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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
SLOPANSKEY CHARITABLE FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
2751 CENTERVILLE RD STE 400
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILMINGTON
,
DE
19808
A Employer identification number
13-7298696
B
Telephone number (see instructions)
(302) 246-5400
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)
$
1,042,290
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
...
22,447
20,897
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
78,542
b
Gross sales price for all assets on line 6a
574,042
7
Capital gain net income (from Part IV, line 2)
...
78,542
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)
.......
480
12
Total.
Add lines 1 through 11
........
101,469
99,439
13
Compensation of officers, directors, trustees, etc.
4,831
3,623
1,208
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)
.......
500
0
0
500
c
Other professional fees (attach schedule)
....
10,969
10,969
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
439
439
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)
.......
37
37
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
16,776
15,068
0
1,708
25
Contributions, gifts, grants paid
.......
48,174
48,174
26
Total expenses and disbursements.
Add lines 24 and 25
64,950
15,068
0
49,882
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
36,519
b
Net investment income
(if negative, enter -0-)
84,371
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
.............
63
337
337
2
Savings and temporary cash investments
.........
28,854
51,109
51,109
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)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
592,219
605,318
990,844
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)
621,136
656,764
1,042,290
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
........
621,136
656,764
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)
.....
621,136
656,764
30
Total liabilities and net assets/fund balances
(see instructions)
.
621,136
656,764
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
621,136
2
Enter amount from Part I, line 27a
.....................
2
36,519
3
Other increases not included in line 2 (itemize)
3
21
4
Add lines 1, 2, and 3
..........................
4
657,676
5
Decreases not included in line 2 (itemize)
5
912
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
656,764
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. MCCORMICK & CO INC/MD
2017-10-04
2019-01-02
b
6. MCCORMICK & CO INC/MD
2017-10-04
2019-01-02
c
3. CELGENE CORP
2017-10-27
2019-01-03
d
60. CITIGROUP INC
2014-10-14
2019-01-03
e
1. ERSTE GROUP BANK AG
2018-08-01
2019-01-03
16. MCCORMICK & CO INC/MD
2017-08-09
2019-01-03
2. MCCORMICK & CO INC/MD
2017-08-09
2019-01-07
24. AFLAC INC
2017-08-01
2019-01-08
12. AIA GROUP LTD
2018-05-15
2019-01-08
7. ASOS PLC ADR
2014-04-23
2019-01-08
3. ADIDAS AG
2018-07-11
2019-01-08
1. ADIDAS AG
2017-01-27
2019-01-08
3. ADOBE SYS INC
2016-02-12
2019-01-08
8. AKAMAI TECHNOLOGIES INC
2009-08-18
2019-01-08
3. ALEXION PHARMACEUTICALS INC
2016-09-08
2019-01-08
4. ALIBABA GROUP HLD ADR
2018-08-27
2019-01-08
1. ALPHABET INCORPORATION
2008-10-23
2019-01-08
1. ALPHABET INCORPORATION
2008-12-29
2019-01-08
8. AMADEUS IT GROUP SA
2017-11-08
2019-01-08
1. AMAZON.COM INC
2018-12-21
2019-01-08
2. AMAZON.COM INC
2005-04-28
2019-01-08
9. AMERICAN EXPRESS CO
2015-08-26
2019-01-08
2. ANHEUSER-BUSCH INBEV SA/NV
2017-03-07
2019-01-08
4. ANHEUSER-BUSCH INBEV SA/NV
2017-03-07
2019-01-08
4. ANHEUSER-BUSCH INBEV SA/NV
2018-07-27
2019-01-08
2. BIOMARIN PHARMACEUTICAL INC
2018-09-07
2019-01-08
3. BIOMARIN PHARMACEUTICAL INC
2018-10-26
2019-01-08
3. BIOGEN IDEC INC
2014-10-15
2019-01-08
17. BURBERRY GROUP PLC
2018-11-01
2019-01-08
2. CANADIAN PACIFIC RAILWAY LTD
2018-05-08
2019-01-08
4. CANADIAN PACIFIC RAILWAY LTD
2017-05-11
2019-01-08
3. CATERPILLAR INC
2018-03-13
2019-01-08
7. CELGENE CORP
2017-10-27
2019-01-08
12. CELGENE CORP
2009-03-06
2019-01-08
1. CHIPOTLE MEXICAN GRILL INC CLASS A
2016-12-09
2019-01-08
1. CHIPOTLE MEXICAN GRILL INC CLASS A
2018-10-08
2019-01-08
7. COCA COLA CO
2006-02-09
2019-01-08
9. COCA COLA CO
2018-08-23
2019-01-08
38. COMCAST CORP
2018-07-19
2019-01-08
1. COSTCO WHOLESALE CORP
2017-10-05
2019-01-08
2. COSTCO WHOLESALE CORP
2019-01-04
2019-01-08
8. DIAGEO PLC SPONSORED ADR NEW
2017-02-13
2019-01-08
9. WALT DISNEY CO
2001-12-20
2019-01-08
6. ECOLAB INC
2016-01-06
2019-01-08
1. EQUINIX INC
2018-02-13
2019-01-08
10. ERSTE GROUP BANK AG
2017-09-07
2019-01-08
22. ERSTE GROUP BANK AG
2018-09-21
2019-01-08
6.00004 FACEBOOK INC CL-A
2018-08-23
2019-01-08
3.99996 FACEBOOK INC CL-A
2018-09-25
2019-01-08
22. FANUC CORP
2017-10-16
2019-01-08
2. GIVAUDAN SA
2017-09-20
2019-01-08
8. GIVAUDAN SA
2018-10-25
2019-01-08
1. WW GRAINGER INC
2014-01-24
2019-01-08
2. WW GRAINGER INC
2018-10-19
2019-01-08
4. HDFC BANK LTD
2018-06-01
2019-01-08
2. HOME DEPOT INC
2003-01-22
2019-01-08
2. HOME DEPOT INC
2019-01-03
2019-01-08
1. HONEYWELL INTERNATIONAL INC COM
2018-08-23
2019-01-08
3. HONEYWELL INTERNATIONAL INC COM
2019-01-03
2019-01-08
11. HOYA CORP
2013-11-07
2019-01-08
6. JOHNSON & JOHNSON
2003-11-12
2019-01-08
8. KBC GROUP NV
2018-09-20
2019-01-08
42. KAO CORP
2017-10-16
2019-01-08
12. L OREAL SA
2018-10-19
2019-01-08
6. LVMH MOET HENNESSY LOUIS VUITTON SE
2018-04-30
2019-01-08
48. LONDON STOCK EXCHANGE GROUP PLC
2015-11-09
2019-01-08
2. MCCORMICK & CO INC/MD
2017-08-09
2019-01-08
1. METTLER-TOLEDO INTL INC
2018-07-26
2019-01-08
22. MICROSOFT CORP
2011-06-17
2019-01-08
14. MONOTARO CO LTD
2018-07-26
2019-01-08
8. NESTLE SA
2018-10-17
2019-01-08
7. NESTLE SA
2017-02-13
2019-01-08
7. NOVO NORDISK A S ADR
2019-01-03
2019-01-08
14. NUTANIX INC CL A
2018-10-16
2019-01-08
2. NVIDIA CORP COM
2018-11-16
2019-01-08
9. ORACLE CORPORATION
2018-01-31
2019-01-08
20. ORACLE CORPORATION
2017-10-27
2019-01-08
4. ORIX CORP
2017-02-13
2019-01-08
2. PALO ALTO NETWORKS INC
2016-06-24
2019-01-08
11. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-01-08
21. PING AN INSURANCE GROUP CO OF CHINA LTD
2017-11-17
2019-01-08
3. PIONEER NATURAL RESOURCES
2017-03-09
2019-01-08
8. QUALCOMM INC
2018-08-15
2019-01-08
4. RED HAT INC
2013-12-04
2019-01-08
3. REGENERON PHARMACEUTICALS INC
2017-11-13
2019-01-08
37. RENTOKIL INITIAL PLC
2018-10-18
2019-01-08
23. RENTOKIL INITIAL PLC
2017-06-26
2019-01-08
11. ROCHE HLDG LTD SPON ADR
2019-01-03
2019-01-08
9. ROGERS COMMUNICATIONS INC
2018-11-28
2019-01-08
6. SAP SE
2017-02-13
2019-01-08
11. SCHLUMBERGER LTD
2015-08-27
2019-01-08
11. SHISEIDO LTD ADR
2015-08-28
2019-01-08
2. SHOPIFY INC CL A
2018-08-27
2019-01-08
6. SOCIEDAD QUIMICA Y MINERA DE CHILE SA
2018-02-15
2019-01-08
11. SPLUNK INC
2017-07-19
2019-01-08
3.0005 SUNCOR ENERGY INC
2013-01-28
2019-01-08
.9995 SUNCOR ENERGY INC
2013-01-28
2019-01-08
4. TELEPERFORMANCE
2018-07-31
2019-01-08
4. TEXAS INSTRUMENTS INC
2001-12-20
2019-01-08
6. THERMO FISHER SCIENTIFIC INC
2009-06-03
2019-01-08
19. UMICORE SA
2018-04-27
2019-01-08
23. UMICORE SA
2017-09-20
2019-01-08
5. UNITED PARCEL SERVICE CL B
2018-08-01
2019-01-08
2. UNITEDHEALTH GROUP INC
2019-01-03
2019-01-08
1. UNITEDHEALTH GROUP INC
2019-01-03
2019-01-08
4. UNITEDHEALTH GROUP INC
2001-12-20
2019-01-08
25. VALE SA
2016-11-10
2019-01-08
29. VERTEX PHARMACEUTICALS INC
2017-02-13
2019-01-08
10. VISA INC
2010-05-26
2019-01-08
3. VMWARE INC
2016-01-05
2019-01-08
16. YUM CHINA HOLDINGS INC
2017-07-07
2019-01-08
11. ZOETIS INC
2013-08-27
2019-01-08
1. ICON PLC
2018-07-10
2019-01-08
4. ICON PLC
2017-02-13
2019-01-08
5. IHS MARKIT LTD SHS
2018-11-29
2019-01-08
5. LINDE PLC
2018-01-25
2019-01-08
5. LINDE PLC
2018-01-25
2019-01-08
5. CHECK POINT SOFTWARE TECH LT
2017-02-13
2019-01-08
5969.53 ALLIANZGI SHORT DURATION HIGH
2017-12-14
2019-01-10
3. CELGENE CORP
2009-03-06
2019-01-10
2. MCCORMICK & CO INC/MD
2017-08-09
2019-01-10
3. ORIX CORP
2005-01-24
2019-01-10
1. ORIX CORP
2011-01-06
2019-01-11
1. ORIX CORP
2011-01-06
2019-01-11
5. ORIX CORP
2011-01-06
2019-01-15
4. ORIX CORP
2011-01-06
2019-01-16
3. ORIX CORP
2011-01-06
2019-01-16
1. CELGENE CORP
2009-03-06
2019-01-17
1. MCCORMICK & CO INC/MD
2017-08-09
2019-01-17
4. ORIX CORP
2011-01-06
2019-01-17
2. HOYA CORP
2013-11-07
2019-01-22
4. ORIX CORP
2011-01-07
2019-01-22
2. RED HAT INC
2013-11-13
2019-01-22
7. HOYA CORP
2013-11-07
2019-01-23
1. MCCORMICK & CO INC/MD
2017-08-09
2019-01-23
5. ORIX CORP
2011-01-07
2019-01-23
4. HOYA CORP
2013-11-07
2019-01-24
4. MARTIN MARIETTA MATERIALS INC
2017-02-13
2019-01-25
5. CELGENE CORP
2009-03-06
2019-01-30
1. RED HAT INC
2013-11-13
2019-01-30
4. CELGENE CORP
2009-03-06
2019-01-31
4. CELGENE CORP
2009-03-06
2019-02-04
4. CELGENE CORP
2009-03-06
2019-02-05
15. MARSH & MCLENNAN COS INC
2017-02-13
2019-02-06
1. REGENERON PHARMACEUTICALS INC
2014-07-17
2019-02-06
2. RED HAT INC
2013-11-13
2019-02-07
7. CELGENE CORP
2009-03-06
2019-02-08
11. YUM CHINA HOLDINGS INC
2016-11-10
2019-02-08
7. AFLAC INC
2017-06-09
2019-02-15
11. AIA GROUP LTD
2018-05-15
2019-02-15
19. AT&T INC
2017-02-13
2019-02-15
3. ADOBE SYS INC
2015-08-26
2019-02-15
3. AIR PRODUCTS & CHEMICAL INC
2019-01-25
2019-02-15
7. AKAMAI TECHNOLOGIES INC
2009-08-18
2019-02-15
2. ALEXION PHARMACEUTICALS INC
2018-03-16
2019-02-15
2. ALEXION PHARMACEUTICALS INC
2016-09-08
2019-02-15
3. ALIBABA GROUP HLD ADR
2018-08-24
2019-02-15
1. ALIBABA GROUP HLD ADR
2018-08-24
2019-02-15
1. ALPHABET INCORPORATION
2008-12-29
2019-02-15
9. ALTRIA GROUP INC
2017-02-13
2019-02-15
4. AMADEUS IT GROUP SA
2017-04-26
2019-02-15
3. AMERICAN EXPRESS CO
2015-07-27
2019-02-15
9. AMERICAN EXPRESS CO
2015-07-27
2019-02-15
5. AMERICAN TOWER CORP
2019-01-03
2019-02-15
6. AMERISOURCEBERGEN CORP
2016-04-25
2019-02-15
4. AMGEN INC
2016-07-21
2019-02-15
6. ANHEUSER-BUSCH INBEV SA/NV
2018-07-27
2019-02-15
4. ANHEUSER-BUSCH INBEV SA/NV
2018-07-27
2019-02-15
5. ANTHEM INC
2017-02-13
2019-02-15
2. APPLE COMPUTER INC
2018-09-13
2019-02-15
38. AUTODESK INC
2009-01-14
2019-02-15
1. BAIDU.COM
2018-01-16
2019-02-15
37. BK AMER CORP COM
2018-06-07
2019-02-15
11. BANK OF NEW YORK MELLON CORP/THE
2017-02-13
2019-02-15
1. BIOMARIN PHARMACEUTICAL INC
2018-06-15
2019-02-15
7. BIOGEN IDEC INC
2018-05-02
2019-02-15
7. BIOGEN IDEC INC
2017-02-13
2019-02-15
2. BLACKROCK INC
2009-03-30
2019-02-15
10. BROADCOM INC
2013-08-12
2019-02-15
12. BURBERRY GROUP PLC
2017-05-25
2019-02-15
10. CVS CORP
2008-10-23
2019-02-15
2. CANADIAN PACIFIC RAILWAY LTD
2017-05-11
2019-02-15
5. CAPITAL ONE FINANCIAL CORP COM
2017-02-13
2019-02-15
1. CATERPILLAR INC
2018-03-13
2019-02-15
4. CHARTER COMMUNICATIONS INC
2017-11-20
2019-02-15
7. CHEVRONTEXACO CORP
2017-02-13
2019-02-15
17. CITRIX SYSTEMS INC
2010-10-15
2019-02-15
7. COMCAST CORP
2019-01-24
2019-02-15
13. COMCAST CORP
2019-01-24
2019-02-15
1. COSTCO WHOLESALE CORP
2017-10-25
2019-02-15
42. CREE, INC. COMMON STOCK
2012-04-18
2019-02-15
2. DEERE & CO
2018-08-20
2019-02-15
4. DIAGEO PLC SPONSORED ADR NEW
2017-02-13
2019-02-15
3. WALT DISNEY CO
2019-01-22
2019-02-15
23. DISH NETWORK CORP CLASS A
2017-02-13
2019-02-15
24. DOLBY LABORATORIES INC
2017-02-13
2019-02-15
2. ECOLAB INC
2016-01-06
2019-02-15
28. EPIROC AB
2018-10-18
2019-02-15
1. EQUINIX INC
2018-02-13
2019-02-15
9. ERSTE GROUP BANK AG
2017-09-07
2019-02-15
9. EXXON MOBIL CORP
2017-02-13
2019-02-15
2. FACEBOOK INC CL-A
2018-11-06
2019-02-15
18. FANUC CORP
2017-05-25
2019-02-15
1. GIVAUDAN SA
2017-09-20
2019-02-15
2. WW GRAINGER INC
2014-01-24
2019-02-15
1. GRUBHUB INC
2019-02-12
2019-02-15
18. HALLIBURTON CO
2015-02-25
2019-02-15
2. HOME DEPOT INC
2003-01-22
2019-02-15
4. HOME DEPOT INC
2003-01-22
2019-02-15
1. HONEYWELL INTERNATIONAL INC COM
2019-01-03
2019-02-15
2. HONEYWELL INTERNATIONAL INC COM
2019-01-03
2019-02-15
5. HONEYWELL INTERNATIONAL INC COM
2017-03-16
2019-02-15
12. HONG KONG EXCHANGES & CLEARING LTD
2018-03-13
2019-02-15
4. HONG KONG EXCHANGES & CLEARING LTD
2018-01-04
2019-02-15
5. ILLINOIS TOOL WKS INC
2017-02-13
2019-02-15
1. ILLINOIS TOOL WKS INC
2019-01-03
2019-02-15
9. INDUSTRIA DE DISENO TEXTIL SA
2016-03-30
2019-02-15
12. INDUSTRIA DE DISENO TEXTIL SA
2018-06-12
2019-02-15
26. IONIS PHARMACEUTICALS INC
2017-02-13
2019-02-15
20. JP MORGAN CHASE & CO
2017-02-13
2019-02-15
2. JOHNSON & JOHNSON
2003-11-12
2019-02-15
6. JOHNSON & JOHNSON
2003-11-12
2019-02-15
1. KBC GROUP NV
2018-09-20
2019-02-15
7. L OREAL SA
2018-10-19
2019-02-15
15. L3 TECHNOLOGIES INC
2003-10-08
2019-02-15
5. LVMH MOET HENNESSY LOUIS VUITTON SE
2018-04-30
2019-02-15
38. LEGRAND SA
2018-06-07
2019-02-15
36. LONDON STOCK EXCHANGE GROUP PLC
2015-11-09
2019-02-15
6. MARSH & MCLENNAN COS INC
2012-06-01
2019-02-15
3. MARTIN MARIETTA MATERIALS INC
2017-08-01
2019-02-15
1. MCCORMICK & CO INC/MD
2019-02-13
2019-02-15
13. MERCK & CO INC NEW
2017-02-13
2019-02-15
2. METLIFE INC COM
2017-02-13
2019-02-15
1. METTLER-TOLEDO INTL INC
2018-07-25
2019-02-15
5. MICROSOFT CORP
2011-06-17
2019-02-15
10. MICROSOFT CORP
2011-06-17
2019-02-15
9. MOTOROLA SOLUTIONS INC
2017-03-27
2019-02-15
5. NESTLE SA
2017-02-13
2019-02-15
6. NOVARTIS A G ADR
2019-01-03
2019-02-15
2. NOVO NORDISK A S ADR
2019-01-03
2019-02-15
2. NOVO NORDISK A S ADR
2003-11-04
2019-02-15
6. NUTANIX INC CL A
2018-10-09
2019-02-15
2. NVIDIA CORP COM
2018-11-16
2019-02-15
2. ORACLE CORPORATION
2017-10-27
2019-02-15
16. ORACLE CORPORATION
2017-10-27
2019-02-15
4. PPG INDS INC COM
2017-04-25
2019-02-15
3. PALO ALTO NETWORKS INC
2016-06-27
2019-02-15
3. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-02-15
11. PFIZER INC
2018-12-26
2019-02-15
9. PHILIP MORRIS INTERNATIONAL INC
2017-02-13
2019-02-15
17. PING AN INSURANCE GROUP CO OF CHINA LTD
2017-11-17
2019-02-15
8. PROGRESSIVE CORP
2016-11-04
2019-02-15
9. RENTOKIL INITIAL PLC
2017-02-13
2019-02-15
8. ROCHE HLDG LTD SPON ADR
2019-01-23
2019-02-15
7. ROYAL DUTCH SHELL PLC
2011-09-15
2019-02-15
2. SAP SE
2001-12-05
2019-02-15
5. SCHLUMBERGER LTD
2015-08-27
2019-02-15
9. SCHLUMBERGER LTD
2015-08-27
2019-02-15
2. CHARLES SCHWAB CORP/THE
2019-01-22
2019-02-15
10. CHARLES SCHWAB CORP/THE
2019-01-22
2019-02-15
6. SEMPRA ENERGY
2017-02-13
2019-02-15
10. SHISEIDO LTD ADR
2015-08-28
2019-02-15
2. SHOPIFY INC CL A
2018-08-27
2019-02-15
3. SPLUNK INC
2017-07-12
2019-02-15
6. STATE STR CORP COM
2012-06-01
2019-02-15
8. SUNCOR ENERGY INC
2013-01-28
2019-02-15
30. SUNCOR ENERGY INC
2017-02-23
2019-02-15
1. SUNCOR ENERGY INC
2019-02-07
2019-02-15
21. TECHNOPRO HOLDINGS INC
2018-06-01
2019-02-15
1. TEMENOS AG
2017-01-27
2019-02-15
4. TEXAS INSTRUMENTS INC
2001-12-20
2019-02-15
1. THERMO FISHER SCIENTIFIC INC
2009-06-03
2019-02-15
4. TRAVELERS COS INC/THE
2017-02-13
2019-02-15
18. US BANCORP
2017-02-13
2019-02-15
3. UNITED PARCEL SERVICE CL B
2018-08-01
2019-02-15
5. UNITED PARCEL SERVICE CL B
2018-05-17
2019-02-15
6. UNITED TECHNOLOGIES CORP
2018-01-24
2019-02-15
2. UNITEDHEALTH GROUP INC
2001-12-20
2019-02-15
24. UNITEDHEALTH GROUP INC
2001-12-20
2019-02-15
2. UNITEDHEALTH GROUP INC
2001-12-20
2019-02-15
4. VISA INC
2019-01-22
2019-02-15
1. VMWARE INC
2016-01-05
2019-02-15
19. WELLS FARGO & CO
2017-02-13
2019-02-15
7. XEROX CORP
2013-09-09
2019-02-15
2. YUM CHINA HOLDINGS INC
2016-11-10
2019-02-15
4. ZOETIS INC
2013-08-27
2019-02-15
3. ICON PLC
2010-06-10
2019-02-15
5. IHS MARKIT LTD SHS
2018-11-28
2019-02-15
1. LINDE PLC
2017-11-09
2019-02-15
10. TE CONNECTIVITY LTD
2018-12-26
2019-02-15
6. TE CONNECTIVITY LTD
2004-05-17
2019-02-15
4. TE CONNECTIVITY LTD
2018-12-26
2019-02-15
2. CHECK POINT SOFTWARE TECH LT
2013-06-24
2019-02-15
2. ASMLD HOLDINGS NV
2009-01-22
2019-02-15
2. ECOLAB INC
2015-09-02
2019-03-01
11. RENTOKIL INITIAL PLC
2017-02-13
2019-03-06
60. VALE SA
2016-11-10
2019-03-06
39. HALLIBURTON CO
2015-02-25
2019-03-07
3. REGENERON PHARMACEUTICALS INC
2014-07-17
2019-03-07
24. ERSTE GROUP BANK AG
2017-11-03
2019-03-11
16. ERSTE GROUP BANK AG
2017-05-11
2019-03-12
5. YUM CHINA HOLDINGS INC
2016-11-10
2019-03-18
1. BLACKROCK INC
2009-03-30
2019-03-19
44.48 TWENTY FIRST CENTY FOX INC CL B
2016-01-14
2019-03-19
10. AFLAC INC
2017-06-09
2019-03-22
3. CANADIAN PACIFIC RAILWAY LTD
2017-02-13
2019-03-22
5. YUM CHINA HOLDINGS INC
2016-11-10
2019-03-25
3. ANTHEM INC
2012-06-01
2019-03-27
9. HONEYWELL INTERNATIONAL INC COM
2017-03-27
2019-03-27
3. BAIDU.COM
2018-01-16
2019-03-28
4. YUM CHINA HOLDINGS INC
2016-11-10
2019-03-28
3. BAIDU.COM
2018-04-30
2019-03-29
2. BAIDU.COM
2018-02-15
2019-03-29
124.52 TWENTY FIRST CENTY FOX INC CL B
2012-06-01
2019-03-29
3. YUM CHINA HOLDINGS INC
2013-03-13
2019-04-01
.99 WALT DISNEY CO
2019-01-22
2019-04-02
2. RED HAT INC
2013-11-13
2019-04-02
3. BIOGEN IDEC INC
2003-09-23
2019-04-03
4. YUM CHINA HOLDINGS INC
2013-10-09
2019-04-03
.33 FOX CORP B COM
2019-03-19
2019-04-04
3. YUM CHINA HOLDINGS INC
2012-12-21
2019-04-04
1. BIOGEN IDEC INC
2003-09-23
2019-04-05
6. MOTOROLA SOLUTIONS INC
2017-03-27
2019-04-05
2. BIOGEN IDEC INC
2003-09-23
2019-04-09
2. YUM CHINA HOLDINGS INC
2012-12-21
2019-04-09
13. QUALCOMM INC
2018-05-23
2019-04-10
1. BIOGEN IDEC INC
2003-09-23
2019-04-11
.8 ALCON INC ORD SHS
2017-02-13
2019-04-11
7.2 ALCON INC ORD SHS
2019-03-27
2019-04-11
5. ALCON INC ORD SHS
2012-06-01
2019-04-11
4. APPLE COMPUTER INC
2017-08-23
2019-04-12
3. APPLE COMPUTER INC
2018-09-26
2019-04-12
5. AMGEN INC
2016-07-21
2019-04-15
3. BIOGEN IDEC INC
2003-09-23
2019-04-16
1. ALCON INC ORD SHS
2001-12-20
2019-04-16
11. BANK OF NEW YORK MELLON CORP/THE
2017-02-13
2019-04-23
1. SHOPIFY INC CL A
2018-08-01
2019-04-23
3. YUM CHINA HOLDINGS INC
2012-12-21
2019-04-23
4. YUM CHINA HOLDINGS INC
2012-12-21
2019-04-24
3. AFLAC INC
2017-06-09
2019-04-26
.6 ALCON INC ORD SHS
2001-12-20
2019-04-29
13. AFLAC INC
2017-06-09
2019-04-30
7. YUM CHINA HOLDINGS INC
2012-12-21
2019-04-30
4. YUM CHINA HOLDINGS INC
2012-12-21
2019-05-02
4. YUM CHINA HOLDINGS INC
2013-02-07
2019-05-02
12. AFLAC INC
2017-06-02
2019-05-03
13. SCHLUMBERGER LTD
2015-08-27
2019-05-08
3. CANADIAN PACIFIC RAILWAY LTD
2016-03-17
2019-05-09
2. SHOPIFY INC CL A
2018-08-01
2019-05-09
19. SCHLUMBERGER LTD
2011-06-24
2019-05-10
1315. WEATHERFORD INTL PLC ORD SHS
2017-02-13
2019-05-15
6. YUM CHINA HOLDINGS INC
2013-02-07
2019-05-17
4. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-05-23
2. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-05-24
3. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-05-29
1. CANADIAN PACIFIC RAILWAY LTD
2016-03-04
2019-05-30
2. RED HAT INC
2013-11-13
2019-05-31
1. TEMENOS AG
2019-02-22
2019-05-31
1. TEMENOS AG
2019-02-22
2019-06-03
1. TEMENOS AG
2017-01-27
2019-06-03
2. HONEYWELL INTERNATIONAL INC COM
2017-02-13
2019-06-04
2. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-06-04
33. HALLIBURTON CO
2018-09-07
2019-06-05
69. HALLIBURTON CO
2013-01-18
2019-06-05
13. LONDON STOCK EXCHANGE GROUP PLC
2015-11-09
2019-06-05
4. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-06-05
9. STATE STR CORP COM
2012-06-01
2019-06-05
17. AFLAC INC
2017-06-02
2019-06-06
14. STATE STR CORP COM
2012-06-01
2019-06-06
13. STATE STR CORP COM
2012-06-01
2019-06-07
3. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-06-10
1. RED HAT INC
2013-11-13
2019-06-10
2. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-06-11
2. RED HAT INC
2013-11-13
2019-06-12
3. RED HAT INC
2013-11-13
2019-06-21
11. COMCAST CORP
2019-03-27
2019-06-26
10397.83 DOUBLELINE CORE FIXED INCOME FUND
2019-03-22
2019-06-28
8. ILLINOIS TOOL WKS INC
2016-07-21
2019-07-11
1. ILLINOIS TOOL WKS INC
2019-01-03
2019-07-11
9. MOTOROLA SOLUTIONS INC
2017-03-27
2019-07-11
30. UMICORE SA
2017-09-20
2019-07-11
3. METTLER-TOLEDO INTL INC
2003-04-02
2019-07-15
.2 L3HARRIS TECHNOLOGIES INC
2003-10-08
2019-07-16
6. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-07-16
5. PAYPAL HOLDINGS INCORPORATION
2010-08-06
2019-07-22
11. COCA COLA CO
2006-02-09
2019-07-25
17. RENTOKIL INITIAL PLC
2017-02-13
2019-07-25
37. CAPITAL ONE FINANCIAL CORP COM
2012-06-01
2019-07-30
5. RENTOKIL INITIAL PLC
2016-08-03
2019-07-30
14. COCA COLA CO
2006-02-09
2019-07-31
13. COCA COLA CO
2006-02-09
2019-08-02
3147.48 DOUBLELINE CORE FIXED INCOME FUND
2019-01-17
2019-08-02
16. LONDON STOCK EXCHANGE GROUP PLC
2016-06-08
2019-08-05
10. RENTOKIL INITIAL PLC
2016-08-03
2019-08-05
144. ANADARKO PETE CORP
2017-02-13
2019-08-09
4. AKAMAI TECHNOLOGIES INC
2009-08-18
2019-08-13
56. WELLS FARGO & CO
2017-02-13
2019-08-13
1. EQUINIX INC
2018-02-13
2019-08-14
.25 OCCIDENTAL PETROLEUM CORP
2019-08-09
2019-08-14
55. METLIFE INC COM
2017-02-13
2019-08-19
1. COSTCO WHOLESALE CORP
2017-10-25
2019-08-21
11. LONDON STOCK EXCHANGE GROUP PLC
2016-06-08
2019-08-22
5. RENTOKIL INITIAL PLC
2016-08-03
2019-08-22
3. CANADIAN PACIFIC RAILWAY LTD
2016-03-04
2019-08-26
6. CATERPILLAR INC
2018-03-13
2019-08-26
53. SCHLUMBERGER LTD
2015-02-26
2019-08-27
3. CATERPILLAR INC
2018-03-01
2019-08-28
4. CATERPILLAR INC
2018-03-01
2019-09-04
3. CATERPILLAR INC
2018-04-26
2019-09-06
5. CANADIAN PACIFIC RAILWAY LTD
2016-03-04
2019-09-09
27. LONDON STOCK EXCHANGE GROUP PLC
2017-01-27
2019-09-09
10. RENTOKIL INITIAL PLC
2016-08-03
2019-09-09
1. HONG KONG EXCHANGES & CLEARING LTD
2019-07-02
2019-09-10
10. HONG KONG EXCHANGES & CLEARING LTD
2018-01-04
2019-09-10
3. NESTLE SA
2019-05-16
2019-09-10
1. NESTLE SA
2017-02-13
2019-09-10
2. ECOLAB INC
2015-09-02
2019-09-11
19. HONG KONG EXCHANGES & CLEARING LTD
2015-04-10
2019-09-12
4200.82 DOUBLELINE CORE FIXED INCOME FUND
2019-01-17
2019-09-13
18. HONG KONG EXCHANGES & CLEARING LTD
2017-12-11
2019-09-13
20. HONG KONG EXCHANGES & CLEARING LTD
2017-12-11
2019-09-16
378. WESTERN ASSET INTERMEDIATE-TERM MUNICIPA
2019-07-03
2019-09-18
247. WESTERN ASSET MUNICIPAL HIGH INCOME FUND
2019-07-01
2019-09-18
258. WESTERN ASSET INCOME FUND
2019-07-01
2019-09-18
2. CHIPOTLE MEXICAN GRILL INC CLASS A
2017-07-18
2019-10-02
4. TEXAS INSTRUMENTS INC
2001-12-20
2019-10-02
3. ANTHEM INC
2012-06-01
2019-10-03
1. CHIPOTLE MEXICAN GRILL INC CLASS A
2017-08-03
2019-10-03
25. ISHARES CORE U.S. AGGREGATE BOND ETF
2019-09-18
2019-10-03
2. UNITEDHEALTH GROUP INC
2019-04-12
2019-10-03
3. UNITEDHEALTH GROUP INC
2001-12-20
2019-10-03
2. US BANCORP
2017-02-13
2019-10-11
15. GRUBHUB INC
2019-03-19
2019-10-29
5. CHECK POINT SOFTWARE TECH LT
2013-06-24
2019-10-29
9. CHECK POINT SOFTWARE TECH LT
2013-06-21
2019-10-30
7. GRUBHUB INC
2019-04-05
2019-11-01
59. ISHARES CORE U.S. AGGREGATE BOND ETF
2019-09-18
2019-11-05
58. XEROX HOLDINGS CORP
2012-06-01
2019-11-07
1. QUALCOMM INC
2018-05-10
2019-11-18
7. QUALCOMM INC
2019-08-01
2019-11-18
12. ROGERS COMMUNICATIONS INC
2018-11-28
2019-12-02
11. SUNCOR ENERGY INC
2017-02-13
2019-12-02
1. ICON PLC
2011-01-28
2019-12-02
26. SPDR BLOOMBERG BARCLAYS HIGH YIELD BOND
2019-09-18
2019-12-04
60. SPDR BLOOMBERG BARCLAYS HIGH YIELD BOND
2019-09-18
2019-12-04
9. FLUOR CORP
2017-02-13
2019-12-05
42. FLUOR CORP
2017-02-13
2019-12-05
25. FLUOR CORP
2008-11-19
2019-12-05
30. FLUOR CORP
2008-11-20
2019-12-05
23. NOW INC
2014-11-17
2019-12-05
36. NOW INC
2014-11-18
2019-12-05
19. NOW INC
2017-02-13
2019-12-05
71. QURATE RETAIL INC QVC
2017-02-13
2019-12-05
3. SHISEIDO LTD ADR
2015-08-28
2019-12-05
1. BLACKROCK INC
2009-03-30
2019-12-09
1. ANHEUSER-BUSCH INBEV SA/NV
2018-07-27
2019-12-13
4. ANHEUSER-BUSCH INBEV SA/NV
2019-07-23
2019-12-13
3. NESTLE SA
2017-02-13
2019-12-13
8. RENTOKIL INITIAL PLC
2016-08-03
2019-12-13
9. SUNCOR ENERGY INC
2017-02-13
2019-12-13
12. SUNCOR ENERGY INC
2017-02-13
2019-12-17
4. ANHEUSER-BUSCH INBEV SA/NV
2019-07-23
2019-12-18
12. SUNCOR ENERGY INC
2017-02-13
2019-12-18
4. ANHEUSER-BUSCH INBEV SA/NV
2019-07-23
2019-12-19
14. SUNCOR ENERGY INC
2017-02-13
2019-12-19
14. SUNCOR ENERGY INC
2009-09-01
2019-12-20
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
272
199
73
b
815
590
225
c
247
292
-45
d
3,162
2,978
184
e
17
22
-5
2,187
1,536
651
277
192
85
1,086
951
135
391
453
-62
265
586
-321
331
338
-7
110
82
28
695
229
466
494
143
351
322
386
-64
583
711
-128
1,072
217
855
1,081
147
934
566
493
73
1,660
1,381
279
3,320
65
3,255
881
677
204
141
216
-75
282
431
-149
282
439
-157
183
193
-10
275
291
-16
965
836
129
381
404
-23
372
367
5
745
626
119
387
473
-86
607
296
311
1,048
244
804
497
369
128
497
449
48
330
144
186
424
413
11
1,357
1,330
27
207
166
41
414
411
3
1,116
917
199
1,002
184
818
884
647
237
358
435
-77
176
211
-35
386
477
-91
852
1,045
-193
568
687
-119
348
474
-126
94
87
7
374
373
1
277
246
31
554
553
1
412
419
-7
354
44
310
354
340
14
134
151
-17
403
391
12
661
287
374
776
299
477
264
316
-52
602
529
73
543
530
13
353
418
-65
639
474
165
275
192
83
548
615
-67
2,265
532
1,733
351
341
10
662
639
23
579
519
60
335
331
4
634
596
38
276
331
-55
431
463
-32
957
1,014
-57
303
277
26
379
245
134
971
139
832
355
427
-72
426
553
-127
445
515
-70
698
185
513
1,187
998
189
805
773
32
501
358
143
352
339
13
478
479
-1
604
498
106
444
802
-358
643
242
401
289
288
1
243
336
-93
1,254
685
569
88
103
-15
29
34
-5
329
372
-43
374
105
269
1,374
235
1,139
195
266
-71
236
233
3
485
599
-114
482
478
4
242
239
3
968
69
899
347
199
148
5,140
2,136
3,004
1,369
186
1,183
434
171
263
531
530
1
942
326
616
132
137
-5
527
227
300
245
263
-18
789
821
-32
789
821
-32
532
505
27
86,081
90,000
-3,919
261
61
200
279
192
87
232
200
32
77
49
28
77
49
28
385
316
69
308
198
110
231
148
83
87
20
67
139
96
43
310
198
112
115
52
63
311
197
114
351
92
259
398
182
216
138
96
42
382
247
135
226
104
122
702
929
-227
439
102
337
176
46
130
352
81
271
351
81
270
351
81
270
1,361
950
411
413
298
115
358
92
266
612
143
469
446
288
158
342
269
73
410
406
4
573
618
-45
776
228
548
518
482
36
487
125
362
256
257
-1
256
255
1
495
522
-27
163
174
-11
1,110
174
936
438
652
-214
305
212
93
319
224
95
963
673
290
883
773
110
514
550
-36
747
655
92
462
611
-149
307
407
-100
1,550
489
1,061
337
452
-115
6,087
694
5,393
167
261
-94
1,075
1,117
-42
578
507
71
91
95
-4
2,322
1,910
412
2,322
1,907
415
859
252
607
2,803
582
2,221
303
279
24
693
291
402
405
305
100
404
446
-42
133
156
-23
1,390
1,383
7
830
793
37
1,804
801
1,003
261
250
11
487
457
30
214
162
52
2,193
757
1,436
313
282
31
626
457
169
334
331
3
706
1,434
-728
1,543
1,176
367
323
214
109
270
292
-22
417
435
-18
160
190
-30
692
761
-69
320
314
6
309
359
-50
46
43
3
628
493
135
80
80
569
800
-231
382
44
338
766
88
678
149
130
19
304
261
43
760
608
152
383
444
-61
128
130
-2
713
647
66
143
124
19
129
155
-26
172
205
-33
1,524
1,152
372
2,105
1,764
341
268
99
169
811
296
515
32
40
-8
347
309
38
3,175
645
2,530
329
349
-20
490
576
-86
545
356
189
542
191
351
569
629
-60
126
129
-3
1,035
548
487
87
96
-9
663
607
56
536
121
415
1,076
242
834
1,245
756
489
441
367
74
536
510
26
99
95
4
99
7
92
319
245
74
311
331
-20
100
101
-1
822
811
11
433
440
-7
677
362
315
282
38
244
464
451
13
746
924
-178
333
346
-13
567
250
317
201
135
66
268
260
8
434
467
-33
210
69
141
221
364
-143
401
656
-255
89
95
-6
459
435
24
688
627
61
649
220
429
353
281
72
403
179
224
421
242
179
268
274
-6
1,013
979
34
34
33
1
225
275
-50
136
72
64
426
105
321
248
39
209
511
477
34
918
976
-58
328
353
-25
548
584
-36
762
718
44
537
35
502
6,472
417
6,055
537
35
502
575
552
23
165
57
108
933
1,089
-156
209
162
47
78
52
26
376
118
258
433
80
353
264
260
4
165
163
2
818
707
111
491
196
295
327
283
44
237
99
138
366
33
333
340
212
128
258
165
93
744
478
266
1,091
1,497
-406
1,238
849
389
418
488
-70
278
285
-7
216
131
85
439
126
313
2,266
961
1,305
497
384
113
603
447
156
216
131
85
853
201
652
1,416
1,080
336
491
782
-291
174
92
82
493
748
-255
329
507
-178
6,309
1,694
4,615
136
59
77
109
109
366
92
274
696
101
595
182
73
109
12
13
-1
134
54
80
241
34
207
843
504
339
475
68
407
87
36
51
741
732
9
235
34
201
44
37
7
400
386
14
278
123
155
794
528
266
595
595
953
769
184
691
101
590
54
21
33
532
335
197
224
137
87
133
54
79
177
72
105
148
115
33
33
13
20
652
497
155
327
126
201
190
72
118
190
72
118
606
456
150
523
947
-424
659
390
269
516
273
243
746
1,377
-631
66
11,468
-11,402
248
108
140
439
51
388
220
25
195
330
38
292
221
126
95
370
92
278
172
142
30
174
142
32
174
72
102
336
236
100
216
25
191
697
1,202
-505
1,457
2,070
-613
219
128
91
441
51
390
504
363
141
914
646
268
780
565
215
736
524
212
349
38
311
185
46
139
229
25
204
370
92
278
564
138
426
465
442
23
115,000
111,741
3,259
1,169
562
607
146
124
22
1,533
741
792
212
305
-93
2,465
92
2,373
39
7
32
722
76
646
593
63
530
584
226
358
434
251
183
3,330
1,848
1,482
125
73
52
741
287
454
680
267
413
35,000
33,521
1,479
320
158
162
262
147
115
10,452
8,048
2,404
354
71
283
2,584
1,838
746
542
435
107
11
12
-1
2,521
2,109
412
276
162
114
231
109
122
138
73
65
703
379
324
686
920
-234
1,667
3,124
-1,457
342
458
-116
474
599
-125
370
438
-68
1,187
631
556
593
266
327
276
147
129
31
36
-5
313
320
-7
329
298
31
110
73
37
393
212
181
576
602
-26
46,419
44,739
1,680
548
548
601
540
61
2,438
2,434
4
3,512
3,500
12
1,597
1,600
-3
1,622
737
885
507
105
402
713
201
512
813
350
463
2,840
2,811
29
430
455
-25
645
52
593
108
108
514
1,178
-664
560
246
314
1,006
441
565
235
510
-275
6,621
6,634
-13
2,179
1,179
1,000
91
55
36
634
499
135
573
638
-65
342
349
-7
164
23
141
2,806
2,836
-30
6,475
6,544
-69
144
510
-366
682
2,248
-1,566
405
831
-426
486
914
-428
251
654
-403
394
1,000
-606
207
430
-223
600
1,375
-775
208
64
144
495
126
369
78
102
-24
312
383
-71
314
220
94
227
117
110
288
286
2
388
381
7
321
383
-62
387
381
6
321
383
-62
454
434
20
453
429
24
347
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
73
b
225
c
-45
d
184
e
-5
651
85
135
-62
-321
-7
28
466
351
-64
-128
855
934
73
279
3,255
204
-75
-149
-157
-10
-16
129
-23
5
119
-86
311
804
128
48
186
11
27
41
3
199
818
237
-77
-35
-91
-193
-119
-126
7
1
31
1
-7
310
14
-17
12
374
477
-52
73
13
-65
165
83
-67
1,733
10
23
60
4
38
-55
-32
-57
26
134
832
-72
-127
-70
513
189
32
143
13
-1
106
-358
401
1
-93
569
-15
-5
-43
269
1,139
-71
3
-114
4
3
899
148
3,004
1,183
263
1
616
-5
300
-18
-32
-32
27
-3,919
200
87
32
28
28
69
110
83
67
43
112
63
114
259
216
42
135
122
-227
337
130
271
270
270
411
115
266
469
158
73
4
-45
548
36
362
-1
1
-27
-11
936
-214
93
95
290
110
-36
92
-149
-100
1,061
-115
5,393
-94
-42
71
-4
412
415
607
2,221
24
402
100
-42
-23
7
37
1,003
11
30
52
1,436
31
169
3
-728
367
109
-22
-18
-30
-69
6
-50
3
135
-231
338
678
19
43
152
-61
-2
66
19
-26
-33
372
341
169
515
-8
38
2,530
-20
-86
189
351
-60
-3
487
-9
56
415
834
489
74
26
4
92
74
-20
-1
11
-7
315
244
13
-178
-13
317
66
8
-33
141
-143
-255
-6
24
61
429
72
224
179
-6
34
1
-50
64
321
209
34
-58
-25
-36
44
502
6,055
502
23
108
-156
47
26
258
353
4
2
111
295
44
138
333
128
93
266
-406
389
-70
-7
85
313
1,305
113
156
85
652
336
-291
82
-255
-178
4,615
77
274
595
109
-1
80
207
339
407
51
9
201
7
14
155
266
184
590
33
197
87
79
105
33
20
155
201
118
118
150
-424
269
243
-631
-11,402
140
388
195
292
95
278
30
32
102
100
191
-505
-613
91
390
141
268
215
212
311
139
204
278
426
23
3,259
607
22
792
-93
2,373
32
646
530
358
183
1,482
52
454
413
1,479
162
115
2,404
283
746
107
-1
412
114
122
65
324
-234
-1,457
-116
-125
-68
556
327
129
-5
-7
31
37
181
-26
1,680
61
4
12
-3
885
402
512
463
29
-25
593
-664
314
565
-275
-13
1,000
36
135
-65
-7
141
-30
-69
-366
-1,566
-426
-428
-403
-606
-223
-775
144
369
-24
-71
94
110
2
7
-62
6
-62
20
24
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
78,542
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
48,844
967,953
0.050461
2017
41,925
934,403
0.044868
2016
41,293
848,115
0.048688
2015
41,660
882,951
0.047183
2014
41,979
878,045
0.04781
2
Total
of line 1, column (d)
.....................
2
0.23901
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
0.047802
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
958,620
5
Multiply line 4 by line 3
......................
5
45,824
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
844
7
Add lines 5 and 6
........................
7
46,668
8
Enter qualifying distributions from Part XII, line 4
,.............
8
49,882
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
844
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
844
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
844
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
488
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
488
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
356
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)
UT
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
ARDEN TRUST COMPANY
Telephone no.
(302) 246-5400
Located at
2751 CENTERVILLE RD STE 400
WILMINGTON
DE
ZIP+4
19808
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
No
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
ARDEN TRUST COMPANY
TRUSTEE
1
4,831
2751 CENTERVILLE RD STE 400
WILMINGTON
,
DE
19808
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
908,913
b
Average of monthly cash balances
.......................
1b
64,305
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
973,218
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
973,218
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
14,598
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
958,620
6
Minimum investment return.
Enter 5% of line 5
..................
6
47,931
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
47,931
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
844
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
844
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
47,087
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
47,087
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
47,087
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
49,882
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
49,882
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
844
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
49,038
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
47,087
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
14,173
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:
$
49,882
a
Applied to 2018, but not more than line 2a
14,173
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
.....
35,709
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
..........
11,378
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
YALE UNIVERSITY ATTN GEORGE
PO BOX 208214
NEW HAVEN
,
CT
065208214
NONE
PC
GENERAL OPERATING
24,087
SHRINERS HOSPITAL FOR CHILDREN
12502 USF PINE DRIVE
TAMPA
,
FL
336313356
NONE
PC
GENERAL OPERATING
24,087
Total
.................................
3a
48,174
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
22,447
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
78,542
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FEDERAL TAX REFUND
1
480
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
101,469
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
101,469
(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