-
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 SI REDD & TAMARA REDD CHARITABLE
FOUNDATION
% DARLENE LYNDES
Number and street (or P.O. box number if mail is not delivered to street address)
388 E FORD AVENUE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS
,
NV
891233002
A Employer identification number
88-0291338
B
Telephone number (see instructions)
(702) 263-3600
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)
$
836,888
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)
0
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
58,542
58,542
58,542
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
b
Gross sales price for all assets on line 6a
7
Capital gain net income (from Part IV, line 2)
...
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)
.......
77
77
77
12
Total.
Add lines 1 through 11
........
58,619
58,619
58,619
13
Compensation of officers, directors, trustees, etc.
10,492
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
260
260
260
0
b
Accounting fees (attach schedule)
.......
3,000
3,000
3,000
0
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
330
330
330
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
3,484
3,484
3,484
0
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
17,566
7,074
7,074
0
25
Contributions, gifts, grants paid
.......
43,500
43,500
26
Total expenses and disbursements.
Add lines 24 and 25
61,066
7,074
7,074
43,500
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-2,447
b
Net investment income
(if negative, enter -0-)
51,545
c
Adjusted net income
(if negative, enter -0-)
...
51,545
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
.........
40,413
39,340
39,340
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)
.......
309,800
309,800
84,420
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)
..........
713,128
713,128
713,128
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)
1,063,341
1,062,268
836,888
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
1,063,341
1,062,268
29
Total net assets or fund balances
(see instructions)
.....
1,063,341
1,062,268
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,063,341
1,062,268
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
1,063,341
2
Enter amount from Part I, line 27a
.....................
2
-2,447
3
Other increases not included in line 2 (itemize)
3
1,374
4
Add lines 1, 2, and 3
..........................
4
1,062,268
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
1,062,268
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.)
1a
b
c
d
e
(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
b
c
d
e
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
c
d
e
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
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
45,670
863,373
0.052897
2017
53,112
1,024,301
0.051852
2016
24,000
1,065,362
0.022528
2015
39,441
467,503
0.084365
2014
50,000
1,014,749
0.049273
2
Total
of line 1, column (d)
.....................
2
0.260915
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
0.052183
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
786,265
5
Multiply line 4 by line 3
......................
5
41,030
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
515
7
Add lines 5 and 6
........................
7
41,545
8
Enter qualifying distributions from Part XII, line 4
,.............
8
43,500
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
515
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
515
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
515
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
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
0
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
14
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
529
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)
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
DARLENE LYNDES
Telephone no.
(702) 263-3600
Located at
388 E FORD AVENUE
LAS VEGAS
NV
ZIP+4
891233002
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
DARLENE LYNDES
TRUSTEE
0
10,492
0
0
388 E FORD AVENUE
LAS VEGAS
,
NV
891233002
JOHN E DAWSON
TRUSTEE
0
0
0
0
3052 SABINE HILL AVENUE
HENDERSON
,
NV
890523029
SCOTT W TAYLOR
TRUSTEE
0
0
0
0
PIERCY BOWLER TAYLOR KERN
6100 ELTON AVE SUITE 1000
LAS VEGAS
,
NV
89107
MICHAEL V SHUSTEK
TRUSTEE
0
0
0
0
6149 S RAINBOW BLVD
LAS VEGAS
,
NV
89118
MATTHEW R POLICASTRO
TRUSTEE
0
0
0
0
300S 4TH ST 1700
LAS VEGAS
,
NV
89101
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
CHILDREN OF THE NIGHT RESCUING CHILDREN AND YOUNG PEOPLE FROM PROSTITUTION AND SEXUAL EXPLOATATION SINCE 1979.
2,500
2
ANIMAL FOUNDATION TO HELP FUND ANIMAL CARE & ADOPTION ASSISTANCE
2,500
3
OPERATIONS BLANKETS OF LOVE PROVIDES NEEDS FOR HOMLESS ANIMALS THROUGH EDUCATING YOUTH THROUGH HUMANE EDUCATION LEARNING PROGRAM.
2,500
4
PAW WARRIORS FIGHTING FOR ANIMALS IN NEED AND BATTLING THE OVER-POPULATIO OF UNWANTED CATS THROUGH ADVOCACY AND HUMANE EDUCATION.
2,000
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
NOT APPLICABLE
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
47,371
b
Average of monthly cash balances
.......................
1b
37,740
c
Fair market value of all other assets (see instructions)
................
1c
713,128
d
Total
(add lines 1a, b, and c)
.........................
1d
798,239
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
798,239
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
11,974
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
786,265
6
Minimum investment return.
Enter 5% of line 5
..................
6
39,313
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
39,313
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
515
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
515
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
38,798
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
38,798
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
38,798
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
43,500
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
43,500
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
515
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
42,985
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
38,798
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
......
b
From 2015
......
17,184
c
From 2016
......
d
From 2017
......
2,673
e
From 2018
......
3,161
f
Total
of lines 3a through e
........
23,018
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
43,500
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
.....
38,798
e
Remaining amount distributed out of corpus
4,702
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
27,720
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)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
27,720
10
Analysis of line 9:
a
Excess from 2015
....
17,184
b
Excess from 2016
....
c
Excess from 2017
....
2,673
d
Excess from 2018
....
3,161
e
Excess from 2019
....
4,702
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
ANIMAL FOUNDATION
655 N MOJAVE RD
LAS VEGAS
,
NV
891012801
NONE
N/A
TO HELP FUND ANIMAL CARE & ADOPTION ASSISTANCE
2,500
ST JUDE'S RANCH FOR CHILDREN
PO BOX 60100
BOULDER CITY
,
NV
890061904
NONE
N/A
TO HELP CARE FOR ABUSED, ABANDONED & NEGLECTED CHILDREN
1,000
PERFORMING ANIMAL WELFARE SOCIETY
PO BOX 849
GALT
,
CA
95632
NONE
N/A
PROVIDES 3 SANCTUARIES IN CALIFORNIA TO ABUSED, ABANDONED, & RETIRED CAPTIVE WILDLIFE
500
SHOES THAT FIT
1420 NORTH CLAREMONT BLVD
SUITE 107-B
CLAREMONT
,
CA
91711
NONE
N/A
To help build the self-esteem of schoolchildren in need by providing them with new shoes and clothes
1,000
WILDLIFE CONSERVATION NETWORK
25745 BASSETT LAND
LOS ALTOS
,
CA
94022
NONE
N/A
PROTECTS ENDANGERED SPECIES & PRESERVES THEIR NATURAL HABITATS
500
ANIMAL RESCUE
TWO HERITAGE FARM DRIVE
NEW FREEDOM
,
PA
17349
NONE
N/A
Animal Rescue is dedicated to those animals that are waiting for a home, or never find a home.
500
HUMANE SOCIETY OF SOUTH MISSISSIPPI
2615 25TH AVE
GULFPORT
,
MS
39501
NONE
N/A
provide the highest quality services and compassion to the animals entrusted to our care, reduce companion animal overpopulation and increase the save-rate of animals in our community, and promote the bond between animals and humans.
1,500
HABITAT FOR HUMANITY
1401 NORTH DECATUR
LAS VEGAS
,
NV
89108
NONE
N/A
build simple, decent, affordable single family homes in Clark County.
1,000
NEW VISTA COMMUNITY
PO BOX 80025
LAS VEGAS
,
NV
89180
NONE
N/A
provide the people we serve with the same opportunities and equality as every citizen.
1,500
ANGEL FLIGHT WEST
3161 DONALD DOUGLAS LOOP SOUTH
SANTA MONICA
,
CA
90405
NONE
N/A
ARRANGE FREE, NON-EMERGENCY AIR TRAVEL FOR CHILDREN AND ADULTS WITH SERIOUS MEDICAL CONDITIONS
500
CHILDREN OF THE NIGHT
14530 SYLVAN STREET
VAN NUYS
,
CA
91411
NONE
RESCUES AMERICA'S CHILDREN FROM THE RAVAGES OF PROSTITUTION
2,500
DAYS END FARM HORSE RESCUE
1372 WOODBINE ROAD
WOODBINE
,
MD
21797
NONE
ENSURE QUALITY CARE AND TREATMENT OF HORSES THROUGH INTERVENTION, EDUCATION AND OUTREACH
1,000
ZIONS YOUTH SYMPHONY AND CHORUS
6100 ELTON SUITE 1000
LAS VEGAS
,
NV
89107
NONE
TO SERVE OTHERS THROUGH MUSIC.
1,500
SAFE HOUSE
921 AMERICAN PACIFIC DR SUITE 300
HENDERSON
,
NV
89014
NONE
TO STOP VIOLENCE AND ABUSE IN THE FAMILY ENVIRONMENT BY PROVIDING SAFE SHELER, SUPPORT, ADVOCACY, COUNSELING AND EDUCATION.
1,500
THE LAST POST
95 BELDEN STREET ROUTE 126
FALLS FILLAGE
,
CT
06031
NONE
N/A
PROVIDE A SAFE, HOMELIKE SURROUNDING FOR ANIMALS WHOSE PREVIOUS OWNERS HAVE DIED OR GONE INTO NURSING HOMES.
1,000
SPREAD THE WORD NEVADA
1075 AMERICAN PACIFIC SUITE B
HENDERSON
,
NV
89074
NONE
ADVANCING EARLY CHILDHOOD LITERACY BY PLACING BOOKS INTO THE HANDS AND HOMES OF CHILDREN WITHIN SOUTHERN NEVADA'S AT-RISK, LOW INCOME COMMUNITIES.
500
PETS OF THE HOMELESS
116 EAST 7TH STREET
SUITE 204
CARSON CITY
,
NV
89701
NONE
FEEDING PETS OF THE HOMLESS A NONPROFIT ORGANIZATION THAT PROVIDES PET FOOD AND EMERGENCY VETERINARY CARE TO THE HOMELESS
2,000
GOODIE TWO SHOES FOUNDATION
10620 SOUTHERN HIGHLANDS PARKWAY
110-474
LAS VEGAS
,
NV
89141
NONE
PROVIDES DISADVANTAGED CHILDREN AND CHILDREN IN CRISIS WITH NEW SHOES AND SOCKS AS WELL AS OTHER ITEMS DEEMED ESSENTIAL FOR GOOD HEALTH AND POSITIVE DEVELOPMENT
1,000
HELP OF SOUTHERN NEVADA
1640 E FLAMINGO RD 100
LAS VEGAS
,
NV
89119
NONE
ASSIST FAMILIES AND INDIVIDUALS THROUGHOUT SOUTHERN NEVADA TO OVERCOME BARRIERS AND ATTAIN SELF-SUFFICIENCY THROUGH DIRECT SERVICES, TRAINING, AND REFERRAL TO COMMUNITY RESOURCES
500
NEVADA PARTNERSHIP FOR HOMELESS YOUTH
4981 SHIRLEY ST
LAS VEGAS
,
NV
89119
NONE
NPHY is the most comprehensive service provider for the thousands of homeless youth in Southern Nevada, serving hundreds of youth through our core programs and touching the lives of thousands more through outreach each year. NPHYs programs stabilize homeless teens lives, meeting their immediate needs and providing a safe, supportive environment and a path to self-sufficiency. Through our work with homeless youth, NPHY creates productive, healthy adults who contribute to society.
1,000
OPERATIONS BLANKETS OF LOVE
16911 SAN FERNANDO MISSION PMB 187
GRANADA HILLS
,
CA
91344
NONE
Provides needs for homless animals through educating youth through Humane Education Learning Program, while promoting shelter reorm.
2,500
PARALYZED VETERANS OF AMERICA NEVADA CHAPTER
704 SO JONES BLVD
LAS VEGAS
,
NV
89107
NONE
Nevada Paralyzed Veterans of America is dedicated to improving the quality of life for veterans and our disabled community with spinal cord injury or dysfunction.
2,000
HUMANE FARMING ASSOCIATION
PO BOX 3577
SAN RAFAEL
,
CA
94912
NONE
The Humane Farming Association is the nation's most effective organization dedicated to the protection of farm animals. Founded in 1985, and over 250,000 members strong, HFA has gained national recognition and respect for its hard work, integrity, and its highly-successful campaigns.
1,000
CANINE PARTNERS FOR LIFE
PO BOX 170
COCHRANVILLE
,
PA
19330
NONE
Canine Partners for Life (CPL) is a non-profit 501(c)(3) organization dedicated to training service dogs, home companion dogs, and residential companion dogs to assist individuals who have a wide range of physical and cognitive disabilities.
1,000
PAW WARRIORS
355 SPRING TIME ST
SPRING HILL
,
FL
34608
NONE
TO HELP FIGHT FOR ANIMALS IN NEED AND BATTLE AGAINST THE OVERPOPULATION OF DOGS AND CATS THROUGH ADVOCACY & HUMANE EDUCATION.
2,000
PET NETWORK HUMANE SOCIETY
401 VILLAGE BLVD
INCLINE VILLAGE
,
NV
89146
NONE
TO RESCUE ADOPTABLE ANIMALS FROM EUTHANASIA, CONNECTS ABANDONED ANIMALS WITH LOVING FAMILIES, INSTILLS RESPECT FOR ANIMALS THROUGH HUMANE EDUCATION, AND ENHANCES LIVES THROUGH ANIMAL COMPANIONSHIP.
2,000
RONALD MCDONALD HOUSE
2323 POTOSI STREET
LAS VEGAS
,
NV
89146
NONE
TO CREATED, FIND AND SUPPORT PROGRAMS THAT DIRECTLY IMPROVE THE HEALTH AND WELL-BEING OG CHILDREN AND THEIR FAMILIES.
1,500
WILD FOUNDATION
717 POPLAR AVE
BOULDER
,
CO
80304
NONE
TO PROTECT WILDERNESS WHILE MEETING THE NEEDS OF HUMAN COMMUNITIES, WORKING ACROSS CULTURES AND BOUNDARIES BY COLLABORATING WITH LOCAL PEOPLES, ORGANIZATIONS, THE PRIVATE SECTOR, AND GOVERNMENTS TO CREATE DYNAMIC PRACTICAL PROJECTS, INSPIRING SOLUTIONS AND COMMUNICATIONS INITIATIVES.
1,000
LAS VEGAS CHAPTER OF NATIONAL AMBUCS
1000 RANCH CIRCLE
LAS VEGAS
,
NV
89107
NONE
TO CREATE MOBILITY AND INDEPENDENCE FOR PEOPLE WITH DISABILITIES.
1,000
LAST CHANCE FOR ANIMALS
8033 Sunset Blvd 835
LOS ANGELES
,
CA
90046
NONE
TO eliminate animal exploitation through education, investigations, legislation, and media attention.
2,000
NEVADA HEALTH CENTERS
3325 Research Way
Carson City
,
NV
89706
NONE
provide access to quality healthcare services throughout Nevada.
500
FOSTER KINSHIP
4344 W CHEYENNE AVE
NORTH LAS VEGAS
,
NV
89032
NONE
FOSTER KINSHIP STRENGTHENS KINSHIP CAREGIVERS' CAPACITY TO PROVIDE SAFE, PERMANENT, AND NURTURING HOMES FOR CHILDREN.
1,000
ST MARTIN'S RESCUE
PO BOX 392
SHERIDAN
,
OR
97378
NONE
SINCE THE SUMMER OF 1999, THE ST MARTIN'S FOUNDATION HAS BEEN RESCUING ANIMALS AND EDUCATING STUDENTS ABOUT SUSTAINABILITY AND COMPASSION.
500
LV VALLEY HUMANE SOCIETY
3395 S JONES BLVD
454
LAS VEGAS
,
NV
89146
NONE
LVVHS IS DEDICATED TO IMPROVING THE WELFARE OF ANIMALS WITH A PRIMARY EMPHASIS ON STRAY AND ABANDONED ANIMALS.
500
NEVADA SPCA
4800 W DEWEY DR
LAS VEGAS
,
NV
89118
NONE
NEVADA SPCA TAKES IN OVER 2000 DOGS, CATS, RABBITS AND OTHER SMALL PETS ANNUALLY; THE ULTIMATE GOAL IS TO PLACE THEM INTO LOVING HOMES
2,000
Total
.................................
3a
43,500
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
58,542
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
............
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
TONER CARTILAGE SALE
01
77
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
58,542
77
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
58,619
(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