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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
BURDEN FAMILY CHARITABLE TRUST MAIN
Number and street (or P.O. box number if mail is not delivered to street address)
6325 S RAINBOW BLVD STE 300
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS
,
NV
89118
A Employer identification number
83-1715667
B
Telephone number (see instructions)
(888) 730-4933
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)
$
17,480,889
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
...
440,702
439,303
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
-22,889
b
Gross sales price for all assets on line 6a
9,526,374
7
Capital gain net income (from Part IV, line 2)
...
0
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
........
417,813
439,303
13
Compensation of officers, directors, trustees, etc.
112,987
84,740
28,247
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
1,513
0
0
1,513
b
Accounting fees (attach schedule)
.......
1,481
0
0
1,481
c
Other professional fees (attach schedule)
....
6,253
6,253
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
14,417
8,317
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)
.......
603
603
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
137,254
99,913
0
31,241
25
Contributions, gifts, grants paid
.......
800,268
800,268
26
Total expenses and disbursements.
Add lines 24 and 25
937,522
99,913
0
831,509
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-519,709
b
Net investment income
(if negative, enter -0-)
339,390
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
.........
2,378,379
1,042,391
1,042,391
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)
.......
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)
..........
14,057,422
14,892,361
16,438,498
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)
16,435,801
15,934,752
17,480,889
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
........
16,435,801
15,934,752
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)
.....
16,435,801
15,934,752
30
Total liabilities and net assets/fund balances
(see instructions)
.
16,435,801
15,934,752
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
16,435,801
2
Enter amount from Part I, line 27a
.....................
2
-519,709
3
Other increases not included in line 2 (itemize)
3
25,800
4
Add lines 1, 2, and 3
..........................
4
15,941,892
5
Decreases not included in line 2 (itemize)
5
7,140
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
15,934,752
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
1000. TRANSOCEAN INC 6.800% 3/15/38
2018-09-21
2019-01-02
b
3000. ROWAN COMPANIES INC 4.875% 6/01/22
2018-09-20
2019-01-04
c
5000. SESI LLC 7.125% 12/15/21
2018-09-24
2019-01-04
d
1000. TRANSOCEAN INC 6.800% 3/15/38
2018-09-21
2019-01-04
e
3000. PRECISION DRILLING 5.250% 11/15/24
2018-09-24
2019-01-07
2000. PRECISION DRILLING 5.250% 11/15/24
2018-09-24
2019-01-11
86. TENCENT HOLDINGS LTD-UNS ADR
2018-09-19
2019-01-14
.413 CIGNA CORP
2018-12-18
2019-01-15
2000. NRG YIELD OPERATING 5.375% 8/15/24
2018-09-28
2019-01-16
.0839 DELL TECHNOLOGIES -C
2018-10-22
2019-01-17
2000. NRG YIELD OPERATING 5.375% 8/15/24
2018-09-14
2019-01-17
11. BECTON DICKINSON & CO
2018-09-18
2019-01-22
12. CIGNA CORP
2018-09-18
2019-01-22
12. CIGNA CORP
2019-01-22
101. CVS HEALTH CORPORATION
2019-01-22
43. CARMAX INC
2018-10-22
2019-01-22
13. COSTCO WHOLESALE CORP
2018-09-18
2019-01-22
57. DELTA AIR LINES INC
2018-11-27
2019-01-22
199. EXXON MOBIL CORPORATION
2019-01-22
15. FEDEX CORPORATION
2018-11-27
2019-01-22
39. GILEAD SCIENCES INC
2018-09-18
2019-01-22
120. HUNTSMAN CORP
2018-12-18
2019-01-22
52. JPMORGAN CHASE & CO
2018-09-18
2019-01-22
34. ELI LILLY & CO COM
2019-01-22
27. MARRIOTT INTERNATIONAL INC CLASS A
2018-11-27
2019-01-22
73. MICROSOFT CORP
2018-09-18
2019-01-22
135. ORACLE CORPORATION
2019-01-22
17. PARKER HANNIFIN CORP
2018-10-22
2019-01-22
17.99988 PHILIP MORRIS INTERNATIONAL IN
2018-10-22
2019-01-22
18.00012 PHILIP MORRIS INTERNATIONAL IN
2019-01-22
53. UNITED PARCEL SERVICE-CL B
2019-01-22
53. UNITED TECHNOLOGIES CORP
2019-01-22
27. ACCENTURE PLC
2019-01-22
46. MEDTRONIC PLC
2018-09-18
2019-01-22
25. ALEXION PHARMACEUTICALS INC
2019-01-28
3000. NRG YIELD OPERATING 5.375% 8/15/24
2018-09-28
2019-01-29
3000. MGM RESORTS INTL 6.750% 10/01/20
2018-09-20
2019-01-30
63104.219 WFA SHORT DURATION GOVT-R6 #4656
2018-12-13
2019-01-30
31. VECTREN CORP
2018-10-22
2019-02-01
25000. COCA-COLA CO/THE 2.450% 11/01/20
2018-12-20
2019-02-04
15000. WESTPAC BANKING CORP 2.300% 5/26/20
2018-09-20
2019-02-04
112. ACTIVISION BLIZZARD INC
2019-02-06
9. ALEXION PHARMACEUTICALS INC
2018-09-19
2019-02-06
1. BOOKING HOLDINGS INC
2018-09-19
2019-02-06
66. CROWN CASTLE INTL CORP
2019-02-06
25.00003 TESLA MOTORS INC
2018-10-14
2019-02-06
3.99997 TESLA MOTORS INC
2018-10-14
2019-02-06
59. ALEXION PHARMACEUTICALS INC
2019-02-12
174. NEWFIELD EXPL CO COM
2018-12-18
2019-02-13
33. DOLLAR TREE INC
2019-02-22
10.99992 EQUIFAX INC
2018-09-19
2019-02-22
13.00008 EQUIFAX INC
2018-09-19
2019-02-22
41. ANALOG DEVICES INC
2018-09-17
2019-03-05
6000. ENERGY TRANSFER EQUI 4.250% 3/15/23
2019-03-05
234. LAS VEGAS SANDS CORP
2019-03-05
67. ABBVIE INC
2019-03-06
96. ACTIVISION BLIZZARD INC
2019-03-06
12. ADVANCE AUTO PTS INC
2018-11-27
2019-03-06
73. ANADARKO PETROLEUM CORP
2019-02-01
2019-03-06
8.00006 APPLE INC
2018-09-18
2019-03-06
112.99994 APPLE INC
2018-09-18
2019-03-06
77. ARCHER DANIELS MIDLAND CO
2019-02-01
2019-03-06
24. CAPITAL ONE FINANCIAL CORP
2018-11-27
2019-03-06
55. CARDINAL HEALTH INC COM
2018-10-22
2019-03-06
35. CARNIVAL CORP
2018-11-27
2019-03-06
31. CELGENE CORP COM
2019-02-01
2019-03-06
42. CENTENE CORP DEL
2019-02-01
2019-03-06
47. CERNER CORP COM
2018-10-22
2019-03-06
48. CITIGROUP INC
2019-03-06
20. CITRIX SYS INC COM
2018-11-27
2019-03-06
88. CONAGRA FOODS INC
2018-12-18
2019-03-06
29. CONCHO RESOURCES INC
2019-02-01
2019-03-06
14. COVETRUS INC
2018-10-22
2019-03-06
25. WALT DISNEY CO
2018-10-22
2019-03-06
51. EVERGY INC
2018-10-22
2019-03-06
13. F5 NETWORKS INC
2018-11-27
2019-03-06
224. FORD MOTOR COMPANY
2018-11-27
2019-03-06
18. GENERAL DYNAMICS CORP
2018-11-27
2019-03-06
52. GILEAD SCIENCES INC
2019-03-06
139. HP INC
2018-11-27
2019-03-06
110. HALLIBURTON CO
2019-02-01
2019-03-06
35. HELMERICH & PAYNE INC
2018-11-27
2019-03-06
12. HUMANA INC
2019-03-06
21. INTERNATIONAL FLAVORS & FRAGRANCES
2018-10-22
2019-03-06
93. JUNIPER NETWORKS INC
2018-12-18
2019-03-06
72. KRAFT HEINZ CO/THE
2019-02-01
2019-03-06
27. LAMB WESTON HOLDINGS INC
2018-11-27
2019-03-06
49. MARATHON PETROLEUM CORP.
2018-11-27
2019-03-06
21. MCCORMICK & CO INC NON VTG
2018-10-22
2019-03-06
27. MCKESSON CORP
2019-02-01
2019-03-06
36. SCHEIN HENRY INC
2018-10-22
2019-03-06
11. TESLA MOTORS INC
2019-03-06
52. TEXTRON INC
2018-10-22
2019-03-06
25. UNITED CONTINENTAL HOLDINGS, INC.
2018-09-18
2019-03-06
15. UNITEDHEALTH GROUP INC
2019-03-06
8. VAIL RESORTS INC COM
2018-11-27
2019-03-06
54. VERIZON COMMUNICATIONS
2018-11-27
2019-03-06
72. WALGREENS BOOTS ALLIANCE INC
2019-03-06
63. WESTROCK CO
2018-12-18
2019-03-06
79. WEYERHAEUSER CO
2018-11-27
2019-03-06
33. AMDOCS LIMITED COM
2018-11-27
2019-03-06
23. LYONDELLBASELL INDU-CL A
2018-11-27
2019-03-06
91. MYLAN N V
2018-10-22
2019-03-06
3924. ANTERO RESOURCES COR 5.625% 6/01/23
2018-10-12
2019-03-11
76. ANTERO RESOURCES COR 5.625% 6/01/23
2018-10-12
2019-03-11
1197. ANTERO RESOURCES COR 5.625% 6/01/23
2019-03-12
1803. ANTERO RESOURCES COR 5.625% 6/01/23
2019-01-15
2019-03-12
3000. SOUTHWESTERN ENERGY 7.750% 10/01/27
2018-09-24
2019-03-14
2000. ANTERO RESOURCES FIN 5.375% 11/01/21
2018-09-20
2019-03-15
2000. SOUTHWESTERN ENERGY 7.750% 10/01/27
2018-09-24
2019-03-15
14.00003 TESLA MOTORS INC
2019-03-15
11.99997 TESLA MOTORS INC
2018-12-18
2019-03-15
3000. ANTERO RESOURCES FIN 5.375% 11/01/21
2018-09-20
2019-03-18
2000. SOUTHWESTERN ENERGY 7.750% 10/01/27
2019-01-02
2019-03-18
1000. GOODYEAR TIRE & RUBB 4.875% 3/15/27
2018-09-18
2019-03-19
36.84 TWENTY FIRST CENTURY FOX INC
2018-09-18
2019-03-19
17.68 TWENTY FIRST CENTURY FOX INC
2019-02-01
2019-03-19
13.16 TWENTY FIRST CENTURY FOX INC
2018-09-18
2019-03-19
6.32 TWENTY FIRST CENTURY FOX INC
2019-02-01
2019-03-19
36.84 TWENTY-FIRST CENTURY FOX INC
2018-09-18
2019-03-19
13.16 TWENTY-FIRST CENTURY FOX INC
2018-09-18
2019-03-19
.911 ENCANA CORP
2019-02-13
2019-03-20
3000. GOODYEAR TIRE & RUBB 4.875% 3/15/27
2018-09-18
2019-03-21
65. ANALOG DEVICES INC
2018-09-17
2019-03-25
308. DOWDUPONT INC
2019-03-25
207. TORONTO DOMINION BK ONT COM NEW
2019-03-25
1000. GOODYEAR TIRE & RUBB 4.875% 3/15/27
2018-09-18
2019-03-27
.378 WABTEC CORP
2019-01-31
2019-03-27
1000. GOODYEAR TIRE & RUBB 4.875% 3/15/27
2019-01-18
2019-03-28
3000. ENSCO PLC 5.750% 10/01/44
2018-10-01
2019-04-02
4000. ENSCO PLC 5.750% 10/01/44
2019-04-04
19. BIOGEN IDEC INC
2019-04-12
119. BRISTOL MYERS SQUIBB CO
2019-04-12
91. INTERPUBLIC GROUP COS INC
2018-11-27
2019-04-12
35. JPMORGAN CHASE & CO
2018-09-18
2019-04-12
106. KROGER CO
2018-10-22
2019-04-12
29. STATE STREET CORP
2018-11-27
2019-04-12
39. UGI CORP NEW COM
2018-10-22
2019-04-12
20. ANTHEM INC
2019-04-16
20.00011 UNITEDHEALTH GROUP INC
2019-04-16
15.99989 UNITEDHEALTH GROUP INC
2018-10-19
2019-04-16
1000. ANHEUSER-BUSCH INBEV 2.625% 1/17/23
2019-03-19
2019-04-17
57792.084 WFA SHORT DURATION GOVT-R6 #4656
2018-12-13
2019-04-17
1000. AMERICAN AXLE & MFG 6.625% 10/15/22
2018-09-18
2019-04-22
3000. AMERICAN AXLE & MFG 6.625% 10/15/22
2019-04-23
.5 BERKLEY W R CORP
2018-12-18
2019-04-23
.3333 DOW INC
2018-09-19
2019-04-25
3000. DISH DBS CORP 5.875% 7/15/22
2019-04-29
.2 ALCON INC
2018-10-19
2019-04-30
.667 FOX CORP
2019-03-20
2019-05-02
4000. DISH DBS CORP 5.875% 7/15/22
2019-05-03
.667 FOX CORP
2019-03-20
2019-05-03
69. ALCON INC
2019-05-03
3000. CONSOL ENERGY INC 5.875% 4/15/22
2018-09-20
2019-05-08
2000. CHEMOURS CO 7.000% 5/15/25
2019-05-03
2019-05-13
.7244 WALT DISNEY CO
2019-05-14
2000. CHEMOURS CO 7.000% 5/15/25
2019-05-03
2019-05-15
4000. CONSOL ENERGY INC 5.875% 4/15/22
2019-05-15
53. NVIDIA CORP
2019-05-15
25000. TORONTO-DOMINION BAN 2.500% 12/14/20
2019-05-15
32. ALBEMARLE CORP COM
2018-12-18
2019-05-16
62. AMGEN INC
2019-05-16
63. THE BANK OF NEW YORK MELLON CORP.
2018-11-27
2019-05-16
57. BIOMARIN PHARMACEUTICAL INC
2019-05-16
16. BOEING CO
2019-02-01
2019-05-16
52. COGNIZANT TECH SOLUTIONS CRP COM
2019-02-01
2019-05-16
210. DOWDUPONT INC
2019-05-16
464. ENCANA CORP
2019-02-13
2019-05-16
24. FOX CORP
2019-05-16
242. FREEPORT-MCMORAN INC.
2018-10-22
2019-05-16
17. HCA HOLDINGS INC
2018-09-18
2019-05-16
28. NRG ENERGY INC
2019-02-01
2019-05-16
50. NVIDIA CORP
2019-05-16
78. OCCIDENTAL PETE CORP
2019-05-16
6. REGENERON PHARMACEUTICALS INC
2018-09-18
2019-05-16
104. SCHLUMBERGER LTD
2019-02-01
2019-05-16
48. SQUARE INC
2019-02-01
2019-05-16
14. TESLA MOTORS INC
2019-05-16
47. 3M CO
2019-05-16
3. WABTEC CORP
2019-01-31
2019-05-16
33. ALLERGAN PLC
2019-05-16
1000. AMERICAN AXLE & MFG 6.250% 3/15/26
2018-09-25
2019-05-20
2000. CHEMOURS CO 7.000% 5/15/25
2019-05-03
2019-05-20
5000. AMERICAN AXLE & MFG 6.250% 3/15/26
2019-05-21
3000. SPRINT CORP 7.125% 6/15/24
2019-05-21
4000. SPRINT CORP 7.125% 6/15/24
2019-05-28
25000. AMERICAN HONDA FINAN 2.450% 9/24/20
2018-12-19
2019-05-31
2000. ENSCO PLC 7.750% 2/01/26
2019-04-03
2019-05-31
2000. ENSCO PLC 7.750% 2/01/26
2019-04-03
2019-06-04
3000. ENSCO PLC 7.750% 2/01/26
2019-04-04
2019-06-06
1000. HEALTHSOUTH CORP 5.750% 11/01/24
2019-01-09
2019-06-07
.3333 CORTEVA INC
2018-09-19
2019-06-10
47. CORTEVA INC
2019-06-10
47. DOW INC
2019-06-11
47. DUPONT DE NEMOURS INC
2019-06-11
34. EQUIFAX INC
2019-06-11
48. FIDELITY NATL INFORMATION SVCS INC
2019-06-11
.8571 KONTOOR BRANDS INC
2018-11-27
2019-06-13
71. BANK OF AMERICA CORP
2018-11-20
2019-06-14
54. BRITISH AMERICAN TOBACCO P.L.C - ADR
2018-09-17
2019-06-14
36. CISCO SYSTEMS INC
2018-09-17
2019-06-14
177. ING GROEP N.V. - ADR
2018-09-26
2019-06-14
25. LVMH MOET HENNESSY UNSP ADR - ADR
2018-09-17
2019-06-14
15. MICROSOFT CORP
2018-09-17
2019-06-14
175. NESTLE S.A. REGISTERED SHARES - ADR
2019-06-14
41. TC ENERGY CORP
2018-09-17
2019-06-14
183. COCA-COLA EUROPEAN PARTNERS
2019-06-14
6000. LENNAR CORP 4.500% 6/15/19
2019-06-15
120. APACHE CORP
2019-02-01
2019-06-18
112. CONOCOPHILLIPS
2019-06-18
36. EVERETT SPINCO INC
2018-11-27
2019-06-18
4000. DIAMONDBACK ENERGY 4.750% 11/01/24
2018-09-17
2019-06-18
63. EOG RESOURCES, INC
2019-06-18
16. FOX CORP
2019-03-20
2019-06-18
142. HALLIBURTON CO
2019-05-16
2019-06-18
3. KONTOOR BRANDS INC
2018-11-27
2019-06-18
5000. LIMITED BRANDS INC 6.625% 4/01/21
2019-06-18
103. MICRON TECHNOLOGY INC
2019-06-18
164. MURPHY OIL CORP
2019-06-18
50. NUCOR CORP
2018-10-22
2019-06-18
48. PHILIP MORRIS INTERNATIONAL IN
2019-03-06
2019-06-18
95. SCHWAB CHARLES CORP NEW
2019-06-18
3000. DIAMONDBACK ENERGY 4.750% 11/01/24
2019-06-19
.3333 DUPONT DE NEMOURS INC
2019-02-07
2019-06-19
15479.876 INV BALANCE RISK COMM STR-Y 8611
2019-01-30
2019-06-20
11750.882 EATON VANCE GLOBAL MACRO - I
2019-06-20
8399.367 ABBEY CAP FUTURES STRAT-I #231
2019-06-20
161260.121 WFA SHORT DURATION GOVT-R6 #4656
2018-12-13
2019-06-20
102. RED HAT INC
2019-06-24
2000. ROWAN COMPANIES INC 4.875% 6/01/22
2018-09-20
2019-06-24
2000. ROWAN COMPANIES INC 4.875% 6/01/22
2018-09-20
2019-06-27
3000. OLIN CORP 5.125% 9/15/27
2018-10-22
2019-06-28
3000. ROWAN COMPANIES INC 4.875% 6/01/22
2018-09-20
2019-07-01
4000. OLIN CORP 5.125% 9/15/27
2019-07-03
5000. HCA INC 5.875% 3/15/22
2018-09-17
2019-07-05
12. RED HAT INC
2018-11-27
2019-07-09
2000. CCO HLDGS LLC/CAP CO 5.125% 2/15/23
2018-09-18
2019-07-10
3000. CCO HLDGS LLC/CAP CO 5.125% 2/15/23
2018-09-18
2019-07-15
25000. KEYCORP 5.100% 3/24/21
2019-07-15
2000. CF INDUSTRIES INC 3.450% 6/01/23
2018-10-03
2019-07-18
25000. VISA INC 2.800% 12/14/22
2018-12-19
2019-07-18
5000. CENTURYLINK INC 7.500% 4/01/24
2019-03-19
2019-07-19
2000. CHESAPEAKE ENERGY CO 8.000% 1/15/25
2018-09-27
2019-07-23
7000. CHESAPEAKE ENERGY CO 8.000% 6/15/27
2019-07-23
5000. T-MOBILE USA INC 5.375% 4/15/27
2018-09-18
2019-07-23
3000. CHESAPEAKE ENERGY CO 8.000% 1/15/25
2019-07-24
4000. DIAMONDBACK ENERGY 5.375% 5/31/25
2018-09-21
2019-07-24
113. ABBVIE INC
2019-07-26
3000. DIAMONDBACK ENERGY 5.375% 5/31/25
2019-07-26
143. KROGER CO
2019-05-16
2019-07-26
54. NETAPP INC
2019-02-01
2019-07-26
29. SIMON PROPERTY GROUP INC
2019-07-26
16. UNITEDHEALTH GROUP INC
2018-11-18
2019-07-26
79. WORLDPAY INC
2018-09-19
2019-07-31
39. WORLDPAY INC
2018-10-19
2019-07-31
41. WORLDPAY INC
2018-11-27
2019-07-31
23. WORLDPAY INC
2018-10-09
2019-07-31
27. WORLDPAY INC
2019-02-07
2019-07-31
6000. ICAHN ENTERPRISES/FI 6.000% 8/01/20
2019-08-01
50. HASBRO INC
2018-09-17
2019-08-07
55. LVMH MOET HENNESSY UNSP ADR - ADR
2018-09-17
2019-08-07
21. MICROSOFT CORP
2018-09-17
2019-08-07
647. PUBLICIS GROUPE S.A. - ADR
2019-08-07
243. PENTAIR PLC
2019-08-07
50. ANADARKO PETROLEUM CORP
2019-05-16
2019-08-09
97.943 PRINCIPAL PREFERRED SEC-R6 #8200
2019-06-03
2019-08-21
11027.909 AMER CENT SMALL CAP GRWTH INST 336
2019-08-22
2806.624 ARTISAN MID CAP FUND-INSTL 1333
2019-01-30
2019-08-22
4997.501 DODGE & COX INT'L STOCK FD #1048
2019-01-30
2019-08-22
6720.43 FIDELITY NEW MRKTS INC-Z #3323
2019-01-30
2019-08-22
2782.415 JP MORGAN MID CAP VALUE-I #758
2019-01-30
2019-08-22
2000. ISHARES CORE S & P 500 ETF
2019-08-22
2500. ISHARES S&P MID-CAP 400 GROWTH
2019-08-22
2500. ISHARES RUSSELL 2000 ETF
2018-10-04
2019-08-22
3500. ISHARES S&P MID-CAP 400 VALUE
2019-08-22
2500. ISHARES CORE MSCI EMERGING
2019-08-22
1000. ISHARES CORE MSCI EMERGING
2018-10-04
2019-08-22
10050.251 T ROWE PR OVERSEAS STOCK-I #521
2019-01-30
2019-08-22
260.68 T ROWE PR REAL ESTATE-I #432
2018-09-06
2019-08-22
2091.787 T ROWE PR REAL ESTATE-I #432
2019-06-20
2019-08-22
2335.938 STERLING CAPITAL STRATTON SMALL CAP
2019-08-22
2000. VANGUARD FTSE EMERGING MARKETS ETF
2019-06-20
2019-08-22
42000.926 WFA SHORT DURATION GOVT-R6 #4656
2018-12-13
2019-08-22
861. SYMANTEC CORP
2019-08-27
17. ALIGN TECHNOLOGY INC
2019-08-28
292. ANNALY CAPITAL MANAGEMENT INC.
2018-10-22
2019-08-28
345. BANK OF AMERICA CORP
2018-09-18
2019-08-28
42. CDK GLOBAL INC
2018-11-27
2019-08-28
120. CABOT CORP COM
2018-12-18
2019-08-28
112. CABOT OIL & GAS CORP CL A
2018-12-18
2019-08-28
46. CATERPILLAR INC
2019-08-28
67. CORNING INC
2018-11-27
2019-08-28
217. DEVON ENERGY CORPORATION
2019-08-28
70. DOW INC
2019-08-28
52. DUPONT DE NEMOURS INC
2019-07-26
2019-08-28
27. EASTMAN CHEM CO COM
2018-11-27
2019-08-28
48. EMERSON ELECTRIC CO
2018-11-27
2019-08-28
298. EXXON MOBIL CORPORATION
2019-08-28
20. FEDEX CORPORATION
2019-03-06
2019-08-28
352. FORD MOTOR COMPANY
2019-05-16
2019-08-28
345. FREEPORT-MCMORAN INC.
2019-06-18
2019-08-28
20. GARTNER INC
2018-10-22
2019-08-28
629. GENERAL ELECTRIC CO
2019-08-28
29. GENUINE PARTS CO
2018-10-22
2019-08-28
141. HEWLETT PACKARD ENTERPRISE CO
2018-11-27
2019-08-28
153. HOST HOTELS & RESORTS, INC.
2018-10-22
2019-08-28
27. INTERNATIONAL FLAVORS & FRAGRANCES
2019-05-16
2019-08-28
46. INTERNATIONAL PAPER CO
2018-11-27
2019-08-28
57. JOHNSON & JOHNSON
2018-09-18
2019-08-28
21. M & T BANK CORPORATION COM
2019-02-01
2019-08-28
71. MARATHON PETROLEUM CORP.
2019-05-16
2019-08-28
19. NETFLIX.COM INC
2019-02-01
2019-08-28
.67 OCCIDENTAL PETE CORP
2019-08-09
2019-08-28
848. PFIZER INC
2019-08-28
25. PIONEER NAT RES CO COM
2019-02-01
2019-08-28
37. PRUDENTIAL FINL INC
2019-02-01
2019-08-28
13. ROCKWELL AUTOMATION INC
2018-11-27
2019-08-28
103. SCHLUMBERGER LTD
2019-06-18
2019-08-28
169. WILLIAMS COS INC
2019-02-01
2019-08-28
.098 FIDELITY NATL INFORMATION SVCS INC
2018-09-19
2019-08-29
.005 FIDELITY NATL INFORMATION SVCS INC
2018-11-27
2019-08-29
355. MSG NETWORKS INC
2019-08-27
2019-08-30
5000. CLEAR CHANNEL WORLDW 6.500% 11/15/22
2018-10-02
2019-09-04
20616.325 WFA SHORT DURATION GOVT-R6 #4656
2018-12-13
2019-09-06
6000. THC ESCROW CORP 6.000% 10/01/20
2019-09-11
5000. DAVITA INC 5.750% 8/15/22
2019-09-13
5000. TRIBUNE MEDIA CO 5.875% 7/15/22
2019-09-19
85. SCHWAB CHARLES CORP NEW
2018-09-19
2019-10-01
82. TD AMERITRADE HLDG CORP
2018-09-19
2019-10-01
79. SCHWAB CHARLES CORP NEW
2019-10-02
17. ALEXION PHARMACEUTICALS INC
2018-09-18
2019-10-03
253. ALTRIA GROUP INC
2019-10-03
10. ANTHEM INC
2018-09-18
2019-10-03
11. ANTHEM INC
2018-10-22
2019-10-03
80. MICRON TECHNOLOGY INC
2019-07-26
2019-10-03
48. PHILIP MORRIS INTERNATIONAL IN
2019-10-03
42. ROYAL GOLD INC
2019-08-28
2019-10-03
47. TD AMERITRADE HLDG CORP
2019-02-07
2019-10-03
33. TD AMERITRADE HLDG CORP
2018-09-19
2019-10-03
3. UNITEDHEALTH GROUP INC
2018-09-18
2019-10-03
33. UNITEDHEALTH GROUP INC
2019-10-03
28. BECTON DICKINSON & CO
2018-09-19
2019-10-07
4. BOOKING HOLDINGS INC
2018-09-19
2019-10-07
23. PHILIP MORRIS INTERNATIONAL IN
2018-09-19
2019-10-07
18. PHILIP MORRIS INTERNATIONAL IN
2018-10-19
2019-10-07
81. SCHWAB CHARLES CORP NEW
2019-10-07
44. CHUBB LTD
2019-10-07
36. CHUBB LTD
2019-10-07
2000. ARAMARK SERVICES INC 5.125% 1/15/24
2018-09-21
2019-10-08
157. TD AMERITRADE HLDG CORP
2019-10-08
3000. ARAMARK SERVICES INC 5.125% 1/15/24
2018-09-21
2019-10-09
78. SCHWAB CHARLES CORP NEW
2018-12-18
2019-10-09
25000. DOW CHEMICAL CO/THE 4.125% 11/15/21
2019-02-07
2019-10-11
6000. SERVICE CORP INTL 5.125% 6/01/29
2019-10-11
15000. WALGREEN CO 3.100% 9/15/22
2019-02-07
2019-10-11
8. AMAZON COM INC COM
2019-10-15
5000. ISTAR INC 6.500% 7/01/21
2018-09-27
2019-10-16
83. PHILIP MORRIS INTERNATIONAL IN
2018-09-19
2019-10-17
92. PHILIP MORRIS INTERNATIONAL IN
2019-10-17
4000. CCO HLDGS LLC/CAP CO 5.750% 1/15/24
2018-10-10
2019-10-18
1000. CCO HLDGS LLC/CAP CO 5.750% 1/15/24
2018-10-10
2019-10-23
38. MCDONALDS CORP
2019-10-23
31. MCDONALDS CORP
2019-10-23
3000. EDISON INTERNATIONAL 5.750% 6/15/27
2019-07-16
2019-10-28
81. NIKE INC CL B
2019-10-28
26. STRYKER CORP
2019-02-07
2019-10-28
9. STRYKER CORP
2018-09-19
2019-10-28
113. TENCENT HOLDINGS LTD-UNS ADR
2019-02-07
2019-10-28
63. TENCENT HOLDINGS LTD-UNS ADR
2018-09-19
2019-10-28
53. AT & T INC
2018-10-08
2019-10-29
923. FERGUSON NEWCO PLC-ADR
2018-09-17
2019-10-29
6. LOCKHEED MARTIN CORP
2018-09-17
2019-10-29
25. MERCK & CO INC NEW
2018-10-19
2019-10-29
15. MICROSOFT CORP
2018-09-17
2019-10-29
195. MONDELEZ INTERNATIONAL INC
2018-09-17
2019-10-29
24. NOVARTIS AG - ADR
2018-10-19
2019-10-29
55. ROCHE HOLDINGS LTD - ADR
2018-09-17
2019-10-29
56. TC ENERGY CORP
2018-09-17
2019-10-29
34. VERIZON COMMUNICATIONS
2018-11-20
2019-10-29
145. ANIXTER INTL INC
2019-08-27
2019-10-30
1000. EDISON INTERNATIONAL 5.750% 6/15/27
2019-07-17
2019-10-30
2000. HEALTHSOUTH CORP 5.750% 11/01/24
2019-01-09
2019-11-01
6000. WELLCARE HEALTH PLAN 5.250% 4/01/25
2019-11-01
2000. ANTERO RESOURCES COR 5.125% 12/01/22
2019-08-01
2019-11-04
2000. ANTERO RESOURCES COR 5.125% 12/01/22
2019-11-05
2000. ANTERO RESOURCES COR 5.125% 12/01/22
2019-07-29
2019-11-06
14. NETFLIX.COM INC
2019-11-06
11. ULTA SALON COSMETICS & FRAGRAN
2018-10-22
2019-11-06
62. QIAGEN N.V.
2018-11-27
2019-11-06
4000. EQUINIX INC 5.750% 1/01/25
2019-11-13
2000. EQUINIX INC 5.750% 1/01/25
2019-01-15
2019-11-13
2000. EDISON INTERNATIONAL 5.750% 6/15/27
2019-07-17
2019-11-14
5. AMAZON COM INC COM
2018-09-19
2019-11-18
18. BECTON DICKINSON & CO
2018-09-19
2019-11-18
7. BECTON DICKINSON & CO
2019-02-07
2019-11-18
7. HONEYWELL INTERNATIONAL INC
2019-02-07
2019-11-18
50. HONEYWELL INTERNATIONAL INC
2019-11-18
56. INTERCONTINENTALEXCHANGE GROUPINC
2019-11-18
70. INTERCONTINENTALEXCHANGE GROUPINC
2019-11-18
25. INTUIT COM
2019-06-11
2019-11-18
33. NEXTERA ENERGY INC
2019-02-22
2019-11-18
6000. UNITED RENTALS NORTH 4.625% 7/15/23
2019-11-20
46. CELGENE CORP COM
2018-11-27
2019-11-21
15000. JPMORGAN CHASE & CO 4.250% 10/15/20
2018-09-17
2019-11-25
15000. JPMORGAN CHASE & CO 4.250% 10/15/20
2019-11-25
5000. LEVEL 3 COMMUNICATIO 5.750% 12/01/22
2018-10-10
2019-12-01
1000. LEVEL 3 COMMUNICATIO 5.750% 12/01/22
2019-01-04
2019-12-01
25000. AMERICAN EXPRESS CRE 2.700% 3/03/22
2019-02-07
2019-12-03
4000. BOYD GAMING CORP 6.875% 5/15/23
2018-10-10
2019-12-03
2000. BOYD GAMING CORP 6.875% 5/15/23
2019-01-08
2019-12-03
55. ISHARES BARCLAYS MBS BOND FUND
2019-08-23
2019-12-03
15000. SUNTRUST BANKS INC 2.900% 3/03/21
2018-09-24
2019-12-03
35000. SUNTRUST BANKS INC 2.900% 3/03/21
2019-12-03
5524.862 JOHN HANCOCK II-CURR STR-I 3643
2018-10-04
2019-12-06
11312.287 JOHN HANCOCK II-CURR STR-I 3643
2019-12-06
10000. REGIONS FINANCIAL CO 3.200% 2/08/21
2018-09-19
2019-12-06
35000. REGIONS FINANCIAL CO 3.200% 2/08/21
2019-12-06
118. CENTERPOINT ENERGY INC
2019-03-06
2019-12-10
10923.885 EATON VANCE FLOATING RATE FD-I #924
2018-12-07
2019-12-10
14. OCCIDENTAL PETE CORP
2019-08-09
2019-12-10
9032.042 T ROWE PR REAL ESTATE-I #432
2019-12-10
6117.276 T ROWE PR REAL ESTATE-I #432
2019-12-10
127. AT & T INC
2018-10-08
2019-12-11
62. CHEVRON CORP
2019-12-11
18. CHEVRON CORP
2018-12-17
2019-12-11
37. MICROSOFT CORP
2018-09-17
2019-12-11
493. NIELSEN HLDGS PLC
2019-12-11
138. NIELSEN HLDGS PLC
2018-12-17
2019-12-11
25000. TOYOTA MOTOR CREDIT 3.400% 9/15/21
2018-12-18
2019-12-13
40000. UNITED TECHNOLOGIES 3.100% 6/01/22
2019-12-13
50000. WELLPOINT INC 3.300% 1/15/23
2019-12-13
20000. TIME WARNER INC 3.800% 2/15/27
2019-05-31
2019-12-16
.11 TRUIST FINANCIAL CORP
2018-09-18
2019-12-27
.75 CALLON PETE CO DEL COM
2019-08-27
2019-12-30
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
678
858
-180
b
2,558
2,858
-300
c
4,263
5,088
-825
d
703
858
-155
e
2,565
2,869
-304
1,710
1,913
-203
3,526
3,597
-71
81
80
1
1,880
2,016
-136
4
4
1,880
2,036
-156
2,642
2,860
-218
2,317
2,408
-91
2,317
2,298
19
6,550
7,799
-1,249
2,588
2,942
-354
2,794
3,056
-262
2,707
3,324
-617
14,314
16,599
-2,285
2,638
3,363
-725
2,663
2,883
-220
2,552
2,270
282
5,359
5,947
-588
3,961
3,787
174
2,919
3,235
-316
7,788
8,292
-504
6,612
6,643
-31
2,704
2,694
10
1,306
1,581
-275
1,306
1,558
-252
5,426
6,207
-781
5,951
7,105
-1,154
4,020
4,650
-630
3,978
4,458
-480
2,948
3,142
-194
2,828
3,023
-195
3,124
3,161
-37
608,325
606,432
1,893
2,232
2,220
12
24,936
24,771
165
14,879
14,832
47
4,813
7,739
-2,926
1,090
1,096
-6
1,906
1,905
1
7,743
7,318
425
7,950
8,797
-847
1,272
1,408
-136
7,252
6,698
554
2,975
2,494
481
3,187
3,130
57
1,215
1,489
-274
1,436
1,760
-324
4,444
3,775
669
6,075
6,065
10
13,970
13,859
111
5,235
6,215
-980
4,079
4,695
-616
1,904
2,173
-269
3,178
3,492
-314
1,398
1,750
-352
19,741
24,726
-4,985
3,246
3,460
-214
1,992
2,116
-124
2,663
2,876
-213
1,982
2,123
-141
2,680
2,790
-110
2,390
2,756
-366
2,606
2,988
-382
3,016
3,279
-263
2,081
2,173
-92
2,004
2,556
-552
3,065
3,502
-437
483
655
-172
2,872
2,978
-106
2,801
2,902
-101
2,091
2,196
-105
1,920
2,103
-183
3,008
3,200
-192
3,273
3,807
-534
2,659
3,155
-496
3,186
3,523
-337
1,883
2,124
-241
3,267
3,869
-602
2,671
2,923
-252
2,457
2,621
-164
2,368
3,452
-1,084
1,903
2,096
-193
2,931
3,144
-213
2,857
2,944
-87
3,070
3,379
-309
2,075
2,321
-246
3,058
3,776
-718
2,773
2,928
-155
2,114
2,252
-138
3,582
4,001
-419
1,656
2,187
-531
3,008
3,248
-240
4,401
5,384
-983
2,397
2,557
-160
1,941
2,105
-164
1,814
2,118
-304
2,060
2,101
-41
2,482
2,887
-405
3,934
3,981
-47
76
77
-1
1,201
1,209
-8
1,810
1,776
34
3,060
3,188
-128
2,018
2,030
-12
2,043
2,125
-82
3,854
4,881
-1,027
3,304
4,154
-850
3,023
3,045
-22
2,045
1,905
140
928
928
1,899
1,645
254
911
872
39
680
588
92
326
311
15
1,899
1,631
268
670
583
87
7
6
1
2,775
2,775
6,822
5,985
837
16,511
20,025
-3,514
11,360
11,956
-596
916
925
-9
27
29
-2
915
901
14
1,943
2,265
-322
2,620
2,685
-65
4,478
6,226
-1,748
5,464
6,028
-564
1,978
2,148
-170
3,864
4,003
-139
2,713
2,971
-258
2,055
2,110
-55
2,072
2,185
-113
4,880
5,889
-1,009
4,381
5,361
-980
3,505
4,246
-741
985
984
1
557,694
555,382
2,312
1,024
1,024
3,069
3,062
7
29
25
4
18
23
-5
2,933
2,935
-2
12
11
1
25
27
-2
3,910
3,763
147
25
27
-2
4,061
3,604
457
2,970
3,008
-38
2,065
2,105
-40
97
5,629
-5,532
2,048
2,105
-57
3,880
3,965
-85
8,486
14,881
-6,395
24,979
24,659
320
2,239
2,604
-365
10,627
12,219
-1,592
2,951
3,210
-259
5,097
5,568
-471
5,541
6,203
-662
3,053
3,666
-613
6,446
7,734
-1,288
3,174
2,970
204
910
978
-68
2,599
2,896
-297
2,101
2,282
-181
1,007
1,140
-133
7,954
9,442
-1,488
4,215
5,380
-1,165
1,862
2,337
-475
4,155
4,631
-476
3,203
3,413
-210
3,209
4,807
-1,598
8,148
9,678
-1,530
207
231
-24
4,671
4,977
-306
973
986
-13
2,035
2,105
-70
4,863
4,883
-20
3,124
3,137
-13
4,130
4,065
65
25,005
24,716
289
1,500
1,725
-225
1,510
1,725
-215
2,228
2,580
-352
1,019
1,010
9
9
12
-3
1,222
1,483
-261
2,430
2,896
-466
3,480
4,284
-804
4,440
4,476
-36
5,877
5,245
632
24
29
-5
1,982
1,941
41
1,961
2,606
-645
1,982
1,705
277
1,942
2,413
-471
1,981
1,689
292
1,987
1,689
298
17,758
14,665
3,093
2,006
1,738
268
10,375
8,577
1,798
6,000
6,040
-40
3,462
3,887
-425
6,730
7,620
-890
1,948
2,179
-231
4,095
4,020
75
5,602
6,273
-671
584
644
-60
3,182
3,693
-511
80
102
-22
5,300
5,249
51
3,570
3,934
-364
3,946
4,691
-745
2,641
2,942
-301
3,672
4,186
-514
3,922
4,359
-437
3,075
2,956
119
24
26
-2
98,297
100,000
-1,703
102,233
100,171
2,062
98,777
90,697
8,080
1,570,674
1,549,710
20,964
19,112
15,806
3,306
1,815
1,905
-90
1,840
1,905
-65
3,079
2,858
221
2,775
2,858
-83
4,110
3,758
352
5,477
5,318
159
2,280
2,125
155
2,035
2,008
27
3,049
3,011
38
26,083
25,999
84
2,023
1,950
73
25,536
24,624
912
5,525
5,300
225
1,670
2,062
-392
5,495
6,815
-1,320
5,350
5,027
323
2,524
3,061
-537
4,200
4,095
105
7,685
9,313
-1,628
3,150
3,024
126
3,069
3,634
-565
3,183
3,569
-386
4,553
5,147
-594
4,014
4,579
-565
8,575
7,706
869
4,145
3,716
429
3,573
3,122
451
2,371
2,118
253
2,581
2,284
297
6,000
6,074
-74
5,645
5,312
333
4,392
3,716
676
2,791
2,365
426
7,454
9,734
-2,280
8,871
10,121
-1,250
3,629
3,645
-16
1,000
975
25
199,826
201,933
-2,107
122,004
100,000
22,004
194,853
200,000
-5,147
100,134
100,000
134
105,147
100,000
5,147
589,828
569,644
20,184
558,969
555,549
3,420
376,592
409,322
-32,730
538,089
564,096
-26,007
119,637
125,740
-6,103
47,855
49,430
-1,575
99,899
100,000
-101
7,614
7,518
96
61,101
61,812
-711
178,699
189,378
-10,679
79,963
85,560
-5,597
409,929
403,629
6,300
19,971
18,054
1,917
2,963
3,934
-971
2,416
2,834
-418
9,194
10,443
-1,249
1,770
2,084
-314
4,650
5,163
-513
1,856
2,573
-717
5,244
6,023
-779
1,824
2,111
-287
4,727
5,666
-939
2,931
3,907
-976
3,349
3,818
-469
1,693
2,101
-408
2,761
3,208
-447
20,216
23,575
-3,359
3,027
3,574
-547
3,108
3,660
-552
3,040
3,918
-878
2,605
2,957
-352
4,984
6,011
-1,027
2,563
2,902
-339
1,876
2,099
-223
2,421
2,904
-483
2,917
3,697
-780
1,709
2,086
-377
7,299
8,016
-717
3,038
3,448
-410
3,244
3,713
-469
5,526
6,528
-1,002
29
31
-2
29,558
36,645
-7,087
3,006
3,588
-582
2,907
3,426
-519
1,900
2,186
-286
3,287
3,845
-558
3,917
4,589
-672
13
10
3
1
1
5,778
4,977
801
5,108
5,119
-11
201,422
198,123
3,299
6,234
6,183
51
5,048
5,088
-40
5,073
5,101
-28
3,174
4,393
-1,219
2,907
4,601
-1,694
2,934
4,057
-1,123
1,676
2,052
-376
10,239
12,008
-1,769
2,379
2,716
-337
2,617
3,043
-426
3,417
3,801
-384
3,686
4,135
-449
5,359
5,678
-319
1,539
2,566
-1,027
1,080
1,852
-772
644
791
-147
7,086
8,569
-1,483
7,005
7,297
-292
7,819
7,620
199
1,794
1,862
-68
1,404
1,599
-195
2,879
3,605
-726
7,060
6,266
794
5,776
4,645
1,131
2,060
2,033
27
5,245
7,683
-2,438
3,090
3,049
41
2,791
3,176
-385
25,903
25,635
268
6,413
6,345
68
15,375
14,921
454
13,991
16,300
-2,309
5,081
5,125
-44
6,530
6,720
-190
7,238
7,073
165
4,077
4,030
47
1,023
1,008
15
7,587
6,145
1,442
6,189
5,554
635
3,161
3,326
-165
7,346
6,897
449
5,563
4,666
897
1,926
1,558
368
4,649
4,954
-305
2,592
2,635
-43
2,031
1,793
238
7,640
7,799
-159
2,246
2,032
214
2,104
1,808
296
2,152
1,689
463
10,297
8,467
1,830
2,112
1,838
274
2,031
1,692
339
2,827
2,374
453
2,046
2,058
-12
11,872
8,429
3,443
1,095
1,108
-13
2,019
2,020
-1
6,270
6,015
255
1,645
1,880
-235
1,645
1,879
-234
1,645
1,878
-233
4,022
4,655
-633
2,671
3,005
-334
1,901
2,123
-222
4,132
4,146
-14
2,066
2,058
8
2,187
2,215
-28
8,748
9,578
-830
4,378
4,691
-313
1,703
1,685
18
1,256
1,035
221
8,970
8,120
850
5,186
4,243
943
6,483
5,503
980
6,703
6,543
160
7,660
6,192
1,468
6,139
6,001
138
5,001
3,157
1,844
15,303
15,317
-14
15,303
15,244
59
5,000
5,019
-19
1,000
991
9
25,428
24,961
467
4,138
4,175
-37
2,069
2,041
28
5,942
5,958
-16
15,156
14,824
332
35,364
35,191
173
50,196
50,000
196
102,777
101,980
797
10,148
9,934
214
35,518
35,272
246
2,955
3,571
-616
96,130
97,113
-983
529
648
-119
270,239
253,158
17,081
183,029
170,041
12,988
4,836
4,298
538
7,231
7,304
-73
2,099
2,062
37
5,588
4,167
1,421
9,667
13,458
-3,791
2,706
3,562
-856
25,653
25,173
480
41,026
40,851
175
51,679
50,951
728
21,090
20,394
696
6
6
4
3
1
36,191
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
-180
b
-300
c
-825
d
-155
e
-304
-203
-71
1
-136
-156
-218
-91
19
-1,249
-354
-262
-617
-2,285
-725
-220
282
-588
174
-316
-504
-31
10
-275
-252
-781
-1,154
-630
-480
-194
-195
-37
1,893
12
165
47
-2,926
-6
1
425
-847
-136
554
481
57
-274
-324
669
10
111
-980
-616
-269
-314
-352
-4,985
-214
-124
-213
-141
-110
-366
-382
-263
-92
-552
-437
-172
-106
-101
-105
-183
-192
-534
-496
-337
-241
-602
-252
-164
-1,084
-193
-213
-87
-309
-246
-718
-155
-138
-419
-531
-240
-983
-160
-164
-304
-41
-405
-47
-1
-8
34
-128
-12
-82
-1,027
-850
-22
140
254
39
92
15
268
87
1
837
-3,514
-596
-9
-2
14
-322
-65
-1,748
-564
-170
-139
-258
-55
-113
-1,009
-980
-741
1
2,312
7
4
-5
-2
1
-2
147
-2
457
-38
-40
-5,532
-57
-85
-6,395
320
-365
-1,592
-259
-471
-662
-613
-1,288
204
-68
-297
-181
-133
-1,488
-1,165
-475
-476
-210
-1,598
-1,530
-24
-306
-13
-70
-20
-13
65
289
-225
-215
-352
9
-3
-261
-466
-804
-36
632
-5
41
-645
277
-471
292
298
3,093
268
1,798
-40
-425
-890
-231
75
-671
-60
-511
-22
51
-364
-745
-301
-514
-437
119
-2
-1,703
2,062
8,080
20,964
3,306
-90
-65
221
-83
352
159
155
27
38
84
73
912
225
-392
-1,320
323
-537
105
-1,628
126
-565
-386
-594
-565
869
429
451
253
297
-74
333
676
426
-2,280
-1,250
-16
25
-2,107
22,004
-5,147
134
5,147
20,184
3,420
-32,730
-26,007
-6,103
-1,575
-101
96
-711
-10,679
-5,597
6,300
1,917
-971
-418
-1,249
-314
-513
-717
-779
-287
-939
-976
-469
-408
-447
-3,359
-547
-552
-878
-352
-1,027
-339
-223
-483
-780
-377
-717
-410
-469
-1,002
-2
-7,087
-582
-519
-286
-558
-672
3
801
-11
3,299
51
-40
-28
-1,219
-1,694
-1,123
-376
-1,769
-337
-426
-384
-449
-319
-1,027
-772
-147
-1,483
-292
199
-68
-195
-726
794
1,131
27
-2,438
41
-385
268
68
454
-2,309
-44
-190
165
47
15
1,442
635
-165
449
897
368
-305
-43
238
-159
214
296
463
1,830
274
339
453
-12
3,443
-13
-1
255
-235
-234
-233
-633
-334
-222
-14
8
-28
-830
-313
18
221
850
943
980
160
1,468
138
1,844
-14
59
-19
9
467
-37
28
-16
332
173
196
797
214
246
-616
-983
-119
17,081
12,988
538
-73
37
1,421
-3,791
-856
480
175
728
696
1
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
-22,889
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
7,464
15,787,286
0.000473
2017
2016
2015
2014
2
Total
of line 1, column (d)
.....................
2
0.000473
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
0.000473
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
16,331,323
5
Multiply line 4 by line 3
......................
5
7,725
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
3,394
7
Add lines 5 and 6
........................
7
11,119
8
Enter qualifying distributions from Part XII, line 4
,.............
8
831,509
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
3,394
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
3,394
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
3,394
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
4,166
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
2,622
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
6,788
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
3,394
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
3,394
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)
NC
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
Yes
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
No
Website address
14
The books are in care of
WELLS FARGO BANK NA
Telephone no.
Located at
100 N MAIN ST MAC D4001-117
WINSTON SALEM
NC
ZIP+4
27101
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
WELLS FARGO BANK N A
TRUSTEE
1
112,987
100 N MAIN ST MAC D4001-117
WINSTON SALEM
,
NC
27101
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
15,884,341
b
Average of monthly cash balances
.......................
1b
695,682
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
16,580,023
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
16,580,023
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
248,700
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
16,331,323
6
Minimum investment return.
Enter 5% of line 5
..................
6
816,566
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
816,566
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
3,394
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
3,394
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
813,172
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
813,172
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
813,172
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
831,509
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
831,509
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
3,394
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
828,115
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
813,172
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
265,258
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:
$
831,509
a
Applied to 2018, but not more than line 2a
265,258
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
.....
566,251
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
..........
246,921
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
BEST FRIENDS ANIMAL SANCTUARY
ATTN MARY MCDONELL
KANOB
,
UT
84741
NONE
PC
GENERAL OPERATING
266,756
NEVADA HUMANE SOCIETY INC
ATTN JAN WATSON
RENO
,
NV
89502
NONE
PC
GENERAL OPERATING
266,756
SPCA OF NEVADA
ATTN JILL DOBBS
RENO
,
NV
89512
NONE
PC
GENERAL OPERATING
266,756
Total
.................................
3a
800,268
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
440,702
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
-22,889
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)
..
417,813
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
417,813
(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