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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
A G COX CHARITY TRUST XXXXX9001
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
36-6011498
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)
$
27,129,462
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
...
610,396
610,152
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
939,716
b
Gross sales price for all assets on line 6a
6,348,096
7
Capital gain net income (from Part IV, line 2)
...
939,716
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
........
1,550,112
1,549,868
13
Compensation of officers, directors, trustees, etc.
20,557
12,251
8,306
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)
...
40,504
15,983
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)
.......
15
15
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
61,076
28,234
0
8,321
25
Contributions, gifts, grants paid
.......
1,279,676
1,279,676
26
Total expenses and disbursements.
Add lines 24 and 25
1,340,752
28,234
0
1,287,997
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
209,360
b
Net investment income
(if negative, enter -0-)
1,521,634
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
.............
131,099
229,876
229,876
2
Savings and temporary cash investments
.........
167,509
368,689
368,689
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)
.......
15,542,627
14,505,164
20,731,957
c
Investments—corporate bonds (attach schedule)
.......
3,534,922
4,436,328
4,534,556
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
1,223,026
1,265,573
1,264,384
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)
20,599,183
20,805,630
27,129,462
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
........
20,599,183
20,805,630
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)
.....
20,599,183
20,805,630
30
Total liabilities and net assets/fund balances
(see instructions)
.
20,599,183
20,805,630
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
20,599,183
2
Enter amount from Part I, line 27a
.....................
2
209,360
3
Other increases not included in line 2 (itemize)
3
39,765
4
Add lines 1, 2, and 3
..........................
4
20,848,308
5
Decreases not included in line 2 (itemize)
5
42,678
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
20,805,630
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
1. GILEAD SCIENCES INC
2014-12-11
2019-01-23
b
11. GILEAD SCIENCES INC
2014-12-11
2019-01-23
c
3. GILEAD SCIENCES INC
2015-01-08
2019-01-23
d
4. GILEAD SCIENCES INC
2015-01-08
2019-01-23
e
5. MASTERCARD INC - CLASS A
2015-04-22
2019-01-23
14. WORLDPAY INC CL A
2018-10-08
2019-01-23
2. WORLDPAY INC CL A
2018-10-08
2019-01-23
18. GILEAD SCIENCES INC
2015-01-08
2019-01-24
4. MASTERCARD INC - CLASS A
2015-04-22
2019-01-24
12. MASTERCARD INC - CLASS A
2015-04-22
2019-01-24
24. WORLDPAY INC CL A
2018-10-08
2019-01-24
2. GILEAD SCIENCES INC
2016-02-10
2019-01-25
6. GILEAD SCIENCES INC
2016-02-10
2019-01-25
1. GILEAD SCIENCES INC
2016-02-10
2019-01-25
15. MASTERCARD INC - CLASS A
2013-05-09
2019-01-25
27. WORLDPAY INC CL A
2017-09-22
2019-01-25
3. WORLDPAY INC CL A
2018-10-08
2019-01-25
2. GILEAD SCIENCES INC
2016-02-10
2019-01-28
4. GILEAD SCIENCES INC
2016-02-10
2019-01-28
17. WORLDPAY INC CL A
2017-09-22
2019-01-28
4. GILEAD SCIENCES INC
2016-02-10
2019-01-29
4. WORLDPAY INC CL A
2017-09-22
2019-01-29
1. GILEAD SCIENCES INC
2016-02-10
2019-01-30
3. GILEAD SCIENCES INC
2016-02-10
2019-01-30
20. WORLDPAY INC CL A
2017-09-22
2019-01-30
1. GILEAD SCIENCES INC
2016-02-10
2019-01-31
2. GILEAD SCIENCES INC
2016-02-10
2019-01-31
48061.155 PIMCO INVESTMENT GRADE CORPORATE BOND FUND
2018-08-31
2019-01-31
6365. VANGUARD BD INDEX FD INC
2018-06-14
2019-01-31
15053.043 WELLS FARGO CORE BOND-R6
2015-12-03
2019-01-31
42517.752 WELLS FARGO CORE BOND-R6
2018-02-14
2019-01-31
5. GILEAD SCIENCES INC
2016-02-10
2019-02-01
15781.49 ARTISAN INTERNATIONAL-INST
2013-10-28
2019-02-15
18. ANALOG DEVICES INC
2018-09-13
2019-02-19
8. ANALOG DEVICES INC
2018-09-13
2019-02-19
22. ANALOG DEVICES INC
2018-09-13
2019-02-19
35. ANALOG DEVICES INC
2016-10-28
2019-02-19
22. ANALOG DEVICES INC
2018-09-13
2019-02-19
7. ANALOG DEVICES INC
2016-10-28
2019-02-19
29. ANALOG DEVICES INC
2016-10-27
2019-02-20
11031.949 OAKMARK INTERNATIONAL-INST
2016-02-08
2019-03-05
9. BIOGEN IDEC INC
2018-10-08
2019-03-14
12. BIOGEN IDEC INC
2010-06-17
2019-03-14
228. BRISTOL MYERS SQUIBB CO
2013-03-13
2019-03-14
50. DISNEY WALT CO
2017-01-30
2019-03-14
. BANK OF AMERICA CORPORATION
2019-03-20
. PFIZER INC
2019-04-03
9. ADOBE SYS INC
2012-11-05
2019-04-05
7. ALEXION PHARMACEUTICALS INC
2019-03-14
2019-04-05
2. ALPHABET INC-CL C
2014-09-09
2019-04-05
3. ALPHABET INC-CL C
2018-05-07
2019-04-05
3. ALPHABET INC-CL A
2015-10-30
2019-04-05
4. AMAZON COM INC
2015-06-30
2019-04-05
8. AMERICAN EXPRESS CO
2018-07-18
2019-04-05
35. APPLE COMPUTER INC
2009-01-02
2019-04-05
10. AUTOMATIC DATA PROCESSING INC
2018-12-03
2019-04-05
130. BANK OF AMERICA CORPORATION
2018-02-06
2019-04-05
17. BERKSHIRE HATHAWAY INC DEL CL B
2018-09-11
2019-04-05
66. BOSTON SCIENTIFIC CORP
2016-09-15
2019-04-05
13. BROADCOM INC
2013-04-25
2019-04-05
17. CELGENE CORP.
2016-10-27
2019-04-05
8. CHARTER COMMUNICATIONS INC-A
2018-04-13
2019-04-05
45. CITIGROUP INC NEW
2017-05-15
2019-04-05
32. COCA-COLA CO
2018-04-16
2019-04-05
75. COMCAST CORP NEW CL A
2019-03-14
2019-04-05
19. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-04-05
12. DIAMONDBACK ENERGY INC
2019-01-08
2019-04-05
24. DISNEY WALT CO
2016-12-16
2019-04-05
15. DOLLAR TREE INC
2017-10-27
2019-04-05
5.511 DOW INC
2017-03-20
2019-04-05
12.489 DOW INC
2018-04-06
2019-04-05
38.392 DOWDUPONT INC
2018-04-06
2019-04-05
16.608 DOWDUPONT INC
2017-03-20
2019-04-05
27. EOG RESOURCES INC
2016-08-05
2019-04-05
21. ELECTRONIC ARTS
2018-09-20
2019-04-05
12. FACEBOOK INC-A
2014-07-25
2019-04-05
17. FIDELITY NATL INFORMATION SVCS INC
2015-04-10
2019-04-05
16. FISERV INC
2019-01-25
2019-04-05
10. GENERAL DYNAMICS CORP
2017-02-10
2019-04-05
15. HOME DEPOT INC
2012-03-20
2019-04-05
27. HONEYWELL INTL INC
2013-10-23
2019-04-05
10. INTERCONTINENTALEXCHANGE GROUP, INC
2017-02-01
2019-04-05
90. KEYCORP NEW
2018-10-08
2019-04-05
21. LILLY ELI & CO
2015-06-11
2019-04-05
18. LOWES COS INC
2011-08-04
2019-04-05
32. MARATHON PETROLEUM CORPORATION
2018-07-26
2019-04-05
18. MASTERCARD INC - CLASS A
2012-10-15
2019-04-05
37. MERCK & CO INC
2019-03-14
2019-04-05
83. MICROSOFT CORP
2015-11-18
2019-04-05
43. MONDELEZ INTERNATIONAL-W/I
2016-05-27
2019-04-05
75. MORGAN STANLEY DEAN WITTER & CO NEW
2015-02-06
2019-04-05
4. NETFLIX.COM INC
2018-09-13
2019-04-05
10. NEXTERA ENERGY INC
2018-07-18
2019-04-05
42. NISOURCE INC
2015-12-02
2019-04-05
16. NORFOLK SOUTHN CORP
2018-05-15
2019-04-05
7. NORTHROP GRUMMAN CORP
2017-10-10
2019-04-05
11. NVIDIA CORP
2018-10-08
2019-04-05
3. O'REILLY AUTOMOTIVE INC
2017-05-08
2019-04-05
45. OCCIDENTAL PETE CORP
2014-10-17
2019-04-05
5. PARKER HANNIFIN CORP
2018-01-11
2019-04-05
24. PAYPAL HOLDINGS INC
2019-01-23
2019-04-05
19. PEPSICO INC
2015-10-28
2019-04-05
4. PEPSICO INC
2018-05-22
2019-04-05
15. PFIZER INC
2016-07-05
2019-04-05
75. PFIZER INC
2018-10-30
2019-04-05
23. PHILIP MORRIS INTERNATIONAL
2017-04-24
2019-04-05
13. PIONEER NAT RES CO
2016-11-07
2019-04-05
12. PRUDENTIAL FINL INC
2018-12-21
2019-04-05
2. REGENERON PHARMACEUTICALS INC
2019-01-31
2019-04-05
18. ROSS STORES INC
2018-12-11
2019-04-05
5. SVB FINANCIAL GROUP
2015-08-12
2019-04-05
14. SALESFORCE.COM INC
2018-10-08
2019-04-05
25. SCHWAB CHARLES CORP NEW
2016-06-03
2019-04-05
15. STANLEY BLACK & DECKER,INC.
2015-11-19
2019-04-05
27. TEXAS INSTRS INC
2019-02-19
2019-04-05
16. UNION PAC CORP
2018-02-22
2019-04-05
8. UNITED TECHNOLOGIES CORP
2017-12-12
2019-04-05
21. UNITEDHEALTH GROUP INC
2016-09-15
2019-04-05
7. VERTEX PHARMACEUTICALS INC
2015-09-29
2019-04-05
13. VISA INC CLASS A SHARES
2015-10-19
2019-04-05
16. WASTE CONNECTIONS INC
2016-08-10
2019-04-05
53. WELLS FARGO & CO NEW
2009-03-16
2019-04-05
7. WEX INC
2016-05-02
2019-04-05
10. YUM BRANDS INC
2018-11-29
2019-04-05
24. ZIMMER HLDGS INC
2018-04-26
2019-04-05
13. ALLEGION PLC
2015-11-02
2019-04-05
13. ACCENTURE PLC
2016-02-09
2019-04-05
10. LINDE PLC
2018-12-11
2019-04-05
20. MEDTRONIC PLC
2018-07-18
2019-04-05
16. APTIV PLC
2018-04-26
2019-04-05
17. CHUBB LTD
2016-08-17
2019-04-05
14. NXP SEMICONDUCTORS NV
2019-02-20
2019-04-05
5637.933 EDGEWOOD GROWTH FUND
2011-01-04
2019-04-08
37. DOW INC
2017-02-22
2019-04-08
6. DOW INC
2017-02-22
2019-04-08
2. DOW INC
2017-02-22
2019-04-08
47. DOW INC
2015-06-18
2019-04-08
24. DOW INC
2015-07-15
2019-04-08
17786.28 OAKMARK INTERNATIONAL-INST
2016-02-08
2019-04-08
18771.18 JPM US L/C CORE PL FD - USD - R6 ISIN US48129C6030
2012-10-02
2019-04-08
5407.367 MFS INTL INTRINSIC VALUE-R6
2011-09-20
2019-04-08
6. DOW INC
2015-07-15
2019-04-09
. DOW INC
2019-04-23
45. OCCIDENTAL PETE CORP
2014-10-17
2019-04-25
39. OCCIDENTAL PETE CORP
2018-08-09
2019-04-25
3. OCCIDENTAL PETE CORP
2018-08-09
2019-04-25
82. OCCIDENTAL PETE CORP
2014-12-10
2019-04-25
18. OCCIDENTAL PETE CORP
2017-02-13
2019-05-01
4. OCCIDENTAL PETE CORP
2008-10-13
2019-05-01
11. REGENERON PHARMACEUTICALS INC
2019-01-24
2019-05-01
3. REGENERON PHARMACEUTICALS INC
2019-01-23
2019-05-01
55. OCCIDENTAL PETE CORP
2008-10-13
2019-05-02
4. OCCIDENTAL PETE CORP
2008-10-13
2019-05-02
2. OCCIDENTAL PETE CORP
2008-10-13
2019-05-02
11. OCCIDENTAL PETE CORP
2008-10-13
2019-05-02
5. OCCIDENTAL PETE CORP
2008-10-13
2019-05-02
6. OCCIDENTAL PETE CORP
2008-10-13
2019-05-03
20. OCCIDENTAL PETE CORP
2006-01-30
2019-05-03
3. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
41. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
20. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
6. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
9. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
60. SCHWAB CHARLES CORP NEW
2015-10-19
2019-05-15
53. SCHWAB CHARLES CORP NEW
2015-01-14
2019-05-16
14. SCHWAB CHARLES CORP NEW
2015-01-14
2019-05-16
34. SCHWAB CHARLES CORP NEW
2015-01-14
2019-05-16
41. MEDTRONIC PLC
2018-07-18
2019-05-16
6. MEDTRONIC PLC
2018-04-10
2019-05-16
41. MEDTRONIC PLC
2018-04-09
2019-05-16
16. MEDTRONIC PLC
2018-04-09
2019-05-17
28. MEDTRONIC PLC
2018-04-06
2019-05-17
13. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
15. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
6. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
55. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-05
20. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-05
61. PHILIP MORRIS INTERNATIONAL
2017-04-24
2019-06-05
6. PHILIP MORRIS INTERNATIONAL
2018-10-24
2019-06-05
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
17. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
19. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
3. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
3. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
2. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
5. 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
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
164. BANK OF AMERICA CORPORATION
2016-11-09
2019-06-10
36. DOLLAR TREE INC
2017-10-27
2019-06-10
129. WELLS FARGO & CO NEW
2009-03-16
2019-06-10
38. DOLLAR TREE INC
2017-10-27
2019-06-11
13. DOLLAR TREE INC
2018-12-17
2019-06-11
13. DOLLAR TREE INC
2018-12-17
2019-06-11
9566.477 DIAMOND HILL LONG/SHORT-Y
2018-11-07
2019-06-14
12. ADOBE SYS INC
2012-08-03
2019-06-27
12. SVB FINANCIAL GROUP
2015-02-06
2019-08-14
8. SVB FINANCIAL GROUP
2015-02-05
2019-08-14
18. APTIV PLC
2018-04-26
2019-08-14
10. APTIV PLC
2018-04-26
2019-08-14
27. APTIV PLC
2017-05-18
2019-08-14
15. SVB FINANCIAL GROUP
2015-02-05
2019-08-15
51. APTIV PLC
2017-05-18
2019-08-15
. GENERAL MOTORS CO
2019-09-05
2301. ISHARES TR BARCLAYS MBS BD FD
2019-01-31
2019-09-24
3205. VANGUARD BD INDEX FD INC
2019-03-05
2019-09-24
64. DISNEY WALT CO
2016-12-05
2019-10-25
16. ACCENTURE PLC
2014-01-15
2019-10-25
20. ACCENTURE PLC
2014-01-15
2019-10-28
41. NISOURCE INC
2015-12-02
2019-11-11
53. NISOURCE INC
2015-01-14
2019-11-11
43. NISOURCE INC
2013-10-17
2019-11-12
108. NISOURCE INC
2013-02-26
2019-11-12
10. NISOURCE INC
2013-02-26
2019-11-12
10. NISOURCE INC
2013-02-26
2019-11-13
61. CELGENE CORP.
2009-04-02
2019-11-21
189. CELGENE CORP.
2019-03-14
2019-11-21
2519.166 FIDELITY 500 INDEX-INST PRM
2018-02-07
2019-11-21
96. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
10. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
4. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
121. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-26
19. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-27
38871.184 JPM GL RES ENH IDX FD - USD - R6 ISIN US48129C2070
2014-02-04
2019-11-29
12729.763 EQUINOX IMP SYSTEM MACRO-I
2015-10-30
2019-12-09
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
69
106
-37
b
752
1,152
-400
c
205
305
-100
d
272
406
-134
e
992
458
534
1,153
1,358
-205
165
194
-29
1,221
1,750
-529
798
366
432
2,387
1,099
1,288
1,974
2,328
-354
136
177
-41
413
531
-118
69
89
-20
3,039
828
2,211
2,238
1,945
293
249
291
-42
136
177
-41
271
354
-83
1,415
1,225
190
276
354
-78
328
288
40
70
89
-19
208
266
-58
1,671
1,441
230
70
89
-19
140
177
-37
486,379
485,654
725
503,147
497,352
5,795
189,819
190,569
-750
536,149
530,970
5,179
349
443
-94
459,084
409,533
49,551
1,884
1,659
225
835
737
98
2,309
2,027
282
3,652
2,237
1,415
2,296
2,024
272
735
446
289
3,071
1,838
1,233
252,411
205,112
47,299
2,882
3,081
-199
3,842
540
3,302
11,217
9,987
1,230
5,718
5,514
204
37
37
69
69
2,416
307
2,109
978
943
35
2,425
1,166
1,259
3,637
3,157
480
3,649
2,214
1,435
7,323
1,937
5,386
887
824
63
6,887
441
6,446
1,594
1,472
122
3,813
3,954
-141
3,468
3,638
-170
2,514
1,547
967
3,933
513
3,420
1,602
1,779
-177
2,778
2,448
330
2,974
2,765
209
1,484
1,429
55
3,025
2,987
38
1,098
1,018
80
1,203
1,261
-58
2,747
2,508
239
1,585
1,391
194
321
356
-35
728
810
-82
1,455
1,636
-181
630
705
-75
2,555
2,448
107
2,062
2,392
-330
2,117
904
1,213
1,944
1,110
834
1,443
1,353
90
1,693
1,840
-147
3,021
741
2,280
4,357
2,230
2,127
774
587
187
1,486
1,843
-357
2,646
1,830
816
2,055
367
1,688
1,977
2,608
-631
4,268
893
3,375
3,033
3,012
21
9,930
4,414
5,516
2,130
1,913
217
3,386
2,854
532
1,470
1,483
-13
1,884
1,695
189
1,174
812
362
3,069
2,411
658
1,917
2,053
-136
2,094
2,951
-857
1,206
761
445
3,006
3,856
-850
909
1,041
-132
2,515
2,170
345
2,300
1,947
353
484
399
85
644
538
106
3,222
3,194
28
1,964
2,589
-625
1,938
2,269
-331
1,167
961
206
821
859
-38
1,765
1,451
314
1,173
692
481
2,229
2,119
110
1,119
729
390
2,153
1,625
528
3,072
2,905
167
2,710
2,138
572
1,063
990
73
5,185
2,833
2,352
1,302
700
602
2,056
1,002
1,054
1,401
847
554
2,611
1,811
800
1,390
660
730
1,002
919
83
3,035
2,757
278
1,224
868
356
2,302
1,222
1,080
1,843
1,606
237
1,788
1,762
26
1,393
1,394
-1
2,331
2,143
188
1,358
1,318
40
193,268
64,160
129,108
2,114
2,379
-265
343
382
-39
115
127
-12
2,690
2,784
-94
1,374
1,286
88
415,843
330,693
85,150
518,460
438,317
80,143
231,922
127,586
104,336
341
318
23
38
38
2,795
3,776
-981
2,423
3,032
-609
186
231
-45
5,092
5,788
-696
1,037
1,201
-164
232
188
44
3,751
4,586
-835
1,021
1,204
-183
3,154
2,590
564
230
188
42
115
94
21
631
518
113
287
235
52
348
283
65
1,163
926
237
295
239
56
4,035
3,265
770
1,977
1,593
384
585
478
107
891
717
174
2,567
1,744
823
2,310
1,511
799
609
379
230
1,476
912
564
3,614
3,613
1
529
476
53
3,621
3,248
373
1,407
1,263
144
2,473
2,176
297
2,121
2,707
-586
2,448
3,123
-675
978
1,249
-271
3,021
2,946
75
1,099
1,070
29
4,711
6,846
-2,135
463
535
-72
55
53
2
933
909
24
1,037
1,015
22
164
160
4
165
160
5
111
107
4
278
267
11
55
53
2
55
53
2
4,625
3,540
1,085
3,738
3,324
414
5,986
1,937
4,049
4,053
3,480
573
1,386
1,123
263
1,386
1,123
263
252,459
257,368
-4,909
3,525
386
3,139
2,290
1,565
725
1,521
981
540
1,431
1,567
-136
804
870
-66
2,155
2,072
83
2,801
1,803
998
4,043
3,611
432
22
22
248,808
242,760
6,048
258,871
252,696
6,175
8,405
6,538
1,867
2,930
1,407
1,523
3,675
1,671
2,004
1,075
788
287
1,384
879
505
1,120
641
479
2,811
1,093
1,718
260
97
163
262
97
165
6,590
2,551
4,039
20,418
17,630
2,788
272,397
236,449
35,948
201
221
-20
21
23
-2
8
9
-1
257
278
-21
40
44
-4
888,207
683,401
204,806
123,606
128,027
-4,421
101,547
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
-37
b
-400
c
-100
d
-134
e
534
-205
-29
-529
432
1,288
-354
-41
-118
-20
2,211
293
-42
-41
-83
190
-78
40
-19
-58
230
-19
-37
725
5,795
-750
5,179
-94
49,551
225
98
282
1,415
272
289
1,233
47,299
-199
3,302
1,230
204
37
69
2,109
35
1,259
480
1,435
5,386
63
6,446
122
-141
-170
967
3,420
-177
330
209
55
38
80
-58
239
194
-35
-82
-181
-75
107
-330
1,213
834
90
-147
2,280
2,127
187
-357
816
1,688
-631
3,375
21
5,516
217
532
-13
189
362
658
-136
-857
445
-850
-132
345
353
85
106
28
-625
-331
206
-38
314
481
110
390
528
167
572
73
2,352
602
1,054
554
800
730
83
278
356
1,080
237
26
-1
188
40
129,108
-265
-39
-12
-94
88
85,150
80,143
104,336
23
38
-981
-609
-45
-696
-164
44
-835
-183
564
42
21
113
52
65
237
56
770
384
107
174
823
799
230
564
1
53
373
144
297
-586
-675
-271
75
29
-2,135
-72
2
24
22
4
5
4
11
2
2
1,085
414
4,049
573
263
263
-4,909
3,139
725
540
-136
-66
83
998
432
22
6,048
6,175
1,867
1,523
2,004
287
505
479
1,718
163
165
4,039
2,788
35,948
-20
-2
-1
-21
-4
204,806
-4,421
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
939,716
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
1,377,500
26,164,070
0.052649
2017
1,138,168
24,719,738
0.046043
2016
1,200,367
22,841,913
0.052551
2015
1,188,694
23,828,901
0.049885
2014
1,103,007
24,217,790
0.045545
2
Total
of line 1, column (d)
.....................
2
0.246673
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
0.049335
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
25,761,077
5
Multiply line 4 by line 3
......................
5
1,270,923
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
15,216
7
Add lines 5 and 6
........................
7
1,286,139
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,287,997
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
15,216
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
15,216
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
15,216
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
18,676
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
18,676
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
3,460
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
3,460
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)
IL
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
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
20,557
10 S DEARBORN ST MC IL 1-0111
CHICAGO
,
IL
60603
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
25,552,268
b
Average of monthly cash balances
.......................
1b
601,110
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
26,153,378
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
26,153,378
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
392,301
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
25,761,077
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,288,054
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
1,288,054
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
15,216
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
15,216
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,272,838
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
1,272,838
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
1,272,838
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
1,287,997
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
1,287,997
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
15,216
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,272,781
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
1,272,838
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
1,279,676
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:
$
1,287,997
a
Applied to 2018, but not more than line 2a
1,279,676
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
.....
8,321
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
..........
1,264,517
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 email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
SALVATION ARMY CHICAGO
PO BOX 1428
ALEXANDRIA
,
VA
22313
NONE
PC
GENERAL
72,676
BEARS CARE
1000 FOOTBALL DRIVE
LAKE FOREST
,
IL
60045
NONE
PC
GENERAL
15,000
CHICAGO HISTORY MUSEUM
1601 N CLARK STREET
CHICAGO
,
IL
60614
NONE
PC
GENERAL
10,000
SANTA CATALINA ISLAND
CONSERVACY
PO BOX 2739
AVALON
,
CA
90704
NONE
PC
GENERAL
25,000
PREVENT CHILD ABUSE AMERICA
228 SOUTH WABASH AVE 10TH FL
CHICAGO
,
IL
60604
NONE
PC
GENERAL
10,000
CHRISTOPHER HOUSE
2507 N GREENVIEW AVE
CHICAGO
,
IL
60614
NONE
PC
GENERAL
15,000
HEARTLAND ALLIANCE FOR HUMAN
NEEDS AND HUMAN RIGHTS
208 S LASALLE ST STE 1818
CHICAGO
,
IL
60604
NONE
PC
GENERAL
10,000
BOYS AND GIRLS CLUBS OF CHICAGO
550 W VAN BUREN ST STE 350
CHICAGO
,
IL
60607
NONE
PC
GENERAL
15,000
CHICAGO CHILD CARE SOCIETY
5467 S UNIVERSITY AVE
CHICAGO
,
IL
60615
NONE
PC
GENERAL
15,000
FIELD MUSEUM OF NATURAL HISTORY
1400 S LAKESHORE DR
CHICAGO
,
IL
60605
NONE
PC
GENERAL
15,000
ART INSTITUTE OF CHICAGO
111 SOUTH MICHIGAN AVE
CHICAGO
,
IL
60603
NONE
PC
GENERAL
10,000
INFANT WELFARE SOCIETY OF CHICAGO
3600 W FULLERTON AVE
CHICAGO
,
IL
60647
NONE
PC
GENERAL
15,000
MUSEUM OF SCIENCE AND
INDUSTRT
57TH STREET AND LAKESHORE DR
CHICAGO
,
IL
60637
NONE
PC
GENERAL
15,000
NORTHWESTERN UNIVERSITY
633 CLARK STREET
EVANSTON
,
IL
60208
NONE
PC
GENERAL
20,000
SHEDD AQUARIUM SOCIETY
1200 S LAKESHORE DRIVE
CHICAGO
,
IL
60605
NONE
PC
GENERAL
5,000
BOY SCOUTS OF AMERICA
CHICAGO AREA COUNCIL
1218 WEST ADAMS
CHICAGO
,
IL
60607
NONE
PC
GENERAL
25,000
OFF THE STREET CLUB
25 N KALOV AVE
CHICAGO
,
IL
60624
NONE
PC
GENERAL
10,000
ST CATHERINE OF
ALEXANDRIA PARISH
10621 S KEDVALE AVE
OAK LAWN
,
IL
60453
NONE
PC
GENERAL
10,000
RUSH UNIVERSITY MEDICAL CENTER
1700 W VAN BUREN ST RM 150
CHICAGO
,
IL
60612
NONE
PC
GENERAL
85,000
WINDOW TO THE WORLD
5400 N SAINT LOUIS AVENUE
CHICAGO
,
IL
606254698
NONE
PC
GENERAL
10,000
AMERICAN RED CROSS
117 W WASHINGTON ST
MORRIS
,
IL
60450
NONE
PC
GENERAL
70,000
CHICAGO YOUTH CENTERS
218 S WABASH AVENUE STE 600
CHICAGO
,
IL
60604
NONE
PC
GENERAL
15,000
EVANS SCHOLARS FOUNDATION
1 BRIAR ROAD
GOLF
,
IL
60029
NONE
PC
GENERAL
35,000
GREATER CHICAGO FOOD
DEPOSITORY
4100 W ANN LURIE PL
CHICAGO
,
IL
60632
NONE
PC
GENERAL
30,000
NIGHT MINISTRY
4711 N RAVENSWOOD AVE
CHICAGO
,
IL
60640
NONE
PC
GENERAL
10,000
ANN & ROBERT H LURIE CHILDRENS
HOSPITAL FOUNDATION
225 E CHICAGO AVE
CHICAGO
,
IL
60611
NONE
PC
GENERAL
50,000
CHICAGO FOUNDATION FOR EDUCATION
ONE LASALLE STREET STE 1675
CHICAGO
,
IL
60602
NONE
PC
GENERAL
25,000
VOICES FOR ILLINOIS CHILDREN INC
208 S LASALLE STREET STE 1490
CHICAGO
,
IL
60604
NONE
PC
GENERAL
5,000
KOHL CHILDREN'S MUSEUM OF
GREATER CHICAGO
2100 PATRIOT BLVD
GLENVIEW
,
IL
60026
NONE
PC
GENERAL
10,000
GIRL SCOUTS OF GREATER
CHICAGO AND NW IN
20 S CLARK STREET STE 200
CHICAGO
,
IL
60603
NONE
PC
GENERAL
25,000
CHICAGO CHILDREN'S ADVOCACY
CENTER
1240 S DAMEN AVENUE
CHICAGO
,
IL
60608
NONE
PC
GENERAL
10,000
ADLER PLANETARIUM
1300 S LAKESHORE DR
CHICAGO
,
IL
60605
NONE
PC
GENERAL
5,000
FIRST CHURCH OF CHRIST
SCIENTIST
333 BROAD STREET
LAKE GENEVA
,
WI
53147
NONE
PC
GENERAL
2,000
LIFELINE PILOTS INC
6100 WEST DIRKSEN PARKWAY STE 302
PEORIA
,
IL
61607
NONE
PC
GENERAL
15,000
GENEVA LAKE ASSOCIATION
PO BOX 412
LAKE GENEVA
,
WI
53147
NONE
PC
GENERAL
10,000
GENEVA LAKE WATER SAFETY PATROL
PO BOX 548
WILLIAMS BAY
,
WI
53191
NONE
PC
GENERAL
20,000
MERCY HEALTH SYSTEM
2100 E MILWAUKEE ST
JANESVILLE
,
WI
53545
NONE
PC
GENERAL
10,000
GENEVA AREA FOUNDATION
PO BOX 71
LAKE GENEVA
,
WI
53147
NONE
PC
GENERAL
10,000
GENEVA LAKE CONSERVANCY INC
PO BOX 588
FONTANA
,
WI
53125
NONE
PC
GENERAL
5,000
GENEVA LAKE MUSEUM
255 MILL STREET
LAKE GENEVA
,
WI
53147
NONE
PC
GENERAL
20,000
PHOENIX CHILDRENS HOSPITAL
2929 E CAMELBACK RD STE 122
PHEONIX
,
AZ
85016
NONE
PC
GENERAL
10,000
UNIVERSITY OF SOUTHERN CALIFORNIA
3551 TROUSDALE PARKWAY STE 160
LOS ANGELES
,
CA
90089
NONE
PC
GENERAL
50,000
CATALINA CHIMES TOWER
FOUNDATION
PO BOX 426
AVALON
,
CA
90704
NONE
PC
GENERAL
20,000
NORTHWESTERN MEMORIAL
FOUNDATION
420 E SUPERIOR ST 10
CHICAGO
,
IL
60611
NONE
PC
GENERAL
10,000
CDGA FOUNDATION
11855 ARCHER AVENUE
LEMONT
,
IL
60439
NONE
PC
GENERAL
10,000
HADLEY SCHOOL FOR THE BLIND
700 ELM ST
WINNETKA
,
IL
60093
NONE
PC
GENERAL
20,000
JOURNEY CARE FOUNDATION
405 LAKE ZURICH ROAD
BARRINGTON
,
IL
60010
NONE
PC
GENERAL
25,000
SHIRLEY RYAN ABILITYLAB
355 EAST ERIE
CHICAGO
,
IL
60611
NONE
PC
GENERAL
40,000
MAYO FOUNDATION CANCER
RESEARCH
13400 EAST SHEA BOULEVARD
SCOTTSDALE
,
AZ
85259
NONE
PC
GENERAL
50,000
LUCILE PACKARD FOUNDATION
343 SECOND STREET
LOS ALTOS
,
CA
94022
NONE
PC
GENERAL
50,000
LADDER UP
233 S WACKER DR 400
CHICAGO
,
IL
60606
NONE
PC
GENERAL
10,000
CHICAGO BOTANIC GARDEN
1000 LAKE COOK RD
GLENCOE
,
IL
60022
NONE
PC
GENERAL
25,000
FACETS
1517 W FULLERTON AVE
CHICAGO
,
IL
60614
NONE
PC
GENERAL
10,000
P S ITS SOCIAL DBA CURT'S
2922 CENTRAL ST
EVANSTON
,
IL
60201
NONE
PC
GENERAL
5,000
GOODWILL OF METROPOLITAN
CHICAGO
819 S WABASH AVE STE 400
CHICAGO
,
IL
60605
NONE
PC
GENERAL
25,000
UNIVERSITY OF ARIZONA
1401 E UNIVERSITY BLVD
TUCSON
,
AZ
85721
NONE
PC
GENERAL
15,000
CATALINA ISLAND MUSEUM
217 METROPOLE ST
AVALON
,
CA
90704
NONE
PC
GENERAL
25,000
HOLIDAY HOME CAMP
PO BOX 10
WILLIAM BAY
,
WI
53191
NONE
PC
GENERAL
15,000
CAMP KESEM
10586 WEST PICO BOULEVARD 196
LOS ANGELES
,
CA
90064
NONE
PC
GENERAL
10,000
FACING HISTORY AND OURSELVES
2 N LA SALLE ST STE 2300
CHICAGO
,
IL
60602
NONE
PC
GENERAL
10,000
100 CLUB OF CHICAGO
875 N MICHIGAN AVE SUITE 1351
CHICAGO
,
IL
60611
NONE
PC
GENERAL
30,000
DANIEL MURPHY SCHOLARSHIP FUND
309 WEST WASHINGTON SUITE 1250
CHICAGO
,
IL
60606
NONE
PC
GENERAL
15,000
PROVIDENCE ST MEL SCHOOL
119 S CENTRAL PARK BLVD
CHICAGO
,
IL
60624
NONE
PC
GENERAL
5,000
TEACH FOR AMERICA
25 BROADWAY 12TH FLOOR
NEW YORK
,
NY
10004
NONE
PC
GENERAL
5,000
Total
.................................
3a
1,279,676
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
610,396
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
939,716
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)
..
1,550,112
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
1,550,112
(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