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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
BUEHLER FAMILY FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
P O BOX 1802
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PROVIDENCE
,
RI
029011802
A Employer identification number
23-7166014
B
Telephone number (see instructions)
(888) 866-3275
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)
$
14,952,982
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
...
327,271
324,611
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
205,266
b
Gross sales price for all assets on line 6a
3,554,895
7
Capital gain net income (from Part IV, line 2)
...
205,266
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)
.......
653
12
Total.
Add lines 1 through 11
........
533,190
529,877
13
Compensation of officers, directors, trustees, etc.
75,010
45,006
30,004
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
1,876
0
0
1,876
b
Accounting fees (attach schedule)
.......
1,590
954
0
636
c
Other professional fees (attach schedule)
....
14,062
8,437
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
11,802
4,961
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
..........
104,355
59,358
0
32,531
25
Contributions, gifts, grants paid
.......
756,820
756,820
26
Total expenses and disbursements.
Add lines 24 and 25
861,175
59,358
0
789,351
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-327,985
b
Net investment income
(if negative, enter -0-)
470,519
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
.............
2
Savings and temporary cash investments
.........
615,337
469,116
469,116
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)
.......
10,958,643
10,776,561
14,483,866
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
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)
11,573,980
11,245,677
14,952,982
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
........
11,573,980
11,245,677
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)
.....
11,573,980
11,245,677
30
Total liabilities and net assets/fund balances
(see instructions)
.
11,573,980
11,245,677
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
11,573,980
2
Enter amount from Part I, line 27a
.....................
2
-327,985
3
Other increases not included in line 2 (itemize)
3
6,735
4
Add lines 1, 2, and 3
..........................
4
11,252,730
5
Decreases not included in line 2 (itemize)
5
7,053
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
11,245,677
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
77. AES CORP COM
2019-09-27
2019-11-26
b
181. AES CORP COM
2019-05-31
2019-11-26
c
273. AES CORP COM
2019-05-31
2019-12-20
d
15657.62 AQR MULTI-STRATEGY ALTERNATIVE FUND CL I
2016-04-19
2019-03-22
e
15. ABBOTT LABORATORIES
2019-07-26
2019-10-18
53. ABBOTT LABORATORIES
2019-03-29
2019-11-08
26. ABBOTT LABORATORIES
2018-12-31
2019-11-08
40. ABBOTT LABORATORIES
2018-07-16
2019-11-08
78. ABBOTT LABORATORIES
2019-07-26
2019-11-08
21. ABIOMED INC
2018-07-26
2019-10-03
7. ABIOMED INC
2018-03-07
2019-10-03
29. ABIOMED INC
2019-04-09
2019-10-03
53. ABIOMED INC
2018-02-07
2019-10-03
43. ABIOMED INC
2018-02-08
2019-10-03
130. ACTIVISION BLIZZARD INC COM
2018-04-27
2019-01-03
72. ACTIVISION BLIZZARD INC COM
2017-03-13
2019-01-03
319. ACTIVISION BLIZZARD INC COM
2017-03-10
2019-01-03
139. ACTIVISION BLIZZARD INC COM
2017-04-10
2019-01-03
16. ADVANCED AUTO PTS INC COM
2019-01-22
2019-03-29
81. ADVANCED AUTO PTS INC COM
2019-01-22
2019-04-18
10. ADVANCED AUTO PTS INC COM
2019-01-22
2019-09-27
11. ADVANCED AUTO PTS INC COM
2018-12-31
2019-10-18
11156.187 CAMBIAR INTL EQUITY FUND INV CL
2016-04-19
2019-03-22
11. ALEXION PHARMACEUTICALS INC
2016-02-18
2019-08-06
34. ALEXION PHARMACEUTICALS INC
2017-09-11
2019-08-06
43. ALEXION PHARMACEUTICALS INC
2016-06-08
2019-08-06
86. ALEXION PHARMACEUTICALS INC
2019-04-09
2019-08-06
85. ALEXION PHARMACEUTICALS INC
2018-06-25
2019-08-30
63. ALEXION PHARMACEUTICALS INC
2018-03-26
2019-08-30
159. ALEXION PHARMACEUTICALS INC
2013-07-29
2019-08-30
36. ALEXION PHARMACEUTICALS INC
2019-01-03
2019-08-30
18. ALIBABA GROUP HLDG LTD ADS
2018-03-15
2019-03-04
42. ALIBABA GROUP HLDG LTD ADS
2018-05-07
2019-03-04
10. ALIBABA GROUP HLDG LTD ADS
2018-01-02
2019-03-04
28. ALIGN TECHNOLOGY INC COM
2018-10-12
2019-08-06
17. ALIGN TECHNOLOGY INC COM
2018-10-25
2019-08-06
125. ALIGN TECHNOLOGY INC COM
2017-05-30
2019-08-06
14. ALLSTATE CORPORATION
2017-03-14
2019-05-10
71. ALLSTATE CORPORATION
2017-03-14
2019-07-26
100. ALLY FINL INC COM
2018-03-13
2019-01-22
80. ALLY FINL INC COM
2019-07-26
2019-11-08
12. ALPHABET INC CL C COM
2015-07-28
2019-07-05
32. ALTRIA GROUP INC
2014-06-24
2019-01-22
9. ALTRIA GROUP INC
2011-07-13
2019-01-22
78. ALTRIA GROUP INC
2009-01-15
2019-01-22
202. ALTRIA GROUP INC
2009-01-15
2019-01-29
12. AMAZON COM INC
2013-07-29
2019-03-08
17. AMEREN CORP
2018-08-21
2019-11-26
65. AMERICAN ELECTRIC POWER CO
2018-01-30
2019-03-08
93. AMERICAN ELECTRIC POWER CO
2018-01-30
2019-04-18
13. AMERICAN ELECTRIC POWER CO
2019-05-10
2019-05-31
150. ANALOG DEVICES INC
2019-05-10
2019-09-06
22. APPLE INC COM
2012-08-16
2019-04-30
43. APPLE INC COM
2012-08-16
2019-05-14
16. APPLE INC COM
2012-08-16
2019-06-25
15. APPLE INC COM
2014-06-20
2019-07-23
11. APPLE INC COM
2014-06-20
2019-11-12
7. AUTOZONE INCORPORATED
2019-04-18
2019-07-02
4. AUTOZONE INCORPORATED
2019-05-31
2019-07-02
4. AUTOZONE INCORPORATED
2019-05-31
2019-07-26
2. AUTOZONE INCORPORATED
2019-05-31
2019-08-16
5. AUTOZONE INCORPORATED
2019-05-10
2019-08-16
5. BB&T CORPORATION
2018-03-27
2019-09-17
66. BB&T CORPORATION
2018-04-17
2019-09-17
17. BB&T CORPORATION
2018-04-17
2019-09-17
33. BB&T CORPORATION
2018-04-17
2019-09-18
65. BANK NEW YORK MELLON CORP COM
2018-06-27
2019-06-25
197. BANK NEW YORK MELLON CORP COM
2018-06-26
2019-06-25
44. BANK NEW YORK MELLON CORP COM
2018-08-21
2019-06-25
38. BANK NEW YORK MELLON CORP COM
2019-01-09
2019-06-25
31. BAXTER INTERNATIONAL INC
2018-06-13
2019-08-16
21. BAXTER INTERNATIONAL INC
2018-06-13
2019-09-06
1. BAXTER INTERNATIONAL INC
2018-10-09
2019-09-06
10. BAXTER INTERNATIONAL INC
2019-09-27
2019-11-26
17. BAXTER INTERNATIONAL INC
2018-10-09
2019-11-26
24. BAXTER INTERNATIONAL INC
2019-01-09
2019-12-27
3. BIOGEN IDEC INC
2018-02-02
2019-03-29
8. BIOGEN IDEC INC
2017-09-08
2019-03-29
8. BLACKROCK INC CL A
2018-03-13
2019-01-22
5. BLACKROCK INC CL A
2018-01-08
2019-01-22
15. BLACKROCK INC CL A
2018-04-03
2019-01-22
7. BLACKROCK INC CL A
2017-12-18
2019-01-22
236. BLOCK H & R INC
2019-04-18
2019-09-06
170. BLOCK H & R INC
2018-12-31
2019-09-06
127. BLOCK H & R INC
2018-12-31
2019-09-27
79. BLOCK H & R INC
2018-12-31
2019-10-18
61. BLOCK H & R INC
2019-01-22
2019-10-18
236. BLOCK H & R INC
2019-01-22
2019-11-08
11. BOEING CO
2017-03-21
2019-03-12
3. BOEING CO
2017-03-21
2019-03-25
31. BOEING CO
2017-03-21
2019-05-14
3. BOOKING HLDGS INC COM
2017-04-10
2019-04-23
4. BOOKING HLDGS INC COM
2017-02-21
2019-04-23
1. BOOKING HLDGS INC COM
2016-11-09
2019-04-23
2. BOOKING HLDGS INC COM
2013-05-22
2019-04-23
5. BOOKING HLDGS INC COM
2013-05-13
2019-04-23
12. BOOKING HLDGS INC COM
2010-05-11
2019-04-23
3. BOOKING HLDGS INC COM
2009-12-09
2019-04-23
35. BRISTOL MYERS SQUIBB CO COM
2018-01-08
2019-08-16
3. BRISTOL MYERS SQUIBB CO COM
2018-01-08
2019-08-16
17. BRISTOL MYERS SQUIBB CO COM
2018-01-08
2019-08-16
42. BRISTOL MYERS SQUIBB CO COM
2018-01-08
2019-09-27
17. BRISTOL MYERS SQUIBB CO COM
2018-01-29
2019-09-27
26. BROADCOM INC COM
2019-04-18
2019-07-02
16. BROADCOM INC COM
2019-03-29
2019-07-26
12. BROADCOM INC COM
2019-04-18
2019-07-26
12. BROADCOM INC COM
2019-04-18
2019-07-26
3. BROADCOM INC COM
2019-03-29
2019-08-16
3. BROADCOM INC COM
2019-02-15
2019-08-16
7. BROADCOM INC COM
2019-03-08
2019-08-16
3. BROADCOM INC COM
2019-05-31
2019-08-16
26. BROADCOM INC COM
2018-07-16
2019-08-16
50. BROWN & BROWN INC COM
2018-11-19
2019-02-15
295. BROWN & BROWN INC COM
2018-10-31
2019-02-15
.674 CIGNA CORP NEW COM
2017-11-07
2019-03-05
9.377 CIGNA CORP NEW COM
2017-11-07
2019-06-21
26.002 CIGNA CORP NEW COM
2017-12-18
2019-06-21
3.621 CIGNA CORP NEW COM
2018-01-08
2019-06-21
40. CIT GROUP INC NEW COM
2018-10-31
2019-03-08
27. CME GROUP INC COM
2018-12-31
2019-05-10
26. CME GROUP INC COM
2019-03-08
2019-05-10
34. CMS ENERGY CORP COM
2017-01-10
2019-11-26
61. CSX CORP
2017-12-18
2019-01-15
96. CSX CORP
2017-04-10
2019-01-15
523. CSX CORP
2017-01-25
2019-01-15
119. CSX CORP
2019-07-02
2019-07-26
29. CSX CORP
2019-07-02
2019-09-27
158. CANOPY GROWTH CORP COM
2018-08-27
2019-01-28
151. CANOPY GROWTH CORP COM
2019-04-22
2019-08-23
127. CANOPY GROWTH CORP COM
2018-08-27
2019-08-23
191. CANOPY GROWTH CORP COM
2019-07-05
2019-08-23
190. CANOPY GROWTH CORP COM
2018-11-28
2019-08-23
21. CAPITAL ONE FINANCIAL CORPORATION
2018-08-28
2019-09-06
5. CAPITAL ONE FINANCIAL CORPORATION
2018-09-18
2019-09-06
15. CAPITAL ONE FINANCIAL CORPORATION
2018-09-18
2019-10-18
2. CAPITAL ONE FINANCIAL CORPORATION
2018-09-18
2019-11-08
25. CAPITAL ONE FINANCIAL CORPORATION
2019-07-26
2019-11-08
24. CAPITAL ONE FINANCIAL CORPORATION
2018-08-06
2019-11-08
3. CAPITAL ONE FINANCIAL CORPORATION
2018-08-06
2019-11-26
18. CAPITAL ONE FINANCIAL CORPORATION
2019-06-21
2019-11-26
27. CAPITAL ONE FINANCIAL CORPORATION
2019-06-21
2019-12-20
98. CARDINAL HEALTH INCORPORATED
2019-02-15
2019-09-27
104. CARDINAL HEALTH INCORPORATED
2019-02-15
2019-10-18
41. CARDINAL HEALTH INCORPORATED
2019-02-15
2019-11-26
138. CARDINAL HEALTH INCORPORATED
2019-06-21
2019-11-26
36. CARDINAL HEALTH INCORPORATED
2019-05-31
2019-11-26
164. CENTERPOINT ENERGY INC
2016-08-29
2019-03-08
25. CISCO SYSTEMS INCORPORATED
2012-02-07
2019-03-29
33. CISCO SYSTEMS INCORPORATED
2012-02-07
2019-04-18
178. CISCO SYSTEMS INCORPORATED
2012-02-07
2019-06-21
482. CISCO SYSTEMS INCORPORATED
2012-02-07
2019-07-02
92. CISCO SYSTEMS INCORPORATED
2012-02-07
2019-07-26
25. CISCO SYSTEMS INCORPORATED
2012-04-24
2019-07-26
29. CISCO SYSTEMS INCORPORATED
2012-09-21
2019-07-26
93. CISCO SYSTEMS INCORPORATED
2011-04-07
2019-07-26
53. CISCO SYSTEMS INCORPORATED
2019-02-19
2019-08-06
232. CISCO SYSTEMS INCORPORATED
2011-04-07
2019-08-16
3. CITIGROUP INC NEW COM
2017-08-28
2019-02-15
9. CITIGROUP INC NEW COM
2017-11-28
2019-02-15
16. CITIGROUP INC NEW COM
2017-11-28
2019-02-15
9. CITIGROUP INC NEW COM
2017-12-19
2019-04-18
7. CITIGROUP INC NEW COM
2017-12-19
2019-11-08
11. CITIGROUP INC NEW COM
2017-08-28
2019-11-08
30. COMCAST CORP NEW CL A COM
2014-09-11
2019-03-25
50. COMCAST CORP NEW CL A COM
2014-07-17
2019-03-25
34. COMCAST CORP NEW CL A COM
2019-06-25
2019-11-26
40. COMERICA INCORPORATED
2019-05-10
2019-07-26
14. COMERICA INCORPORATED
2019-05-31
2019-07-26
7. CORTEVA INC COM
2018-08-07
2019-07-16
14.667 CORTEVA INC COM
2017-02-22
2019-07-16
19. CORTEVA INC COM
2016-10-18
2019-07-16
6. CORTEVA INC COM
2016-03-18
2019-07-16
31.333 CORTEVA INC COM
2016-02-12
2019-07-16
51. CUMMINS ENGINE INC
2019-05-10
2019-10-18
563. DELTA AIR LINES INC DEL NEW COM
2018-04-24
2019-03-08
18. DISNEY WALT CO
2019-04-30
2019-10-29
50. DOMTAR CORP NEW COM
2019-02-15
2019-09-27
33. DOMTAR CORP NEW COM
2018-08-06
2019-09-27
2. DOMTAR CORP NEW COM
2018-08-06
2019-10-18
35. DOMTAR CORP NEW COM
2019-03-29
2019-10-18
40. DOMTAR CORP NEW COM
2018-07-16
2019-10-18
82. DOMTAR CORP NEW COM
2018-06-25
2019-10-18
51. DOMTAR CORP NEW COM
2018-06-25
2019-11-08
3. DOMTAR CORP NEW COM
2018-06-25
2019-11-26
25. DOMTAR CORP NEW COM
2017-10-16
2019-11-26
8. DOMTAR CORP NEW COM
2015-09-09
2019-11-26
48. DOMTAR CORP NEW COM
2015-07-28
2019-11-26
21. DOMTAR CORP NEW COM
2017-07-17
2019-11-26
3. DOMTAR CORP NEW COM
2017-07-17
2019-12-20
77. DOMTAR CORP NEW COM
2015-08-19
2019-12-20
67. DOMTAR CORP NEW COM
2015-09-30
2019-12-20
7. DOW INC COM
2018-08-07
2019-11-12
14.667 DOW INC COM
2017-02-22
2019-11-12
17.333 DOW INC COM
2019-04-30
2019-11-12
7. DUPONT DE NEMOURS INC COM
2018-08-07
2019-10-15
14.667 DUPONT DE NEMOURS INC COM
2017-02-22
2019-10-15
19. DUPONT DE NEMOURS INC COM
2016-10-18
2019-10-15
6. DUPONT DE NEMOURS INC COM
2016-03-18
2019-10-15
9.333 DUPONT DE NEMOURS INC COM
2016-02-12
2019-10-15
22. DUPONT DE NEMOURS INC COM
2016-02-12
2019-10-16
14. EOG RESOURCES INC
2018-07-16
2019-08-16
10. EOG RESOURCES INC
2018-08-06
2019-08-16
3. EOG RESOURCES INC
2018-05-14
2019-08-16
15. EDWARDS LIFESCIENCES CORP
2017-11-01
2019-01-03
17. EDWARDS LIFESCIENCES CORP
2015-08-26
2019-01-03
40. EDWARDS LIFESCIENCES CORP
2015-08-26
2019-02-26
44. EDWARDS LIFESCIENCES CORP
2015-08-26
2019-04-09
122. EMERSON ELEC CO
2018-10-09
2019-05-31
37. EMERSON ELEC CO
2018-06-13
2019-05-31
52. EMERSON ELEC CO
2018-05-14
2019-05-31
15. EMERSON ELEC CO
2018-05-14
2019-06-21
115. EMERSON ELEC CO
2018-12-10
2019-06-21
75. EMERSON ELEC CO
2018-12-10
2019-08-16
8. EVERSOURCE ENERGY COM
2018-08-22
2019-11-26
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2018-08-21
2019-11-26
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2019-09-27
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2018-12-10
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2012-06-25
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2018-09-21
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2013-08-20
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2019-05-10
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2019-09-27
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2018-03-13
2019-01-22
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2019-01-22
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2018-04-05
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2014-11-20
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114. J P MORGAN CHASE & CO COM
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2016-02-23
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2018-09-04
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2018-09-04
2019-07-23
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2018-02-20
2019-07-23
2. JOHNSON & JOHNSON
2016-08-10
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2018-04-17
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2019-10-07
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2019-10-08
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2019-08-23
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2019-02-19
2019-11-26
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2018-03-07
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2018-03-07
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52. KELLOGG CO
2017-11-14
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2017-11-15
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2017-11-15
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69. KEYSIGHT TECHNOLOGIES INC COM
2019-02-26
2019-05-20
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2019-01-07
2019-05-20
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2018-11-01
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124. KOHLS CORP COM
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2018-08-28
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2018-10-12
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2018-11-19
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2019-07-26
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2019-07-26
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2018-07-16
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2019-07-26
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2018-08-06
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2018-02-07
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2017-12-18
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2017-11-07
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2015-06-29
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2008-10-21
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2008-10-20
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2010-03-26
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2010-05-17
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12. MICROSOFT CORPORATION
2018-12-10
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59. MICROSOFT CORPORATION
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22. MICROSOFT CORPORATION
2010-05-17
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40. MICROSOFT CORPORATION
2018-12-10
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2018-11-19
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8. MICROSOFT CORPORATION
2010-05-17
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14. MICROSOFT CORPORATION
2012-01-05
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74. MONSTER BEVERAGE CORP COM
2017-04-10
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717. MONSTER BEVERAGE CORP COM
2014-02-03
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11. MOTOROLA SOLUTIONS INC NEW COM
2019-08-16
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2019-08-16
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229. MURPHY OIL CORP COM
2017-08-28
2019-02-15
29. NRG ENERGY INC COM
2018-11-19
2019-05-10
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2018-11-19
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275. NRG ENERGY INC COM
2018-05-14
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51. NRG ENERGY INC COM
2018-08-28
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111. NRG ENERGY INC COM
2018-06-13
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2018-06-13
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102. NRG ENERGY INC COM
2018-07-16
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52. NRG ENERGY INC COM
2018-06-25
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80. NATIONAL FUEL GAS CO
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2019-03-29
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2019-03-07
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2018-08-28
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2019-01-03
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2010-07-29
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81. NUCOR CORP
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2016-07-18
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72. ORACLE SYS CORP
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83. ORACLE SYS CORP
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94. ORACLE SYS CORP
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109. PBF ENERGY INC CL A COM
2018-11-19
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2017-08-07
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17. PFIZER INC
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268. PFIZER INC
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100. PFIZER INC
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2019-07-23
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46. PFIZER INC
2019-02-19
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120. PFIZER INC
2018-04-17
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87. PFIZER INC
2011-08-30
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2011-08-30
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134. PFIZER INC
2011-08-15
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83. PFIZER INC
2009-07-13
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32. PFIZER INC
2009-07-13
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2009-07-09
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2018-03-07
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2011-07-13
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2011-10-12
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2018-10-31
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2018-10-31
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2018-09-18
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2017-12-18
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58. PRICE T ROWE GROUP INC COM
2017-12-18
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2017-12-18
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2018-08-28
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2019-07-02
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10. PRUDENTIAL FINL INC COM
2019-07-02
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32. PRUDENTIAL FINL INC COM
2018-05-14
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20. PUBLIC SERVICE ENTERPRISE GROUP INC
2018-04-24
2019-03-08
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2018-04-24
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7. PUBLIC SERVICE ENTERPRISE GROUP INC
2013-12-17
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27. PUBLIC SERVICE ENTERPRISE GROUP INC
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2019-09-06
24. PUBLIC SERVICE ENTERPRISE GROUP INC
2013-07-02
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21. PUBLIC SERVICE ENTERPRISE GROUP INC
2014-01-07
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31. PUBLIC SERVICE ENTERPRISE GROUP INC
2012-03-12
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280. PUBLIC SERVICE ENTERPRISE GROUP INC
2012-03-12
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2012-03-12
2019-10-18
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2013-01-10
2019-10-18
8. PUBLIC STORAGE INC COM (REIT)
2015-03-26
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13. PUBLIC STORAGE INC COM (REIT)
2014-09-25
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19. PUBLIC STORAGE INC COM (REIT)
2011-12-09
2019-11-26
18. PUBLIC STORAGE INC COM (REIT)
2011-12-09
2019-11-27
14. QORVO INC COM
2019-09-06
2019-12-20
98. QUALCOMM INC
2018-08-06
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277. QUALCOMM INC
2018-08-06
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32. QUALCOMM INC
2018-06-13
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117. QUALCOMM INC
2018-06-13
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79. QUALCOMM INC
2018-05-14
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98. QUALCOMM INC
2018-08-31
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85. QUALCOMM INC
2019-05-02
2019-05-28
410. QUALCOMM INC
2019-04-23
2019-05-28
120. RALPH LAUREN CORP CL A COM
2017-11-07
2019-01-22
108. RAYONIER INC REIT
2018-10-31
2019-02-15
180. RAYTHEON CO COM NEW
2019-02-26
2019-06-13
52. RAYTHEON CO COM NEW
2019-04-01
2019-06-13
23. REALOGY HLDGS CORP COM
2017-11-07
2019-03-08
17959.77 ROYCE OPPORTUNITY FUND INSTL CL
2017-12-21
2019-12-13
46. SALESFORCE.COM INC COMMON
2018-11-01
2019-08-19
20. SALESFORCE.COM INC COMMON
2016-09-27
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14. SALESFORCE.COM INC COMMON
2015-08-26
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22. SCHLUMBERGER LTD COM
2018-06-13
2019-06-21
4. SCHLUMBERGER LTD COM
2018-06-25
2019-06-21
663. SCHWAB CHARLES CORP NEW COM
2013-07-29
2019-07-16
10. SIMON PPTY GROUP INC NEW COM
2018-11-19
2019-11-08
1. SIMON PPTY GROUP INC NEW COM
2019-03-29
2019-11-08
33. SIMON PPTY GROUP INC NEW COM
2019-03-29
2019-12-20
44. SIMON PPTY GROUP INC NEW COM
2018-09-18
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10. SIMON PPTY GROUP INC NEW COM
2018-10-29
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1. SIMON PPTY GROUP INC NEW COM
2019-03-08
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16. SIMON PPTY GROUP INC NEW COM
2018-08-06
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48. SIMON PPTY GROUP INC NEW COM
2019-03-08
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20. SIMON PPTY GROUP INC NEW COM
2019-07-02
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67. SINCLAIR BROADCAST GROUP INC CL A
2019-07-02
2019-12-20
65. SNAP ON TOOLS CORP
2018-10-09
2019-05-10
20. SNAP ON TOOLS CORP
2019-04-18
2019-05-10
16. SNAP ON TOOLS CORP
2019-01-22
2019-05-10
39. SNAP ON TOOLS CORP
2019-01-22
2019-05-31
25. SNAP ON TOOLS CORP
2018-10-31
2019-05-31
2. SNAP ON TOOLS CORP
2018-10-31
2019-07-26
10. SNAP ON TOOLS CORP
2018-12-31
2019-07-26
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2018-11-19
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128.8 SPIRIT RLTY CAP INC NEW REITS
2018-11-19
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80.8 SPIRIT RLTY CAP INC NEW REITS
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155. SPIRIT RLTY CAP INC NEW REITS
2018-12-10
2019-09-06
123.4 SPIRIT RLTY CAP INC NEW REITS
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34.6 SPIRIT RLTY CAP INC NEW REITS
2019-01-22
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10.4 SPIRIT RLTY CAP INC NEW REITS
2019-01-22
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137.6 SPIRIT RLTY CAP INC NEW REITS
2018-12-31
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29. SPIRIT RLTY CAP INC NEW REITS
2018-12-31
2019-11-26
10. 3M CO COM
2016-09-27
2019-11-12
9. ULTA SALON COSMETICS & FRAGRANCE INC COM
2017-08-30
2019-02-25
22. ULTA SALON COSMETICS & FRAGRANCE INC COM
2019-05-31
2019-08-30
13. ULTA SALON COSMETICS & FRAGRANCE INC COM
2017-08-30
2019-08-30
34. ULTA SALON COSMETICS & FRAGRANCE INC COM
2015-05-05
2019-08-30
14. ULTA SALON COSMETICS & FRAGRANCE INC COM
2015-04-02
2019-08-30
45. UNION PAC CORP COM
2019-04-22
2019-10-07
10. UNION PAC CORP COM
2019-02-25
2019-10-07
32. UNITEDHEALTH GROUP INC
2018-06-11
2019-02-26
6. UNITEDHEALTH GROUP INC
2018-06-25
2019-02-26
39. UNITEDHEALTH GROUP INC
2018-06-25
2019-04-01
21. UNITEDHEALTH GROUP INC
2018-06-25
2019-10-07
9. UNITEDHEALTH GROUP INC
2018-05-30
2019-10-07
8. UNITEDHEALTH GROUP INC
2018-05-30
2019-10-07
162. UNITI GROUP INC REITS
2019-02-15
2019-03-29
107. UNITI GROUP INC REITS
2019-01-22
2019-03-29
16. VALERO ENERGY CORP - NEW
2018-10-31
2019-03-08
3. VALERO ENERGY CORP - NEW
2018-10-31
2019-04-18
63. VALERO ENERGY CORP - NEW
2012-03-12
2019-04-18
8. VALERO ENERGY CORP - NEW
2018-08-21
2019-11-12
18. VALERO ENERGY CORP - NEW
2015-11-20
2019-11-12
9. VERIZON COMMUNICATIONS
2019-04-18
2019-09-06
11. VERIZON COMMUNICATIONS
2018-10-09
2019-09-06
18. WEC ENERGY GROUP INC COM
2017-09-05
2019-10-29
14. WAL-MART STORES INCORPORATED
2018-06-13
2019-03-08
14. WAL-MART STORES INCORPORATED
2018-03-07
2019-07-23
37. WAL-MART STORES INCORPORATED
2014-08-27
2019-07-23
37. WALGREENS BOOTS ALLIANCE INC COM
2018-01-30
2019-07-26
9. WALGREENS BOOTS ALLIANCE INC COM
2018-01-30
2019-09-06
74. WASTE MANAGEMENT INC
2019-07-26
2019-10-18
48. WESTLAKE CHEM CORP COM
2018-05-14
2019-01-22
16. WESTLAKE CHEM CORP COM
2018-06-25
2019-01-22
68. WESTLAKE CHEM CORP COM
2018-06-25
2019-02-15
29. WESTLAKE CHEM CORP COM
2018-08-28
2019-03-08
39. WESTLAKE CHEM CORP COM
2018-09-18
2019-03-08
68. XPO LOGISTICS INC COM
2018-06-11
2019-02-15
97. XPO LOGISTICS INC COM
2018-04-23
2019-02-15
130. XPO LOGISTICS INC COM
2018-04-20
2019-02-15
91. XPO LOGISTICS INC COM
2018-05-03
2019-02-15
136. XPO LOGISTICS INC COM
2018-11-01
2019-02-15
66. ZIONS BANCORP
2019-02-15
2019-06-21
140. ZIONS BANCORP
2019-03-29
2019-06-21
133. ZIONS BANCORP
2019-03-29
2019-09-06
101. ZIONS BANCORP
2019-03-29
2019-09-27
99. ZOETIS INC CL A COM
2018-06-25
2019-02-26
23. ZOETIS INC CL A COM
2017-06-26
2019-02-26
14. ALLERGAN PLC COM
2018-07-16
2019-11-08
24. ALLERGAN PLC COM
2019-03-08
2019-11-08
16. ALLERGAN PLC COM
2019-03-08
2019-11-26
7. ALLERGAN PLC COM
2019-03-08
2019-12-20
14. ALLERGAN PLC COM
2019-02-15
2019-12-20
197. HERBALIFE LTD COMMON STOCK
2018-08-06
2019-03-29
5. HERBALIFE LTD COMMON STOCK
2018-08-06
2019-07-02
39. HERBALIFE LTD COMMON STOCK
2018-08-28
2019-07-02
18. HERBALIFE LTD COMMON STOCK
2018-11-19
2019-07-02
114. HERBALIFE LTD COMMON STOCK
2018-07-16
2019-07-02
65. HERBALIFE LTD COMMON STOCK
2018-07-16
2019-07-26
17. HERBALIFE LTD COMMON STOCK
2018-10-31
2019-07-26
23. INGERSOLL-RAND CO LTD COM
2019-02-19
2019-10-29
14. PERRIGO CO COM
2019-02-15
2019-05-10
53. PERRIGO CO COM
2019-02-15
2019-07-26
17. LYONDELLBASELL INDUSTRIES NV CL A COM
2018-09-04
2019-04-30
8. LYONDELLBASELL INDUSTRIES NV CL A COM
2016-03-18
2019-04-30
9. LYONDELLBASELL INDUSTRIES NV CL A COM
2015-02-04
2019-04-30
8. LYONDELLBASELL INDUSTRIES NV CL A COM
2018-08-07
2019-04-30
8. LYONDELLBASELL INDUSTRIES NV CL A COM
2018-08-07
2019-04-30
58. LYONDELLBASELL INDUSTRIES NV CL A COM
2015-02-04
2019-05-14
8. LYONDELLBASELL INDUSTRIES NV CL A COM
2018-07-26
2019-09-06
12. LYONDELLBASELL INDUSTRIES NV CL A COM
2018-10-31
2019-09-06
11. LYONDELLBASELL INDUSTRIES NV CL A COM
2018-12-10
2019-09-06
5. LYONDELLBASELL INDUSTRIES NV CL A COM
2017-05-15
2019-09-06
2. LYONDELLBASELL INDUSTRIES NV CL A COM
2016-08-29
2019-09-06
14. LYONDELLBASELL INDUSTRIES NV CL A COM
2016-08-29
2019-12-20
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
1,436
1,270
166
b
3,376
2,865
511
c
5,410
4,321
1,089
d
119,624
150,000
-30,376
e
1,232
1,316
-84
4,414
4,201
213
2,165
1,878
287
3,331
2,486
845
6,496
6,842
-346
3,420
8,147
-4,727
1,140
2,001
-861
4,723
8,199
-3,476
8,632
12,692
-4,060
7,003
10,297
-3,294
5,990
8,561
-2,571
3,317
3,546
-229
14,698
15,684
-986
6,404
6,822
-418
2,719
2,619
100
14,258
13,258
1,000
1,620
1,637
-17
1,774
1,724
50
280,467
275,000
5,467
1,192
1,631
-439
3,686
4,870
-1,184
4,661
5,960
-1,299
9,322
11,911
-2,589
8,526
10,617
-2,091
6,319
7,027
-708
15,948
17,663
-1,715
3,611
3,681
-70
3,344
3,596
-252
7,803
8,230
-427
1,858
1,831
27
5,257
9,003
-3,746
3,192
3,871
-679
23,468
17,964
5,504
1,336
1,149
187
7,255
5,828
1,427
2,569
2,874
-305
2,518
2,711
-193
13,423
7,509
5,914
1,434
1,356
78
403
242
161
3,496
1,279
2,217
9,276
3,313
5,963
19,324
3,738
15,586
1,258
1,090
168
5,277
4,457
820
7,721
6,377
1,344
1,115
1,096
19
16,999
16,477
522
4,413
2,037
2,376
8,092
3,982
4,110
3,163
1,482
1,681
3,115
1,375
1,740
2,878
1,008
1,870
7,762
7,325
437
4,435
4,103
332
4,582
4,103
479
2,186
2,051
135
5,465
4,980
485
263
286
-23
3,477
3,645
-168
896
881
15
1,731
1,710
21
2,812
3,596
-784
8,524
10,867
-2,343
1,904
2,320
-416
1,644
1,815
-171
2,704
2,329
375
1,875
1,578
297
89
73
16
821
873
-52
1,395
1,242
153
2,017
1,606
411
706
1,041
-335
1,883
2,629
-746
3,303
4,593
-1,290
2,064
2,633
-569
6,192
7,874
-1,682
2,890
3,614
-724
5,741
6,360
-619
4,135
4,308
-173
2,957
3,218
-261
1,849
2,002
-153
1,428
1,532
-104
5,617
5,927
-310
4,151
1,942
2,209
1,100
530
570
10,655
5,474
5,181
5,660
5,334
326
7,546
6,589
957
1,887
1,564
323
3,773
1,624
2,149
9,433
3,845
5,588
22,638
2,640
19,998
5,660
653
5,007
1,640
2,163
-523
141
185
-44
796
1,050
-254
2,117
2,595
-478
857
1,082
-225
7,662
8,331
-669
4,825
4,802
23
3,619
3,845
-226
3,619
3,845
-226
825
900
-75
825
838
-13
1,924
1,833
91
825
764
61
7,147
5,346
1,801
1,448
1,446
2
8,544
8,380
164
120
123
-3
1,507
1,708
-201
4,179
4,737
-558
582
660
-78
1,950
1,903
47
4,897
5,079
-182
4,715
4,452
263
2,088
1,409
679
3,953
3,238
715
6,221
4,589
1,632
33,894
24,840
9,054
8,269
9,294
-1,025
2,018
2,265
-247
7,952
7,373
579
3,759
7,124
-3,365
3,162
5,927
-2,765
4,755
7,701
-2,946
4,730
6,235
-1,505
1,857
2,111
-254
442
488
-46
1,351
1,463
-112
193
195
-2
2,416
2,419
-3
2,320
2,315
5
296
289
7
1,776
1,660
116
2,818
2,490
328
4,630
5,449
-819
5,326
5,782
-456
2,276
2,280
-4
7,662
6,188
1,474
1,999
1,536
463
4,900
3,712
1,188
1,336
507
829
1,859
669
1,190
10,228
3,608
6,620
26,889
9,769
17,120
5,206
1,865
3,341
1,415
486
929
1,641
550
1,091
5,263
1,697
3,566
2,747
2,642
105
10,907
4,232
6,675
192
203
-11
576
655
-79
1,025
1,164
-139
630
634
-4
529
493
36
831
745
86
1,170
854
316
1,950
1,365
585
1,471
1,461
10
2,898
3,062
-164
1,014
969
45
196
247
-51
410
481
-71
531
526
5
168
161
7
876
739
137
8,620
8,357
263
27,633
30,973
-3,340
2,342
2,469
-127
1,773
2,611
-838
1,170
1,660
-490
69
101
-32
1,199
1,732
-533
1,371
1,928
-557
2,810
3,891
-1,081
1,979
2,420
-441
115
142
-27
958
1,102
-144
306
318
-12
1,839
1,910
-71
805
831
-26
118
119
-1
3,031
2,997
34
2,637
2,406
231
383
483
-100
803
939
-136
949
983
-34
459
708
-249
963
1,379
-416
1,247
1,507
-260
394
460
-66
613
631
-18
1,452
1,487
-35
1,064
1,747
-683
760
1,241
-481
228
356
-128
2,153
1,534
619
2,440
1,185
1,255
6,703
2,788
3,915
8,351
3,067
5,284
7,398
9,269
-1,871
2,244
2,711
-467
3,153
3,767
-614
985
1,087
-102
7,550
7,179
371
4,346
4,682
-336
660
503
157
1,402
1,067
335
18,008
24,070
-6,062
1,961
1,896
65
1,943
1,734
209
1,979
1,701
278
1,444
1,489
-45
1,364
1,363
1
1,728
2,004
-276
2,808
3,233
-425
1,383
1,603
-220
1,852
2,182
-330
16,790
16,902
-112
2,445
574
1,871
5,222
4,983
239
4,552
4,378
174
3,601
3,277
324
1,769
1,623
146
9,590
9,950
-360
8,008
8,111
-103
9,689
9,338
351
5,734
5,399
335
7,634
9,898
-2,264
1,016
1,244
-228
3,287
3,112
175
1,000
1,229
-229
1,832
2,173
-341
2,673
2,280
393
4,519
3,800
719
5,242
4,393
849
2,682
2,272
410
4,291
3,513
778
2,861
2,301
560
1,430
1,146
284
1,896
1,833
63
1,562
1,610
-48
5,589
6,007
-418
1,169
1,143
26
4,615
4,844
-229
2,454
2,564
-110
3,345
3,740
-395
1,347
1,491
-144
5,439
5,289
150
910
880
30
2,459
2,083
376
492
403
89
5,698
4,371
1,327
7,117
13,426
-6,309
14,015
26,225
-12,210
3,340
4,634
-1,294
6,390
8,362
-1,972
651
856
-205
1,209
1,551
-342
5,250
6,540
-1,290
1,728
1,906
-178
9,686
9,063
623
6,226
5,656
570
6,918
6,274
644
9,227
8,783
444
1,728
989
739
1,555
796
759
4,828
4,139
689
10,193
8,484
1,709
3,025
3,374
-349
2,068
2,240
-172
5,049
4,347
702
3,168
2,517
651
3,094
3,069
25
4,951
4,752
199
7,427
6,913
514
3,404
3,094
310
5,570
5,630
-60
3,714
3,486
228
818
856
-38
1,381
1,444
-63
1,201
1,644
-443
4,304
2,522
1,782
1,181
1,374
-193
4,428
4,694
-266
1,771
1,074
697
25,773
15,370
10,403
3,020
1,801
1,219
11,477
6,782
4,695
1,007
568
439
7,349
4,117
3,232
3,231
3,340
-109
1,030
1,069
-39
3,091
3,155
-64
258
247
11
2,972
3,024
-52
1,809
1,811
-2
6,186
6,130
56
3,744
3,644
100
6,674
6,195
479
29,140
25,132
4,008
2,100
1,418
682
2,098
2,496
-398
2,657
3,190
-533
3,004
3,389
-385
6,990
7,717
-727
3,059
3,380
-321
5,107
5,818
-711
8,881
7,720
1,161
9,695
7,515
2,180
1,807
1,665
142
140
160
-20
2,238
2,558
-320
2,649
4,317
-1,668
1,325
2,138
-813
6,084
9,639
-3,555
540
848
-308
1,570
2,434
-864
1,276
1,864
-588
2,564
2,325
239
5,425
4,227
1,198
2,780
3,757
-977
1,475
1,927
-452
1,812
1,499
313
1,751
1,235
516
10,452
9,847
605
13,406
12,428
978
3,569
3,476
93
440
421
19
3,523
3,268
255
2,971
2,783
188
5,588
5,471
117
5,554
5,471
83
1,593
1,552
41
3,124
3,166
-42
325
313
12
5,674
5,489
185
15,971
15,403
568
10,087
9,527
560
1,724
1,599
125
3,673
1,951
1,722
617
171
446
1,646
447
1,199
1,049
1,079
-30
984
1,079
-95
2,621
2,562
59
138
126
12
1,598
1,381
217
2,721
2,726
-5
955
960
-5
19,489
18,314
1,175
2,120
1,999
121
2,375
2,252
123
183
139
44
2,924
745
2,179
468
115
353
9,688
2,072
7,616
1,089
985
104
2,451
1,936
515
1,634
1,270
364
8,304
6,246
2,058
2,956
633
2,323
5,446
4,234
1,212
2,178
1,662
516
1,174
230
944
2,054
385
1,669
3,605
3,398
207
34,931
16,022
18,909
1,835
1,916
-81
971
1,045
-74
6,619
5,172
1,447
1,073
1,139
-66
1,394
1,610
-216
9,348
9,575
-227
1,734
1,741
-7
3,773
3,740
33
35
34
1
3,590
3,238
352
1,830
1,594
236
4,563
4,715
-152
2,281
2,426
-145
2,140
2,502
-362
387
696
-309
1,443
2,326
-883
12,416
16,298
-3,882
1,610
2,173
-563
30,324
30,768
-444
1,857
420
1,437
4,484
4,674
-190
440,544
450,000
-9,456
3,921
3,010
911
51
42
9
2,141
1,735
406
4,070
2,973
1,097
1,696
1,215
481
452
318
134
4,855
3,301
1,554
3,159
2,133
1,026
4,153
2,739
1,414
2,574
1,666
908
5,495
3,558
1,937
2,939
2,082
857
2,511
1,736
775
3,269
4,248
-979
2,535
3,758
-1,223
1,462
1,958
-496
4,119
5,502
-1,383
4,795
5,470
-675
628
632
-4
4,099
3,737
362
11,279
16,547
-5,268
9,466
13,826
-4,360
2,487
3,628
-1,141
6,587
9,068
-2,481
1,303
1,809
-506
2,824
3,626
-802
1,070
1,364
-294
3,721
4,505
-784
4,678
5,506
-828
5,853
6,244
-391
3,271
2,830
441
818
590
228
253
182
71
715
496
219
11,279
5,775
5,504
3,518
1,788
1,730
11,443
5,663
5,780
18,181
8,339
9,842
2,471
1,186
1,285
4,051
1,895
2,156
1,175
547
628
1,060
509
551
1,815
2,240
-425
1,606
1,970
-364
4,189
4,363
-174
3,037
1,650
1,387
291
152
139
4,881
2,438
2,443
3,023
1,209
1,814
1,227
466
761
38
14
24
86
107
-21
1,204
974
230
516
543
-27
1,032
1,086
-54
867
1,073
-206
1,084
1,291
-207
84
70
14
337
268
69
2,272
1,788
484
1,064
1,207
-143
445
581
-136
1,229
1,421
-192
2,931
3,240
-309
5,626
6,062
-436
6,823
7,421
-598
1,929
2,108
-179
1,837
2,006
-169
951
1,003
-52
3,042
3,206
-164
1,173
994
179
293
249
44
410
224
186
1,637
865
772
1,455
765
690
1,273
664
609
1,880
946
934
17,407
8,541
8,866
8,168
4,026
4,142
3,094
1,504
1,590
1,691
1,577
114
2,748
2,128
620
4,017
2,470
1,547
3,798
2,340
1,458
1,640
1,062
578
5,592
6,435
-843
22,129
18,189
3,940
2,556
1,925
631
9,972
7,037
2,935
6,733
4,489
2,244
6,472
9,356
-2,884
5,613
7,421
-1,808
27,077
35,615
-8,538
13,144
10,246
2,898
3,086
3,287
-201
31,092
33,425
-2,333
8,982
9,601
-619
277
620
-343
225,575
250,000
-24,425
6,619
6,395
224
2,878
1,402
1,476
2,015
952
1,063
845
1,507
-662
154
262
-108
27,517
14,723
12,794
1,543
1,857
-314
154
183
-29
4,839
6,042
-1,203
6,452
7,999
-1,547
1,466
1,803
-337
147
178
-31
2,346
2,839
-493
7,039
8,349
-1,310
2,933
3,237
-304
2,216
3,654
-1,438
10,813
11,572
-759
3,327
3,363
-36
2,662
2,588
74
6,081
6,309
-228
3,898
3,803
95
307
304
3
1,534
1,447
87
14
15
-1
5,960
4,956
1,004
19
15
4
3,739
3,055
684
7,415
5,860
1,555
5,881
4,664
1,217
1,649
1,290
359
501
388
113
6,628
4,830
1,798
1,492
1,018
474
1,705
1,765
-60
2,793
1,912
881
5,225
7,153
-1,928
3,087
2,762
325
8,074
5,201
2,873
3,325
2,119
1,206
7,016
8,059
-1,043
1,559
1,700
-141
8,442
8,140
302
1,583
1,501
82
9,557
9,756
-199
4,651
5,253
-602
1,993
2,193
-200
1,772
1,950
-178
1,782
3,161
-1,379
1,177
1,983
-806
1,257
1,486
-229
265
279
-14
5,564
1,630
3,934
802
920
-118
1,804
1,294
510
531
522
9
649
605
44
1,663
1,178
485
1,360
1,179
181
1,564
1,231
333
4,133
2,805
1,328
2,036
2,820
-784
471
686
-215
8,548
8,748
-200
3,571
5,660
-2,089
1,190
1,688
-498
5,413
7,175
-1,762
1,956
2,831
-875
2,630
3,305
-675
3,459
7,605
-4,146
4,935
10,210
-5,275
6,613
13,572
-6,959
4,629
9,053
-4,424
6,919
11,613
-4,694
2,960
3,297
-337
6,280
6,369
-89
5,486
6,050
-564
4,481
4,595
-114
9,288
8,371
917
2,158
1,438
720
2,529
2,456
73
4,336
3,445
891
2,965
2,297
668
1,339
1,005
334
2,677
1,953
724
10,397
11,635
-1,238
215
295
-80
1,674
2,275
-601
773
979
-206
4,894
6,154
-1,260
2,625
3,509
-884
687
901
-214
2,939
2,428
511
725
687
38
2,821
2,601
220
1,502
1,890
-388
707
703
4
795
773
22
707
911
-204
707
911
-204
4,693
4,981
-288
619
935
-316
928
1,075
-147
851
930
-79
387
415
-28
155
159
-4
1,320
1,111
209
92,987
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
166
b
511
c
1,089
d
-30,376
e
-84
213
287
845
-346
-4,727
-861
-3,476
-4,060
-3,294
-2,571
-229
-986
-418
100
1,000
-17
50
5,467
-439
-1,184
-1,299
-2,589
-2,091
-708
-1,715
-70
-252
-427
27
-3,746
-679
5,504
187
1,427
-305
-193
5,914
78
161
2,217
5,963
15,586
168
820
1,344
19
522
2,376
4,110
1,681
1,740
1,870
437
332
479
135
485
-23
-168
15
21
-784
-2,343
-416
-171
375
297
16
-52
153
411
-335
-746
-1,290
-569
-1,682
-724
-619
-173
-261
-153
-104
-310
2,209
570
5,181
326
957
323
2,149
5,588
19,998
5,007
-523
-44
-254
-478
-225
-669
23
-226
-226
-75
-13
91
61
1,801
2
164
-3
-201
-558
-78
47
-182
263
679
715
1,632
9,054
-1,025
-247
579
-3,365
-2,765
-2,946
-1,505
-254
-46
-112
-2
-3
5
7
116
328
-819
-456
-4
1,474
463
1,188
829
1,190
6,620
17,120
3,341
929
1,091
3,566
105
6,675
-11
-79
-139
-4
36
86
316
585
10
-164
45
-51
-71
5
7
137
263
-3,340
-127
-838
-490
-32
-533
-557
-1,081
-441
-27
-144
-12
-71
-26
-1
34
231
-100
-136
-34
-249
-416
-260
-66
-18
-35
-683
-481
-128
619
1,255
3,915
5,284
-1,871
-467
-614
-102
371
-336
157
335
-6,062
65
209
278
-45
1
-276
-425
-220
-330
-112
1,871
239
174
324
146
-360
-103
351
335
-2,264
-228
175
-229
-341
393
719
849
410
778
560
284
63
-48
-418
26
-229
-110
-395
-144
150
30
376
89
1,327
-6,309
-12,210
-1,294
-1,972
-205
-342
-1,290
-178
623
570
644
444
739
759
689
1,709
-349
-172
702
651
25
199
514
310
-60
228
-38
-63
-443
1,782
-193
-266
697
10,403
1,219
4,695
439
3,232
-109
-39
-64
11
-52
-2
56
100
479
4,008
682
-398
-533
-385
-727
-321
-711
1,161
2,180
142
-20
-320
-1,668
-813
-3,555
-308
-864
-588
239
1,198
-977
-452
313
516
605
978
93
19
255
188
117
83
41
-42
12
185
568
560
125
1,722
446
1,199
-30
-95
59
12
217
-5
-5
1,175
121
123
44
2,179
353
7,616
104
515
364
2,058
2,323
1,212
516
944
1,669
207
18,909
-81
-74
1,447
-66
-216
-227
-7
33
1
352
236
-152
-145
-362
-309
-883
-3,882
-563
-444
1,437
-190
-9,456
911
9
406
1,097
481
134
1,554
1,026
1,414
908
1,937
857
775
-979
-1,223
-496
-1,383
-675
-4
362
-5,268
-4,360
-1,141
-2,481
-506
-802
-294
-784
-828
-391
441
228
71
219
5,504
1,730
5,780
9,842
1,285
2,156
628
551
-425
-364
-174
1,387
139
2,443
1,814
761
24
-21
230
-27
-54
-206
-207
14
69
484
-143
-136
-192
-309
-436
-598
-179
-169
-52
-164
179
44
186
772
690
609
934
8,866
4,142
1,590
114
620
1,547
1,458
578
-843
3,940
631
2,935
2,244
-2,884
-1,808
-8,538
2,898
-201
-2,333
-619
-343
-24,425
224
1,476
1,063
-662
-108
12,794
-314
-29
-1,203
-1,547
-337
-31
-493
-1,310
-304
-1,438
-759
-36
74
-228
95
3
87
-1
1,004
4
684
1,555
1,217
359
113
1,798
474
-60
881
-1,928
325
2,873
1,206
-1,043
-141
302
82
-199
-602
-200
-178
-1,379
-806
-229
-14
3,934
-118
510
9
44
485
181
333
1,328
-784
-215
-200
-2,089
-498
-1,762
-875
-675
-4,146
-5,275
-6,959
-4,424
-4,694
-337
-89
-564
-114
917
720
73
891
668
334
724
-1,238
-80
-601
-206
-1,260
-884
-214
511
38
220
-388
4
22
-204
-204
-288
-316
-147
-79
-28
-4
209
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
205,266
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
923,481
14,521,852
0.063593
2017
173,320
13,964,804
0.012411
2016
1,227,631
13,298,183
0.092316
2015
1,314,625
14,103,015
0.093216
2014
693,910
14,320,956
0.048454
2
Total
of line 1, column (d)
.....................
2
0.30999
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
0.061998
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
14,261,323
5
Multiply line 4 by line 3
......................
5
884,174
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
4,705
7
Add lines 5 and 6
........................
7
888,879
8
Enter qualifying distributions from Part XII, line 4
,.............
8
789,351
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
9,410
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
9,410
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
9,410
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
11,817
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
11,817
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
2,407
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
2,407
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
BANK OF AMERICA NA
Telephone no.
(888) 866-3275
Located at
PO BOX 1802
PROVIDENCE
RI
ZIP+4
029011802
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
Thomas G Park
Director
1
0
c/o Bk of America 135 S LaSalle St
Chicago
,
IL
60603
M Catherine Ryan
Director
1
0
c/o Bk of America 135 S LaSalle St
Chicago
,
IL
60603
A C Buehler
Director
1
0
c/o Bk of America 135 S LaSalle St
Chicago
,
IL
60603
Pamela Varner
Director
1
0
c/o Bk of America 135 S LaSalle St
Chicago
,
IL
60603
BANK OF AMERICA N A
AGENT FOR FIDUCIARY
1
75,010
135 S LASALLE STREET
CHICAGO
,
IL
60603
John H Buehler
Director
1
0
c/o Bk of America 135 S Lasalle St
Chicago
,
IL
60603
Aurora Grosse
Director
0
0
c/o Bk of America 135 S Lasalle St
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
13,893,965
b
Average of monthly cash balances
.......................
1b
584,536
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
14,478,501
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
14,478,501
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
217,178
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
14,261,323
6
Minimum investment return.
Enter 5% of line 5
..................
6
713,066
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
713,066
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
9,410
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
9,410
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
703,656
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
703,656
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
703,656
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
789,351
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
789,351
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
789,351
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
703,656
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
359,441
c
From 2016
......
578,044
d
From 2017
......
0
e
From 2018
......
213,536
f
Total
of lines 3a through e
........
1,151,021
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
789,351
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
703,656
e
Remaining amount distributed out of corpus
85,695
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
1,236,716
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
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 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
......
1,236,716
10
Analysis of line 9:
a
Excess from 2015
....
359,441
b
Excess from 2016
....
578,044
c
Excess from 2017
....
0
d
Excess from 2018
....
213,536
e
Excess from 2019
....
85,695
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
SEE ATTACHED
SEE ATTACHED
SEE ATTACHED
,
RI
02903
NONE
PC
UNRESTRICTED GENERAL
756,820
Total
.................................
3a
756,820
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
327,271
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
205,266
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
EXCISE TAX REFUND
1
653
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
533,190
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
533,190
(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