Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 10-01-2018 , and ending 09-30-2019
Name of foundation
THE ANDRES MEMORIAL TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

42-6121269
B Telephone number (see instructions)

(888) 730-4933
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,485,194
J Accounting method:
 
(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)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 38,431 38,431  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 24,576
b Gross sales price for all assets on line 6a 777,486
7 Capital gain net income (from Part IV, line 2)... 24,576
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).......      
12 Total. Add lines 1 through 11........ 63,007 63,007  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 21,155 15,866   5,289
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)....... 830 0 0 830
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 2,074 913   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)....... 1,533 16   1,517
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 25,592 16,795 0 7,636
25 Contributions, gifts, grants paid....... 70,000 70,000
26 Total expenses and disbursements. Add lines 24 and 25 95,592 16,795 0 77,636
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -32,585
b Net investment income (if negative, enter -0-) 46,212
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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
Assets 1 Cash—non-interest-bearing.............   311 311
2 Savings and temporary cash investments......... 15,293 99,551 99,551
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,335,768 Click to see attachment1,225,084 1,385,332
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,351,061 1,324,946 1,485,194
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 1,351,061 1,324,946
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 1,351,061 1,324,946
31 Total liabilities and net assets/fund balances (see instructions). 1,351,061 1,324,946
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 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,351,061
2
Enter amount from Part I, line 27a .....................
2
-32,585
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
7,844
4
Add lines 1, 2, and 3 ..........................
4
1,326,320
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,374
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,324,946
Form 990-PF (2018)
Form 990-PF (2018)
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 235. AQR MANAGED FUTURES STR-I   2015-01-08 2018-10-02
b 1. ALPHABET INC/CA   2015-04-27 2018-10-02
c 252.338 BLACKROCK GL L/S CREDIT-K #1940     2018-10-02
d 635.662 BLACKROCK GL L/S CREDIT-K #1940   2016-09-14 2018-10-02
e 6. CELANESE CORP   2016-09-12 2018-10-02
59. CISCO SYSTEMS INC   2015-04-27 2018-10-02
10. COGNIZANT TECH SOLUTIONS CRP COM   2016-03-17 2018-10-02
5. HOME DEPOT INC   2017-04-03 2018-10-02
9. ISHARES S&P MID-CAP 400 GROWTH   2016-07-25 2018-10-02
19. ISHARES S&P MID-CAP 400 VALUE   2016-07-25 2018-10-02
6. JPMORGAN CHASE & CO   2011-03-04 2018-10-02
114. JOHN HANCOCK II-CURR STR-I 3643   2017-10-26 2018-10-02
72. JPMORGAN HIGH YIELD FUND SS 3580     2018-10-02
121. MANULIFE FINANCIAL CORP   2016-01-06 2018-10-02
12. MICROSOFT CORP   2003-12-17 2018-10-02
72. ASG GLOBAL ALTERNATIVES-Y 1993   2014-01-22 2018-10-02
1375.394 NEUBERGER BERMAN LONG SH-INS #1830   2017-10-26 2018-10-02
1810.606 NEUBERGER BERMAN LONG SH-INS #1830   2017-05-26 2018-10-02
17. PNC FINANCIAL SERVICES GROUP   2015-05-28 2018-10-02
27. T ROWE PRICE INST FLOAT RATE 170   2017-10-26 2018-10-02
47. T ROWE PR REAL ESTATE-I #432   2017-10-26 2018-10-02
11. SPDR DJ WILSHIRE INTERNATIONAL REAL   2015-05-04 2018-10-02
26. SUNCOR ENERGY INC NEW F   2015-07-29 2018-10-02
117. TCW EMRG MKTS INCM-I 4721   2018-08-08 2018-10-02
14. TJX COMPANIES INC   2016-01-06 2018-10-02
11. TOTAL S.A. - ADR   2015-02-20 2018-10-02
15. UNION PACIFIC CORP   2015-02-20 2018-10-02
4. UNITEDHEALTH GROUP INC   2015-11-05 2018-10-02
147. VANGUARD INTERMEDIATE TERM B   2017-10-23 2018-10-02
179. VANGUARD INTERMEDIATE TERM B   2017-01-20 2018-10-02
85. VANGUARD BD INDEX FD INC   2017-01-20 2018-10-02
58. VANGUARD EUROPE PACIFIC ETF   2018-08-03 2018-10-02
817. T ROWE PR REAL ESTATE-I #432     2018-11-16
586. SPDR DJ WILSHIRE INTERNATIONAL REAL     2018-11-16
113. SCHLUMBERGER LTD     2018-11-28
20. SCHLUMBERGER LTD   2018-11-19 2018-11-28
31. AMERIPRISE FINL INC   2016-06-10 2018-12-21
13. AMERIPRISE FINL INC     2018-12-21
37. COMCAST CORP CLASS A   2004-04-01 2018-12-21
19. COMCAST CORP CLASS A   2018-11-19 2018-12-21
17. NIKE INC CL B   2018-11-19 2018-12-21
103. COMCAST CORP CLASS A   2004-04-01 2019-02-14
15. TJX COMPANIES INC   2018-11-19 2019-02-14
9. TE CONNECTIVITY LTD   2017-05-24 2019-02-14
25000. CISCO SYSTEMS INC 4.950% 2/15/19   2009-10-02 2019-02-15
176. EATON VANCE GLOB MACRO ADV-I 208   2017-10-26 2019-02-26
436. FIDELITY NEW MRKTS INC-I   2016-09-14 2019-02-26
21. ISHARES RUSSELL 2000 ETF   2018-10-02 2019-02-26
216. ISHARES RUSSELL 2000 ETF   2018-02-02 2019-02-26
27. ISHARES CORE MSCI EMERGING   2018-10-05 2019-02-26
222. JOHN HANCOCK II-CURR STR-I 3643   2017-10-26 2019-02-26
46. JPMORGAN HIGH YIELD FUND SS 3580   2018-02-09 2019-02-26
25. T ROWE PRICE INST FLOAT RATE 170   2017-10-26 2019-02-26
16. T ROWE PR REAL ESTATE-I #432   2016-01-07 2019-02-26
14. SPDR DJ WILSHIRE INTERNATIONAL REAL   2017-01-20 2019-02-26
630. TCW EMRG MKTS INCM-I 4721   2018-08-08 2019-02-26
75. VANGUARD FTSE EMERGING MARKETS ETF   2018-08-03 2019-02-26
906.888 T ROWE PRICE INST FLOAT RATE 170     2019-04-05
50. AT & T INC   2018-04-10 2019-04-08
5. AT & T INC   2018-02-13 2019-04-08
1. ALPHABET INC/CA   2019-02-14 2019-04-08
13. APPLE INC   2018-11-19 2019-04-08
3. APPLE INC   2015-02-20 2019-04-08
3. BLACKROCK INC   2018-08-08 2019-04-08
3. BOEING CO   2019-02-14 2019-04-08
6. CME GROUP INC   2018-11-19 2019-04-08
18. CVS HEALTH CORPORATION   2018-11-19 2019-04-08
1. CVS HEALTH CORPORATION   2017-08-09 2019-04-08
16. CELANESE CORP     2019-04-08
27. CISCO SYSTEMS INC   2018-11-19 2019-04-08
2. CISCO SYSTEMS INC   2015-04-27 2019-04-08
21. COGNIZANT TECH SOLUTIONS CRP COM   2018-11-19 2019-04-08
1. COGNIZANT TECH SOLUTIONS CRP COM   2016-03-17 2019-04-08
14. WALT DISNEY CO     2019-04-08
11. EOG RESOURCES, INC   2018-04-10 2019-04-08
15. GILEAD SCIENCES INC   2015-02-20 2019-04-08
5. HOME DEPOT INC   2018-11-19 2019-04-08
4. JPMORGAN CHASE & CO   2018-12-21 2019-04-08
10. JPMORGAN CHASE & CO   2018-11-19 2019-04-08
8. LAM RESEARCH CORP COM   2018-07-24 2019-04-08
22. LAS VEGAS SANDS CORP   2018-07-27 2019-04-08
9. ELI LILLY & CO COM   2018-11-19 2019-04-08
45. MANULIFE FINANCIAL CORP   2018-11-19 2019-04-08
12. MANULIFE FINANCIAL CORP   2016-01-06 2019-04-08
13. MERCK & CO INC NEW   2018-11-19 2019-04-08
20. MICROSOFT CORP   2018-11-19 2019-04-08
21. MONDELEZ INTERNATIONAL INC   2018-11-19 2019-04-08
4. NIKE INC CL B   2018-11-19 2019-04-08
9. NIKE INC CL B   2017-11-01 2019-04-08
1. PNC FINANCIAL SERVICES GROUP   2015-05-28 2019-04-08
8. PNC FINANCIAL SERVICES GROUP   2018-11-19 2019-04-08
8. ROCHE HOLDINGS LTD - ADR   2015-11-05 2019-04-08
32. ROCHE HOLDINGS LTD - ADR   2019-02-27 2019-04-08
9. SPIRIT AEROSYTSEMS HOLD-CL A   2018-11-19 2019-04-08
3. SPIRIT AEROSYTSEMS HOLD-CL A   2016-10-03 2019-04-08
48. SUNCOR ENERGY INC NEW F     2019-04-08
13. TARGET CORP   2018-11-19 2019-04-08
1. THERMO FISHER SCIENTIFIC INC   2008-05-22 2019-04-08
4. THERMO FISHER SCIENTIFIC INC   2018-11-19 2019-04-08
26. TOTAL S.A. - ADR     2019-04-08
7. UNION PACIFIC CORP   2018-11-19 2019-04-08
9. UNITED PARCEL SERVICE-CL B     2019-04-08
7. UNITEDHEALTH GROUP INC   2018-11-19 2019-04-08
13. ZOETIS INC   2018-11-19 2019-04-08
12. EATON CORP PLC     2019-04-08
12. TE CONNECTIVITY LTD     2019-04-08
92. FLEXTRONICS INTL LTD     2019-04-08
4. BERSHIRE HATHAWAY INC.   2018-11-19 2019-04-22
22. BERSHIRE HATHAWAY INC.     2019-04-22
16. AQR MANAGED FUTURES STR-I   2015-01-08 2019-05-14
3825. FIDELITY NEW MRKTS INC-Z #3323     2019-05-14
7. ISHARES S&P MID-CAP 400 GROWTH   2019-02-26 2019-05-14
41. NEUBERGER BERMAN LONG SH-INS #1830   2017-05-26 2019-05-14
1653. TCW EMRG MKTS INCM-I 4721   2018-08-08 2019-05-14
171. VANGUARD BD INDEX FD INC   2019-02-26 2019-05-14
21. VANGUARD BD INDEX FD INC   2017-01-20 2019-05-14
52. VANGUARD EUROPE PACIFIC ETF   2018-08-03 2019-05-14
48. VANGUARD FTSE EMERGING MARKETS ETF   2018-08-03 2019-05-14
7. DIAGEO PLC - ADR   2018-11-28 2019-05-15
10. ELECTRONIC ARTS INC   2019-02-14 2019-05-15
4. MICROSOFT CORP   2003-12-17 2019-05-15
2. MICROSOFT CORP   2018-11-19 2019-05-15
13. MONDELEZ INTERNATIONAL INC   2018-11-19 2019-05-15
46. ROCHE HOLDINGS LTD - ADR   2015-11-05 2019-05-15
7. THERMO FISHER SCIENTIFIC INC   2011-03-04 2019-05-15
4. UNION PACIFIC CORP   2015-02-20 2019-05-15
8. ZOETIS INC   2017-04-26 2019-05-15
4. ZOETIS INC   2018-11-19 2019-05-15
19.187 FIDELITY NEW MRKTS INC-Z #3323   2019-03-29 2019-05-23
11. WALT DISNEY CO     2019-06-11
158. ROCHE HOLDINGS LTD - ADR     2019-06-11
9. APPLE INC     2019-07-03
36. CISCO SYSTEMS INC     2019-07-03
12. MICROSOFT CORP   2003-12-17 2019-07-03
7. UNION PACIFIC CORP     2019-07-03
9. ELI LILLY & CO COM   2016-10-03 2019-07-19
2. ELI LILLY & CO COM   2018-11-19 2019-07-19
15. MERCK & CO INC NEW   2016-02-16 2019-07-19
6. THERMO FISHER SCIENTIFIC INC   2011-03-04 2019-07-19
13. ZOETIS INC   2017-04-26 2019-07-19
8. CME GROUP INC   2015-04-27 2019-07-30
9. CME GROUP INC   2018-11-19 2019-07-30
4790.944 AQR MANAGED FUTURES STR-I     2019-08-08
472.156 AQR MANAGED FUTURES STR-I     2019-08-08
188.022 BLACKROCK GL L/S CREDIT-K #1940     2019-08-08
4388.91 BLACKROCK GL L/S CREDIT-K #1940     2019-08-08
315. EATON VANCE GLOB MACRO ADV-I 208   2017-10-26 2019-08-08
52. FIDELITY NEW MRKTS INC-Z #3323   2015-01-08 2019-08-08
1810. INVESCO OPTIMUM YIELD DIVERS     2019-08-08
67. ISHARES S&P MID-CAP 400 GROWTH   2016-07-25 2019-08-08
7. ISHARES S&P MID-CAP 400 GROWTH   2019-02-26 2019-08-08
103. ISHARES RUSSELL 2000 ETF   2018-02-02 2019-08-08
87. ISHARES S&P MID-CAP 400 VALUE   2016-07-25 2019-08-08
13. ISHARES S&P MID-CAP 400 VALUE   2019-02-26 2019-08-08
76. JOHN HANCOCK II-CURR STR-I 3643   2017-10-26 2019-08-08
49.548 ASG GLOBAL ALTERNATIVES-Y 1993     2019-08-08
2703.094 ASG GLOBAL ALTERNATIVES-Y 1993     2019-08-08
1968.794 NEUBERGER BERMAN LONG SH-INS #1830     2019-08-08
157.416 NEUBERGER BERMAN LONG SH-INS #1830   2019-02-27 2019-08-08
10.353 T ROWE PR REAL ESTATE-I #432   2019-05-17 2019-08-08
2.647 T ROWE PR REAL ESTATE-I #432   2016-01-07 2019-08-08
7. SPDR DJ WILSHIRE INTERNATIONAL REAL   2019-05-14 2019-08-08
416. TCW EMRG MKTS INCM-I 4721   2018-08-08 2019-08-08
49. VANGUARD INTERMEDIATE TERM B   2019-05-14 2019-08-08
15. VANGUARD INTERMEDIATE TERM B   2017-01-20 2019-08-08
9. VANGUARD BD INDEX FD INC   2019-02-26 2019-08-08
31. VANGUARD EUROPE PACIFIC ETF     2019-08-08
5. APPLE INC   2019-08-09 2019-08-14
20. COGNIZANT TECH SOLUTIONS CRP COM   2019-08-09 2019-08-14
6. DIAGEO PLC - ADR   2019-08-09 2019-08-14
9. UNION PACIFIC CORP   2019-08-09 2019-08-14
12. UNITED PARCEL SERVICE-CL B   2019-08-09 2019-08-14
17. CELANESE CORP   2015-01-08 2019-09-10
2. PNC FINANCIAL SERVICES GROUP   2015-05-28 2019-09-10
18. PNC FINANCIAL SERVICES GROUP   2019-08-09 2019-09-10
17. VANGUARD INTERMEDIATE TERM B   2017-01-20 2019-09-27
32. VANGUARD FTSE EMERGING MARKETS ETF   2018-10-02 2019-09-27
1331.03222 VANGUARD FTSE EMERGING MARKETS ETF     2019-09-27
17.96778 VANGUARD FTSE EMERGING MARKETS ETF   2015-01-08 2019-09-27
CAPITAL GAIN DIVIDENDS P    
(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 2,110   2,557 -447
b 1,201   555 646
c 2,629   2,630 -1
d 6,624   6,356 268
e 679   374 305
2,886   1,710 1,176
772   588 184
1,029   732 297
2,076   1,581 495
3,156   2,508 648
683   272 411
1,027   1,113 -86
525   530 -5
2,148   1,691 457
1,383   324 1,059
816   823 -7
20,865   19,489 1,376
27,467   25,023 2,444
2,310   1,632 678
270   271 -1
1,305   1,328 -23
415   492 -77
1,021   693 328
931   935 -4
1,552   976 576
712   585 127
2,440   1,854 586
1,081   463 618
11,798   12,430 -632
14,366   14,870 -504
6,617   6,764 -147
2,494   2,518 -24
22,786   22,079 707
21,749   23,153 -1,404
5,191   8,268 -3,077
919   969 -50
3,129   3,086 43
1,312   1,750 -438
1,263   360 903
649   732 -83
1,237   1,237  
3,845   1,003 2,842
747   746 1
733   692 41
25,000   26,383 -1,383
1,711   1,880 -169
6,571   6,992 -421
3,310   3,490 -180
34,041   33,394 647
1,406   1,332 74
2,040   2,167 -127
329   335 -6
246   251 -5
450   431 19
539   510 29
5,122   5,034 88
3,161   3,249 -88
8,933   9,037 -104
1,614   1,765 -151
161   183 -22
1,205   1,126 79
2,599   2,436 163
600   388 212
1,335   1,467 -132
1,123   1,234 -111
1,032   1,179 -147
974   1,416 -442
54   79 -25
1,642   1,647 -5
1,494   1,240 254
111   58 53
1,559   1,474 85
74   59 15
1,606   1,528 78
1,094   1,179 -85
1,016   1,540 -524
1,016   876 140
421   382 39
1,053   1,108 -55
1,546   1,388 158
1,450   1,564 -114
1,143   1,029 114
792   743 49
211   168 43
1,053   988 65
2,397   2,101 296
1,041   935 106
340   291 49
764   494 270
128   96 32
1,024   1,088 -64
274   273 1
1,097   1,116 -19
758   743 15
253   136 117
1,608   1,563 45
1,066   1,021 45
278   58 220
1,110   942 168
1,480   1,472 8
1,179   1,053 126
1,024   1,004 20
1,742   1,871 -129
1,327   1,172 155
1,000   874 126
1,037   911 126
991   1,438 -447
838   869 -31
4,612   2,916 1,696
136   174 -38
56,954   59,702 -2,748
1,522   1,538 -16
581   567 14
13,373   13,207 166
13,601   13,518 83
1,670   1,671 -1
2,099   2,258 -159
1,956   2,079 -123
1,189   1,018 171
966   1,055 -89
505   108 397
253   210 43
675   579 96
1,475   1,568 -93
1,843   397 1,446
695   494 201
816   445 371
408   361 47
286   289 -3
1,490   489 1,001
5,390   5,199 191
1,832   1,163 669
2,008   1,027 981
1,644   324 1,320
1,199   801 398
968   726 242
215   229 -14
1,223   746 477
1,748   340 1,408
1,489   723 766
1,579   711 868
1,777   1,769 8
44,029   48,026 -3,997
4,339   4,028 311
1,893   1,853 40
44,196   43,090 1,106
3,207   3,364 -157
792   785 7
27,882   33,371 -5,489
15,076   11,771 3,305
1,575   1,538 37
15,579   15,924 -345
13,574   11,486 2,088
2,028   2,110 -82
697   742 -45
547   546 1
29,842   29,896 -54
28,548   25,609 2,939
2,283   2,144 139
300   299 1
77   71 6
267   270 -3
3,507   3,324 183
4,289   4,119 170
1,313   1,246 67
726   711 15
1,237   1,331 -94
1,017   1,001 16
1,218   1,250 -32
979   983 -4
1,479   1,509 -30
1,376   1,393 -17
2,094   1,001 1,093
275   192 83
2,476   2,355 121
1,492   1,412 80
1,291   1,303 -12
53,686   52,076 1,610
725   725  
      2,125
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       -447
b       646
c       -1
d       268
e       305
      1,176
      184
      297
      495
      648
      411
      -86
      -5
      457
      1,059
      -7
      1,376
      2,444
      678
      -1
      -23
      -77
      328
      -4
      576
      127
      586
      618
      -632
      -504
      -147
      -24
      707
      -1,404
      -3,077
      -50
      43
      -438
      903
      -83
       
      2,842
      1
      41
      -1,383
      -169
      -421
      -180
      647
      74
      -127
      -6
      -5
      19
      29
      88
      -88
      -104
      -151
      -22
      79
      163
      212
      -132
      -111
      -147
      -442
      -25
      -5
      254
      53
      85
      15
      78
      -85
      -524
      140
      39
      -55
      158
      -114
      114
      49
      43
      65
      296
      106
      49
      270
      32
      -64
      1
      -19
      15
      117
      45
      45
      220
      168
      8
      126
      20
      -129
      155
      126
      126
      -447
      -31
      1,696
      -38
      -2,748
      -16
      14
      166
      83
      -1
      -159
      -123
      171
      -89
      397
      43
      96
      -93
      1,446
      201
      371
      47
      -3
      1,001
      191
      669
      981
      1,320
      398
      242
      -14
      477
      1,408
      766
      868
      8
      -3,997
      311
      40
      1,106
      -157
      7
      -5,489
      3,305
      37
      -345
      2,088
      -82
      -45
      1
      -54
      2,939
      139
      1
      6
      -3
      183
      170
      67
      15
      -94
      16
      -32
      -4
      -30
      -17
      1,093
      83
      121
      80
      -12
      1,610
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 24,576
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 ...................
Bracket 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?
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))
2017 67,875 1,537,076 0.044159
2016 73,036 1,476,385 0.049469
2015 76,943 1,422,026 0.054108
2014 28,362 1,514,778 0.018724
2013 50,685 1,475,209 0.034358
2
Total of line 1, column (d) .....................
2
0.200818
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
0.040164
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
1,467,715
5
Multiply line 4 by line 3......................
5
58,949
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
462
7
Add lines 5 and 6........................
7
59,411
8
Enter qualifying distributions from Part XII, line 4,.............
8
77,636
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 (2018)
Form 990-PF (2018)
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 Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
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 1 462
hereBulletand 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........................... 3 462
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- ..... 5 462
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 767
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.............. 7 767
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 305
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet305 RefundedBullet 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. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
    bulletIA
    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 2018 or the taxable year beginning in 2018? 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 (2018)
    Form 990-PF (2018)
    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 addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    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
    15
     
    16 At any time during calendar year 2018, 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
    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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?...............
    (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.).......
    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
    ........bullet
    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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 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.
    bullet20, 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?......................
    b
    If "Yes," did it have excess business holdings in 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    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
     
     
    .........bullet
    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?..........
    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?.....................
    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?
    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? .................
    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
    Wells Fargo Bank NA Trustee
    1
    21,155    
    6325 S RAINBOW BLVD
    LAS VEGAS,NV89118
    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...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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.............bullet0
    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 (2018)
    Form 990-PF (2018)
    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
    1,403,734
    b
    Average of monthly cash balances.......................
    1b
    86,332
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,490,066
    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
    1,490,066
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    22,351
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,467,715
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    73,386
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    73,386
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    462
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    462
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    72,924
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    5,523
    5
    Add lines 3 and 4............................
    5
    78,447
    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
    78,447
    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
    77,636
    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
    77,636
    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
    462
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    77,174
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 78,447
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 66,090
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 0
    b From 2014...... 0
    c From 2015...... 0
    d From 2016...... 0
    e From 2017...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 77,636
    a Applied to 2017, but not more than line 2a 66,090
    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 2018 distributable amount..... 11,546
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    66,901
    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 2013 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 0
    c Excess from 2016.... 0
    d Excess from 2017.... 0
    e Excess from 2018.... 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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).)
    NONE
    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.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    WELLS FARGO BANK N A
    1 W 4TH FLOOR MAC D4000-041
    WINSTON SALEM,NC271013818
    (888) 730-4933
    N/A
    bThe form in which applications should be submitted and information and materials they should include:
    WELLS FARGO BANK'S ONLINE GRANT APPLICATION FORM
    cAny submission deadlines:
    JUNE 30
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE ATTACHED
    Form 990-PF (2018)
    Form 990-PF (2018)
    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)
    aPaid during the year
    FLOYD COUNTY HISTORICAL SOCIETY
    500 GILBERT STREET
    CHARLES CITY,IA50616
    NONE PC GENERAL OPERATING 16,500
    CHARLES CITY PUBLIC LIBRARY
    106 MILWAUKEE MALL
    CHARLES CITY,IA50616
    NONE PC GENERAL OPERATING 21,000
    CITY IMPROVEMENT ASSOCIATION
    101 RIVERSIDE DRIVE
    CHARLES CITY,IA50616
    NONE PC GENERAL OPERATING 12,500
    FLOYD COUNTY MEDICAL CENTER
    800 11TH STREET
    CHARLES CITY,IA50616
    NONE PC GENERAL OPERATING 20,000
    Total .................................bullet 3a 70,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    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 38,431  
    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 24,576  
    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)..   63,007  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    63,007
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    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 (2018)
    Form 990-PF (2018)
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    THE ANDRES MEMORIAL TRUST
    EIN:
    42-6121269
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 830     830

    TY 2018 InvestmentsOtherSchedule2
    Name:
    THE ANDRES MEMORIAL TRUST
    EIN:
    42-6121269
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    G29183103 EATON CORP PLC AT COST 5,591 7,982
    Y2573F102 FLEXTRONICS INTL LTD AT COST 9,269 7,189
    097023105 BOEING COMPANY AT COST 6,388 10,273
    91324P102 UNITEDHEALTH GROUP I AT COST 7,521 11,083
    464287606 ISHARES S&P MIDCAP 4 AT COST 37,452 50,592
    58933Y105 MERCK & CO INC NEW AT COST 5,446 7,913
    87234N765 TCW EMRG MKTS INCM-I AT COST 55,901 58,070
    00203H859 AQR MANAGED FUTURES      
    150870103 CELANESE CORP AT COST 6,290 10,150
    H84989104 TE CONNECTIVITY LTD AT COST 6,607 8,386
    03076C106 AMERIPRISE FINL INC      
    277923264 EATON VANCE GLOB MAC AT COST 46,322 45,206
    609207105 MONDELEZ INTERNATION AT COST 10,090 12,115
    12572Q105 CME GROUP INC AT COST 2,931 5,495
    921937819 VANGUARD INTERMEDIAT AT COST 105,392 113,696
    693475105 PNC FINANCIAL SERVIC AT COST 4,185 6,588
    09247X101 BLACKROCK INC AT COST 8,048 9,804
    464287655 ISHARES RUSSELL 2000 AT COST 58,439 57,207
    922042858 VANGUARD EMERGING MA AT COST 80,259 84,224
    172967424 CITIGROUP INC AT COST 10,299 12,573
    907818108 UNION PACIFIC CORP AT COST 6,854 10,043
    037833100 APPLE COMPUTER INC C AT COST 13,080 22,621
    17275R102 CISCO SYSTEMS INC AT COST 7,609 11,018
    883556102 THERMO FISHER SCIENT AT COST 2,808 7,573
    89151E109 TOTAL FINA ELF S.A. AT COST 10,651 10,868
    87612E106 TARGET CORP AT COST 2,745 6,735
    46625H100 JPMORGAN CHASE & CO AT COST 9,199 15,064
    779919307 T ROWE PR REAL ESTAT AT COST 13,462 15,328
    921937827 VANGUARD BD INDEX FD AT COST 21,682 22,379
    78463X863 SPDR DJ WILSHIRE INT AT COST 13,958 15,136
    98978V103 ZOETIS INC AT COST 2,943 5,357
    532457108 ELI LILLY & CO COM AT COST 4,653 6,374
    771195104 ROCHE HOLDINGS LTD -      
    315920702 FID ADV EMER MKTS IN      
    09260C703 BLACKROCK GL L/S CRE      
    77958B402 T ROWE PRICE INST FL      
    921943858 VANGUARD EUROPE PACI AT COST 96,973 102,864
    126650100 CVS/CAREMARK CORPORA AT COST 8,520 12,236
    254687106 WALT DISNEY CO AT COST 3,450 8,471
    192446102 COGNIZANT TECH SOLUT AT COST 8,492 8,859
    25243Q205 DIAGEO PLC - ADR AT COST 5,451 9,975
    806857108 SCHLUMBERGER LTD      
    872540109 TJX COS INC NEW AT COST 2,639 4,181
    56501R106 MANULIFE FINANCIAL C AT COST 8,073 9,566
    867224107 SUNCOR ENERGY INC NE AT COST 9,637 10,895
    4812C0803 JPMORGAN HIGH YIELD AT COST 44,081 44,226
    47803M168 JOHN HANCOCK II-CURR AT COST 31,840 29,081
    375558103 GILEAD SCIENCES INC AT COST 5,478 4,817
    084670702 BERSHIRE HATHAWAY IN      
    63872T885 ASG GLOBAL ALTERNATI      
    64128R608 NEUBERGER BERMAN LON      
    437076102 HOME DEPOT INC AT COST 5,539 7,889
    512807108 LAM RESEARCH CORP CO AT COST 6,586 8,782
    594918104 MICROSOFT CORP AT COST 10,317 27,945
    654106103 NIKE INC CL B AT COST 7,383 11,740
    911312106 UNITED PARCEL SERVIC AT COST 7,192 8,148
    405217100 HAIN CELESTIAL GROUP AT COST 6,964 5,068
    17275RAE2 CISCO SYSTEMS INC 4.      
    464287705 ISHARES S&P MIDCAP 4 AT COST 41,064 51,008
    H42097107 UBS GROUP AG AT COST 8,901 5,893
    848574109 SPIRIT AEROSYTSEMS H AT COST 4,960 6,744
    26875P101 EOG RESOURCES, INC AT COST 7,841 6,086
    02079K107 ALPHABET INC/CA AT COST 11,738 19,504
    20030N101 COMCAST CORP CLASS A      
    517834107 LAS VEGAS SANDS CORP AT COST 8,413 8,780
    00206R102 AT & T INC AT COST 11,409 12,676
    891160509 TORONTO DOMINION BK AT COST 9,671 10,021
    31620M106 FIDELITY NATL INFORM AT COST 5,243 5,576
    11135F101 BROADCOM INC AT COST 8,543 8,282
    285512109 ELECTRONIC ARTS INC AT COST 5,531 6,456
    G5960L103 MEDTRONIC PLC AT COST 6,600 7,060
    755111507 RAYTHEON CO AT COST 4,490 4,905
    464287226 ISHARES BARCLAYS AGG AT COST 132,636 136,370
    31641Q755 FIDELITY NEW MRKTS I AT COST 28,305 28,793
    46434G103 ISHARES CORE MSCI EM AT COST 85,050 85,393

    TY 2018 OtherDecreasesSchedule
    Name:
    THE ANDRES MEMORIAL TRUST
    EIN:
    42-6121269
    Description Amount
    COST BASIS ADJUSTMENT 1,374


    TY 2018 OtherExpensesSchedule
    Name:
    THE ANDRES MEMORIAL TRUST
    EIN:
    42-6121269
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ADMINISTRATIVE EXPENSE 746 0   746
    OTHER ADMINISTRATIVE EXPENSE 746 0   746
    FILING FEE/STATE TAX 25 0   25
    INVESTMENT EXPENSES-DIVIDEND I 16 16   0


    TY 2018 OtherIncreasesSchedule
    Name:
    THE ANDRES MEMORIAL TRUST
    EIN:
    42-6121269
    Description Amount
    MUTUAL FUND TIMING DIFFERENCE 2,321
    RECOVERY OF GRANTS PAID 5,523


    TY 2018 TaxesSchedule
    Name:
    THE ANDRES MEMORIAL TRUST
    EIN:
    42-6121269
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 537 537   0
    FEDERAL TAX PAYMENT - PRIOR YE 394 0   0
    FEDERAL ESTIMATES - PRINCIPAL 767 0   0
    FOREIGN TAXES ON QUALIFIED FOR 88 88   0
    FOREIGN TAXES ON NONQUALIFIED 288 288   0