-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE WILLIAM B POLLOCK COMPANY FOUNDATION
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
,
IL
60603
A Employer identification number
34-6514078
B
Telephone number (see instructions)
(800) 496-2583
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)
$
2,617,238
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
66,332
66,227
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
107,578
b
Gross sales price for all assets on line 6a
876,965
7
Capital gain net income (from Part IV, line 2)
...
107,578
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)
.......
12
Total.
Add lines 1 through 11
........
173,910
173,805
13
Compensation of officers, directors, trustees, etc.
32,894
19,240
13,654
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)
...
4,926
1,071
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)
.......
200
200
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
38,020
20,311
0
13,854
25
Contributions, gifts, grants paid
.......
119,000
119,000
26
Total expenses and disbursements.
Add lines 24 and 25
157,020
20,311
0
132,854
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
16,890
b
Net investment income
(if negative, enter -0-)
153,494
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
14
2,242
2,242
2
Savings and temporary cash investments
.........
93,031
52,575
52,575
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
1,252,775
1,153,770
1,491,580
c
Investments—corporate bonds (attach schedule)
.......
765,669
919,653
946,417
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
115,025
125,496
124,424
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)
2,226,514
2,253,736
2,617,238
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
........
2,226,514
2,253,736
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
2,226,514
2,253,736
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,226,514
2,253,736
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
2,226,514
2
Enter amount from Part I, line 27a
.....................
2
16,890
3
Other increases not included in line 2 (itemize)
3
12,988
4
Add lines 1, 2, and 3
..........................
4
2,256,392
5
Decreases not included in line 2 (itemize)
5
2,656
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
2,253,736
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
. FHLMC
2019-01-17
b
4. GILEAD SCIENCES INC
2019-01-23
c
1. GILEAD SCIENCES INC
2015-01-08
2019-01-23
d
2. GILEAD SCIENCES INC
2015-01-08
2019-01-23
e
2. MASTERCARD INC - CLASS A
2009-05-05
2019-01-23
5. WORLDPAY INC CL A
2017-09-22
2019-01-23
1. WORLDPAY INC CL A
2017-09-22
2019-01-23
6. GILEAD SCIENCES INC
2019-01-24
1. MASTERCARD INC - CLASS A
2009-05-05
2019-01-24
4. MASTERCARD INC - CLASS A
2009-05-05
2019-01-24
8. WORLDPAY INC CL A
2017-09-22
2019-01-24
1. GILEAD SCIENCES INC
2016-02-10
2019-01-25
2. GILEAD SCIENCES INC
2016-02-10
2019-01-25
1. GILEAD SCIENCES INC
2016-02-10
2019-01-25
6. MASTERCARD INC - CLASS A
2009-05-05
2019-01-25
9. WORLDPAY INC CL A
2017-09-22
2019-01-25
1. WORLDPAY INC CL A
2018-10-08
2019-01-25
1. GILEAD SCIENCES INC
2016-02-10
2019-01-28
2. GILEAD SCIENCES INC
2016-02-10
2019-01-28
6. WORLDPAY INC CL A
2018-10-08
2019-01-28
1. GILEAD SCIENCES INC
2016-02-10
2019-01-29
1. WORLDPAY INC CL A
2018-10-08
2019-01-29
1. GILEAD SCIENCES INC
2016-02-10
2019-01-30
8. WORLDPAY INC CL A
2018-10-08
2019-01-30
1. GILEAD SCIENCES INC
2016-02-10
2019-01-31
2. GILEAD SCIENCES INC
2019-02-01
816. ISHARES CORE MSCI EAFE ETF
2019-02-04
193. ISHARES CORE MSCI EAFE ETF
2018-03-20
2019-02-04
3345.63 DODGE & COX INCOME FUND
2019-02-06
2231.006 JH II STRAT INC OPPORT-R6
2018-01-24
2019-02-06
367. VANGUARD BD INDEX FD INC
2018-12-11
2019-02-06
4183.119 PIMCO INVESTMENT GRADE CORPORATE BOND FUND
2018-03-20
2019-02-08
2791.811 AMG MG PICTET INTL-Z
2015-11-17
2019-02-14
1700.045 MFS EMERG MRKTS DEBT-R5
2019-02-14
6. ANALOG DEVICES INC
2016-10-31
2019-02-19
3. ANALOG DEVICES INC
2019-02-19
8. ANALOG DEVICES INC
2019-02-19
7. ANALOG DEVICES INC
2019-02-19
13. ANALOG DEVICES INC
2019-02-19
3. ANALOG DEVICES INC
2018-09-13
2019-02-19
10. ANALOG DEVICES INC
2018-09-13
2019-02-20
2. ADOBE SYS INC
2012-11-05
2019-03-07
1. ALPHABET INC-CL C
2013-02-08
2019-03-07
1. AMAZON COM INC
2015-03-12
2019-03-07
2. AMERICAN EXPRESS CO
2018-07-18
2019-03-07
8. APPLE COMPUTER INC
2010-06-17
2019-03-07
2. AUTOMATIC DATA PROCESSING INC
2018-10-19
2019-03-07
30. BANK OF AMERICA CORPORATION
2019-03-07
3. BERKSHIRE HATHAWAY INC DEL CL B
2017-04-20
2019-03-07
1. BIOGEN IDEC INC
2014-05-08
2019-03-07
15. BOSTON SCIENTIFIC CORP
2016-09-15
2019-03-07
7. BRISTOL MYERS SQUIBB CO
2013-05-13
2019-03-07
3. BROADCOM INC
2013-05-31
2019-03-07
2. CELGENE CORP.
2015-08-11
2019-03-07
2. CHARTER COMMUNICATIONS INC-A
2016-02-09
2019-03-07
10. CITIGROUP INC NEW
2019-03-07
8. COCA-COLA CO
2018-04-13
2019-03-07
12. COMCAST CORP NEW CL A
2016-02-05
2019-03-07
5. DELTA AIR LINES INC DEL NEW
2019-03-07
3. DIAMONDBACK ENERGY INC
2017-05-15
2019-03-07
7. DISNEY WALT CO
2019-03-07
4. DOLLAR TREE INC
2017-10-27
2019-03-07
13. DOWDUPONT INC
2015-07-15
2019-03-07
7. EOG RESOURCES INC
2019-03-07
5. ELECTRONIC ARTS
2018-09-20
2019-03-07
3. FACEBOOK INC-A
2015-04-27
2019-03-07
4. FIDELITY NATL INFORMATION SVCS INC
2014-12-19
2019-03-07
4. FISERV INC
2019-01-23
2019-03-07
2. GENERAL DYNAMICS CORP
2019-03-07
3. HOME DEPOT INC
2012-03-20
2019-03-07
6. HONEYWELL INTL INC
2010-10-22
2019-03-07
2. INTERCONTINENTALEXCHANGE GROUP, INC
2017-01-31
2019-03-07
20. KEYCORP NEW
2016-03-01
2019-03-07
4. LOWES COS INC
2011-09-22
2019-03-07
7. MARATHON PETROLEUM CORPORATION
2018-03-09
2019-03-07
4. MASTERCARD INC - CLASS A
2009-05-05
2019-03-07
6. MERCK & CO INC
2019-03-07
19. MICROSOFT CORP
2019-03-07
10. MONDELEZ INTERNATIONAL-W/I
2011-09-19
2019-03-07
17. MORGAN STANLEY DEAN WITTER & CO NEW
2013-04-19
2019-03-07
2. NEXTERA ENERGY INC
2016-10-18
2019-03-07
9. NISOURCE INC
2019-03-07
3. NORFOLK SOUTHN CORP
2019-03-07
1. NORTHROP GRUMMAN CORP
2016-09-16
2019-03-07
2. NVIDIA CORP
2017-10-03
2019-03-07
1. O'REILLY AUTOMOTIVE INC
2017-05-04
2019-03-07
10. OCCIDENTAL PETE CORP
2019-03-07
1. PARKER HANNIFIN CORP
2018-01-11
2019-03-07
6. PAYPAL HOLDINGS INC
2018-01-26
2019-03-07
5. PEPSICO INC
2014-10-13
2019-03-07
21. PFIZER INC
2019-03-07
5. PHILIP MORRIS INTERNATIONAL
2019-03-07
3. PIONEER NAT RES CO
2019-03-07
3. PRUDENTIAL FINL INC
2018-12-21
2019-03-07
1. REGENERON PHARMACEUTICALS INC
2019-01-24
2019-03-07
4. ROSS STORES INC
2018-12-11
2019-03-07
1. SVB FINANCIAL GROUP
2015-02-05
2019-03-07
4. SALESFORCE.COM INC
2019-03-07
6. SCHWAB CHARLES CORP NEW
2015-10-19
2019-03-07
3. STANLEY BLACK & DECKER,INC.
2019-03-07
7. TEXAS INSTRS INC
2016-02-05
2019-03-07
4. UNION PAC CORP
2015-09-29
2019-03-07
2. UNITED TECHNOLOGIES CORP
2019-03-07
5. UNITEDHEALTH GROUP INC
2019-03-07
2. VERTEX PHARMACEUTICALS INC
2019-03-07
3. VISA INC CLASS A SHARES
2015-10-19
2019-03-07
4. WASTE CONNECTIONS INC
2016-07-26
2019-03-07
12. WELLS FARGO & CO NEW
2019-03-07
2. WEX INC
2016-05-02
2019-03-07
2. YUM BRANDS INC
2019-03-07
5. ZIMMER HLDGS INC
2017-11-10
2019-03-07
3. ALLEGION PLC
2015-11-04
2019-03-07
3. ACCENTURE PLC
2019-03-07
2. LINDE PLC
2018-12-11
2019-03-07
5. MEDTRONIC PLC
2018-04-06
2019-03-07
3. APTIV PLC
2017-05-18
2019-03-07
4. CHUBB LTD
2011-05-23
2019-03-07
3. NXP SEMICONDUCTORS NV
2019-02-19
2019-03-07
2600.499 FEDERATED INST HI YLD BND-R6
2018-05-01
2019-03-11
3. BIOGEN IDEC INC
2018-10-08
2019-03-14
4. BIOGEN IDEC INC
2016-07-26
2019-03-14
74. BRISTOL MYERS SQUIBB CO
2019-03-14
16. DISNEY WALT CO
2019-03-14
. BANK OF AMERICA CORPORATION
2019-03-20
. PFIZER INC
2019-04-03
1637.701 AMG MG PICTET INTL-Z
2015-11-17
2019-04-05
7. ADOBE SYS INC
2019-04-05
6. ALEXION PHARMACEUTICALS INC
2019-03-14
2019-04-05
4. ALPHABET INC-CL C
2019-04-05
2. ALPHABET INC-CL A
2019-04-05
3. AMAZON COM INC
2015-03-12
2019-04-05
6. AMERICAN EXPRESS CO
2019-04-05
27. APPLE COMPUTER INC
2019-04-05
8. AUTOMATIC DATA PROCESSING INC
2019-04-05
101. BANK OF AMERICA CORPORATION
2019-04-05
12. BERKSHIRE HATHAWAY INC DEL CL B
2019-04-05
50. BOSTON SCIENTIFIC CORP
2019-04-05
10. BROADCOM INC
2019-04-05
13. CELGENE CORP.
2019-04-05
6. CHARTER COMMUNICATIONS INC-A
2019-04-05
35. CITIGROUP INC NEW
2019-04-05
24. COCA-COLA CO
2018-04-13
2019-04-05
59. COMCAST CORP NEW CL A
2019-04-05
15. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-04-05
9. DIAMONDBACK ENERGY INC
2017-05-15
2019-04-05
19. DISNEY WALT CO
2019-04-05
1090.376 DODGE & INTERNATIONAL STOCK FUND
2015-11-17
2019-04-05
11. DOLLAR TREE INC
2019-04-05
14. DOW INC
2019-04-05
43. DOWDUPONT INC
2019-04-05
21. EOG RESOURCES INC
2019-04-05
16. ELECTRONIC ARTS
2019-04-05
9. FACEBOOK INC-A
2015-04-27
2019-04-05
13. FIDELITY NATL INFORMATION SVCS INC
2019-04-05
13. FISERV INC
2019-04-05
9. GENERAL DYNAMICS CORP
2019-04-05
12. HOME DEPOT INC
2012-03-20
2019-04-05
19. HONEYWELL INTL INC
2019-04-05
8. INTERCONTINENTALEXCHANGE GROUP, INC
2019-04-05
768.229 JPM GL RES ENH IDX FD - USD - R6 ISIN US48129C2070
2019-04-05
70. KEYCORP NEW
2019-04-05
22. LILLY ELI & CO
2019-04-05
14. LOWES COS INC
2019-04-05
7. MARATHON PETROLEUM CORPORATION
2018-05-14
2019-04-05
19. MARATHON PETROLEUM CORPORATION
2019-04-05
14. MASTERCARD INC - CLASS A
2019-04-05
29. MERCK & CO INC
2019-04-05
63. MICROSOFT CORP
2019-04-05
34. MONDELEZ INTERNATIONAL-W/I
2019-04-05
57. MORGAN STANLEY DEAN WITTER & CO NEW
2019-04-05
3. NETFLIX.COM INC
2018-09-13
2019-04-05
7. NEXTERA ENERGY INC
2019-04-05
31. NISOURCE INC
2019-04-05
13. NORFOLK SOUTHN CORP
2019-04-05
6. NORTHROP GRUMMAN CORP
2019-04-05
9. NVIDIA CORP
2017-10-03
2019-04-05
3. O'REILLY AUTOMOTIVE INC
2019-04-05
35. OCCIDENTAL PETE CORP
2019-04-05
4. PARKER HANNIFIN CORP
2018-01-11
2019-04-05
19. PAYPAL HOLDINGS INC
2018-01-26
2019-04-05
19. PEPSICO INC
2019-04-05
68. PFIZER INC
2019-04-05
18. PHILIP MORRIS INTERNATIONAL
2019-04-05
10. PIONEER NAT RES CO
2019-04-05
9. PRUDENTIAL FINL INC
2019-04-05
1. REGENERON PHARMACEUTICALS INC
2019-01-24
2019-04-05
13. ROSS STORES INC
2018-12-11
2019-04-05
4. SVB FINANCIAL GROUP
2019-04-05
11. SALESFORCE.COM INC
2019-04-05
19. SCHWAB CHARLES CORP NEW
2015-10-19
2019-04-05
11. STANLEY BLACK & DECKER,INC.
2019-04-05
21. TEXAS INSTRS INC
2019-04-05
15. UNION PAC CORP
2019-04-05
7. UNITED TECHNOLOGIES CORP
2019-04-05
17. UNITEDHEALTH GROUP INC
2019-04-05
5. VERTEX PHARMACEUTICALS INC
2019-04-05
10. VISA INC CLASS A SHARES
2015-10-19
2019-04-05
12. WASTE CONNECTIONS INC
2019-04-05
41. WELLS FARGO & CO NEW
2019-04-05
5. WEX INC
2016-05-03
2019-04-05
8. YUM BRANDS INC
2019-04-05
18. ZIMMER HLDGS INC
2019-04-05
11. ALLEGION PLC
2019-04-05
10. ACCENTURE PLC
2014-04-03
2019-04-05
8. LINDE PLC
2018-12-11
2019-04-05
15. MEDTRONIC PLC
2019-04-05
13. APTIV PLC
2017-05-18
2019-04-05
13. CHUBB LTD
2019-04-05
11. NXP SEMICONDUCTORS NV
2019-02-19
2019-04-05
10. DOW INC
2019-04-08
1. DOW INC
2019-04-08
12. DOW INC
2019-04-08
2.27 DOW INC
2018-04-09
2019-04-08
3.73 DOW INC
2018-04-06
2019-04-08
2. DOW INC
2018-04-09
2019-04-09
. DOW INC
2019-04-23
21. OCCIDENTAL PETE CORP
2019-04-25
22. OCCIDENTAL PETE CORP
2019-04-25
5. OCCIDENTAL PETE CORP
2019-05-01
1. OCCIDENTAL PETE CORP
2017-02-13
2019-05-01
3. REGENERON PHARMACEUTICALS INC
2019-05-01
1. REGENERON PHARMACEUTICALS INC
2019-01-30
2019-05-01
10. OCCIDENTAL PETE CORP
2019-05-02
4. OCCIDENTAL PETE CORP
2019-05-02
1. OCCIDENTAL PETE CORP
2018-08-09
2019-05-02
3. OCCIDENTAL PETE CORP
2019-05-02
1. OCCIDENTAL PETE CORP
2018-08-09
2019-05-02
2. OCCIDENTAL PETE CORP
2019-05-03
5. OCCIDENTAL PETE CORP
2019-05-03
1. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
10. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
5. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
2. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
2. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
15. SCHWAB CHARLES CORP NEW
2019-05-15
14. SCHWAB CHARLES CORP NEW
2019-05-16
3. SCHWAB CHARLES CORP NEW
2016-06-03
2019-05-16
9. SCHWAB CHARLES CORP NEW
2016-06-03
2019-05-16
1. MEDTRONIC PLC
2018-07-18
2019-05-16
11. MEDTRONIC PLC
2019-05-16
11. MEDTRONIC PLC
2018-07-18
2019-05-16
4. MEDTRONIC PLC
2018-07-18
2019-05-17
7. MEDTRONIC PLC
2019-05-17
4. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
4. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
1. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
14. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-05
5. DELTA AIR LINES INC DEL NEW
2019-06-05
8. PHILIP MORRIS INTERNATIONAL
2017-08-01
2019-06-05
9. PHILIP MORRIS INTERNATIONAL
2018-10-24
2019-06-05
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
4. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
5. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
42. BANK OF AMERICA CORPORATION
2019-06-10
9. DOLLAR TREE INC
2019-06-10
33. WELLS FARGO & CO NEW
2019-06-10
7. DOLLAR TREE INC
2018-12-17
2019-06-11
7. DOLLAR TREE INC
2019-06-11
3. DOLLAR TREE INC
2018-12-17
2019-06-11
. CORTEVA INC
2019-06-13
. DUPONT DE NEMOURS INC-WI
2019-06-13
688.727 DIAMOND HILL LONG/SHORT-Y
2018-11-16
2019-06-14
4625.346 VANGUARD TOT BD MKT IDX-ADM
2019-06-14
3. ADOBE SYS INC
2013-05-09
2019-06-27
. AMGEN INC
2019-07-17
3. SVB FINANCIAL GROUP
2019-08-14
2. SVB FINANCIAL GROUP
2015-02-06
2019-08-14
5. APTIV PLC
2019-08-14
3. APTIV PLC
2019-08-14
7. APTIV PLC
2019-08-14
4. SVB FINANCIAL GROUP
2015-08-12
2019-08-15
12. APTIV PLC
2019-08-15
. GENERAL MOTORS CO
2019-09-05
458. ISHARES TR BARCLAYS MBS BD FD
2019-02-08
2019-09-19
619. VANGUARD BD INDEX FD INC
2019-03-08
2019-09-19
16. DISNEY WALT CO
2019-10-25
4. ACCENTURE PLC
2019-10-25
5. ACCENTURE PLC
2014-04-22
2019-10-28
11. NISOURCE INC
2019-11-11
14. NISOURCE INC
2019-11-11
11. NISOURCE INC
2019-11-12
27. NISOURCE INC
2019-11-12
2. NISOURCE INC
2015-12-03
2019-11-12
3. NISOURCE INC
2015-12-03
2019-11-13
52. CELGENE CORP.
2019-11-21
12. CELGENE CORP.
2019-11-21
356.464 FIDELITY 500 INDEX-INST PRM
2018-02-07
2019-11-22
25. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
3. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
1. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
1. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
705.957 GMO SGM MAJOR MARKETS FD-VI
2018-07-16
2019-11-25
29. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-26
5. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-27
5. ABBVIE INC
2019-09-16
2019-12-18
1. ADOBE SYS INC
2013-05-09
2019-12-18
1. ALEXION PHARMACEUTICALS INC
2019-03-14
2019-12-18
1. ALPHABET INC-CL C
2014-04-17
2019-12-18
1. AMAZON COM INC
2015-03-12
2019-12-18
4. AMERICAN EXPRESS CO
2018-07-18
2019-12-18
6. APPLE COMPUTER INC
2011-05-04
2019-12-18
2. AUTOMATIC DATA PROCESSING INC
2018-10-22
2019-12-18
19. BANK OF AMERICA CORPORATION
2015-02-09
2019-12-18
2. BERKSHIRE HATHAWAY INC DEL CL B
2017-08-14
2019-12-18
11. BOSTON SCIENTIFIC CORP
2016-12-05
2019-12-18
6. BRISTOL MYERS SQUIBB CO
2019-11-21
2019-12-18
2. BROADCOM INC
2013-06-11
2019-12-18
1. CHARTER COMMUNICATIONS INC-A
2016-12-15
2019-12-18
8. CITIGROUP INC NEW
2019-12-18
5. COCA-COLA CO
2019-12-18
15. COMCAST CORP NEW CL A
2019-12-18
7. CORTEVA INC
2019-12-18
2. DIAMONDBACK ENERGY INC
2017-05-15
2019-12-18
3. DISNEY WALT CO
2019-12-18
3. DUPONT DE NEMOURS INC-WI
2019-12-18
5. EOG RESOURCES INC
2019-12-18
4. ELECTRONIC ARTS
2019-12-18
1. FACEBOOK INC-A
2015-04-27
2019-12-18
4. FIDELITY NATL INFORMATION SVCS INC
2019-12-18
7. FISERV INC
2019-12-18
2. GENERAL DYNAMICS CORP
2019-12-18
3. HOME DEPOT INC
2012-03-20
2019-12-18
5. HONEYWELL INTL INC
2012-06-15
2019-12-18
2. INTERCONTINENTALEXCHANGE GROUP, INC
2017-01-31
2019-12-18
15. KEYCORP NEW
2019-12-18
3. LILLY ELI & CO
2015-07-13
2019-12-18
3. LOWES COS INC
2011-09-28
2019-12-18
7. MARATHON PETROLEUM CORPORATION
2018-05-14
2019-12-18
3. MASTERCARD INC - CLASS A
2012-10-15
2019-12-18
2. MCDONALDS CORP
2019-06-10
2019-12-18
6. MERCK & CO INC
2016-08-12
2019-12-18
14. MICROSOFT CORP
2013-09-11
2019-12-18
7. MONDELEZ INTERNATIONAL-W/I
2014-08-13
2019-12-18
12. MORGAN STANLEY DEAN WITTER & CO NEW
2019-12-18
1. NETFLIX.COM INC
2018-09-13
2019-12-18
2. NEXTERA ENERGY INC
2016-10-18
2019-12-18
3. NORFOLK SOUTHN CORP
2018-03-09
2019-12-18
2. NORTHROP GRUMMAN CORP
2017-09-22
2019-12-18
1. NVIDIA CORP
2017-10-03
2019-12-18
3. PAYPAL HOLDINGS INC
2019-12-18
4. PEPSICO INC
2019-12-18
15. PFIZER INC
2016-07-05
2019-12-18
2. PHILIP MORRIS INTERNATIONAL
2018-10-24
2019-12-18
2. PIONEER NAT RES CO
2016-03-22
2019-12-18
3. PROCTER & GAMBLE CO
2019-06-05
2019-12-18
2. QUALCOMM INC
2019-05-01
2019-12-18
3. ROSS STORES INC
2018-12-11
2019-12-18
3. SALESFORCE.COM INC
2019-12-18
3. STANLEY BLACK & DECKER,INC.
2019-12-18
4. TEXAS INSTRS INC
2016-03-10
2019-12-18
3. UNION PAC CORP
2017-05-18
2019-12-18
1. UNITED TECHNOLOGIES CORP
2017-12-06
2019-12-18
4. UNITEDHEALTH GROUP INC
2014-05-08
2019-12-18
1. VERTEX PHARMACEUTICALS INC
2015-08-11
2019-12-18
2. VISA INC CLASS A SHARES
2015-10-19
2019-12-18
2. WASTE CONNECTIONS INC
2016-07-26
2019-12-18
6. WELLS FARGO & CO NEW
2015-06-04
2019-12-18
1. WEX INC
2016-05-03
2019-12-18
1. YUM BRANDS INC
2018-11-28
2019-12-18
3. ZIMMER HLDGS INC
2017-11-21
2019-12-18
2. ALLEGION PLC
2019-12-18
1. ACCENTURE PLC
2014-04-22
2019-12-18
5. LINDE PLC
2018-12-11
2019-12-18
3. CHUBB LTD
2012-01-09
2019-12-18
2. NXP SEMICONDUCTORS NV
2019-12-18
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
79
79
b
273
406
-133
c
68
102
-34
d
136
203
-67
e
397
37
360
412
360
52
83
72
11
407
534
-127
200
18
182
796
73
723
658
576
82
68
89
-21
138
178
-40
69
89
-20
1,216
110
1,106
746
648
98
83
97
-14
68
89
-21
136
178
-42
499
582
-83
69
89
-20
82
97
-15
69
89
-20
668
776
-108
70
89
-19
140
176
-36
48,076
49,932
-1,856
11,371
12,735
-1,364
45,099
45,804
-705
22,912
24,385
-1,473
28,911
28,682
229
42,375
42,688
-313
24,205
26,416
-2,211
24,141
25,524
-1,383
628
386
242
313
193
120
840
509
331
730
446
284
1,356
1,197
159
315
276
39
1,059
921
138
511
68
443
1,141
392
749
1,633
374
1,259
216
206
10
1,387
310
1,077
301
287
14
852
296
556
596
495
101
316
266
50
594
350
244
360
286
74
798
121
677
172
260
-88
680
380
300
616
389
227
362
356
6
462
354
108
246
267
-21
295
311
-16
798
652
146
410
371
39
703
680
23
642
574
68
491
568
-77
507
247
260
423
255
168
340
322
18
331
305
26
547
148
399
914
269
645
148
116
32
333
214
119
403
76
327
413
492
-79
889
73
816
483
383
100
2,097
612
1,485
469
220
249
695
349
346
376
250
126
245
105
140
535
359
176
275
211
64
299
358
-59
370
249
121
658
859
-201
170
208
-38
576
510
66
580
476
104
872
722
150
434
564
-130
409
440
-31
281
240
41
411
407
4
368
322
46
239
120
119
624
477
147
262
171
91
395
318
77
735
348
387
660
345
315
249
241
8
1,188
353
835
356
247
109
440
231
209
338
198
140
597
398
199
345
188
157
192
178
14
608
554
54
264
194
70
484
248
236
335
321
14
456
388
68
246
212
34
531
273
258
280
278
2
25,069
25,329
-260
961
1,027
-66
1,281
1,064
217
3,641
4,031
-390
1,830
1,536
294
12
12
117
117
15,214
15,496
-282
1,885
249
1,636
840
808
32
4,838
1,837
3,001
2,427
1,282
1,145
5,491
1,121
4,370
664
618
46
5,302
1,249
4,053
1,279
1,151
128
2,948
1,156
1,792
2,450
1,993
457
1,904
1,092
812
3,029
566
2,463
1,229
1,589
-360
2,081
1,299
782
2,296
1,834
462
1,114
1,069
45
2,380
2,419
-39
866
803
63
904
934
-30
2,172
1,933
239
45,698
42,557
3,141
1,161
1,018
143
809
805
4
1,624
1,610
14
1,986
1,706
280
1,582
1,820
-238
1,584
742
842
1,486
826
660
1,175
1,064
111
1,517
1,374
143
2,412
593
1,819
3,064
911
2,153
618
465
153
16,225
13,428
2,797
1,147
762
385
2,777
1,939
838
1,595
271
1,324
431
548
-117
1,171
1,337
-166
3,327
548
2,779
2,375
1,826
549
7,555
2,112
5,443
1,685
890
795
2,560
1,328
1,232
1,102
1,112
-10
1,318
877
441
867
429
438
2,489
1,664
825
1,638
1,337
301
1,712
1,612
100
1,205
751
454
2,337
2,997
-660
726
833
-107
2,000
1,616
384
2,299
1,837
462
2,926
2,376
550
1,532
2,075
-543
1,487
1,263
224
873
717
156
408
407
1
1,269
1,048
221
939
487
452
1,756
1,316
440
846
543
303
1,574
1,098
476
2,391
1,161
1,230
2,535
1,436
1,099
928
845
83
4,211
1,236
2,975
931
635
296
1,583
771
812
1,052
594
458
2,008
1,342
666
988
455
533
803
719
84
2,278
2,001
277
1,036
714
322
1,775
790
985
1,473
1,285
188
1,341
1,186
155
1,124
921
203
1,783
905
878
1,071
1,018
53
571
643
-72
57
65
-8
687
784
-97
130
149
-19
214
243
-29
114
131
-17
38
38
1,304
1,664
-360
1,366
1,533
-167
288
340
-52
58
67
-9
1,023
1,249
-226
340
420
-80
573
670
-97
229
308
-79
57
78
-21
172
234
-62
57
78
-21
116
155
-39
291
391
-100
98
80
18
984
796
188
494
398
96
195
159
36
198
159
39
642
436
206
610
408
202
130
87
43
391
262
129
88
88
970
871
99
972
969
3
352
352
618
616
2
652
833
-181
653
833
-180
163
208
-45
769
750
19
275
268
7
618
931
-313
695
802
-107
55
53
2
219
214
5
273
267
6
55
53
2
55
53
2
56
53
3
1,184
586
598
934
827
107
1,531
1,570
-39
747
605
142
747
640
107
320
259
61
9
9
25
25
18,176
18,190
-14
50,185
49,858
327
881
133
748
13
13
573
379
194
380
252
128
398
354
44
241
229
12
559
610
-51
747
554
193
951
1,044
-93
11
11
49,447
48,180
1,267
49,849
48,929
920
2,101
1,660
441
733
319
414
919
399
520
289
168
121
365
214
151
287
209
78
703
520
183
52
38
14
79
57
22
5,618
4,827
791
1,296
1,251
45
38,630
33,458
5,172
52
58
-6
6
7
-1
2
2
2
2
22,266
22,711
-445
62
67
-5
11
12
-1
447
353
94
326
44
282
109
135
-26
1,353
537
816
1,789
374
1,415
497
412
85
1,689
300
1,389
335
288
47
669
311
358
450
355
95
492
226
266
378
338
40
656
151
505
468
291
177
625
470
155
269
223
46
651
622
29
193
229
-36
175
208
-33
440
318
122
193
278
-85
403
413
-10
427
396
31
203
82
121
552
249
303
811
575
236
358
305
53
656
148
508
877
266
611
184
116
68
305
169
136
388
268
120
359
60
299
425
548
-123
888
142
746
390
402
-12
537
380
157
2,168
460
1,708
382
247
135
610
362
248
325
371
-46
479
251
228
577
435
142
680
563
117
231
179
52
325
264
61
543
410
133
581
538
43
171
178
-7
292
281
11
372
320
52
176
173
3
340
242
98
487
367
120
491
270
221
507
221
286
534
322
212
148
121
27
1,174
311
863
220
136
84
371
154
217
180
99
81
323
339
-16
205
91
114
98
91
7
445
339
106
247
133
114
205
80
125
1,040
803
237
463
210
253
252
185
67
10,390
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
79
b
-133
c
-34
d
-67
e
360
52
11
-127
182
723
82
-21
-40
-20
1,106
98
-14
-21
-42
-83
-20
-15
-20
-108
-19
-36
-1,856
-1,364
-705
-1,473
229
-313
-2,211
-1,383
242
120
331
284
159
39
138
443
749
1,259
10
1,077
14
556
101
50
244
74
677
-88
300
227
6
108
-21
-16
146
39
23
68
-77
260
168
18
26
399
645
32
119
327
-79
816
100
1,485
249
346
126
140
176
64
-59
121
-201
-38
66
104
150
-130
-31
41
4
46
119
147
91
77
387
315
8
835
109
209
140
199
157
14
54
70
236
14
68
34
258
2
-260
-66
217
-390
294
12
117
-282
1,636
32
3,001
1,145
4,370
46
4,053
128
1,792
457
812
2,463
-360
782
462
45
-39
63
-30
239
3,141
143
4
14
280
-238
842
660
111
143
1,819
2,153
153
2,797
385
838
1,324
-117
-166
2,779
549
5,443
795
1,232
-10
441
438
825
301
100
454
-660
-107
384
462
550
-543
224
156
1
221
452
440
303
476
1,230
1,099
83
2,975
296
812
458
666
533
84
277
322
985
188
155
203
878
53
-72
-8
-97
-19
-29
-17
38
-360
-167
-52
-9
-226
-80
-97
-79
-21
-62
-21
-39
-100
18
188
96
36
39
206
202
43
129
99
3
2
-181
-180
-45
19
7
-313
-107
2
5
6
2
2
3
598
107
-39
142
107
61
9
25
-14
327
748
13
194
128
44
12
-51
193
-93
11
1,267
920
441
414
520
121
151
78
183
14
22
791
45
5,172
-6
-1
-445
-5
-1
94
282
-26
816
1,415
85
1,389
47
358
95
266
40
505
177
155
46
29
-36
-33
122
-85
-10
31
121
303
236
53
508
611
68
136
120
299
-123
746
-12
157
1,708
135
248
-46
228
142
117
52
61
133
43
-7
11
52
3
98
120
221
286
212
27
863
84
217
81
-16
114
7
106
114
125
237
253
67
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
107,578
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
100,977
2,606,393
0.038742
2017
141,504
2,455,775
0.057621
2016
116,351
2,309,544
0.050378
2015
131,603
2,464,629
0.053397
2014
119,902
2,541,677
0.047174
2
Total
of line 1, column (d)
.....................
2
0.247312
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
0.049462
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
2,485,447
5
Multiply line 4 by line 3
......................
5
122,935
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,535
7
Add lines 5 and 6
........................
7
124,470
8
Enter qualifying distributions from Part XII, line 4
,.............
8
132,854
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
1,535
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
1,535
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
1,535
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,416
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
2,416
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
881
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
881
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
OH
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
No
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
NA
14
The books are in care of
JP MORGAN CHASE BANK NA
Telephone no.
(800) 496-2583
Located at
10 S DEARBORN ST MC IL 1-0111
CHICAGO
IL
ZIP+4
60603
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
JP MORGAN CHASE BANK NA
TRUSTEE
2
26,626
10 S DEARBORN ST MC IL 1-0111
CHICAGO
,
IL
60603
FRANKLIN S BENNETT JR
CO - TRUSTEE
1
6,268
2731 BENDEMEER COURT
POLAND
,
OH
445142727
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
2,484,459
b
Average of monthly cash balances
.......................
1b
38,837
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
2,523,296
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
2,523,296
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
37,849
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,485,447
6
Minimum investment return.
Enter 5% of line 5
..................
6
124,272
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
124,272
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,535
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,535
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
122,737
4
Recoveries of amounts treated as qualifying distributions
................
4
10,000
5
Add lines 3 and 4
............................
5
132,737
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
132,737
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
132,854
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
132,854
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
1,535
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
131,319
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
132,737
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
108,918
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
132,854
a
Applied to 2018, but not more than line 2a
108,918
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
23,936
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
108,801
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
JPMORGAN CHASE BANK NA
1300 EAST NINTH ST
CLEVELAND
,
OH
44114
(216) 781-2052
b
The form in which applications should be submitted and information and materials they should include:
THERE IS NO PRESCRIBED FORM FOR APPLICATIONS.
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
AWARDS ARE GRANTED TO QUALIFIED RECIPIENTS AS DETERMINED BY THE TRUSTEES
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
AKRON CHILDREN'S HOSPITAL
MAHONING VALLEY
FOUNDATION OFFICE
BOARDMAN
,
OH
44512
NONE
PC
GENERAL
10,000
HENRY H STAMBAUGH AUDITORIUM
ASSOCIATION
1000 FIFTH AVENUE
YOUNGSTOWN
,
OH
44420
NONE
PC
GENERAL
12,500
THE UNITED WAY OF YOUNGSTOWN AND
MAHONING VALLEY
255 WATT ST
YOUNSTOWN
,
OH
44505
NONE
PC
GENERAL
25,000
YOUNGSTOWN NEIGHBORHOOD DEVELOPMENT
CORPORATION
820 CANFIELD ROAD
YOUNGSTOWN
,
OH
44511
NONE
PC
GENERAL
5,000
YOUNG WOMENS CHRISTIAN ASSOC
MAHONING VALLEY
25 W RAYEN AVE
YOUNGSTOWN
,
OH
44503
NONE
PC
GENERAL
5,000
YOUNGSTOWN STATE UNIVERSITY
1 UNIVERSITY PLAZA
YOUNGSTOWN
,
OH
44555
NONE
PC
GENERAL
22,000
MAHONING VALLEY HISTORICAL SOCIETY
648 WICK AVE
YOUNGSTOWN
,
OH
44502
NONE
PC
GENERAL
12,500
PLANNED PARENTHOOD OF GREATER OHIO
206 E STATE STREET
COLUMBUS
,
OH
43215
NONE
PC
GENERAL
10,000
OHIO FOUNDATION OF INDEPENDENT COLLEGES
250 E BROAD ST 1700
COLUMBUS
,
OH
43215
NONE
PC
GENERAL
6,000
JUNIOR ACHIEVEMENT OF MAHONING VALLEY
1601 MOTOR INN DR 305
GIRARD
,
OH
44420
NONE
PC
GENERAL
6,000
BIG BROTHERS BIG SISTERS OF MAHONING VAL
325 NORTH STATE STREET
GIRARD
,
OH
44420
NONE
PC
GENERAL
5,000
Total
.................................
3a
119,000
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
...........
4
Dividends and interest from securities
....
14
66,332
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
107,578
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)
..
173,910
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
173,910
(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