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TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE FRANCIS R GELNETT IRREVOCABLE TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 3215
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LANCASTER
,
PA
176043215
A Employer identification number
45-6616423
B
Telephone number (see instructions)
(717) 672-2026
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)
$
6,075,394
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
...
148,103
148,103
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
28,611
b
Gross sales price for all assets on line 6a
1,319,117
7
Capital gain net income (from Part IV, line 2)
...
28,611
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)
.......
821
821
12
Total.
Add lines 1 through 11
........
177,535
177,535
13
Compensation of officers, directors, trustees, etc.
49,489
49,489
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
1,824
0
0
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
8,421
8,421
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
4,298
4,298
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)
.......
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
64,032
62,208
0
0
25
Contributions, gifts, grants paid
.......
329,009
329,009
26
Total expenses and disbursements.
Add lines 24 and 25
393,041
62,208
0
329,009
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-215,506
b
Net investment income
(if negative, enter -0-)
115,327
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
.........
226,429
169,669
169,669
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)
66,678
238,873
239,872
b
Investments—corporate stock (attach schedule)
.......
1,805,999
1,767,960
2,093,405
c
Investments—corporate bonds (attach schedule)
.......
386,573
243,085
253,288
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
3,222,002
3,072,300
3,319,160
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
5,707,681
5,491,887
6,075,394
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
5,707,681
5,491,887
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
5,707,681
5,491,887
30
Total liabilities and net assets/fund balances
(see instructions)
.
5,707,681
5,491,887
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
5,707,681
2
Enter amount from Part I, line 27a
.....................
2
-215,506
3
Other increases not included in line 2 (itemize)
3
19
4
Add lines 1, 2, and 3
..........................
4
5,492,194
5
Decreases not included in line 2 (itemize)
5
307
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
5,491,887
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
29. ABB LTD ADR SPON
2017-12-15
2019-01-04
b
.079 ACS ACTIVIDADES CONS UNSP ADR
2018-05-21
2019-03-19
c
.76 ACS ACTIVIDADES CONS UNSP ADR
2018-05-21
2019-08-14
d
8000. AT&T INC 5.650% 02/15/47
2017-01-05
2019-04-09
e
1667. AU OPTRONICS CORP ADR SPON
2018-05-21
2019-12-23
7000. ABBOTT LABORATORIES 2.900% 11/30/21
2017-01-05
2019-12-19
7. ALASKA AIR GROUP INC
2017-10-02
2019-01-07
1. ALASKA AIR GROUP INC
2017-10-02
2019-10-07
15. ALLSTATE CORP
2017-02-22
2019-06-07
17. ALLSTATE CORP
2017-02-22
2019-10-07
25. ALLSTATE CORP
2017-03-10
2019-11-20
26. ALLSTATE CORP
2017-03-10
2019-12-06
1. ALPHABET INC CLASS A
2017-03-10
2019-01-07
3. ALTICE USA INC
2019-04-12
2019-11-20
3000. ALTRIA GROUP INC 4.800% 02/14/29
2019-02-12
2019-07-24
19. AMERICAN EXPRESS CO
2018-03-02
2019-11-20
10000. AMERICAN EXPRESS CO 2.500% 08/01/22
2017-07-27
2019-02-19
11000. AMERICAN EXPRESS CO 3.400% 02/22/24
2019-02-19
2019-06-04
2. AMERICAN INTERNATIONAL GROUP INC
2017-08-04
2019-11-20
4000. AMERICAN INTL GROUP 4.200% 04/01/28
2018-03-19
2019-07-02
10. AMERIPRISE FINANCIAL INC
2017-03-10
2019-10-07
5000. ANHEUSER-BUSCH INBEV 5.550% 01/23/49 WORLDWIDE INC
2019-01-10
2019-05-29
3000. ANHEUSER BUSCH INBEV 4.000% 04/13/28 WORLDWIDE INC
2018-03-20
2019-07-01
3. ANTHEM INC
2017-02-22
2019-02-01
3. ANTHEM INC
2017-02-22
2019-03-08
8. ANTHEM INC
2017-02-22
2019-04-12
3. ANTHEM INC
2018-10-26
2019-04-12
2. ANTHEM INC
2017-09-19
2019-11-20
26. APERGY CORP
2018-06-29
2019-11-20
1. APPLE INC
2019-01-04
2019-02-05
9. APPLE INC
2019-01-04
2019-02-15
14. APPLE INC
2017-02-22
2019-10-07
15000. APPLE INC 2.200% 09/11/29
2019-09-04
2019-10-28
15000. APPLE INC 2.950% 09/11/49
2019-09-04
2019-10-28
6000. ASTRAZENECA PLC 2.375% 06/12/22
2017-06-28
2019-11-27
16. BB&T CORP
2019-03-01
2019-11-20
27. BAIDU INC ADR SPON
2017-11-16
2019-02-27
49. BAIDU INC ADR SPON
2017-11-28
2019-03-06
260. BANCO SANTANDER BRASIL SA ADR SPON
2018-05-21
2019-02-04
478. BANCO SANTANDER BRASIL SA ADR SPON
2018-05-21
2019-06-26
948. BANCO SANTANDER MX SA ADR SPON
2018-05-21
2019-03-22
1679. BANCO SANTANDER MX SA ADR SPON
2018-05-21
2019-05-03
8. BANK OF AMERICA CORP
2017-03-10
2019-01-07
24. BANK OF AMERICA CORP
2017-02-22
2019-10-07
7. BOEING CO
2018-06-29
2019-03-15
3. BOEING CO
2018-06-29
2019-03-22
9. BOEING CO
2017-09-19
2019-11-20
1. BOOKING HOLDINGS INC
2017-02-22
2019-11-20
50. BRASKEM SA ADR SPON
2017-02-22
2019-02-04
44. BRASKEM SA ADR SPON
2019-04-12
2019-06-17
220. BRASKEM SA ADR SPON
2018-05-21
2019-06-17
37. BRISTOL-MYERS SQUIBB CO
2019-11-26
2019-12-20
.953 CIGNA CORP
2017-09-19
2019-01-22
26. CVS HEALTH CORP
2017-07-28
2019-03-08
2. CVS HEALTH CORP
2017-03-10
2019-10-07
8. CVS HEALTH CORP
2017-03-10
2019-11-20
34. CANADIAN NATIONAL RAILWAY CO
2017-02-27
2019-06-06
3. CANADIAN NATURAL RESOURCES LTD
2019-01-11
2019-02-05
76. CANADIAN NATURAL RESOURCES LTD
2019-01-18
2019-11-20
7. CAPITAL ONE FINANCIAL CORP
2017-03-10
2019-10-07
10. CELGENE CORP
2017-03-10
2019-01-07
76. CELGENE CORP
2018-01-10
2019-07-17
37. CELGENE CORP
2018-10-24
2019-11-25
1. CEMEX SAB ADR SPON PART CER
2019-02-05
2019-11-20
220. CEMEX SAB ADR SPON PART CER
2017-11-10
2019-11-20
48. CHANGYOU.COM LTD ADR SPON
2019-04-12
2019-09-12
365. CHANGYOU.COM LTD ADR SPON
2018-05-21
2019-09-12
8. CHEVRON CORP
2017-03-10
2019-01-07
3. CHEVRON CORP
2017-02-22
2019-02-05
10. CHEVRON CORP
2017-02-22
2019-04-26
4. CHEVRON CORP
2017-02-22
2019-10-07
63. CHEVRON CORP
2017-03-10
2019-11-20
204. CHINA EASTERN AIRLINES CORP LTD ADR
2019-03-22
2019-09-06
14. CISCO SYSTEMS INC
2017-03-10
2019-01-07
1. CISCO SYSTEMS INC
2017-02-22
2019-02-05
1. CISCO SYSTEMS INC
2017-02-22
2019-03-29
203. CISCO SYSTEMS INC
2017-03-10
2019-11-20
58. CISCO SYSTEMS INC
2017-03-10
2019-12-06
34. CITIGROUP INC
2017-02-22
2019-05-24
3. CITIGROUP INC
2017-02-22
2019-11-20
4000. CITIGROUP INC 2.700% 10/27/22
2017-10-23
2019-12-11
2000. CITIGROUP INC 2.700% 10/27/22
2017-10-23
2019-12-17
1. COMCAST CORP CLASS A
2017-02-22
2019-02-05
51. COMCAST CORP CLASS A
2017-02-22
2019-11-20
48. COMCAST CORP CLASS A
2017-11-10
2019-12-20
10000. COMCAST CORP 3.700% 04/15/24
2018-10-02
2019-10-29
265. CIA BRASILEIRA DE DISTRIBUICAO ADR SPON
2019-02-27
2019-09-06
669. CIA SIDERURGICA NACIONAL SA ADR SPON
2019-02-04
2019-04-12
1671. CIA SIDERURGICA NACIONAL SA ADR SPON
2019-02-04
2019-12-23
9. CONOCOPHILLIPS
2017-03-10
2019-01-07
7. CONOCOPHILLIPS
2017-02-22
2019-02-05
3. CONSTELLATION BRANDS INC
2017-03-10
2019-10-07
.333 CORTEVA INC
2019-02-05
2019-06-27
3. CUMMINS INC
2017-10-06
2019-01-11
2. CUMMINS INC
2018-03-02
2019-01-11
14. CUMMINS INC
2018-05-25
2019-02-01
3. CUMMINS INC
2017-09-19
2019-10-07
1623. CYRELA BR RLTY SA ADR SPON
2018-11-19
2019-02-27
3000. DH EUROPE FIN II 3.400% 11/15/49 SARL
2019-10-29
2019-12-18
3. DTE ENERGY CO
2017-03-10
2019-10-07
25. DXC TECHNOLOGY CO
2017-02-22
2019-05-24
16. DXC TECHNOLOGY CO
2017-02-22
2019-05-31
7. DXC TECHNOLOGY CO
2017-02-22
2019-06-07
6. DXC TECHNOLOGY CO
2018-07-06
2019-06-07
21. DXC TECHNOLOGY CO
2019-02-22
2019-11-20
3. DXC TECHNOLOGY CO
2018-07-06
2019-11-20
382. DAH SING FINL HLDGS LTD ADR UNSPON
2019-01-31
2019-12-23
7. DANAHER CORP
2017-04-28
2019-01-07
23. DANAHER CORP
2017-04-28
2019-10-07
4. DARDEN RESTAURANTS INC
2017-03-10
2019-01-07
5. DARDEN RESTAURANTS INC
2017-03-10
2019-10-07
30. DELTA AIR LINES INC
2017-02-22
2019-04-12
19. DELTA AIR LINES INC
2017-02-22
2019-11-20
31. DELTA AIR LINES INC
2018-09-26
2019-11-22
17. DELTA AIR LINES INC
2019-02-01
2019-11-22
1. WALT DISNEY CO
2018-10-24
2019-01-07
7. WALT DISNEY CO
2018-10-24
2019-10-07
1. DISCOVER FINANCIAL SERVICES
2017-02-22
2019-02-05
25. DISCOVER FINANCIAL SERVICES
2017-02-22
2019-05-24
1388.841 DODGE & COX INTL STOCK FUND -1048
2017-07-27
2019-08-27
21. DOLLAR TREE INC
2018-09-26
2019-01-18
.333 DOW INC
2019-02-05
2019-05-02
43. DOW INC
2019-03-22
2019-11-20
.333 DUPONT DE NEMOURS INC
2019-02-05
2019-06-28
5. EQT CORP
2017-12-29
2019-01-04
28. EQT CORP
2018-04-30
2019-01-04
39. EBAY INC
2019-02-05
2019-05-24
27. EBAY INC
2019-02-05
2019-06-07
2. ECOLAB INC
2017-03-10
2019-01-07
4. ECOLAB INC
2017-03-10
2019-10-07
4. EDISON INTERNATIONAL
2018-03-16
2019-03-29
1350. ENEL CHILE SA ADR SPON
2019-06-26
2019-12-23
5000. EQUINOR ASA 3.250% 11/18/49
2019-11-13
2019-12-13
7000. EQUINOR ASA 3.250% 11/18/49
2019-11-13
2019-12-19
3.6 EQUITRANS MIDSTREAM CORP
2017-12-29
2019-01-04
22.4 EQUITRANS MIDSTREAM CORP
2018-04-30
2019-01-04
9. EQUITY RESIDENTIAL
2018-03-29
2019-02-05
1. EQUITY RESIDENTIAL
2018-03-29
2019-11-20
2. ESSEX PROPERTY TRUST INC
2018-11-23
2019-11-22
4. ESSEX PROPERTY TRUST INC
2018-11-02
2019-11-22
1000. EXXON MOBIL CORP 2.222% 03/01/21
2016-12-21
2019-12-19
1. FMC CORP
2017-11-10
2019-02-05
11. FMC CORP
2017-11-10
2019-05-24
8. FMC CORP
2018-09-26
2019-12-20
10. FACEBOOK INC CLASS A
2017-02-22
2019-10-07
170. FEDERATED CORP BOND STRATEGY PORT -157
2016-12-19
2019-04-30
1396. FEDERATED HERMES HIGH YIELD STRATEGY PORT -744
2016-12-19
2019-09-27
37. FEDERATED STRATEGY PORT -743
2016-12-19
2019-04-30
84. FEDERATED STRATEGY PORT -743
2016-12-19
2019-09-05
1498. FERGUSON PLC ADR SPON
2018-02-09
2019-05-03
5. FISERV INC
2017-03-10
2019-01-07
24. FISERV INC
2017-03-10
2019-10-07
9000. FORD MOTOR CO 5.291% 12/08/46
2017-05-05
2019-01-11
223. FRESENIUS MEDICAL CARE AG & CO ADR SPON
2018-09-13
2019-07-02
624. GAZPROM PAO ADR SPON
2018-07-24
2019-09-06
10000. GENERAL MOTORS FIN 4.150% 06/19/23
2018-06-14
2019-05-14
10. GILEAD SCIENCES INC
2017-02-22
2019-02-22
13. GILEAD SCIENCES INC
2017-02-22
2019-03-01
1. GILEAD SCIENCES INC
2018-09-26
2019-04-26
33. GILEAD SCIENCES INC
2017-08-04
2019-04-26
7000. GLAXOSMITHKLINE CAP INC 3.375% 05/15/23
2018-05-10
2019-10-22
1. GOLDMAN SACHS GROUP INC
2018-09-26
2019-01-04
9. GOLDMAN SACHS GROUP INC
2017-02-22
2019-01-04
324. GRUPO TELEVISA SA ADR SPON
2018-07-24
2019-06-26
77. HP INC
2017-06-23
2019-03-01
80. HP INC
2017-11-10
2019-03-29
19. HP INC
2017-11-10
2019-04-05
33. HP INC
2019-02-05
2019-04-05
34. HP INC
2018-09-26
2019-04-05
202. HAIER ELECTRONICS GROUP CO LTD ADR UNSPON
2018-05-21
2019-09-06
2279.274 OAKMARK INTL LARGE BLEND FD INSTL CL
2017-07-27
2019-08-27
146. HEWLETT PACKARD ENTERPRISE CO
2019-02-05
2019-05-24
10. HOME DEPOT INC
2019-02-05
2019-02-15
210. HONG KONG EXCHANGES ADR UNSPON
2017-12-29
2019-06-26
344. HUAMI CORP ADR SPON
2018-06-07
2019-02-27
31. HUNTINGTON BANCSHARES INC OH
2018-10-05
2019-02-15
49. HUNTINGTON BANCSHARES INC OH
2018-10-05
2019-03-01
70. HUNTINGTON BANCSHARES INC OH
2018-10-19
2019-03-08
107. HUNTINGTON BANCSHARES INC OH
2019-02-05
2019-03-22
221. ICICI BANK LTD SP ADR
2018-05-21
2019-04-12
1. IMPERIAL LOGISTICS LTD ADR SPON
2018-05-21
2019-01-31
428. IMPERIAL LOGISTICS LTD ADR SPON
2017-02-22
2019-01-31
34. INTEL CORP
2017-03-10
2019-01-07
1. INTERNATIONAL BUSINESS MACHINES CORP
2018-10-24
2019-01-07
6. INTERNATIONAL BUSINESS MACHINES CORP
2017-09-19
2019-10-07
2. JPMORGAN CHASE & CO
2017-03-10
2019-01-07
4. JPMORGAN CHASE & CO
2017-02-22
2019-02-05
18. JPMORGAN CHASE & CO
2017-02-22
2019-03-22
83. JPMORGAN CHASE & CO
2017-11-10
2019-03-29
7. JPMORGAN CHASE & CO
2017-02-22
2019-10-07
11000. JPMORGAN CHASE 3.207% 04/01/23
2019-03-15
2019-07-22
1. JOHNSON & JOHNSON
2017-02-22
2019-02-05
8. JOHNSON & JOHNSON
2017-02-22
2019-03-08
15. JOHNSON & JOHNSON
2017-02-22
2019-05-03
83. JOHNSON & JOHNSON
2018-02-09
2019-11-20
290. KASIKORNBANK PCL ADR UNSPON
2017-02-22
2019-12-23
23. KEYCORP
2017-08-22
2019-02-15
41. KEYCORP
2017-08-22
2019-03-01
51. KEYCORP
2017-08-22
2019-03-22
142. KEYCORP
2019-02-05
2019-03-22
1. LKQ CORP
2017-03-10
2019-01-07
46. LKQ CORP
2017-03-10
2019-10-07
1. LABORATORY CORP AMERICA HLDGS
2017-10-27
2019-01-11
4. LABORATORY CORP AMERICA HLDGS
2018-03-09
2019-01-11
13.094 LIVENT CORP
2017-11-10
2019-03-18
3.741 LIVENT CORP
2018-05-04
2019-03-18
11.165 LIVENT CORP
2018-11-09
2019-03-18
.059 LIVENT CORP
2018-11-09
2019-03-28
127. LLOYDS BANKING GROUP PLC ADR SPON
2017-11-10
2019-01-18
96. LLOYDS BANKING GROUP PLC ADR SPON
2017-11-10
2019-02-05
5. LLOYDS BANKING GROUP PLC ADR SPON
2018-09-26
2019-02-15
293. LLOYDS BANKING GROUP PLC ADR SPON
2017-11-10
2019-02-15
5. LOWE'S COS INC
2017-03-10
2019-01-07
5. LOWE'S COS INC
2017-03-10
2019-10-07
31. LOWE'S COS INC
2017-03-10
2019-11-20
88. MARATHON OIL CORP
2018-04-13
2019-01-14
1. MARATHON OIL CORP
2018-09-26
2019-01-14
15. MARATHON PETROLEUM CORP
2017-02-22
2019-01-04
25. MARATHON PETROLEUM CORP
2017-02-22
2019-01-11
9. MARATHON PETROLEUM CORP
2017-02-22
2019-01-18
18.895 MARATHON PETROLEUM CORP
2018-09-26
2019-02-15
11.105 MARATHON PETROLEUM CORP
2017-11-10
2019-02-15
2. MASTERCARD INC CLASS A
2017-03-10
2019-01-07
10. MASTERCARD INC CLASS A
2017-03-10
2019-10-07
1. MCKESSON CORPORATION
2018-01-22
2019-02-05
5. MCKESSON CORPORATION
2018-01-22
2019-03-08
11. MCKESSON CORPORATION
2017-03-10
2019-10-07
1. MERCK & CO INC
2018-09-26
2019-01-04
43. MERCK & CO INC
2017-02-22
2019-01-04
5000. MERCK & CO INC 3.400% 03/07/29
2019-03-05
2019-07-03
12. METHANEX CORP
2017-11-10
2019-01-04
6. MICROSOFT CORP
2017-02-22
2019-01-18
10. MICROSOFT CORP
2017-02-22
2019-04-12
1. MICROSOFT CORP
2017-02-22
2019-11-20
310. MOL HUNGARIAN OIL & GAS PLC ADR SPON
2018-05-21
2019-02-04
1. MOLSON COORS BEVERAGE COMPANY CLASS B
2019-01-11
2019-02-05
22. MOLSON COORS BEVERAGE COMPANY CLASS B
2019-01-18
2019-06-07
139. MOMO INC ADR SPON
2018-06-07
2019-01-24
40. MONDELEZ INTERNATIONAL INC CLASS A
2019-02-15
2019-12-13
3000. MORGAN STANLEY 4.431% 01/23/30
2019-01-17
2019-02-12
10. NETAPP INC
2017-09-15
2019-02-05
1. NETAPP INC
2018-09-26
2019-02-08
21. NETAPP INC
2018-03-02
2019-02-08
4. NETAPP INC
2017-11-10
2019-02-08
6. NOBLE ENERGY INC
2018-08-13
2019-02-05
18. NORDSTROM INC
2018-10-05
2019-02-05
19. NOVARTIS AG ADR SPON
2018-04-20
2019-02-01
11. NOVARTIS AG ADR SPON
2018-04-20
2019-05-24
17. NOVARTIS AG ADR SPON
2018-11-23
2019-05-24
19. NOVARTIS AG ADR SPON
2019-03-22
2019-11-20
9. NVIDIA CORP
2017-03-10
2019-10-07
17. NUTRIEN LTD ADR SPON
2018-01-22
2019-05-24
47. NUTRIEN LTD ADR SPON
2019-03-15
2019-11-20
17. NUTRIEN LTD ADR SPON
2018-09-26
2019-11-20
3000. OCCIDENTAL PETROLEUM 2.900% 08/15/24
2019-08-06
2019-09-12
24. ORACLE CORP
2017-02-22
2019-11-20
15000. ORACLE CORP 3.250% 11/15/27
2017-11-08
2019-07-01
2. OWENS CORNING
2018-06-15
2019-11-20
172. UNITED TRACTORS TBK PT ADR UNSPON
2019-03-22
2019-09-09
1030. PT XL AXIATA TBK PT ADR
2018-05-21
2019-01-31
1268. PT XL AXIATA TBK PT ADR
2017-02-22
2019-01-31
190. PETROLEO BRASILEIRO ADR SPON PREF
2018-07-24
2019-02-04
61. PETROLEO BRASILEIRO SA SP ADR SPON
2019-03-15
2019-04-26
7. PFIZER INC COM
2018-10-24
2019-01-07
51. PFIZER INC COM
2017-02-22
2019-01-18
7. PFIZER INC COM
2017-02-22
2019-02-05
6. PFIZER INC COM
2017-02-22
2019-11-20
13. PIONEER NATURAL RESOURCES CO
2019-03-29
2019-11-20
1. PROCTER & GAMBLE CO
2018-12-07
2019-02-05
3. PROCTER & GAMBLE CO
2018-12-07
2019-04-05
10. PROCTER & GAMBLE CO
2018-12-07
2019-04-26
4. PROCTER & GAMBLE CO
2018-12-07
2019-11-20
7. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-03-10
2019-10-07
34. PULTEGROUP INC
2018-11-02
2019-02-15
19. QUANTA SERVICES INC
2017-03-10
2019-01-07
19. QUANTA SERVICES INC
2017-03-10
2019-10-07
368. QUDIAN INC ADR SPON
2019-03-22
2019-05-02
17. QUEST DIAGNOSTICS INC
2019-03-15
2019-11-20
26. REGIONS FINANCIAL CORP
2017-06-30
2019-02-15
41. REGIONS FINANCIAL CORP
2017-06-30
2019-03-01
51. REGIONS FINANCIAL CORP
2019-02-05
2019-03-22
56. REGIONS FINANCIAL CORP
2017-11-10
2019-03-22
30. RIO TINTO PLC ADR SPON
2018-04-20
2019-02-08
2. ROPER TECHNOLOGIES INC
2017-03-10
2019-01-07
3. ROPER TECHNOLOGIES INC
2017-03-10
2019-10-07
7000. ROYAL BK OF CANADA 2.150% 10/26/20
2017-10-18
2019-03-14
11000. ROYAL BK OF CANADA 3.700% 10/05/23
2018-10-01
2019-03-19
3. ROYAL DUTCH SHELL PLC ADR A SPON
2017-09-29
2019-02-05
32. ROYAL DUTCH SHELL PLC ADR A SPON
2017-09-29
2019-11-20
66. ROYAL DUTCH SHELL PLC ADR A SPON
2017-12-01
2019-11-22
262. SK TELECOM CO LTD ADR SPON
2017-02-22
2019-03-22
40. SK TELECOM CO LTD ADR SPON
2018-05-21
2019-03-22
7. SL GREEN REALTY CORP
2019-02-05
2019-11-20
28. SL GREEN REALTY CORP
2018-09-26
2019-11-20
331. SAFRAN SA ADR UNSPON
2018-07-03
2019-01-07
73. SANOFI ADR SPON
2018-05-21
2019-01-07
244. SANOFI ADR SPON
2017-09-13
2019-01-07
24. CHARLES SCHWAB CORP
2019-11-20
2019-12-06
1914. SCOR SE ADR SPON
2017-02-27
2019-01-31
279. SCOR SE ADR SPON
2018-05-21
2019-01-31
6000. SHELL INTL FIN BV 3.500% 11/13/23
2018-11-07
2019-12-13
8000. SHELL INTL FIN BV 3.875% 11/13/28
2018-11-07
2019-07-26
13000. SHELL INTL FIN BV 2.375% 11/07/29
2019-11-04
2019-12-18
160. SHINHAN FINANCIAL GRP ADR
2018-11-19
2019-03-22
133. SINOPEC SHANGHAI PETROCHEMICAL CO LTD ADR SPON
2017-02-27
2019-09-06
615. SOGOU INC ADR SPON
2018-06-07
2019-03-20
1. SOUTHWEST AIRLINES CO
2017-07-21
2019-02-05
17. SOUTHWEST AIRLINES CO
2017-07-21
2019-06-07
1. SOUTHWEST AIRLINES CO
2017-07-21
2019-11-20
7. STANLEY BLACK & DECKER INC
2017-03-10
2019-01-07
4. STANLEY BLACK & DECKER INC
2017-03-10
2019-10-07
58. STERICYCLE INC
2017-07-18
2019-01-07
28. STERICYCLE INC
2018-10-24
2019-01-07
19. STERICYCLE INC
2018-01-10
2019-01-07
599. STORA ENSO OYJ ADR SPON
2018-03-23
2019-06-06
12. SUNTRUST BANKS INC
2019-03-01
2019-11-20
180. TAIWAN SEMICONDUCTOR ADR SPON
2017-02-22
2019-03-22
1. TAIWAN SEMICONDUCTOR ADR SPON
2018-05-21
2019-03-22
13. TARGET CORP COM
2018-11-30
2019-05-03
24. TARGET CORP COM
2019-01-04
2019-05-24
33. TARGET CORP COM
2017-03-10
2019-10-07
2000. TEVA PHARM FIN NL 2.200% 07/21/21 NETHERLANDS III BV
2016-12-22
2019-12-04
2. THERMO FISHER SCIENTIFIC INC
2017-03-10
2019-01-07
9. THERMO FISHER SCIENTIFIC INC
2017-03-10
2019-10-07
6000. 3M CO 2.375% 08/26/29
2019-08-19
2019-11-07
1. TOLL BROTHERS INC
2018-11-02
2019-02-05
37. TOLL BROTHERS INC
2019-01-04
2019-02-15
9000. TOYOTA MOTOR CR CORP 3.450% 09/20/23
2018-09-17
2019-03-15
8000. TOYOTA MOTOR CR CORP 3.450% 09/20/23
2018-09-17
2019-03-18
2. TRAVELERS COS INC
2017-03-10
2019-01-07
9. TRAVELERS COS INC
2017-03-10
2019-10-07
.195 TRUIST FINL CORP
2019-03-01
2019-12-12
34. TYSON FOODS INC CLASS A
2017-03-10
2019-10-07
10. TYSON FOODS INC CLASS A
2017-03-10
2019-12-13
3. UNION PACIFIC CORP
2017-03-10
2019-01-07
3. UNION PACIFIC CORP
2017-03-10
2019-10-07
15. UNION PACIFIC CORP
2017-03-10
2019-11-20
3000. UNITED PARCEL SVC 2.200% 09/01/24
2019-08-13
2019-10-30
2000. US TREAS BONDS 3.000% 02/15/48
2018-04-24
2019-01-07
5000. US TREAS BONDS 3.000% 02/15/48
2018-04-24
2019-01-10
3000. US TREAS BONDS 3.000% 02/15/48
2018-04-24
2019-01-16
1000. US TREAS BONDS 3.000% 02/15/48
2019-04-09
2019-09-04
2000. US TREAS BONDS 3.000% 02/15/48
2018-08-14
2019-09-04
10000. US TREAS BONDS 3.000% 02/15/48
2019-01-11
2019-09-04
6000. US TREAS BONDS 3.000% 02/15/48
2019-04-09
2019-10-29
9000. US TREAS BONDS 3.000% 02/15/48
2019-09-11
2019-11-13
1000. US TREAS BONDS 3.000% 02/15/48
2019-04-09
2019-11-13
1000. US TREAS BONDS 3.000% 02/15/48
2019-04-09
2019-11-14
1000. US TREAS NOTES 1.375% 07/31/19
2019-01-07
2019-01-30
14000. US TREAS NOTES 1.375% 07/31/19
2019-01-07
2019-02-21
7000. US TREAS NOTES 1.375% 07/31/19
2019-01-07
2019-04-23
11000. US TREAS NOTES 2.875% 08/15/28
2018-10-10
2019-01-07
2000. US TREAS NOTES 2.750% 09/15/21
2018-10-11
2019-01-04
8000. US TREAS NOTES 2.750% 09/15/21
2018-10-11
2019-01-07
4000. US TREAS NOTES 3.125% 11/15/28
2019-01-11
2019-01-16
5000. US TREAS NOTES 2.625% 02/15/29
2019-02-21
2019-03-05
7000. US TREAS NOTES 2.625% 02/15/29
2019-02-21
2019-05-01
4000. US TREAS NOTES 2.625% 02/15/29
2019-02-28
2019-07-08
5000. US TREAS NOTES 2.625% 02/15/29
2019-02-28
2019-08-13
5000. US TREAS NOTES 2.625% 02/15/29
2019-02-28
2019-08-19
11000. US TREAS NOTES 2.625% 02/15/29
2019-04-23
2019-09-04
1000. US TREAS NOTES 2.625% 02/15/29
2019-02-28
2019-09-04
2000. US TREAS NOTES 2.625% 02/15/29
2019-07-01
2019-11-04
9000. US TREAS NOTES 2.625% 02/15/29
2019-04-23
2019-11-04
2000. US TREAS NOTES 2.500% 02/28/21
2019-03-14
2019-03-15
5000. US TREAS NOTES 2.500% 02/28/21
2019-03-14
2019-04-23
19000. US TREAS NOTES 2.375% 02/29/24
2019-03-19
2019-05-01
7000. US TREAS NOTES 2.250% 04/30/24
2019-05-02
2019-07-16
3000. US TREAS NOTES 2.250% 04/30/24
2019-05-08
2019-08-06
2000. US TREAS NOTES 2.250% 04/30/24
2019-05-08
2019-08-13
7000. US TREAS NOTES 2.250% 04/30/24
2019-05-08
2019-09-11
2000. US TREAS NOTES 2.250% 04/30/24
2019-05-08
2019-10-09
6000. US TREAS NOTES 1.500% 02/28/19
2018-04-24
2019-01-16
2000. US TREAS NOTES 1.500% 02/28/19
2018-05-09
2019-01-17
1000. US TREAS NOTES 1.500% 02/28/19
2018-05-09
2019-02-19
16000. US TREAS NOTES 1.500% 02/28/19
2018-08-15
2019-02-28
3000. US TREAS NOTES 1.500% 02/28/19
2018-11-19
2019-02-28
3000. US TREAS NOTES 1.500% 10/31/19
2019-02-27
2019-04-23
9000. US TREAS NOTES 1.500% 10/31/19
2019-02-27
2019-05-02
29000. US TREAS NOTES 1.500% 10/31/19
2019-05-01
2019-05-08
4000. US TREAS NOTES 1.500% 10/31/19
2019-05-01
2019-06-12
1000. US TREAS NOTES 1.500% 10/31/19
2019-05-01
2019-07-16
3. UNITEDHEALTH GRP INC 91911K102
2017-02-22
2019-03-08
477. VALE SA ADR SPON
2017-10-24
2019-01-29
2. VALERO ENERGY CORP
2017-03-10
2019-01-07
10. VALERO ENERGY CORP
2017-03-10
2019-10-07
9. VERIZON COMMUNICATIONS
2017-03-10
2019-01-07
75. VERIZON COMMUNICATIONS
2017-12-22
2019-02-05
58. VERIZON COMMUNICATIONS
2018-08-24
2019-02-05
1. VERIZON COMMUNICATIONS
2017-03-10
2019-11-20
96. WH GROUP LTD ADR SPON
2017-02-27
2019-03-06
106. WH GROUP LTD ADR SPON
2017-02-22
2019-04-12
11. WALMART INC
2017-03-10
2019-10-07
4000. WALMART INC 3.700% 06/26/28
2018-06-20
2019-03-13
42. WALGREEN BOOTS ALLIANCE INC
2018-11-02
2019-03-08
160. WEICHAI POWER CO LTD ADR UNSPON
2018-06-07
2019-04-12
27. WELLS FARGO & CO
2017-11-10
2019-02-15
13000. WELLS FARGO 4.150% 01/24/29
2019-01-16
2019-02-28
11000. WESTPAC BKG CORP 3.650% 05/15/23
2018-05-08
2019-05-29
7. WESTROCK CO
2017-02-22
2019-01-11
3. WESTROCK CO
2017-02-22
2019-02-05
1. WESTROCK CO
2018-09-26
2019-02-08
27. WESTROCK CO
2017-02-22
2019-02-08
7. WYNDHAM DESTINATIONS INC
2018-04-20
2019-11-20
1. WYNDHAM HOTELS & RESORTS INC
2018-04-20
2019-02-05
12. WYNDHAM HOTELS & RESORTS INC
2019-05-24
2019-11-20
28. WYNDHAM HOTELS & RESORTS INC
2018-09-26
2019-11-20
195. WYNN MACAU LTD ADR UNSPON
2018-06-07
2019-02-04
12. ALLERGAN PLC
2017-02-22
2019-10-07
1. AON PLC
2018-11-02
2019-02-05
7. AON PLC
2018-11-02
2019-11-20
7. AON PLC
2019-02-22
2019-12-13
3. AON PLC
2018-11-02
2019-12-13
29. CREDICORP LTD
2018-06-27
2019-12-23
183. COSAN LTD - CLASS A SHARES
2017-02-22
2019-04-12
234. COSAN LTD - CLASS A SHARES
2017-02-22
2019-12-23
7. COCA-COLA EUROPEAN PARTNERS PLC
2017-02-22
2019-02-05
13. COCA-COLA EUROPEAN PARTNERS PLC
2017-02-22
2019-04-05
31. COCA-COLA EUROPEAN PARTNERS PLC
2018-09-26
2019-11-20
2. EATON CORP PLC ADR SPON
2017-02-22
2019-02-05
21. EATON CORP PLC ADR SPON
2017-11-10
2019-11-20
4. LIBERTY GLOBAL PLC SER C
2018-09-21
2019-02-05
31. LIBERTY GLOBAL PLC SER C
2019-02-08
2019-11-20
59. LIBERTY GLOBAL PLC SER C
2018-09-21
2019-11-20
1. MEDTRONIC PLC SPON
2018-08-24
2019-11-20
23. APTIV PLC
2017-09-06
2019-10-07
1.8 ALCON INC
2018-10-26
2019-04-26
2.2 ALCON INC
2018-04-20
2019-04-26
5. ALCON INC
2019-03-22
2019-04-26
.4 ALCON INC
2019-03-22
2019-04-30
1. CHUBB LTD
2017-02-22
2019-02-05
1. TE CONNECTIVITY LTD
2017-02-22
2019-02-05
15. TE CONNECTIVITY LTD
2017-07-28
2019-02-15
529. NEXA RESOURCES SA
2018-07-24
2019-09-06
61. COPA HOLDINGS SA CLASS A
2018-05-21
2019-04-12
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
558
756
-198
b
1
1
c
6
6
d
8,867
8,832
35
e
5,409
6,681
-1,272
7,138
7,023
115
422
539
-117
64
77
-13
1,514
1,208
306
1,830
1,369
461
2,766
2,043
723
2,896
2,131
765
1,071
862
209
81
70
11
3,255
2,992
263
2,268
1,810
458
9,796
9,992
-196
11,301
10,987
314
106
130
-24
4,278
3,985
293
1,353
1,316
37
5,585
4,983
602
3,225
2,976
249
905
490
415
881
490
391
2,004
1,307
697
751
799
-48
580
365
215
659
1,078
-419
174
149
25
1,533
1,337
196
3,186
1,915
1,271
14,681
14,941
-260
14,338
14,891
-553
6,059
5,981
78
870
831
39
4,390
6,488
-2,098
8,378
11,912
-3,534
3,535
2,461
1,074
5,606
4,524
1,082
6,128
6,191
-63
13,717
10,965
2,752
205
203
2
679
597
82
2,660
2,366
294
1,094
1,014
80
3,322
2,284
1,038
1,847
1,652
195
1,437
1,108
329
769
1,102
-333
3,847
4,895
-1,048
104
79
25
181
178
3
1,371
2,084
-713
124
161
-37
598
643
-45
3,082
2,324
758
82
82
2,122
2,075
47
610
645
-35
882
1,238
-356
6,932
9,014
-2,082
3,997
3,160
837
4
6
-2
784
2,045
-1,261
430
824
-394
3,270
8,761
-5,491
898
883
15
358
334
24
1,169
1,114
55
455
446
9
7,419
7,000
419
5,216
6,638
-1,422
605
480
125
47
34
13
54
34
20
9,146
6,919
2,227
2,542
1,988
554
2,189
2,068
121
221
182
39
4,055
3,987
68
2,029
1,993
36
37
38
-1
2,244
1,935
309
2,108
1,780
328
10,656
9,999
657
5,516
6,680
-1,164
2,719
1,820
899
5,790
4,545
1,245
569
412
157
485
334
151
565
471
94
8
4
4
418
516
-98
279
318
-39
2,057
2,209
-152
471
502
-31
7,376
6,257
1,119
3,081
2,993
88
397
300
97
1,331
1,558
-227
765
984
-219
347
431
-84
297
500
-203
751
1,312
-561
107
250
-143
4,376
6,477
-2,101
706
583
123
3,218
1,917
1,301
415
296
119
579
370
209
1,735
1,524
211
1,051
965
86
1,711
1,713
-2
938
854
84
111
113
-2
916
793
123
69
71
-2
1,922
1,783
139
53,804
63,040
-9,236
1,997
1,773
224
19
16
3
2,262
2,024
238
25
34
-9
96
150
-54
540
758
-218
1,409
1,381
28
1,010
956
54
295
249
46
767
498
269
247
256
-9
6,270
6,540
-270
5,119
4,921
198
7,094
6,889
205
74
122
-48
463
683
-220
655
553
102
87
61
26
623
515
108
1,245
991
254
1,005
997
8
85
93
-8
780
883
-103
791
621
170
1,799
1,363
436
1,836
1,809
27
18,204
18,260
-56
363
364
-1
842
827
15
10,538
11,251
-713
366
293
73
2,512
1,406
1,106
7,515
8,969
-1,454
8,841
11,620
-2,779
4,377
2,755
1,622
10,181
9,985
196
655
693
-38
858
901
-43
65
76
-11
2,144
2,371
-227
7,321
6,967
354
175
232
-57
1,578
2,270
-692
2,733
6,488
-3,755
1,504
1,375
129
1,553
1,565
-12
375
405
-30
651
759
-108
671
817
-146
5,526
7,162
-1,636
48,868
62,885
-14,017
2,100
2,332
-232
1,924
1,743
181
7,340
6,469
871
6,315
4,122
2,193
433
480
-47
702
758
-56
957
1,082
-125
1,301
1,434
-133
2,475
1,884
591
5
7
-2
2,121
2,292
-171
1,616
1,225
391
118
129
-11
849
869
-20
201
183
18
416
365
51
1,799
1,642
157
8,394
7,576
818
803
638
165
11,215
11,000
215
133
120
13
1,095
957
138
2,129
1,794
335
11,277
9,951
1,326
5,711
6,135
-424
401
406
-5
715
724
-9
761
901
-140
2,119
2,393
-274
24
30
-6
1,392
1,386
6
131
155
-24
523
699
-176
164
175
-11
47
47
140
138
2
1
1
371
458
-87
283
346
-63
15
16
-1
853
1,056
-203
478
408
70
541
408
133
3,655
2,528
1,127
113
113
1
1
914
769
145
1,629
1,247
382
594
449
145
1,228
1,584
-356
722
712
10
383
222
161
2,722
1,111
1,611
132
173
-41
559
863
-304
1,431
1,624
-193
76
71
5
3,276
2,807
469
5,352
4,972
380
621
622
-1
647
386
261
1,207
643
564
149
64
85
1,719
1,716
3
67
63
4
1,250
1,396
-146
4,082
6,774
-2,692
2,130
1,925
205
3,102
3,000
102
676
409
267
66
86
-20
1,380
1,232
148
263
169
94
137
182
-45
839
1,085
-246
1,666
1,484
182
966
755
211
1,493
1,296
197
1,719
1,556
163
1,663
894
769
816
902
-86
2,199
2,510
-311
795
881
-86
3,002
2,996
6
1,345
1,017
328
15,729
15,043
686
135
131
4
5,512
6,963
-1,451
3,044
3,085
-41
3,747
6,143
-2,396
2,676
2,007
669
940
1,007
-67
302
305
-3
2,166
1,719
447
295
236
59
222
202
20
1,703
1,989
-286
98
92
6
310
277
33
1,052
925
127
488
370
118
435
311
124
921
829
92
592
709
-117
711
709
2
3,067
1,890
1,177
1,778
1,509
269
415
384
31
669
605
64
686
746
-60
753
831
-78
1,679
1,708
-29
537
422
115
1,018
633
385
6,932
6,996
-64
11,273
10,977
296
191
182
9
1,867
1,940
-73
3,858
4,226
-368
6,408
5,875
533
978
926
52
587
652
-65
2,347
2,788
-441
9,832
9,945
-113
3,087
2,842
245
10,318
11,925
-1,607
1,186
1,071
115
7,840
7,132
708
1,143
1,112
31
6,328
5,975
353
8,767
7,938
829
12,834
12,908
-74
5,962
6,047
-85
4,007
8,079
-4,072
3,632
6,735
-3,103
58
60
-2
862
1,027
-165
57
60
-3
878
902
-24
557
516
41
2,207
4,707
-2,500
1,065
1,388
-323
723
1,335
-612
6,125
11,043
-4,918
844
798
46
7,271
5,777
1,494
40
40
997
923
74
1,939
1,665
274
3,558
1,825
1,733
1,906
1,906
450
318
132
2,612
1,431
1,181
5,909
5,935
-26
37
33
4
1,362
1,245
117
9,210
8,982
228
8,183
7,984
199
237
245
-8
1,290
1,104
186
11
10
1
2,762
2,157
605
884
634
250
414
319
95
468
319
149
2,620
1,596
1,024
3,016
2,997
19
2,010
1,934
76
4,929
4,835
94
2,953
2,901
52
1,227
1,018
209
2,455
1,973
482
12,274
9,530
2,744
6,828
6,108
720
10,191
9,991
200
1,132
1,018
114
1,147
1,018
129
994
994
13,914
13,913
1
6,958
6,957
1
11,187
10,681
506
2,014
1,989
25
8,049
7,957
92
4,138
4,146
-8
4,959
4,970
-11
7,090
6,958
132
4,201
3,976
225
5,407
4,971
436
5,451
4,971
480
12,125
11,040
1,085
1,102
994
108
2,147
2,108
39
9,662
9,044
618
2,002
2,001
1
5,011
5,004
7
19,107
18,963
144
7,116
6,967
149
3,098
2,990
108
2,059
1,998
61
7,197
6,994
203
2,073
1,998
75
5,964
5,964
1,988
1,988
994
994
15,919
15,912
7
2,985
2,991
-6
2,981
2,980
1
8,944
8,939
5
28,856
28,854
2
3,985
3,982
3
996
996
711
482
229
5,516
4,911
605
153
133
20
836
666
170
510
444
66
4,060
3,910
150
3,140
3,192
-52
59
49
10
1,768
1,523
245
2,416
1,680
736
1,288
771
517
4,149
3,988
161
2,517
3,325
-808
2,300
1,828
472
1,330
1,459
-129
13,313
12,977
336
11,344
10,997
347
286
372
-86
115
160
-45
38
54
-16
1,019
1,436
-417
334
364
-30
51
64
-13
676
656
20
1,577
1,752
-175
4,808
6,996
-2,188
2,016
2,982
-966
168
156
12
1,407
1,092
315
1,440
1,201
239
617
468
149
6,244
6,405
-161
2,223
1,688
535
5,123
2,159
2,964
338
249
89
661
463
198
1,575
1,114
461
154
145
9
1,884
1,506
378
100
113
-13
667
750
-83
1,270
1,674
-404
112
96
16
1,932
1,852
80
104
93
11
127
104
23
289
278
11
22
23
-1
134
137
-3
82
75
7
1,231
1,177
54
5,001
8,433
-3,432
5,105
6,936
-1,831
48,240
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
-198
b
c
6
d
35
e
-1,272
115
-117
-13
306
461
723
765
209
11
263
458
-196
314
-24
293
37
602
249
415
391
697
-48
215
-419
25
196
1,271
-260
-553
78
39
-2,098
-3,534
1,074
1,082
-63
2,752
2
82
294
80
1,038
195
329
-333
-1,048
25
3
-713
-37
-45
758
47
-35
-356
-2,082
837
-2
-1,261
-394
-5,491
15
24
55
9
419
-1,422
125
13
20
2,227
554
121
39
68
36
-1
309
328
657
-1,164
899
1,245
157
151
94
4
-98
-39
-152
-31
1,119
88
97
-227
-219
-84
-203
-561
-143
-2,101
123
1,301
119
209
211
86
-2
84
-2
123
-2
139
-9,236
224
3
238
-9
-54
-218
28
54
46
269
-9
-270
198
205
-48
-220
102
26
108
254
8
-8
-103
170
436
27
-56
-1
15
-713
73
1,106
-1,454
-2,779
1,622
196
-38
-43
-11
-227
354
-57
-692
-3,755
129
-12
-30
-108
-146
-1,636
-14,017
-232
181
871
2,193
-47
-56
-125
-133
591
-2
-171
391
-11
-20
18
51
157
818
165
215
13
138
335
1,326
-424
-5
-9
-140
-274
-6
6
-24
-176
-11
2
-87
-63
-1
-203
70
133
1,127
113
1
145
382
145
-356
10
161
1,611
-41
-304
-193
5
469
380
-1
261
564
85
3
4
-146
-2,692
205
102
267
-20
148
94
-45
-246
182
211
197
163
769
-86
-311
-86
6
328
686
4
-1,451
-41
-2,396
669
-67
-3
447
59
20
-286
6
33
127
118
124
92
-117
2
1,177
269
31
64
-60
-78
-29
115
385
-64
296
9
-73
-368
533
52
-65
-441
-113
245
-1,607
115
708
31
353
829
-74
-85
-4,072
-3,103
-2
-165
-3
-24
41
-2,500
-323
-612
-4,918
46
1,494
74
274
1,733
132
1,181
-26
4
117
228
199
-8
186
1
605
250
95
149
1,024
19
76
94
52
209
482
2,744
720
200
114
129
1
1
506
25
92
-8
-11
132
225
436
480
1,085
108
39
618
1
7
144
149
108
61
203
75
7
-6
1
5
2
3
229
605
20
170
66
150
-52
10
245
736
517
161
-808
472
-129
336
347
-86
-45
-16
-417
-30
-13
20
-175
-2,188
-966
12
315
239
149
-161
535
2,964
89
198
461
9
378
-13
-83
-404
16
80
11
23
11
-1
-3
7
54
-3,432
-1,831
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
28,611
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
327,462
5,972,788
0.054826
2017
229,437
5,919,655
0.038759
2016
226,303
5,645,563
0.040085
2015
2014
2
Total
of line 1, column (d)
.....................
2
0.13367
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
0.044557
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5,539,389
5
Multiply line 4 by line 3
......................
5
246,819
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,153
7
Add lines 5 and 6
........................
7
247,972
8
Enter qualifying distributions from Part XII, line 4
,.............
8
329,009
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
1,153
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
1,153
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
1,153
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
3,500
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
3,500
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
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
2,347
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
2,347
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)
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
FULTON BANK NA
Telephone no.
(717) 672-2026
Located at
ONE PENN SQUARE
LANCASTER
PA
ZIP+4
17602
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
ROBERT L LOUDENSLAGER
TRUSTEE
0
24,745
PO BOX 361
ELIZABETHVILLE
,
PA
17023
FULTON BANK N A
CO-TRUSTEE
0
24,744
ONE PENN SQUARE
LANCASTER
,
PA
17602
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
5,472,946
b
Average of monthly cash balances
.......................
1b
150,799
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
5,623,745
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
5,623,745
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
84,356
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
5,539,389
6
Minimum investment return.
Enter 5% of line 5
..................
6
276,969
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
276,969
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,153
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,153
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
275,816
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
275,816
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
275,816
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
329,009
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
329,009
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
1,153
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
327,856
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
275,816
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
60,368
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:
$
329,009
a
Applied to 2018, but not more than line 2a
60,368
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
.....
268,641
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
..........
7,175
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 email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
BOROUGH OF SELINSGROVE
1 NORTH HIGH STREET
SELINSGROVE
,
PA
17870
N/A
GOV
HEALTH, EDUCATION, WELFARE
329,009
Total
.................................
3a
329,009
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
148,103
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
28,611
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
REFUNDED MUTUAL FD
14
821
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
177,535
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
177,535
(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