-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
R T JOHNSON TUW
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILSON
,
NC
278942907
A Employer identification number
56-6074520
B
Telephone number (see instructions)
(252) 246-4722
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
1,135,833
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
30,067
30,067
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
8,992
b
Gross sales price for all assets on line 6a
177,805
7
Capital gain net income (from Part IV, line 2)
...
8,992
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
........
39,059
39,059
13
Compensation of officers, directors, trustees, etc.
12,576
6,288
6,288
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
620
620
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
451
451
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)
.......
4
4
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
13,651
6,743
0
6,908
25
Contributions, gifts, grants paid
.......
9,000
9,000
26
Total expenses and disbursements.
Add lines 24 and 25
22,651
6,743
0
15,908
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
16,408
b
Net investment income
(if negative, enter -0-)
32,316
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
58,353
74,482
74,482
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)
.......
423,355
439,764
566,226
c
Investments—corporate bonds (attach schedule)
.......
511,536
495,352
495,125
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
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)
993,244
1,009,598
1,135,833
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
........
993,244
1,009,598
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)
.....
993,244
1,009,598
30
Total liabilities and net assets/fund balances
(see instructions)
.
993,244
1,009,598
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
993,244
2
Enter amount from Part I, line 27a
.....................
2
16,408
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
1,009,652
5
Decreases not included in line 2 (itemize)
5
54
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,009,598
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
2. RESIDEO TECHNOLOGIES INC COMMON
2016-06-23
2019-01-18
b
6. AT&T INC
2016-10-18
2019-02-01
c
3. ABBOTT LABORATORIES
2016-10-18
2019-02-01
d
3. ABBVIE INC
2018-02-06
2019-02-01
e
3. ANALOG DEVICES INC
2016-10-18
2019-02-01
2. ANALOG DEVICES INC
2018-02-06
2019-02-01
4. CISCO SYSTEMS
2015-10-13
2019-02-01
3. CROWN CASTLE INTL CORP COMMON
2019-02-01
1. DEERE & COMPANY
2016-10-18
2019-02-01
388.422 DOUBLELINE TOTAL RETURN BOND FUND
2013-05-09
2019-02-01
12. ENBRIDGE INC
2016-06-23
2019-02-01
811.556 FIDELITY LONG-TERM TREASURY BOND INDEX F
2018-10-22
2019-02-01
2. GENERAL MOTORS CO
2016-10-18
2019-02-01
8. GENERAL MOTORS CO
2018-02-06
2019-02-01
722.938 GOLDMAN SACHS INTL SMALL CAP INSIGHTS-IS
2019-02-01
832.129 GOLDMAN SACHS INTL SMALL CAP INSIGHTS-IS
2017-06-12
2019-02-01
4. JOHNSON & JOHNSON
2016-03-03
2019-02-01
194.647 LAZARD EMERGING MARKETS FD INSTL CL
2019-02-01
5. MERCK & CO INC
2016-06-23
2019-02-01
446.604 METROPOLITAN WEST T/R BD-PLN
2016-10-20
2019-02-01
122.038 NEUBERGER BERMAN STRATEGIC INCOME FUND-I
2018-08-06
2019-02-01
10.121 NEUBERGER BERMAN STRATEGIC INCOME FUND-I
2014-08-26
2019-02-01
20. OMNICOM GROUP INCORPORATED
2019-02-01
2. OMNICOM GROUP INCORPORATED
2018-02-06
2019-02-01
72.558 OPPENHEIMER NAME & CUS CHG TO 00143W859 CLOSE TO NEW EFF 5/24/2
2018-08-06
2019-02-01
2. PEPSICO INCORPORATED
2016-10-18
2019-02-01
9. PFIZER INCORPORATED
2013-09-05
2019-02-01
314.953 PGIM TOTAL RETURN BD-R6
2019-02-01
8. SNAP ON INC FKA SNAP ON TOOLS
2018-05-01
2019-02-01
14. STARBUCKS CORPORATIONS COMMON
2018-05-01
2019-02-01
596.724 STERLING CAPITAL TOTAL RETURN BOND FUND
2016-10-20
2019-02-01
39.491 TOUCHSTONE MID CAP GROW-INST
2018-08-06
2019-02-01
6. UNITED PARCEL SERVICES B
2016-10-18
2019-02-01
9.762 VANGUARD 500 INDEX ADMIRAL FUND
2016-10-20
2019-02-01
4. VERIZON COMMUNICATIONS INC
2014-05-02
2019-02-01
2. VISA INC
2016-10-18
2019-02-01
1. ACCENTURE PLC IRELAND SHS
2016-10-18
2019-02-01
52. NIELSEN HLDGS PLC COMMON
2019-02-01
.4 ALCON INC
2016-10-18
2019-04-11
9. AT&T INC
2016-10-18
2019-04-25
2. ANALOG DEVICES INC
2018-02-06
2019-04-25
1. AUTODESK, INC. COMMON
2018-02-06
2019-04-25
2. DISCOVER FINL SVCS
2017-06-12
2019-04-25
1. FACEBOOK INC CL A
2018-02-06
2019-04-25
7.659 FEDERATED MDT SMALL CAP GR-R6
2018-10-22
2019-04-25
263.349 HARDING LOEVNER INTERNATIONAL EQUITY INS
2016-10-20
2019-04-25
1. HONEYWELL INTERNATIONAL INC
2016-06-23
2019-04-25
1025.965 HOTCHKIS & WILEY HIGH YIELD FUND-I
2019-02-01
2019-04-25
5. ISHARES TR MSCI SMALL CAP ETF
2019-02-01
2019-04-25
19. LOWES COMPANIES INCORPORATED
2017-10-27
2019-04-25
3. MONSTER BEVERAGE CORP COMMON
2018-02-06
2019-04-25
57.445 MORGAN STANLEY INSTITUTIONAL FUND INC
2017-03-02
2019-04-25
2. NASDAQ OMX GROUP INC
2017-10-27
2019-04-25
6.084 PGIM TOTAL RETURN BD-R6
2017-10-27
2019-04-25
4. QUALCOMM INC COMMON
2016-10-18
2019-04-25
1. STARBUCKS CORPORATIONS COMMON
2018-02-06
2019-04-25
265.601 TOUCHSTONE MID CAP VALUE FUND
2018-05-01
2019-04-25
87.965 TOUCHSTONE MID CAP VALUE FUND
2017-10-27
2019-04-25
62.581 VANGUARD DEVELOPED MKTS INDEX -127
2016-10-20
2019-04-25
4.557 VANGUARD 500 INDEX ADMIRAL FUND
2018-02-06
2019-04-25
190.198 VIRTUS KAR SMALL CAP VALUE FD I CL I FUN
2018-08-06
2019-04-25
8. ABBVIE INC
2016-06-23
2019-07-22
1. ALIBABA GROUP HLDG LTD
2018-05-01
2019-07-22
1. AMAZON INC COMMON
2016-10-18
2019-07-22
1. AMGEN INCORPORATED
2015-10-13
2019-07-22
1. AUTODESK, INC. COMMON
2016-10-18
2019-07-22
6. CVS CORP COMMON
2017-03-02
2019-07-22
1. DEERE & COMPANY
2016-10-18
2019-07-22
276.977 DOUBLELINE TOTAL RETURN BOND FUND
2013-05-09
2019-07-22
1. FACTSET RESH SYS INC
2016-10-18
2019-07-22
1. HONEYWELL INTERNATIONAL INC
2016-06-23
2019-07-22
326.654 METROPOLITAN WEST T/R BD-PLN
2016-10-20
2019-07-22
30.874 MORGAN STANLEY INSTITUTIONAL FUND INC
2017-03-02
2019-07-22
94.727 NEUBERGER BERMAN STRATEGIC INCOME FUND-I
2014-08-26
2019-07-22
4. PFIZER INCORPORATED
2013-09-05
2019-07-22
270.566 PGIM TOTAL RETURN BD-R6
2017-10-27
2019-07-22
2. QUALCOMM INC COMMON
2016-10-18
2019-07-22
491.813 STERLING CAPITAL TOTAL RETURN BOND FUND
2016-10-20
2019-07-22
268.529 TOUCHSTONE MID CAP GROW-INST
2018-08-06
2019-07-22
6.932 VANGUARD 500 INDEX ADMIRAL FUND
2018-02-06
2019-07-22
3. VERIZON COMMUNICATIONS INC
2018-02-06
2019-07-22
124.995 VIRTUS KAR SMALL CAP VALUE FD I CL I FUN
2018-08-06
2019-07-22
5. WELLS FARGO & CO NEW
2017-06-12
2019-07-22
29. WEYERHAEUSER COMPANY
2019-02-01
2019-07-22
1. ACCENTURE PLC IRELAND SHS
2016-10-18
2019-07-22
3. ABBOTT LABORATORIES
2016-10-18
2019-10-15
4. AMERICAN EXPRESS COMPANY
2016-10-18
2019-10-15
1. ANTHEM INC COMMON
2019-07-22
2019-10-15
42.287 CAUSEWAY INTERNATL VALUE-INS
2019-04-25
2019-10-15
334.336 DOUBLELINE TOTAL RETURN BOND FUND
2013-05-09
2019-10-15
87.2 FEDERATED MDT SMALL CAP GR-R6
2019-10-15
47. ISHARES TR MSCI SMALL CAP ETF
2019-10-15
2. JOHNSON & JOHNSON
2018-02-06
2019-10-15
356.376 METROPOLITAN WEST T/R BD-PLN
2016-10-20
2019-10-15
114.773 NEUBERGER BERMAN STRATEGIC INCOME FUND-I
2014-08-26
2019-10-15
7. PFIZER INCORPORATED
2013-09-05
2019-10-15
306.93 PGIM TOTAL RETURN BD-R6
2017-10-27
2019-10-15
12. QUALCOMM INC COMMON
2016-10-18
2019-10-15
3. STARBUCKS CORPORATIONS COMMON
2019-07-22
2019-10-15
8. STARBUCKS CORPORATIONS COMMON
2019-10-15
520.271 STERLING CAPITAL TOTAL RETURN BOND FUND
2016-10-20
2019-10-15
75.632 TOUCHSTONE MID CAP GROW-INST
2018-08-06
2019-10-15
2. UNITED PARCEL SERVICES B
2016-10-18
2019-10-15
2. VARIAN MED SYS INC
2016-10-18
2019-10-15
7.037 VANGUARD 500 INDEX ADMIRAL FUND
2018-02-06
2019-10-15
1. ACCENTURE PLC IRELAND SHS
2016-10-18
2019-10-15
2. MEDTRONIC PLC
2017-10-27
2019-10-15
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
44
41
3
b
180
195
-15
c
218
123
95
d
241
326
-85
e
301
188
113
201
172
29
190
112
78
348
310
38
164
87
77
4,047
4,432
-385
445
426
19
10,258
9,641
617
78
63
15
311
326
-15
7,996
8,440
-444
9,203
10,144
-941
537
424
113
3,488
3,296
192
386
287
99
4,399
4,615
-216
1,309
1,321
-12
109
116
-7
1,553
1,578
-25
155
147
8
2,958
3,048
-90
224
214
10
386
254
132
4,431
4,440
-9
1,325
1,150
175
962
812
150
6,134
6,427
-293
1,117
1,265
-148
637
650
-13
2,443
1,932
511
219
188
31
281
164
117
155
118
37
1,326
1,657
-331
22
19
3
273
293
-20
229
172
57
175
109
66
155
122
33
194
182
12
183
193
-10
5,825
4,933
892
171
112
59
12,096
11,840
256
294
280
14
2,162
1,517
645
174
190
-16
1,511
983
528
179
145
34
87
88
-1
340
264
76
77
55
22
4,714
4,853
-139
1,561
1,753
-192
837
742
95
1,232
1,135
97
3,408
3,667
-259
544
488
56
172
179
-7
1,961
823
1,138
177
151
26
171
70
101
331
488
-157
165
87
78
2,961
3,160
-199
282
156
126
173
112
61
3,348
3,376
-28
847
529
318
1,042
1,080
-38
171
113
58
3,988
3,926
62
152
132
20
5,277
5,297
-20
8,929
8,598
331
1,911
1,727
184
167
150
17
2,216
2,410
-194
229
270
-41
728
785
-57
195
118
77
246
123
123
471
241
230
251
301
-50
635
646
-11
3,584
3,815
-231
2,015
2,175
-160
2,752
2,645
107
266
258
8
3,699
3,683
16
1,259
1,307
-48
256
198
58
4,592
4,454
138
928
791
137
258
273
-15
688
455
233
5,635
5,603
32
2,486
2,422
64
235
217
18
228
171
57
1,947
1,753
194
187
118
69
216
163
53
4,176
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
3
b
-15
c
95
d
-85
e
113
29
78
38
77
-385
19
617
15
-15
-444
-941
113
192
99
-216
-12
-7
-25
8
-90
10
132
-9
175
150
-293
-148
-13
511
31
117
37
-331
3
-20
57
66
33
12
-10
892
59
256
14
645
-16
528
34
-1
76
22
-139
-192
95
97
-259
56
-7
1,138
26
101
-157
78
-199
126
61
-28
318
-38
58
62
20
-20
331
184
17
-194
-41
-57
77
123
230
-50
-11
-231
-160
107
8
16
-48
58
138
137
-15
233
32
64
18
57
194
69
53
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
8,992
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
2017
2016
2015
2014
2
Total
of line 1, column (d)
.....................
2
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
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5
Multiply line 4 by line 3
......................
5
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7
Add lines 5 and 6
........................
7
8
Enter qualifying distributions from Part XII, line 4
,.............
8
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
646
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
646
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
646
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
0
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
646
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
NC
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
BRANCH BANKING AND TRUST COMPANY
Telephone no.
(252) 246-4722
Located at
223 NASH ST W FL 2
WILSON
NC
ZIP+4
27893
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
BRANCH BANKING AND TRUST COMPANY
TRUSTEE
12
12,576
223 NASH ST W FL 2
WILSON
,
NC
27893
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
1,019,165
b
Average of monthly cash balances
.......................
1b
62,564
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,081,729
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
1,081,729
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
16,226
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,065,503
6
Minimum investment return.
Enter 5% of line 5
..................
6
53,275
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
53,275
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
646
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
646
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
52,629
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
52,629
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
52,629
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
15,908
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
15,908
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
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
15,908
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
52,629
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
15,908
a
Applied to 2018, but not more than line 2a
0
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
.....
15,908
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
36,721
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
OLIVIA KING
223 NASH ST W FL 2
WILSON
,
NC
27893
(252) 246-4722
b
The form in which applications should be submitted and information and materials they should include:
BY MAIL
c
Any submission deadlines:
MARCH 1ST
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
STUDENT MUST BE A JONES COUNTY RESIDENT AND ATTEND COLLEGE IN NC
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
CORNELL UNIVERSITY
130 E SENECA ST STE 400
ITHACA
,
NY
148504353
NONE
EXEMPT
SCHOLARSHIP
1,000
ELIZABETH STATE UNIVERSITY
121 MARION D THORPE ADMN BLDG
ELIZABETH CITY
,
NC
27909
NONE
EXEMPT
SCHOLARSHIP
1,000
UNIVERSITY OF MOUNT OLIVE
634 HENDERSON ST
MOUNT OLIVE
,
NC
28365
NONE
EXEMPT
SCHOLARSHIP
1,000
NC CENTRAL UNIVERSITY
1801 FAYETTEVILLE ST
DURHAM
,
NC
27707
NONE
EXEMPT
SCHOLARSHIP
1,000
UNC - WILMINGTON
601 S COLLEGE RD
WILMINGTON
,
NC
28403
NONE
EXEMPT
SCHOLARSHIP
1,000
NC A&T STATE UNIVERSITY
1601 E MARKET ST
GREENSBORO
,
NC
27411
NONE
EXEMPT
SCHOLARSHIP
1,000
EAST CAROLINA UNIVERSITY
1525 W WT HARRIS BLVD 2C2
CHARLOTTE
,
NC
28262
NONE
EXEMPT
SCHOLARSHIP
3,000
Total
.................................
3a
9,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
30,067
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
8,992
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)
..
39,059
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
39,059
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description