-
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
WILLIAM HOWARD FLOWERS JR FOUNDATION
INC
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 6100
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
THOMASVILLE
,
GA
317586100
A Employer identification number
58-1399036
B
Telephone number (see instructions)
(229) 225-5454
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)
$
95,806,956
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)
439,164
2
Check
.............
3
Interest on savings and temporary cash investments
69,294
69,294
4
Dividends and interest from securities
...
2,673,237
2,673,237
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
1,985,226
b
Gross sales price for all assets on line 6a
5,621,183
7
Capital gain net income (from Part IV, line 2)
...
1,985,226
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
5,166,921
4,727,757
13
Compensation of officers, directors, trustees, etc.
42,197
0
42,197
14
Other employee salaries and wages
......
27,326
0
27,326
15
Pension plans, employee benefits
.......
7,781
0
7,781
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
14,665
7,333
7,332
c
Other professional fees (attach schedule)
....
59,459
29,729
29,730
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
94,161
371
5,319
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
10,575
30
10,545
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
256,164
37,463
130,230
25
Contributions, gifts, grants paid
.......
4,558,500
4,558,500
26
Total expenses and disbursements.
Add lines 24 and 25
4,814,664
37,463
4,688,730
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
352,257
b
Net investment income
(if negative, enter -0-)
4,690,294
c
Adjusted net income
(if negative, enter -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
.............
289,993
77,646
77,646
2
Savings and temporary cash investments
.........
5,015,042
598,691
598,691
3
Accounts receivable
Less: allowance for doubtful accounts
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
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)
.......
68,057,444
83,343,778
83,343,778
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)
..........
9,865,020
11,782,205
11,782,205
14
Land, buildings, and equipment: basis
10,086
Less: accumulated depreciation (attach schedule)
10,086
15
Other assets (describe
)
0
4,636
4,636
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
83,227,499
95,806,956
95,806,956
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
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
83,227,499
95,806,956
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
........
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)
.....
83,227,499
95,806,956
30
Total liabilities and net assets/fund balances
(see instructions)
.
83,227,499
95,806,956
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
83,227,499
2
Enter amount from Part I, line 27a
.....................
2
352,257
3
Other increases not included in line 2 (itemize)
3
13,377,404
4
Add lines 1, 2, and 3
..........................
4
96,957,160
5
Decreases not included in line 2 (itemize)
5
1,150,204
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
95,806,956
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
PIMCO ETF TRUST
P
2019-07-23
2019-11-22
b
FORD MOTOR CO
P
2013-06-05
2019-07-25
c
STANLEY BLACK & DECKER
P
2013-10-18
2019-09-04
d
STEPAN CO
P
2011-06-16
2019-03-14
e
CENOVUS ENERGY INC
P
2010-07-01
2019-01-24
SENSIENT TECHNOLOGIES
P
2002-07-25
2019-10-21
SENSIENT TECHNOLOGIES
P
2003-11-14
2019-10-21
SNAP-ON INC
P
2003-10-01
2019-01-23
TOTAL SYSTEMS SVC INC
P
2000-01-01
2019-03-14
TOTAL SYSTEMS SVC INC
P
1999-01-06
2019-03-14
CAPITAL GAINS 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
1,525,759
1,526,508
-749
b
236,236
395,010
-158,774
c
1,304,448
765,693
538,755
d
447,405
168,366
279,039
e
113,683
392,129
-278,446
300,275
96,652
203,623
600,549
188,386
412,163
484,363
84,240
400,123
138,277
18,116
120,161
2,854
857
1,997
467,334
467,334
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
-749
b
-158,774
c
538,755
d
279,039
e
-278,446
203,623
412,163
400,123
120,161
1,997
467,334
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
1,985,226
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
4,178,214
92,412,332
0.045213
2017
4,266,482
88,289,436
0.048324
2016
5,270,672
84,069,982
0.062694
2015
4,589,525
101,717,153
0.045120
2014
4,950,030
94,279,741
0.052504
2
Total
of line 1, column (d)
.....................
2
0.253855
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
0.050771
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
95,541,049
5
Multiply line 4 by line 3
......................
5
4,850,715
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
46,903
7
Add lines 5 and 6
........................
7
4,897,618
8
Enter qualifying distributions from Part XII, line 4
,.............
8
4,688,730
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
93,806
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
93,806
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
93,806
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
82,215
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
35,000
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
117,215
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
72
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
23,337
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
23,337
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
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)
GA
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
JONI SMITH
Telephone no.
(229) 225-5454
Located at
PO BOX 6100
THOMASVILLE
GA
ZIP+4
31792
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
DAPHNE F WOOD
TREASURER
0.00
0
0
0
676 LIVE OAK LANE
MONTICELLO
,
FL
31626
TALIAFERRO F CROZER
PRESIDENT
0.00
0
0
0
2970 FOXGLOVE ROAD
WILSON
,
WY
83014
MAURY FLOWERS SHIELDS
VICE PRESIDENT
0.00
0
0
0
210 EL BRILLO WAY
PALM BEACH
,
FL
33480
KAYE REYNOLDS
SECRETARY
40.00
42,197
3,423
0
PO BOX 6100
THOMASVILLE
,
GA
31757
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
FIRST CLEARING LLC
INVESTMENT MANAGEMENT
59,459
2801 MARKET STREET
SAINT LOUIS
,
MO
63103
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
.........................
0
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
94,949,518
b
Average of monthly cash balances
.......................
1b
2,046,471
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
96,995,989
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
96,995,989
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,454,940
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
95,541,049
6
Minimum investment return.
Enter 5% of line 5
..................
6
4,777,052
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
4,777,052
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
93,806
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
93,806
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
4,683,246
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
4,683,246
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
4,683,246
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
4,688,730
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
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
4,688,730
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
4,688,730
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
4,683,246
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
364,514
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
4,688,730
a
Applied to 2018, but not more than line 2a
364,514
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
.....
4,324,216
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
..........
359,030
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
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
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).)
MAURY FLOWERS SHIELDS
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
1000 FRIENDS OF FLORIDA
PO BOX 5948
TALLAHASSEE
,
FL
32314
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
ALAQUA ANIMAL REFUGE
914 WHITEFIELD ROAD
FREEPORT
,
FL
32439
N/A
PUBLIC CHARITY
OPERATING EXPENSES
15,000
ALBANY AREA QUAIL PROGRAM
13093 HENRY BEADEL DR
TALLAHASSEE
,
FL
32312
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
ALL SAINTS EPISCOPAL CHURCH
PO BOX 2626
THOMASVILLE
,
GA
31799
N/A
CHURCH
OPERATING EXPENSES
182,000
AMERICAN FARM LAND TRUST
1150 CONNECTICUT AVE NW SUITE 600
WASHINGTON
,
DC
20036
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
AMERICAN FRIENDS OF THE BROOKE
4089 IRON WORKS PKWY
LEXINGTON
,
KY
40511
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
ANGEL FLIGHT SOARS INC
2000 AIRPORT ROAD SUITE 227
ATLANTA
,
GA
30341
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
ANGEL TREE
PO BOX 1550
MERRIFIELD
,
VA
22116
N/A
PUBLIC CHARITY
OPERATING EXPENSES
190,000
ANIMAL RESCUE COALITION OF GA
664 BOND ST
THOMASVILLE
,
GA
31757
N/A
PUBLIC CHARITY
OPERATING EXPENSES
45,000
APALACHICOLA RIVERKEEPERS
BOX 8 232 B WATER STREET
APALACHICOLA
,
FL
32320
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
ARCHBOLD FOUNDATION INC
P O BOX 1018
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITIES
SCHOLARSHIP FUND
175,000
AUCILLA CHRISTIAN SCHOOL
7803 AUCILLA HWY
MONTICELLO
,
FL
32344
N/A
EDUCATIONAL INST.
OPERATING EXPENSES
25,000
AZALEA CITY PRISON MINISTRY INC
7566 HWY 84 W
QUITMAN
,
GA
31643
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
BAT CONSERVATION INTERNATIONAL
PO BOX 140434
AUSTIN
,
TX
78714
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
BELMONT CHILD CARE ASSC INC
2150 HEMPSTEAD TURNPIKE
ELMONT
,
NY
11003
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
BEST FRIENDS DOG RESCUE INC
1330 BOLD SPRINGS RD
CAIRO
,
GA
39827
N/A
PUBLIC CHARITY
OPERATING EXPENSES
40,000
BIG BEND HOSPICE
205 N MULBERRY ST
TALLAHASSEE
,
FL
32308
N/A
PUBLIC CHARITY
OPERATING EXPENSES
40,000
BIRDSONG NATURE CENTER
2106 MERIDIAN ROAD
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
500
BISHOP HALL
220 NORTH PINETREE BLVD
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
25,000
BOONE AND CROCKET
250 STATION DRIVE
MISSOULA
,
MT
59801
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,000
BOSTON CARNEGIE LIBRARY
PO BOX 310
BOSTON
,
GA
31626
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
BOSTON PARKS SUMMER OUTREACH PROGRAM
PO BOX 370
BOSTON
,
GA
31626
N/A
PUBLIC CHARITY
OPERATING EXPENSES
15,000
BOULDER CREST
PO BOX 117
BLUEMONT
,
VA
20135
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
BOYS & GIRLS CLUB OF BROOKS COUNTY
PO BOX 682
VALDOSTA
,
GA
31603
N/A
PUBLIC CHARITY
OPERATING EXPENSES
95,000
BREAKTHROUGH ATLANTA THE LOVETT SCHOOL
4075 PACES FERRY RD NW
ATLANTA
,
GA
30327
N/A
PUBLIC CHARITY
OPERATING EXPENSES
6,500
BROOKWOOD SCHOOL
301 CARDINAL RIDGE ROAD
THOMASVILLE
,
GA
31792
N/A
EDUCATIONAL INST.
DEFRAY OPERATING EXPENSES
570,000
CAMP ARROW
PO BOX 647
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
15,000
CAMP MERRIE-WOODE
100 MERRIE-WOODE RD
SAPPHIRE
,
NC
28774
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
CAMP SUNSHINE
1850 CLAIRMONT ROAD
DECATUR
,
GA
30033
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,000
CAMPUS CRUSADE FOR CHRIST - JESUS FILM PROJECT
PO BOX 628222
ORLANDO
,
FL
32862
N/A
CHURCH
OPERATING EXPENSES
20,000
CAMPUS CRUSADE FOR CHRIST
100 LAKE HART DRIVE 3600
ORLANDO
,
FL
32862
N/A
CHURCH
OPERATING EXPENSES
80,000
CASHIERS -GLENVILLE VOLUNTEER FIRE DEPT
P O BOX 1978
CASHIERS
,
NC
28717
N/A
PUBLIC CHARITY
OPERATING EXPENSES
2,500
CASHIERS AREA HUMANE SOCIETY
P O BOX 638
CASHIERS
,
NC
28717
N/A
PUBLIC CHARITY
OPERATING EXPENSES
2,500
CATHEDRAL OF ST PHILIP
2744 PEACHTREE RD NW
ATLANTA
,
GA
30305
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
CHARLOTTESVILLE AREA COMMUNITY FOUNDATION
PO BOX 1767
CHARLOTTESVILLE
,
VA
22902
N/A
FOUNDATION
OPERATING EXPENSES
2,500
CIVIL WAR PRESERVATION TRUST
1156 15TH STREET NW SUITE 900
WASHINGTON
,
DC
20005
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
COMMUNITY FOUNDATION OF JACKSON HOLE
PO BOX 574
JACKSON
,
WY
83001
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
CONGRESSIONAL SPORTSMEN'S FOUNDATION - FLORIDA STATE RESOURCE FUND
110 NORTH CAROLINE AVE SE
WASHINGTON
,
DC
20003
N/A
FOUNDATION
OPERATING EXPENSES
5,000
DANCING CLOUD RESCUE
P O BOX 6
OCHLOCKNEE
,
GA
31773
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,000
DELTA WATERFOWL
PO BOX 3128
BISMARCK
,
ND
58502
N/A
PUBLIC CHARITY
OPERATING EXPENSES
25,000
DOG IS MY COPILOT
PO BOX 3399
JACKSON
,
WY
83001
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
DPR LLC
13093 HENRY BEADEL DR
TALLAHASSEE
,
FL
32312
N/A
PUBLIC CHARITY
OPERATING EXPENSES
100,000
EBENEZER METHODIST CHURCH
3905 REICHERTVILLE RD
BOSTON
,
GA
31626
N/A
CHURCH
OPERATING EXPENSES
1,000
ELIZABETH MISSIONARY BAPTIST CHURCH
669 GROOVER ROAD
MONTICELLO
,
FL
32344
N/A
CHURCH
OPERATING EXPENSES
1,000
EQUESTRIAN LAND CONSERVATION RESOURCE
4037 IRON WORKS PIKE SUITE 120
LEXINGTON
,
KY
40511
N/A
PUBLIC CHARITY
OPERATING EXPENSES
40,000
FELLOWSHIP OF CHRISTIAN ATHLETES
PO BOX 466
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
25,000
FIRST MISSIONARY BAPTIST CHURCH
P O BOX 1233
THOMASVILLE
,
GA
31792
N/A
CHURCH
OPERATING EXPENSES
10,000
FISH & WILDLIFE FOUNDATION
PO BOX 11010
TALLAHASSEE
,
FL
32302
N/A
FOUNDATION
OPERATING EXPENSES
125,000
FIX GEORGIA PETS
6300 POWERS FERRY RD SUITE 600-205
ATLANTA
,
GA
30339
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
FOCUS ON THE FAMILY
8655 EXPLORER DRIVE
COLORADO SPRINGS
,
CO
80995
N/A
PUBLIC CHARITY
OPERATING EXPENSES
25,000
GENTLE GIANT DRAFT HORSE RESCUE
17250 OLD FREDERICK RD
MT AIRY
,
MD
21771
N/A
PUBLIC CHARITY
OPERATING EXPENSES
6,000
GIDEON INTERNATIONAL
PO BOX 2361
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
GLASGOW AME CHURCH
1279 PARRAMORE FISH POND RD
BOSTON
,
GA
31626
N/A
CHURCH
OPERATING EXPENSES
2,000
GLENVILLE-CASHIERS RESCUE SQUAD INC
P O BOX 919
CASHIERS
,
NC
28717
N/A
PUBLIC CHARITY
OPERATING EXPENSES
2,500
GRATEFUL GOLDENS RESCUE OF THE LOW COUNTRY
PO BOX 2799
MYRTLE BEACH
,
SC
29578
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
GRAYSON-JOCKEY CLUB RESEARCH FOUNDATION
40 EAST 52ND ST 15TH FLOOR
NEW YORK
,
NY
10022
N/A
FOUNDATION
OPERATING EXPENSES
25,000
HALCYON HOME INC
PO BOX 1838
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
30,000
HANDS & HEARTS FOR HORSES
PO BOX 1095
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
16,000
HANDS ON THOMAS COUNTY
PO BOX 252
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
31,000
HEADSTRONG PROJECT
655 MADISON AVE 18TH FLOOR
NEW YORK
,
NY
10065
N/A
PUBLIC CHARITY
OPERATING EXPENSES
80,000
HIGHLANDSCASHIERS HOSPITAL FOUND
PO BOX 742
HIGHLANDS
,
NC
28741
N/A
FOUNDATION
OPERATING EXPENSES
5,000
HOMES FOR OUR TROOPS
6 MAIN STREET
TAUNTON
,
MA
02780
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
HOOVED ANIMAL HUMANE SOCIETY
10804 MCCONNELL ROAD
WOODSTOCK
,
IL
60098
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
HOOVED ANIMAL RESCUE & PROTECTION SOCIETY
PO BOX 94
BARRINGTON
,
IL
60011
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
HOSPICE OF SOUTHWEST GEORGIA - ARCHBOLD FOUNDATION INC
910 S BROAD ST
THOMASVILLE
,
GA
31792
N/A
FOUNDATION
OPERATING EXPENSES
30,000
HOUND WELFARE FUND
PO BOX 55610
LEXINGTON
,
KY
40555
N/A
PUBLIC CHARITY
OPERATING EXPENSES
500
HUNT STAFF BENEFIT FOUNDATION
PO BOX 363
MILLWOOD
,
VA
22646
N/A
FOUNDATION
OPERATING EXPENSES
1,000
JACKSON HOLE LAND TRUST
PO BOX 2897
JACKSON
,
WY
83001
N/A
FOUNDATION
OPERATING EXPENSES
1,000
JEFFERSON COUNTY HUMANE SOCIETY
PO BOX 954
MONTICELLO
,
FL
32345
N/A
PUBLIC CHARITIES
OPERATING EXPENSES
61,000
JEFFERSON SENIOR CITIZENS CENTER
1155 N JEFFERSON ST
MONTICELLO
,
FL
32344
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,000
JIM NEILL MEMORIAL FOUNDATION FUND
P O BOX 2654
THOMASVILLE
,
GA
31799
N/A
FOUNDATION
OPERATING EXPENSES
1,000
JUDICIAL WATCH
425 THIRD STREET SW SUITE 800
WASHINGTON
,
DC
20024
N/A
PUBLIC CHARITIES
OPERATING EXPENSES
50,000
KINDNESS RANCH ANIMAL SANCTUARY
854 STATE HIGHWAY 270
HARTVILLE
,
WY
82215
N/A
PUBLIC CHARITIES
OPERATING EXPENSES
2,000
LAND TRUST ALLIANCE
1600 L STREET NW SUITE 1100
WASHINGTON
,
DC
20036
N/A
PUBLIC CHARITIES
OPERATING EXPENSES
1,000
LASSAC MISSIONARY METHODIST CHURCH
1683 PARRAMORE FISHPOND ROAD
BOSTON
,
GA
31626
N/A
CHURCH
OPERATING EXPENSES
6,000
LAWSON NEEL MEDBANK INC
PO BOX 5756
THOMASVILLE
,
GA
31758
N/A
PUBLIC CHARITY
OPERATING EXPENSES
50,000
LEWIS HALL SINGLETARY ONCOLOGY CENTER
910 SOUTH BROAD ST
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
25,000
LIVE OAK HOUNDS PONY CLUB
201 BERRYHILL LANE
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
LIVES WITHOUT LIMITS
PO BOX 1652
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
LUCKY'S PLACE
PO BOX 654
THAYNE
,
WY
83127
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
LYFORD CAY CLUB CHARITABLE TRUST
6401 LYONS RD
COCONUT CREEK
,
FL
33073
N/A
FOUNDATION
OPERATING EXPENSES
10,000
MFHA EDUCATION FOUNDATION
PO BOX 363
MILLWOOD
,
VA
22646
N/A
FOUNDATION
OPERATING EXPENSES
120,000
MADEIRA SCHOOL
8328 GEORGETOWN PIKE
MCLEAN
,
VA
22102
N/A
EDUCATIONAL INST.
OPERATING EXPENSES
13,500
MAKE-A-WISH FOUNDATION GEORGIA
1775 THE EXCHANGE SE SUITE 200
ATLANTA
,
GA
30339
N/A
FOUNDATION
OPERATING EXPENSES
5,000
MD ANDERSON CANCER CENTER
PO BOX 4486
HOUSTON
,
TX
77210
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,000
MISS KITTY FELINE SANCTURAY INC
PO BOX 22
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
41,000
MONTICELLO OPERA HOUSE INC ENDOWMENT FUND
PO BOX 518
MONTICELLO
,
FL
32345
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
MOUNT PILGRAM BAPTIST CHURCH
431 SOUTH PINETREE BLVD
THOMASVILLE
,
GA
31792
N/A
CHURCH
OPERATING EXPENSES
1,000
MOUNT PLEASANT AME CHURCH
125 GROOVER ROAD
MONTICELLO
,
FL
32344
N/A
CHURCH
OPERATING EXPENSES
1,000
MT MORIAH MISSIONARY BAPTIST CHURCH
PO BOX 549
BOSTON
,
GA
31626
N/A
CHURCH
OPERATING EXPENSES
1,000
MUSEUM OF HOUNDS & HUNTING
2598 FIVE POINTS RD
MARSHALL
,
VA
20115
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
NATIONAL ANIMAL INTEREST ALLIANCE
P O BOX 66579
PORTLAND
,
OR
97290
N/A
PUBLIC CHARITIES
OPERATING EXPENSES
10,000
NATIONAL CENTER FOR MISSING AND EXPLOITED CHILDREN
699 PRINCE STREET
ALEXANDRIA
,
VA
22314
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
NATIONAL MUSEUM OF RACING
191 UNION AVENUE
SARATOGA SPRINGS
,
NY
12866
N/A
PUBLIC CHARITY
OPERATING EXPENSES
30,000
NATIONAL MUSEUM OF WILDLIFE ART
PO BOX 6825
JACKSON
,
WY
83002
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
NATIONAL RIFLE ASSOCIATION OF AMERICA
11250 WAPLES MILL ROAD
FAIRFAX
,
VA
22030
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
NATIONAL SPORTING LIBRARY
PO BOX 1335
MIDDLEBURG
,
VA
20118
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
NEPENTHIC SOCIETY INC
2474 GATLIN CREEK ROAD
THOMASVILLE
,
GA
31757
N/A
PUBLIC CHARITY
OPERATING EXPENSES
31,000
NEVER LOST INC
PO BOX 1034
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
21,000
NEW ENGLAND FORESTRY FOUNDATION
PO BOX 1346
LITTLETON
,
MA
01460
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
NEW JERUSALEM CHURCH OF GOD IN UNITY
PO BOX 653
BOSTON
,
GA
31626
N/A
CHURCH
OPERATING EXPENSES
1,000
NEW OAK GROVE MB CHURCH
3333 REICHERTVILLE ROAD
BOSTON
,
GA
31626
N/A
CHURCH
OPERATING EXPENSES
1,000
NORTHWOODS CHURCH OF GOD
640 HALL ROAD
THOMASVILLE
,
GA
31757
N/A
CHURCH
OPERATING EXPENSES
1,000
NPLB
POBOX 132
LIBERTYTOWN
,
MD
21762
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
OHSU FOUNDATION
PO BOX 4000 MAIL STOP 45
PORTLAND
,
OR
97208
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
OLIVE BAPTIST CHURCH
6063 BOSTON HWY
MONTICELLO
,
FL
32344
N/A
CHURCH
OPERATING EXPENSES
1,000
OPERATION SECOND CHANCE
PO BOX 461
CLARKSBURG
,
MD
20871
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
PACIFIC JUSTICE INSTITUTE
PO BOX 276600
SACRAMENTO
,
CA
95827
N/A
PUBLIC CHARITY
OPERATING EXPENSES
25,000
PARTNERS ASIA
220 SECOND AVE SOUTH
SEATTLE
,
WA
98104
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
PINTLER PETS
PO BOX 1204
ANACONDA
,
MT
59711
N/A
PUBLIC CHARITY
OPERATING EXPENSES
15,000
POINTER RESCUE ORG INC
160 FINLEY ROAD
BRIDGETON
,
NJ
08302
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
POPES MUSEUM PRESERVATION INC
192 POPE STORE RD
OCHLOCKNEE
,
GA
31773
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
PRAGER UNIVERSITY
15021 VENTURA BLVD 552
SHERMAN OAKS
,
CA
91403
N/A
EDUCATIONAL INST.
OPERATING EXPENSES
50,000
PRISON FELLOWSHIP MINISTRIES
PO BOX 1550
MERRIFIELD
,
VA
22116
N/A
PUBLIC CHARITY
OPERATING EXPENSES
130,000
RED HILLS HORSE TRIALS INC
POBOX 14869
TALLAHASSEE
,
FL
32317
N/A
PUBLIC CHARITY
OPERATING EXPENSES
2,500
REICHERTVILLE VOLUNTEER FIRE DEPARTMENT
3485 REICHERTVILLE ROAD
BOSTON
,
GA
31626
N/A
PUBLIC CHARITY
OPERATING EXPENSES
12,000
ROOT 316 MINISTRIES
442 PATTERSON STILL ROAD
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITIES
OPERATING EXPENSES
2,500
RTCA
40 E 52ND ST
NEW YORK
,
NY
10022
N/A
PUBLIC CHARITIES
OPERATING EXPENSES
10,000
SALVATION ARMY
PO BOX 66
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
35,000
SAMARTIAN'S PURSE
PO BOX 3000
BOONE
,
NC
28607
N/A
PUBLICE CHARITY
OPERATING EXPENSES
50,000
SCOTT SENIOR CENTER COUNCIL ON AGING
611 N STEVENS ST
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
SECOND HARVEST OF SOUTH GEORGIA INC
14121 HARBIN CIRCLE
VALDOSTA
,
GA
31601
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
SERVICE DOGS OF ALABAMA
8365 MOBILE HIGHWAY
HOPE HULL
,
AL
36043
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
SHEPHERD SPINAL CLINIC
2020 PEACHTREE RD NW
ATLANTA
,
GA
30309
N/A
PUBLIC CHARITY
OPERATING EXPENSES
60,000
SOUTH GEORGIA BALLET
PO BOX 1192
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
SOUTH GEORGIA LOW COST SPAY & NEUTER CLINIC
425 COVINGTON AVENUE
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
120,000
SOUTHEASTERN GUIDE DOGS INC
4210 77TH ST E
PALMETTO
,
FL
34221
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
SOUTHEASTERN LEGAL FOUNDATION INC
2255 SEWELL MILL ROAD SUITE 320
MARIETTA
,
GA
30062
N/A
FOUNDATION
OPERATING EXPENSES
25,000
SOUTHERN JUNIOR RODEO ASSOCIATION INC
4961 NW CR 253
GREENVILLE
,
FL
32331
N/A
PUBLIC CHARITY
OPERATING EXPENSES
2,000
SOUTHERN REGIONAL TECHNICAL COLLEGE FOUNDATION
15689 US 19 N
THOMASVILLE
,
GA
31792
N/A
FOUNDATION
OPERATING EXPENSES
25,000
SPORTMEN'S ALLIANCE
801 KINGSMILL PARKWAY
COLUMBUS
,
OH
43229
N/A
PUBLIC CHARITY
OPERATING EXPENSES
50,000
ST JUDE CHILDREN'S RESEARCH HOSPITAL
P O BOX 50
MEMPHIS
,
TN
38101
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
SWEETLAND MISSIONARY BAPTIST CHURCH
P O BOX 3
MONTICELLO
,
FL
32345
N/A
CHURCH
OPERATING EXPENSES
3,750
TALL TIMBERS RESEARCH
13093 HENRY BEADEL DRIVE
TALLAHASSEE
,
FL
32312
N/A
PUBLIC CHARITY
OPERATING EXPENSES
109,250
TALLAHASSEE MUSEUM
3945 MUSEUM DRIVE
TALLAHASSEE
,
FL
32310
N/A
PUBLIC CHARITY
OPERATING EXPENSES
2,000
TETON SCIENCE SCHOOL
700 COYOTE CANYON RD
JACKSON
,
WY
83001
N/A
EDUCATIONAL INST.
OPERATING EXPENSES
2,000
THE ANIMAL ADOPTION CENTER
PO BOX 8532
JACKSON
,
WY
83002
N/A
PUBLIC CHARITY
OPERATING EXPENSES
15,000
THE CONSERVATION FUND
100 EDGEWOOD AVE NE SUITE 930
ATLANTA
,
GA
30303
N/A
FOUNDATION
OPERATING EXPENSES
1,000
THE FUTURE OF HUNTING IN FLORIDA INC
PO BOX 10949
TALLAHASSEE
,
FL
32302
N/A
FOUNDATION
OPERATING EXPENSES
19,500
THE GEORGE WASHINGTON FOUNDATION
1201 WASHINGTON AVE
FREDERICKSBURG
,
VA
22401
N/A
FOUNDATION
OPERATING EXPENSES
10,000
THE HERITAGE FOUNDATION
214 MASSACHUSETTES AVE NE
WASHINGTON
,
DC
20002
N/A
FOUNDATION
OPERATING EXPENSES
125,000
THE JOCKEY CLUB SAFETY NET FOUNDATION
40 EAST 52ND ST
NEW YORK
,
NY
10022
N/A
FOUNDATION
OPERATING EXPENSES
25,000
THE LONGLEAF ALLIANCE
12130 DIXON CENTER ROAD
ANDALUSIA
,
AL
36420
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
THE MAILBOX CLUB INC
404 EAGER ROAD
VALDOSTA
,
GA
31602
N/A
PUBLIC CHARITY
OPERATING EXPENSES
35,000
THE OPEN DOOR ADOPTION AGENCY
PO BOX 4
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
THE UNITED STATES PONY CLUBS INC
4041 IRON WORKS PARKWAY
LEXINGTON
,
KY
40511
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
THEODORE ROOSEVELT CONSERVATION
1660 L STREET NW SUITE 208
WASHINGTON
,
DC
20036
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
THOMAS COUNTY 4-H
PO BOX 49
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,500
THOMAS COUNTY FIRE - BOSTON FIRE STATION
3485 REICHERTVILLE ROAD
BOSTON
,
GA
31626
N/A
POLICITAL SUB. OF ST
OPERATING EXPENSES
5,000
THOMAS COUNTY FOOD BANK
PO BOX 2422
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
15,000
THOMAS COUNTY HISTORICAL SOCIETY
PO BOX 1922
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
36,000
THOMAS COUNTY SHERIFFS OFFICE
921 SMITH AVE
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
10,000
THOMAS JEFFERSON MEMORIAL FOUNDATION
PO BOX 217
CHARLOTTESVILLE
,
VA
22902
N/A
FOUNDATION
OPERATING EXPENSES
10,000
THOMAS UNIVERSITY
1501 MILLPOND ROAD
THOMASVILLE
,
GA
31792
N/A
EDUCATIONAL INST.
OPERATING EXPENSES
10,000
THOMAS-GRADY ARC
PO BOX 994
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,000
THOMASVILLE ANTIQUES SHOW FOUNDATION INC
PO BOX 1633
THOMASVILLE
,
GA
31799
N/A
FOUNDATION
OPERATING EXPENSES
11,000
THOMASVILLE BOYS AND GIRLS CLUB
PO BOX 3026
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
30,000
THOMASVILLE CENTER FOR THE ARTS
PO BOX 2177
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
26,000
THOMASVILLE COMMUNITY RESOURCE CENTER
PO BOX 1897
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
47,500
THOMASVILLE ENTERTAINMENT FOUNDATION
PO BOX 1976
THOMASVILLE
,
GA
31799
N/A
FOUNDATION
OPERATING EXPENSES
5,000
THOMASVILLE HIGH SCHOOL BAND
PO BOX 2654
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
THOMASVILLE LANDMARKS
PO BOX 1285
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
163,500
THOMASVILLE MUSIC & DRAMA TROUPE INC
PO BOX 284
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
THOMASVILLE POLICE DEPARTMENT
921 SMITH AVENUE
THOMASVILLE
,
GA
31792
N/A
POLICITAL SUB. OF ST
OPERATING EXPENSES
20,000
THOMASVILLE-THOMAS COUNTY HUMANE SOCIETY
180 BIG STAR DR
THOMASVILLE
,
GA
31757
N/A
PUBLIC CHARITY
OPERATING EXPENSES
17,500
THS TIP-OFF CLUB INC
PO BOX 6411
THOMASVILLE
,
GA
31758
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
TIGER HAVEN
237 HARVEY ROAD
KINGSTON
,
TN
37763
N/A
PUBLIC CHARITY
OPERATING EXPENSES
2,000
UNITED WATERFOWLERS - FLORIDA INC
45 POPLAR RD
TEQUESTA
,
FL
33469
N/A
PUBLIC CHARITY
OPERATING EXPENSES
2,000
UNIVERSITY OF FLORIDA FOUNDATION INC
PO BOX 14425
GAINESVILLE
,
FL
32604
N/A
EDUCATIONAL INST.
OPERATING EXPENSES
10,000
UNIVERSITY OF GEORGIA FOUNDATION
225 HENTY DR
ATHENS
,
GA
30602
N/A
EDUCATIONAL INST.
OPERATING EXPENSES
15,000
UNIVERSITY OF VIRGINIA
PO BOX 400314
CHARLOTTESVILLE
,
VA
22904
N/A
EDUCATIONAL INST.
OPERATING EXPENSES
10,000
USO
PO BOX 96860
WASHINGTON
,
DC
20077
N/A
PUBLIC CHARITY
OPERATING EXPENSES
1,000
VASHTI CENTER
1815 EAST CLAY STREET
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
5,000
VETERANS ADMINISTRATION OF THOMAS COUNTY
2885 HORRY AVE
CAIRO
,
GA
39828
N/A
PUBLIC CHARITY
OPERATING EXPENSES
25,000
VMI FOUNDATION
PO BOX 932
LEXINGTON
,
VA
24450
N/A
PUBLIC CHARITY
OPERATING EXPENSES
25,000
WESTMORELAND DAVIS MEMORIAL FOUNDATION INC
P O BOX 6228
LEESBURG
,
VA
20178
N/A
FOUNDATION
OPERATING EXPENSES
1,000
YMCA - BUTLER-MASON
1304 REMINGTON AVE
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,000
YMCA - DAWSON STREET CENTER
PO BOX 1037
THOMASVILLE
,
GA
31799
N/A
PUBLIC CHARITY
OPERATING EXPENSES
60,000
YMCA - FRANCIS F WESTON CENTER
416 W CLAY ST
THOMASVILLE
,
GA
31792
N/A
PUBLIC CHARITY
OPERATING EXPENSES
20,000
Total
.................................
3a
4,558,500
b
Approved for future payment
Total
.................................
3b
0
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
...........
14
69,294
4
Dividends and interest from securities
....
14
2,673,237
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
1,985,226
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
4,727,757
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
4,727,757
(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