TY 2019 Form 990PF

- TIN:

Form990-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.
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Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0052

2019

Open to Public Inspection

For calendar year 2019, or tax year beginning 01-01-2019 , and ending 12-31-2019

Name of foundation
PETER H AND E LUCILLE GAASS KUYPER
FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)617 FRANKLIN PLACE SUITE 200
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
PELLA, IA50219

A Employer identification number

23-7068402

B Telephone number (see instructions)

(641) 621-3834

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

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 ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$12,470,688J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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	(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	45		45
4	Dividends and interest from securities...	291,554		291,554
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		80,934
b	Gross sales price for all assets on line 6a 6,099,755
7	Capital gain net income (from Part IV, line 2)...			80,934
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).......		20,100	20,100
12	Total. Add lines 1 through 11........	392,633		392,633
13	Compensation of officers, directors, trustees, etc.	0		0	0
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		4,005	2,003	0
c	Other professional fees (attach schedule)....		99,537	96,779	0
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		17,015	14,219	0
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	120,557		113,001	0
25	Contributions, gifts, grants paid.......	575,200			705,200
26	Total expenses and disbursements. Add lines 24 and 25	695,757		113,001	705,200
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-303,124
b	Net investment income (if negative, enter -0-)			279,632
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	6,460	5,638	5,638
	2	Savings and temporary cash investments.........
	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..........	-1,827	2,377	2,377
	10a	Investments—U.S. and state government obligations (attach schedule)	884,854	180	180
	b	Investments—corporate stock (attach schedule).......	8,098,807	9,452,370	9,452,370
	c	Investments—corporate bonds (attach schedule).......	2,157,782	2,844,782	2,844,782
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	265,997	165,341	165,341
	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)	11,412,073	12,470,688	12,470,688
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................	690,500	560,500
	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).........	690,500	560,500
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	10,721,573	11,910,188
	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).....	10,721,573	11,910,188
	30	Total liabilities and net assets/fund balances (see instructions).	11,412,073	12,470,688

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

10,721,573

Enter amount from Part I, line 27a .....................

-303,124

Other increases not included in line 2 (itemize) bullet

1,492,513

Add lines 1, 2, and 3 ..........................

11,910,962

Decreases not included in line 2 (itemize) bullet

774

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

11,910,188

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	35,273.286 SHARES INVESCO COSERVATIVE INC A STOCK	P	2019-10-04	2019-12-19
b	TREASURY BOND 912796OH5	P	2018-11-30	2019-01-16
c	TREASURY BOND 912796UP2	P	2019-01-15	2019-01-15
d	TREASURY BOND 912796UP2	P	2019-01-15	2019-02-19
e	TREASURY BOND 912796SL4	P	2019-04-09	2019-10-03
	TREASURY BOND 912796SL4	P	2019-04-09	2019-07-17
	3 SHARES EURONET WORLDWIDE INC STOCK	P	2019-01-07	2019-02-19
	5 SHARES FED AGRIC MTG NOV VTG STOCK	P	2018-06-22	2019-02-19
	9 SHARES INSMED INC STOCK	P	2018-03-01	2019-02-19
	12 SHARES MEDIDATA SOLUTIONS INC STOCK	P	2018-05-15	2019-02-19
	24 SHARES MYRIAD GENETIC INC STOCK	P	2018-10-15	2019-02-19
	26 SHARES OPTINOSE INC STOCK	P	2018-06-07	2019-02-19
	18 SHARES PRESTIGE CONSMR HEALTHCARE INC STOCK	P	2018-09-21	2019-02-11
	16 SHARES SHUTTERFLY INC STOCK	P	2018-10-10	2019-09-26
	5 SHARES SIX FLAGS ENTME CORP STOCK	P	2018-07-26	2019-02-19
	4 SHARES STAMPS.COM INC STOCK	P	2018-11-01	2019-05-09
	270 SHARES WEIGHT WATCHERS INTL STOCK	P	2018-12-07	2019-03-13
	WILLDAN GRP INC STOCK	P	2018-05-07	2019-02-19
	XPO LOGISTICS INC STOCK	P	2018-12-13	2019-02-19
	ACI WORLDWIDE INC STOCK	P	2015-07-23	2019-02-19
	247 SHARES ACLARIS THERAPEUTICS INC STOCK	P	2018-06-27	2019-09-16
	12 SHARES AERIE PHARMACEUTICALS INC STOCK	P	2015-09-22	2019-02-19
	16 SHARES AKEBIA THERAPEUCITCS INC STOCK	P	2015-07-23	2019-02-19
	20 SHARES BANK OZK STOCK	P	2016-07-19	2019-02-19
	6 SHARES BIOSPECIFICS TECH STOCK	P	2015-07-23	2019-02-19
	3 SHHARES BJS RESTAURANTS INC STOCK	P	2018-02-02	2019-02-19
	42 SHARES BOINGO WIRELESS INC STOCK	P	2015-07-23	2019-02-19
	24 SHARES CALAMP CORP STOCK	P	2016-03-04	2019-02-19
	4 SHARES CARBONITE INC STOCK	P	2017-09-27	2019-02-19
	23 SHARES CENTURY CASINOS INC STOCK	P	2015-07-23	2019-02-19
	39 SHARES CEVA INC STOCK	P	2015-07-23	2019-02-19
	14 SHARES CHEESCASE FACTORY INC STOCK	P	2015-07-23	2019-02-19
	8 SHARES CIMPRESS NV SHS STOCK	P	2015-07-23	2019-02-19
	99 SHARES CLOVIS ONCOLOGY STOCK	P	2017-05-03	2019-09-13
	22 SHARES COLLEGIUM PHARMACUETICAL INC STOCK	P	2017-10-04	2019-02-19
	CRITEO SA ADR STOCK	P	2016-03-04	2019-04-29
	CYPRESS SEMICONDUCTORS STOCK	P	2017-05-03	2019-10-02
	DAVE & BUSTERS ENTMT INC STOCK	P	2017-03-31	2019-02-19
	ECHO GLOBAL LOGISTICS STOCK	P	2015-07-23	2019-02-19
	145 SHARES EMERGENT BIOSOLUTIONS INC STOCK	P	2015-07-23	2019-12-04
	52 SHARES ESTERLINE TECHNOLOGIES STOCK	P	2017-05-03	2019-02-28
	11 SHARES FRANKLIN COVEY CO STOCK	P	2015-07-23	2019-02-19
	4 SHARES GRAND CANYON ED INC STOCK	P	2017-03-28	2019-02-19
	418 SHARES HAIN CELESTIAL GROUP INC STOCK	P	2017-11-17	2019-02-14
	8 SHARES INGEVITY CORP STOCK	P	2017-07-18	2019-02-19
	386 SHARES INTEGRATED DEVICES TECH STOCK	P	2018-01-30	2019-03-22
	6 SHARES ITURAN LOCATION AND CTRL LTD STOCK	P	2015-07-23	2019-02-19
	14 SHARES J2 GLOBAL INC STOCK	P	2015-07-23	2019-02-19
	15 SHARES LCI INDS STOCK	P	2015-07-23	2019-02-19
	8 SHARES LIGAND PHARMACEUTICALS INC STOCK	P	2015-07-23	2019-02-19
	19 SHARES MASONITE INTL CORP STOCK	P	2016-10-04	2019-02-19
	14 SHRES MAXIMUS INC STOCK	P	2016-03-04	2019-02-19
	190 SHARES MEDIDATA SOLUTIONS INC STOCK	P	2018-10-10	2019-10-29
	2 SHARES MEDIFAST INC STOCK	P	2015-07-23	2019-02-19
	17 SHARES MIX TELEMATICS STOCK	P	2015-07-23	2019-02-19
	6 SHARES MSC INDL DIRECT CO STOCK	P	2017-07-12	2019-02-19
	230 SHARES MYRIAD GENETIC INC STOCK	P	2018-11-01	2019-11-12
	100 SHARES AT GROCERS BY VITA CTTG STOCK	P	2017-05-03	2019-05-17
	18 SHARES NEKTAR THERAPEUTICS STOCK	P	2015-07-23	2019-02-19
	26 SHARES ON SEMICONDUCTOR CORP STOCK	P	2015-07-23	2019-02-19
	111 SHARES OXFORD INDUSTRIES STOCK	P	2017-06-05	2019-04-08
	12 SHARES PACIRA PHARMACEUTICALS INC STOCK	P	2015-07-23	2019-02-19
	15 SHARES POINTS INTL LTD STOCK	P	2015-07-23	2019-02-19
	21 SHARES POOL CORP STOCK	P	2015-07-23	2019-11-01
	47 SHARES PREMIER INC STOCK	P	2017-11-07	2019-02-19
	1009 SHARES PROGENICS PHARMACEUTICALS INC STOCK	P	2017-05-03	2019-10-31
	12 SHARES PUMA BIOTECHNOLOGY INC STOCK	P	2017-05-04	2019-02-19
	62 SHARES SEMTECH CORP STOCK	P	2017-10-17	2019-05-08
	405 SHARES SHUTTERFLY INC STOCK	P	2018-09-13	2019-09-26
	22 SHARES SHUTTERSTOCK INC STOCK	P	2016-03-04	2019-02-19
	172 SHARES SIX FLAGS ENTMT CORP STOCK	P	2018-08-28	2019-11-27
	95 SHARES STAMPS.COM INC STOCK	P	2017-05-03	2019-05-09
	14 SHARES STRATEGIC ED INC STOCK	P	2017-02-02	2019-05-31
	22 SHARES SUPERNUS PHARMACEUTICALS INC STOCK	P	2015-09-22	2019-02-19
	80 SHARES TELEFLEX INC STOCK	P	2017-05-03	2019-12-11
	268 SHARES TETRA TECH INC STOCK	P	2017-05-03	2019-06-21
	40 SHARES TRADE DESK INC STOCK	P	2018-01-10	2019-08-08
	4 SHARES VAIL RESORTS STOCK	P	2015-07-23	2019-02-19
	25 SHARES WIX COM STOCK	P	2018-01-26	2019-05-15
	25 SHARES WNS HOLDIGNS LIMITED STOCK	P	2015-07-23	2019-02-19
	34 SHARES AXOS FINL INC STOCK	P	2015-11-01	2019-02-19
	67 SHARES CARBONITE TDR STOCK	P	2017-09-27	2019-12-26
	20 SHARES BROADCOM INC STOCK	P	2019-06-14	2019-06-26
	7 SHARES COUPA SOFTWARE INC STOCK	P	2019-06-26	2019-06-27
	2 SHARES CREE RESEARCH INC STOCK	P	2019-05-02	2019-06-26
	70 SHARES ELASTICK N V STOCK	P	2019-06-26	2019-06-28
	98 SHARES FIREEYE INC STOCK	P	2019-05-31	2019-06-26
	28 SHARES IONIS PHARMACEUTICALS INC STOCK	P	2019-05-08	2019-06-26
	3 SHARES MONGODB INC STOCK	P	2019-06-26	2019-06-28
	79 SHARES NUANCE COMMUNICATIONS STOCK	P	2018-05-10	2019-02-06
	50 SHARES OKTA INC STOCK	P	2019-06-26	2019-06-28
	40 SHARES VEEVA SYS INC STOCK	P	2019-06-26	2019-06-28
	8 SHARES VERTEX PHARMACEUTICALS STOCK	P	2019-04-18	2019-06-26
	141 SHARES ALLERGAN PLC STOCK	P	2018-02-14	2019-06-26
	85 SHARES AMC NETWORKS INC STOCK	P	2016-03-02	2019-06-26
	373 SHARES ANADARKO PETE STOCK	P	2016-03-02	2019-06-26
	82 SHARES AUTODESK INC STOCK	P	2015-07-24	2019-06-26
	72 SHARES BIOGEN INC STOCK	P	2018-05-02	2019-06-26
	51 SHARES BROADCOM INC	P	2015-07-24	2019-06-26
	71 SHARES CITRIX SYSTEMS INC STOCK	P	2015-07-24	2019-06-26
	704 SHARES COMCAST CORP STOCK	P	2016-03-02	2019-06-26
	119 SHARES CREE RESEARCH INC STOCK	P	2015-07-24	2019-06-26
	188 SHARES DISCOVERY INC STOCK	P	2016-03-02	2019-06-26
	147 SHARES DOLBY CLA STOCK	P	2015-07-24	2019-06-26
	324 SHARES FLUOR CORP STOCK	P	2015-07-24	2019-06-26
	821 SHARES FREEPORT MCMORAN STOCK	P	2016-03-02	2019-06-26
	36 SHARES GCI LIBERTY INC STOCK	P	2016-03-02	2019-06-26
	264 SHARES IMMUNOGEN INC STOCK	P	2016-06-15	2019-06-26
	140 SHARES IONIS PHARMACEUTICALS INC STOCK	P	2016-06-15	2019-06-26
	406 SHARES JOHNSON CTLS INTL STOCK	P	2016-03-02	2019-06-26
	13 SHARES LIBERTY BROADBAND CORP A STOCK	P	2016-03-02	2019-06-26
	18 SHARES LIBERTY BROADBAND CORP C STOCK	P	2016-03-02	2019-06-26
	60 SHARES LIBERTY MEDIA SER A STOCK	P	2015-07-24	2019-06-26
	123 SHARES LIBERTY MEDIA SER C STOCK	P	2015-07-24	2019-06-26
	17 SHARES LIBERTY MEDIA CORP SER A STOCK	P	2016-06-15	2019-06-26
	24 SHARES LIBERTY MEDIA CORP SER C STOCK	P	2015-07-24	2019-06-26
	140 SHARES LIONS GATE ENTMNT CORP STOCK	P	2017-03-03	2019-06-26
	27 SHARES LOGIMEN INC STOCK	P	2015-07-24	2019-06-26
	86 SHARES L3 TECHNOLOGIES INC STOCK	P	2015-07-24	2019-06-26
	81 SHARES MEDTRONIC PLC STOCK	P	2015-07-24	2019-06-26
	243 SHARES NATIONAL OILWELL VARCO INC STOCK	P	2016-03-02	2019-06-26
	350 SHARES NOW INC STOCK	P	2017-12-18	2019-06-26
	365 SHARES NUANCE COMMUNICATIONS STOCK	P	2018-05-11	2019-06-26
	201 SHARES NUCOR CORPORATION STOCK	P	2016-03-02	2019-06-26
	143 SHARES PENTAIR PLC STOCK	P	2016-03-02	2019-06-26
	411 SHARES QUARATE RETAIL INC STOCK	P	2017-03-03	2019-06-26
	364 SHARES SEAGATE TECHNOLGOY PLC STOCK	P	2016-03-02	2019-06-26
	208 SHARES TE CONNECTIVITY LTD STOCK	P	2016-03-02	2019-06-26
	98 SHARES UNITEDHEALTH GP STOCK	P	2015-07-24	2019-06-26
	58 SHARES VERTEX PHARMACEUTICALS STOCK	P	2016-11-03	2019-06-26
	7300 SHARES WEATHERFORD INTERNATIONAL STOCK	P	2016-03-02	2019-05-15
	210 SHARES WESTERN DIGITAL CORP STOCK	P	2016-05-13	2019-06-26
	53 SHARES CADENCE BANCORPORATION STOCK	P	2018-07-19	2019-06-17
	34 SHARES CASELLA WASTE SYS INC STOCK	P	2018-07-19	2019-02-19
	27 SHARES EASTGROUP PROPERTIES INC STOCK	P	2018-07-19	2019-06-26
	20 SHARES FIRSTCASH INC STOCK	P	2018-03-09	2019-02-19
	97 SHARES MYRIAD GENETIC INC STOCK	P	2019-08-13	2019-08-29
	37 SHARES PEBBLEBROOK HOTEL TR STOCK	P	2018-07-19	2019-06-17
	4 SHARES UNITED NAT FOODS INC STOCK	P	2019-09-24	2019-04-10
	45 SHARES WESBANCO STOCK	P	2018-07-19	2019-06-12
	18 SHARES ALBANY INTL STOCK	P	2017-11-17	2019-02-19
	29 SHARES ALTRA INDL MOTION CORP STOCK	P	2017-11-17	2019-02-19
	175 SHARES ANIXTER INTL STOCK	P	2017-12-13	2019-11-06
	20 SHARES CABOT CORP STOCK	P	2017-05-10	2019-02-19
	17 SHARES CABOT MICROELECTRONICS CORP STOCK	P	2015-07-23	2019-02-19
	36 SHARES CATALENT INC STOCK	P	2018-10-05	2019-02-19
	3 SHARES COHERENT INC STOCK	P	2016-03-02	2019-02-19
	148 SHARES EASTGROUP PROPERTIES STOCK	P	2017-11-17	2019-06-26
	19 SHARES ENERSYS STOCK	P	2017-06-19	2019-02-19
	32 SHARES ENTEGRIS INC STOCK	P	2015-07-23	2019-02-19
	24 SHARES FLIR SYSTEMS INC STOCK	P	2016-03-02	2019-02-19
	39 SHARES FRANKLIN ELECTRIC CO STOCK	P	2016-03-02	2019-02-19
	15 SHARES GATX CORP STOCK	P	2015-07-23	2019-02-19
	55 SHARES HEXCEL CORP STOCK	P	2015-07-23	2019-07-19
	20 SHARES HORANCE MAN EDUCATORS STOCK	P	2015-07-23	2019-06-17
	7 SHARES LITTELFUSE INC STOCK	P	2016-03-02	2019-02-19
	28 SHARES MANTECH INTL CORP STOCK	P	2015-07-23	2019-02-19
	695 SHARES MEDICAL PROPERTIES TRUST STOCK	P	2016-03-02	2019-06-06
	359 SHARES MEDNAX INC STOCK	P	2017-11-22	2019-03-11
	173 SHARES MERITAGE HOME CORPORATION STOCK	P	2017-11-22	2019-08-08
	8 SHARES MOLINA HEALTHCARE INC STOCK	P	2015-07-23	2019-06-17
	9 SHARES MONOLITHIC PWR SYSTEMS INC STOCK	P	2016-03-02	2019-02-19
	11 SHARES MOOG INC STOCK	P	2015-07-23	2019-02-19
	1505 SHARES MUELLER WATER PROD STOCK	P	2017-05-10	2019-05-10
	236 SHARES OSI SYSTEMS INC STOCK	P	2018-01-18	2019-07-16
	261 SHARES PDC ENERGY INC STOCK	P	2018-02-05	2019-05-29
	42 SHARES RAYMOND JAMES FINCL INC STOCK	P	2015-07-23	2019-07-26
	9 SHARES REINSURANCE GROUP OF AMERICA STOCK	P	2015-07-23	2019-02-19
	32 SHARES SANMINA CORP STOCK	P	2018-01-16	2019-02-19
	117 SHARES SNAP ON INC STOCK	P	2016-03-02	2019-05-29
	385 SHARES SOUTH JERSEY IND STOCK	P	2016-08-12	2019-06-04
	158 SHARES STATE AUTO FINL STOCK	P	2016-03-02	2019-06-04
	376 SHARES STERLING BANCORP STOCK	P	2016-03-02	2019-03-08
	13 SHARES STIFEL FINANCIAL CORP STOCK	P	2015-07-23	2019-06-17
	13 SHARES TELEDYNE TECH INC STOCK	P	2015-07-23	2018-07-11
	14 SHARES THE SCOTTS MIRACLE GRO CO STOCK	P	2016-03-02	2019-02-19
	19 SHARES TIMKEN CO STOCK	P	2017-06-19	2019-06-17
	22 SHARES UNITED FIRE GROUP INC STOCK	P	2016-03-02	2019-02-19
	292 SHARES UNITED NAT FOODS INC STOCK	P	2017-11-22	2019-04-10
	65 SHARES WELBILT INC STOCK	P	2018-01-16	2019-02-19
	274 SHARES WEBANCO STOCK	P	2018-01-10	2019-06-12
	239 SHARES WHITING PETROLEUM CORP STOCK	P	2018-01-16	2019-08-08
	212 SHARES ALTRIA GROUP INC STOCK	P	2019-04-16	2019-09-17
	38 SHARES AMERICAN ELECTIRC POWER CO STOCK	P	2018-12-04	2019-03-04
	31 SHARES ASTRAZENECA PLC STOCK	P	2018-12-04	2019-01-09
	179 SHARES BRITISH AMER TOB STOCK	P	2019-04-16	2019-07-26
	159 SHARES COCA COLA STOCK	P	2019-11-20	2019-12-11
	132 SHARES CROWN CASTLE INTL CORP STOCK	P	2018-11-16	2019-06-27
	78 SHARES GENERAL MILLS INC STOCK	P	2018-12-04	2019-07-17
	3 SHARES KIMBERLY CLARK CORP STOCK	P	2019-04-16	2019-09-10
	208 SHARES KRAFT HEINZ CO STOCK	P	2019-01-09	2019-02-22
	49 SHARES PEPSICO INC STOCK	P	2018-12-12	2019-12-11
	79 SHARES PHILIP MORRIS INTL STOCK	P	2018-12-04	2019-08-29
	98 SHARES PROCTER & GAMBLE STOCK	P	2018-08-23	2019-08-07
	18 SHARES SOUTHERN CO STOCK	P	2018-08-23	2019-08-07
	222 SHARES TOTAL S A SPON STOCK	P	2019-07-12	2019-10-07
	30 SHARES UNITED PARCEL SER INC STOCK	P	2018-12-03	2019-11-25
	112 SHARES VERIZON COMMUNICATIONS STOCK	P	2018-12-04	2019-01-29
	206 SHARES ALTRIA GROUP INC STOCK	P	2017-09-25	2019-09-17
	116 SHARES AMERICAN ELECTRIC POWER CO STOCK	P	2016-03-02	2019-06-27
	217 SHARES AZTRAZENECA STOCK	P	2017-08-08	2019-01-14
	130 SHARES BRITISH AMER TOB STOCK	P	2018-03-21	2019-07-26
	192 SHARES COCA COLA STOCK	P	2017-05-02	2019-09-17
	209 SHARES CROWN CASTLE INTL STOCK	P	2016-11-16	2019-10-01
	50 SHARES DOMINION ENERGY INC STOCK	P	2017-05-22	2019-09-10
	238 SHARES GENERAL MILLS CO STOCK	P	2017-10-18	2019-07-16
	122 SHARES KIMBERLY CLARK CORP STOCK	P	2018-08-23	2019-09-10
	46 SHARES PEPSICO INC STOCK	P	2018-12-04	2019-12-11
	18 SHARES PHILIP MORRIS INTL STOCK	P	2018-04-05	2019-08-29
	159 SHARES PROCTOR & GAMBLE STOCK	P	2016-03-02	2019-08-07
	209 SHARES SOUTHERN CO STOCK	P	2018-12-04	2019-12-11
	189 SHARES TOTAL S A SPON STOCK	P	2018-03-21	2019-10-07
	80 SHARES UNITED PARCEL SER INC STOCK	P	2017-07-14	2019-11-25
	62 SHARES VENTAS INC STOCK	P	2017-09-25	2019-10-08
	10 SHARES VERIZON COMMUNICATIONS STOCK	P	2016-03-02	2019-01-29
	454 SHARES VODAFONE GROUP PL STOCK	P	2016-07-12	2019-03-22
	18 SHARES ALIBABA GROUP STOCK	P	2018-11-26	2019-03-20
	97 SHARES AMGEN INC STOCK	P	2018-12-17	2019-03-01
	5115 SHARES BANCO SANTANDER STOCK	P	2018-11-01	2019-05-06
	67 SHARES CONSTELLATION BRANDS INC STOCK	P	2018-09-19	2019-02-12
	91 SHARES DIAGEO PLC SPON STOCK	P	2019-10-01	2019-10-18
	289 SHARES DIAMONDBACK ENERGY INC STOCK	P	2018-12-21	2019-11-20
	60 SHARES ESTEE LAUDER CO STOCK	P	2018-12-03	2019-02-07
	405 SHARES EXTRA SPACES STORAGE INC STOCK	P	2019-01-23	2019-11-05
	181 SHARES INTL FLAVORS & FRAGANCES STOCK	P	2018-12-18	2019-05-09
	145 JPMORGAN CHASE & CO STOCK	P	2018-12-18	2019-03-12
	201 SHARES LENNAR CORPORATION STOCK	P	2019-06-03	2019-12-04
	58 SHARES NEXTERA ENERGY INC STOCK	P	2019-04-15	2019-10-28
	705 SHARES NORTHERN TRUST CORP STOCK	P	2018-12-27	2019-05-24
	1420 SHARES ROYAL DUTCH SHELL STOCK	P	2018-04-02	2019-03-08
	131 SYANAIR HLDGS PLC STOCK	P	2019-02-05	2019-07-16
	176 SMITH & NEPHEW PLC STOCK	P	2019-10-18	2019-11-11
	905 SHARES SOFTBANK CORP STOCK	P	2019-05-29	2019-10-03
	66 SHARES STARBUCKS CORP STOCK	P	2018-12-17	2019-01-11
	67 SHARES STORE CAPITAL CORP STOCK	P	2019-06-14	2019-09-06
	24 SHARES SVB FNCL STOCK	P	2019-02-27	2019-05-29
	286 SHARES TAIWAN SMCNDCTR MFG STOCK	P	2019-09-06	2019-11-11
	297 SHARES TENCENT HLDGS LTD STOCK	P	2018-12-27	2019-05-22
	609 SHARES VANGUARD FTSE EUROPE STOCK	P	2019-09-19	2019-12-09
	349 SHARES WELLTOWER INC STOCK	P	2019-07-08	2019-12-18
	30 SHARES ALIBABA GROUP STOCK	P	2018-08-23	2019-12-02
	22 SHARES ALPHABET INC STOCK	P	2016-09-19	2019-01-14
	78 SHARES DIAGEO PLC STOCK	P	2017-12-20	2019-10-25
	195 SHARES JPMORGAN STOCK	P	2017-01-23	2019-04-15
	140 SHARES MASTERCARD INC STOCK	P	2017-07-10	2019-11-25
	484 SHARES RYANAIR HLDGS STOCK	P	2016-03-02	2019-07-12
	67 SHARES TAIWAN SMCNDCTR MFG STOCK	P	2018-08-27	2019-11-08
	289 SHARES TENCENT HLDGS LTD STOCK	P	2016-03-02	2019-12-10
	344 SHARES VNWARE INC STOCK	P	2017-03-27	2019-10-18
	6 SHARES ASML HOLDING NY STOCK	P	2019-03-22	2019-07-18
	7 SHARES BAIDU INC STOCK	P	2019-08-01	2019-08-16
	538 SHARES BANCO SANTANDER STOCK	P	2018-05-31	2019-05-31
	164 SHARES BASF SE STOCK	P	2018-09-21	2019-02-19
	80 SHARES BRITISH AMER TOB STOCK	P	2018-02-28	2019-01-18
	410 SHARE DAIMLER AG-UNSPON STOCK	P	2018-05-16	2019-04-04
	433 SHARES DANONE SPONS STOCK	P	2018-10-01	2019-05-29
	97 SHARES DEUTSCHE POST AG STOCK	P	2018-04-05	2019-03-08
	171 SHARS FANUC CORP STOCK	P	2018-08-09	2019-03-08
	199 SHARES INDUSTRIA DE STOCK	P	2018-08-29	2019-03-08
	1012 SHARES INTERNATIONAL CONS STOCK	P	2019-01-10	2019-02-28
	195 SHARES KUBOTA CP STOCK	P	2018-07-03	2019-03-12
	298 SHARES MURATA MANUFACTURING CO STOCK	P	2018-11-14	2019-11-05
	209 SHARES NASPERS LTD STOCK	P	2019-08-01	2019-10-29
	361 SHARES NORDEA BANK ABP STOCK	P	2018-08-31	2019-03-08
	95 SHARES NXP SEMICONDUCTORS	P	2018-12-13	2019-12-09
	608 SHARES REPSOL SA STOCK	P	2018-10-01	2019-09-20
	152 SHARES ROCHE HOLDINGS ADR STOCK	P	2019-01-15	2019-04-23
	73 SHARES ROYAL DUTCH SHELL STOCK	P	2019-06-05	2019-11-05
	1321 SHARES TESCO PLC SPONS STOCK	P	2019-05-02	2019-10-22
	540.285 SHARES ACS ACTIV DE STOCK	P	2016-12-15	2019-07-26
	243 SHARES AERCAP HOLDINGS STOCK	P	2016-03-03	2019-11-15
	167 SHARES AIA GROUP LTD STOCK	P	2017-03-14	2019-04-01
	226 SHARES AIRBUS SE UNSPON STOCK	P	2016-11-02	2019-05-29
	727 SHARES ARCELORMITTAL CL STOCK	P	2017-07-07	2019-06-04
	226 SHARES AXA ADS STOCK	P	2016-10-12	2019-03-08
	124 SHARES BAE SYS PLC STOCK	P	2017-10-06	2019-02-19
	87 SHARES BAIDU INC STOCK	P	2017-07-07	2019-08-16
	2790 SHARES BANCO SANTANDER STOCK	P	2018-02-23	2019-05-31
	444 SHARES BHP GROUP STOCK	P	2017-07-07	2019-10-10
	367 SHARES BRITISH AMER TOB STOCK	P	2018-05-31	2019-01-18
	213 SHARES CARSBERG STOCK	P	2016-03-02	2019-04-23
	837 SHARES DAIMLER AG-UNSPON STOCK	P	2018-05-16	2019-08-20
	60 SHARES DBS GROUP STOCK	P	2016-05-31	2019-03-08
	497 SHARES DEUTSCHE BOERSE AG STOCK	P	2017-10-17	2019-05-29
	216 SHARES DNB ASA STOCK	P	2016-10-18	2019-02-19
	415 SHARES E.ON SE STOCK	P	2017-07-07	2019-03-08
	204 SHARES ENGIE SPONS STOCK	P	2016-08-15	2019-02-19
	97 SHARES ESSILORLUXOTTICA STOCK	P	2017-02-02	2019-12-13
	74 SHARES HSBC HOLDINGS STOCK	P	2016-11-11	2019-05-16
	1151 SHARES INTESA SANPAOLO STOCK	P	2016-07-06	2019-05-31
	539 SHARES JULIUS BAER GROUP STOCK	P	2016-03-02	2019-03-08
	1930 SHARES LLOYDS BANKING GROUP STOCK	P	2017-10-09	2019-03-08
	947 SHARES ORANGE STOCK	P	2017-07-07	2019-07-12
	164 SHARES ROCHE HOLDINGS STOCK	P	2016-03-02	2019-03-08
	284 SHARES ROYAL DSM SPONS STOCK	P	2016-03-02	2019-04-15
	97 SHARES ROYAL DUTCH SHELL STOCK	P	2016-03-02	2019-05-29
	82 SHARES SAP AG STOCK	P	2018-02-01	2019-05-14
	786 SHARES SECOM LTD STOCK	P	2017-07-07	2019-11-29
	742 SHARES SEVEN & I HOLDINGS STOCK	P	2017-08-14	2019-04-18
	145 SHARES SMITH & NEPHEW PLC STOCK	P	2016-03-02	2019-07-16
	2330 SHARES SUMITOMO MITSUI FINL STOCK	P	2017-06-22	2019-08-13
	1057 SHARES TORAY INDS STOCK	P	2018-12-28	2019-11-19
	321 SHARES TOTAL S A SPON STOCK	P	2017-07-07	2019-06-13
	157 SHARES ABB LTD STOCK	P	2018-08-27	2019-01-31
	885 SHARES ABN AMRO BK STOCK	P	2019-08-14	2019-11-25
	488 SHARES ABNAMRO GROUP STOCK	P	2018-08-30	2019-08-12
	126 SHARES ANHEUSER BUSCH STOCK	P	2019-01-24	2019-11-14
	690 SHARES ATOS ORIGIN STOCK	P	2019-07-03	2019-10-15
	1014 SHARES CONTL AG SPON STOCK	P	2019-07-25	2019-10-07
	734 SHARES RED ELECTRICA CORP STOCK	P	2018-06-27	2019-03-05
	271 SHARES ROGERS COMM INC STOCK	P	2018-10-05	2019-09-30
	232 SHARES RYOHIN KEIKAKU CO STOCK	P	2018-11-27	2019-01-18
	475 SHARES SONOVA HLDG AG STOCK	P	2019-03-14	2019-07-03
	350 SHARES UBISOFT ENTMT SA STOCK	P	2018-12-19	2019-11-19
	57 SHARES UNILEVER PLC STOCK	P	2019-03-08	2019-12-18
	1887 SHARES ZOZO INC STOCK	P	2019-08-16	2019-11-18
	742 SHARES ABB LTD STOCK	P	2018-01-25	2019-01-31
	1169 SHARES ABNAMRO GROUP STOCK	P	2017-12-27	2019-08-12
	96 SHARES ACCENTURE PLC STOCK	P	2017-03-08	2019-07-02
	.6 SHARES ALCON INC STOCK	P	2016-03-02	2019-04-09
	330 SHARES ANHEUSER BUSCH STOCK	P	2018-11-05	2019-11-14
	68 SHARES AON PLC STOCK	P	2017-10-10	2019-12-27
	123 SHARES ASHTEAD GROUP STOCK	P	2017-10-10	2019-04-10
	1122 SHARES ASSA ABLOY AB STOCK	P	2017-12-27	2019-10-10
	513 SHARES BHP GROUP STOCK	P	2017-10-10	2019-06-11
	65 SHARES CANADIAN NATL RAILWAY STOCK	P	2017-10-10	2019-06-10
	245 SHARES CARLSBERG STOCK	P	2017-08-25	2019-08-05
	1856 SHARES COMPAGNIE FIN STOCK	P	2017-10-10	2019-11-12
	817 SHARES COMPASS GROUP STOCK	P	2016-03-02	2019-10-22
	263 SHARES FERGUSON PLC STOCK	P	2017-10-10	2019-03-26
	1071 SHARES FERGUSON STOCK	P	2016-03-02	2019-06-11
	250 SHARES MAKITA CORP STOCK	P	2017-10-10	2019-06-21
	962 SHARES MICHELIN COMPAGNIE STOCK	P	2018-06-26	2019-08-28
	1176 SHARES PRUDENTIAL PLC STOCK	P	2017-10-10	2019-11-08
	890 SHARES RED ELECTRICA CORP STOCK	P	2016-03-02	2019-07-30
	315 SHARES ROGERS COMM INC STOCK	P	2018-07-17	2019-09-30
	43 SHARES RYOHIN KEIKAKU CO STOCK	P	2016-03-02	2019-01-18
	928 SHARES UBISOFT ENTMT STOCK	P	2018-04-05	2019-11-18
	85 SHARES UNILEVER PLC STOCK	P	2017-10-10	2019-12-18
	480 SHARES VINCI SA STOCK	P	2016-07-06	2019-07-26
	185 SHARES WOLTERS KLUWER STOCK	P	2016-03-02	2019-07-08
	ABBOTT LABORATORIES BOND	P	2019-06-26	2019-12-19
	APPLE INC BONC	P	2016-03-30	2019-02-22
	COCA COLA CO BOND	P	2017-12-01	2019-05-30
	GOLDMAN SACHS GRP BOND	P	2016-03-30	2019-10-23
	JOHNSON & JOHNSON BOND	P	2016-04-08	2019-12-05
	LOWE'S COS INC BOND	P	2017-12-01	2019-01-04
	MARSH & MCLENNAN BOND	P	2017-06-28	2019-01-07
	OCCIDENTAL PETROL BOND	P	2017-12-01	2019-07-23
	PHILIP MORRIS INT BOND	P	2016-03-30	2019-01-15
	SUNTRUST BANKS BOND	P	2017-10-17	2019-05-01
	MEDTRON TDR BOND	P	2019-03-11	2017-12-31
	7 SHARES BROADCOM INC STOCK	P	2019-01-30	2019-02-19
	30 SHARES CARDINAL HEALTH INC STOCK	P	2018-03-08	2019-02-19
	120.333 SHARES CORTEVA INC STOCK	P	2019-04-17	2019-06-20
	22 SHARES DOLLAR TREE INC	P	2018-03-26	2019-02-19
	43 SHARES DOW INC STOCK	P	2019-01-17	2019-04-15
	118 SHARES QUEST DIAGNOSTICS INC STOCK	P	2019-01-17	2019-09-12
	1 SHARE RAYTHEON CO STOCK	P	2018-07-11	2019-02-19
	101 SHARES ABBOTT LABORATORIES STOCK	P	2017-06-07	2019-02-19
	39 SHARES ALLSTATE CORP STOCK	P	2017-08-07	2019-02-19
	65 SHARES CARDINAL HEALTH INC STOCK	P	2017-02-15	2019-02-19
	83 SHARES CISCO SYS STOCK	P	2017-05-03	2019-02-19
	186 SHARES CONOCOPHILLIPS STOCK	P	2017-05-03	2019-01-17
	174.334 SHARES CORTEVA INC STOCK	P	2017-08-07	2019-06-20
	37 SHARES CVS HEALTH CORP STOCK	P	2016-08-25	2019-02-19
	174.333 SHARES DOW INC STOCK	P	2017-08-07	2019-04-15
	.667 SHARES DUPONT DE NEMOURS INC STOCK	P	2016-08-25	2019-06-03
	77 SHARES EDISON INTERNATIONAL STOCK	P	2017-08-07	2019-02-19
	125 SHARES EQUITY RESIDENTIAL STOCK	P	2017-08-07	2019-02-19
	80 SHARES LOWES COMPANIES INC STOCK	P	2017-08-07	2019-02-19
	130 SHARES MARATHON OIL CO STOCK	P	2017-02-15	2019-02-19
	38 SHARES MARSH & MCLENNAN COS STOCK	P	2017-08-07	2019-02-19
	179 SHARES MERCK & CO STOCK	P	2017-08-07	2019-01-17
	82 SHARES MONDELEZ INTL STOCK	P	2017-02-15	2019-02-19
	13 SHARES NORTHROP GRUMMAN STOCK	P	2017-08-07	2019-02-19
	35 SHARES ORACLE CORP STOCK	P	2017-08-07	2019-02-19
	140 SHARES PFIZER INC STOCK	P	2016-08-25	2019-01-17
	314 SHARES QUEST DIAGNOSTICS INC STOCK	P	2016-10-31	2019-09-12
	27 SHARES RAYTHEON CO STOCK	P	2017-08-07	2019-02-19
	100 SHARES VERIZON COMMUNICATIONS STOCK	P	2017-08-07	2019-01-17
	71 SHARES WASTE MGMT INC STOCK	P	2017-08-07	2019-02-19
	UBS CI WO INDICES FUND	P	2018-02-08	2019-11-14
	BCS CIWO INDICES FUND	P	2018-11-09	2019-11-14
	US TREASURY BOND	P	2018-11-15	2019-04-25
	US TREASURY BOND	P	2019-04-30	2019-10-03
	US TREASURY BOND	P	2018-11-27	2019-05-23
	US TREASURY BOND	P	2019-05-28	2019-10-03
	US TREASURY BOND	P	2019-05-28	2019-09-24
	US TREASURY BOND	P	2018-07-25	2019-04-24
	US TREASURY BOND	P	2018-07-25	2019-05-15
	US TREASURY BOND	P	2018-12-12	2019-05-15
	US TREASURY BOND	P	2018-10-24	2019-05-15
	US TREASURY BOND	P	2018-11-15	2019-05-15
	US TREASURY BOND	P	2018-11-15	2019-06-13
	US TREASURY BOND	P	2019-02-01	2019-06-13
	US TREASURY BOND	P	2018-11-15	2019-05-23
	US TREASURY BOND	P	2018-11-15	2019-04-29
	US TREASURY BOND	P	2018-11-30	2019-05-23
	US TREASURY BOND	P	2019-05-28	2019-10-03
	US TREASURY BOND	P	2019-05-28	2019-08-20
	US TREASURY BOND	P	2019-05-28	2019-09-18
	2 SHARES AMAZON COM STOCK	P	2019-06-26	2019-12-30
	8 SHARES ATLASSIAN CORP STOCK	P	2019-06-26	2019-07-29
	39 SHARES COUPA SOFTWARE INC STOCK	P	2019-06-26	2019-07-29
	100 SHARES ECOLAB INC STOCK	P	2019-06-27	2019-11-21
	1 SHARE INTUITIVE SURGICAL INC STOCK	P	2019-06-26	2019-12-30
	50 SHARES MONGODB INC STOCK	P	2019-06-26	2019-07-29
	28 SHARES NETFLIX INC STOCK	P	2019-06-26	2019-12-09
	35 SHARES VNIDIA CORP STOCK	P	2019-06-26	2019-12-02
	3 SHARES OKTA INC STOCK	P	2019-06-26	2019-07-29
	20 SHARES ROKU INC STOCK	P	2019-08-12	2019-12-13
	29 SHARES SHOPIFY INC STOCK	P	2019-06-26	2019-07-29
	7 SHARES SQUARE INC STOCK	P	2019-06-26	2019-07-29
	6 SHARES TRADE DESK INC STOCK	P	2019-07-19	2019-07-29
	44 SHARES TWILIO INC STOCK	P	2019-07-19	2019-07-29
	83 SHARES UNION PACIFIC CORP STOCK	P	2019-07-29	2019-09-26
	52 SHARES VEEVA SYS INC STOCK	P	2019-06-26	2019-07-29
	138 SHARES WALT DISNEY CO HLDG STOCK	P	2019-06-26	2019-12-09
	CAPITAL GAINS DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	354,262	354,518	-256
b	85,000	85,000	0
c	80,000	80,000	0
d	25,000	25,000	0
e	255,000	255,000	0
	70,000	70,000	0
	390	305	85
	361	469	-108
	239	212	27
	908	914	-6
	755	1,044	-289
	185	579	-394
	518	703	-185
	816	956	-140
	281	331	-50
	149	736	-587
	5,535	14,740	-9,205
	147	102	45
	163	130	33
	650	500	150
	513	5,105	-4,592
	494	296	198
	105	400	-295
	661	789	-128
	427	380	47
	157	114	43
	1,050	422	628
	350	448	-98
	97	85	12
	198	151	47
	1,111	682	429
	654	805	-151
	673	651	22
	662	7,665	-7,003
	337	231	106
	8,294	21,474	-13,180
	25,508	13,454	12,054
	1,418	1,774	-356
	844	1,085	-241
	8,738	4,654	4,084
	6,338	4,700	1,638
	287	206	81
	384	279	105
	6,984	22,029	-15,045
	907	467	440
	18,669	8,670	9,999
	206	150	56
	1,182	977	205
	1,265	870	395
	955	846	109
	1,096	1,189	-93
	1,028	711	317
	17,528	14,455	3,073
	258	62	196
	323	121	202
	520	451	69
	5,333	9,982	-4,649
	1,260	1,935	-675
	766	229	537
	593	275	318
	8,482	7,693	789
	490	750	-260
	163	147	16
	3,816	1,486	2,330
	1,775	1,420	355
	5,164	7,782	-2,618
	330	438	-108
	3,300	2,418	882
	20,529	20,407	122
	943	822	121
	3,111	4,725	-1,614
	6,887	8,295	-1,408
	2,504	1,140	1,364
	837	425	412
	28,374	11,827	16,547
	17,691	8,123	9,568
	9,355	1,886	7,469
	834	443	391
	3,331	1,514	1,817
	1,329	759	570
	1,105	991	114
	1,541	1,507	34
	5,624	5,279	345
	846	840	6
	114	129	-15
	5,178	5,144	34
	1,437	1,469	-32
	1,771	2,008	-237
	456	461	-5
	1,286	1,050	236
	6,085	6,036	49
	6,352	6,240	112
	1,425	1,345	80
	23,243	23,638	-395
	4,595	6,450	-1,855
	26,385	15,514	10,871
	13,347	4,241	9,106
	17,116	19,646	-2,530
	14,342	6,019	8,323
	6,943	3,893	3,050
	29,559	21,624	7,935
	6,660	2,856	3,804
	5,597	4,976	621
	9,507	5,148	4,359
	10,485	15,519	-5,034
	9,373	7,546	1,827
	2,121	1,289	832
	507	917	-410
	9,316	3,279	6,037
	16,546	15,425	1,121
	1,290	701	589
	1,809	963	846
	2,221	1,691	530
	4,575	3,461	1,114
	591	318	273
	874	502	372
	1,587	3,581	-1,994
	1,945	2,215	-270
	21,680	10,381	11,299
	7,885	6,116	1,769
	5,325	7,996	-2,671
	4,994	3,781	1,213
	5,785	4,828	957
	11,019	8,561	2,458
	5,197	5,342	-145
	5,056	9,627	-4,571
	17,202	13,398	3,804
	19,762	12,517	7,245
	23,930	11,583	12,347
	10,329	4,516	5,813
	365	64,942	-64,577
	9,261	8,072	1,189
	1,059	1,566	-507
	1,198	864	334
	3,060	2,586	474
	1,734	1,576	158
	2,270	3,098	-828
	1,057	1,471	-414
	53	127	-74
	1,590	2,104	-514
	1,366	1,100	266
	935	1,378	-443
	14,832	12,473	2,359
	942	1,030	-88
	1,704	727	977
	1,507	935	572
	382	255	127
	16,918	12,914	4,004
	1,426	1,453	-27
	1,100	428	672
	1,248	763	485
	2,130	1,200	930
	1,172	759	413
	4,099	2,759	1,340
	817	726	91
	1,306	827	479
	1,623	833	790
	12,550	9,005	3,545
	10,733	24,555	-13,822
	10,438	8,468	1,970
	1,171	573	598
	1,231	540	691
	1,034	748	286
	14,149	13,643	506
	25,873	16,215	9,658
	7,842	14,567	-6,725
	3,521	2,508	1,013
	1,285	879	406
	1,018	1,098	-80
	18,084	18,700	-616
	12,236	9,769	2,467
	5,380	4,104	1,276
	7,182	6,122	1,060
	743	735	8
	3,186	1,375	1,811
	1,121	986	135
	893	881	12
	1,203	904	299
	3,904	13,553	-9,649
	1,045	1,487	-442
	9,735	8,570	1,165
	2,353	7,224	-4,871
	9,395	12,007	-2,612
	3,076	2,949	127
	1,180	1,266	-86
	6,669	8,587	-1,918
	8,023	7,826	197
	16,749	14,980	1,769
	4,118	3,317	801
	393	367	26
	7,212	11,132	-3,920
	6,778	5,888	890
	5,719	6,798	-1,079
	10,089	9,196	893
	1,069	1,041	28
	11,346	12,595	-1,249
	3,567	3,461	106
	6,311	6,711	-400
	9,329	13,107	-3,778
	10,299	6,892	3,407
	7,987	6,598	1,389
	4,664	8,617	-3,953
	9,632	8,354	1,278
	28,539	18,782	9,757
	3,831	3,976	-145
	12,155	13,607	-1,452
	16,343	15,382	961
	6,366	5,326	1,040
	1,303	1,854	-551
	18,031	13,096	4,935
	12,431	10,015	2,416
	9,237	9,962	-725
	9,525	9,178	347
	4,553	3,833	720
	534	521	13
	8,236	14,640	-6,404
	3,245	3,281	-36
	18,575	18,993	-418
	25,108	26,712	-1,604
	11,542	14,347	-2,805
	13,016	13,324	-308
	22,313	26,795	-4,482
	9,055	8,562	493
	45,220	38,519	6,701
	24,740	25,087	-347
	15,174	15,113	61
	10,667	10,431	236
	13,263	11,101	2,162
	64,734	70,914	-6,180
	85,578	92,374	-6,796
	8,353	9,501	-1,148
	7,453	8,398	-945
	18,140	21,902	-3,762
	4,150	4,155	-5
	2,532	2,351	181
	5,221	5,989	-768
	13,443	12,189	1,254
	12,951	12,070	881
	33,510	32,695	815
	27,392	29,942	-2,550
	5,877	5,445	432
	23,171	17,548	5,623
	11,591	11,141	450
	20,948	16,079	4,869
	34,011	17,472	16,539
	33,694	40,365	-6,671
	3,542	2,787	755
	12,324	5,514	6,810
	54,350	28,018	26,332
	1,357	1,134	223
	667	1,062	-395
	2,344	2,924	-580
	3,071	3,935	-864
	2,610	4,791	-2,181
	6,138	8,082	-1,944
	6,713	6,853	-140
	3,007	4,268	-1,261
	2,792	3,392	-600
	2,967	3,102	-135
	16,125	16,341	-216
	13,636	15,515	-1,879
	5,990	5,429	561
	5,923	10,779	-4,856
	3,124	3,515	-391
	9,882	7,454	2,428
	9,861	12,224	-2,363
	4,953	4,950	3
	4,359	4,571	-212
	12,642	13,077	-435
	4,586	3,031	1,555
	12,639	9,880	2,759
	6,460	4,196	2,264
	7,148	3,295	3,853
	11,899	17,032	-5,133
	5,586	5,184	402
	3,358	4,035	-677
	8,282	15,747	-7,465
	12,253	19,431	-7,178
	19,608	14,488	5,120
	11,990	23,415	-11,425
	5,247	3,719	1,528
	9,584	16,500	-6,916
	4,390	2,728	1,662
	6,404	5,496	908
	4,087	3,023	1,064
	4,528	3,914	614
	3,255	3,405	-150
	6,478	5,673	805
	3,133	2,670	463
	14,550	15,904	-1,354
	4,473	4,517	-44
	5,960	6,892	-932
	14,373	15,911	-1,538
	5,560	5,279	281
	7,745	3,574	4,171
	6,090	4,673	1,417
	9,209	9,321	-112
	16,646	14,683	1,963
	12,592	15,172	-2,580
	5,729	4,824	905
	15,526	17,921	-2,395
	14,456	20,199	-5,743
	17,193	15,424	1,769
	2,985	3,735	-750
	15,350	16,047	-697
	5,086	6,744	-1,658
	9,974	9,765	209
	9,758	11,325	-1,567
	12,434	14,845	-2,411
	7,697	7,802	-105
	14,045	14,121	-76
	9,661	12,362	-2,701
	21,134	18,778	2,356
	3,841	5,675	-1,834
	3,193	3,111	82
	7,859	7,032	827
	14,106	20,671	-6,565
	12,184	18,085	-5,901
	17,216	11,972	5,244
	32	27	5
	26,618	36,105	-9,487
	14,080	6,633	7,447
	12,772	6,124	6,648
	12,028	10,896	1,132
	27,719	14,019	13,700
	5,882	4,227	1,655
	6,452	5,059	1,393
	13,450	12,407	1,043
	18,664	15,635	3,029
	1,653	1,626	27
	6,951	6,014	937
	7,722	7,671	51
	20,443	25,729	-5,286
	6,125	6,054	71
	8,759	8,886	-127
	15,438	15,760	-322
	1,791	2,071	-280
	12,141	16,351	-4,210
	4,761	3,849	912
	12,231	8,208	4,023
	12,876	6,995	5,881
	77,499	77,010	489
	32,000	32,000	0
	45,000	45,000	0
	31,000	31,000	0
	31,000	31,000	0
	40,799	44,106	-3,307
	30,405	31,904	-1,499
	43,586	43,743	-157
	32,000	32,000	0
	36,000	36,000	0
	31,000	31,000	0
	1,966	1,895	71
	1,689	2,113	-424
	3,232	3,563	-331
	2,177	2,076	101
	2,481	2,360	121
	12,363	9,873	2,490
	185	194	-9
	7,223	4,954	2,269
	3,693	3,671	22
	3,660	5,211	-1,551
	4,123	2,833	1,290
	12,267	8,982	3,285
	4,682	5,221	-539
	2,585	3,481	-896
	10,060	10,196	-136
	48	54	-6
	4,721	6,101	-1,380
	9,144	8,331	813
	8,394	6,367	2,027
	2,204	2,124	80
	3,481	2,961	520
	13,430	11,464	1,966
	3,941	3,708	233
	3,733	3,501	232
	1,818	1,738	80
	5,928	4,874	1,054
	32,381	28,497	3,884
	4,983	4,691	292
	5,664	4,884	780
	6,708	5,359	1,349
	75,000	75,000	0
	75,000	75,000	0
	82,000	82,000	0
	90,000	90,000	0
	230,000	230,000	0
	230,500	230,500	0
	7,497	7,497	0
	197,867	197,255	612
	99,073	98,692	381
	12,879	12,842	37
	34,870	34,613	257
	104,609	103,849	760
	204,966	202,880	2,086
	4,999	4,968	31
	124,000	124,000	0
	24,919	24,919	0
	51,000	51,000	0
	125,000	125,000	0
	25,940	25,940	0
	24,981	24,981	0
	3,631	3,780	-149
	1,144	1,025	119
	5,488	4,680	808
	18,925	19,531	-606
	596	515	81
	7,864	7,678	186
	8,556	10,174	-1,618
	7,378	5,599	1,779
	423	362	61
	2,617	2,400	217
	9,735	8,304	1,431
	572	494	78
	1,640	1,367	273
	6,389	5,940	449
	13,636	14,649	-1,013
	8,722	8,112	610
	18,666	19,550	-884
	2,800		2,800

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			-256
b			0
c			0
d			0
e			0
			0
			85
			-108
			27
			-6
			-289
			-394
			-185
			-140
			-50
			-587
			-9,205
			45
			33
			150
			-4,592
			198
			-295
			-128
			47
			43
			628
			-98
			12
			47
			429
			-151
			22
			-7,003
			106
			-13,180
			12,054
			-356
			-241
			4,084
			1,638
			81
			105
			-15,045
			440
			9,999
			56
			205
			395
			109
			-93
			317
			3,073
			196
			202
			69
			-4,649
			-675
			537
			318
			789
			-260
			16
			2,330
			355
			-2,618
			-108
			882
			122
			121
			-1,614
			-1,408
			1,364
			412
			16,547
			9,568
			7,469
			391
			1,817
			570
			114
			34
			345
			6
			-15
			34
			-32
			-237
			-5
			236
			49
			112
			80
			-395
			-1,855
			10,871
			9,106
			-2,530
			8,323
			3,050
			7,935
			3,804
			621
			4,359
			-5,034
			1,827
			832
			-410
			6,037
			1,121
			589
			846
			530
			1,114
			273
			372
			-1,994
			-270
			11,299
			1,769
			-2,671
			1,213
			957
			2,458
			-145
			-4,571
			3,804
			7,245
			12,347
			5,813
			-64,577
			1,189
			-507
			334
			474
			158
			-828
			-414
			-74
			-514
			266
			-443
			2,359
			-88
			977
			572
			127
			4,004
			-27
			672
			485
			930
			413
			1,340
			91
			479
			790
			3,545
			-13,822
			1,970
			598
			691
			286
			506
			9,658
			-6,725
			1,013
			406
			-80
			-616
			2,467
			1,276
			1,060
			8
			1,811
			135
			12
			299
			-9,649
			-442
			1,165
			-4,871
			-2,612
			127
			-86
			-1,918
			197
			1,769
			801
			26
			-3,920
			890
			-1,079
			893
			28
			-1,249
			106
			-400
			-3,778
			3,407
			1,389
			-3,953
			1,278
			9,757
			-145
			-1,452
			961
			1,040
			-551
			4,935
			2,416
			-725
			347
			720
			13
			-6,404
			-36
			-418
			-1,604
			-2,805
			-308
			-4,482
			493
			6,701
			-347
			61
			236
			2,162
			-6,180
			-6,796
			-1,148
			-945
			-3,762
			-5
			181
			-768
			1,254
			881
			815
			-2,550
			432
			5,623
			450
			4,869
			16,539
			-6,671
			755
			6,810
			26,332
			223
			-395
			-580
			-864
			-2,181
			-1,944
			-140
			-1,261
			-600
			-135
			-216
			-1,879
			561
			-4,856
			-391
			2,428
			-2,363
			3
			-212
			-435
			1,555
			2,759
			2,264
			3,853
			-5,133
			402
			-677
			-7,465
			-7,178
			5,120
			-11,425
			1,528
			-6,916
			1,662
			908
			1,064
			614
			-150
			805
			463
			-1,354
			-44
			-932
			-1,538
			281
			4,171
			1,417
			-112
			1,963
			-2,580
			905
			-2,395
			-5,743
			1,769
			-750
			-697
			-1,658
			209
			-1,567
			-2,411
			-105
			-76
			-2,701
			2,356
			-1,834
			82
			827
			-6,565
			-5,901
			5,244
			5
			-9,487
			7,447
			6,648
			1,132
			13,700
			1,655
			1,393
			1,043
			3,029
			27
			937
			51
			-5,286
			71
			-127
			-322
			-280
			-4,210
			912
			4,023
			5,881
			489
			0
			0
			0
			0
			-3,307
			-1,499
			-157
			0
			0
			0
			71
			-424
			-331
			101
			121
			2,490
			-9
			2,269
			22
			-1,551
			1,290
			3,285
			-539
			-896
			-136
			-6
			-1,380
			813
			2,027
			80
			520
			1,966
			233
			232
			80
			1,054
			3,884
			292
			780
			1,349
			0
			0
			0
			0
			0
			0
			0
			612
			381
			37
			257
			760
			2,086
			31
			0
			0
			0
			0
			0
			0
			-149
			119
			808
			-606
			81
			186
			-1,618
			1,779
			61
			217
			1,431
			78
			273
			449
			-1,013
			610
			-884
			2,800

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	80,934
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	747,637	12,698,840	0.058874
2017	686,871	12,179,118	0.056397
2016	705,126	11,666,922	0.060438
2015	780,275	12,612,367	0.061866
2014	636,702	12,680,988	0.050209

Total of line 1, column (d) .....................

0.287784

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 ......

0.057557

Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......

11,961,756

Multiply line 4 by line 3......................

688,483

Enter 1% of net investment income (1% of Part I, line 27b)...........

2,796

Add lines 5 and 6........................

691,279

Enter qualifying distributions from Part XII, line 4,.............

705,200

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)

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	2,796
	hereand 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	2,796
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	2,796
6	Credits/Payments:

a	2019 estimated tax payments and 2018 overpayment credited to 2019	6a	5,173
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	0

7	Total credits and payments. Add lines 6a through 6d..............		7	5,173
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	2,377
11	Enter the amount of line 10 to be: Credited to 2020 estimated tax2,377	Refunded	11	0

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

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.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ 0(2) On foundation managers. bullet

$ 0

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2019)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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 .............

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 Click to see attachment

.................

Yes

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

WWW.KUYPERFOUNDATION.ORG

The books are in care of bullet

KATHY SCHIPPER Telephone no. bullet

(641) 621-3834

Located at bullet

617 FRANKLIN PLACE SUITE 200PELLAIA ZIP+4 bullet

50219

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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?.............

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)):

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?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

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

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

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.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

Form 990-PF (2019)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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? .................YesNo

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
MARY F GRIFFITH	PRESIDENT 0.10	0	0	0
3148 UPPER CATTLE CREEK ROAD CARBONDALE,CO81623	PRESIDENT 0.10	0	0	0
CHARLES FARVER	VICE PRESIDENT 0.10	0	0	0
617 FRANKLIN PLACE SUITE 200 PELLA,IA50219	VICE PRESIDENT 0.10	0	0	0
PETER C KUYPER	VICE PRESIDENT 0.10	0	0	0
11115 WEST HIGHWAY 24 SUITE 2A DIVIDE,CO80814	VICE PRESIDENT 0.10	0	0	0
KAREN FARVER	DIRECTOR 0.10	0	0	0
617 FRANKLIN PLACE SUITE 200 PELLA,IA50219	DIRECTOR 0.10	0	0	0
JAMES W GRIFFITH JR	DIRECTOR 0.10	0	0	0
3148 UPPER CATTLE CREEK ROAD CARBONDALE,CO81623	DIRECTOR 0.10	0	0	0
JACQUELINE KUYPER	DIRECTOR 0.10	0	0	0
11115 WEST HIGHWAY 24 SUITE 2A DIVIDE,CO80814	DIRECTOR 0.10	0	0	0
ADAM FARVER	DIRECTOR 0.10	0	0	0
165 FOREST ST DENVER,CO80220	DIRECTOR 0.10	0	0	0
MELISSA FARVER	DIRECTOR 0.10	0	0	0
165 FOREST ST DENVER,CO80220	DIRECTOR 0.10	0	0	0
CHARLES JACOB FARVER	DIRECTOR 0.10	0	0	0
4317 FOREST LANE NW WASHINGTON,DC20007	DIRECTOR 0.10	0	0	0
CLAIRE FARVER	DIRECTOR 0.10	0	0	0
4317 FOREST LANE NW WASHINGTON,DC20007	DIRECTOR 0.10	0	0	0
BENJAMIN FARVER	DIRECTOR 0.10	0	0	0
61656 ROWALLAN COURT BEND,OR97703	DIRECTOR 0.10	0	0	0
MEAGHAN FARVER	DIRECTOR 0.10	0	0	0
61656 ROWALLAN COURT BEND,OR97703	DIRECTOR 0.10	0	0	0
JAMES W GRIFFITH III	DIRECTOR 0.10	0	0	0
8435 COUNTY ROAD 113 CARBONDALE,CO81623	DIRECTOR 0.10	0	0	0
AMY G CHARTERS	DIRECTOR 0.10	0	0	0
270 BRISTLECONE DRIVE CARBONDALE,CO81623	DIRECTOR 0.10	0	0	0
JOHN CHARTERS	DIRECTOR 0.10	0	0	0
270 BRISTLECONE DRIVE CARBONDALE,CO81623	DIRECTOR 0.10	0	0	0
MARY E RALSTON	DIRECTOR 0.10	0	0	0
1334 COUNTY ROAD 250 SILT,CO81652	DIRECTOR 0.10	0	0	0
AARON RALSTON	DIRECTOR 0.10	0	0	0
1334 COUNTY ROAD 250 SILT,CO81652	DIRECTOR 0.10	0	0	0
MICHAEL KUYPER	DIRECTOR 0.10	0	0	0
1980 MILLIKIN COURT COLORADO SPRINGS,CO80918	DIRECTOR 0.10	0	0	0
JILL KUYPER	DIRECTOR 0.10	0	0	0
1980 MILLIKIN COURT COLORADO SPRINGS,CO80918	DIRECTOR 0.10	0	0	0
KATHY SCHIPPER	SECRETARY/TREASURER 1.00	0	0	0
25991 GRAND AVE APLINGTON,IA50604	SECRETARY/TREASURER 1.00	0	0	0
STAN VAN WYK	EXECUTIVE DIRECTOR 0.10	0	0	0
617 FRANKLIN PLACE SUITE 200 PELLA,IA50219	EXECUTIVE DIRECTOR 0.10	0	0	0
BRYCE KUYPER	DIRECTOR 0.10	0	0	0
11115 WEST HIGHWAY 24 SUITE 2A DIVIDE,CO80814	DIRECTOR 0.10	0	0	0

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)

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............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part IX-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2019)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

12,132,164

Average of monthly cash balances.......................

11,751

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

12,143,915

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

12,143,915

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

182,159

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

11,961,756

Minimum investment return. Enter 5% of line 5..................

598,088

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

Minimum investment return from Part X, line 6....................

598,088

Tax on investment income for 2019 from Part VI, line 5......

2,796

Income tax for 2019. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

2,796

Distributable amount before adjustments. Subtract line 2c from line 1............

595,292

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

595,292

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

595,292

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

705,200

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

705,200

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.................

2,796

Adjusted qualifying distributions. Subtract line 5 from line 4..............

702,404

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)

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					595,292
2 Undistributed income, if any, as of the end of 2019:
a Enter amount for 2018 only.......				0
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2019:
a From 2014......	12,959
b From 2015......	157,187
c From 2016......	124,728
d From 2017......	87,547
e From 2018......	126,421
fTotal of lines 3a through e........		508,842
4Qualifying distributions for 2019 from Part
XII, line 4: $ 705,200
a Applied to 2018, but not more than line 2a				0
b Applied to undistributed income of prior years (Election required—see instructions).....			0
c Treated as distributions out of corpus (Election required—see instructions)........		0
d Applied to 2019 distributable amount.....					595,292
e Remaining amount distributed out of corpus		109,908
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).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		618,750
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 ..........					0
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) ...		12,959
9Excess distributions carryover to 2020. Subtract lines 7 and 8 from line 6a ......		605,791
10 Analysis of line 9:
a Excess from 2015....	157,187
b Excess from 2016....	124,728
c Excess from 2017....	87,547
d Excess from 2018....	126,421
e Excess from 2019....	109,908

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....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(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	(e) Total

b 85% of line 2a .........
c Qualifying distributions from Part XII, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed...
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

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

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

STAN VAN WYK
617 FRANKLIN PLACE SUITE 200
PELLA,IA50219
(641) 621-3834

bThe form in which applications should be submitted and information and materials they should include:

APPLICANTS SHOULD COMPLETE THE GRANT REQUEST FORM ON THE FOUNDATION'S WEBSITE

cAny submission deadlines:

JUNE 30 TO BE CONSIDERED AT THE JULY MEETING; NOVEMBER 30 TO BE CONSIDERED AT THE DECEMBER MEETING

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

NO SPECIFIC RESTRICTIONS BUT THERE IS AN EMPHASIS ON THE PELLA IA AREA

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
CENTRAL COLLEGE 812 UNIVERSITY PELLA,IA50219	NONE		GRANT - EDUCATION SCHOLARSHIPS	75,000
CENTRAL COLLEGE 812 UNIVERSITY PELLA,IA50219	NONE		GRANT - FOREVER DUTCH CAMPAIGN	55,000
CHARLES AND KAREN FARVER CHARITABLE FOUNDATION 617 FRANKLIN PLACE SUITE 200 PELLA,IA50219	NONE		FAMILY ADVISED GIFT	24,300
CHARLES SCHWAB CHARITABLE FUND 211 MAIN STREET FLOOR 10 SAN FRANCISCO,CA94105	NONE		FAMILY ADVISED GIFT	24,300
CHARLES SCHWAB CHARITABLE FUND 211 MAIN STREET FLOOR 10 SAN FRANCISCO,CA94105	NONE		FAMILY ADVISED GIFT	24,300
CHARLES SCHWAB CHARITABLE FUND 211 MAIN STREET FLOOR 10 SAN FRANCISCO,CA94105	NONE		FAMILY ADVISED GIFT	24,300
CHARLES SCHWAB CHARITABLE FUND 211 MAIN STREET FLOOR 10 SAN FRANCISCO,CA94105	NONE		FAMILY ADVISED GIFT	24,300
CHARLES SCHWAB CHARITABLE FUND 211 MAIN STREET FLOOR 10 SAN FRANCISCO,CA94105	NONE		FAMILY ADVISED GIFT	24,300
CHARLES SCHWAB CHARITABLE FUND 211 MAIN STREET FLOOR 10 SAN FRANCISCO,CA94105	NONE		FAMILY ADVISED GIFT	24,300
CHARLES SCHWAB CHARITABLE FUND 211 MAIN STREET FLOOR 10 SAN FRANCISCO,CA94105	NONE		FAMLY ADVISED GIFT	24,300
CHILDREN AND FAMILIES OF IOWA 1111 UNIVERSITY AVENUE DES MOINES,IA50009	NONE		GRANT - GENERAL OPERATING FUNDS	10,000
CHILDREN'S CANCER CONNECTION 2708 GRAND AVENUE DES MOINES,IA50312	NONE		GRANT - CAMP SCHOLARSHIPS	1,000
CREATIVE PROVIDERS FOUNDATION PO BOX 729 DIVIDE,CO80814	NONE		FAMILY ADVISED GIFT	24,300
CREATIVE PROVIDERS FOUNDATION PO BOX 729 DIVIDE,CO80814	NONE		FAMILY ADVISED GIFT	24,300
CREATIVE PROVIDERS FOUNDATION PO BOX 729 DIVIDE,CO80814	NONE		FAMILY ADVISED GIFT	5,000
CREATIVE PROVIDERS FOUNDATION PO BOX 729 DIVIDE,CO80814	NONE		FAMILY ADVISED GIFT	5,000
CROSSROADS OF PELLA 712 MAIN STREET PELLA,IA50219	NONE		GRANT - GENERAL OPERATING FUNDS	5,000
ENVIRONMENTAL DEFENSE FUND 1875 CONNECTICUT AVE NW WASHINGTON,DC20009	NONE		FAMILY ADVISED GIFT	3,000
FIVE VALLEYS LAND TRUST 120 HICKORY ST SUITE B MISSOULA,MT59801	NONE		FAMILY ADVISED GIFT	1,300
GIVE DIRECTLY INC CHURCH STREET STATION PO BOX 3221 NEW YORK,NY10008	NONE		FAMILY ADVISED GIFT	3,000
HEART OF IOWA REGIONAL TRANSIT 2840 104 TH ST URBANDALE,IA50322	NONE		GRANT - VAN GAS FOR VAN FLEETS	4,000
HABITAT FOR HUMANITY 114 W ROBINSON STREET KNOXVILLE,IA50138	NONE		GRANT - HOUSE REVOVATION	5,000
HOME RESOURCE 1515 WYOMING STREET MISSOULA,MT59801	NONE		FAMILY ADVISED GIFT	1,000
JUVENILE DIABETES RESEARCH FOUNDATION 4515 FLEUR DRIVE SUITE 203 DES MOINES,IA50321	NONE		GRANT - OPERATING FUNDS	2,500
LIGHTHOUSE WRITER'S WORKSHOP 1515 RACE STREET DENVER,CO80206	NONE		FAMILY ADVISED GIFT	2,800
MULTIDISCLIPLINARY ASSOCIATION FOR PSYCHEDELIC STUDIES 1115 MISSION STREET SANTA CRUZ,CA95060	NONE		FAMILY ADVISED GIFT	15,000
NATIONAL PHILANTHROPIC TRUST 165 TOWNSHIP LINE ROAD SUITE 150 JENKINTON,PA19046	NONE		FAMILY ADVISED GIFT	24,300
NATURAL RESOURCE DEFENSE COUNCIL 40 WEST 20TH ST NEW YORK,NY10011	NONE		FAMILY ADVISED GIFT	2,000
NORTH MAHASKA BAND DEPARTMENT 2163 135TH ST NEW SHARON,IA50207	NONE		GRANT - NEW INSTRUMENTS	1,000
ON BEING PROJECT 1619 HENNEPIN AVE MINNEAPOLIS,MN55403	NONE		FAMILY ADVISED GIFT	1,500
OXFAM AMERICA 226 CAUSEWAY STREET 5TH FLOOR BOSTON,MA021142206	NONE		FAMILY ADVISED GIFT	3,000
PELLA DOLLARS FOR SCHOLARS PO BOX 131 PELLA,IA50219	NONE		GRANT - SCHOLARSHIPS	4,000
PELLA HISTORICAL SOCIETY 507 FRANKLIN ST PELLA,IA50219	NONE		GRANT - TUPLIP TIME FESTIVAL FIREWORKS	10,000
PLANNED PARENTHOOD 123 WILLIAM ST 10TH FLOOR NEW YORK,NY10038	NONE		FAMILY ADVISED GIFT	5,000
PRESIDIO GRADUATE SCHOOL 36 LINCOLN BLVD SAN FRANCISCO,CA94129	NONE		FAMILY ADVISED GIFT	24,300
PELLA OPERA HOUSE 611 FRANKLIN ST PELLA,IA50219	NONE		GRANT - RENOVATIO PROJECT	25,000
PLANNED PARENTHOOD 123 WILLIAM ST 10TH FLOOR NEW YORK,NY10038	NONE		FAMILY ADVISED GIFT	5,000
POPULATION SERVICES INTERNATIONAL 1120 19TH STREET NW SUITE 600 WASHINGTON,DC20036	NONE		FAMILY ADVISED GIFT	1,000
THE WELL RESOURCE CENTER 419 E OSKALOOSA ST PELLA,IA50219	NONE		GRANT - OPERATING FUNDS	2,500
SPRIGS AND SPROUTS 907 UNION ST PELLA,IA50219	NONE		GRANT - RENOVATION	70,000
WONDERSPELEN PO BOX 671 PELLA,IA50219	NONE		GRANT - PLAYGROUNG	80,000
WISE 38 BANK STREET LEBANON,NH03766	NONE		FAMILY ADVISED GIFT	5,000
BETHANY CHRISTIAN SERVICES 617 FRANKLIN ST PELLA,IA50219	NONE		GRANT - MENTOR PROJECT	1,000
PELLA COMMUNITY HIGH SCHOOL 212 E UNIVERSITY STREET PELLA,IA50219	NONE		GRANT - MEALS FROM THE HEARTLAND EVENT	4,000
Total ................................. 3a				705,200

bApproved for future payment

Total ................................. 3b				0

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.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3 Interest on savings and temporary cash investments ...........			14	45
4 Dividends and interest from securities....			14	291,554
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income.....			14	20,100
8 Gain or (loss) from sales of assets other than inventory ............			18	80,934
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		392,633	0

13Total. Add line 12, columns (b), (d), and (e)..................

392,633

(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)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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

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)

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Form 990PF - Special Condition Description:

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