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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
06-01-2019
, and ending
05-31-2020
Name of foundation
MYRIE BOWEN SHANKS CHARITABLE TRUST XXXXX9002
Number and street (or P.O. box number if mail is not delivered to street address)
10 S DEARBORN IL1-0111
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO
,
IL
60603
A Employer identification number
75-6472056
B
Telephone number (see instructions)
(800) 496-2583
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
2,696,745
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
...
70,018
70,018
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
57,304
b
Gross sales price for all assets on line 6a
862,369
7
Capital gain net income (from Part IV, line 2)
...
57,304
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
127,322
127,322
13
Compensation of officers, directors, trustees, etc.
36,256
21,226
15,030
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)
...
3,453
1,095
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)
.......
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
39,709
22,321
0
15,030
25
Contributions, gifts, grants paid
.......
119,680
119,680
26
Total expenses and disbursements.
Add lines 24 and 25
159,389
22,321
0
134,710
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-32,067
b
Net investment income
(if negative, enter -0-)
105,001
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
.............
5,524
4,281
4,281
2
Savings and temporary cash investments
.........
35,647
73,101
73,101
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
1,225,008
1,058,519
1,371,772
c
Investments—corporate bonds (attach schedule)
.......
963,773
1,063,484
1,132,211
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
122,322
120,743
115,380
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
2,352,274
2,320,128
2,696,745
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
2,352,274
2,320,128
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
2,352,274
2,320,128
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,352,274
2,320,128
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
2,352,274
2
Enter amount from Part I, line 27a
.....................
2
-32,067
3
Other increases not included in line 2 (itemize)
3
12
4
Add lines 1, 2, and 3
..........................
4
2,320,219
5
Decreases not included in line 2 (itemize)
5
91
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
2,320,128
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
16. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-05
b
5. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-05
c
20. PHILIP MORRIS INTERNATIONAL
2017-04-24
2019-06-05
d
5. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
e
6. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-06
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2017-12-13
2019-06-07
47. BANK OF AMERICA CORPORATION
2019-06-10
10. DOLLAR TREE INC
2019-06-10
38. WELLS FARGO & CO NEW
2009-03-16
2019-06-10
11. DOLLAR TREE INC
2019-06-11
4. DOLLAR TREE INC
2018-12-17
2019-06-11
4. DOLLAR TREE INC
2018-12-17
2019-06-11
965.2 DIAMOND HILL LONG/SHORT-Y
2018-11-26
2019-06-14
2378.893 JPMORGAN CORE BOND FUND ULTRA
2018-01-08
2019-06-14
2246.064 JPMORGAN CORE BOND FUND ULTRA
2019-02-08
2019-06-14
3. ADOBE SYS INC
2012-08-03
2019-06-27
. AMGEN INC
2019-07-17
465.983 BLACKSTONE ALT MULTI-STRAT-Y
2019-06-14
2019-08-14
40. ISHARES TR 7-10 YR TREAS INDEX FD
2019-02-22
2019-08-14
1250. JPMORGAN CORE BOND FUND ULTRA
2018-07-19
2019-08-14
4. SVB FINANCIAL GROUP
2019-08-14
2. SVB FINANCIAL GROUP
2015-02-05
2019-08-14
25. SCHWAB U.S. TIPS ETF
2018-10-01
2019-08-14
5. APTIV PLC
2018-04-26
2019-08-14
3. APTIV PLC
2018-04-26
2019-08-14
7. APTIV PLC
2019-08-14
4. SVB FINANCIAL GROUP
2015-02-05
2019-08-15
16. APTIV PLC
2019-08-15
125. ISHARES MISCI EAFE INDEX FUND
2019-08-27
500. ISHARES TR BARCLAYS MBS BD FD
2019-02-08
2019-09-19
685. VANGUARD BD INDEX FD INC
2019-03-11
2019-09-19
19. DISNEY WALT CO
2019-10-25
4. ACCENTURE PLC
2019-10-25
6. ACCENTURE PLC
2019-10-28
12. NISOURCE INC
2019-11-11
16. NISOURCE INC
2019-11-11
13. NISOURCE INC
2019-11-12
31. NISOURCE INC
2019-11-12
3. NISOURCE INC
2013-02-26
2019-11-12
3. NISOURCE INC
2013-02-26
2019-11-13
1701.838 AMER FNDS INTL VNTG-F3
2015-11-19
2019-11-21
53. CELGENE CORP.
2019-11-21
20. CELGENE CORP.
2019-11-21
369.925 FIDELITY 500 INDEX-INST PRM
2019-11-21
28. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
3. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
1. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
35. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-26
6. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-27
1240.989 EQUINOX IMP SYSTEM MACRO-I
2015-11-17
2019-12-09
7. ABBVIE INC
2019-11-11
2019-12-11
2. ADOBE SYS INC
2012-08-03
2019-12-11
1. ALEXION PHARMACEUTICALS INC
2019-03-14
2019-12-11
1. ALPHABET INC-CL C
2014-04-17
2019-12-11
1. ALPHABET INC-CL C
2019-10-25
2019-12-11
1. ALPHABET INC-CL A
2016-07-11
2019-12-11
1. AMAZON COM INC
2019-10-25
2019-12-11
6. AMERICAN EXPRESS CO
2019-06-10
2019-12-11
8. APPLE COMPUTER INC
2008-10-13
2019-12-11
3. AUTOMATIC DATA PROCESSING INC
2019-08-14
2019-12-11
26. BANK OF AMERICA CORPORATION
2013-04-18
2019-12-11
3. BERKSHIRE HATHAWAY INC DEL CL B
2018-10-15
2019-12-11
15. BOSTON SCIENTIFIC CORP
2019-12-11
8. BRISTOL MYERS SQUIBB CO
2019-11-21
2019-12-11
3. BROADCOM INC
2013-04-25
2019-12-11
1. CHARTER COMMUNICATIONS INC-A
2016-12-15
2019-12-11
11. CITIGROUP INC NEW
2019-12-11
7. COCA-COLA CO
2018-04-13
2019-12-11
20. COMCAST CORP NEW CL A
2019-05-14
2019-12-11
10. CORTEVA INC
2019-12-11
2. DIAMONDBACK ENERGY INC
2019-12-11
1. DIAMONDBACK ENERGY INC
2017-05-15
2019-12-11
3. DISNEY WALT CO
2016-10-27
2019-12-11
5. DUPONT DE NEMOURS INC-WI
2019-12-11
6. EOG RESOURCES INC
2016-08-05
2019-12-11
5. ELECTRONIC ARTS
2019-12-11
2. FACEBOOK INC-A
2014-07-25
2019-12-11
5. FIDELITY NATL INFORMATION SVCS INC
2019-08-14
2019-12-11
10. FISERV INC
2019-12-11
2. GENERAL DYNAMICS CORP
2018-12-13
2019-12-11
4. HOME DEPOT INC
2011-09-29
2019-12-11
6. HONEYWELL INTL INC
2019-12-11
3. INTERCONTINENTALEXCHANGE GROUP, INC
2019-12-11
20. KEYCORP NEW
2018-10-19
2019-12-11
11. LILLY ELI & CO
2019-12-11
4. LOWES COS INC
2011-09-28
2019-12-11
11. MARATHON PETROLEUM CORPORATION
2019-12-11
4. MASTERCARD INC - CLASS A
2009-05-05
2019-12-11
1. MCDONALDS CORP
2019-06-10
2019-12-11
8. MERCK & CO INC
2019-03-14
2019-12-11
18. MICROSOFT CORP
2019-12-11
10. MONDELEZ INTERNATIONAL-W/I
2019-12-11
17. MORGAN STANLEY DEAN WITTER & CO NEW
2019-12-11
1. NETFLIX.COM INC
2018-09-13
2019-12-11
2. NEXTERA ENERGY INC
2018-07-18
2019-12-11
4. NORFOLK SOUTHN CORP
2019-12-11
2. NORTHROP GRUMMAN CORP
2019-05-20
2019-12-11
2. NVIDIA CORP
2018-10-08
2019-12-11
1. O'REILLY AUTOMOTIVE INC
2017-05-05
2019-12-11
5. PAYPAL HOLDINGS INC
2019-01-23
2019-12-11
5. PEPSICO INC
2018-05-22
2019-12-11
19. PFIZER INC
2019-12-11
2. PHILIP MORRIS INTERNATIONAL
2017-04-24
2019-12-11
3. PIONEER NAT RES CO
2019-12-11
5. PROCTER & GAMBLE CO
2019-06-05
2019-12-11
3. QUALCOMM INC
2019-05-01
2019-12-11
4. ROSS STORES INC
2018-12-11
2019-12-11
5. SALESFORCE.COM INC
2018-10-08
2019-12-11
3. STANLEY BLACK & DECKER,INC.
2019-12-11
4. TEXAS INSTRS INC
2019-02-19
2019-12-11
2. TEXAS INSTRS INC
2016-03-10
2019-12-11
4. UNION PAC CORP
2019-12-11
2. UNITED TECHNOLOGIES CORP
2019-12-11
5. UNITEDHEALTH GROUP INC
2019-12-11
2. VERTEX PHARMACEUTICALS INC
2019-12-11
3. VISA INC CLASS A SHARES
2015-10-19
2019-12-11
4. WASTE CONNECTIONS INC
2019-12-11
8. WELLS FARGO & CO NEW
2009-03-16
2019-12-11
2. WEX INC
2016-05-02
2019-12-11
3. YUM BRANDS INC
2018-11-29
2019-12-11
5. ZIMMER HLDGS INC
2018-10-30
2019-12-11
3. ALLEGION PLC
2019-12-11
2. ACCENTURE PLC
2019-12-11
6. LINDE PLC
2019-08-14
2019-12-11
4. CHUBB LTD
2019-12-11
3. NXP SEMICONDUCTORS NV
2019-02-20
2019-12-11
1256.194 CRM LNG/SHRT OPPORT-INST
2016-12-09
2020-01-09
6. CORTEVA INC
2020-01-13
2.333 CORTEVA INC
2017-02-22
2020-01-13
2.667 CORTEVA INC
2019-06-27
2020-01-13
6. CORTEVA INC
2020-01-14
7. CORTEVA INC
2020-01-14
2. CORTEVA INC
2019-06-27
2020-01-14
2. CORTEVA INC
2019-06-27
2020-01-14
1. CORTEVA INC
2019-06-27
2020-01-14
8. CORTEVA INC
2020-01-15
9. CORTEVA INC
2020-01-15
.334 CORTEVA INC
2015-06-18
2020-01-15
3.666 CORTEVA INC
2019-06-28
2020-01-15
1. CORTEVA INC
2015-06-18
2020-01-15
5. CORTEVA INC
2020-01-15
6. CORTEVA INC
2020-01-15
1. CORTEVA INC
2015-07-15
2020-01-15
1156.997 CRM LNG/SHRT OPPORT-INST
2016-12-09
2020-01-16
2. CORTEVA INC
2015-07-15
2020-01-16
1. CORTEVA INC
2015-07-15
2020-01-16
1. CORTEVA INC
2015-07-15
2020-01-16
1226.974 EQUINOX IMP SYSTEM MACRO-I
2015-11-17
2020-01-16
19. QUALCOMM INC
2019-05-01
2020-01-23
10. EOG RESOURCES INC
2020-01-28
1. EOG RESOURCES INC
2016-05-02
2020-01-28
1. EOG RESOURCES INC
2016-05-02
2020-01-29
1. EOG RESOURCES INC
2016-05-25
2020-01-29
1. EOG RESOURCES INC
2016-05-25
2020-01-29
7. EOG RESOURCES INC
2020-01-29
7. EOG RESOURCES INC
2020-01-29
7. EOG RESOURCES INC
2020-01-29
10. EOG RESOURCES INC
2016-03-07
2020-01-30
2. EOG RESOURCES INC
2016-03-07
2020-01-30
502.53 AMER FNDS INTL VNTG-F3
2015-11-19
2020-01-31
2. ABBVIE INC
2019-11-11
2020-02-12
1. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-02-12
1. AMERICAN EXPRESS CO
2019-06-10
2020-02-12
2. APPLE COMPUTER INC
2008-10-13
2020-02-12
1. AUTOMATIC DATA PROCESSING INC
2019-08-14
2020-02-12
7. BANK OF AMERICA CORPORATION
2020-02-12
1. BERKSHIRE HATHAWAY INC DEL CL B
2018-10-15
2020-02-12
4. BOSTON SCIENTIFIC CORP
2016-09-15
2020-02-12
3. BRISTOL MYERS SQUIBB CO
2019-11-21
2020-02-12
1. BROADCOM INC
2013-04-25
2020-02-12
1. CHARTER COMMUNICATIONS INC-A
2016-12-15
2020-02-12
3. CITIGROUP INC NEW
2017-05-02
2020-02-12
3. COCA-COLA CO
2018-04-13
2020-02-12
6. COMCAST CORP NEW CL A
2019-05-14
2020-02-12
2. DIAMONDBACK ENERGY INC
2017-05-15
2020-02-12
1. DISNEY WALT CO
2016-10-27
2020-02-12
2. DUPONT DE NEMOURS INC-WI
2020-02-12
1. ELECTRONIC ARTS
2018-09-20
2020-02-12
1. FACEBOOK INC-A
2020-01-08
2020-02-12
2. FIDELITY NATL INFORMATION SVCS INC
2019-08-14
2020-02-12
3. FISERV INC
2019-07-30
2020-02-12
1. GENERAL DYNAMICS CORP
2018-12-13
2020-02-12
1. HOME DEPOT INC
2011-09-29
2020-02-12
2. HONEYWELL INTL INC
2009-12-16
2020-02-12
6. KEYCORP NEW
2018-10-19
2020-02-12
1. LILLY ELI & CO
2015-06-12
2020-02-12
1. LOWES COS INC
2011-09-28
2020-02-12
3. MARATHON PETROLEUM CORPORATION
2018-05-14
2020-02-12
1. MASTERCARD INC - CLASS A
2009-05-05
2020-02-12
1. MCDONALDS CORP
2019-06-10
2020-02-12
3. MERCK & CO INC
2019-03-14
2020-02-12
5. MICROSOFT CORP
1998-10-19
2020-02-12
3. MONDELEZ INTERNATIONAL-W/I
2020-02-12
5. MORGAN STANLEY DEAN WITTER & CO NEW
2020-02-12
1. NEXTERA ENERGY INC
2018-07-18
2020-02-12
1. NORFOLK SOUTHN CORP
2018-05-15
2020-02-12
1. NORTHROP GRUMMAN CORP
2019-05-20
2020-02-12
1. NVIDIA CORP
2018-06-12
2020-02-12
2. PAYPAL HOLDINGS INC
2019-01-23
2020-02-12
2. PEPSICO INC
2018-05-22
2020-02-12
6. PFIZER INC
2015-04-08
2020-02-12
1. PHILIP MORRIS INTERNATIONAL
2018-10-24
2020-02-12
1. PIONEER NAT RES CO
2015-12-09
2020-02-12
1. PROCTER & GAMBLE CO
2019-06-05
2020-02-12
1. ROSS STORES INC
2018-12-11
2020-02-12
1. SALESFORCE.COM INC
2019-10-28
2020-02-12
1. SALESFORCE.COM INC
2018-10-08
2020-02-12
1. STANLEY BLACK & DECKER,INC.
2015-11-17
2020-02-12
2. TEXAS INSTRS INC
2020-01-23
2020-02-12
1. THERMO ELECTRON CORP
2020-01-14
2020-02-12
2. UNION PAC CORP
2017-05-18
2020-02-12
1. UNITED TECHNOLOGIES CORP
2017-12-08
2020-02-12
1. UNITEDHEALTH GROUP INC
2010-12-01
2020-02-12
1. VISA INC CLASS A SHARES
2015-10-19
2020-02-12
1. WASTE CONNECTIONS INC
2016-07-26
2020-02-12
2. WELLS FARGO & CO NEW
2009-03-16
2020-02-12
2. ZIMMER HLDGS INC
2020-02-12
1. ALLEGION PLC
2015-11-19
2020-02-12
2. LINDE PLC
2020-02-12
1. CHUBB LTD
2009-04-29
2020-02-12
1. NXP SEMICONDUCTORS NV
2020-01-23
2020-02-12
977. JPMORGAN BETABUILDERS JAPAN ETF
2020-02-14
204. JPMORGAN BETABUILDERS JAPAN ETF
2018-07-19
2020-02-14
6. ELECTRONIC ARTS
2018-09-20
2020-02-25
9. ELECTRONIC ARTS
2020-02-25
2. ACCENTURE PLC
2014-04-22
2020-02-25
10. ACCENTURE PLC
2020-02-26
24. DISNEY WALT CO
2020-03-04
55. WELLS FARGO & CO NEW
2020-03-04
2. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-11
1. DUPONT DE NEMOURS INC-WI
2018-04-06
2020-03-11
27.667 DUPONT DE NEMOURS INC-WI
2020-03-11
8.333 DUPONT DE NEMOURS INC-WI
2019-04-08
2020-03-11
3. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-12
2. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-12
200. ISHARES MISCI EAFE INDEX FUND
2014-02-05
2020-03-12
500. SCHWAB U.S. TIPS ETF
2018-10-01
2020-03-12
4. ALEXION PHARMACEUTICALS INC
2019-03-14
2020-03-13
272.459 FIDELITY 500 INDEX-INST PRM
2019-12-11
2020-03-17
675. ISHARES MISCI EAFE INDEX FUND
2014-02-05
2020-03-18
2317.881 VANGUARD TTL INTL BND-ADM
2020-03-30
14. UNITED TECHNOLOGIES CORP
2020-03-31
1. COMCAST CORP NEW CL A
2019-05-14
2020-04-16
14. COMCAST CORP NEW CL A
2019-03-14
2020-04-16
26. COMCAST CORP NEW CL A
2019-03-14
2020-04-16
1. COMCAST CORP NEW CL A
2019-01-29
2020-04-16
17. COMCAST CORP NEW CL A
2020-04-16
2. COMCAST CORP NEW CL A
2018-10-19
2020-04-16
4. ROSS STORES INC
2018-12-11
2020-04-16
4. ROSS STORES INC
2018-12-11
2020-04-16
5. ROSS STORES INC
2018-12-11
2020-04-16
15. ROSS STORES INC
2020-04-16
75. MARATHON PETROLEUM CORPORATION
2020-04-27
773. ISHARES CORE MSCI EAFE ETF
2020-04-29
260. SPDR TR UNIT SER 1
2020-04-29
2771.903 SIX CIRCLES ULTR SHRT DUR
2018-10-24
2020-04-30
9. ADOBE SYS INC
2012-08-03
2020-05-04
2. ADOBE SYS INC
2012-08-03
2020-05-04
1420.455 DOUBLELINE TTL RTRN BND-I
2017-04-17
2020-05-07
116. ISHARES TR 7-10 YR TREAS INDEX FD
2019-09-19
2020-05-07
521.344 AMER FNDS INTL VNTG-F3
2015-11-19
2020-05-15
308.402 BLACKSTONE ALT MULTI-STRAT-Y
2018-11-14
2020-05-29
2531.598 BLACKSTONE ALT MULTI-STRAT-Y
2019-06-14
2020-05-29
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
879
857
22
b
275
267
8
c
1,545
2,245
-700
d
274
267
7
e
327
321
6
55
53
2
55
53
2
55
53
2
56
53
3
55
53
2
1,325
730
595
1,038
921
117
1,763
571
1,192
1,173
1,007
166
427
346
81
426
346
80
25,472
25,191
281
27,928
27,500
428
26,369
25,560
809
881
96
785
18
18
5,000
5,009
-9
4,523
4,184
339
15,075
14,138
937
763
506
257
380
240
140
1,430
1,344
86
398
435
-37
241
261
-20
559
511
48
747
481
266
1,269
1,133
136
7,802
8,110
-308
53,982
52,598
1,384
55,164
54,139
1,025
2,495
1,902
593
733
336
397
1,102
500
602
315
216
99
418
246
172
339
166
173
807
301
506
78
29
49
79
29
50
25,000
19,707
5,293
5,726
4,954
772
2,161
815
1,346
40,000
34,660
5,340
59
64
-5
6
7
-1
2
2
74
81
-7
13
14
-1
12,050
12,187
-137
610
598
12
608
64
544
112
135
-23
1,346
537
809
1,346
1,260
86
1,344
727
617
1,743
1,720
23
726
738
-12
2,165
120
2,045
503
493
10
874
296
578
664
615
49
660
350
310
502
451
51
960
115
845
465
291
174
835
659
176
378
312
66
849
860
-11
259
328
-69
167
209
-42
83
104
-21
443
282
161
322
470
-148
447
542
-95
511
568
-57
402
151
251
672
655
17
1,134
1,044
90
359
344
15
851
135
716
1,049
236
813
279
175
104
394
357
37
1,329
944
385
465
80
385
644
882
-238
1,158
73
1,085
195
201
-6
715
651
64
2,716
549
2,167
541
394
147
845
532
313
298
371
-73
471
339
132
760
600
160
693
626
67
432
537
-105
442
252
190
520
452
68
686
499
187
728
659
69
168
224
-56
404
437
-33
625
534
91
259
259
459
322
137
781
757
24
474
318
156
491
430
61
245
111
134
693
456
237
294
246
48
1,402
225
1,177
448
110
338
547
231
316
361
208
153
430
120
310
394
188
206
299
275
24
732
573
159
374
199
175
404
160
244
1,236
1,117
119
611
252
359
362
282
80
12,675
12,562
113
170
196
-26
67
76
-9
76
79
-3
172
178
-6
200
208
-8
57
59
-2
57
59
-2
28
30
-2
230
237
-7
258
266
-8
10
9
1
105
108
-3
29
28
1
143
138
5
171
165
6
29
27
2
11,616
11,570
46
58
54
4
29
27
2
29
27
2
12,061
12,049
12
1,746
1,643
103
771
835
-64
77
83
-6
77
83
-6
77
83
-6
77
83
-6
528
575
-47
537
568
-31
530
555
-25
743
723
20
150
145
5
7,151
5,819
1,332
193
171
22
103
135
-32
133
123
10
645
30
615
178
164
14
247
72
175
229
205
24
170
93
77
202
168
34
322
38
284
533
291
242
240
179
61
178
134
44
275
258
17
150
208
-58
142
94
48
107
187
-80
109
114
-5
209
214
-5
297
262
35
360
311
49
186
172
14
240
34
206
359
78
281
119
107
12
144
84
60
124
20
104
176
235
-59
331
18
313
215
201
14
253
244
9
914
128
786
176
110
66
283
123
160
270
169
101
210
150
60
367
313
54
270
261
9
237
181
56
291
200
91
228
208
20
89
89
139
143
-4
123
107
16
120
81
39
188
151
37
188
151
37
168
105
63
264
264
340
333
7
368
215
153
154
123
31
304
38
266
206
77
129
100
50
50
97
30
67
318
227
91
137
66
71
431
372
59
165
47
118
137
137
23,594
23,444
150
4,928
4,894
34
636
681
-45
949
805
144
396
159
237
1,977
792
1,185
2,837
2,226
611
2,240
758
1,482
167
269
-102
36
93
-57
1,023
2,325
-1,302
308
706
-398
238
404
-166
153
269
-116
10,039
12,637
-2,598
27,546
26,883
663
319
539
-220
23,990
29,856
-5,866
31,347
42,649
-11,302
52,500
53,609
-1,109
1,324
1,700
-376
37
43
-6
521
558
-37
967
1,036
-69
38
36
2
633
614
19
75
72
3
351
323
28
351
322
29
439
403
36
1,312
1,193
119
1,968
5,063
-3,095
41,748
47,272
-5,524
76,231
52,592
23,639
27,525
27,747
-222
3,136
288
2,848
697
64
633
15,000
15,227
-227
14,143
12,927
1,216
6,595
6,037
558
2,914
3,284
-370
23,924
27,215
-3,291
12,653
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
22
b
8
c
-700
d
7
e
6
2
2
2
3
2
595
117
1,192
166
81
80
281
428
809
785
18
-9
339
937
257
140
86
-37
-20
48
266
136
-308
1,384
1,025
593
397
602
99
172
173
506
49
50
5,293
772
1,346
5,340
-5
-1
-7
-1
-137
12
544
-23
809
86
617
23
-12
2,045
10
578
49
310
51
845
174
176
66
-11
-69
-42
-21
161
-148
-95
-57
251
17
90
15
716
813
104
37
385
385
-238
1,085
-6
64
2,167
147
313
-73
132
160
67
-105
190
68
187
69
-56
-33
91
137
24
156
61
134
237
48
1,177
338
316
153
310
206
24
159
175
244
119
359
80
113
-26
-9
-3
-6
-8
-2
-2
-2
-7
-8
1
-3
1
5
6
2
46
4
2
2
12
103
-64
-6
-6
-6
-6
-47
-31
-25
20
5
1,332
22
-32
10
615
14
175
24
77
34
284
242
61
44
17
-58
48
-80
-5
-5
35
49
14
206
281
12
60
104
-59
313
14
9
786
66
160
101
60
54
9
56
91
20
-4
16
39
37
37
63
7
153
31
266
129
50
67
91
71
59
118
150
34
-45
144
237
1,185
611
1,482
-102
-57
-1,302
-398
-166
-116
-2,598
663
-220
-5,866
-11,302
-1,109
-376
-6
-37
-69
2
19
3
28
29
36
119
-3,095
-5,524
23,639
-222
2,848
633
-227
1,216
558
-370
-3,291
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
57,304
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
136,156
2,699,050
0.050446
2017
126,253
2,737,056
0.046127
2016
127,005
2,561,385
0.049585
2015
139,174
2,566,141
0.054235
2014
132,399
2,749,740
0.04815
2
Total
of line 1, column (d)
.....................
2
0.248543
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
0.049709
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
2,702,749
5
Multiply line 4 by line 3
......................
5
134,351
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,050
7
Add lines 5 and 6
........................
7
135,401
8
Enter qualifying distributions from Part XII, line 4
,.............
8
134,710
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
2,100
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
2,100
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
2,100
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,280
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
2,280
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
180
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
180
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)
TX
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
JPMORGAN CHASE BANK NA
Telephone no.
(800) 496-2583
Located at
10 S DEARBORN IL1-0111
CHICAGO
IL
ZIP+4
60603
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
JPMORGAN CHASE BANK NA
TRUSTEE
2
36,256
10 S DEARBORN ST MC IL 1-0111
CHICAGO
,
IL
60603
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
2,687,270
b
Average of monthly cash balances
.......................
1b
56,638
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
2,743,908
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
2,743,908
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
41,159
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,702,749
6
Minimum investment return.
Enter 5% of line 5
..................
6
135,137
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
135,137
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
2,100
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
2,100
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
133,037
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
133,037
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
133,037
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
134,710
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
134,710
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
134,710
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
133,037
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
119,680
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:
$
134,710
a
Applied to 2018, but not more than line 2a
119,680
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
.....
15,030
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
..........
118,007
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).)
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.
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
CAL FARLEY'S BOYS RANCH
PO BOX 1890
AMARILLO
,
TX
791740001
NONE
PC
GENERAL
29,920
TEXAS SCOTTISH RITE HOSPITAL
PO BOX 190567
DALLAS
,
TX
752190567
NONE
PC
GENERAL
29,920
W I COOK FOUNDATION
801 7TH AVE
FORT WORTH
,
TX
761042733
NONE
PC
GENERAL
59,840
Total
.................................
3a
119,680
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
70,018
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
57,304
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
127,322
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
127,322
(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