS NORTHROP GRUMMAN CORP CMN (666807102)
2011-08-16
2019-05-03
GS #6885 - 115SHRS NVIDIA CORPORATION CMN (67066G104)
2012-06-13
2019-05-03
GS #6885 - 2SHRS O'REILLY AUTOMOTIVE, INC. CMN (67103H107)
2014-12-12
2019-05-03
GS #6885 - 3SHRS O'REILLY AUTOMOTIVE, INC. CMN (67103H107)
2011-02-01
2019-05-03
GS #6885 - 6SHRS O'REILLY AUTOMOTIVE, INC. CMN (67103H107)
2011-05-02
2019-05-03
GS #6885 - 7SHRS O'REILLY AUTOMOTIVE, INC. CMN (67103H107)
2013-01-31
2019-05-03
GS #6885 - 7SHRS O'REILLY AUTOMOTIVE, INC. CMN (67103H107)
2012-10-01
2019-05-03
GS #6885 - 130SHRS OLLIE'S BARGAIN OUTLET HLDG INC CMN (XXX-XX-XXXX)
2015-11-19
2019-05-03
GS #6885 - 2SHRS S&P GLOBAL INC. CMN (78409V104)
2013-10-01
2019-05-03
GS #6885 - 7SHRS S&P GLOBAL INC. CMN (78409V104)
2011-02-01
2019-05-03
GS #6885 - 8SHRS S&P GLOBAL INC. CMN (78409V104)
2011-05-02
2019-05-03
GS #6885 - 9SHRS S&P GLOBAL INC. CMN (78409V104)
2011-12-01
2019-05-03
GS #6885 - 9SHRS S&P GLOBAL INC. CMN (78409V104)
2011-12-02
2019-05-03
GS #6885 - 10SHRS STARBUCKS CORP. CMN (XXX-XX-XXXX)
2011-01-03
2019-05-03
GS #6885 - 30SHRS STARBUCKS CORP. CMN (XXX-XX-XXXX)
2011-10-03
2019-05-03
GS #6885 - 72SHRS STARBUCKS CORP. CMN (XXX-XX-XXXX)
2011-02-01
2019-05-03
GS #6885 - 10SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2011-12-02
2019-05-03
GS #6885 - 11SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2011-06-01
2019-05-03
GS #6885 - 12SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2011-04-01
2019-05-03
GS #6885 - 20SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2011-02-01
2019-05-03
GS #6885 - 27SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2011-07-25
2019-05-03
GS #6885 - 29SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2011-01-03
2019-05-03
GS #6885 - 33SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2011-08-01
2019-05-03
GS #6885 - 63SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2011-03-01
2019-05-03
GS #6885 - 194SHRS UBIQUITI NETWORKS INC CMN (90347A100)
2012-12-03
2019-05-03
GS #6885 - 3SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2011-02-01
2019-05-03
GS #6885 - 3SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2011-10-03
2019-05-03
GS #6885 - 11SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2011-03-01
2019-05-03
GS #6885 - 16SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2011-08-16
2019-05-03
GS #6885 - 21SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2011-04-01
2019-05-03
GS #6885 - 22SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2011-01-03
2019-05-03
GS #6885 - 2SHRS VALERO ENERGY CORPORATION CMN (91913Y100)
2014-12-12
2019-05-03
GS #6885 - 81SHRS VALERO ENERGY CORPORATION CMN (91913Y100)
2011-08-16
2019-05-03
GS #6885 - 9SHRS VERISIGN, INC. CMN (92343E102)
2012-01-03
2019-05-03
GS #6885 - 16SHRS VISA INC. CMN CLASS A (92826C839)
2011-07-25
2019-05-03
GS #6885 - 16SHRS VISA INC. CMN CLASS A (92826C839)
2011-02-01
2019-05-03
GS #6885 - 20SHRS VISA INC. CMN CLASS A (92826C839)
2011-03-01
2019-05-03
GS #6885 - 24SHRS VISA INC. CMN CLASS A (92826C839)
2011-04-15
2019-05-03
GS #6885 - 36SHRS VISA INC. CMN CLASS A (92826C839)
2011-09-19
2019-05-03
GS #6885 - 36SHRS VISA INC. CMN CLASS A (92826C839)
2011-04-01
2019-05-03
GS #6885 - 96SHRS VISA INC. CMN CLASS A (92826C839)
2011-01-03
2019-05-03
GS #6885 - 9SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2011-12-01
2019-05-03
GS #6885 - 28SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2011-11-03
2019-05-03
GS #6885 - 28SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2011-11-21
2019-05-03
GS #6885 - 55SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2011-12-01
2019-05-03
GS #6885 - 270SHRS WORLD WRESTLING ENTERTAINMENT CMN CLASS A (98156Q10
2017-02-22
2019-05-03
GS #6885 - 11SHRS ADOBE INC CMN (00724F101)
2010-08-16
2019-05-03
GS #6885 - 37SHRS ADOBE INC CMN (00724F101)
2010-10-01
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A (02079K305)
2010-01-25
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS A (02079K305)
2010-08-16
2019-05-03
GS #6885 - 2SHRS ALPHABET INC. CMN CLASS A (02079K305)
2010-08-16
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS C (02079K107)
2010-01-25
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS C (02079K107)
2010-03-15
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS C (02079K107)
2010-08-16
2019-05-03
GS #6885 - 1SHRS ALPHABET INC. CMN CLASS C (02079K107)
2010-03-08
2019-05-03
GS #6885 - 2SHRS ALPHABET INC. CMN CLASS C (02079K107)
2010-08-16
2019-05-03
GS #6885 - 1SHRS AMAZON.COM INC CMN (XXX-XX-XXXX)
2010-10-01
2019-05-03
GS #6885 - 2SHRS AMAZON.COM INC CMN (XXX-XX-XXXX)
2010-09-20
2019-05-03
GS #6885 - 3SHRS AMAZON.COM INC CMN (XXX-XX-XXXX)
2010-03-01
2019-05-03
GS #6885 - 4SHRS AMAZON.COM INC CMN (XXX-XX-XXXX)
2010-08-16
2019-05-03
GS #6885 - 21SHRS AMERICAN WATER WORKS CO, INC. CMN (XXX-XX-XXXX)
2010-11-15
2019-05-03
GS #6885 - 3SHRS APPLE INC. CMN (XXX-XX-XXXX)
2010-01-25
2019-05-03
GS #6885 - 23SHRS APPLE INC. CMN (XXX-XX-XXXX)
2009-12-07
2019-05-03
GS #6885 - 24SHRS APPLE INC. CMN (XXX-XX-XXXX)
2009-12-14
2019-05-03
GS #6885 - 25SHRS APPLE INC. CMN (XXX-XX-XXXX)
2009-12-21
2019-05-03
GS #6885 - 2SHRS BOEING COMPANY CMN (XXX-XX-XXXX)
2009-12-14
2019-05-03
GS #6885 - 3SHRS BOEING COMPANY CMN (XXX-XX-XXXX)
2010-01-19
2019-05-03
GS #6885 - 3SHRS BOEING COMPANY CMN (XXX-XX-XXXX)
2009-12-07
2019-05-03
GS #6885 - 3SHRS BOEING COMPANY CMN (XXX-XX-XXXX)
2010-11-15
2019-05-03
GS #6885 - 4SHRS BOEING COMPANY CMN (XXX-XX-XXXX)
2010-10-01
2019-05-03
GS #6885 - 7SHRS BOEING COMPANY CMN (XXX-XX-XXXX)
2009-12-21
2019-05-03
GS #6885 - 7SHRS BOEING COMPANY CMN (XXX-XX-XXXX)
2010-09-20
2019-05-03
GS #6885 - 10SHRS BOEING COMPANY CMN (XXX-XX-XXXX)
2010-01-04
2019-05-03
GS #6885 - 16SHRS CINTAS CORPORATION CMN (XXX-XX-XXXX)
2010-11-15
2019-05-03
GS #6885 - 3SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2010-11-15
2019-05-03
GS #6885 - 3SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2009-12-14
2019-05-03
GS #6885 - 4SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2010-03-01
2019-05-03
GS #6885 - 5SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2010-11-01
2019-05-03
GS #6885 - 5SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2010-01-11
2019-05-03
GS #6885 - 7SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2010-03-12
2019-05-03
GS #6885 - 9SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2010-08-16
2019-05-03
GS #6885 - 16SHRS ELI LILLY & CO CMN (XXX-XX-XXXX)
2010-10-01
2019-05-03
GS #6885 - 16SHRS LEIDOS HLDGS INC CMN (XXX-XX-XXXX)
2010-11-01
2019-05-03
GS #6885 - 74SHRS LEIDOS HLDGS INC CMN (XXX-XX-XXXX)
2010-11-15
2019-05-03
GS #6885 - 7SHRS LOWES COMPANIES INC CMN (XXX-XX-XXXX)
2010-08-16
2019-05-03
GS #6885 - 12SHRS MASTERCARD INCORPORATED CMN CLASS A (57636Q104)
2010-10-01
2019-05-03
GS #6885 - 20SHRS MASTERCARD INCORPORATED CMN CLASS A (57636Q104)
2010-08-16
2019-05-03
GS #6885 - 84SHRS MICROSOFT CORPORATION CMN (XXX-XX-XXXX)
2010-08-16
2019-05-03
GS #6885 - 2SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2010-12-01
2019-05-03
GS #6885 - 2SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2010-08-16
2019-05-03
GS #6885 - 3SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2010-10-01
2019-05-03
GS #6885 - 4SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2010-01-19
2019-05-03
GS #6885 - 5SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2010-11-15
2019-05-03
GS #6885 - 6SHRS NEXTERA ENERGY, INC. CMN (65339F101)
2010-03-15
2019-05-03
GS #6885 - 2SHRS NORTHROP GRUMMAN CORP CMN (666807102)
2010-10-01
2019-05-03
GS #6885 - 3SHRS NORTHROP GRUMMAN CORP CMN (666807102)
2010-01-25
2019-05-03
GS #6885 - 4SHRS NORTHROP GRUMMAN CORP CMN (666807102)
2010-08-16
2019-05-03
GS #6885 - 10SHRS STARBUCKS CORP. CMN (XXX-XX-XXXX)
2010-10-01
2019-05-03
GS #6885 - 14SHRS STARBUCKS CORP. CMN (XXX-XX-XXXX)
2010-03-01
2019-05-03
GS #6885 - 16SHRS STARBUCKS CORP. CMN (XXX-XX-XXXX)
2010-03-08
2019-05-03
GS #6885 - 18SHRS STARBUCKS CORP. CMN (XXX-XX-XXXX)
2010-11-15
2019-05-03
GS #6885 - 4SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2009-12-28
2019-05-03
GS #6885 - 6SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2009-12-14
2019-05-03
GS #6885 - 7SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2009-12-07
2019-05-03
GS #6885 - 7SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2010-01-11
2019-05-03
GS #6885 - 11SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2009-12-21
2019-05-03
GS #6885 - 45SHRS THE HOME DEPOT, INC. CMN (XXX-XX-XXXX)
2010-10-01
2019-05-03
GS #6885 - 2SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2009-12-28
2019-05-03
GS #6885 - 4SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2010-07-16
2019-05-03
GS #6885 - 5SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2009-12-07
2019-05-03
GS #6885 - 6SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2009-12-14
2019-05-03
GS #6885 - 8SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2010-11-01
2019-05-03
GS #6885 - 12SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2010-10-01
2019-05-03
GS #6885 - 27SHRS UNITEDHEALTH GROUP INCORPORATE CMN (91324P102)
2010-06-25
2019-05-03
GS #6885 - 6SHRS VALERO ENERGY CORPORATION CMN (91913Y100)
2010-12-01
2019-05-03
GS #6885 - 7SHRS VALERO ENERGY CORPORATION CMN (91913Y100)
2009-12-07
2019-05-03
GS #6885 - 29SHRS VALERO ENERGY CORPORATION CMN (91913Y100)
2010-10-01
2019-05-03
GS #6885 - 4SHRS VERISIGN, INC. CMN (92343E102)
2009-12-14
2019-05-03
GS #6885 - 5SHRS VERISIGN, INC. CMN (92343E102)
2009-12-28
2019-05-03
GS #6885 - 7SHRS VERISIGN, INC. CMN (92343E102)
2010-01-11
2019-05-03
GS #6885 - 36SHRS VISA INC. CMN CLASS A (92826C839)
2010-11-15
2019-05-03
GS #6885 - 2SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2009-12-21
2019-05-03
GS #6885 - 2SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2010-11-15
2019-05-03
GS #6885 - 3SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2010-03-08
2019-05-03
GS #6885 - 3SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2010-08-16
2019-05-03
GS #6885 - 5SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2010-01-19
2019-05-03
GS #6885 - 6SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2009-12-14
2019-05-03
GS #6885 - 6SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2010-01-04
2019-05-03
GS #6885 - 6SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2010-01-11
2019-05-03
GS #6885 - 18SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2009-12-28
2019-05-03
GS #6885 - 24SHRS WALT DISNEY COMPANY (THE) CMN (XXX-XX-XXXX)
2010-10-01
2019-05-03
(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
20,558
20,558
b
35,737
35,737
c
31,149
31,149
d
3,900
-3,900
e
2,518
-2,518
5,749
5,749
4,287
4,287
285
32
253
2,280
219
2,061
2,565
264
2,301
3,990
401
3,589
7,410
705
6,705
10,829
936
9,893
11,684
1,113
10,571
3,959
542
3,417
12,537
755
11,782
3,052
704
2,348
4,824
1,199
3,625
1,188
270
918
1,188
263
925
1,188
244
944
1,188
266
922
1,188
270
918
1,184
243
941
1,184
269
915
1,184
262
922
1,184
265
919
1,184
269
915
5,675
1,664
4,011
5,609
632
4,977
215
63
152
5,771
1,416
4,355
18,880
3,401
15,479
2,636
491
2,145
3,766
635
3,131
3,766
664
3,102
4,143
641
3,502
4,143
721
3,422
6,779
1,155
5,624
13,181
2,209
10,972
2,523
372
2,151
2,803
402
2,401
3,784
557
3,227
103
47
56
5,845
1,695
4,150
8,059
803
7,256
2,662
364
2,298
6,335
573
5,762
31,294
3,742
27,552
818
246
572
1,520
464
1,056
1,754
525
1,229
2,339
700
1,639
3,040
972
2,068
3,157
925
2,232
4,911
1,526
3,385
7,951
2,543
5,408
21,327
4,221
17,106
10,898
1,567
9,331
3,258
603
2,655
13,898
2,665
11,233
250
65
185
5,995
837
5,158
648
280
368
4,212
361
3,851
4,860
426
4,434
3,659
849
2,810
9,893
3,084
6,809
232
82
150
1,859
559
1,300
3,021
822
2,199
5,229
1,289
3,940
7,321
2,354
4,967
8,018
2,064
5,954
9,529
2,651
6,878
11,272
3,152
8,120
2,215
288
1,927
7,309
921
6,388
9,672
1,213
8,459
3,001
374
2,627
3,001
382
2,619
338
61
277
7,774
1,310
6,464
11,943
2,121
9,822
1,569
324
1,245
1,770
271
1,499
2,092
437
1,655
496
57
439
1,239
110
1,129
11,150
1,141
10,009
12,637
1,215
11,422
7,221
934
6,287
2,963
564
2,399
5,281
1,002
4,279
22,155
4,219
17,936
392
75
317
785
118
667
8,828
1,582
7,246
53,600
1,121
52,479
1,153
354
799
1,346
382
964
1,346
390
956
1,538
418
1,120
1,538
438
1,100
1,922
604
1,318
3,076
889
2,187
4,421
1,274
3,147
6,728
1,952
4,776
8,843
2,614
6,229
251
66
185
501
148
353
557
150
407
669
194
475
2,006
539
1,467
2,034
598
1,436
6,422
1,291
5,131
9,049
1,650
7,399
21,024
1,297
19,727
755
384
371
1,132
171
961
2,264
357
1,907
2,642
649
1,993
2,642
587
2,055
12,475
2,207
10,268
431
134
297
1,508
258
1,250
1,723
323
1,400
1,938
385
1,553
1,938
389
1,549
782
166
616
2,347
543
1,804
5,633
1,161
4,472
2,013
399
1,614
2,215
389
1,826
2,416
451
1,965
4,027
740
3,287
5,436
990
4,446
5,839
1,024
4,815
6,644
1,130
5,514
12,684
2,316
10,368
33,072
2,330
30,742
702
126
576
694
129
565
2,544
467
2,077
3,701
728
2,973
4,857
958
3,899
5,088
817
4,271
178
93
85
7,192
1,558
5,634
1,770
322
1,448
2,598
356
2,242
2,598
283
2,315
3,247
364
2,883
3,897
459
3,438
5,845
810
5,035
5,845
668
5,177
15,587
1,692
13,895
1,207
324
883
3,756
981
2,775
3,756
961
2,795
7,377
1,979
5,398
23,115
5,728
17,387
3,135
301
2,834
10,544
972
9,572
1,188
271
917
1,188
243
945
2,377
486
1,891
1,184
270
914
1,184
281
903
1,184
242
942
1,184
281
903
2,369
485
1,884
1,963
154
1,809
3,925
303
3,622
5,888
374
5,514
7,851
504
7,347
2,248
522
1,726
633
87
546
4,855
621
4,234
5,066
675
4,391
5,277
708
4,569
753
112
641
1,130
182
948
1,130
167
963
1,130
191
939
1,506
267
1,239
2,636
380
2,256
2,636
446
2,190
3,766
562
3,204
3,550
441
3,109
351
104
247
351
107
244
468
137
331
585
175
410
585
177
408
818
252
566
1,052
320
732
1,871
585
1,286
1,181
143
1,038
5,463
625
4,838
789
138
651
2,973
270
2,703
4,956
421
4,535
10,820
2,058
8,762
384
102
282
384
104
280
577
163
414
769
204
565
961
268
693
1,153
284
869
584
109
475
876
151
725
1,168
203
965
782
130
652
1,095
163
932
1,252
187
1,065
1,408
277
1,131
805
117
688
1,208
173
1,035
1,409
198
1,211
1,409
197
1,212
2,215
319
1,896
9,060
1,432
7,628
463
63
400
925
121
804
1,156
142
1,014
1,388
186
1,202
1,850
289
1,561
2,775
425
2,350
6,245
807
5,438
533
111
422
622
105
517
2,575
470
2,105
786
89
697
983
122
861
1,376
172
1,204
5,851
683
5,168
268
65
203
268
75
193
402
100
302
402
101
301
671
155
516
805
191
614
805
192
613
805
188
617
2,414
574
1,840
3,219
800
2,419
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
20,558
b
35,737
c
31,149
d
-3,900
e
-2,518
5,749
4,287
253
2,061
2,301
3,589
6,705
9,893
10,571
3,417
11,782
2,348
3,625
918
925
944
922
918
941
915
922
919
915
4,011
4,977
152
4,355
15,479
2,145
3,131
3,102
3,502
3,422
5,624
10,972
2,151
2,401
3,227
56
4,150
7,256
2,298
5,762
27,552
572
1,056
1,229
1,639
2,068
2,232
3,385
5,408
17,106
9,331
2,655
11,233
185
5,158
368
3,851
4,434
2,810
6,809
150
1,300
2,199
3,940
4,967
5,954
6,878
8,120
1,927
6,388
8,459
2,627
2,619
277
6,464
9,822
1,245
1,499
1,655
439
1,129
10,009
11,422
6,287
2,399
4,279
17,936
317
667
7,246
52,479
799
964
956
1,120
1,100
1,318
2,187
3,147
4,776
6,229
185
353
407
475
1,467
1,436
5,131
7,399
19,727
371
961
1,907
1,993
2,055
10,268
297
1,250
1,400
1,553
1,549
616
1,804
4,472
1,614
1,826
1,965
3,287
4,446
4,815
5,514
10,368
30,742
576
565
2,077
2,973
3,899
4,271
85
5,634
1,448
2,242
2,315
2,883
3,438
5,035
5,177
13,895
883
2,775
2,795
5,398
17,387
2,834
9,572
917
945
1,891
914
903
942
903
1,884
1,809
3,622
5,514
7,347
1,726
546
4,234
4,391
4,569
641
948
963
939
1,239
2,256
2,190
3,204
3,109
247
244
331
410
408
566
732
1,286
1,038
4,838
651
2,703
4,535
8,762
282
280
414
565
693
869
475
725
965
652
932
1,065
1,131
688
1,035
1,211
1,212
1,896
7,628
400
804
1,014
1,202
1,561
2,350
5,438
422
517
2,105
697
861
1,204
5,168
203
193
302
301
516
614
613
617
1,840
2,419
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
936,981
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
431,402
5,057,529
0.085299
2017
1,695,972
4,258,741
0.398233
2016
246,035
3,477,366
0.070753
2015
472,227
2,465,910
0.191502
2014
901,115
2,770,569
0.325245
2
Total
of line 1, column (d)
.....................
2
1.071032
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
0.214206
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
4,907,138
5
Multiply line 4 by line 3
......................
5
1,051,138
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
10,599
7
Add lines 5 and 6
........................
7
1,061,737
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,505,926
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
10,599
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
10,599
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
10,599
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
3,203
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
6,500
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
9,703
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
896
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
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
No
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)
NV
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
PIERCY BOWLER TAYLOR & KERN
Telephone no.
(702) 384-1120
Located at
6100 ELTON AVENUE STE 1000
LAS VEGAS
NV
ZIP+4
89107
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
No
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
CAMILLE RUVO
DIRECTOR
0
0
0
0
900 RANCHO LANE
LAS VEGAS
,
NV
89106
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
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
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
NONE
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
3,850,631
b
Average of monthly cash balances
.......................
1b
1,131,235
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
4,981,866
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
0
3
Subtract line 2 from line 1d
.........................
3
4,981,866
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
74,728
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
4,907,138
6
Minimum investment return.
Enter 5% of line 5
..................
6
245,357
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
245,357
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
10,599
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
10,599
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
234,758
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
234,758
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
234,758
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
1,505,926
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,505,926
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
10,599
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,495,327
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
234,758
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
2017
,
2016
,
2015
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
763,296
b
From 2015
......
350,907
c
From 2016
......
74,197
d
From 2017
......
1,487,301
e
From 2018
......
181,599
f
Total
of lines 3a through e
........
2,857,300
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,505,926
a
Applied to 2018, but not more than line 2a
0
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
.....
234,758
e
Remaining amount distributed out of corpus
1,271,168
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
4,128,468
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
......
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
763,296
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
3,365,172
10
Analysis of line 9:
a
Excess from 2015
....
350,907
b
Excess from 2016
....
74,197
c
Excess from 2017
....
1,487,301
d
Excess from 2018
....
181,599
e
Excess from 2019
....
1,271,168
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).)
LARRY CAMILLE RUVO
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
CAMILLE RUVO
900 RANCHO LANE
LAS VEGAS
,
NV
89106
(702) 474-4500
b
The form in which applications should be submitted and information and materials they should include:
APPLICANTS SHOULD WRITE A LETTER STATING THE NAME, TAX IDENTIFICATION NUMBER, IRS STATUS, AND PURPOSE OF THE AMOUNT REQUESTED.
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
NONE
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
CITY MISSION OF LAS VEGAS
PO BOX 364179
N LAS VEGAS
,
NV
89036
NONE
PC
FEED AND CARE FOR THE HUNGRY AND HOMELESS
300
GUARDIAN ANGEL CATHEDRAL
336 CATHEDRAL WAY
LAS VEGAS
,
NV
891099030
NONE
PC
TO HELP FUND CONSTRUCTION COSTS AND A NEW CAMERA/SECURITY SYSTEM
2,000
KEEP MEMORY ALIVE
888 W BONNEVILLE AVE
LAS VEGAS
,
NV
89106
NONE
PC
$5,000 FOR 2018 CHARITY POKER TOURNAMENT; $100,000 FOR THE POWER OF LOVE GALA; $6,525 OTHER VARIOUS SUPPORT
266,525
MAKE A WISH FOUNDATION
5105 SOUTH DURANGO DRIVE STE 100
LAS VEGAS
,
NV
89113
NONE
PC
TO FULFILL THE WISHES OF SOUTHERN NEVADA CHILDREN DIAGNOSED WITH LIFE-THREATENING MEDICAL CONDITIONS.
2,000
OUR LADY OF WISDOM
PO BOX 42371
LAFAYETTE
,
LA
70504
NONE
PC
TO PROVIDE A WELCOMING AND FRIENLY ENVIRONMENT FOR ALL COMMUNITY MEMBERS.
300
PARALYZED VETERANS OF AMERICA
801 EIGHTEENTH STREET NW
WASHINGTON
,
DC
200063517
NONE
PC
TO ADVOCATE FOR INJURED VETERANS
300
SHRINE OF THE MOST HOLY REDEEMER
55 EAST RENO AVENUE
LAS VEGAS
,
NV
89119
NONE
PC
SUPPORT OPERATION AND MAINTENANCE OF THE SHRINE
8,160
ST JOSEPH HUSBAND OF MARY ROMAN CATHOLIC CHURCH
7260 WEST SAHARA AVENUE
LAS VEGAS
,
NV
891172815
NONE
PC
STRENGTHEN EFFORTS TO OFFER MINISTRIES AND SERVICES TO PARISH COMMUNITY.
29,800
ST PATRICK'S CATHEDRAL
460 MADISON AVENUE
NEW YORK
,
NY
10022
NONE
PC
CHARITY - GENERAL SUPPORT.
5,800
CATHOLIC RELIEF SERVICES
228 W LEXINGTON ST
BALTIMORE
,
MD
212013443
NONE
PC
TO EASE HUMAN SUFFERING AND COMFORT THOSE IN DESPERATE NEED.
300
CHILDREN'S CANCER RESEARCH FUND
7301 OHMS LANE
SUITE 460
MINNEAPOLIS
,
MN
55439
NONE
PC
TO HELP PREVENT, DIAGNOSE, TREAT AND CURE CHILDHOOD CANCER AND TO HELP PROVIDE THOSE SURVIVORS WITH TOOLS TO LIVE A BETTER QUALITY-OF-LIFE AFTER CANCER.
500
CHURCH OF THE GOOD SHEPHERD
504 NORTH ROXBURY DRIVE
BEVERLY HILLS
,
CA
90210
NONE
PC
OFFERING
1,500
SMILE TRAIN
653 THIRD AVE
9TH FLOOR
NEW YORK
,
NY
10017
NONE
PC
HELPING CHILDREN BORN WITH CLEFTS
1,000
AMERICAN DIABETES ASSOCIATION
1701 N BEAUREGARD STREET
ALEXANDRIA
,
VA
22311
NONE
PC
TO PREVENT AND CURE DIABETES AND TO IMPROVE THE LIVES OF ALL PEOPLE AFFECTED BY DIABETES.
300
ARTHRITIS FOUNDATION
1330 WEST PEACHTREE STREET
SUITE 100
ATLANTA
,
GA
30309
NONE
PC
FUND CRITICAL RESEARCH AND PROGRAMS FOR THOSE LIVING WITH THE PAIN OF ARTHRITIS
300
CATHOLIC CHARITIES OF SOUTHERN NEVADA
1501 LAS VEGAS BLVD NORTH
LAS VEGAS
,
NV
89101
NONE
PC
TO PROVIDE FOOD, CLOTHING AND SHELTER FOR THE ELDERLY AND THOUSANDS OF MEN, WOMEN & CHILDREN.
17,000
DOCTORS WITHOUT BORDERS
40 RECTOR STREET 16TH FLOOR
NEW YORK
,
NY
10006
NONE
PC
PROVIDE EMERGENCY MEDICAL CARE TO MILLIONS OF PEOPLE CAUGHT IN HEADLINE-MAKING AND UNDERREPORTED CRISES IN MORE THAN 70 COUNTRIES AROUND THE WORLD
1,000
FEED THE CHILDREN
PO BOX 36
OKLAHOMA CITY
,
OK
73101
NONE
PC
PROVIDING NOURISHING FOOD ON TABLES OF HUNGRY CHILDREN AND THEIR FAMILIES THROUGHOUT THE U.S. AND AROUND THE WORLD.
300
HABITAT FOR HUMANITY
322 W LAMAR ST
AMERICUS
,
GA
317093543
NONE
PC
GIVE FAMILIES AROUND THE WORLD THE CHANCE TO LIVE IN SAFE, DECENT AND AFFORDABLE HOUSING
300
JUVENILE DIABETES RESEARCH FOUNDATION
26 BROADWAY 14 FLOOR
NEW YORK
,
NY
10004
NONE
PC
IMPROVING THE LIVES OF PEOPLE LIVING WITH TYPE 1 DIABETES AND TO FUND RESEARCH FOR CREATING A WORLD WITHOUT TYPE 1 DIABETES.
300
LAS VEGAS RESCUE MISSION
480 WEST BONANZA ROAD
LAS VEGAS
,
NV
891063227
NONE
PC
PROVIDE FOOD BASKETS TO FAMILIES IN NEED AND SERVE MEALS TO THE HOMELESS & HUNGRY.
600
THE LEUKEMIA & LYMPHOMA SOCIETY
1311 MAMARONECK AVE
WHITE PLAINS
,
NY
10605
NONE
PC
SPONSOR THE WORK OF RESEARCHERS WHO ARE DEVELOPING NEW LIFESAVING TREATEMENTS AND OFFER SUPPORT GROUPS, FINANCIAL AID AND ADVOCACY PROGRAMS FOR PATIENTS AND THEIR FAMILIES
500
MUSCULAR DYSTROPHY ASSOCIATION
9580 W SAHARA AVENUE SUITE 120
LAS VEGAS
,
NV
89117
NONE
PC
RESEARCH PROGRAMS, HEALTH CARE SERVICES, AND EDUCATION PROGRAMS
300
OUR LADY OF TAHOE CATHOLIC CHURCH
PO BOX 115
W ELKS POINT ROAD
ZEPHYR COVE
,
NV
89448
NONE
PC
TO SUPPORT PARISH NEEDS AND THE FUTURE BEAUTIFICATION AND RENOVATION OF THE PARISH CHURCH.
2,000
PRIESTS FOR LIFE
PO BOX 141172
STATEN ISLAND
,
NY
10314
NONE
PC
TO HELP IN THE EFFORT TO END ABORTION AND EUTHANASIA.
300
SPECIAL OLYMPICS NEVADA
5670 WYNN ROAD STE H
LAS VEGAS
,
NV
89118
NONE
PC
TO PROVIDE THE SPORTS TRAINING AND COMPETITIONS THAT INSPIRE HEALTH, JOY AND CONFIDENCE
500
USO
PO BOX 96860
WASHINGTON
,
DC
200777677
NONE
PC
TO PROVIDE SERVICES TO THE MEN AND WOMEN OF OUR ARMED FORCES AND THEIR FAMILIES
500
MULTIPLE SCLEROSIS SOCIETY
2440 SOUTH SEPULVEDA BLVD STE 115
LOS ANGELES
,
CA
90064
NONE
PC
TO HELP ESTABLISH A WORLD FREE OF MS
500
THREE SQUARE FOOD BANK
4190 N PECOS RD
LAS VEGAS
,
NV
89115
NONE
PC
PROVIDE ACCESS TO NUTRITIOUS, LIFE-SUSTAINING FOOD
500
MACULAR DEGENERATION RESEARCH
22512 GATEWAY CENTER DRIVE
CLARKSBURG
,
MD
20871
NONE
PC
HELP FIGHT AGAINST AGE-RELATED MACULAR DEGENERATION
300
OPERATION SMILE
3641 FACULTY BOULEVARD
VIRGINIA BEACH
,
VA
23453
NONE
PC
TO HELP PROVIDE CLEFT LIP AND CLEFT PALATE SURGERIES TO CHILDREN
300
RONALD MCDONALD HOUSE CHARITIES
26345 NETWORK PLACE
CHICAGO
,
IL
606731263
NONE
PC
TO HELP CREATE, FIND AND SUPPORT PROGRAMS THAT DIRECTLY INMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES.
1,000
ST JOAN OF ARC CATHOLIC CHURCH
315 S CASINO CENTER BLVD
LAS VEGAS
,
NV
89101
NONE
PC
CHARITY - GENERAL SUPPORT
2,575
CATHOLIC BISHOP OF NORTHERN ALASKA
1312 PEGER RD
FAIRBANKS
,
AK
997095199
NONE
PC
DIOCESAN GENERAL NEEDS
300
MARCH OF DIMES
1275 MAMARONECK AVENUE
WHITE PLAINS
,
NY
10605
NONE
PC
IMPROVE THE HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTH AND INFANT MORTALITY
300
MD ANDERSON CANCER CENTER
PO BOX 301439
UNIT 0705
HOUSTON
,
TX
772301439
NONE
PC
PURSUE RESEARCH OPPORTUNITIES IN THE FIGHT TO END CANCER
1,000
SAINT STEPHEN MARTYR ROMAN CATHOLIC CHURCH
2436 PENNSYLVANIA AVENUE NW
WASHINGTON
,
DC
20037
NONE
PC
TO SUPPORT FRIENDS OF THE MUSIC MINISTRY AND MAINTAIN COMMITMENT TO BEAUTIFUL MUSIC
350
THE WORLD WILDLIFE FUND
1250 24TH STREET NW
WASHINGTON
,
DC
20037
NONE
PC
TO CONSERVE NATURE AND REDUCE THE MOST PRESSING THREATS TO THE DIVERSITY OF LIFE ON EARTH
300
CLEVELAND CLINIC FOUNDATION
9500 EUCLID AVENUE
CLEVELAND
,
OH
44195
NONE
PC
COMMITMENT TO COMMUNITY; TO ADVANCE RESEARCH; SCHOLARSHIP THAT ASSISTS STUDENTS IN ADVANCING ACADEMIC POTENTIAL.
6,000
ST MARYS IN THE MOUNTAIN
111 S E ST
VIRGINIA CITY
,
NV
89440
NONE
PC
CHARITY - GENERAL SUPPORT.
300
VEGAS PBS
3050 E FLAMINGO RD
LAS VEGAS
,
NV
89121
NONE
PC
HELP EXPAND PROGRAM OFFERINGS
1,000
AMERICAN FOUNDATION FOR THE BLIND
1401 SOUTH LARK STREET SUITE 730
ARLINGTON
,
VA
22202
NONE
PC
EDUCATION TO ADVOCACY, EMOTIONAL SUPPORT, AND PROVIDING TECHNOLOGICAL INNOVATION FOR THOSE WITH VISION LOSS.
300
AMERICAN INSTITUTE FOR CANCER RESEARCH
PO BOX 97167
WASHINGTON
,
DC
200907167
NONE
PC
FUNDING GROUNDBREAKING CANCER RESEARCH
300
FLIGHT 93 NATIONAL MEMORIAL FUND
NATIONAL PARK FOUNDATION
1110 VERMONT AVE NWM SUITE 200
WASHINGTON
,
DC
20005
NONE
PC
HELPING TO BUILD A PERMANENT MEMORIAL ON THE HALLOWED GROUND WHERE FLIGHT 93 CRASHED.
100
OUR LADY OF THE SNOWS PARISH
1138 WRIGHT STREET
RENO
,
NV
89509
NONE
PC
CHARITY - GENERAL SUPPORT
300
SETTING SCHOLIOSIS STRAIGHT
2535 CAMINO DEL RIO SOUTH SOUTH 32
SAN DIEGO
,
CA
92108
NONE
PC
IMPROVING SPINAL DEFORMITY CARE IN CHILDREN AND ADOLESCENTS
10,000
VETERANS OF FOREIGN WARS
406 W 34TH ST
KANSAS CITY
,
MO
64111
NONE
PC
SUPPORT OF AMERICA'S BRAVE TROOPS AND PROUD VETERANS
300
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS
,
TX
75231
NONE
PC
SUPPORT THOSE SUFFERING FROM HEART DISEASE
300
MEMORIAL SLOAN KETTERING CANCER CENTER
1275 YORK AVENUE
NEW YORK
,
NY
10065
NONE
PC
TO HELP PIONEER BREAKTHROUGH CANCER CARE AND RESEARCH
1,000
THE NATIONAL WWII MUSEUM
945 MAGAZINE STREET
NEW ORLEANS
,
LA
70130
NONE
PC
TO HELP TELL THE OF THE AMERICAN EXPERIENCE IN THE WAR THAT CHANGED THE WORLD.
300
STARKEY HEARING FOUNDATION
6801 WASHINGTON AVE S
STE 200
MINNEAPOLIS
,
MN
55439
NONE
PC
HELP PROVIDE THE GIFT OF HEARING TO CHILDREN AND ADULTS AROUND THE WORLD
500
ST JUDE'S RANCH FOR CHILDREN
100 ST JUDES STREET
BOULDER CITY
,
NV
89005
NONE
PC
TO SUPPORT CHILDREN WHO ARE NOT ABLE TO BE WITH THEIR FAMILIES DURING THE HOLIDAYS
300
AMERICAN PARKINSON DISEASE FOUNDATION
135 PARKINSON AVENUE
STATEN ISLAND
,
NY
10305
NONE
SO III FI
TO SUPPORT THE FIGHT AGAINST PARKINSON'S DISEASE
300
CONSUMER REPORTS FOUNDATION
101 TRUMAN AVE
YONKERS
,
NY
10703
NONE
PC
CHARITY - GENERAL SUPPORT
110
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NW
ATLANTA
,
GA
30303
NONE
PC
SUPPORT CANCER RESEARCH
500
UNITED WAY OF SOUTHERN NEVADA
5830 W FLAMINGO RD
LAS VEGAS
,
NV
89103
NONE
PC
TO IMPROVE THE COMMUNITY'S WELL-BEING
1,000
PROSTATE CANCER FOUNDATION
1250 4TH STREET SUITE 360
SANTA MONICA
,
CA
90401
NONE
PC
PREVENTION, DETECTION, AND TREATMENT OF PROSTATE CANCER
1,075,000
GEORGETOWN LAW
600 NEW JERSEY AVE NE
WASHINGTON
,
DC
20001
NONE
PC
CHARITY - GENERAL SUPPORT
10,000
FELLOWSHIP OF CHRISTIANS
30 NORTH LASALLE STREET
CHICAGO
,
IL
60602
NONE
PC
Building bridges between Christians and Jews, blessing Israel and the Jewish people around the world with humanitarian care and life-saving aid.
250
GRANT A GIFT AUTISM FOUNDATION
630 S RANCH DRIVE SUITE D
LAS VEGAS
,
NV
89106
NONE
PC
To help those families master autism through early intervention, evidence-based treatment and vocational support.
10,000
HOLY SPIRIT CATHOLIC CHURCH
695 Old US Highway 395
WASHOE VALLEY
,
NV
89704
NONE
PC
CHARITY - GENERAL SUPPORT
300
HORATIO ALGER ASSOCIATION
99 CANAL CENTER PLAZA SUITE 320
ALEXANDRIA
,
VA
22314
NONE
PC
PROVIDE SCHOLARSHIP ASSISTANCE
5,000
THE INSTITUTE FOR YOUNG DRAMATIC VOICES
7309 Raphael Drive
SUN VALLEY
,
NV
89433
NONE
PC
to train young dramatic singers and help them reach the world stage
2,000
MARY QUEEN OF THE UNIVERSE
8300 VINELAND AVE
ORLANDO
,
FL
32821
NONE
PC
CHARITY - GENERAL SUPPORT
700
NEVADA SCHOOL OF THE ARTS
401 S Fourth St Suite 125
LAS VEGAS
,
NV
89101
NONE
PC
provide world-class music instruction and a life-changing experience to students of all ages and backgrounds for generations to come.
500
NEVADA COMMUNITY FOUNDATION INC
1980 FESTIVAL PLAZA DR STE 300
LAS VEGAS
,
NV
89135
NONE
PC
HELP provide a wide range of services to help nonprofits
10,000
ST MONICA CATHOLIC COMMUNITY
725 CALIFORNIA AVENUE
SANTA MONICA
,
CA
90403
NONE
PC
provide assistance to those in need in our local community and around the world. community and around the world.
600
ST THERESA CATHOLIC CHURCH
25 WEST LIPOA STREET KIHEI
MAUI
,
HI
96753
NONE
PC
CHARITY - GENERAL SUPPORT
300
STEPHEN J WAMPLER FOUNDATION
941 ORANGE AVENUE
CORONADO
,
CA
92118
NONE
PC
provide life changing experiences to children with physical disabilities.
3,500
THE JUILLIARD SCHOOL
60 LINCOLN CENTER PLAZA
NEW YORK
,
NY
10023
NONE
PC
TO PROVIDE RESOURCES FOR YOUNG ARTISTS
1,000
ROMAN CATHOLIC BISHOP OF LA
3424 WILSHIRE BLVD 7TH FLOOR
LOS ANGELES
,
CA
90010
NONE
PC
CHARITY - GENERAL SUPPORT
10,000
Total
.................................
3a
1,502,170
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
17,178
4
Dividends and interest from securities
....
14
105,881
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
936,981
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)
..
1,060,040
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
1,060,040
(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