TY 2019 Form 990PF

- TIN:

Form990-PF
Click to see attachment

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.
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Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0052

2019

Open to Public Inspection

For calendar year 2019, or tax year beginning 10-01-2019 , and ending 09-30-2020

Name of foundation
THE THOMAS C BURKE FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 40200 FL9-300-01-16
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
JACKSONVILLE, FL322030200

A Employer identification number

58-6047627

B Telephone number (see instructions)

(877) 446-1410

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

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 ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$7,078,652J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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...	137,224		137,050
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		60,971
b	Gross sales price for all assets on line 6a 227,601
7	Capital gain net income (from Part IV, line 2)...			60,971
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).......			7,011
12	Total. Add lines 1 through 11........	198,195		205,032
13	Compensation of officers, directors, trustees, etc.	37,864		22,718		15,145
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).......		1,129	677	0	452
c	Other professional fees (attach schedule)....		511	511		0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		3,299	2,150		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).......			11
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	42,803		26,067	0	15,597
25	Contributions, gifts, grants paid.......	317,561				317,561
26	Total expenses and disbursements. Add lines 24 and 25	360,364		26,067	0	333,158
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-162,169
b	Net investment income (if negative, enter -0-)			178,965
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	143,512	67,973	67,973
	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).......	5,779,645	5,698,236	7,010,380
	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)..........		346	299
	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)	5,923,157	5,766,555	7,078,652
	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........	5,923,157	5,766,555
	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).....	5,923,157	5,766,555
	30	Total liabilities and net assets/fund balances (see instructions).	5,923,157	5,766,555

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

5,923,157

Enter amount from Part I, line 27a .....................

-162,169

Other increases not included in line 2 (itemize) bullet

5,869

Add lines 1, 2, and 3 ..........................

5,766,857

Decreases not included in line 2 (itemize) bullet

302

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

5,766,555

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	105. CELGENE CORP		2017-04-13	2019-11-20
b	2. COMCAST CORP NEW CL A COM		2018-02-14	2020-09-23
c	5. DANAHER CORPORATION		2017-04-28	2020-01-15
d	1. DANAHER CORPORATION		2017-04-28	2020-01-16
e	5. DANAHER CORPORATION		2017-04-28	2020-02-19
	14. DUPONT DE NEMOURS INC COM		2019-10-16	2020-05-27
	4. DUPONT DE NEMOURS INC COM		2019-10-24	2020-05-28
	11. DUPONT DE NEMOURS INC COM		2019-10-23	2020-05-28
	8. FIDELITY NATL INFORMATION SVCS INC COM		2017-04-28	2020-06-17
	6. FIDELITY NATL INFORMATION SVCS INC COM		2017-04-28	2020-07-08
	7. FISERV INCORPORATED		2018-11-15	2020-05-15
	1. FISERV INCORPORATED		2018-11-15	2020-05-18
	2. FISERV INCORPORATED		2017-04-28	2020-05-18
	9. FIRSTENERGY CORP		2019-03-29	2020-07-15
	2. FIRSTENERGY CORP		2019-04-01	2020-07-15
	5. FIRSTENERGY CORP		2019-04-01	2020-07-16
	1. FIRSTENERGY CORP		2019-04-01	2020-07-22
	2. FIRSTENERGY CORP		2019-04-02	2020-07-22
	16. FIRSTENERGY CORP		2019-03-07	2020-07-22
	4. FIRSTENERGY CORP		2019-02-14	2020-07-22
	8. FIRSTENERGY CORP		2019-02-14	2020-07-23
	5. FIRSTENERGY CORP		2019-02-14	2020-07-28
	22. FIRSTENERGY CORP		2019-01-24	2020-07-28
	2562.464 HARTFORD SCHRODERS EMERGING MARKETS EQUITY FUND CL F		2015-06-17	2020-09-30
	1. ILLINOIS TOOL WORKS INCORPORATED		2019-05-16	2020-09-09
	3. ILLINOIS TOOL WORKS INCORPORATED		2019-05-15	2020-09-09
	4.412 INGERSOLL RAND INC COM		2018-06-07	2020-03-06
	.882 INGERSOLL RAND INC COM		2018-02-14	2020-03-06
	4.412 INGERSOLL RAND INC COM		2017-12-07	2020-03-06
	5.294 INGERSOLL RAND INC COM		2017-11-28	2020-03-06
	3.53 INGERSOLL RAND INC COM		2017-11-29	2020-03-06
	4.47 INGERSOLL RAND INC COM		2017-12-06	2020-03-06
	.824 INGERSOLL RAND INC COM		2017-12-06	2020-04-13
	1. J P MORGAN CHASE & CO COM		2007-11-09	2020-09-23
	1. JOHNSON & JOHNSON		2017-10-25	2020-03-25
	2. JOHNSON & JOHNSON		2017-11-08	2020-03-25
	2. LEAR CORP NEW COM		2018-11-07	2020-04-01
	2. LEAR CORP NEW COM		2018-11-07	2020-04-02
	1. LEAR CORP NEW COM		2018-11-07	2020-04-08
	3. LEAR CORP NEW COM		2018-10-25	2020-04-08
	1. LEAR CORP NEW COM		2018-10-25	2020-04-15
	2. LEAR CORP NEW COM		2018-10-25	2020-04-16
	2. LEAR CORP NEW COM		2018-10-25	2020-04-17
	4. MCKESSON HBOC INC		2019-09-25	2020-04-08
	1. MCKESSON HBOC INC		2019-09-26	2020-04-08
	.25 OCCIDENTAL PETE CORP WT EXPIRES 08/03/2027		2020-08-03	2020-09-30
	7366.071 PIMCO HIGH YIELD FD INSTL CL		2017-05-08	2020-06-30
	6. PPG INDUSTRIES INC		2017-04-28	2020-06-10
	3. PPG INDUSTRIES INC		2017-04-28	2020-06-11
	25. PFIZER INC		2009-07-09	2020-02-12
	25. PFIZER INC		2009-07-09	2020-09-16
	10. PFIZER INC		2009-07-09	2020-09-23
	10. PFIZER INC		2009-07-09	2020-09-23
	.436 RAYTHEON TECHNOLOGIES CORP COM		2017-04-13	2020-05-29
	1. ROCHE HLDG LTD SPONSORED ADR		2019-02-08	2019-12-05
	17. ROCHE HLDG LTD SPONSORED ADR		2019-02-28	2019-12-05
	2. ROCHE HLDG LTD SPONSORED ADR		2019-01-10	2019-12-05
	9. ROCHE HLDG LTD SPONSORED ADR		2019-01-10	2019-12-06
	23. SCHLUMBERGER LTD COM		2015-09-28	2019-10-30
	1. SCHLUMBERGER LTD COM		2015-09-22	2019-10-30
	9. SCHLUMBERGER LTD COM		2017-05-31	2019-10-30
	5. SCHLUMBERGER LTD COM		2017-05-31	2019-11-06
	10. SCHLUMBERGER LTD COM		2017-09-20	2019-11-06
	1. SCHLUMBERGER LTD COM		2017-09-20	2019-11-07
	3. SCHLUMBERGER LTD COM		2018-02-14	2019-11-07
	11. SCHLUMBERGER LTD COM		2017-09-06	2019-11-07
	2. STATE STREET CORP		2017-11-15	2019-11-21
	10. STATE STREET CORP		2018-08-02	2019-11-21
	10. STATE STREET CORP		2017-04-28	2020-09-30
	9. TEXAS INSTRS INC		2018-09-13	2020-01-22
	1. TEXAS INSTRS INC		2013-06-25	2020-01-22
	4. THERMO ELECTRON CORP		2017-04-28	2019-12-18
	5. TRAVELERS COS INC COM		2017-04-28	2020-01-08
	3. TRAVELERS COS INC COM		2017-04-28	2020-01-09
	12. TRUIST FINL CORP COM		2019-05-22	2020-06-10
	3. TRUIST FINL CORP COM		2019-05-23	2020-06-10
	6. TRUIST FINL CORP COM		2019-05-23	2020-06-11
	11. TRUIST FINL CORP COM		2019-03-21	2020-08-12
	11. TRUIST FINL CORP COM		2019-03-21	2020-08-13
	4. TRUIST FINL CORP COM		2019-03-21	2020-09-02
	7. TRUIST FINL CORP COM		2019-03-29	2020-09-02
	13. TRUIST FINL CORP COM		2019-03-29	2020-09-09
	1. US BANCORP DEL COM NEW		2018-02-14	2020-09-23
	1. WELLS FARGO COMPANY		2018-03-29	2019-10-16
	16. WELLS FARGO COMPANY		2001-09-25	2019-10-16
	19. WELLS FARGO COMPANY		2001-09-25	2019-10-23
	21. WELLS FARGO COMPANY		2001-09-25	2020-03-04
	20. WELLS FARGO COMPANY		2001-09-25	2020-03-11
	596.388 WELLS FARGO SPECIAL SMALL CAP VALUE FUND INSTL CL		2017-04-27	2020-09-30
	19. XCEL ENERGY INC COM		2017-04-28	2019-10-02
	1. XCEL ENERGY INC COM		2018-02-14	2019-10-02
	5. ACCENTURE PLC CL A COM		2017-04-28	2020-07-15
	1. EATON CORP PLC COM		2018-02-14	2020-09-23
	4. INGERSOLL-RAND CO LTD COM		2018-08-09	2020-02-19
	1. INGERSOLL-RAND CO LTD COM		2018-08-09	2020-02-20
	3. INGERSOLL-RAND CO LTD COM		2018-06-07	2020-02-20
	15. JOHNSON CONTROLS INTL PLC COM		2017-04-28	2019-11-13
	4. JOHNSON CONTROLS INTL PLC COM		2017-04-28	2019-11-14
	15. JOHNSON CONTROLS INTL PLC COM		2017-04-28	2020-04-22
	13. JOHNSON CONTROLS INTL PLC COM		2017-04-28	2020-04-23
	3. JOHNSON CONTROLS INTL PLC COM		2017-04-28	2020-05-20
	9. JOHNSON CONTROLS INTL PLC COM		2018-09-06	2020-05-20
	13. JOHNSON CONTROLS INTL PLC COM		2018-09-06	2020-05-21
	2. JOHNSON CONTROLS INTL PLC COM		2018-02-14	2020-05-21
	1. MEDTRONIC PLC COM		2015-01-26	2020-09-23
	CAPITAL GAIN DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	11,415	13,108	-1,693
b	92	79	13
c	805	417	388
d	162	83	79
e	817	417	400
	694	942	-248
	203	269	-66
	557	729	-172
	1,116	671	445
	815	503	312
	700	546	154
	104	78	26
	208	119	89
	369	369
	82	82
	205	204	1
	28	41	-13
	56	82	-26
	448	644	-196
	112	156	-44
	226	311	-85
	147	195	-48
	645	853	-208
	43,331	32,922	10,409
	195	153	42
	585	453	132
	115	102	13
	23	20	3
	115	97	18
	138	117	21
	92	78	14
	117	98	19
	22	18	4
	94	42	52
	119	143	-24
	238	282	-44
	147	278	-131
	143	278	-135
	89	139	-50
	267	405	-138
	85	135	-50
	165	270	-105
	175	270	-95
	530	571	-41
	133	141	-8
	1	1
	62,391	65,862	-3,471
	656	660	-4
	310	330	-20
	949	359	590
	924	359	565
	363	144	219
	363	144	219
	30	28	2
	38	36	2
	653	591	62
	77	65	12
	346	294	52
	765	1,623	-858
	33	71	-38
	299	626	-327
	178	348	-170
	356	677	-321
	36	68	-32
	108	198	-90
	397	725	-328
	146	184	-38
	730	857	-127
	595	841	-246
	1,204	945	259
	134	35	99
	1,273	660	613
	685	609	76
	412	365	47
	508	587	-79
	127	145	-18
	232	291	-59
	444	522	-78
	429	522	-93
	156	190	-34
	273	327	-54
	492	606	-114
	35	55	-20
	50	52	-2
	797	349	448
	964	415	549
	846	458	388
	666	437	229
	17,045	20,635	-3,590
	1,207	857	350
	64	43	21
	1,099	605	494
	100	77	23
	582	389	193
	146	97	49
	438	271	167
	628	628
	168	167	1
	414	628	-214
	365	544	-179
	86	126	-40
	259	344	-85
	380	497	-117
	58	75	-17
	104	76	28
			57,063

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			-1,693
b			13
c			388
d			79
e			400
			-248
			-66
			-172
			445
			312
			154
			26
			89


			1
			-13
			-26
			-196
			-44
			-85
			-48
			-208
			10,409
			42
			132
			13
			3
			18
			21
			14
			19
			4
			52
			-24
			-44
			-131
			-135
			-50
			-138
			-50
			-105
			-95
			-41
			-8

			-3,471
			-4
			-20
			590
			565
			219
			219
			2
			2
			62
			12
			52
			-858
			-38
			-327
			-170
			-321
			-32
			-90
			-328
			-38
			-127
			-246
			259
			99
			613
			76
			47
			-79
			-18
			-59
			-78
			-93
			-34
			-54
			-114
			-20
			-2
			448
			549
			388
			229
			-3,590
			350
			21
			494
			23
			193
			49
			167

			1
			-214
			-179
			-40
			-85
			-117
			-17
			28

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	60,971
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	333,731	6,790,496	0.049147
2017	296,357	6,542,863	0.045295
2016	312,789	6,573,525	0.047583
2015	324,548	6,198,228	0.052361
2014	323,497	6,583,053	0.049141

Total of line 1, column (d) .....................

0.243527

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 ......

0.048705

Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......

Multiply line 4 by line 3......................

Enter 1% of net investment income (1% of Part I, line 27b)...........

Add lines 5 and 6........................

Enter qualifying distributions from Part XII, line 4,.............

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)

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	3,579
	hereand 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	3,579
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	3,579
6	Credits/Payments:

a	2019 estimated tax payments and 2018 overpayment credited to 2019	6a	3,340
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	3,340
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	239
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 tax0	Refunded	11	0

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

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.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2019)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

The books are in care of bullet

BANK OF AMERICA NA Telephone no. bullet

(877) 446-1410

Located at bullet

P O BOX 40200 FL9-300-01-16JACKSONVILLEFL ZIP+4 bullet

322030200

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo

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 bullet

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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?.............

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)):

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?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

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

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

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.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

Form 990-PF (2019)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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? .................YesNo

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 N A	TRUSTEE 01	37,864
P O BOX 40200 FL9-300-01-16 JACKSONVILLE,FL322030200	TRUSTEE 01	37,864

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)

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............. bullet

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......................... bullet

Form 990-PF (2019)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

6,670,845

Average of monthly cash balances.......................

316,217

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

6,987,062

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

6,987,062

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

104,806

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

6,882,256

Minimum investment return. Enter 5% of line 5..................

344,113

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

Minimum investment return from Part X, line 6....................

344,113

Tax on investment income for 2019 from Part VI, line 5......

3,579

Income tax for 2019. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

3,579

Distributable amount before adjustments. Subtract line 2c from line 1............

340,534

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

340,534

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

340,534

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

333,158

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

333,158

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.................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

333,158

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)

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					340,534
2 Undistributed income, if any, as of the end of 2019:
a Enter amount for 2018 only.......				317,007
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
fTotal of lines 3a through e........		0
4Qualifying distributions for 2019 from Part
XII, line 4: $ 333,158
a Applied to 2018, but not more than line 2a				317,007
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.....					16,151
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).)
6Enter 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 ..........					324,383
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
9Excess 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)

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....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(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	(e) Total

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.)

1Information Regarding Foundation Managers:

aList 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).)

bList 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.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

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

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

PALMER WILSON
150 N COLLEGE STREET
CHARLOTTE,NC28255
(980) 387-5846

bThe form in which applications should be submitted and information and materials they should include:

NONE

cAny submission deadlines:

NONE

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

MIDDLE GEORGIA AREA

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
MT DE SALES ACADEMY TRUSTEES 851 ORANGE STREET MACON,GA312012164	N/A	PC	UNRESTRICTED GENERAL	31,701
ST JOSEPH CATHOLIC CHURCH 830 POPLAR ST MACON,GA312012016	N/A	PC	UNRESTRICTED GENERAL	31,701
JAY'S HOPE FOUNDATION INC 1157 B FORSYTH STREET MACON,GA31201	N/A	PC	UNRESTRICTED GENERAL	15,000
UNITED IN PINK 1515 BASS ROAD SUITE H MACON,GA31210	NONE	PC	UNRESTRICTED GENERAL	15,000
DEPAUL USA INC CHARLES W LEVESQUE EXEC DIR 5725 SPRAGUE STREET PHILADELPHIA,PA19138	N/A	PC	UNRESTRICTED GENERAL	10,000
WESLEYAN COLLEGE ATTN MRS RUTH A KNOX PRES 4760 FORSYTH ROAD MACON,GA312104462	N/A	PC	UNRESTRICTED GENERAL	30,000
ALZHEIMER'S ASSN OF CENTRAL GEORGIA 886 MULBERRY STREET MACON,GA31201	NONE	EXEMPT PUBLIC CHARIT	GENERAL FUNDS	11,000
REBUILDING MACON INC 3864 LAKE STREET MACON,GA31204	NONE	EXEMPT PUBLIC CHARIT	GENERAL FUNDS	25,000
WESLEY GLEN MINISTRIES ATTN DR WILLIAM W OLIVER CEO 4580 N MUMFORD ROAD MACON,GA31210	NONE	PC	UNRESTRICTED GENERAL	25,000
RONALD MCDONALD HOUSE CHARITIES OF CENTRAL GEORGIA 1160 FORSYTH STREET MACON,GA31201	N/A	PC	UNRESTRICTED GENERAL	50,000
MIDDLE GEORGIA COMMUNITY FOOD BANK 4490 OCMULGEE E BLVD MACON,GA31217	NONE	PC	UNRESTRICTED GENERAL	40,000
MACON VOLUNTEER CLINIC INC ATTN MRS CILE LIND EXEC DIR 376 ROGERS AVENUE MACON,GA31204	NA/	PC	UNRESTRICTED GENERAL	33,159
Total ................................. 3a				317,561

bApproved for future payment

Total ................................. 3b

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.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees 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	137,224
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot 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	60,971
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..				198,195

13Total. Add line 12, columns (b), (d), and (e)..................

198,195

(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)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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

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)

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