Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 10-01-2018 , and ending 09-30-2019
Name of foundation
GEORGIA BLOSSER TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 0634
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI532010634
A Employer identification number

43-6018191
B Telephone number (see instructions)

(314) 418-2643
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$5,050,163J Accounting method:
 
(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)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 128,111 128,111  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 63,663
b Gross sales price for all assets on line 6a 1,923,610
7 Capital gain net income (from Part IV, line 2)... 63,663
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........ 191,774 191,774  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 61,372 55,235   6,137
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)....... Click to see attachment 2,500 0 0 2,500
c Other professional fees (attach schedule).... Click to see attachment 650 585   65
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 7,872 2,731   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)....... Click to see attachment 905 905    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 73,299 59,456 0 8,702
25 Contributions, gifts, grants paid....... 85,587 85,587
26 Total expenses and disbursements. Add lines 24 and 25 158,886 59,456 0 94,289
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 32,888
b Net investment income (if negative, enter -0-) 132,318
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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
Assets 1 Cash—non-interest-bearing.............   25 25
2 Savings and temporary cash investments......... 46,005 61,684 61,684
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet0      
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)....... 3,485,102 Click to see attachment3,363,390 3,991,833
c Investments—corporate bonds (attach schedule)....... 838,702 Click to see attachment835,366 849,742
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 824 Click to see attachment144,365 146,879
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,370,633 4,404,830 5,050,163
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 4,370,633 4,404,830
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 4,370,633 4,404,830
31 Total liabilities and net assets/fund balances (see instructions). 4,370,633 4,404,830
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 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
4,370,633
2
Enter amount from Part I, line 27a .....................
2
32,888
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,309
4
Add lines 1, 2, and 3 ..........................
4
4,404,830
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
4,404,830
Form 990-PF (2018)
Form 990-PF (2018)
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 70. APPLE COMPUTER INC COM   2010-09-07 2018-10-01
b 290. BAYER A G-SPONS ADR   2017-11-16 2018-10-01
c 200. DELTA AIR LINES INC     2018-10-01
d 230. GILEAD SCIENCES INC COM     2018-10-01
e 265. MARATHON PETROLEUM CORP     2018-10-01
300. MELCO CROWN ENTERTAINMENT LMTD A D R     2018-10-01
45. VISA INC   2017-04-17 2018-10-01
3.32 G N M A #417074 7.500% 10/15/25   1995-10-12 2018-10-15
3.3 G N M A #430605 6.500% 2/15/28   1998-03-10 2018-10-15
1245. ATT INC     2018-10-30
300. BANK OF AMERICA CORP   2017-05-03 2018-10-30
260. CVS CORP COM     2018-10-30
200. DELTA AIR LINES INC   2016-12-28 2018-10-30
350. HORMEL FOODS CORPORATIONCOM   2017-03-17 2018-10-30
215. JP MORGAN CHASE & CO COM     2018-10-30
385. CANON INC ADR REPSTG 5 SHS   2015-10-20 2018-11-02
140. CANON INC ADR REPSTG 5 SHS   2017-06-20 2018-11-02
300. COMCAST CORP CL A   2018-04-19 2018-11-02
120. FAST RETAILING CO UNSPON A D R   2018-01-08 2018-11-02
360. MELCO CROWN ENTERTAINMENT LMTD A D R     2018-11-02
45. RESIDEO TECHNOLOGIES INC     2018-11-02
225. SMITH NEPHEW P L C A D R   2015-10-20 2018-11-02
5. VISA INC   2017-02-13 2018-11-02
55. VISA INC   2017-03-01 2018-11-02
5. VISA INC   2017-04-17 2018-11-02
3.34 G N M A #417074 7.500% 10/15/25   1995-10-12 2018-11-15
3.32 G N M A #430605 6.500% 2/15/28   1998-03-10 2018-11-15
650. CK HUTCHISON HOLDINGS LIMITED ADR   2016-05-27 2018-12-11
130. CVS CORP COM     2018-12-11
425. CANADIAN NATURAL RESOURCES LTD     2018-12-11
125. CTRIP.COM INTERNATIONAL LTD ADR   2018-07-31 2018-12-11
27. GARRETT MOTION INC     2018-12-11
1180. GENERAL ELEC CO     2018-12-11
540. GENERAL ELEC CO   2018-09-04 2018-12-11
150. PNC FINL SVCS GROUP INC COM W/RIGHTS ATTACHED EXP 5/25/2010     2018-12-11
150. PPG INDS INC COM W/RTS ATTACHED EXP 04/30/2008     2018-12-11
225. PEPSICO INC     2018-12-11
315. STMICROELECTRONICS N V   2017-06-05 2018-12-11
3.36 G N M A #417074 7.500% 10/15/25   1995-10-12 2018-12-15
3.34 G N M A #430605 6.500% 2/15/28   1998-03-10 2018-12-15
9. CALL ON SPX 12/21/18 @ 2975.000   2018-03-13 2018-12-21
9. CALL ON SPX 12/21/18 @ 3200.000   2018-03-13 2018-12-21
9. PUT ON SPX 12/21/18 @ 2075.000   2018-03-13 2018-12-21
9. PUT ON SPX 12/21/18 @ 2500.000   2018-03-13 2018-12-26
310. ABB LTD A D R   2016-05-27 2019-01-11
225. ARCELORMITTAL CLASS A N Y REGISTRY   2018-01-08 2019-01-11
200. BRITISH AMER SPON ADR     2019-01-11
175. CANADIAN NATURAL RESOURCES LTD   2017-06-05 2019-01-11
230. INDUSTRIAS BACHOCO SAB DE CV A D R   2015-10-20 2019-01-11
516. SCHLUMBERGER LTD ORD     2019-01-11
370. WESTERN DIGITAL CORP COM     2019-01-11
3.4 G N M A #417074 7.500% 10/15/25   1995-10-12 2019-01-15
3.36 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-01-15
205. BP PLC SPONSORED ADR     2019-02-14
379.426 BARON EMERGING MARKETS INSTITUTIONAL   2018-05-30 2019-02-14
412.415 BARON EMERGING MARKETS INSTITUTIONAL   2018-07-31 2019-02-14
580. CANON INC ADR REPSTG 5 SHS     2019-02-14
315. EQUINOR ASA SPON ADR   2018-11-02 2019-02-14
515. FLY LEASING LTD A D R   2015-10-20 2019-02-14
110. FRESENIUS MED AKTIENGESELLSCHAFT ADR   2015-04-21 2019-02-14
375. INTEL CORP   2018-03-08 2019-02-14
400. RELX PLC SPON A D R   2015-10-27 2019-02-14
1423.395 ROWE T PRICE MID-CAP VALUE FD INC   2014-09-16 2019-02-14
450.417 ROWE T PRICE MID-CAP VALUE FD INC     2019-02-14
1476.915 TCW EMERGING MARKETS INCOME FUND   2014-10-20 2019-02-14
3.41 G N M A #417074 7.500% 10/15/25   1995-10-12 2019-02-15
3.38 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-02-15
.658 ACS ACTIVIDADES CONS UNS A D R   2017-05-19 2019-03-05
1. PFIZER INC   2019-03-13 2019-03-13
3.43 G N M A #417074 7.500% 10/15/25   1995-10-12 2019-03-15
3.4 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-03-15
3.45 G N M A #417074 7.500% 10/15/25   1995-10-12 2019-04-15
3.42 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-04-15
50000. JPM 24M IYR LBR MTN 4/30/19   2017-04-25 2019-04-30
155. ADECCO SA A D R   2016-10-25 2019-05-08
65. AMERICAN TOWER CORP   2018-03-08 2019-05-08
45. CNOOC LTD A D R   2018-01-08 2019-05-08
30. CNOOC LTD A D R   2018-09-04 2019-05-08
175. COMCAST CORP CL A   2017-09-20 2019-05-08
65. HOME DEPOT INC COM     2019-05-08
310. HORMEL FOODS CORPORATIONCOM     2019-05-08
100. INTEL CORP   2018-03-08 2019-05-08
415. INTL CONSLIDATED A SPONS A D R   2019-02-14 2019-05-08
60. KUBOTA LTD A D R   2018-11-02 2019-05-08
90. MICROSOFT CORP COM     2019-05-08
415. SEVEN I HLDGS UNSPN A D R   2017-08-11 2019-05-08
160. SONY CORP AMERN SH NEW     2019-05-08
460. TORAY INDUSTRIES INC A D R   2018-01-08 2019-05-08
120. WESTERN DIGITAL CORP COM   2017-10-06 2019-05-08
18. ALCON INC   2019-02-14 2019-05-08
120. CHUBB LTD   2017-09-13 2019-05-08
400. MYLAN NV   2017-08-11 2019-05-08
3.48 G N M A #417074 7.500% 10/15/25   1995-10-12 2019-05-15
3.44 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-05-15
3.5 G N M A #417074 7.500% 10/15/25   1995-10-12 2019-06-15
3.46 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-06-15
248. ARCELORMITTAL CLASS A N Y REGISTRY     2019-06-17
1391.665 CAUSEWAY EMERGING MARKETS INSTL   2018-05-30 2019-06-17
43.333 CAUSEWAY EMERGING MARKETS INSTL   2018-07-31 2019-06-17
8768.675 GOLDMAN SACHS COMM STRAT INS     2019-06-17
240. INTESA SANPAOLO A D R   2016-03-30 2019-06-17
3774.317 NUVEEN REAL ESTATE SECS I   2014-09-16 2019-06-17
742.043 NUVEEN REAL ESTATE SECS I   2017-06-05 2019-06-17
1409.699 NUVEEN REAL ESTATE SECS I   2018-01-08 2019-06-17
3.52 G N M A #417074 7.500% 10/15/25   1995-10-12 2019-07-15
3.48 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-07-15
3432.971 INVESCO OPPENHEIMER SENIOR FLOATING   2018-03-08 2019-07-19
893.189 BARON EMERGING MARKETS INSTITUTIONAL     2019-07-19
1021.198 CAUSEWAY EMERGING MARKETS INSTL     2019-07-19
555. L BRANDS INC   2019-05-08 2019-07-19
3990.381 NUVEEN REAL ESTATE SECS I   2010-03-04 2019-07-19
945.773 NUVEEN REAL ESTATE SECS I     2019-07-19
5255.37 TCW EMERGING MARKETS INCOME FUND   2014-12-05 2019-07-19
1777.232 TCW EMERGING MARKETS INCOME FUND   2015-07-09 2019-07-19
2348.803 TCW EMERGING MARKETS INCOME FUND     2019-07-19
.8 ACS ACTIVIDADES CONS UNS A D R   2017-05-19 2019-08-13
308.65 G N M A #417074 7.500% 10/15/25   1995-10-12 2019-08-15
3.5 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-08-15
2427.578 INVESCO OPPENHEIMER SENIOR FLOATING     2019-08-19
6331.688 INVESCO OPPENHEIMER SENIOR FLOATING     2019-08-19
95. FAST RETAILING CO UNSPON A D R   2018-01-08 2019-08-19
3322.471 MAINSTAY FLOATING RATE I     2019-08-19
6761.327 MAINSTAY FLOATING RATE I     2019-08-19
272. NESTLE S A SPONSORED ADR REPSTG REG SH     2019-08-19
554.245 NUVEEN REAL ESTATE SECS I   2010-03-04 2019-08-19
425. ORANGE SPON A D R   2016-05-27 2019-08-19
64. ORIX CORP SPONS A D R     2019-08-19
135. RAYTHEON CO COM NEW     2019-08-19
30. RAYTHEON CO COM NEW   2019-02-14 2019-08-19
3.52 G N M A #430605 6.500% 2/15/28   1998-03-10 2019-09-15
60. BAIDU COM INC A D R   2017-05-19 2019-09-19
1020. BANCO SANTANDER SA A D R   2018-11-02 2019-09-19
3655.449 BARON EMERGING MARKETS INSTITUTIONAL   2015-07-09 2019-09-19
728.474 BARON EMERGING MARKETS INSTITUTIONAL   2018-09-04 2019-09-19
275. DAIMLER AG UNSPONSORED A D R   2018-05-29 2019-09-19
123. NESTLE S A SPONSORED ADR REPSTG REG SH     2019-09-19
10254.064 ROBECO BOSTON PARTNERS L S RSRCH     2019-09-19
165. TOTAL FINA SA SPONSORED ADR   2016-01-21 2019-09-19
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 15,987   2,591 13,396
b 6,357   9,248 -2,891
c 11,494   10,060 1,434
d 17,971   15,612 2,359
e 21,916   13,657 8,259
6,339   5,394 945
6,804   4,018 2,786
3   3  
3   3  
37,521   46,664 -9,143
7,896   7,077 819
18,418   20,426 -2,008
10,880   9,946 934
15,070   12,248 2,822
22,589   19,011 3,578
11,112   11,982 -870
4,041   4,949 -908
11,181   10,119 1,062
6,263   5,089 1,174
6,793   6,012 781
937   1,007 -70
8,059   8,002 57
698   433 265
7,676   4,892 2,784
698   446 252
3   3  
3   3  
6,344   7,521 -1,177
9,542   10,074 -532
11,152   12,613 -1,461
3,600   5,170 -1,570
322   364 -42
7,989   31,890 -23,901
3,656   6,912 -3,256
18,531   17,972 559
15,564   16,310 -746
26,527   25,960 567
4,288   5,251 -963
3   3  
3   3  
53,061     53,061
    10,209 -10,209
21,561     21,561
36,972   61,239 -24,267
6,014   6,541 -527
4,966   7,884 -2,918
6,534   13,254 -6,720
4,760   5,073 -313
10,086   13,318 -3,232
21,300   33,150 -11,850
14,846   31,570 -16,724
3   3  
3   3  
8,584   9,339 -755
5,145   5,593 -448
5,592   5,832 -240
16,745   17,912 -1,167
7,119   8,037 -918
5,790   6,890 -1,100
4,169   4,751 -582
18,952   19,012 -60
8,928   6,833 2,095
37,777   47,257 -9,480
11,954   14,260 -2,306
11,889   12,554 -665
3   3  
3   3  
6   5 1
124     124
3   3  
3   3  
3   3  
3   3  
55,777   50,000 5,777
4,332   4,599 -267
12,530   9,246 3,284
7,826   6,928 898
5,217   5,327 -110
7,482   6,572 910
12,698   9,687 3,011
12,191   10,823 1,368
5,009   5,070 -61
5,375   7,076 -1,701
4,286   4,806 -520
11,289   6,410 4,879
6,997   8,454 -1,457
7,770   6,170 1,600
6,026   9,071 -3,045
5,647   10,060 -4,413
1,066   968 98
17,181   17,335 -154
8,726   12,625 -3,899
3   4 -1
3   3  
4   4  
3   3  
3,977   5,610 -1,633
16,505   18,968 -2,463
514   574 -60
91,633   103,922 -12,289
2,926   3,985 -1,059
83,563   86,281 -2,718
16,429   16,600 -171
31,211   28,448 2,763
4   4  
3   3  
26,674   27,979 -1,305
12,612   12,549 63
12,673   13,422 -749
14,402   13,556 846
85,594   57,632 27,962
20,287   18,881 1,406
44,408   43,567 841
15,018   13,898 1,120
19,847   19,603 244
6   6  
309   312 -3
4   3 1
18,522   19,564 -1,042
48,311   51,525 -3,214
5,620   4,029 1,591
30,201   31,010 -809
61,460   63,218 -1,758
30,210   14,918 15,292
12,404   8,005 4,399
6,371   7,367 -996
4,536   1,988 2,548
24,177   20,918 3,259
5,373   5,425 -52
4   4  
6,527   11,267 -4,740
4,082   5,059 -977
50,007   41,745 8,262
9,966   9,805 161
3,572   5,052 -1,480
13,268   4,321 8,947
158,323   161,435 -3,112
8,785   6,773 2,012
      38,723
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       13,396
b       -2,891
c       1,434
d       2,359
e       8,259
      945
      2,786
       
       
      -9,143
      819
      -2,008
      934
      2,822
      3,578
      -870
      -908
      1,062
      1,174
      781
      -70
      57
      265
      2,784
      252
       
       
      -1,177
      -532
      -1,461
      -1,570
      -42
      -23,901
      -3,256
      559
      -746
      567
      -963
       
       
      53,061
      -10,209
      21,561
      -24,267
      -527
      -2,918
      -6,720
      -313
      -3,232
      -11,850
      -16,724
       
       
      -755
      -448
      -240
      -1,167
      -918
      -1,100
      -582
      -60
      2,095
      -9,480
      -2,306
      -665
       
       
      1
      124
       
       
       
       
      5,777
      -267
      3,284
      898
      -110
      910
      3,011
      1,368
      -61
      -1,701
      -520
      4,879
      -1,457
      1,600
      -3,045
      -4,413
      98
      -154
      -3,899
      -1
       
       
       
      -1,633
      -2,463
      -60
      -12,289
      -1,059
      -2,718
      -171
      2,763
       
       
      -1,305
      63
      -749
      846
      27,962
      1,406
      841
      1,120
      244
       
      -3
      1
      -1,042
      -3,214
      1,591
      -809
      -1,758
      15,292
      4,399
      -996
      2,548
      3,259
      -52
       
      -4,740
      -977
      8,262
      161
      -1,480
      8,947
      -3,112
      2,012
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 63,663
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 ................... 		Bracket 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?
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))
2017 250,310 4,946,792 0.0506
2016 221,213 4,694,976 0.047117
2015 213,366 4,492,233 0.047497
2014 258,253 4,912,979 0.052565
2013 254,067 4,990,375 0.050911
2
Total of line 1, column (d) .....................
2
0.24869
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
0.049738
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
4,802,114
5
Multiply line 4 by line 3......................
5
238,848
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,323
7
Add lines 5 and 6........................
7
240,171
8
Enter qualifying distributions from Part XII, line 4,.............
8
94,289
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 (2018)
Form 990-PF (2018)
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 Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
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 2,646
hereBulletand 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 2,646
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 2,646
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 5,048
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 5,048
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,402
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet2,402 RefundedBullet 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. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
    bulletMO
    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 2018 or the taxable year beginning in 2018? 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 (2018)
    Form 990-PF (2018)
    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 addressbulletN/A
    14
    The books are in care ofbulletUS BANK NA Telephone no.bullet (314) 418-2643

    Located atbulletPO BOX 0634MILWAUKEEWI ZIP+4bullet53201
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    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 bullet  
    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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?...............
    (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.).......
    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
    ........bullet
    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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 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.
    bullet20, 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?......................
    b
    If "Yes," did it have excess business holdings in 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    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
     
     
    .........bullet
    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?..........
    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?.....................
    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?
    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? .................
    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
    US BANK NA TRUSTEE
    1     		61,372    
    PO BOX 387
    ST LOUIS,MO63166
    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...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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.............bullet0
    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.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    4,813,606
    b
    Average of monthly cash balances.......................
    1b
    61,637
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,875,243
    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
    4,875,243
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    73,129
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,802,114
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    240,106
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    240,106
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    2,646
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,646
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    237,460
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    237,460
    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
    237,460
    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
    94,289
    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
    94,289
    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
    94,289
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 237,460
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 14,972
    b From 2014...... 0
    c From 2015...... 0
    d From 2016...... 0
    e From 2017...... 8,018
    fTotal of lines 3a through e........ 22,990
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 94,289
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 94,289
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 22,990 22,990
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter 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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		120,181
    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 2013 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 0
    c Excess from 2016.... 0
    d Excess from 2017.... 0
    e Excess from 2018.... 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    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)
    aPaid during the year
    BLOSSER HOME FOR CRIPPLED CHILDREN
    MR MARK THOMPSON TREASURER
    MARSHALL,MO653400040     		NONE PC GENERAL OPERATING 85,587
    Total .................................bullet 3a 85,587
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 128,111  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot 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 63,663  
    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)..   191,774  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    191,774
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		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 (2018)
    Form 990-PF (2018)
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018191
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 2,500     2,500

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018191
    Name of Bond End of Year Book Value End of Year Fair Market Value
    46646QQK4 JPM 24M IYR LBR MTN    
    31420B300 FEDERATED INST HI YL 102,602 104,158
    56063J344 MAINSTAY FLOATING RA    
    670690387 NUVEEN INFLATION PRO    
    024932600 AMER CENT DIVERSIFI 203,286 211,407
    87234N765 TCW EMERGING MARKETS 65,678 71,052
    68381K606 OPPENHEIMER SENIOR F    
    72369L107 PIONEER ILS INTERVAL 100,000 94,503
    024932154 AMERICAN CENTURY HIG 20,909 20,999
    464287226 ISHARES CORE TOTAL U 182,746 185,599
    74440B884 PGIM TOTAL RETURN BO 144,769 146,719
    258620103 DOUBLELINE TOTAL RET 15,376 15,305

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018191
    Name of Stock End of Year Book Value End of Year Fair Market Value
    693506107 P P G INDS INC    
    437076102 HOME DEPOT INC 40,440 64,966
    375558103 GILEAD SCIENCES INC 32,073 29,472
    478160104 JOHNSON JOHNSON 6,009 5,822
    369604103 GENERAL ELECTRIC CO    
    958102105 WESTERN DIGITAL CORP 18,032 22,365
    023135106 AMAZON.COM INC 42,328 74,644
    060505104 BANK OF AMERICA CORP 36,464 56,444
    438516106 HONEYWELL INTERNATIO 34,295 46,530
    91324P102 UNITED HEALTH GROUP 51,959 73,889
    46625H100 J P MORGAN CHASE CO 27,704 57,668
    755111507 RAYTHEON COMPANY    
    247361702 DELTA AIR LINES INC 33,319 38,592
    06828M876 BARON EMERGING MARKE 115,897 145,688
    38143H381 GOLDMAN SACHS COMM S    
    74925K581 ROBECO BOSTON PARTNE 121,743 126,163
    00206R102 ATT INC 8,062 10,217
    02079K305 ALPHABET INC CL A 41,561 67,163
    440452100 HORMEL FOODS CORP 19,654 24,926
    149498107 CAUSEWAY EMERGING MA 184,014 185,367
    024835100 AMERICAN CAMPUS COMM 43,980 43,753
    78409V104 S P GLOBAL INC 9,341 15,924
    713448108 PEPSICO INC    
    693475105 P N C FINANCIAL SERV    
    670678507 NUVEEN REAL ESTATE S 21,046 33,166
    92914A810 VOYA INTERNATIONAL R 205,845 208,259
    594918104 MICROSOFT CORP 49,783 132,774
    03027X100 AMERICAN TOWER CORP 47,086 81,818
    77957Y106 T ROWE PRICE MID CAP 138,615 133,749
    779572106 T ROWE PRICE SMALL C 62,333 74,386
    00287Y109 ABBVIE INC 17,632 32,560
    20030N101 COMCAST CORP CL A 34,636 41,699
    92826C839 VISA INC 19,866 36,982
    670678200 NUVEEN SMALL CAP VAL 63,392 69,314
    56585A102 MARATHON PETROLEUM C 42,549 44,955
    57636Q104 MASTERCARD INC 16,294 42,093
    N59465109 MYLAN NV 23,078 13,945
    74316J458 CONGRESS MID CAP GRO 129,137 161,721
    037833100 APPLE INC 26,305 49,273
    458140100 INTEL CORP 33,719 45,604
    126650100 CVS HEALTH CORPORATI    
    054536107 AXA A D R 4,858 4,948
    138006309 CANON INC SPONS A D    
    653656108 NICE SYS LTD SPONSOR 22,191 28,760
    771195104 ROCHE HOLDINGS LTD S 22,438 28,212
    861012102 STMICROELECTRONICS N    
    110448107 BRITISH AMERN TOB PL    
    686330101 ORIX CORP SPONS A D    
    48137C108 JULIUS BAER GROUP LT 6,960 6,285
    813113206 SECOM COMPANY LIMITE 7,027 10,010
    H1467J104 CHUBB LTD 32,485 40,360
    931142103 WAL MART STORES INC 52,824 67,648
    641069406 NESTLE SA SPONSORED    
    559222401 MAGNA INTL INC CL 19,634 24,798
    34407D109 FLY LEASING LTD A D 5,753 8,819
    G1151C101 ACCENTURE PLC CL A 18,513 29,814
    23304Y100 DBS GROUP HLDGS LTD 8,073 9,781
    03938L203 ARCELORMITTAL CLASS    
    48268K101 KT CORP SP A D R 16,215 14,081
    29250N105 ENBRIDGE INC 45,942 44,341
    806857108 SCHLUMBERGER LTD    
    055622104 BP PLC SPONS A D R 23,699 21,084
    404280406 HSBC HOLDINGS PLC SP 5,310 4,784
    136385101 CANADIAN NATURAL RES    
    000375204 ABB LTD A D R    
    88579Y101 3M CO 27,985 23,016
    759530108 RELX PLC SPON A D R    
    684060106 ORANGE SPON A D R    
    009279100 AIRBUS GROUP NV A D 5,304 11,852
    006754204 ADECCO SA A D R    
    890880206 TORAY INDUSTRIES INC    
    9XT990UA5 PUT ON SPX 12/21/18    
    31188H101 FAST RETAILING CO UN    
    23328E106 DNB ASA SPONSOR A D 8,510 7,900
    22943F100 CTRIP.COM INTERNATIO    
    04623U102 ASTELLAS PHARMA INC 5,150 4,487
    00687A107 ADIDAS AG A D R 4,612 16,349
    072730302 BAYER AG A D R    
    670100205 NOVO NORDISK AS A D 10,244 11,891
    142795202 CARLSBERG AS A D R 6,809 11,489
    62942M201 NTT DOCOMO INC A D R 8,043 10,974
    83175M205 SMITH NEPHEW P L C 19,855 27,434
    05545E209 B H P BILLITON PLC S 9,549 13,066
    456463108 INDUSTRIAS BACHOCO S 4,980 5,855
    29286D105 ENGIE A D R 4,759 4,806
    86562M209 SUMITOMO MITSUI FINL 26,226 24,521
    780259206 ROYAL DUTCH SHELL PL 8,092 10,887
    056752108 BAIDU COM INC A D R    
    500467501 KONINKLIJKE AHOLD DE 16,255 19,308
    001317205 AIA GROUP LTD ADR 16,497 22,578
    780249108 KONINKLIJKE DSM NV A 5,764 13,098
    358029106 FRESENIUS MED AKTIEN    
    654624105 NIPPON TELEGRAPH TEL 9,736 10,775
    233825207 DAIMLER AG UNSPONSOR    
    05523R107 B A E SYSTEMS P L C 7,571 7,329
    585464100 MELCO CROWN ENTERTAI 8,837 7,182
    34M999TE7 CALL ON SPX 12/21/18    
    5UQ999SU8 CALL ON SPX 12/21/18    
    689164101 OTSUKA HOLDINGS LTD 6,741 7,083
    60687Y109 MIZUHO FNL GRP A D R 10,052 7,629
    126132109 CNOOC LTD A D R    
    835699307 SONY CORP A D R    
    89151E109 TOTAL SA SPON A D R    
    297284200 ESSILOR INTL A D R 5,005 5,405
    268780103 E ON AG A D R 6,685 7,018
    500472303 KONINKLIJKE PHILIPS 5,271 5,536
    N00985106 AERCAP HOLDINGS NV 7,069 9,855
    226718104 CRITEO SA SPON A D R 5,026 2,897
    81783H105 SEVEN I HLDGS UNSPN    
    012653101 ALBEMARLE CORP 10,967 7,995
    00089H106 ACS ACTIVIDADES CONS 6,102 6,756
    23636T100 DANONE SPONS A D R 9,718 12,008
    92932M101 WNS HOLDINGS LTD ADR 7,700 15,863
    539439109 LLOYDS BANKING GROUP 7,659 5,623
    46115H107 INTESA SANPAOLO A D    
    344849104 FOOT LOCKER INC 28,177 25,896
    12562Y100 CK HUTCHISON HOLDING    
    9XT990UR8 PUT ON SPX 12/21/18    
    251542106 DEUTSCHE BOERSE AG U 8,400 11,896
    803054204 SAP SE SPONSORED A D 6,868 7,662
    76026T205 REPSOL S A SPONSOR 10,165 9,056
    17275R102 CISCO SYSTEMS INC 19,717 20,505
    66987V109 NOVARTIS AG A D R 6,998 7,821
    881575302 TESCO PLC SPONSORED 4,899 4,464
    65558R109 NORDEA BANK ABP SPON 4,732 3,713
    455793109 INDITEX UNSPON A D R 5,105 5,483
    172967424 CITIGROUP INC 25,149 29,359
    097023105 BOEING CO 10,951 11,414
    031162100 AMGEN INC 16,605 18,383
    N72482123 QIAGEN N V 8,676 7,748
    705015105 PEARSON P L C A D R 9,594 6,916
    74365P108 PROSUS NV SPON ADR A 1,839 1,748
    46432F842 ISHARES CORE MSCI EA 158,706 164,889
    606822104 MITSUBISHI UFJ FINL 5,591 5,410
    007924103 AEGON N V NY REG SHR 5,160 3,407
    631512209 NASPERS LTD N SPON A 5,962 3,595
    088606108 B H P BILLITON LIMIT 5,054 5,185
    46434G103 ISHARES CORE MSCI EM 78,069 77,207
    95058W100 WENDYS CO THE 5,627 6,593
    882508104 TEXAS INSTRUMENTS IN 26,654 35,541
    626425102 MURATA MANUFACTUR UN 6,211 6,324
    20441A102 CIA SANEAMENTO BASIC 10,975 11,702
    09247X101 BLACKROCK INC 11,697 13,369
    4812A1696 JPMORGAN TR I US SMA 212,617 217,969
    25157Y202 DEUTSCHE POST AG A D 6,622 7,650
    N6596X109 NXP SEMICONDUCTORS N 6,429 8,730
    N53745100 LYONDELLBASELL INDUS 28,665 30,420
    G25839104 COCA COLA EUROREAN P 10,796 12,754
    57772K101 MAXIM INTEGRATED PRO 13,922 15,057
    767204100 RIO TINTO PLC A D R 10,677 9,637
    055262505 B A S F A G A D R 5,015 4,358
    82622J104 SIEMENS HEALTHINEE U 6,861 6,488
    307305102 FANUC CORPORATION A 4,979 5,081
    464288877 ISHARES MSCI EAFE VA 176,340 174,322

    TY 2018 InvestmentsOtherSchedule2
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018191
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    36207FKS9 G N M A #430605 AT COST 436 486
    36206PJT8 G N M A #417074      
    87245P668 TIAA CREF INFLATION AT COST 143,929 146,393

    TY 2018 OtherExpensesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018191
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WIRE FEES 125 125   0
    ADR FEES 779 779   0
    INVESTMENT EXPENSE 1 1   0


    TY 2018 OtherIncreasesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018191
    Description Amount
    NUVEEN EARN-OUT 17
    COST BASIS ADJUSTMENT 1,292


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018191
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSE (NON-DEDUCTIBLE 650 585   65


    TY 2018 TaxesSchedule
    Name:
    GEORGIA BLOSSER TRUST
    EIN:
    43-6018191
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 4,902 2,546   0
    FEDERAL ESTIMATES - PRINCIPAL 2,613 0   0
    FOREIGN TAXES ON NONQUALIFIED 357 185   0