Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 05-01-2018 , and ending 04-30-2019
Name of foundation
BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
 
Number and street (or P.O. box number if mail is not delivered to street address)10 S DEARBORN IL1-0111
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60603
A Employer identification number

36-6692339
B Telephone number (see instructions)

(800) 496-2583
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,757,218J Accounting method:
 
(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)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 114,289
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 57,941 56,812  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 431,975
b Gross sales price for all assets on line 6a 1,744,783
7 Capital gain net income (from Part IV, line 2)... 431,975
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 1,888    
12 Total. Add lines 1 through 11........ 606,093 488,787  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 20,830 12,498   8,332
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 5,571 1,671   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 15     15
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 26,416 14,169 0 8,347
25 Contributions, gifts, grants paid....... 583,000 583,000
26 Total expenses and disbursements. Add lines 24 and 25 609,416 14,169 0 591,347
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -3,323
b Net investment income (if negative, enter -0-) 474,618
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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
Assets 1 Cash—non-interest-bearing............. 14,871 43,135 43,135
2 Savings and temporary cash investments......... 49,893 80,251 80,251
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet0      
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)....... 1,344,272 Click to see attachment1,606,849 1,695,421
c Investments—corporate bonds (attach schedule)....... 532,976 Click to see attachment491,152 489,232
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 614,940 Click to see attachment448,005 449,179
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,556,952 2,669,392 2,757,218
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 2,556,952 2,669,392
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 2,556,952 2,669,392
31 Total liabilities and net assets/fund balances (see instructions). 2,556,952 2,669,392
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 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
2,556,952
2
Enter amount from Part I, line 27a .....................
2
-3,323
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
183,419
4
Add lines 1, 2, and 3 ..........................
4
2,737,048
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
67,656
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,669,392
Form 990-PF (2018)
Form 990-PF (2018)
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 612. DEERE & CO   2008-10-14 2018-05-18
b 1144.165 PARNASSUS EQTY INCOME FD-INS   2013-09-27 2018-05-21
c 1314.985 PRIMECAP ODYSSEY STOCK FUND   2016-04-21 2018-05-21
d 2458.763 FMI LARGE CAP FUND-INST   2017-01-30 2018-05-29
e 1304.444 PIMCO FDS PAC INVT MGMT SER HIGH YLD FD INSTL CL   2017-09-11 2018-05-29
1749.67 PIMCO FDS PAC INVT MGMT SER HIGH YLD FD INSTL CL   2017-01-05 2018-05-29
113.812 THE ARBITRAGE FUND-I   2015-08-03 2018-06-05
621.744 BLACKSTONE ALT MULTI-STRAT- Y   2017-10-18 2018-06-05
328.548 CRM LNG/SHRT OPPORT-INST   2018-01-30 2018-06-05
166. DEUTSCHE X-TRACKERS MSCI JAP   2016-07-13 2018-06-05
96.235 DIAMOND HILL FDS LG SHORT FD I SHS*   2017-10-18 2018-06-05
838.01 DOUBLELINE TTL RTRN BND-I   2012-12-26 2018-06-05
565.998 OAKMARK INTERNATIONAL-INST   2016-10-24 2018-06-05
439.595 JPM MANAGED INCOME - INSTL FUND 2119   2018-02-16 2018-06-05
223.035 MATTHEWS ASIA DIVIDEND-INS   2015-12-10 2018-06-05
269.653 NEUBERGER BERMAN LONG SH-INS   2017-10-18 2018-06-05
159.643 PARNASSUS EQTY INCOME FD-INS   2015-04-17 2018-06-05
544.03 PIMCO COMMODITYPL STRAT-INS   2018-02-22 2018-06-05
182.769 PRIMECAP ODYSSEY STOCK FUND   2016-04-21 2018-06-05
166. SPDR TR UNIT SER 1   2014-11-25 2018-06-05
83. SPDR S&P OIL & GAS EXP & PR   2017-03-13 2018-06-05
775.353 VANGUARD TOTAL BOND MARKET INDEX FUND-ADM   2016-05-23 2018-06-05
22. VANGUARD MID-CAP VIPERS   2018-03-27 2018-06-05
1120.017 AMG MG FAIRPT MC-Z   2016-06-28 2018-06-15
566. VANGUARD EMERGING MARKET VIPERS   2016-06-28 2018-06-15
1031. ISHARES GOLD TRUST   2018-03-16 2018-07-19
1100. ISHARES GOLD TRUST   2018-03-16 2018-07-19
2250. WOODWARD GOVERNOR CO   2012-09-17 2018-08-30
449.179 LAZARD EMERGING MKT PORTFOLIO INSTL*   2017-09-11 2018-09-05
1328.491 LAZARD EMERGING MKT PORTFOLIO INSTL*   2017-02-03 2018-09-05
505.859 CRM LNG/SHRT OPPORT-INST   2018-01-30 2018-09-06
1389.46 DOUBLELINE TTL RTRN BND-I   2015-04-17 2018-09-06
362.914 NEUBERGER BERMAN LONG SH-INS   2017-10-18 2018-09-06
73. SPDR TR UNIT SER 1   2014-11-25 2018-09-06
65. SCHWAB U.S. TIPS ETF   2017-08-02 2018-09-06
1283.042 BLACKSTONE ALT MULTI-STRAT- Y   2017-10-18 2018-09-18
128. DEUTSCHE X-TRACKERS MSCI JAP   2016-07-13 2018-09-18
102.655 DODGE & INTERNATIONAL STOCK FUND   2015-05-22 2018-09-18
33.313 FIDELITY 500 INDEX FD-AI   2018-02-08 2018-09-18
215.324 OAKMARK INTERNATIONAL-INST   2016-10-24 2018-09-18
77.365 OAKMARK FUND-INST   2018-05-21 2018-09-18
570. ISHARES GOLD TRUST   2018-03-16 2018-09-18
6. ISHARES MSCI ASIAN EX JAPAN   2015-12-10 2018-09-18
73.649 MATTHEWS ASIA DIVIDEND-INS   2015-12-10 2018-09-18
149.466 PARNASSUS EQTY INCOME FD-INS   2015-04-17 2018-09-18
144.114 PRIMECAP ODYSSEY STOCK FUND   2016-04-21 2018-09-18
280.377 PGIM GLOBAL REAL ESTATE-Q   2015-04-17 2018-09-18
68. SPDR S&P OIL & GAS EXP & PR   2017-03-13 2018-09-18
36. VANGUARD MID-CAP VIPERS   2018-03-27 2018-09-18
589.227 JPM MANAGED INCOME - INSTL FUND 2119   2018-02-16 2018-09-19
71. VANGUARD EMERGING MARKET VIPERS   2016-06-28 2018-09-19
651. VANGUARD EMERGING MARKET VIPERS   2018-01-29 2018-09-19
3829.487 JPM MANAGED INCOME - INSTL FUND 2119   2018-02-16 2018-10-16
3925.841 PIMCO COMMODITYPL STRAT-INS   2018-02-22 2018-11-09
94. SPDR TR UNIT SER 1   2014-11-25 2018-11-28
1531.114 DOUBLELINE TTL RTRN BND-I   2015-08-24 2018-12-04
450. J P MORGAN CHASE & CO   2009-04-02 2018-12-04
90. SCHWAB U.S. TIPS ETF   2017-08-02 2018-12-04
1180. US BANCORP DEL NEW   2000-04-18 2018-12-04
89. SPDR TR UNIT SER 1   2017-01-05 2018-12-07
900. DEUTSCHE X-TRACKERS MSCI JAP   2016-07-13 2018-12-17
132. DEUTSCHE X-TRACKERS MSCI JAP   2017-10-24 2018-12-17
250. DEERE & CO   2008-10-14 2019-01-25
1185. WOODWARD GOVERNOR CO   2013-01-08 2019-01-25
38. SCHWAB U.S. TIPS ETF   2017-08-02 2019-01-28
500. SCHWAB U.S. TIPS ETF   2017-08-02 2019-01-28
3359.698 PGIM GLOBAL REAL ESTATE-Q   2015-04-17 2019-02-06
720.044 DODGE & COX INCOME FUND   2017-01-11 2019-02-28
388.457 FIDELITY INTL INDX-INST PRM   2017-11-30 2019-02-28
302.427 FIDELITY 500 INDEX FD-AI   2018-03-27 2019-02-28
279.485 FIDELITY 500 INDEX FD-AI   2018-02-08 2019-02-28
1565. ISHARES GOLD TRUST   2018-03-16 2019-02-28
993. ISHARES CORE MSCI EMERGING   2018-09-19 2019-02-28
861.964 JPM MANAGED INCOME - INSTL FUND 2119   2018-02-16 2019-02-28
134.191 JPM MANAGED INCOME - INSTL FUND 2119   2018-05-29 2019-02-28
2012.811 TORTOISE MLP & PIPELINE-INST   2016-04-21 2019-02-28
391. ISHARES MSCI JAPAN ETF   2018-02-12 2019-04-11
19. VANGUARD MID-CAP VIPERS   2018-06-15 2019-04-11
145. VANGUARD MID-CAP VIPERS   2018-03-27 2019-04-11
485. WOODWARD GOVERNOR CO   1960-11-11 2019-04-18
2176.032 AQR EQUITY MARKET NEUTRAL-R6   2016-06-28 2019-04-22
176.067 AQR EQUITY MARKET NEUTRAL-R6   2018-05-29 2019-04-22
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 90,698   25,185 65,513
b 50,000   45,660 4,340
c 43,000   31,454 11,546
d 52,937   49,962 2,975
e 11,270   11,755 -485
15,117   15,428 -311
1,486   1,493 -7
6,559   6,796 -237
3,522   3,509 13
7,230   5,322 1,908
2,484   2,534 -50
8,724   9,472 -748
15,582   12,473 3,109
4,396   4,396  
4,490   3,358 1,132
3,975   3,834 141
7,005   6,438 567
3,672   3,455 217
5,997   4,372 1,625
45,598   34,445 11,153
3,430   3,017 413
8,079   8,444 -365
3,496   3,384 112
48,967   38,056 10,911
24,887   19,298 5,589
12,091   12,978 -887
12,831   13,846 -1,015
181,347   83,842 97,505
7,456   8,021 -565
22,053   22,558 -505
5,458   5,403 55
14,464   15,400 -936
5,458   5,161 297
21,001   15,147 5,854
3,534   3,588 -54
13,703   14,024 -321
5,580   4,104 1,476
4,387   4,715 -328
3,395   3,010 385
5,573   4,838 735
6,884   6,740 144
6,536   7,175 -639
416   324 92
1,358   1,109 249
7,004   6,028 976
4,976   3,447 1,529
6,858   7,152 -294
2,841   2,472 369
5,971   5,537 434
5,898   5,892 6
2,933   2,915 18
26,891   31,500 -4,609
38,333   38,295 38
22,456   24,929 -2,473
25,687   19,963 5,724
15,832   16,842 -1,010
49,531   12,993 36,538
4,807   4,968 -161
63,787   33,695 30,092
23,710   21,336 2,374
35,051   35,483 -432
5,119   5,658 -539
40,376   10,288 30,088
92,878   46,288 46,590
2,025   2,098 -73
26,636   27,602 -966
82,010   83,192 -1,182
9,735   9,821 -86
15,410   16,945 -1,535
29,366   27,739 1,627
27,138   25,252 1,886
19,668   19,700 -32
50,749   51,095 -346
8,637   8,620 17
1,345   1,343 2
25,683   23,668 2,015
21,415   23,331 -1,916
3,126   3,064 62
23,858   22,180 1,678
48,313   18,945 29,368
21,869   24,931 -3,062
1,769   2,078 -309
      38,966
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       65,513
b       4,340
c       11,546
d       2,975
e       -485
      -311
      -7
      -237
      13
      1,908
      -50
      -748
      3,109
       
      1,132
      141
      567
      217
      1,625
      11,153
      413
      -365
      112
      10,911
      5,589
      -887
      -1,015
      97,505
      -565
      -505
      55
      -936
      297
      5,854
      -54
      -321
      1,476
      -328
      385
      735
      144
      -639
      92
      249
      976
      1,529
      -294
      369
      434
      6
      18
      -4,609
      38
      -2,473
      5,724
      -1,010
      36,538
      -161
      30,092
      2,374
      -432
      -539
      30,088
      46,590
      -73
      -966
      -1,182
      -86
      -1,535
      1,627
      1,886
      -32
      -346
      17
      2
      2,015
      -1,916
      62
      1,678
      29,368
      -3,062
      -309
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 431,975
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 ................... 		Bracket 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?
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))
2017 625,109 2,677,629 0.233456
2016 550,230 2,416,691 0.227679
2015 553,734 2,597,197 0.213204
2014 698,057 2,456,691 0.284145
2013 282,644 1,867,161 0.151376
2
Total of line 1, column (d) .....................
2
1.10986
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
0.221972
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
2,635,166
5
Multiply line 4 by line 3......................
5
584,933
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
4,746
7
Add lines 5 and 6........................
7
589,679
8
Enter qualifying distributions from Part XII, line 4,.............
8
591,347
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 (2018)
Form 990-PF (2018)
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 Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
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 4,746
hereBulletand 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 4,746
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 4,746
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 1,856
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 5,300
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,156
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,410
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet2,410 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
    bulletIL
    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 2018 or the taxable year beginning in 2018? 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. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 addressbullet  
    14
    The books are in care ofbulletJPMORGAN CHASE BANK NA Telephone no.bullet (800) 496-2583

    Located atbullet10 S DEARBORN IL1-0111CHICAGOIL ZIP+4bullet60603
    15
    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
    15
     
    16 At any time during calendar year 2018, 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
    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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?...............
    (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.).......
    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
    ........bullet
    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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 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.
    bullet20, 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?......................
    b
    If "Yes," did it have excess business holdings in 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    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
     
     
    .........bullet
    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?..........
    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?.....................
    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?
    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? .................
    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
    JPMORGAN CHASE BANK NA TRUSTEE
    2     		20,830    
    10 S DEARBORN IL1-0111
    CHICAGO,IL60603
    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...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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.............bullet0
    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.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    2,608,118
    b
    Average of monthly cash balances.......................
    1b
    67,177
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,675,295
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,675,295
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    40,129
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,635,166
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    131,758
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    131,758
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    4,746
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,746
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    127,012
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    127,012
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    127,012
    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
    591,347
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    591,347
    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
    4,746
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    586,601
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 127,012
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 189,345
    b From 2014...... 0
    c From 2015...... 412,321
    d From 2016...... 411,058
    e From 2017...... 494,940
    fTotal of lines 3a through e........ 1,507,664
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 591,347
    a Applied to 2017, 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 2018 distributable amount..... 127,012
    e Remaining amount distributed out of corpus 464,335
    5 Excess distributions carryover applied to 2018. 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 1,971,999
    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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		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 2013 not
    applied on line 5 or line 7 (see instructions) ...     		189,345
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		1,782,654
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 412,321
    c Excess from 2016.... 411,058
    d Excess from 2017.... 494,940
    e Excess from 2018.... 464,335
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    DAVE RYDELL BERGSTROM INC
    2390 BLACKHAWK ROAD
    ROCKFORD,IL61109
    (815) 394-4655
    NONE@JPMORGAN.COM
    bThe form in which applications should be submitted and information and materials they should include:
    OUTLINE PURPOSE OF PROPOSED GRANTS OR FUNDS INCLUDE COPY OF 501(C)(3) LETTER
    cAny submission deadlines:
    N/A
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    PREFERENCE TO IL RESIDENTS AND CHARITABLE ORGANIZATIONS OTHERS CONSIDERED FOR RELIGIOUS, CHARITABLE OR EDUCATIONAL PURPOSE
    Form 990-PF (2018)
    Form 990-PF (2018)
    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)
    aPaid during the year
    ALIGNMENT ROCKFORD
    330 SPRING CREEK RD
    ROCKFORD,IL61107     		NONE PC GENERAL 5,000
    ONE BODY COLLABORATIVES INC
    PO BOX 1633
    Rockford,IL61110     		NONE PC GENERAL 15,000
    BRAVEHEARTS THERAPEUTIC RIDING
    7319 MAXON RD
    Harvard,IL60033     		NONE PC GENERAL 5,000
    REGIONAL ACCESS MOBILIZATION
    PROJECT INC
    202 MARKET ST
    ROCKFORD,IL61107     		NONE PC GENERAL 2,500
    DISCOVERY CENTER MUSEUM OF ROCKFORD
    INC
    711 N MAIN STREET
    ROCKFORD,IL61103     		NONE PC GENERAL 5,000
    ROCKFORD ROTARY CHARITABLE
    PO BOX 1323
    ROCKFORD,IL61105     		NONE PC GENERAL 3,000
    KIWANIS CHARITIES OF ROCKFORD
    PO BOX 8472
    Rockford,IL61126     		NONE PC GENERAL 1,250
    LAURENT FOUNDATION INC
    4949 HARRISON AVENUE
    ROCKFORD,IL61108     		NONE PC GENERAL 5,000
    ALPINE KIWANIS CHARITIES FUND
    PO BOX 5132
    ROCKFORD,IL61125     		NONE PC GENERAL 1,250
    YOUTH SERVICES NETWORK INC
    15501 SAN FERNANDO MISSION BLV SUIT
    Mission Hills,CA91345     		NONE PC GENERAL 5,000
    LUTHERAN OUTDOOR MINISTRIES
    CENTER
    1834 S IL ROUTE 2
    OREGON,IL61061     		NONE PC GENERAL 2,500
    AMERICAN RED CROSS ROCK
    727 NORTH CHURCH STREET
    ROCKFORD,IL61103     		NONE PC GENERAL 2,500
    CRUSADERS HEALTH FOUNDATION
    1200 W STATE ST
    ROCKFORD,IL22112     		NONE PC GENERAL 5,000
    MUSCULAR DYSTROPHY ASSOCIATION
    3300 E SUNRISE DRIVE
    TUCSON,AZ85718     		NONE PC GENERAL 3,500
    WINNEBAGO COUNTY CASA
    211 S COURT ST RM 258
    rockford,IL61101     		NONE PC GENERAL 2,500
    CLUB BLUE ROCKFORD INC
    2224 PRINCETON AVE
    ROCKFORD,IL73255     		NONE PC GENERAL 2,500
    SWEDISHAMERICAN FOUNDATION
    1415 E STATE ST
    ROCKFORD,IL61104     		NONE PC GENERAL 10,000
    AMERICAN HEART ASSOCIATION
    5192 HARRISON AVENUE
    ROCKFORD,IL61108     		NONE PC GENERAL 2,500
    GIGI'S PLAYHOUSE INC
    2350 W HIGGINS RD
    Hoffman Estates,IL60169     		NONE PC GENERAL 5,000
    SOUNDS OF GOOD NEWS INC
    2627 WOODMAR RD
    Rockford,IL61114     		NONE PC GENERAL 10,000
    ROCKFORD ROBOTICS INCORPORATED
    1260 TURRET DRIVE
    machesney pk,IL98118     		NONE PC GENERAL 500
    ROCKFORD SYMPHONY ORCHESTRA
    711 N MAIN STREET
    ROCKFORD,IL61103     		NONE PC GENERAL 10,000
    ROCKFORD RESCUE MISSION MINISTRIES
    PO BOX 4083
    ROCKFORD,IL61110     		NONE PC GENERAL 20,000
    ROCKFORD AREA ARTS COUNCIL
    713 E STATE STREET
    ROCKFORD,IL61104     		NONE PC GENERAL 3,500
    ROSECRANCE FOUNDATION
    3815 HARRISON AVENUE
    ROCKFORD,IL61108     		NONE PC GENERAL 10,000
    BOY SCOUTS OF AMERICA - BLACKHAWK
    AREA COUNCIL
    PO BOX 4085
    ROCKFORD,IL61110     		NONE PC GENERAL 1,500
    MILESTONE INC
    4060 MCFARLAND ROAD
    ROCKFORD,IL61111     		NONE PC GENERAL 5,000
    AUGUSTANA COLLEGE
    639 - 39TH STREET
    ROCK ISLAND,IL61201     		NONE PC GENERAL 10,000
    NORTHERN ILLINOIS FOOD BANK
    320 S AVON STREET
    ROCKFORD,IL61102     		NONE PC GENERAL 5,000
    MOSAIC
    225 S THIRD STREET
    ROCKFORD,IL61104     		NONE PC GENERAL 30,000
    LUTHERAN SOCIAL SERVICE OF
    ILLINOIS
    1001 E TOUHY
    DES PLAINES,IL60018     		NONE PC GENERAL 10,000
    GOLDEN APPLE FOUNDATION
    OF ROCKFORD
    7210 E STATE STREET
    ROCKFORD,IL61108     		NONE PC GENERAL 15,000
    PATRIOTS GATEWAY COMMUNITY
    CENTER
    615 S FIFTH STREET
    ROCKFORD,IL61104     		NONE PC GENERAL 5,000
    FRIENDS OF THE CORONADO
    314 N MAIN STREET
    ROCKFORD,IL61101     		NONE PC GENERAL 5,000
    MIDWAY VILLAGE AND MUSEUM CENTER
    6799 GUILFORD ROAD
    ROCKFORD,IL61107     		NONE PC GENERAL 10,000
    KIDS AROUND THE WORLD INC
    2424 CHARLES STREET
    ROCKFORD,IL61108     		NONE PC GENERAL 7,500
    ILLINOIS GROWTH ENTERPRISES
    6151 MONTAGUE ROAD
    ROCKFORD,IL61102     		NONE PC GENERAL 5,000
    BARBARA OLSON CENTER OF HOPE
    3206 N CENTRAL AVENUE
    ROCKFORD,IL61101     		NONE PC GENERAL 5,000
    GOLDIE FLOBERG CENTER FOR CHILDREN
    58 W ROCKTON ROAD
    ROCKFORD,IL61072     		NONE PC GENERAL 5,000
    YMCA OF ROCK RIVER VALLEY
    200 Y BOULEVARD
    ROCKFORD,IL61107     		NONE PC GENERAL 25,000
    ALZHEIMERS ASSOCIATION
    4777 E STATE ST
    ROCKFORD,IL61108     		NONE PC GENERAL 2,500
    BOYS AND GIRLS CLUB OF
    HARRISON COUNTY INCORPORATED
    PO BOX 1716
    ROCKFORD,IL61110     		NONE PC GENERAL 1,000
    CARPENTERS PLACE
    1149 RAILROAD AVE
    ROCKFORD,IL61104     		NONE PC GENERAL 15,000
    CENTER FOR SIGHT AND HEARING
    8038 MACINTOSH LANE
    ROCKFORD,IL61103     		NONE PC GENERAL 7,500
    COMMUNITY FOUNDATION OF NORTHERN
    ILLINOIS
    946 NORTH SECOND STREET
    ROCKFORD,IL61107     		NONE PC GENERAL 5,000
    CHILDRENS HOME AND AID SOCIETY
    910 2ND AVE 103
    ROCKFORD,IL61104     		NONE PC GENERAL 3,000
    PHANTOM REGIMENT DRUM & BUGLE
    CORPS
    5050 E STATE STREET
    ROCKFORD,IL61108     		NONE PC GENERAL 1,000
    ROCKFORD UNIVERSITY
    5050 E STATE ST
    ROCKFORD,IL61108     		NONE PC GENERAL 60,000
    ROCKFORD DANCE CO
    SPECIAL GIFT FOR STUDIO PROJECT
    711 N MAIN ST
    Rockford,IL61103     		NONE PC GENERAL 6,000
    TRANSFORM ROCKFORD
    303 N MAIN SUITE 110
    ROCKFORD,IL61101     		NONE PC GENERAL 50,000
    FAMILY COUNSELING SERVICES OF
    NORTHERN ILLINOIS
    210 N LONGWOOD ST
    Rockford,IL61107     		NONE PC GENERAL 2,500
    INTERNATIONAL WOMENS BASEBALL CENTER
    PO BOX 1253
    CATEDRAL CITY,CA92235     		NONE PC GENERAL 2,500
    ROCKFORD 4TH OF JULY CIVIC COMMITTEE
    PO BOX 1027
    ROCKFORD,IL61105     		NONE PC GENERAL 5,000
    THE ALS ASSOCIATION
    220 WEST HURON STREET- SUITE 4003
    CHICAGO,IL60654     		NONE PC GENERAL 1,000
    REMEDIES RENEWING LIVES
    516 GREEN ST
    Rockford,IL61102     		NONE PC GENERAL 10,000
    ROCKFORD WOMANS CLUB
    323 PARK AVENUE
    ROCKFORD,IL611011021     		NONE PC GENERAL 25,000
    OSF HEALTHCARE SYSTEM
    FOR GENERAL SUPPORT OF ST ANTHONY HOSPI
    800 NE GLEN OAK
    Avenue Peoria,IL61603     		NONE PC GENERAL 3,000
    PENTECOSTAL CENTER CHURCH
    FBO ALL NATION WORSHIP CENTER
    4747 W RIVERSIDE BLVD
    ROCKFORD,IL61101     		NONE PC GENERAL 1,000
    THE LITERCAY COUNCIL
    982 N MAIN STREET
    ROCKFORD,IL61103     		NONE PC GENERAL 2,500
    GIRL SCOUTS OF THE UNITED
    STATES OF AMERICA
    420 5TH AVE
    New York,NY10018     		NONE PC GENERAL 1,000
    NORTHERN ILLINOIS HOSPICE
    ASSOCIATION
    4215 NEWBURG ROAD
    ROCKFORD,IL61111     		NONE PC GENERAL 2,500
    SHELTER CARE MINISTRIES
    412 N CHURCH ST
    ROCKFORD,IL61103     		NONE PC GENERAL 2,500
    ANDERSON GARDENS
    318 SPRING CREEK RD
    ROCKFORD,IL61107     		NONE PC GENERAL 4,000
    ROCK VALLEY COLLEGE FOUNDATION
    3301 N MULFORD ROAD
    ROCKFORD,IL61111     		NONE PC GENERAL 55,000
    SALVATION ARMY
    220 S MADISON STREET
    ROCKFORD,IL61104     		NONE PC GENERAL 10,000
    YOUTH FOR CHRIST USA INC
    232 MAIN STREET NW
    BOURBONNAIS,IL60914     		NONE PC GENERAL 10,000
    GOODWILL INDUSTRIES OF NORTHERN
    ILLINOIS INC
    615 N LONGWOOD STREET
    Rockford,IL61110     		NONE PC GENERAL 2,500
    ZION DEVELOPMENT CORPORATION
    502 SEVENTH STREET
    ROCKFORD,IL61104     		NONE PC GENERAL 10,000
    Total .................................bullet 3a 583,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    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 ...........     		         
    4 Dividends and interest from securities....     14 57,941  
    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.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 431,975  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND     		    1 1,888  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   491,804  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    491,804
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		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 (2018)
    Form 990-PF (2018)
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
     
    Employer identification number

    36-6692339
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
          		Employer identification number
    36-6692339
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    Dave Rydell  
    1540 N Mulford Road
     
    Rockford, IL611072534

    		$ 114,289


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
          		Employer identification number

    36-6692339
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 450 SHARES OF JPMORGAN CHASE & CO 1180 SHARES OF US BANCORP $ 114,289 2018-11-30
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
          		Employer identification number

    36-6692339
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Name of Bond End of Year Book Value End of Year Fair Market Value
    256210105 DODGE & COX INCOME F 64,639 65,111
    258620103 DOUBLELINE TOTL RET 71,651 69,255
    693390841 PIMCO FD PAC INV MGM    
    921937603 VANGUARD TOTAL BOND 118,681 118,177
    592905764 METROPOLITAN WEST T/ 75,923 75,801
    808524870 SCHWAB U.S. TIPS ETF 76,045 76,107
    48121A415 JPM MANAGED INCOME F 57,730 57,845
    693390700 PIMCO TOTAL RETURN F 26,483 26,936

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Name of Stock End of Year Book Value End of Year Fair Market Value
    46429B598 ISHARES MSCI INDIA E 43,056 55,467
    64122Q465 NEUBERGER BER GR CHI 18,577 15,412
    52106N889 LAZARD EMERG MKT EQY    
    233051507 XTRACKERS MSCI JAPAN    
    256206103 DODGE & COX INTL STO 121,596 124,626
    302933502 FMI LARGE CAP FUND-I    
    464288182 ISHARES MSCI ALL COU 50,211 55,929
    46429B671 ISHARES MSCI CHINA E 26,610 26,297
    577130750 MATTHEWS ASIA DIVIDE 33,323 37,407
    413838723 OAKMARK INTERNATIONA 122,971 116,184
    701769408 PARNASSUS CORE EQUIT 125,675 138,175
    74160Q301 PRIMECAP ODYSSEY STO 110,499 136,676
    78462F103 SPDR S&P 500 ETF TRU 47,046 54,394
    78464A730 SPDR S&P OIL & GAS E 28,270 27,112
    922042858 VANGUARD FTSE EMERGI    
    315911727 FIDELITY INTERNATION 119,733 113,932
    315911750 FIDELITY 500 INDEX F 223,100 246,170
    922908629 VANGUARD MID-CAP ETF 152,601 160,051
    00171C304 AMG MG FAIRPT MC-Z    
    46434G822 ISHARES INC MSCI JAP 53,007 54,312
    413838780 OAKMARK FUND-INST 138,260 129,341
    46090E103 INVESCO QQQ TR UNITS 49,495 56,672
    46434G103 ISHARES CORE MSCI EM 89,637 92,576
    92189F106 VANECK VECTORS GOLD 26,174 26,384
    92204A405 VANGUARD FINANCIALS 27,008 28,304

    TY 2018 InvestmentsOtherSchedule2
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    00191K765 AQR EQUITY MARKET NE      
    744336876 PGIM GLOBAL REAL EST AT COST 24,192 24,752
    03875R205 THE ARBITRAGE FD-I AT COST 26,629 27,167
    56166Y404 TORTOISE MLP & PIPEL AT COST 26,019 25,935
    464285105 ISHARES GOLD TRUST AT COST 37,549 37,423
    09257V508 BLACKSTONE ALT MULTI AT COST 162,175 160,941
    12628J881 CRM LONG/SHORT OPPOR AT COST 59,199 58,475
    25264S833 DIAMOND HILL LONG/SH      
    64128R608 NEUBERGER BERMAN LON AT COST 58,712 59,558
    72201P175 PIMCO COMMODITYPL ST      
    25264S650 DIAMOND HILL LONG/SH AT COST 53,530 54,928

    TY 2018 OtherDecreasesSchedule
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Description Amount
    ROUNDING 55
    CONTRIBUTION COST BASIS ADJUSTMENT 67,601


    TY 2018 OtherExpensesSchedule
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ATTORNEY GENERAL FEE 15 0   15


    TY 2018 OtherIncomeSchedule2
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 1,888 0  


    TY 2018 OtherIncreasesSchedule
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Description Amount
    RETURN OF CAPITAL ADJUSTMENT 164,474
    SALES BASIS ADJUSTMENT 18,945


    TY 2018 SubstantialContributorsSch
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Name Address
    Dave Rydell 1540 N Mulford Road
    Rockford,IL611072534


    TY 2018 TaxesSchedule
    Name:
    BERGSTROM INC CHARITABLE FOUNDATION XXXXX2008
    EIN:
    36-6692339
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 3,900 0   0
    FOREIGN TAXES ON QUALIFIED FOR 1,514 1,514   0
    FOREIGN TAXES ON NONQUALIFIED 157 157   0