-
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
08-01-2019
, and ending
07-31-2020
Name of foundation
THE DEAVER PHOENIX FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
1300 S OCEAN BLVD APT PH-1
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
POMPANO BEACH
,
FL
33062
A Employer identification number
26-1146782
B
Telephone number (see instructions)
(954) 563-1400
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)
$
3,616,694
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
115
115
4
Dividends and interest from securities
...
68,599
68,599
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
95,629
b
Gross sales price for all assets on line 6a
609,015
7
Capital gain net income (from Part IV, line 2)
...
95,629
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
........
164,343
164,343
13
Compensation of officers, directors, trustees, etc.
46,000
13,800
32,200
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
525
158
368
b
Accounting fees (attach schedule)
.......
2,330
699
1,631
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
2,248
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
24,295
23,675
620
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
75,398
38,332
34,819
25
Contributions, gifts, grants paid
.......
156,000
156,000
26
Total expenses and disbursements.
Add lines 24 and 25
231,398
38,332
190,819
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-67,055
b
Net investment income
(if negative, enter -0-)
126,011
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
.............
21,612
13,627
13,627
2
Savings and temporary cash investments
.........
2,438
26,030
26,030
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)
.......
3,221,254
3,138,592
3,577,037
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)
..........
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)
3,245,304
3,178,249
3,616,694
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
3,245,304
3,178,249
29
Total net assets or fund balances
(see instructions)
.....
3,245,304
3,178,249
30
Total liabilities and net assets/fund balances
(see instructions)
.
3,245,304
3,178,249
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
3,245,304
2
Enter amount from Part I, line 27a
.....................
2
-67,055
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
3,178,249
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
3,178,249
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
FIDELITY NATIONAL INFORMATION
P
2018-08-17
2020-07-29
b
MERCK & CO. INC.
P
2018-10-01
2020-07-17
c
ALPHABET INC-CL C
P
2016-12-12
2020-06-09
d
RAYTHEON TECHNOLOGIES
P
2020-05-04
2020-05-04
e
BERNSTEIN INTERMEDIATE DURATION PORT
P
2008-01-08
2020-04-21
CHEVRON CORP
P
2018-01-16
2020-04-02
STARBUCKS CORP
P
2019-06-14
2020-03-18
MERCK & CO. INC.
P
2018-01-22
2020-03-09
COSTCO WHOLESALE CORP
P
2017-07-14
2020-03-02
ALTRIA GROUP INC
P
2018-07-23
2020-02-07
BOEING CO/THE
P
2017-08-31
2020-01-27
GILEAD SCIENCES INC
P
2014-06-09
2020-01-17
GILEAD SCIENCES INC
P
2013-06-14
2019-12-03
NISOURCE INC
P
2017-06-05
2019-11-22
NISOURCE INC
P
2017-06-05
2019-11-18
MERCK & CO. INC.
P
2016-06-10
2019-11-13
SYNCHRONY FINANCIAL
P
2015-12-29
2019-10-09
US FOODS HOLDING CORP
P
2018-09-10
2019-09-09
TJX COMPANIES INC
P
2017-05-26
2019-09-09
HOME DEPOT INC
P
2012-08-08
2019-09-09
BOEING CO/THE
P
2017-08-03
2019-09-09
AB DISCOVERY GRWTH FUND- AD
P
2014-12-22
2019-09-09
WALT DISNEY CO/THE
P
2014-10-16
2019-08-29
FIDELITY NATIONAL INFORMATION
P
2018-09-10
2020-07-29
MERCK & CO. INC.
P
2019-03-15
2020-07-17
FACEBOOK INC-A1
P
2015-02-09
2020-06-08
DOLLAR GENERAL CORP
P
2019-02-13
2020-05-01
OVERLAY A PORTFOLIO CLASS 1
P
2010-07-08
2020-04-21
PROGRESSIVE CORP
P
2016-08-04
2020-04-02
JOHNSON & JOHNSON
P
2019-05-16
2020-03-17
MERCK & CO. INC.
P
2018-10-01
2020-03-09
SYNCHRONY FINANCIAL
P
2019-09-03
2020-02-25
BOEING CO/THE
P
2017-08-31
2020-02-07
NOVO NORDISK A S ADR
P
2019-04-11
2020-01-24
GILEAD SCIENCES INC
P
2016-06-03
2020-01-17
GILEAD SCIENCES INC
P
2014-04-11
2019-12-03
NISOURCE INC
P
2018-06-29
2019-11-22
DISCOVERY INC-A
P
2019-06-18
2019-11-15
MERCK & CO. INC.
P
2018-01-10
2019-11-13
SYNCHRONY FINANCIAL
P
2016-02-19
2019-10-09
VERIZON COMMUNICATIONS INC
P
2018-05-22
2019-09-09
UNITEDHEALTH GROUP INC
P
2015-08-26
2019-09-09
HOME DEPOT INC
P
2012-08-17
2019-09-09
BOEING CO/THE
P
2017-08-04
2019-09-09
AB DISCOVERY GRWTH FUND- AD
P
2015-03-26
2019-09-09
WALT DISNEY CO/THE
P
2014-10-17
2019-08-29
FIDELITY NATIONAL INFORMATION
P
2018-07-19
2020-07-28
MICROSOFT CORP
P
2015-04-30
2020-07-06
FACEBOOK INC-A1
P
2015-09-04
2020-06-08
DOLLAR GENERAL CORP
P
2019-02-14
2020-05-01
REGENERON PHARMACEUTICALS
P
2019-11-13
2020-04-20
BROADCOM INC
P
2019-05-17
2020-04-01
MICROSOFT CORP
P
2015-04-30
2020-03-17
ROYAL DUTCH SHELL PLC-ADR
P
2018-12-26
2020-03-06
SYNCHRONY FINANCIAL
P
2019-09-04
2020-02-25
BOEING CO/THE
P
2017-09-25
2020-02-07
BERKSHIRE HATHAWAY INC-CL B
P
2018-07-19
2020-01-24
GILEAD SCIENCES INC
P
2016-11-07
2020-01-17
XILINX INC
P
2016-05-13
2019-12-03
REGENCY CENTERS CORP
P
2018-10-10
2019-11-22
DISCOVERY INC-A
P
2019-06-19
2019-11-15
ORACLE CORP
P
2015-09-04
2019-11-13
JOHNSON & JOHNSON
P
2019-05-16
2019-09-30
VISA INC - CLASS A SHARES
P
2013-09-17
2019-09-09
AB SMALL CAP CORE PORTFOLIO ADV CL
P
2016-05-23
2019-09-09
JPMORGAN CHASE & CO
P
2017-03-21
2019-09-09
COSTCO WHOLESALE CORP
P
2016-06-01
2019-09-09
ALPHABET INC-CL C
P
2015-07-27
2019-09-09
WALT DISNEY CO/THE
P
2014-11-12
2019-08-29
FIDELITY NATIONAL INFORMATION
P
2018-08-17
2020-07-28
NOVO NORDISK A S ADR
P
2019-04-12
2020-07-02
FACEBOOK INC-A1
P
2015-02-09
2020-06-03
JPMORGAN CHASE & CO
P
2017-05-01
2020-04-29
AMERICOLD REALTY TRUST
P
2020-02-07
2020-04-13
BROADCOM INC
P
2019-06-13
2020-04-01
ORACLE CORP
P
2015-09-04
2020-03-17
ROYAL DUTCH SHELL PLC-ADR
P
2018-12-28
2020-03-06
EVEREST RE GROUP LTD
P
2018-07-19
2020-02-25
WALT DISNEY CO/THE
P
2018-02-07
2020-02-07
MERCK & CO. INC.
P
2018-01-10
2020-01-24
GILEAD SCIENCES INC
P
2018-05-02
2020-01-17
XILINX INC
P
2016-05-16
2019-12-03
REGENCY CENTERS CORP
P
2018-10-11
2019-11-22
ELI LILLY & CO
P
2019-04-10
2019-11-15
ROSS STORES INC
P
2017-03-16
2019-11-13
CHECK POINT SOFTWARE TECH
P
2019-02-12
2019-09-17
WELLS FARGO & COMPANY
P
2014-06-19
2019-09-09
AB SMALL CAP CORE PORTFOLIO ADV CL
P
2016-06-09
2019-09-09
JPMORGAN CHASE & CO
P
2017-04-27
2019-09-09
CHEVRON CORP
P
2018-01-11
2019-09-09
ADOBE INC
P
2016-07-19
2019-09-09
ORACLE CORP
P
2015-08-13
2019-08-29
PFIZER INC
P
2013-06-06
2020-07-28
NOVO NORDISK A S ADR
P
2019-06-24
2020-07-02
ROSS STORES INC
P
2017-05-09
2020-05-19
JPMORGAN CHASE & CO
P
2017-05-25
2020-04-29
NOVO NORDISK A S ADR
P
2019-04-11
2020-04-09
EVEREST RE GROUP LTD
P
2018-07-24
2020-03-26
ORACLE CORP
P
2016-08-02
2020-03-17
ROYAL DUTCH SHELL PLC-ADR
P
2018-12-31
2020-03-06
FNF GROUP
P
2019-03-20
2020-02-13
WALT DISNEY CO/THE
P
2018-08-02
2020-02-07
MERCK & CO. INC.
P
2018-01-22
2020-01-24
GILEAD SCIENCES INC
P
2018-11-30
2020-01-17
PHILLIPS 66
P
2019-07-19
2019-12-02
FNF GROUP
P
2018-06-18
2019-11-20
SYNCHRONY FINANCIAL
P
2016-02-19
2019-11-15
ANTHEM INC
P
2018-02-28
2019-10-31
ROYAL DUTCH SHELL PLC-ADR
P
2018-12-26
2019-09-10
WELLS FARGO & COMPANY
P
2015-09-03
2019-09-09
WALT DISNEY CO/THE
P
2014-11-12
2019-09-09
MAGNA INTERNATIONAL INC
P
2015-07-30
2019-09-09
CHEVRON CORP
P
2018-01-16
2019-09-09
AMERICAN ELECTRIC POWER
P
2015-02-17
2019-09-09
TJX COMPANIES INC
P
2017-05-25
2019-08-29
PFIZER INC
P
2016-06-10
2020-07-28
BERKSHIRE HATHAWAY INC-CL B
P
2018-07-20
2020-06-26
ROSS STORES INC
P
2017-11-21
2020-05-19
JPMORGAN CHASE & CO
P
2017-06-22
2020-04-29
NOVO NORDISK A S ADR
P
2019-04-12
2020-04-09
BROADCOM INC
P
2019-05-14
2020-03-24
BOOKING HOLDINGS INC
P
2018-10-01
2020-03-17
FNF GROUP
P
2019-03-20
2020-03-05
FNF GROUP
P
2018-06-18
2020-02-13
NORFOLK SOUTHERN CORP
P
2017-02-27
2020-02-04
OVERLAY A PORTFOLIO CLASS 1
P
2010-07-08
2020-01-22
JPMORGAN CHASE & CO
P
2017-05-01
2020-01-17
REGENCY CENTERS CORP
P
2018-10-11
2019-12-02
MID-AMERICA APARTMENT COMM
P
2017-06-12
2019-11-20
SYNCHRONY FINANCIAL
P
2016-03-03
2019-11-15
AUTOZONE INC
P
2018-05-14
2019-10-25
ROCHE HLDG LTD SPONSORED ADR
P
2019-05-21
2019-09-10
WALMART INC
P
2017-06-09
2019-09-09
EVEREST RE GROUP LTD
P
2017-12-15
2019-09-09
MID-AMERICA APARTMENT COMM
P
2017-06-12
2019-09-09
COMCAST CORP-CLASS A
P
2013-11-21
2019-09-09
AMERICAN ELECTRIC POWER
P
2016-02-02
2019-09-09
TJX COMPANIES INC
P
2017-05-26
2019-08-29
FIDELITY NATIONAL INFORMATION
P
2018-07-19
2020-07-27
BERKSHIRE HATHAWAY INC-CL B
P
2018-08-02
2020-06-26
US FOODS HOLDING CORP
P
2018-11-08
2020-05-19
DELTA AIR LINES INC
P
2016-07-19
2020-04-27
CHECK POINT SOFTWARE TECH
P
2019-04-12
2020-04-09
BROADCOM INC
P
2019-05-17
2020-03-24
HONEYWELL INTERNATIONAL INC
P
2016-04-19
2020-03-17
FNF GROUP
P
2019-04-15
2020-03-05
FNF GROUP
P
2018-07-19
2020-02-13
NORFOLK SOUTHERN CORP
P
2017-03-20
2020-02-04
BERNSTEIN INTERMEDIATE DURATION PORT
P
2008-01-08
2020-01-22
CHECK POINT SOFTWARE TECH
P
2019-02-13
2020-01-07
REGENCY CENTERS CORP
P
2018-10-15
2019-12-02
NISOURCE INC
P
2017-06-05
2019-11-20
SYNCHRONY FINANCIAL
P
2017-06-05
2019-11-15
OVERLAY A PORTFOLIO CLASS 1
P
2010-07-08
2019-10-23
BIOGEN INC
P
2012-08-23
2019-09-10
ZOETIS INC
P
2017-08-28
2019-09-09
EVEREST RE GROUP LTD
P
2018-01-08
2019-09-09
MICROSOFT CORP
P
2015-04-30
2019-09-09
COMCAST CORP-CLASS A
P
2014-02-20
2019-09-09
APPLE INC
P
2014-04-29
2019-09-09
BOEING CO/THE
P
2017-08-03
2019-08-23
PFIZER INC
P
2013-06-06
2020-07-23
BERKSHIRE HATHAWAY INC-CL B
P
2018-07-20
2020-06-25
US FOODS HOLDING CORP
P
2019-03-18
2020-05-19
DELTA AIR LINES INC
P
2019-02-01
2020-04-27
DOLLAR GENERAL CORP
P
2019-02-13
2020-04-09
REGENCY CENTERS CORP
P
2019-05-22
2020-03-24
HOME DEPOT INC
P
2012-08-17
2020-03-17
REGENCY CENTERS CORP
P
2018-11-07
2020-03-05
SYNCHRONY FINANCIAL
P
2019-04-11
2020-02-12
BERKSHIRE HATHAWAY INC-CL B
P
2018-07-19
2020-02-03
PHILLIPS 66
P
2019-07-19
2020-01-17
CHECK POINT SOFTWARE TECH
P
2019-02-19
2020-01-07
ROSS STORES INC
P
2017-03-16
2019-12-02
EVEREST RE GROUP LTD
P
2018-01-08
2019-11-19
DISCOVERY INC-A
P
2019-06-14
2019-11-14
BERNSTEIN INTERMEDIATE DURATION PORT
P
2008-01-08
2019-10-23
GILEAD SCIENCES INC
P
2013-06-14
2019-09-10
XILINX INC
P
2016-04-14
2019-09-09
EDWARDS LIFESCIENCES
P
2017-03-17
2019-09-09
NIKE INC -CL B
P
2014-10-17
2019-09-09
CBRE GROUP INC
P
2018-05-07
2019-09-09
BANK OF AMERICA CORP
P
2015-07-23
2019-09-09
CDW CORP/DE
P
2017-06-13
2019-08-22
BERNSTEIN INTERMEDIATE DURATION PORT
P
2008-01-08
2020-07-21
MERCK & CO. INC.
P
2018-10-01
2020-06-25
JPMORGAN CHASE & CO
P
2017-06-22
2020-05-18
DELTA AIR LINES INC
P
2019-03-14
2020-04-27
BERKSHIRE HATHAWAY INC-CL B
P
2018-07-19
2020-04-09
STARBUCKS CORP
P
2019-06-14
2020-03-24
COSTCO WHOLESALE CORP
P
2017-07-14
2020-03-16
SYNCHRONY FINANCIAL
P
2019-09-04
2020-03-04
SYNCHRONY FINANCIAL
P
2019-09-03
2020-02-12
DELTA AIR LINES INC
P
2014-12-24
2020-01-31
ALTRIA GROUP INC
P
2016-12-09
2020-01-17
F5 NETWORKS INC
P
2019-06-13
2020-01-07
ROSS STORES INC
P
2017-04-10
2019-12-02
FNF GROUP
P
2018-06-18
2019-11-19
DISCOVERY INC-A
P
2019-06-18
2019-11-14
BIOGEN INC
P
2017-01-27
2019-10-21
BOOKING HOLDINGS INC
P
2018-09-28
2019-09-09
XILINX INC
P
2016-05-13
2019-09-09
EDWARDS LIFESCIENCES
P
2017-03-21
2019-09-09
NORFOLK SOUTHERN CORP
P
2017-02-27
2019-09-09
CDW CORP/DE
P
2017-06-13
2019-09-09
BERKSHIRE HATHAWAY INC-CL B
P
2018-07-19
2019-09-09
WALMART INC
P
2017-06-09
2019-08-16
OVERLAY A PORTFOLIO CLASS 1
P
2010-07-08
2020-07-21
BERKSHIRE HATHAWAY INC-CL B
P
2018-07-19
2020-06-24
JPMORGAN CHASE & CO
P
2017-09-22
2020-05-18
DELTA AIR LINES INC
P
2016-07-19
2020-04-24
CHECK POINT SOFTWARE TECH
P
2019-03-13
2020-04-09
REGENCY CENTERS CORP
P
2018-11-07
2020-03-24
DOLLAR GENERAL CORP
P
2018-12-27
2020-03-13
ALTRIA GROUP INC
P
2018-07-23
2020-03-04
SYNCHRONY FINANCIAL
P
2017-06-05
2020-02-12
DELTA AIR LINES INC
P
2016-07-19
2020-01-31
ALTRIA GROUP INC
P
2017-02-06
2020-01-17
EVEREST RE GROUP LTD
P
2018-02-07
2019-12-27
XILINX INC
P
2016-05-13
2019-12-02
MID-AMERICA APARTMENT COMM
P
2017-06-12
2019-11-19
ELI LILLY & CO
P
2019-04-10
2019-11-14
BIOGEN INC
P
2017-09-22
2019-10-21
DOLLAR GENERAL CORP
P
2018-12-26
2019-09-09
BERNSTEIN INTERMEDIATE DURATION PORT
P
2008-01-08
2019-09-09
FIDELITY NATIONAL INFORMATION
P
2018-07-19
2019-09-09
ORACLE CORP
P
2015-08-13
2019-09-09
CISCO SYSTEMS INC
P
2016-09-21
2019-09-09
VERIZON COMMUNICATIONS INC
P
2018-05-22
2019-09-04
COMCAST CORP-CLASS A
P
2013-11-21
2019-08-14
PAYPAL HOLDINGS INC
P
2019-01-22
2020-07-20
BERKSHIRE HATHAWAY INC-CL B
P
2018-07-20
2020-06-24
JPMORGAN CHASE & CO
P
2018-06-15
2020-05-18
BROADCOM INC
P
2019-06-13
2020-04-21
ROSS STORES INC
P
2017-04-10
2020-04-06
APPLE INC
P
2014-04-29
2020-03-24
DOLLAR GENERAL CORP
P
2019-02-13
2020-03-13
ALTRIA GROUP INC
P
2018-08-01
2020-03-04
SYNCHRONY FINANCIAL
P
2017-06-05
2020-02-11
EVEREST RE GROUP LTD
P
2018-05-08
2020-01-31
BOOKING HOLDINGS INC
P
2018-10-01
2020-01-17
CHECK POINT SOFTWARE TECH
P
2019-02-12
2019-12-17
COSTCO WHOLESALE CORP
P
2016-06-01
2019-12-02
REGENCY CENTERS CORP
P
2018-10-09
2019-11-19
NISOURCE INC
P
2016-06-29
2019-11-14
BIOGEN INC
P
2012-08-23
2019-10-18
DOLLAR GENERAL CORP
P
2018-12-27
2019-09-09
ALLIANCEBERNSTEIN GLBL RE-II
P
2008-01-08
2019-09-09
FACEBOOK INC-A
P
2015-02-06
2019-09-09
ORACLE CORP
P
2015-09-04
2019-09-09
OVERLAY A PORTFOLIO CLASS 1
P
2010-07-08
2019-09-09
CUBESMART
P
2018-06-21
2019-09-03
ALIGN TECHNOLOGY INC
P
2020-03-05
2020-07-17
DOLLAR GENERAL CORP
P
2019-02-14
2020-06-15
US FOODS HOLDING CORP
P
2018-09-10
2020-05-18
BROADCOM INC
P
2019-07-22
2020-04-21
ROSS STORES INC
P
2017-05-09
2020-04-06
FNF GROUP
P
2019-04-15
2020-03-23
REGENCY CENTERS CORP
P
2018-11-07
2020-03-13
MERCK & CO. INC.
P
2018-01-22
2020-03-04
TEXAS INSTRUMENTS INC
P
2016-07-21
2020-02-10
NORFOLK SOUTHERN CORP
P
2017-02-27
2020-01-30
BOEING CO/THE
P
2017-08-04
2020-01-17
CHECK POINT SOFTWARE TECH
P
2019-02-13
2019-12-17
WALT DISNEY CO/THE
P
2014-11-12
2019-12-02
REGENCY CENTERS CORP
P
2018-10-10
2019-11-19
NISOURCE INC
P
2016-12-14
2019-11-14
BIOGEN INC
P
2013-05-20
2019-10-18
BERRY GLOBAL GROUP INC
P
2019-06-17
2019-09-09
RAYTHEON COMPANY
P
2017-09-14
2019-09-09
FACEBOOK INC-A
P
2015-02-09
2019-09-09
PEPSICO INC
P
2014-10-14
2019-09-09
AB DISCOVERY VALUE-ADV
P
2014-10-21
2019-09-09
VMWARE INC-CLASS A
P
2019-02-11
2019-08-29
APPLE INC
P
2014-04-29
2020-07-17
DOLLAR GENERAL CORP
P
2019-02-25
2020-06-15
US FOODS HOLDING CORP
P
2018-11-08
2020-05-18
CITRIX SYSTEMS INC
P
2019-06-14
2020-04-21
BROADCOM INC
P
2019-06-13
2020-04-02
BROADCOM INC
P
2019-05-14
2020-03-20
PHILLIPS 66
P
2019-07-19
2020-03-10
REGENCY CENTERS CORP
P
2018-10-15
2020-03-03
TEXAS INSTRUMENTS INC
P
2016-10-12
2020-02-10
EVEREST RE GROUP LTD
P
2018-02-07
2020-01-29
WALT DISNEY CO/THE
P
2014-11-25
2020-01-17
ALTRIA GROUP INC
P
2015-10-09
2019-12-05
WALT DISNEY CO/THE
P
2014-11-25
2019-12-02
DISCOVERY INC-A
P
2019-06-19
2019-11-18
SYNCHRONY FINANCIAL
P
2016-02-19
2019-11-14
BIOGEN INC
P
2014-12-04
2019-10-18
BERRY GLOBAL GROUP INC
P
2019-06-19
2019-09-09
RAYTHEON COMPANY
P
2018-01-23
2019-09-09
FNF GROUP
P
2017-09-15
2019-09-09
PEPSICO INC
P
2015-05-07
2019-09-09
AB DISCOVERY VALUE-ADV
P
2014-12-23
2019-09-09
APPLE INC
P
2013-12-20
2019-08-29
APPLE INC
P
2015-01-07
2020-07-17
MICROSOFT CORP
P
2015-04-30
2020-06-15
JPMORGAN CHASE & CO
P
2017-06-22
2020-05-15
CBRE GROUP INC
P
2018-05-07
2020-04-21
CHECK POINT SOFTWARE TECH
P
2019-02-19
2020-04-02
EVEREST RE GROUP LTD
P
2018-07-19
2020-03-19
PHILLIPS 66
P
2019-07-22
2020-03-10
REGENCY CENTERS CORP
P
2018-10-17
2020-03-03
WALT DISNEY CO/THE
P
2019-04-30
2020-02-07
EVEREST RE GROUP LTD
P
2018-05-08
2020-01-29
WALT DISNEY CO/THE
P
2018-02-07
2020-01-17
GILEAD SCIENCES INC
P
2014-04-11
2019-12-04
EVEREST RE GROUP LTD
P
2018-01-08
2019-11-22
MID-AMERICA APARTMENT COMM
P
2017-06-12
2019-11-18
ULTA BEAUTY INC
P
2018-11-07
2019-11-14
BIOGEN INC
P
2017-01-27
2019-10-18
BERRY GLOBAL GROUP INC
P
2019-07-31
2019-09-09
ROSS STORES INC
P
2015-10-05
2019-09-09
FNF GROUP
P
2018-06-18
2019-09-09
PFIZER INC
P
2013-06-06
2019-09-09
ALTRIA GROUP INC
P
2015-10-09
2019-09-09
APPLE INC
P
2014-04-29
2019-08-29
CISCO SYSTEMS INC
P
2016-09-21
2020-07-17
ALPHABET INC-CL C
P
2016-08-05
2020-06-09
KLA CORP
P
2020-01-21
2020-05-07
MICROSOFT CORP
P
2015-04-30
2020-04-21
CHECK POINT SOFTWARE TECH
P
2019-03-13
2020-04-02
WALMART INC
P
2017-06-09
2020-03-19
PHILLIPS 66
P
2019-07-23
2020-03-10
REGENCY CENTERS CORP
P
2018-11-07
2020-03-03
ALTRIA GROUP INC
P
2017-02-06
2020-02-07
BOEING CO/THE
P
2017-08-04
2020-01-27
EOG RESOURCES INC
P
2015-12-16
2020-01-17
GILEAD SCIENCES INC
P
2014-06-09
2019-12-04
EVEREST RE GROUP LTD
P
2018-02-07
2019-11-22
NISOURCE INC
P
2016-12-14
2019-11-18
COSTCO WHOLESALE CORP
P
2016-06-01
2019-11-13
BROADCOM INC
P
2019-05-14
2019-10-09
REGENCY CENTERS CORP
P
2018-10-09
2019-09-09
ROSS STORES INC
P
2017-03-16
2019-09-09
GOLDMAN SACHS GROUP INC
P
2017-02-23
2019-09-09
PROCTER & GAMBLE CO/THE
P
2017-03-17
2019-09-09
AB DISCOVERY GRWTH FUND- AD
P
2012-08-08
2019-09-09
CHEVRON CORP
P
2018-01-11
2019-08-29
(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
2,456
1,812
644
b
2,397
2,152
245
c
1,457
788
669
d
5
5
e
1,090
1,064
26
1,959
3,446
-1,487
3,402
5,633
-2,231
715
552
163
3,028
1,536
1,492
1,569
1,951
-382
1,275
958
317
756
946
-190
986
786
200
1,080
1,081
-1
739
738
1
1,102
740
362
353
336
17
1,255
992
263
1,871
1,247
624
2,316
526
1,790
1,077
712
365
3,122
2,505
617
138
81
57
2,456
1,846
610
1,598
1,632
-34
691
224
467
346
236
110
510
479
31
1,209
536
673
534
551
-17
1,429
1,291
138
1,063
1,077
-14
1,356
958
398
2,628
2,192
436
1,449
1,982
-533
2,499
2,572
-73
1,555
1,542
13
988
982
6
593
397
196
289
241
48
2,121
1,756
365
1,848
894
954
1,390
341
1,049
359
237
122
804
684
120
3,451
2,095
1,356
1,579
1,196
383
1,265
295
970
2,073
785
1,288
2,077
1,422
655
2,262
1,394
868
1,786
2,334
-548
1,004
344
660
380
518
-138
688
710
-22
2,373
1,778
595
1,822
1,588
234
1,890
2,231
-341
1,410
693
717
1,474
1,466
8
1,976
1,988
-12
1,350
875
475
647
688
-41
3,601
949
2,652
545
477
68
1,850
1,407
443
2,388
1,219
1,169
5,980
3,133
2,847
690
449
241
718
533
185
1,522
1,159
363
2,773
894
1,879
196
175
21
887
912
-25
447
562
-115
514
401
113
2,240
3,154
-914
1,122
939
183
1,549
1,156
393
2,154
1,420
734
1,260
1,335
-75
705
348
357
1,858
1,806
52
7,463
8,414
-951
1,448
878
570
661
712
-51
774
832
-58
5,075
4,703
372
1,966
1,488
478
2,026
2,254
-228
1,667
587
1,080
1,732
1,300
432
1,412
1,010
402
2,183
1,675
508
356
262
94
1,765
1,543
222
1,139
969
170
1,636
2,011
-375
468
408
60
338
480
-142
314
239
75
3,803
3,042
761
1,465
1,042
423
1,197
1,361
-164
1,948
1,740
208
1,916
1,520
396
1,186
855
331
805
711
94
974
979
-5
677
739
-62
1,663
1,078
585
1,425
1,464
-39
119
133
-14
549
347
202
1,264
866
398
2,118
1,905
213
178
197
-19
3,919
3,197
722
1,667
1,480
187
1,678
1,410
268
1,913
2,725
-812
1,324
2,004
-680
1,534
1,230
304
90
76
14
635
362
273
421
314
107
1,929
1,223
706
65
62
3
1,795
1,395
400
1,706
1,300
406
1,130
668
462
720
691
29
2,208
1,507
701
1,258
1,116
142
3,088
2,575
513
2,922
1,487
1,435
1,282
866
416
1,484
1,020
464
2,591
1,958
633
2,311
2,569
-258
582
983
-401
924
1,612
-688
2,000
2,447
-447
638
875
-237
661
551
110
384
350
34
3,809
3,369
440
1,694
918
776
1,228
1,201
27
1,010
1,068
-58
1,225
1,182
43
3,937
3,981
-44
1,075
804
271
459
360
99
701
401
300
2,419
1,171
1,248
503
438
65
4,647
1,670
2,977
464
259
205
4,284
1,696
2,588
718
474
244
1,315
954
361
1,430
1,576
-146
958
1,770
-812
1,248
2,691
-1,443
2,027
1,414
613
873
1,532
-659
671
228
443
2,012
2,111
-99
2,179
2,141
38
2,013
1,786
227
2,168
2,149
19
786
846
-60
697
405
292
2,668
2,191
477
2,519
2,449
70
1,209
1,190
19
872
681
191
949
418
531
1,305
569
736
2,128
1,054
1,074
1,435
1,206
229
3,992
2,546
1,446
699
369
330
1,160
1,099
61
2,450
2,295
155
1,066
1,045
21
624
1,400
-776
2,304
2,382
-78
3,444
4,708
-1,264
568
307
261
784
839
-55
671
634
37
112
96
16
1,327
1,716
-389
1,509
1,593
-84
1,744
954
790
3,457
2,735
722
720
714
6
445
512
-67
1,985
1,977
8
738
303
435
653
282
371
1,949
1,326
623
1,402
737
665
2,488
2,382
106
677
476
201
401
328
73
1,783
1,985
-202
1,510
1,610
-100
1,905
3,507
-1,602
1,053
1,225
-172
1,177
1,983
-806
1,283
940
343
788
1,033
-245
235
194
41
614
443
171
664
929
-265
822
742
80
2,622
1,256
1,366
1,514
1,180
334
2,677
3,060
-383
2,003
2,851
-848
320
205
115
11,875
11,613
262
1,733
1,414
319
272
197
75
1,310
842
468
696
585
111
681
378
303
2,106
1,088
1,018
535
591
-56
2,753
3,318
-565
249
281
-32
1,643
1,208
435
2,163
763
1,400
428
354
74
1,751
2,337
-586
3,107
2,579
528
1,663
1,364
299
2,053
2,004
49
1,001
1,069
-68
2,364
1,219
1,145
521
512
9
79
78
1
222
134
88
1,120
731
389
34,480
31,868
2,612
3,186
1,275
1,911
2,227
1,495
732
26,560
20,944
5,616
3,559
3,138
421
966
691
275
563
356
207
528
896
-368
1,988
2,347
-359
1,557
1,179
378
1,411
2,564
-1,153
884
1,087
-203
2,458
1,839
619
128
65
63
1,275
724
551
3,246
2,374
872
667
712
-45
1,202
719
483
1,172
1,147
25
2,714
2,266
448
2,219
2,077
142
1,643
2,188
-545
575
544
31
937
373
564
544
373
171
1,855
2,039
-184
6,361
7,471
-1,110
1,542
339
1,203
3,375
2,149
1,226
754
1,269
-515
2,059
1,352
707
1,631
1,966
-335
987
1,514
-527
312
512
-200
481
498
-17
642
343
299
827
742
85
1,876
1,188
688
2,745
3,136
-391
1,352
823
529
3,081
3,042
39
1,692
1,230
462
1,109
1,579
-470
1,873
2,517
-644
958
982
-24
1,608
1,241
367
1,768
1,240
528
3,805
3,890
-85
4,594
1,731
2,863
771
215
556
2,472
638
1,834
6,627
6,703
-76
2,244
2,597
-353
980
1,209
-229
568
704
-136
1,873
3,070
-1,197
1,803
1,890
-87
1,408
1,388
20
276
227
49
1,876
1,367
509
794
812
-18
532
438
94
2,210
1,717
493
4,376
5,234
-858
1,109
1,281
-172
650
767
-117
1,517
680
837
223
190
33
2,606
1,992
614
1,275
1,654
-379
418
170
248
2,522
1,683
839
2,914
1,561
1,353
1,971
2,149
-178
1,864
540
1,324
882
1,103
-221
871
555
316
874
1,442
-568
120
128
-8
323
500
-177
956
712
244
1,627
1,457
170
861
1,025
-164
1,862
1,731
131
1,558
1,298
260
1,517
762
755
822
908
-86
1,495
1,408
87
650
405
245
1,487
1,755
-268
2,076
1,560
516
3,975
2,513
1,462
3,049
3,447
-398
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
644
b
245
c
669
d
5
e
26
-1,487
-2,231
163
1,492
-382
317
-190
200
-1
1
362
17
263
624
1,790
365
617
57
610
-34
467
110
31
673
-17
138
-14
398
436
-533
-73
13
6
196
48
365
954
1,049
122
120
1,356
383
970
1,288
655
868
-548
660
-138
-22
595
234
-341
717
8
-12
475
-41
2,652
68
443
1,169
2,847
241
185
363
1,879
21
-25
-115
113
-914
183
393
734
-75
357
52
-951
570
-51
-58
372
478
-228
1,080
432
402
508
94
222
170
-375
60
-142
75
761
423
-164
208
396
331
94
-5
-62
585
-39
-14
202
398
213
-19
722
187
268
-812
-680
304
14
273
107
706
3
400
406
462
29
701
142
513
1,435
416
464
633
-258
-401
-688
-447
-237
110
34
440
776
27
-58
43
-44
271
99
300
1,248
65
2,977
205
2,588
244
361
-146
-812
-1,443
613
-659
443
-99
38
227
19
-60
292
477
70
19
191
531
736
1,074
229
1,446
330
61
155
21
-776
-78
-1,264
261
-55
37
16
-389
-84
790
722
6
-67
8
435
371
623
665
106
201
73
-202
-100
-1,602
-172
-806
343
-245
41
171
-265
80
1,366
334
-383
-848
115
262
319
75
468
111
303
1,018
-56
-565
-32
435
1,400
74
-586
528
299
49
-68
1,145
9
1
88
389
2,612
1,911
732
5,616
421
275
207
-368
-359
378
-1,153
-203
619
63
551
872
-45
483
25
448
142
-545
31
564
171
-184
-1,110
1,203
1,226
-515
707
-335
-527
-200
-17
299
85
688
-391
529
39
462
-470
-644
-24
367
528
-85
2,863
556
1,834
-76
-353
-229
-136
-1,197
-87
20
49
509
-18
94
493
-858
-172
-117
837
33
614
-379
248
839
1,353
-178
1,324
-221
316
-568
-8
-177
244
170
-164
131
260
755
-86
87
245
-268
516
1,462
-398
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
95,629
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
-10,779
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
220,422
3,579,568
0.061578
2017
214,169
3,767,077
0.056853
2016
201,748
3,566,500
0.056568
2015
232,801
3,518,611
0.066163
2014
151,389
3,812,026
0.039714
2
Total
of line 1, column (d)
.....................
2
0.280876
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
0.056175
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
3,531,239
5
Multiply line 4 by line 3
......................
5
198,367
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,260
7
Add lines 5 and 6
........................
7
199,627
8
Enter qualifying distributions from Part XII, line 4
,.............
8
190,819
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
2,520
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
3
Add lines 1 and 2
...........................
3
2,520
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
2,520
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
65
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
2,585
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
ROHAN P KELLEY
Telephone no.
(954) 563-1400
Located at
130 SOUTH OCEAN DRIVE APT PH-1
POMPANO BEACH
FL
ZIP+4
33062
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
ROHAN KELLEY
CHAIRMAN & P
000.00
8,000
0
0
1300 SOUTH OCEAN DRIVE
APT PH-1
POMPANO BEACH
,
FL
33062
WAGNER KELLEY
DIRECTOR
000.00
0
0
0
PO BOX 138
MINTURN
,
CO
81645
TAE KELLEY BRONNER
DIRECTOR
000.00
7,000
0
0
18113 COURTNEY BREEZE WAY
TAMPA
,
FL
33647
SEAN KELLEY
DIRECTOR, VP
000.00
8,000
0
0
685 OCEAN PALM WAY
ST AUGUSTINE
,
FL
32080
SHANE KELLEY
DIRECTOR & S
000.00
8,000
0
0
5400 BE 31ST AVENUE
FORT LAUDERDALE
,
FL
33308
SHANNON KELLEY
DIRECTOR
000.00
7,000
0
0
3344 MAPLESIDE LANE
MURFREESBORO
,
TN
37128
CALVIN KELLEY
DIRECTOR
000.00
8,000
0
0
4370 RIDGEWAY DIRVE
LOVELAND
,
CO
80538
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
...................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
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
N/A
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
3,517,012
b
Average of monthly cash balances
.......................
1b
68,002
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
3,585,014
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
3
Subtract line 2 from line 1d
.........................
3
3,585,014
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
53,775
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
3,531,239
6
Minimum investment return.
Enter 5% of line 5
..................
6
176,562
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
176,562
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
2,520
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
2,520
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
174,042
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
174,042
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
174,042
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
190,819
b
Program-related investments—total from Part IX-B
..................
1b
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
190,819
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
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
190,819
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
174,042
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
22,102
b
Total for prior years:
20
,
20
,
20
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
........
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
190,819
a
Applied to 2018, but not more than line 2a
22,102
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
168,717
e
Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2019.
(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
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
5,325
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
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).)
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
BROWARD COUNTY LIBRARY
100 S ANDERSON AVE
FORT LAUDERDALE
,
FL
33301
NONE
PAID
FUND COMPUTER CODING CAMP FO
26,000
UNIVERSITY OF FLORIDA FOUNDATION
PO BOX 14425
GAINESVILLE
,
FL
326042425
NONE
PAID
FUND GRADUATE TAX PROGRAM
10,000
FLAGLER COLLEGE INC
74 KING STREET
ST AUGUSTINE
,
FL
32084
NONE
PAID
SCHOLARSHIP PROGRAM FOR STUDENT
16,000
DAVID A STRAUS JR CENTER FOR
PO BOX 518
TAMPA
,
FL
336010518
NONE
PAID
PATEL CONSERVATORY ED SCHOLARSHIPS
10,000
MIDDLE TENNESSEE STATE UNIVERSITY
1301 EAST MAIN ST
MURFREESBORO
,
TN
37132
NONE
PAID
FUND AEROSPACE SUMMER CAMP
6,000
NORTHERN COLORADO CHILDRENS SPEECH
1330 OAKRIDGE DR 10
FORT COLLINS
,
CO
80525
NONE
PAID
GRANT TO FUND ATTENDANCE FOR LOW INC
10,000
LIGHTHOUSE OF BROWARD COUNTY
650 N ANDREWS AVENUE
FORT LAUDERDALE
,
FL
33311
NONE
PAID
ECONOMICALLY DISADVANTAGED FAMILIES
16,000
POE MILL ACHIEVEMENT CENTER
301 BRIARCLIFF DRIVE
GREENVILLE
,
SC
29607
NONE
PAID
HELP UNDERPRIVILEGED CHILDREN
16,000
EPIC BEHAVIORAL HEALTH CARE
1400 OLD DIXIE HWY
ST AUGUSTINE
,
FL
32084
NONE
PAID
SUBSTANCE ABUSE AND MENTAL HEALTH
10,000
MCGAVOCK HIGH SCHOOL
2601 BRANSFORD AVENUE
NASHVILLE
,
TN
37204
NONE
PAID
AVIATION PROGRAM FOR MINORITY KIDS
20,000
PRETTY BRAINY
150 E 29TH ST 250
LOVELAND
,
CO
80538
NONE
PAID
STEM & ART LEARNING FOR GIRLS
16,000
Total
.................................
3a
156,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
115
4
Dividends and interest from securities
....
14
68,599
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
95,629
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)
..
164,343
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
164,343
(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