-
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
05-01-2019
, and ending
04-30-2020
Name of foundation
MCCULLOUGH ENDMT FBO SHADY GR
Number and street (or P.O. box number if mail is not delivered to street address)
114 W 47TH ST NY8-114-07-07
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
100361510
A Employer identification number
13-4288017
B
Telephone number (see instructions)
(609) 274-6834
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)
$
1,535,508
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
...
43,686
42,577
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
116,390
b
Gross sales price for all assets on line 6a
721,244
7
Capital gain net income (from Part IV, line 2)
...
116,390
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)
.......
91
12
Total.
Add lines 1 through 11
........
160,167
158,967
13
Compensation of officers, directors, trustees, etc.
20,400
8,160
12,240
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)
...
1,524
498
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)
.......
49
49
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
21,973
8,707
0
12,240
25
Contributions, gifts, grants paid
.......
30,238
30,238
26
Total expenses and disbursements.
Add lines 24 and 25
52,211
8,707
0
42,478
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
107,956
b
Net investment income
(if negative, enter -0-)
150,260
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
.............
633
753
753
2
Savings and temporary cash investments
.........
117,593
180,899
180,899
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)
194,664
133,430
158,007
b
Investments—corporate stock (attach schedule)
.......
844,143
1,018,058
1,060,818
c
Investments—corporate bonds (attach schedule)
.......
174,231
112,592
119,939
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
23,775
15,932
15,092
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)
1,355,039
1,461,664
1,535,508
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
........
1,355,039
1,461,664
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)
.....
1,355,039
1,461,664
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,355,039
1,461,664
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
1,355,039
2
Enter amount from Part I, line 27a
.....................
2
107,956
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
1,462,995
5
Decreases not included in line 2 (itemize)
5
1,331
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,461,664
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
7. 3M CO
2018-08-16
2019-05-07
b
7. 3M CO
2018-08-16
2019-05-07
c
4. 3M CO
2019-04-16
2019-05-07
d
19000. U.S. TREASURY NOTE
2018-09-12
2019-05-15
e
39. MICROSOFT CORP COM
2010-07-15
2019-05-20
92. ORACLE CORP
2015-07-16
2019-05-20
98. JOHNSON CTLS INTL PLC
2018-08-07
2019-05-28
1. PROCTER & GAMBLE CO/THE
2009-02-23
2019-05-31
27. PROCTER & GAMBLE CO/THE
2008-07-29
2019-05-31
53. ANADARKO PETE CORP
2018-05-18
2019-06-04
11. ANADARKO PETE CORP
2019-02-25
2019-06-04
11. ANADARKO PETE CORP
2018-05-21
2019-06-04
41. ANADARKO PETE CORP
2019-02-25
2019-06-06
. DOWDUPONT INC
2019-06-06
2019-06-06
.67 DUPONT DE NEMOURS INC
2019-05-07
2019-06-06
100. SUNCOR ENERGY INC
2016-06-07
2019-06-07
4. ANADARKO PETE CORP
2019-02-25
2019-06-19
101. ANADARKO PETE CORP
2019-03-01
2019-06-19
8. ONEOK INC
2018-08-07
2019-06-19
8. ORACLE CORP
2016-11-17
2019-06-19
101. ORACLE CORP
2015-07-16
2019-06-19
9. TRAVELERS COS INC/THE
2008-03-05
2019-06-19
4. MARSH & MCLENNAN COS INC
2016-08-12
2019-06-20
8. MARSH & MCLENNAN COS INC
2016-08-11
2019-06-20
3. MARSH & MCLENNAN COS INC
2016-08-15
2019-06-20
14. ONEOK INC
2018-08-07
2019-06-20
2. MARSH & MCLENNAN COS INC
2016-08-15
2019-06-21
3. MARSH & MCLENNAN COS INC
2016-08-12
2019-06-21
7. MARSH & MCLENNAN COS INC
2016-08-11
2019-06-21
28. ONEOK INC
2018-08-07
2019-06-21
17. MARSH & MCLENNAN COS INC
2016-08-11
2019-06-24
10. MARSH & MCLENNAN COS INC
2016-08-12
2019-06-24
7. MARSH & MCLENNAN COS INC
2016-08-15
2019-06-24
15000. U.S. TREASURY BOND
2016-09-23
2019-06-25
4. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-28
2019-06-26
2. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-25
2019-06-26
1. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-22
2019-06-26
14. US BANCORP DEL
2004-11-04
2019-06-26
14. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-25
2019-06-27
27. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-28
2019-06-27
6. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-22
2019-06-27
84. US BANCORP DEL
2004-11-04
2019-06-27
8. US BANCORP DEL
2008-10-29
2019-06-27
2. DUPONT DE NEMOURS INC
2017-02-21
2019-06-28
5. DUPONT DE NEMOURS INC
2019-03-08
2019-06-28
15. DUPONT DE NEMOURS INC
2017-01-06
2019-06-28
16. DUPONT DE NEMOURS INC
2017-02-01
2019-06-28
107. INTERNATIONAL PAPER CO
2013-07-16
2019-06-28
13. DIAGEO PLC SPON ADR NEW
2008-07-29
2019-07-01
5. DIAGEO PLC SPON ADR NEW
2009-02-23
2019-07-01
47. ORACLE CORP
2016-11-17
2019-07-01
34. ORACLE CORP
2017-01-06
2019-07-01
3. QUALCOMM INC
2015-05-20
2019-07-01
14. QUALCOMM INC
2015-05-20
2019-07-01
9. QUALCOMM INC
2015-05-20
2019-07-01
2. QUALCOMM INC
2015-04-01
2019-07-01
5. QUALCOMM INC
2015-04-01
2019-07-01
24. QUALCOMM INC
2015-04-01
2019-07-01
34. QUALCOMM INC
2015-02-02
2019-07-01
8000. U.S. TREASURY NOTE
2018-09-12
2019-07-18
150. CISCO SYSTEMS INC
2018-01-29
2019-07-26
13. NOVARTIS AG SPNSRD ADR
2018-10-18
2019-07-26
17. NOVARTIS AG SPNSRD ADR
2018-10-19
2019-07-26
2. NOVARTIS AG SPNSRD ADR
2018-12-14
2019-07-26
17. DIAGEO PLC SPON ADR NEW
2009-02-23
2019-08-08
21. MICROSOFT CORP COM
2010-07-15
2019-08-08
25. ORACLE CORP
2017-01-06
2019-08-08
20. ORACLE CORP
2016-03-02
2019-08-08
43. TAIWAN SEMICONDUCTOR ADR
2017-01-23
2019-08-14
16. TAIWAN SEMICONDUCTOR ADR
2017-03-09
2019-08-14
15. TAIWAN SEMICONDUCTOR ADR
2017-03-10
2019-08-14
34. TAIWAN SEMICONDUCTOR ADR
2017-03-09
2019-08-15
89. TAIWAN SEMICONDUCTOR ADR
2017-01-23
2019-08-15
33. TAIWAN SEMICONDUCTOR ADR
2017-03-10
2019-08-15
60. HONEYWELL INTERNATIONAL INC
2011-04-06
2019-08-20
17. NOVARTIS AG SPNSRD ADR
2018-10-16
2019-08-20
2. NOVARTIS AG SPNSRD ADR
2018-10-17
2019-08-20
71. SUNCOR ENERGY INC
2016-06-07
2019-08-20
17. SUNCOR ENERGY INC
2016-08-09
2019-08-20
5. SUNCOR ENERGY INC
2016-08-10
2019-08-20
101. TAIWAN SEMICONDUCTOR ADR
2017-01-20
2019-08-20
32. TAIWAN SEMICONDUCTOR ADR
2018-12-13
2019-08-20
50. TAIWAN SEMICONDUCTOR ADR
2017-01-23
2019-08-20
12. 3M CO
2018-05-08
2019-08-20
6. 3M CO
2018-08-16
2019-08-20
18. DIAGEO PLC SPON ADR NEW
2009-02-23
2019-08-21
2. DIAGEO PLC SPON ADR NEW
2019-03-08
2019-08-21
5. LOCKHEED MARTIN CORP
2014-02-03
2019-08-21
3. LOCKHEED MARTIN CORP
2015-05-07
2019-08-21
4. NORTHROP GRUMMAN CORP
2008-07-17
2019-08-21
7. NORTHROP GRUMMAN CORP
2009-02-23
2019-08-21
26. NOVARTIS AG SPNSRD ADR
2018-10-17
2019-08-21
27. NOVARTIS AG SPNSRD ADR
2018-10-18
2019-08-21
31. ONEOK INC
2018-08-06
2019-08-21
10. ONEOK INC
2018-08-07
2019-08-21
55. SUNCOR ENERGY INC
2016-08-11
2019-08-21
18. SUNCOR ENERGY INC
2016-08-10
2019-08-21
15. DIAGEO PLC SPON ADR NEW
2019-03-08
2019-08-22
1. KONINKLIJKE PHILIPS NV
2017-05-05
2019-08-22
1. KONINKLIJKE PHILIPS NV
2017-05-08
2019-08-22
41. KONINKLIJKE PHILIPS NV
2017-05-08
2019-08-23
44. KONINKLIJKE PHILIPS NV
2017-05-05
2019-08-23
23. JOHNSON CTLS INTL PLC
2018-08-08
2019-09-05
4. JOHNSON CTLS INTL PLC
2018-08-07
2019-09-05
127. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-18
2019-09-05
35. JOHNSON CTLS INTL PLC
2018-08-08
2019-09-06
8. JOHNSON CTLS INTL PLC
2018-08-07
2019-09-06
135. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-22
2019-09-06
62. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-18
2019-09-06
8000. USD ROYAL BK CANADA
2016-04-26
2019-09-23
14000. SHELL INTERNATIONAL FIN
2011-03-25
2019-09-23
2. MARATHON PETROLEUM CORP
2019-03-15
2019-09-24
13. MARATHON PETROLEUM CORP
2018-08-03
2019-09-24
16. MARATHON PETROLEUM CORP
2019-03-18
2019-09-24
4. MARSH & MCLENNAN COS INC
2016-08-12
2019-09-24
3. MARSH & MCLENNAN COS INC
2016-08-10
2019-09-24
1. MCKESSON CORP
2017-06-23
2019-09-24
18. MCKESSON CORP
2017-07-20
2019-09-24
10. ONEOK INC
2018-08-06
2019-09-24
4. ONEOK INC
2018-08-03
2019-09-24
24. PEPSICO INC
2018-09-14
2019-09-24
4. PEPSICO INC
2018-06-13
2019-09-24
82. PFIZER INC
2016-03-02
2019-09-24
4. PFIZER INC
2013-04-18
2019-09-24
13. QUALCOMM INC
2017-08-16
2019-09-24
23. QUALCOMM INC
2015-05-20
2019-09-24
4. JOHNSON CTLS INTL PLC
2018-08-06
2019-09-24
13. JOHNSON CTLS INTL PLC
2018-08-08
2019-09-24
16. JOHNSON CTLS INTL PLC
2019-03-08
2019-09-24
11. MARATHON PETROLEUM CORP
2018-08-03
2019-09-25
2. MARATHON PETROLEUM CORP
2019-03-15
2019-09-25
14. MARATHON PETROLEUM CORP
2019-03-18
2019-09-25
9. MARSH & MCLENNAN COS INC
2016-08-10
2019-09-25
12. MARSH & MCLENNAN COS INC
2016-08-12
2019-09-25
17. ONEOK INC
2018-08-06
2019-09-25
9. ONEOK INC
2018-08-03
2019-09-25
48. JOHNSON CTLS INTL PLC
2019-03-08
2019-09-25
38. JOHNSON CTLS INTL PLC
2018-08-08
2019-09-25
14. JOHNSON CTLS INTL PLC
2018-08-06
2019-09-25
1. MATTEL INC
2017-08-02
2019-10-30
81. MATTEL INC
2017-08-01
2019-10-30
78. MATTEL INC
2017-07-31
2019-10-30
80. MATTEL INC
2017-08-03
2019-10-31
82. MATTEL INC
2017-08-02
2019-10-31
33. QUALCOMM INC
2017-08-16
2019-11-14
4. ASTRAZENECA PLC SPONS ADR
2016-04-06
2019-11-18
4. ASTRAZENECA PLC SPONS ADR
2016-04-07
2019-11-18
1. DOW INC
2019-04-05
2019-11-18
15. DOW INC
2017-01-06
2019-11-18
13. DOW INC
2011-06-06
2019-11-18
9. GOLDMAN SACHS GROUP INC
2014-10-02
2019-11-18
44. ORACLE CORP
2016-03-02
2019-11-18
13. ORACLE CORP
2015-08-28
2019-11-18
50. PROCTER & GAMBLE CO/THE
2009-02-23
2019-11-18
71. ASTRAZENECA PLC SPONS ADR
2016-04-06
2019-11-19
70. ASTRAZENECA PLC SPONS ADR
2016-04-07
2019-11-19
1. DOW INC
2017-01-06
2019-11-19
3. DOW INC
2017-02-21
2019-11-19
15. DOW INC
2019-03-01
2019-11-19
16. DOW INC
2017-02-01
2019-11-19
19. DOW INC
2019-03-08
2019-11-19
16. DOW INC
2019-03-26
2019-11-19
9. GOLDMAN SACHS GROUP INC
2015-04-01
2019-11-19
19. GOLDMAN SACHS GROUP INC
2014-10-03
2019-11-19
4. GOLDMAN SACHS GROUP INC
2014-10-02
2019-11-19
14. NOVO NORDISK A/S ADR
2017-10-18
2019-11-19
1. NOVO NORDISK A/S ADR
2017-10-24
2019-11-19
1. ORACLE CORP
2015-08-28
2019-11-19
4. ORACLE CORP
2016-03-02
2019-11-19
9. PROCTER & GAMBLE CO/THE
2009-02-23
2019-11-19
11. SONY CORP ADR AMERN SH NEW
2019-07-05
2019-11-19
1. SONY CORP ADR AMERN SH NEW
2019-09-24
2019-11-19
5. SONY CORP ADR AMERN SH NEW
2019-09-25
2019-11-19
6. NOVO NORDISK A/S ADR
2017-10-24
2019-11-20
41. NOVO NORDISK A/S ADR
2017-10-18
2019-11-20
62. SONY CORP ADR AMERN SH NEW
2019-07-05
2019-11-20
4. SONY CORP ADR AMERN SH NEW
2019-09-24
2019-11-20
34. SONY CORP ADR AMERN SH NEW
2019-09-25
2019-11-20
15. DOLLAR GENERAL CORP
2015-12-17
2019-12-02
6. DOLLAR GENERAL CORP
2015-12-17
2019-12-03
3. NOVO NORDISK A/S ADR
2017-10-24
2019-12-17
40. NOVO NORDISK A/S ADR
2017-10-17
2019-12-17
6. NOVO NORDISK A/S ADR
2017-10-17
2019-12-17
11. NOVO NORDISK A/S ADR
2017-10-25
2019-12-18
38. NOVO NORDISK A/S ADR
2017-10-24
2019-12-18
8000. U.S. TREASURY NOTE
2019-09-25
2019-12-18
17000. U.S. TREASURY NOTE
2019-02-20
2019-12-18
3. PFIZER INC
2016-03-02
2020-01-09
73. PFIZER INC
2014-10-08
2020-01-09
177. PFIZER INC
2008-04-23
2020-01-09
90. BRISTOL-MYERS SQUIBB CO
2019-08-20
2020-01-13
44. NVIDIA CORP
2019-08-20
2020-01-13
31. PHILIP MORRIS INTERNATIONAL INC
2019-11-18
2020-01-13
11. PHILIP MORRIS INTERNATIONAL INC
2019-11-19
2020-01-13
34. QUALCOMM INC
2017-09-01
2020-01-13
21. QUALCOMM INC
2017-09-05
2020-01-13
5. QUALCOMM INC
2017-08-16
2020-01-13
70. CHARLES SCHWAB CORP/THE
2017-10-11
2020-01-13
9. STATE ST CORP COM
2018-10-05
2020-01-13
12. STATE ST CORP COM
2018-10-08
2020-01-13
8. STATE ST CORP COM
2018-10-09
2020-01-13
2. 3M CO
2017-03-10
2020-01-13
28. 3M CO
2009-06-30
2020-01-13
56. JOHNSON CTLS INTL PLC
2018-11-05
2020-01-13
19. STATE ST CORP COM
2018-10-05
2020-01-14
23. STATE ST CORP COM
2018-10-08
2020-01-14
18. STATE ST CORP COM
2018-10-09
2020-01-14
2. 3M CO
2018-05-08
2020-01-14
7. 3M CO
2017-03-10
2020-01-14
43. JOHNSON CTLS INTL PLC
2018-11-05
2020-01-14
11. JOHNSON CTLS INTL PLC
2019-03-08
2020-01-14
27. UNITEDHEALTH GROUP INC
2015-01-15
2020-02-03
8000. U.S. TREASURY NOTE
2019-07-18
2020-02-05
3000. AMERICAN EXPRESS CO
2019-02-20
2020-02-19
403. BLACKROCK STRATEGIC
2014-03-04
2020-02-19
71. BRISTOL-MYERS SQUIBB CO
2019-08-08
2020-02-19
55. BRISTOL-MYERS SQUIBB CO
2019-08-09
2020-02-19
33. BRISTOL-MYERS SQUIBB CO
2019-08-20
2020-02-19
2000. CITIGROUP INC
2011-11-17
2020-02-19
3000. U.S. TREASURY NOTE
2017-03-09
2020-02-19
2000. U.S. TREASURY NOTE
2010-06-24
2020-02-19
3000. APPLE INC
2017-02-08
2020-02-20
4000. BB&T CORPORATION
2017-10-25
2020-02-20
1000. BANK OF NY MELLON CORP
2016-09-23
2020-02-20
3000. FEDERAL NATL MTG ASSOC
2017-06-13
2020-02-20
4000. GLAXOSMITHKLINE CAPITAL
2018-06-08
2020-02-20
2000. HOME DEPOT INC
2019-01-11
2020-02-20
2000. JPMORGAN CHASE & CO
2014-09-16
2020-02-20
2000. ORACLE CORP
2016-10-28
2020-02-20
1000. U.S. TREASURY BOND
2011-03-03
2020-02-20
1000. U.S. TREASURY BOND 3.125% FEB 15 2042
2012-02-24
2020-02-20
2000. U.S. TREASURY BOND
2018-03-01
2020-02-20
2000. U.S. TREASURY BOND
2019-06-25
2020-02-20
2000. U.S. TREASURY NOTE
2018-06-08
2020-02-20
4000. U.S. TREASURY NOTE
2019-04-12
2020-02-20
4000. U.S. TREASURY NOTE
2017-10-25
2020-02-20
2000. U.S. TREASURY NOTE
2018-08-23
2020-02-20
4000. U.S. TREASURY NOTE
2019-12-18
2020-02-20
2000. U.S. TREASURY NOTE
2019-12-18
2020-02-20
2000. U.S. TREASURY NOTE
2020-02-05
2020-02-20
4000. WALMART INC
2018-08-23
2020-02-20
1000. WELLS FARGO & COMPANY
2016-07-26
2020-02-20
8000. U.S. TREASURY NOTE
2019-12-18
2020-02-25
40. ONEOK INC
2018-11-05
2020-03-09
30. ONEOK INC
2018-12-13
2020-03-09
47. WELLS FARGO & CO NEW
2015-05-20
2020-03-09
36. ONEOK INC
2019-03-01
2020-03-10
19. ONEOK INC
2018-12-13
2020-03-10
17. ONEOK INC
2019-11-18
2020-03-10
23. ONEOK INC
2019-11-19
2020-03-10
10. ONEOK INC
2020-02-19
2020-03-10
6. HUMANA INC
2018-01-23
2020-03-17
6. HUMANA INC
2018-01-23
2020-03-18
3. HUMANA INC
2018-01-24
2020-03-18
11. HUMANA INC
2018-01-24
2020-03-20
110. BAKER HUGHES A GE CO
2019-03-20
2020-03-31
93. BAKER HUGHES A GE CO
2019-03-21
2020-03-31
6. BAKER HUGHES A GE CO
2019-05-31
2020-03-31
7. HUMANA INC
2018-12-10
2020-03-31
9. HUMANA INC
2019-03-19
2020-03-31
7. HUMANA INC
2018-01-25
2020-03-31
12. MARSH & MCLENNAN COS INC
2019-03-01
2020-03-31
14. MARSH & MCLENNAN COS INC
2019-03-04
2020-03-31
14. MARSH & MCLENNAN COS INC
2016-08-10
2020-03-31
3. MARSH & MCLENNAN COS INC
2020-02-19
2020-03-31
52. BAKER HUGHES A GE CO
2019-06-03
2020-04-01
21. BAKER HUGHES A GE CO
2020-02-19
2020-04-01
70. BAKER HUGHES A GE CO
2019-09-24
2020-04-01
35. BAKER HUGHES A GE CO
2019-09-25
2020-04-01
69. BAKER HUGHES A GE CO
2019-05-31
2020-04-01
2000. AMERICAN EXPRESS CO
2019-02-20
2020-04-07
3000. APPLE INC
2017-02-08
2020-04-07
2000. BB&T CORPORATION
2017-10-25
2020-04-07
2000. BANK OF NY MELLON CORP
2016-09-23
2020-04-07
369. BLACKROCK STRATEGIC
2014-03-04
2020-04-07
3000. FEDERAL NATL MTG ASSOC
2017-06-13
2020-04-07
3000. GLAXOSMITHKLINE CAPITAL
2018-06-08
2020-04-07
3000. HOME DEPOT INC
2019-01-11
2020-04-07
3000. JPMORGAN CHASE & CO
2014-09-16
2020-04-07
3000. ORACLE CORP
2016-10-28
2020-04-07
2000. U.S. TREASURY BOND
2011-03-03
2020-04-07
4000. U.S. TREASURY BOND 3.125% FEB 15 2042
2012-02-24
2020-04-07
2000. U.S. TREASURY BOND
2018-03-01
2020-04-07
3000. U.S. TREASURY BOND
2019-06-25
2020-04-07
1000. U.S. TREASURY NOTE
2018-06-08
2020-04-07
7000. U.S. TREASURY NOTE
2019-04-12
2020-04-07
4000. U.S. TREASURY NOTE
2017-03-09
2020-04-07
3000. U.S. TREASURY NOTE
2010-06-24
2020-04-07
3000. U.S. TREASURY NOTE
2017-10-25
2020-04-07
2000. U.S. TREASURY NOTE
2018-08-23
2020-04-07
3000. U.S. TREASURY NOTE
2019-12-18
2020-04-07
1000. U.S. TREASURY NOTE
2020-02-05
2020-04-07
3000. WALMART INC
2018-08-23
2020-04-07
1000. WELLS FARGO & COMPANY
2016-07-26
2020-04-07
1000. CITIGROUP INC
2011-11-17
2020-04-08
57. BP P L C SPONS ADR
2018-06-11
2020-04-16
61. BP P L C SPONS ADR
2018-06-12
2020-04-16
21. CRH PLC ADR
2017-12-04
2020-04-16
4. CRH PLC ADR
2017-12-05
2020-04-16
10. CRH PLC ADR
2017-12-07
2020-04-16
8. DOLLAR GENERAL CORP
2018-12-10
2020-04-16
8. DOLLAR GENERAL CORP
2018-12-11
2020-04-16
31. J P MORGAN CHASE & CO
2007-12-06
2020-04-16
24. J P MORGAN CHASE & CO
2019-01-07
2020-04-16
41. JOHNSON & JOHNSON
2020-02-19
2020-04-16
9. KELLOGG CO
2017-11-08
2020-04-16
11. KELLOGG CO
2017-11-08
2020-04-16
3. KELLOGG CO
2020-02-19
2020-04-16
42. KELLOGG CO
2019-08-20
2020-04-16
15. MICROSOFT CORP COM
2010-07-15
2020-04-16
2. MICROSOFT CORP COM
2020-02-19
2020-04-16
2. NEXTERA ENERGY INC
2020-04-08
2020-04-16
1. NEXTERA ENERGY INC
2020-02-19
2020-04-16
44. NEXTERA ENERGY INC
2004-10-27
2020-04-16
10. ORACLE CORP
2020-02-19
2020-04-16
19. ORACLE CORP
2015-08-28
2020-04-16
24. ORACLE CORP
2015-08-31
2020-04-16
15. SONY CORP ADR AMERN SH NEW
2019-07-03
2020-04-16
4. SONY CORP ADR AMERN SH NEW
2019-07-05
2020-04-16
23. SONY CORP ADR AMERN SH NEW
2019-07-05
2020-04-16
9. SONY CORP ADR AMERN SH NEW
2020-02-19
2020-04-16
1. TRAVELERS COS INC/THE
2008-03-05
2020-04-16
2. TRAVELERS COS INC/THE
2020-02-19
2020-04-16
13. TRAVELERS COS INC/THE
2018-01-22
2020-04-16
26. TRAVELERS COS INC/THE
2009-02-23
2020-04-16
3. TRAVELERS COS INC/THE
2018-01-23
2020-04-16
24. VERIZON COMMUNICATIONS INC
2020-02-19
2020-04-16
20. VERIZON COMMUNICATIONS INC
2006-04-20
2020-04-16
5. ALCON SA ACT NOM
2020-02-19
2020-04-16
23. ALCON SA ACT NOM
2019-08-21
2020-04-16
16. CRH PLC ADR
2017-12-04
2020-04-17
3. CRH PLC ADR
2017-12-05
2020-04-17
7. CRH PLC ADR
2017-12-07
2020-04-17
3. SONY CORP ADR AMERN SH NEW
2019-07-05
2020-04-17
3. SONY CORP ADR AMERN SH NEW
2019-07-05
2020-04-17
1. SONY CORP ADR AMERN SH NEW
2020-02-19
2020-04-17
2. TRAVELERS COS INC/THE
2018-01-22
2020-04-17
5. TRAVELERS COS INC/THE
2009-02-23
2020-04-17
6. ALCON SA ACT NOM
2020-02-19
2020-04-17
23. ALCON SA ACT NOM
2019-08-21
2020-04-17
9. CRH PLC ADR
2017-12-04
2020-04-20
2. CRH PLC ADR
2017-12-05
2020-04-20
4. CRH PLC ADR
2017-12-07
2020-04-20
21. CRH PLC ADR
2017-12-04
2020-04-21
3. CRH PLC ADR
2017-12-05
2020-04-21
10. CRH PLC ADR
2017-12-07
2020-04-21
2. DOLLAR GENERAL CORP
2019-04-16
2020-04-24
16. DOLLAR GENERAL CORP
2019-04-17
2020-04-24
19. FEDEX CORP
2019-08-08
2020-04-24
17. FEDEX CORP
2019-06-27
2020-04-24
42. MICROSOFT CORP COM
2010-07-15
2020-04-24
6. SONY CORP ADR AMERN SH NEW
2019-07-05
2020-04-24
3. SONY CORP ADR AMERN SH NEW
2020-04-08
2020-04-24
5. SONY CORP ADR AMERN SH NEW
2019-07-29
2020-04-24
32. SONY CORP ADR AMERN SH NEW
2019-07-05
2020-04-27
19. SONY CORP ADR AMERN SH NEW
2020-04-08
2020-04-27
26. SONY CORP ADR AMERN SH NEW
2019-07-29
2020-04-27
31. MICROSOFT CORP COM
2011-12-07
2020-04-28
34. MICROSOFT CORP COM
2010-07-15
2020-04-28
7000. U.S. TREASURY NOTE
2018-08-23
2020-04-28
7000. U.S. TREASURY NOTE
2020-02-05
2020-04-29
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
1,255
1,681
-426
b
1,255
1,419
-164
c
717
867
-150
d
19,466
18,905
561
e
4,923
1,000
3,923
4,936
3,760
1,176
3,778
3,731
47
104
49
55
2,812
1,757
1,055
3,740
3,736
4
776
486
290
776
788
-12
2,877
1,812
1,065
18
18
48
65
-17
3,055
2,849
206
280
177
103
7,074
4,452
2,622
530
531
-1
420
322
98
5,302
4,128
1,174
1,357
427
930
389
270
119
779
539
240
292
202
90
946
930
16
195
135
60
292
202
90
682
472
210
1,922
1,859
63
1,667
1,146
521
981
674
307
686
472
214
14,935
15,424
-489
237
163
74
118
82
36
59
40
19
728
413
315
824
573
251
1,589
1,099
490
353
241
112
4,363
2,481
1,882
416
242
174
149
179
-30
372
406
-34
1,117
1,251
-134
1,191
1,427
-236
4,644
5,021
-377
2,219
914
1,305
854
243
611
2,726
1,889
837
1,972
1,309
663
233
195
38
1,085
915
170
698
582
116
155
130
25
388
322
66
1,860
1,625
235
2,635
2,148
487
8,297
7,960
337
8,474
6,430
2,044
1,210
984
226
1,582
1,304
278
186
154
32
2,773
825
1,948
2,882
538
2,344
1,359
962
397
1,087
751
336
1,739
1,304
435
647
495
152
607
465
142
1,330
1,053
277
3,482
2,700
782
1,291
1,023
268
9,850
3,381
6,469
1,519
1,275
244
179
150
29
2,002
2,022
-20
479
464
15
141
138
3
4,249
3,035
1,214
1,346
1,194
152
2,104
1,517
587
1,938
2,416
-478
969
1,217
-248
3,034
873
2,161
337
318
19
1,914
753
1,161
1,148
567
581
1,475
236
1,239
2,582
270
2,312
2,338
1,946
392
2,428
2,044
384
2,205
2,018
187
711
657
54
1,564
1,536
28
512
495
17
2,512
2,382
130
47
36
11
47
36
11
1,908
1,481
427
2,048
1,602
446
988
867
121
172
152
20
3,153
2,156
997
1,502
1,319
183
343
305
38
3,363
2,236
1,127
1,544
1,053
491
8,000
8,033
-33
14,000
14,000
111
121
-10
721
1,025
-304
888
991
-103
402
270
132
301
201
100
140
165
-25
2,527
2,986
-459
741
651
90
297
257
40
3,247
2,745
502
541
421
120
2,953
2,460
493
144
123
21
978
689
289
1,729
1,497
232
174
151
23
565
490
75
696
572
124
643
868
-225
117
121
-4
819
867
-48
904
603
301
1,206
809
397
1,252
1,107
145
663
578
85
2,094
1,715
379
1,657
1,432
225
611
527
84
12
20
-8
958
1,594
-636
923
1,529
-606
948
1,523
-575
972
1,606
-634
2,985
1,749
1,236
192
119
73
192
119
73
54
54
816
820
-4
707
445
262
1,978
1,649
329
2,472
1,653
819
730
485
245
6,093
2,470
3,623
3,388
2,106
1,282
3,340
2,085
1,255
53
55
-2
160
176
-16
799
778
21
852
935
-83
1,012
1,011
1
852
834
18
1,977
1,727
250
4,174
3,559
615
879
733
146
798
705
93
57
50
7
57
37
20
226
150
76
1,098
445
653
680
603
77
62
59
3
309
303
6
334
302
32
2,280
2,065
215
3,823
3,397
426
247
236
11
2,096
2,060
36
2,326
1,079
1,247
920
432
488
174
151
23
2,324
1,974
350
349
296
53
630
552
78
2,176
1,913
263
8,082
8,068
14
17,174
17,038
136
117
90
27
2,837
2,143
694
6,880
3,531
3,349
5,948
4,289
1,659
11,084
7,402
3,682
2,722
2,627
95
966
920
46
3,092
1,769
1,323
1,910
1,078
832
455
265
190
3,362
3,164
198
737
781
-44
983
1,043
-60
655
692
-37
362
382
-20
5,070
1,680
3,390
2,305
1,854
451
1,556
1,649
-93
1,883
1,999
-116
1,474
1,556
-82
363
403
-40
1,272
1,335
-63
1,763
1,424
339
451
393
58
7,355
2,820
4,535
8,813
8,524
289
3,172
3,005
167
4,066
4,094
-28
4,662
3,345
1,317
3,612
2,613
999
2,167
1,573
594
2,100
1,914
186
3,132
2,929
203
2,009
2,002
7
3,260
3,027
233
4,162
3,982
180
1,016
996
20
3,108
2,935
173
4,201
3,995
206
2,282
2,056
226
2,145
1,993
152
2,085
1,980
105
1,390
991
399
1,216
1,002
214
2,433
1,950
483
2,394
2,145
249
2,149
2,000
149
4,525
4,182
343
4,248
3,977
271
2,009
2,000
9
4,020
3,953
67
2,014
1,997
17
2,007
2,006
1
4,225
4,038
187
1,005
1,000
5
8,102
7,987
115
1,590
2,432
-842
1,192
1,746
-554
1,549
2,642
-1,093
1,247
2,277
-1,030
658
1,106
-448
589
1,203
-614
797
1,612
-815
346
770
-424
1,606
1,695
-89
1,471
1,695
-224
735
854
-119
2,603
3,133
-530
1,176
3,085
-1,909
994
2,640
-1,646
64
127
-63
2,187
2,151
36
2,812
2,585
227
2,187
1,995
192
1,045
1,118
-73
1,220
1,292
-72
1,220
939
281
261
356
-95
505
1,136
-631
204
439
-235
680
1,657
-977
340
826
-486
670
1,465
-795
2,081
2,003
78
3,264
3,027
237
2,030
1,991
39
2,017
1,992
25
3,450
3,749
-299
3,206
2,935
271
3,167
2,996
171
3,347
3,082
265
3,197
2,989
208
3,094
2,970
124
3,052
1,983
1,069
5,437
4,010
1,427
2,758
1,950
808
4,084
3,218
866
1,119
1,000
119
8,391
7,314
1,077
4,366
3,905
461
3,010
3,001
9
3,356
2,983
373
2,016
2,000
16
3,134
2,965
169
1,023
1,003
20
3,197
3,028
169
1,000
1,000
1,039
957
82
1,254
2,693
-1,439
1,342
2,839
-1,497
561
740
-179
107
140
-33
267
351
-84
1,455
842
613
1,455
852
603
2,754
1,421
1,333
2,132
2,423
-291
6,040
6,095
-55
576
560
16
704
684
20
192
199
-7
2,687
2,656
31
2,622
384
2,238
350
375
-25
475
459
16
238
275
-37
10,457
1,525
8,932
533
556
-23
1,013
708
305
1,280
892
388
930
821
109
248
219
29
1,425
1,260
165
558
604
-46
100
47
53
200
269
-69
1,298
1,807
-509
2,596
996
1,600
299
432
-133
1,371
1,396
-25
1,143
589
554
254
316
-62
1,170
1,402
-232
443
564
-121
83
105
-22
194
246
-52
191
164
27
191
164
27
64
67
-3
205
278
-73
513
191
322
317
380
-63
1,214
1,402
-188
244
317
-73
54
70
-16
108
140
-32
560
740
-180
80
105
-25
267
351
-84
353
248
105
2,821
1,993
828
2,310
3,122
-812
2,067
2,779
-712
7,256
1,077
6,179
377
329
48
188
184
4
314
274
40
2,017
1,753
264
1,198
1,168
30
1,639
1,423
216
5,300
793
4,507
5,813
871
4,942
7,045
7,000
45
7,165
7,020
145
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
-426
b
-164
c
-150
d
561
e
3,923
1,176
47
55
1,055
4
290
-12
1,065
18
-17
206
103
2,622
-1
98
1,174
930
119
240
90
16
60
90
210
63
521
307
214
-489
74
36
19
315
251
490
112
1,882
174
-30
-34
-134
-236
-377
1,305
611
837
663
38
170
116
25
66
235
487
337
2,044
226
278
32
1,948
2,344
397
336
435
152
142
277
782
268
6,469
244
29
-20
15
3
1,214
152
587
-478
-248
2,161
19
1,161
581
1,239
2,312
392
384
187
54
28
17
130
11
11
427
446
121
20
997
183
38
1,127
491
-33
-10
-304
-103
132
100
-25
-459
90
40
502
120
493
21
289
232
23
75
124
-225
-4
-48
301
397
145
85
379
225
84
-8
-636
-606
-575
-634
1,236
73
73
54
-4
262
329
819
245
3,623
1,282
1,255
-2
-16
21
-83
1
18
250
615
146
93
7
20
76
653
77
3
6
32
215
426
11
36
1,247
488
23
350
53
78
263
14
136
27
694
3,349
1,659
3,682
95
46
1,323
832
190
198
-44
-60
-37
-20
3,390
451
-93
-116
-82
-40
-63
339
58
4,535
289
167
-28
1,317
999
594
186
203
7
233
180
20
173
206
226
152
105
399
214
483
249
149
343
271
9
67
17
1
187
5
115
-842
-554
-1,093
-1,030
-448
-614
-815
-424
-89
-224
-119
-530
-1,909
-1,646
-63
36
227
192
-73
-72
281
-95
-631
-235
-977
-486
-795
78
237
39
25
-299
271
171
265
208
124
1,069
1,427
808
866
119
1,077
461
9
373
16
169
20
169
82
-1,439
-1,497
-179
-33
-84
613
603
1,333
-291
-55
16
20
-7
31
2,238
-25
16
-37
8,932
-23
305
388
109
29
165
-46
53
-69
-509
1,600
-133
-25
554
-62
-232
-121
-22
-52
27
27
-3
-73
322
-63
-188
-73
-16
-32
-180
-25
-84
105
828
-812
-712
6,179
48
4
40
264
30
216
4,507
4,942
45
145
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
116,390
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
134,705
1,599,255
0.08423
2017
75,388
1,665,039
0.045277
2016
73,895
1,542,011
0.047921
2015
74,434
1,484,908
0.050127
2014
72,782
1,546,698
0.047056
2
Total
of line 1, column (d)
.....................
2
0.274611
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
0.054922
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,610,924
5
Multiply line 4 by line 3
......................
5
88,475
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,503
7
Add lines 5 and 6
........................
7
89,978
8
Enter qualifying distributions from Part XII, line 4
,.............
8
42,478
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
3,005
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
3,005
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
3,005
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,367
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
1,367
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
1,638
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
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)
MS
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
BANK OF AMERICA NA
Telephone no.
(212) 852-3049
Located at
114W 47TH ST NY8-114-0707
NEW YORK
NY
ZIP+4
100361501
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
BANK OF AMERICA NA
TRUSTEE
2
20,400
114W 47TH ST NY8-114-0707
NEW YORK
,
NY
100361501
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
1,485,367
b
Average of monthly cash balances
.......................
1b
150,089
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,635,456
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
1,635,456
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
24,532
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,610,924
6
Minimum investment return.
Enter 5% of line 5
..................
6
80,546
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
80,546
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
3,005
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
3,005
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
77,541
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
77,541
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
77,541
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
42,478
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
42,478
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
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
42,478
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
77,541
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
9,392
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:
$
42,478
a
Applied to 2018, but not more than line 2a
9,392
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
.....
33,086
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
..........
44,455
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
SHADY GROVE BAPTIST CHURCH
4056 SHADY GROVE ROAD SE
BOGUE CHITTO
,
MS
39629
NONE
PC
GENERAL OPERATING
30,238
Total
.................................
3a
30,238
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
43,686
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
116,390
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FEDERAL TAX REFUND
1
91
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
160,167
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
160,167
(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