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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
08-01-2019
, and ending
07-31-2020
Name of foundation
WILLARD THOMAS AND MARGARET ROSE PLOGSTERTH
Number and street (or P.O. box number if mail is not delivered to street address)
114 W 47TH ST NY8-114-07-07
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
100361510
A Employer identification number
31-1206807
B
Telephone number (see instructions)
(609) 274-6834
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)
$
855,947
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
17,641
17,641
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
65,805
b
Gross sales price for all assets on line 6a
381,391
7
Capital gain net income (from Part IV, line 2)
...
65,805
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
160
12
Total.
Add lines 1 through 11
........
83,606
83,446
13
Compensation of officers, directors, trustees, etc.
13,489
5,396
8,093
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
717
266
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
32
32
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
14,238
5,694
0
8,093
25
Contributions, gifts, grants paid
.......
37,500
37,500
26
Total expenses and disbursements.
Add lines 24 and 25
51,738
5,694
0
45,593
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
31,868
b
Net investment income
(if negative, enter -0-)
77,752
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
225
122
122
2
Savings and temporary cash investments
.........
25,829
37,452
37,452
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
403,612
474,933
621,955
c
Investments—corporate bonds (attach schedule)
.......
211,081
162,810
186,177
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
13,160
10,285
10,241
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)
653,907
685,602
855,947
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
653,907
685,602
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
653,907
685,602
30
Total liabilities and net assets/fund balances
(see instructions)
.
653,907
685,602
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
653,907
2
Enter amount from Part I, line 27a
.....................
2
31,868
3
Other increases not included in line 2 (itemize)
3
180
4
Add lines 1, 2, and 3
..........................
4
685,955
5
Decreases not included in line 2 (itemize)
5
353
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
685,602
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
3. ALCON SA ACT NOM
2019-04-15
2019-08-01
b
15. EMERSON ELECTRIC CO
2018-10-05
2019-08-02
c
1. EMERSON ELECTRIC CO
2018-10-08
2019-08-02
d
16. EMERSON ELECTRIC CO
2018-10-08
2019-08-05
e
11. EMERSON ELECTRIC CO
2018-10-16
2019-08-05
13. IAA INC REG SHS WHEN
2018-04-03
2019-08-12
16. IAA INC REG SHS WHEN
2018-04-03
2019-08-13
11. EMERSON ELECTRIC CO
2018-10-17
2019-08-15
11. EMERSON ELECTRIC CO
2018-10-31
2019-08-15
4. EMERSON ELECTRIC CO
2018-10-16
2019-08-15
1. IAA INC REG SHS WHEN
2018-05-11
2019-08-15
10. IAA INC REG SHS WHEN
2018-04-03
2019-08-15
8. SUNTRUST BANKS INC
2015-06-15
2019-08-15
4. SUNTRUST BANKS INC
2015-05-07
2019-08-15
9. SUNTRUST BANKS INC
2016-06-24
2019-08-15
7. EMERSON ELECTRIC CO
2018-11-02
2019-08-16
11. EMERSON ELECTRIC CO
2018-11-01
2019-08-16
9. EMERSON ELECTRIC CO
2018-10-31
2019-08-16
11. IAA INC REG SHS WHEN
2018-05-11
2019-08-16
3. EMERSON ELECTRIC CO
2018-11-02
2019-08-19
8. IAA INC REG SHS WHEN
2018-05-11
2019-08-19
5. DOLLAR GENERAL CORP
2018-11-21
2019-09-03
2. DOLLAR GENERAL CORP
2018-11-23
2019-09-03
4. NOVO NORDISK A/S ADR
2017-09-27
2019-09-05
20. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2019-09-05
10. NOVO NORDISK A/S ADR
2017-09-27
2019-09-06
13. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2019-09-06
4. IAA INC REG SHS WHEN
2018-05-11
2019-09-09
12. NOVO NORDISK A/S ADR
2017-09-28
2019-09-09
6. IAA INC REG SHS WHEN
2018-05-16
2019-09-10
1. IAA INC REG SHS WHEN
2018-05-17
2019-09-10
2. IAA INC REG SHS WHEN
2018-05-11
2019-09-10
8. NOVARTIS AG SPNSRD ADR
2018-11-16
2019-09-10
1. NOVARTIS AG SPNSRD ADR
2018-11-19
2019-09-10
1. IAA INC REG SHS WHEN
2018-05-18
2019-09-11
8. IAA INC REG SHS WHEN
2018-05-17
2019-09-11
6. NOVARTIS AG SPNSRD ADR
2018-11-19
2019-09-11
8. IAA INC REG SHS WHEN
2018-05-18
2019-09-12
9. NOVO NORDISK A/S ADR
2017-09-29
2019-09-17
3. NOVO NORDISK A/S ADR
2017-10-10
2019-09-17
5. NOVO NORDISK A/S ADR
2017-10-09
2019-09-17
3. CDW CORP/DE
2015-09-16
2019-09-18
11. CDW CORP/DE
2015-09-17
2019-09-18
5. CDW CORP/DE
2015-09-17
2019-09-18
11. CDW CORP/DE
2016-02-22
2019-09-18
7. CDW CORP/DE
2016-02-23
2019-09-18
7. NOVO NORDISK A/S ADR
2017-10-11
2019-09-19
5. NOVO NORDISK A/S ADR
2017-10-10
2019-09-19
1000. USD ROYAL BK CANADA
2017-07-20
2019-09-23
4000. USD ROYAL BK CANADA
2016-04-26
2019-09-23
7000. SHELL INTERNATIONAL FIN
2009-09-17
2019-09-23
1. IAA INC REG SHS WHEN
2018-05-21
2019-10-11
4. IAA INC REG SHS WHEN
2018-06-19
2019-10-11
25. COMCAST CORP
2012-10-04
2019-10-14
5. IAA INC REG SHS WHEN
2018-06-21
2019-10-14
2. IAA INC REG SHS WHEN
2018-06-20
2019-10-14
5. IAA INC REG SHS WHEN
2018-06-19
2019-10-14
7. SONY CORP ADR AMERN SH NEW
2019-06-14
2019-10-14
6. IAA INC REG SHS WHEN
2018-06-22
2019-10-15
4. IAA INC REG SHS WHEN
2018-06-21
2019-10-15
8. IAA INC REG SHS WHEN
2019-01-17
2019-10-15
17. SONY CORP ADR AMERN SH NEW
2019-06-14
2019-10-15
1. IAA INC REG SHS WHEN
2019-01-17
2019-10-16
1. IAA INC REG SHS WHEN
2019-01-18
2019-10-16
8. IAA INC REG SHS WHEN
2019-01-18
2019-10-18
7. IAA INC REG SHS WHEN
2019-01-22
2019-10-21
3. BIOGEN IDEC INC
2016-08-24
2019-10-22
2. BIOGEN IDEC INC
2016-08-30
2019-10-22
4. IAA INC REG SHS WHEN
2019-02-28
2019-10-23
4. IAA INC REG SHS WHEN
2019-01-22
2019-10-23
3. IAA INC REG SHS WHEN
2019-03-01
2019-10-24
4. IAA INC REG SHS WHEN
2019-02-28
2019-10-24
5. IAA INC REG SHS WHEN
2019-03-01
2019-10-25
2. IAA INC REG SHS WHEN
2019-03-04
2019-10-28
8. IAA INC REG SHS WHEN
2019-03-01
2019-10-28
2. APPLE INC
2015-05-07
2019-10-29
7. APPLE INC
2015-06-15
2019-10-29
24. DISH NETWORK CORPATION
2018-08-21
2019-11-07
1. DISH NETWORK CORPATION
2018-08-20
2019-11-07
18. DISH NETWORK CORPATION
2018-08-22
2019-11-07
1. JM SMUCKER CO/THE
2018-03-08
2019-11-11
2. JM SMUCKER CO/THE
2018-03-14
2019-11-11
3. JM SMUCKER CO/THE
2018-03-07
2019-11-11
7. JM SMUCKER CO/THE
2018-03-13
2019-11-11
20. SONY CORP ADR AMERN SH NEW
2019-06-17
2019-11-11
10. SONY CORP ADR AMERN SH NEW
2019-06-14
2019-11-11
12. SONY CORP ADR AMERN SH NEW
2019-06-18
2019-11-11
8. SONY CORP ADR AMERN SH NEW
2019-06-19
2019-11-11
2. JM SMUCKER CO/THE
2018-03-14
2019-11-12
4. JM SMUCKER CO/THE
2018-03-23
2019-11-12
3. JM SMUCKER CO/THE
2018-03-23
2019-11-18
4. JM SMUCKER CO/THE
2018-03-26
2019-11-18
2. JM SMUCKER CO/THE
2018-05-17
2019-11-19
7. JM SMUCKER CO/THE
2018-05-16
2019-11-19
1. JM SMUCKER CO/THE
2018-03-26
2019-11-19
3. JM SMUCKER CO/THE
2018-05-17
2019-11-20
10. DISH NETWORK CORP RIGHTS
2019-11-22
2019-12-02
. DISH NETWORK CORP RIGHTS
2019-12-03
2019-12-03
7. DOLLAR GENERAL CORP
2018-11-23
2019-12-03
4. DOLLAR GENERAL CORP
2018-11-26
2019-12-03
22. BAXTER INTERNATIONAL INC
2017-04-17
2019-12-10
4. PACKAGING CORP OF AMERICA
2013-02-25
2019-12-10
4. BAXTER INTERNATIONAL INC
2017-05-04
2019-12-11
10. BAXTER INTERNATIONAL INC
2017-04-18
2019-12-11
1. BAXTER INTERNATIONAL INC
2017-04-17
2019-12-11
6. PACKAGING CORP OF AMERICA
2013-02-25
2019-12-11
3. PACKAGING CORP OF AMERICA
2013-02-25
2019-12-12
5. PACKAGING CORP OF AMERICA
2013-02-26
2019-12-12
6. APPLE INC
2015-11-18
2019-12-16
2. APPLE INC
2015-06-15
2019-12-16
.47 TRUIST FINL CORP
2016-06-24
2019-12-17
5000. U.S. TREASURY NOTE
2019-09-25
2019-12-18
10000. U.S. TREASURY NOTE
2019-02-20
2019-12-18
2. BAXTER INTERNATIONAL INC
2017-10-10
2019-12-20
3. BAXTER INTERNATIONAL INC
2017-05-05
2019-12-20
15. BAXTER INTERNATIONAL INC
2017-05-04
2019-12-20
6. BAXTER INTERNATIONAL INC
2017-10-11
2019-12-23
11. BAXTER INTERNATIONAL INC
2017-10-10
2019-12-23
1. BAXTER INTERNATIONAL INC
2017-10-11
2019-12-24
9. APPLE INC
2015-11-18
2020-01-07
7. HUMANA INC
2015-08-06
2020-01-09
7. UNITEDHEALTH GROUP INC
2014-10-27
2020-01-09
6. HUMANA INC
2015-08-06
2020-01-10
6. UNITEDHEALTH GROUP INC
2014-10-27
2020-01-10
16. KAR AUCTION SERVICES INC
2018-04-03
2020-01-15
19. KAR AUCTION SERVICES INC
2018-04-03
2020-01-16
7. KAR AUCTION SERVICES INC
2018-05-11
2020-01-16
19. KAR AUCTION SERVICES INC
2018-05-11
2020-01-17
6. KAR AUCTION SERVICES INC
2018-05-16
2020-01-17
2. KAR AUCTION SERVICES INC
2018-05-17
2020-01-17
15. LOWES COMPANIES INC COM
2013-06-21
2020-01-22
7. KAR AUCTION SERVICES INC
2018-05-17
2020-01-23
3. KAR AUCTION SERVICES INC
2018-05-18
2020-01-23
6. KAR AUCTION SERVICES INC
2018-05-18
2020-01-24
9. KAR AUCTION SERVICES INC
2018-06-19
2020-01-24
2. KAR AUCTION SERVICES INC
2018-06-20
2020-01-24
1. KAR AUCTION SERVICES INC
2018-05-21
2020-01-24
9. KAR AUCTION SERVICES INC
2018-06-21
2020-01-24
1. KAR AUCTION SERVICES INC
2018-06-22
2020-01-24
2. APPLE INC
2015-11-18
2020-01-27
6. DUPONT DE NEMOURS INC
2017-01-13
2020-01-27
16. DUPONT DE NEMOURS INC
2019-05-15
2020-01-27
6. DUPONT DE NEMOURS INC
2017-01-17
2020-01-27
9. DUPONT DE NEMOURS INC
2019-01-17
2020-01-27
9. KAR AUCTION SERVICES INC
2019-01-17
2020-01-27
9. KAR AUCTION SERVICES INC
2019-01-18
2020-01-27
5. KAR AUCTION SERVICES INC
2018-06-22
2020-01-27
3. KAR AUCTION SERVICES INC
2019-01-22
2020-01-27
8. KAR AUCTION SERVICES INC
2019-01-22
2020-01-28
2. KAR AUCTION SERVICES INC
2019-02-28
2020-01-28
5. E*TRADE FINANCIAL CORP
2017-10-03
2020-01-29
5. E*TRADE FINANCIAL CORP
2017-10-04
2020-01-29
3. REGIONS FINANCIAL CORP
2017-01-09
2020-01-29
27. REGIONS FINANCIAL CORP
2017-01-10
2020-01-29
11. E*TRADE FINANCIAL CORP
2017-10-04
2020-01-30
2. E*TRADE FINANCIAL CORP
2017-10-09
2020-01-30
41. REGIONS FINANCIAL CORP
2017-01-10
2020-01-30
12. E*TRADE FINANCIAL CORP
2017-10-09
2020-01-31
11. KAR AUCTION SERVICES INC
2019-03-01
2020-01-31
6. KAR AUCTION SERVICES INC
2019-02-28
2020-01-31
15. REGIONS FINANCIAL CORP
2017-01-10
2020-01-31
22. REGIONS FINANCIAL CORP
2017-01-11
2020-01-31
4. CDW CORP/DE
2016-02-23
2020-02-03
8. CDW CORP/DE
2016-02-24
2020-02-03
5. KAR AUCTION SERVICES INC
2019-03-01
2020-02-03
2. KAR AUCTION SERVICES INC
2019-03-04
2020-02-03
28. KAR AUCTION SERVICES INC
2019-07-09
2020-02-03
7. KAR AUCTION SERVICES INC
2019-07-10
2020-02-03
6. DISH NETWORK CORPATION
2018-08-22
2020-02-04
6. DISH NETWORK CORPATION
2018-08-23
2020-02-04
4. KAR AUCTION SERVICES INC
2019-07-10
2020-02-04
47. REGIONS FINANCIAL CORP
2017-01-11
2020-02-04
2. REGIONS FINANCIAL CORP
2017-01-11
2020-02-04
24. REGIONS FINANCIAL CORP
2017-01-12
2020-02-04
6. WAL MART STORES INC
2017-01-09
2020-02-04
12. WAL MART STORES INC
2017-01-10
2020-02-04
14. DISH NETWORK CORPATION
2018-10-10
2020-02-05
17. DISH NETWORK CORPATION
2018-10-11
2020-02-05
12. DISH NETWORK CORPATION
2018-08-23
2020-02-05
59. REGIONS FINANCIAL CORP
2017-01-12
2020-02-05
5000. U.S. TREASURY NOTE
2019-07-18
2020-02-05
12. DISH NETWORK CORPATION
2018-10-11
2020-02-06
7. DISH NETWORK CORPATION
2018-10-19
2020-02-06
9. NOVARTIS AG SPNSRD ADR
2018-11-19
2020-02-06
11. NOVARTIS AG SPNSRD ADR
2018-11-21
2020-02-06
5. UNITEDHEALTH GROUP INC
2014-10-27
2020-02-06
13. WAL MART STORES INC
2017-01-10
2020-02-06
17. KAR AUCTION SERVICES INC
2019-07-10
2020-02-07
1. KAR AUCTION SERVICES INC
2019-07-11
2020-02-07
26. KAR AUCTION SERVICES INC
2019-09-18
2020-02-07
3. KAR AUCTION SERVICES INC
2019-09-19
2020-02-07
23. REGIONS FINANCIAL CORP
2017-01-12
2020-02-07
30. REGIONS FINANCIAL CORP
2017-01-13
2020-02-07
2. DISH NETWORK CORPATION
2018-10-19
2020-02-10
5. DISH NETWORK CORPATION
2018-10-22
2020-02-10
23. KAR AUCTION SERVICES INC
2019-09-19
2020-02-10
4. KAR AUCTION SERVICES INC
2019-09-20
2020-02-10
1. KAR AUCTION SERVICES INC
2019-10-22
2020-02-10
43. REGIONS FINANCIAL CORP
2017-01-13
2020-02-10
18. DISH NETWORK CORPATION
2018-12-19
2020-02-11
24. DISH NETWORK CORPATION
2018-12-20
2020-02-11
25. DISH NETWORK CORPATION
2018-10-22
2020-02-11
17. KAR AUCTION SERVICES INC
2019-10-22
2020-02-11
31. DISH NETWORK CORPATION
2019-01-17
2020-02-12
17. DISH NETWORK CORPATION
2019-01-18
2020-02-12
7. DISH NETWORK CORPATION
2018-12-20
2020-02-12
2. KAR AUCTION SERVICES INC
2019-10-22
2020-02-12
18. KAR AUCTION SERVICES INC
2019-10-23
2020-02-12
2. KAR AUCTION SERVICES INC
2019-10-23
2020-02-13
9. KAR AUCTION SERVICES INC
2019-10-24
2020-02-13
2. PACKAGING CORP OF AMERICA
2013-02-26
2020-02-13
93. BLACKROCK STRATEGIC
2014-03-04
2020-02-19
21. REGIONS FINANCIAL CORP
2017-01-13
2020-02-19
1000. AMERICAN EXPRESS CO
2019-02-20
2020-02-20
1000. APPLE INC
2017-02-08
2020-02-20
1000. BB&T CORPORATION
2017-10-25
2020-02-20
1000. BANK OF NY MELLON CORP
2016-09-23
2020-02-20
1000. FEDERAL NATL MTG ASSOC
2017-06-13
2020-02-20
1000. GLAXOSMITHKLINE CAPITAL
2018-06-08
2020-02-20
1000. HOME DEPOT INC
2019-01-11
2020-02-20
1000. JPMORGAN CHASE & CO
2014-09-16
2020-02-20
2. NOVARTIS AG SPNSRD ADR
2018-11-21
2020-02-20
2. NOVARTIS AG SPNSRD ADR
2018-11-23
2020-02-20
16. NOVARTIS AG SPNSRD ADR
2018-11-26
2020-02-20
10. NOVARTIS AG SPNSRD ADR
2018-11-30
2020-02-20
1000. ORACLE CORP
2016-10-28
2020-02-20
8. PACKAGING CORP OF AMERICA
2015-06-15
2020-02-20
11. PACKAGING CORP OF AMERICA
2013-02-26
2020-02-20
9. PACKAGING CORP OF AMERICA
2013-02-27
2020-02-20
12. REGIONS FINANCIAL CORP
2017-01-13
2020-02-20
64. REGIONS FINANCIAL CORP
2017-12-19
2020-02-20
1000. U.S. TREASURY BOND
2009-06-24
2020-02-20
1000. U.S. TREASURY BOND 3.125% FEB 15 2042
2012-02-24
2020-02-20
1000. U.S. TREASURY BOND
2019-06-25
2020-02-20
2000. U.S. TREASURY NOTE
2019-04-12
2020-02-20
1000. U.S. TREASURY NOTE
2017-10-25
2020-02-20
2000. U.S. TREASURY NOTE
2019-12-18
2020-02-20
1000. U.S. TREASURY NOTE
2019-12-18
2020-02-20
1000. U.S. TREASURY NOTE
2020-02-05
2020-02-20
1000. WALMART INC
2018-08-23
2020-02-20
1000. WELLS FARGO & COMPANY
2016-07-26
2020-02-20
2. PACKAGING CORP OF AMERICA
2015-06-15
2020-02-24
6. PACKAGING CORP OF AMERICA
2018-06-19
2020-02-24
3. PACKAGING CORP OF AMERICA
2018-06-20
2020-02-24
11. NOVARTIS AG SPNSRD ADR
2019-01-08
2020-02-25
7. NOVARTIS AG SPNSRD ADR
2019-01-09
2020-02-25
5. NOVARTIS AG SPNSRD ADR
2018-11-30
2020-02-25
12. PACKAGING CORP OF AMERICA
2019-01-02
2020-02-25
1. PACKAGING CORP OF AMERICA
2019-01-03
2020-02-25
5000. U.S. TREASURY NOTE
2019-12-18
2020-02-25
1. PACKAGING CORP OF AMERICA
2019-01-03
2020-02-26
2. CDW CORP/DE
2016-02-24
2020-02-27
8. CDW CORP/DE
2016-02-25
2020-02-27
13. J P MORGAN CHASE & CO
2012-06-14
2020-02-28
2. CDW CORP/DE
2016-02-25
2020-03-02
9. CDW CORP/DE
2016-02-26
2020-03-02
3. CDW CORP/DE
2016-02-29
2020-03-02
6. CDW CORP/DE
2016-02-29
2020-03-03
1. J P MORGAN CHASE & CO
2012-06-14
2020-03-03
15. J P MORGAN CHASE & CO
2012-06-15
2020-03-03
17. US BANCORP DEL
2012-07-26
2020-03-03
3. US BANCORP DEL
2012-10-31
2020-03-03
4. MICROSOFT CORP COM
2015-05-07
2020-03-06
23. DELTA AIR LINES INC
2016-05-19
2020-03-09
47. DELTA AIR LINES INC
2016-02-22
2020-03-09
33. DELTA AIR LINES INC
2016-02-23
2020-03-09
10. J P MORGAN CHASE & CO
2012-06-15
2020-03-09
109. MARATHON OIL CORP
2018-06-11
2020-03-09
33. MARATHON OIL CORP
2018-06-12
2020-03-09
83. MARATHON OIL CORP
2019-01-16
2020-03-09
133. MARATHON OIL CORP
2019-03-19
2020-03-09
12. MARATHON OIL CORP
2019-03-20
2020-03-09
27. TRUIST FINL CORP
2016-06-24
2020-03-09
3. DR HORTON INC
2016-07-13
2020-03-10
34. DR HORTON INC
2016-07-14
2020-03-10
21. DR HORTON INC
2016-10-18
2020-03-10
45. DELTA AIR LINES INC
2017-01-11
2020-03-10
10. DELTA AIR LINES INC
2017-01-12
2020-03-10
9. DELTA AIR LINES INC
2020-02-20
2020-03-10
11. MARATHON OIL CORP
2019-03-20
2020-03-10
1. HUMANA INC
2015-08-06
2020-03-12
2. HUMANA INC
2016-10-18
2020-03-12
9. DR HORTON INC
2016-10-18
2020-03-13
61. DR HORTON INC
2016-10-19
2020-03-13
2. DR HORTON INC
2016-10-20
2020-03-13
11. DR HORTON INC
2017-02-21
2020-03-13
1. DR HORTON INC
2017-02-21
2020-03-16
5. HUMANA INC
2016-10-18
2020-03-16
7. HUMANA INC
2016-10-19
2020-03-16
1. O'REILLY AUTOMOTIVE INC
2018-07-09
2020-03-16
7. HUMANA INC
2016-10-19
2020-03-17
5. HUMANA INC
2019-07-23
2020-03-17
2. O'REILLY AUTOMOTIVE INC
2018-07-09
2020-03-18
4. O'REILLY AUTOMOTIVE INC
2018-07-10
2020-03-18
12. VERIZON COMMUNICATIONS INC
2019-03-29
2020-03-26
1. ALPHABET INC SHS CL C
2012-06-28
2020-04-01
7. MICROSOFT CORP COM
2015-06-15
2020-04-01
1000. AMERICAN EXPRESS CO
2019-02-20
2020-04-07
1000. APPLE INC
2017-02-08
2020-04-07
1000. BB&T CORPORATION
2017-10-25
2020-04-07
1000. BANK OF NY MELLON CORP
2016-09-23
2020-04-07
190. BLACKROCK STRATEGIC
2014-03-04
2020-04-07
1000. FEDERAL NATL MTG ASSOC
2017-06-13
2020-04-07
1000. GLAXOSMITHKLINE CAPITAL
2018-06-08
2020-04-07
1000. HOME DEPOT INC
2019-01-11
2020-04-07
2000. JPMORGAN CHASE & CO
2014-09-16
2020-04-07
1000. ORACLE CORP
2016-10-28
2020-04-07
1000. U.S. TREASURY BOND
2009-06-24
2020-04-07
2000. U.S. TREASURY BOND 3.125% FEB 15 2042
2012-02-24
2020-04-07
1000. U.S. TREASURY BOND
2018-03-01
2020-04-07
1000. U.S. TREASURY BOND
2019-06-25
2020-04-07
1000. U.S. TREASURY NOTE
2018-06-08
2020-04-07
3000. U.S. TREASURY NOTE
2019-04-12
2020-04-07
2000. U.S. TREASURY NOTE
2017-03-09
2020-04-07
1000. U.S. TREASURY NOTE
2010-06-11
2020-04-07
1000. U.S. TREASURY NOTE
2011-01-25
2020-04-07
2000. U.S. TREASURY NOTE
2017-10-25
2020-04-07
1000. U.S. TREASURY NOTE
2018-08-23
2020-04-07
2000. U.S. TREASURY NOTE
2019-12-18
2020-04-07
1000. U.S. TREASURY NOTE
2020-02-05
2020-04-07
1000. WALMART INC
2018-08-23
2020-04-07
16. ALLY FINANCIAL INC
2018-02-08
2020-04-08
14. ALTRIA GROUP INC
2015-06-10
2020-04-08
1000. CITIGROUP INC
2011-11-17
2020-04-08
3. LABORATORY CORP AMER HLDGS
2014-12-26
2020-04-08
7. LOWES COMPANIES INC COM
2013-06-21
2020-04-08
9. SANOFI-SYNTHELABO
2020-02-20
2020-04-08
3. DOLLAR GENERAL CORP
2018-11-26
2020-04-13
8. DOLLAR GENERAL CORP
2018-11-26
2020-04-13
4. SONY CORP ADR AMERN SH NEW
2019-06-19
2020-04-13
5. SONY CORP ADR AMERN SH NEW
2019-06-20
2020-04-13
7. SONY CORP ADR AMERN SH NEW
2019-06-26
2020-04-13
5. SONY CORP ADR AMERN SH NEW
2019-06-27
2020-04-13
10. WAL MART STORES INC
2017-01-10
2020-04-13
6. WAL MART STORES INC
2017-07-26
2020-04-13
6. SONY CORP ADR AMERN SH NEW
2019-06-27
2020-04-14
31. AES CORP/VA
2018-09-19
2020-04-16
45. AES CORP/VA
2018-09-20
2020-04-16
12. LOWES COMPANIES INC COM
2015-05-07
2020-04-16
6. LOWES COMPANIES INC COM
2013-06-21
2020-04-16
1. MICROSOFT CORP COM
2015-06-15
2020-04-16
13. MICROSOFT CORP COM
2015-11-18
2020-04-16
5. SONY CORP ADR AMERN SH NEW
2019-06-27
2020-04-16
6. VERIZON COMMUNICATIONS INC
2019-04-04
2020-04-16
25. VERIZON COMMUNICATIONS INC
2019-03-29
2020-04-16
35. AES CORP/VA
2018-09-20
2020-04-17
12. AES CORP/VA
2018-09-21
2020-04-17
3. SONY CORP ADR AMERN SH NEW
2019-07-01
2020-04-17
5. SONY CORP ADR AMERN SH NEW
2019-06-27
2020-04-17
9. SONY CORP ADR AMERN SH NEW
2019-06-28
2020-04-17
5. DOLLAR GENERAL CORP
2018-11-26
2020-04-24
2. DOLLAR GENERAL CORP
2018-11-30
2020-04-24
8. MICROSOFT CORP COM
2015-11-18
2020-04-24
10. WAL MART STORES INC
2017-07-26
2020-04-24
9. LABORATORY CORP AMER HLDGS
2014-12-26
2020-04-28
9. MICROSOFT CORP COM
2015-11-18
2020-04-28
7. NOVO NORDISK A/S ADR
2017-10-12
2020-04-28
1. NOVO NORDISK A/S ADR
2017-10-13
2020-04-28
8. NOVO NORDISK A/S ADR
2017-10-26
2020-04-28
10. SONY CORP ADR AMERN SH NEW
2019-07-01
2020-04-28
5000. U.S. TREASURY NOTE
2018-08-23
2020-04-28
9. NOVO NORDISK A/S ADR
2017-10-26
2020-04-29
3. NOVO NORDISK A/S ADR
2017-10-27
2020-04-29
10. SONY CORP ADR AMERN SH NEW
2019-07-01
2020-04-29
4. SONY CORP ADR AMERN SH NEW
2019-07-01
2020-04-29
4000. U.S. TREASURY NOTE
2020-02-05
2020-04-29
5. MOLSON COORS BREWING CO
2019-02-04
2020-05-13
5. MOLSON COORS BREWING CO
2019-02-05
2020-05-13
8. MOLSON COORS BREWING CO
2019-02-07
2020-05-13
14. MOLSON COORS BREWING CO
2019-02-08
2020-05-13
6. MOLSON COORS BREWING CO
2019-02-20
2020-05-13
4. VERIZON COMMUNICATIONS INC
2019-04-04
2020-05-13
24. VERIZON COMMUNICATIONS INC
2019-04-25
2020-05-13
3. MOLSON COORS BREWING CO
2019-02-20
2020-05-14
1. MOLSON COORS BREWING CO
2019-02-21
2020-05-14
1000. U.S. TREASURY NOTE
2017-07-19
2020-05-15
4000. U.S. TREASURY NOTE
2011-01-25
2020-05-15
7. DR HORTON INC
2017-02-21
2020-05-20
26. DR HORTON INC
2017-03-30
2020-05-20
9. MOLSON COORS BREWING CO
2019-02-21
2020-05-20
25. MOLSON COORS BREWING CO
2019-03-05
2020-05-21
1. MOLSON COORS BREWING CO
2019-02-21
2020-05-21
3. MOLSON COORS BREWING CO
2019-10-22
2020-05-21
8. MOLSON COORS BREWING CO
2020-04-08
2020-05-22
6. MOLSON COORS BREWING CO
2020-02-20
2020-05-22
11. MOLSON COORS BREWING CO
2019-10-22
2020-05-22
9. MOLSON COORS BREWING CO
2019-10-23
2020-05-22
10. NOVO NORDISK A/S ADR
2018-01-17
2020-05-29
4. NOVO NORDISK A/S ADR
2018-01-18
2020-05-29
4. NOVO NORDISK A/S ADR
2018-01-19
2020-05-29
7. NOVO NORDISK A/S ADR
2017-10-27
2020-05-29
7. SONY CORP ADR AMERN SH NEW
2019-07-01
2020-06-03
9. SONY CORP ADR AMERN SH NEW
2019-07-02
2020-06-03
9. SONY CORP ADR AMERN SH NEW
2020-04-08
2020-06-03
4. SONY CORP ADR AMERN SH NEW
2020-02-20
2020-06-03
8. SONY CORP ADR AMERN SH NEW
2019-07-25
2020-06-03
13. SONY CORP ADR AMERN SH NEW
2019-07-26
2020-06-03
1. DOLLAR GENERAL CORP
2018-12-07
2020-06-05
10. DOLLAR GENERAL CORP
2018-11-30
2020-06-05
10. FACEBOOK INC
2020-02-04
2020-06-08
8. DOLLAR GENERAL CORP
2018-12-07
2020-06-09
9. ALIBABA GROUP HOLDING LT
2019-09-05
2020-06-15
4. DOLLAR GENERAL CORP
2018-12-07
2020-06-15
2. DOLLAR GENERAL CORP
2018-12-10
2020-06-15
2. DOLLAR GENERAL CORP
2018-12-11
2020-06-15
2. LABORATORY CORP AMER HLDGS
2014-12-26
2020-06-15
4. LABORATORY CORP AMER HLDGS
2014-12-29
2020-06-15
2. VERIZON COMMUNICATIONS INC
2019-04-25
2020-06-15
25. VERIZON COMMUNICATIONS INC
2019-04-30
2020-06-15
5. LABORATORY CORP AMER HLDGS
2014-12-29
2020-06-16
27. VERIZON COMMUNICATIONS INC
2019-05-15
2020-06-16
8. VERIZON COMMUNICATIONS INC
2019-05-16
2020-06-16
5. FACEBOOK INC
2020-02-04
2020-06-18
20. CITIGROUP INC
2015-05-07
2020-06-29
6. CITIGROUP INC
2020-04-08
2020-06-29
17. CITIGROUP INC
2015-06-15
2020-06-29
16. CITIGROUP INC
2012-10-31
2020-06-29
8. DR HORTON INC
2017-03-30
2020-06-29
9. DR HORTON INC
2017-03-31
2020-06-29
13. VERIZON COMMUNICATIONS INC
2019-05-16
2020-06-29
13. VERIZON COMMUNICATIONS INC
2019-05-20
2020-06-29
12. DR HORTON INC
2017-03-31
2020-06-30
12. MICROSOFT CORP COM
2015-11-18
2020-07-02
16. VERIZON COMMUNICATIONS INC
2019-05-20
2020-07-02
13. VERIZON COMMUNICATIONS INC
2019-05-30
2020-07-02
.38 KONINKLIJKE PHILIPS NV
2020-01-27
2020-07-09
.38 KONINKLIJKE PHILIPS NV
2020-01-27
2020-07-09
25. VERIZON COMMUNICATIONS INC
2019-06-14
2020-07-10
9. VERIZON COMMUNICATIONS INC
2019-05-30
2020-07-10
29. AES CORP/VA
2018-09-21
2020-07-16
2. ALIBABA GROUP HOLDING LT
2019-09-05
2020-07-16
5. ALLY FINANCIAL INC
2018-02-08
2020-07-16
29. ALLY FINANCIAL INC
2018-02-09
2020-07-16
1. ALLY FINANCIAL INC
2018-02-12
2020-07-16
1. ALPHABET INC SHS CL C
2012-06-29
2020-07-16
1. ALPHABET INC SHS CL A
2012-06-27
2020-07-16
18. ALTRIA GROUP INC
2015-06-10
2020-07-16
13. ALTRIA GROUP INC
2015-06-11
2020-07-16
1. AMAZON COM INC
2020-01-07
2020-07-16
2. ANTHEM INC
2020-01-09
2020-07-16
9. APPLE INC
2015-11-18
2020-07-16
10. BP P L C SPONS ADR
2015-05-07
2020-07-16
14. BP P L C SPONS ADR
2014-10-27
2020-07-16
4. BERKSHIRE HATHAWAYINC
2020-04-24
2020-07-16
2. BIOGEN IDEC INC
2016-08-30
2020-07-16
4. CDK GLOBAL INC
2019-03-26
2020-07-16
8. CDK GLOBAL INC
2019-03-27
2020-07-16
10. CHEVRONTEXACO CORP
2017-01-05
2020-07-16
25. CISCO SYSTEMS INC
2013-08-08
2020-07-16
17. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2015-04-09
2020-07-16
6. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2015-04-10
2020-07-16
35. COMCAST CORP
2012-10-04
2020-07-16
12. CONOCOPHILLIPS
2019-07-02
2020-07-16
3. DOWDUPONT INC
2015-05-07
2020-07-16
5. DOWDUPONT INC
2017-01-09
2020-07-16
5. DOWDUPONT INC
2017-01-10
2020-07-16
10. DOWDUPONT INC
2017-01-12
2020-07-16
5. DOWDUPONT INC
2017-01-13
2020-07-16
3. DOWDUPONT INC
2015-06-15
2020-07-16
13. DOWDUPONT INC
2013-10-23
2020-07-16
15. DOLLAR TREE INC
2019-03-06
2020-07-16
16. E*TRADE FINANCIAL CORP
2017-10-10
2020-07-16
1. E*TRADE FINANCIAL CORP
2017-11-21
2020-07-16
4. FACEBOOK INC
2020-02-04
2020-07-16
12. FORTIVE CORP
2017-07-14
2020-07-16
3. FORTIVE CORP
2017-07-17
2020-07-16
18. GENERAL MOTORS CO
2020-01-15
2020-07-16
1. HUBBELL INC
2019-02-13
2020-07-16
5. HUBBELL INC
2019-02-15
2020-07-16
10. J P MORGAN CHASE & CO
2012-06-15
2020-07-16
3. J P MORGAN CHASE & CO
2012-06-25
2020-07-16
17. KONINKLIJKE PHILIPS NV
2020-01-27
2020-07-16
1. LABORATORY CORP AMER HLDGS
2015-05-07
2020-07-16
5. LABORATORY CORP AMER HLDGS
2014-12-29
2020-07-16
3. LOWES COMPANIES INC COM
2015-05-07
2020-07-16
3. LOWES COMPANIES INC COM
2015-06-15
2020-07-16
1. MICROSOFT CORP COM
2016-01-06
2020-07-16
5. MICROSOFT CORP COM
2015-11-18
2020-07-16
3. NORFOLK SOUTHERN CORP
2017-01-12
2020-07-16
1. NORFOLK SOUTHERN CORP
2017-02-21
2020-07-16
2. O'REILLY AUTOMOTIVE INC
2018-07-19
2020-07-16
30. PFIZER INC
2016-03-31
2020-07-16
14. QUANTA SERVICES INC
2020-03-19
2020-07-16
7. QUANTA SERVICES INC
2020-03-20
2020-07-16
6. RAYMOND JAMES FINANCIAL INC
2020-01-29
2020-07-16
11. ROBERT HALF INTERNATIONAL INC
2020-03-25
2020-07-16
10. SANOFI-SYNTHELABO
2020-02-20
2020-07-16
18. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2020-07-16
12. TRUIST FINL CORP
2016-06-24
2020-07-16
12. US BANCORP DEL
2012-10-31
2020-07-16
12. UNILEVER NV
2019-08-15
2020-07-16
4. UNITEDHEALTH GROUP INC
2014-10-27
2020-07-16
5. VISA INC
2020-02-13
2020-07-16
5. WAL MART STORES INC
2017-08-04
2020-07-16
1. WAL MART STORES INC
2017-07-26
2020-07-16
42. COMCAST CORP
2012-10-04
2020-07-22
1. DR HORTON INC
2018-05-16
2020-07-23
14. DR HORTON INC
2018-05-17
2020-07-23
4. DR HORTON INC
2017-03-31
2020-07-23
8. DR HORTON INC
2020-04-08
2020-07-24
17. DR HORTON INC
2018-05-17
2020-07-24
10. DR HORTON INC
2020-02-20
2020-07-24
6. APPLE INC
2015-11-18
2020-07-27
1. APPLE INC
2016-03-31
2020-07-27
4. TAIWAN SEMICONDUCTOR ADR
2018-09-07
2020-07-27
23. TAIWAN SEMICONDUCTOR ADR
2018-09-10
2020-07-27
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
178
166
12
b
926
1,169
-243
c
62
77
-15
d
959
1,239
-280
e
659
806
-147
566
436
130
737
537
200
621
808
-187
621
755
-134
226
293
-67
45
33
12
446
335
111
473
352
121
237
168
69
533
367
166
405
491
-86
636
771
-135
520
618
-98
481
367
114
175
210
-35
354
267
87
779
528
251
311
212
99
211
193
18
885
899
-14
527
483
44
570
584
-14
194
133
61
609
577
32
279
200
79
46
34
12
93
67
26
708
616
92
89
77
12
46
33
13
367
270
97
532
464
68
366
267
99
459
431
28
153
146
7
255
246
9
364
125
239
1,336
460
876
600
209
391
1,320
427
893
840
273
567
357
345
12
255
244
11
1,000
1,003
-3
4,000
4,016
-16
7,000
6,964
36
37
34
3
149
137
12
1,131
457
674
181
172
9
72
69
3
181
171
10
405
360
45
217
206
11
145
138
7
289
254
35
985
874
111
37
32
5
37
32
5
302
259
43
273
224
49
856
876
-20
570
565
5
153
118
35
153
128
25
115
88
27
154
118
36
191
147
44
76
59
17
306
236
70
487
252
235
1,704
890
814
831
857
-26
35
35
623
632
-9
104
128
-24
209
265
-56
313
387
-74
730
920
-190
1,220
1,048
172
610
514
96
732
627
105
488
422
66
210
265
-55
419
480
-61
316
360
-44
421
485
-64
208
222
-14
729
784
-55
104
121
-17
314
334
-20
5
5
1,071
742
329
612
428
184
1,806
1,162
644
446
167
279
331
224
107
827
528
299
83
53
30
671
250
421
337
125
212
562
208
354
1,681
702
979
560
254
306
26
15
11
5,051
5,043
8
10,102
10,022
80
165
123
42
247
168
79
1,237
838
399
505
372
133
926
678
248
84
62
22
2,693
1,053
1,640
2,560
1,302
1,258
2,061
644
1,417
2,192
1,116
1,076
1,770
552
1,218
353
328
25
422
389
33
155
143
12
417
387
30
132
122
10
44
41
3
1,833
591
1,242
156
144
12
67
61
6
132
122
10
198
188
10
44
42
2
22
20
2
198
189
9
22
21
1
618
234
384
346
517
-171
923
1,088
-165
346
510
-164
519
755
-236
198
175
23
198
178
20
110
105
5
66
59
7
176
157
19
44
36
8
221
221
221
222
-1
46
43
3
417
394
23
485
488
-3
88
89
-1
632
598
34
514
532
-18
231
198
33
126
108
18
233
219
14
341
317
24
532
156
376
1,063
309
754
105
90
15
42
36
6
587
695
-108
147
174
-27
221
211
10
221
211
10
85
100
-15
763
678
85
32
29
3
390
344
46
693
412
281
1,386
823
563
532
467
65
646
553
93
456
421
35
975
845
130
5,508
5,328
180
448
390
58
261
244
17
867
696
171
1,059
862
197
1,453
460
993
1,516
891
625
373
423
-50
22
24
-2
571
674
-103
66
79
-13
375
330
45
489
442
47
74
70
4
184
174
10
499
603
-104
87
103
-16
22
26
-4
699
633
66
695
526
169
926
656
270
965
871
94
370
435
-65
1,274
907
367
699
503
196
288
191
97
45
51
-6
401
457
-56
45
51
-6
202
231
-29
200
83
117
938
945
-7
345
309
36
1,059
1,002
57
1,085
1,009
76
1,041
996
45
1,016
996
20
1,038
978
60
1,050
999
51
1,141
1,028
113
1,072
996
76
192
157
35
192
155
37
1,537
1,250
287
961
802
159
1,043
990
53
795
535
260
1,094
458
636
895
377
518
198
177
21
1,056
1,106
-50
1,395
1,010
385
1,222
1,002
220
1,203
1,073
130
2,267
2,091
176
1,064
994
70
2,013
1,977
36
1,008
998
10
1,004
1,003
1
1,056
1,010
46
1,005
1,000
5
198
134
64
595
702
-107
297
349
-52
969
836
133
617
535
82
441
401
40
1,146
1,012
134
95
83
12
5,063
4,992
71
96
83
13
235
77
158
940
313
627
1,508
448
1,060
236
78
158
1,064
355
709
355
118
237
711
237
474
117
34
83
1,755
524
1,231
789
573
216
139
100
39
638
188
450
998
993
5
2,040
2,280
-240
1,432
1,615
-183
948
349
599
392
2,345
-1,953
119
708
-589
299
1,292
-993
478
2,301
-1,823
43
208
-165
925
850
75
148
102
46
1,682
1,158
524
1,039
618
421
1,967
2,309
-342
437
502
-65
393
527
-134
42
190
-148
295
186
109
591
347
244
341
265
76
2,308
1,809
499
76
59
17
416
338
78
34
31
3
1,366
869
497
1,912
1,223
689
311
288
23
1,897
1,223
674
1,355
1,410
-55
569
576
-7
1,138
1,148
-10
639
710
-71
1,111
280
831
1,072
318
754
1,040
1,002
38
1,088
1,009
79
1,015
996
19
1,008
996
12
1,777
1,930
-153
1,069
978
91
1,056
999
57
1,116
1,027
89
2,132
1,993
139
1,031
990
41
1,526
1,010
516
2,719
2,005
714
1,379
975
404
1,361
1,073
288
1,119
1,000
119
3,596
3,135
461
2,183
1,953
230
1,003
1,000
3
1,003
1,000
3
2,237
1,989
248
1,008
1,000
8
2,089
1,977
112
1,023
1,003
20
1,066
1,009
57
245
443
-198
559
694
-135
1,039
957
82
429
326
103
661
276
385
406
457
-51
512
321
191
1,364
855
509
239
211
28
299
269
30
419
368
51
299
261
38
1,240
686
554
744
473
271
368
314
54
378
424
-46
548
619
-71
1,112
869
243
556
236
320
175
45
130
2,279
695
1,584
311
261
50
343
341
2
1,427
1,478
-51
447
482
-35
153
167
-14
192
160
32
320
261
59
576
473
103
881
534
347
352
221
131
1,384
428
956
1,292
789
503
1,590
977
613
1,539
481
1,058
454
344
110
65
48
17
519
393
126
632
533
99
5,032
5,000
32
567
442
125
189
149
40
646
537
109
258
213
45
4,094
4,012
82
181
329
-148
181
333
-152
289
524
-235
506
913
-407
217
376
-159
220
228
-8
1,317
1,341
-24
105
188
-83
35
62
-27
1,000
1,000
4,000
4,000
365
215
150
1,354
868
486
341
559
-218
928
1,524
-596
37
62
-25
111
177
-66
293
360
-67
219
330
-111
402
650
-248
329
533
-204
652
562
90
261
226
35
261
230
31
456
349
107
462
376
86
594
481
113
594
557
37
264
265
-1
528
437
91
858
713
145
186
103
83
1,857
1,104
753
2,308
2,101
207
1,488
822
666
1,953
1,608
345
750
411
339
375
208
167
375
212
163
340
217
123
680
434
246
112
112
1,406
1,434
-28
865
542
323
1,535
1,528
7
455
460
-5
1,176
1,051
125
998
1,068
-70
299
262
37
849
962
-113
799
596
203
436
267
169
491
300
191
707
748
-41
707
768
-61
660
400
260
2,491
642
1,849
883
945
-62
717
743
-26
18
18
18
18
1,362
1,454
-92
490
514
-24
435
405
30
486
357
129
112
139
-27
650
794
-144
22
28
-6
1,502
288
1,214
1,502
286
1,216
745
892
-147
538
634
-96
2,962
1,901
1,061
533
615
-82
3,462
1,053
2,409
239
418
-179
335
586
-251
761
742
19
557
565
-8
173
229
-56
345
458
-113
887
1,174
-287
1,137
657
480
1,044
1,064
-20
368
379
-11
1,467
640
827
503
722
-219
84
82
2
140
157
-17
140
155
-15
280
313
-33
140
156
-16
84
82
2
364
289
75
1,454
1,507
-53
871
705
166
54
45
9
956
841
115
861
775
86
215
193
22
488
633
-145
132
117
15
662
590
72
1,005
349
656
301
106
195
842
814
28
190
119
71
951
542
409
428
217
211
428
207
221
204
54
150
1,020
267
753
554
332
222
185
124
61
863
598
265
1,061
900
161
564
379
185
282
180
102
438
545
-107
601
447
154
530
507
23
1,180
809
371
450
378
72
455
399
56
643
699
-56
1,229
368
861
967
1,039
-72
658
402
256
132
79
53
1,790
768
1,022
64
41
23
891
578
313
255
133
122
509
321
188
1,081
702
379
636
617
19
2,273
702
1,571
379
109
270
332
180
152
1,907
1,027
880
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
12
b
-243
c
-15
d
-280
e
-147
130
200
-187
-134
-67
12
111
121
69
166
-86
-135
-98
114
-35
87
251
99
18
-14
44
-14
61
32
79
12
26
92
12
13
97
68
99
28
7
9
239
876
391
893
567
12
11
-3
-16
36
3
12
674
9
3
10
45
11
7
35
111
5
5
43
49
-20
5
35
25
27
36
44
17
70
235
814
-26
-9
-24
-56
-74
-190
172
96
105
66
-55
-61
-44
-64
-14
-55
-17
-20
5
329
184
644
279
107
299
30
421
212
354
979
306
11
8
80
42
79
399
133
248
22
1,640
1,258
1,417
1,076
1,218
25
33
12
30
10
3
1,242
12
6
10
10
2
2
9
1
384
-171
-165
-164
-236
23
20
5
7
19
8
-1
3
23
-3
-1
34
-18
33
18
14
24
376
754
15
6
-108
-27
10
10
-15
85
3
46
281
563
65
93
35
130
180
58
17
171
197
993
625
-50
-2
-103
-13
45
47
4
10
-104
-16
-4
66
169
270
94
-65
367
196
97
-6
-56
-6
-29
117
-7
36
57
76
45
20
60
51
113
76
35
37
287
159
53
260
636
518
21
-50
385
220
130
176
70
36
10
1
46
5
64
-107
-52
133
82
40
134
12
71
13
158
627
1,060
158
709
237
474
83
1,231
216
39
450
5
-240
-183
599
-1,953
-589
-993
-1,823
-165
75
46
524
421
-342
-65
-134
-148
109
244
76
499
17
78
3
497
689
23
674
-55
-7
-10
-71
831
754
38
79
19
12
-153
91
57
89
139
41
516
714
404
288
119
461
230
3
3
248
8
112
20
57
-198
-135
82
103
385
-51
191
509
28
30
51
38
554
271
54
-46
-71
243
320
130
1,584
50
2
-51
-35
-14
32
59
103
347
131
956
503
613
1,058
110
17
126
99
32
125
40
109
45
82
-148
-152
-235
-407
-159
-8
-24
-83
-27
150
486
-218
-596
-25
-66
-67
-111
-248
-204
90
35
31
107
86
113
37
-1
91
145
83
753
207
666
345
339
167
163
123
246
-28
323
7
-5
125
-70
37
-113
203
169
191
-41
-61
260
1,849
-62
-26
-92
-24
30
129
-27
-144
-6
1,214
1,216
-147
-96
1,061
-82
2,409
-179
-251
19
-8
-56
-113
-287
480
-20
-11
827
-219
2
-17
-15
-33
-16
2
75
-53
166
9
115
86
22
-145
15
72
656
195
28
71
409
211
221
150
753
222
61
265
161
185
102
-107
154
23
371
72
56
-56
861
-72
256
53
1,022
23
313
122
188
379
19
1,571
270
152
880
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
65,805
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
38,507
786,483
0.048961
2017
39,163
787,714
0.049717
2016
36,292
827,312
0.043867
2015
32,766
690,663
0.047441
2014
31,933
718,620
0.044437
2
Total
of line 1, column (d)
.....................
2
0.234423
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
0.046885
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
808,096
5
Multiply line 4 by line 3
......................
5
37,888
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
778
7
Add lines 5 and 6
........................
7
38,666
8
Enter qualifying distributions from Part XII, line 4
,.............
8
45,593
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
778
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
778
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
778
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
451
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
451
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
327
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
0
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
IN
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
BANK OF AMERICA
Telephone no.
(609) 274-6834
Located at
1300 MERRILL LYNCH DRIVE
PENNINGTON
NJ
ZIP+4
085341501
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
BANK OF AMERICA
CO-TRUSTEE
1
13,489
PO Box 1501 NJ2-130-03-31
PENNINGTON
,
NJ
085341501
Ms Ann Plogsterth
CO-TRUSTEE
1
0
175 W 87th St Apt 21F
New York
,
NY
100242909
Mr Thomas L Wooding
CO-TRUSTEE
1
0
3924 Vermillion Cliffs
Fort Wayne
,
IN
468148713
Ms Susan Rousseau
CO-TRUSTEE
1
0
2425 Ojibway Trail
Fort Wayne
,
IN
468071242
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
790,873
b
Average of monthly cash balances
.......................
1b
29,529
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
820,402
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
820,402
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
12,306
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
808,096
6
Minimum investment return.
Enter 5% of line 5
..................
6
40,405
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
40,405
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
778
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
778
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
39,627
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
39,627
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
39,627
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
45,593
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
45,593
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
778
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
44,815
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
39,627
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
30,758
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
45,593
a
Applied to 2018, but not more than line 2a
30,758
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
14,835
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
24,792
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
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
Headwaters Counseling
2712 S CALHOUN ST
Fort Wayne
,
IN
46807
NONE
PC
GENERAL OPERATING
5,500
Center for Nonviolence Inc
235 W CREIGHTON AVE
Fort Wayne
,
IN
46807
NONE
PC
GENERAL OPERATING
5,500
Community Harvest Food Bank
999 E TILLMAN ROAD
Fort Wayne
,
IN
46855
NONE
PC
GENERAL OPERATING
5,500
Young Womens Christian Association
1610 SPY RUN AVE
Fort Wayne
,
IN
46805
NONE
PC
GENERAL OPERATING
5,500
John C Campbell Folk School
1 FOLK SCHOOL ROAD
Brasstown
,
NC
28902
NONE
PC
GENERAL OPERATING
2,000
Trinity English Lutheran Church
405 WEST WAYNE STREET
Fort Wayne
,
IN
46802
NONE
PC
GENERAL OPERATING
6,000
Matthew 25 Inc
413 E JEFFERSON BLVD
Fort Wayne
,
IN
46802
NONE
PC
GENERAL OPERATING
5,500
Fort Wayne Children's Zoo
3411 SHERMAN BLVD
Fort Wayne
,
IN
46808
NONE
PC
GENERAL OPERATING
2,000
Total
.................................
3a
37,500
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
17,641
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
65,805
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FEDERAL TAX REFUND
1
160
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
83,606
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
83,606
(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:
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Form 990PF - Special Condition Description:
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