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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
FLORENCE K SLOANE RESTATED TRUST CO BB&T
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILSON
,
NC
278942907
A Employer identification number
13-6036378
B
Telephone number (see instructions)
(404) 442-5163
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)
$
5,149,849
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
9
9
4
Dividends and interest from securities
...
112,169
112,169
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
46,785
b
Gross sales price for all assets on line 6a
1,883,786
7
Capital gain net income (from Part IV, line 2)
...
46,785
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
........
158,963
158,963
13
Compensation of officers, directors, trustees, etc.
37,794
37,794
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)
.......
1,000
1,000
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
4,735
1,827
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)
.......
11
11
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
43,540
39,632
0
1,000
25
Contributions, gifts, grants paid
.......
265,362
265,362
26
Total expenses and disbursements.
Add lines 24 and 25
308,902
39,632
0
266,362
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-149,939
b
Net investment income
(if negative, enter -0-)
119,331
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
.........
108,486
118,347
118,347
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)
.......
3,213,640
3,006,307
3,695,612
c
Investments—corporate bonds (attach schedule)
.......
1,109,206
1,182,596
1,222,853
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
146,502
119,776
113,037
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)
4,577,834
4,427,026
5,149,849
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
........
4,577,834
4,427,026
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)
.....
4,577,834
4,427,026
30
Total liabilities and net assets/fund balances
(see instructions)
.
4,577,834
4,427,026
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
4,577,834
2
Enter amount from Part I, line 27a
.....................
2
-149,939
3
Other increases not included in line 2 (itemize)
3
410
4
Add lines 1, 2, and 3
..........................
4
4,428,305
5
Decreases not included in line 2 (itemize)
5
1,279
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
4,427,026
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
3000. TARGET CORP 2.900% 01/15/22
2017-01-26
2019-01-08
b
15000. US TREASURY NOTE DTD 02/28/2017 1.125% 0
2017-03-09
2019-02-01
c
8000. OCCIDENTAL PETROLEUM COR DTD 12/16/2010
2017-01-26
2019-02-15
d
15. LAMAR ADVERTISING CO
2018-12-24
2019-02-20
e
150. LAMAR ADVERTISING CO
2019-02-20
5. BIG LOTS, INC
2018-11-16
2019-02-22
5. BROADRIDGE FINANCIAL SOLUTIONS INC
2017-09-12
2019-02-22
10. BROWN & BROWN INC
2017-01-24
2019-02-22
5. BRUNSWICK CORPORATION COMMON
2018-05-29
2019-02-22
5. CARTERS INC COMMON
2017-11-13
2019-02-22
5. CHEESECAKE FACTORY COMMON
2017-04-05
2019-02-22
5. CHURCH & DWIGHT CO
2017-01-24
2019-02-22
5. COMMERCE BANCSHARES, INC.
2017-05-10
2019-02-22
178.606 CONESTOGA SMALL CAP-INST
2017-01-24
2019-02-22
5. CURTISS WRIGHT CORP
2017-09-12
2019-02-22
5. DE LUXE CHECK PRINTERS INCORPORATED
2017-01-24
2019-02-22
5. EAST WEST BANCORP INC COMMON
2017-09-12
2019-02-22
5. GENTEX CORP COM
2018-05-29
2019-02-22
315.53 OAKMARK INTERNATIONAL-INST
2018-01-09
2019-02-22
5. HOLLYFRONTIER CORP
2017-11-21
2019-02-22
5. GEO. A. HORMEL & CO*
2017-01-24
2019-02-22
2495.83 IVY INTERNATIONAL CORE EQUITY FUND CLASS
2017-09-13
2019-02-22
5. LUMENTUM HOLDINGS INC COMMON
2018-11-16
2019-02-22
368.486 MFS NEW DISCOVERY VALUE-R6
2019-02-22
5. PRESTIGE CONSUMER HEALTHCARE I COMMON
2018-11-16
2019-02-22
5. RPM INC OHIO COM
2017-01-24
2019-02-22
5. RESMED, INC.
2018-12-24
2019-02-22
2441.579 T ROWE PRICE INTL DISC-I CLOSE TO NEW WA
2019-02-22
5. SONOCO PRODUCTS COMPANY
2018-05-29
2019-02-22
5. UNITED THERAPEUTICS CORP DEL
2017-01-24
2019-02-22
5. URBAN OUTFITTERS INC COMMON
2018-05-29
2019-02-22
4000. US TREASURY BOND DTD 02/15/2006 4.5% 02/
2017-01-26
2019-03-04
10. SYNNEX CORP COMMON
2018-12-24
2019-03-05
101. SYNNEX CORP COMMON
2019-03-05
21450.2 US TREASURY INFL IX BD DTD 04/30/2014 .1
2019-03-05
620. TE CONNECTIVITY LTD
2017-01-24
2019-03-05
60. TE CONNECTIVITY LTD
2019-03-05
5000. US TREASURY BOND DTD 11/16/2015 3% 11/15
2017-01-26
2019-03-08
12.3 US TREASURY INFL IX BD DTD 04/30/2014 .1
2019-03-08
16080.3 US TREASURY INFL IX BD DTD 04/30/2014 .1
2017-01-26
2019-03-08
285. AMERICAN EXPRESS CO COM STK*
2017-11-21
2019-03-11
35. AMERICAN EXPRESS CO COM STK*
2019-03-11
65. DISCOVER FINL SVCS
2019-02-22
2019-03-11
200. DISCOVER FINL SVCS
2017-01-24
2019-03-11
33492. US TREASURY INFL INDEX BD DTD 7/29/2011
2017-01-26
2019-03-22
720. CISCO SYS INC
2017-01-24
2019-04-17
590. TRIPADVISOR INC
2019-04-17
35. BROADRIDGE FINANCIAL SOLUTIONS INC
2019-04-24
25. CISCO SYS INC
2017-01-24
2019-04-24
45. WINTRUST FINANCIAL CORP
2017-11-21
2019-04-24
5. WINTRUST FINANCIAL CORP
2018-12-24
2019-04-24
3000. COACH INC DTD 06/20/2017 4.125% 07/15/20
2018-07-06
2019-04-25
3000. COACH INC DTD 06/20/2017 4.125% 07/15/20
2018-07-06
2019-04-30
4000. HOME DEPOT INC DTD 12/19/2006 5.875% 12/
2017-01-26
2019-05-02
9000. VISA INC DTD 12/14/2015 2.8% 12/14/2022
2017-01-26
2019-05-02
10000. WELLS FARGO & CO DTD 07/22/2015 2.6% 07/
2018-09-28
2019-05-02
2000. COACH INC DTD 06/20/2017 4.125% 07/15/20
2018-07-06
2019-05-03
9000. REGIONS FINANCIAL CORP DTD 02/08/2016 3.
2019-03-27
2019-05-06
2000. COACH INC DTD 06/20/2017 4.125% 07/15/20
2018-07-06
2019-05-07
8000. MERCK & CO INC DTD 12/10/2010 3.875% 01/
2017-01-26
2019-05-07
9000. PNC FUNDING CORP DTD 02/08/10 5.125% 02/
2017-06-12
2019-05-07
125. BRUNSWICK CORPORATION COMMON
2019-05-23
40. PRESTIGE CONSUMER HEALTHCARE I COMMON
2018-11-16
2019-05-23
55. SYNOPSYS INC.
2017-01-24
2019-05-23
10. SYNOPSYS INC.
2018-12-24
2019-05-23
50. UNITED THERAPEUTICS CORP DEL
2019-05-23
5. UNITED THERAPEUTICS CORP DEL
2018-12-24
2019-05-23
.571 KONTOOR BRANDS INC COMMON
2019-02-22
2019-05-28
115. BIG LOTS, INC
2019-06-05
110. BIG LOTS, INC
2019-06-05
8000. L3 TECHNOLOGIES INC DTD 12/05/2016 3.85%
2019-03-25
2019-06-07
8000. U S TREASURY NOTES 3.125% 05/15/21
2019-05-07
2019-06-10
5. AMC NETWORKS INC-A COMMON
2018-11-16
2019-06-11
10. ABBVIE INC
2018-12-24
2019-06-11
10. APPLE COMPUTER COM
2017-01-24
2019-06-11
10. AVERY DENNISON CORP
2017-01-24
2019-06-11
5. BIOGEN INC COMMON
2019-02-22
2019-06-11
5. BOOT BARN HOLDINGS INC COMMON
2019-05-23
2019-06-11
10. BROWN & BROWN INC
2017-01-24
2019-06-11
15. CH ROBINSON WORLDWIDE INC
2019-02-22
2019-06-11
5. CADENCE DESIGN SYS INC COM RTS EXP 02/09/2006
2019-03-05
2019-06-11
5. CIRRUS LOGIC COMMON
2017-05-10
2019-06-11
15. COLGATE-PALMOLIVE CO COM STK
2017-01-24
2019-06-11
89.818 CONESTOGA SMALL CAP-INST
2017-01-24
2019-06-11
5. CRACKER BARREL OLD COUNTRY STORE COMMON
2017-05-10
2019-06-11
5. WALT DISNEY COMPANY THE
2019-02-22
2019-06-11
10. DISCOVER FINL SVCS
2017-01-24
2019-06-11
5. EXXON MOBIL CORP
2019-02-22
2019-06-11
5. FACEBOOK INC CL A
2018-03-12
2019-06-11
5. GALLAGHER ARTHUR J
2017-09-12
2019-06-11
5. GENTEX CORP COM
2018-05-29
2019-06-11
15. GENUINE PARTS CO
2019-02-22
2019-06-11
40. INTEL CORP
2019-02-22
2019-06-11
10. JOHNSON + JOHNSON COM STK
2017-01-24
2019-06-11
5. J2 GLOBAL, INC. COMMON
2017-05-10
2019-06-11
5. KONTOOR BRANDS INC COMMON
2019-02-22
2019-06-11
5. LAM RESH CORP
2017-08-08
2019-06-11
409.283 LAZARD GLOBAL LISTED INFRASTRUCTURE PORT
2018-07-25
2019-06-11
15. MARSH & MCLENNAN COS INC
2017-01-24
2019-06-11
5. MAXIMUS INC
2017-11-21
2019-06-11
5. MCDONALD'S CORP
2017-01-24
2019-06-11
20. MICROSOFT CORP
2017-01-24
2019-06-11
5. OMEGA HEALTHCARE INVESTORS INC REIT
2019-02-22
2019-06-11
10. PAYPAL HOLDINGS INC
2019-02-22
2019-06-11
10. PEPSICO INC
2017-01-24
2019-06-11
25. PFIZER INC COM STK
2018-09-24
2019-06-11
5. PROCTER & GAMBLE CO COM STK*
2019-02-22
2019-06-11
5. RPM INC OHIO COM
2017-01-24
2019-06-11
5. RAYTHON COMPANY
2019-02-22
2019-06-11
56.934 T ROWE PRICE INTL DISC-I CLOSE TO NEW WA
2017-01-24
2019-06-11
40. TJX COMPANIES
2019-06-11
5. 3M COMPANY COMMON
2019-02-22
2019-06-11
5. TORO COMPANY COMMON
2017-01-24
2019-06-11
5. US BANCORP
2017-01-24
2019-06-11
10. UNION PACIFIC CORP COMMON STO*
2017-01-24
2019-06-11
10000. US TREASURY BOND DTD 11/16/2015 3% 11/15
2017-01-26
2019-06-11
9000. US TREASURY NOTE DTD 11/15/2016 2% 11/15
2019-06-07
2019-06-11
5000. U S TREASURY NOTES 1.750% 05/15/23
2017-02-10
2019-06-11
15000. US TREASURY NOTE DTD 06/30/2014 1.625% 0
2017-01-26
2019-06-11
10. UNITEDHEALTH GROUP
2019-02-22
2019-06-11
5. URBAN OUTFITTERS INC COMMON
2018-11-16
2019-06-11
15. V F CORP COMMON
2018-03-12
2019-06-11
10. VALERO ENERGY CORP NEW COM
2019-02-22
2019-06-11
180.381 VANGUARD MORTGAGE BACKED SECURITIES INDE
2018-03-14
2019-06-11
15. VARIAN MED SYS INC
2019-02-22
2019-06-11
20. VERIZON COMMUNICATIONS
2019-02-22
2019-06-11
15. WALGREENS BOOTS ALLIANCE INC
2019-02-22
2019-06-11
5. WORTHINGTON INDUSTRIES, INC
2017-01-24
2019-06-11
10. ACCENTURE PLC IRELAND SHS
2017-01-24
2019-06-11
14000. U S TREASURY NOTES 1.750% 05/15/23
2017-01-26
2019-06-13
10000. FED NATL MTG ASSN DTD 04/26/2016 2.125%
2018-07-06
2019-06-19
6000. US TREASURY NOTE DTD 08/15/2016 1.5% 08/
2019-02-26
2019-06-19
10000. US TREASURY NOTE DTD 02/15/2017 2.25% 02
2017-03-13
2019-06-20
15000. US TREASURY NOTE DTD 06/30/2014 1.625% 0
2017-01-26
2019-06-25
26.379 CONESTOGA SMALL CAP-INST
2017-01-24
2019-06-28
5031.296 DFA COMMODITY STRATEGY PORT
2018-06-15
2019-06-28
1408.909 DFA COMMODITY STRATEGY PORT
2018-06-15
2019-06-28
1186.523 DFA COMMODITY STRATEGY PORT
2019-06-28
333.785 OAKMARK INTERNATIONAL-INST
2018-01-09
2019-06-28
3026.514 OAKMARK INTERNATIONAL-INST
2018-01-09
2019-06-28
246.147 IVY INTERNATIONAL CORE EQUITY FUND CLASS
2017-09-13
2019-06-28
15.053 MFS NEW DISCOVERY VALUE-R6
2017-01-24
2019-06-28
53.036 VANGUARD MORTGAGE BACKED SECURITIES INDE
2018-03-14
2019-06-28
5. ABBVIE INC
2018-12-24
2019-07-01
5. APPLE COMPUTER COM
2017-01-24
2019-07-01
5. CH ROBINSON WORLDWIDE INC
2019-02-22
2019-07-01
5. COLGATE-PALMOLIVE CO COM STK
2017-01-24
2019-07-01
5. COMCAST CORP NEW CL A
2019-04-17
2019-07-01
5. WALT DISNEY COMPANY THE
2019-02-22
2019-07-01
5. EXXON MOBIL CORP
2019-02-22
2019-07-01
5. FACEBOOK INC CL A
2018-03-12
2019-07-01
5. GENUINE PARTS CO
2019-02-22
2019-07-01
5. INTEL CORP
2019-02-22
2019-07-01
5. MARSH & MCLENNAN COS INC
2017-01-24
2019-07-01
5. MICROSOFT CORP
2017-01-24
2019-07-01
5. PAYPAL HOLDINGS INC
2019-02-22
2019-07-01
5. PEPSICO INC
2017-01-24
2019-07-01
5. PFIZER INC COM STK
2018-09-24
2019-07-01
5. PROCTER & GAMBLE CO COM STK*
2019-02-22
2019-07-01
10. TJX COMPANIES
2017-01-24
2019-07-01
10. US BANCORP
2017-01-24
2019-07-01
5. V F CORP COMMON
2018-03-12
2019-07-01
5. VALERO ENERGY CORP NEW COM
2019-02-22
2019-07-01
5. VERIZON COMMUNICATIONS
2019-02-22
2019-07-01
50. CHURCH & DWIGHT CO
2017-01-24
2019-07-02
120. JOHNSON + JOHNSON COM STK
2017-01-24
2019-07-15
30. JOHNSON + JOHNSON COM STK
2019-02-22
2019-07-15
89.999 KONTOOR BRANDS INC COMMON
2019-07-15
3.001 KONTOOR BRANDS INC COMMON
2019-07-15
9000. AT&T INC DTD 06/05/2019 3.8% 02/15/2027
2019-02-08
2019-08-01
9000. MANULIFE FINL CORP DTD 03/04/2016 4.15%
2017-06-05
2019-08-01
9000. SHELL INTERNATIONAL FIN DTD 09/12/2016 2
2019-03-22
2019-08-02
5000. WILLIAMS PARTNERS LP DTD 11/17/2011 4% 1
2018-07-24
2019-08-02
34.5031 US TREASURY INFL INDEX BD DTD 7/29/2011
2019-08-15
17010.8969 US TREASURY INFL INDEX BD DTD 7/29/2011
2017-01-26
2019-08-15
7000. U S TREASURY NOTES 2.000% 07/31/20
2018-10-11
2019-08-15
10000. HSBC HOLDINGS PLC HOLDINGS PLC DTD 04/05/2011 5.1% 04/05/2021
2018-10-17
2019-09-04
25. GENUINE PARTS CO
2019-02-22
2019-09-24
185. GENUINE PARTS CO
2017-01-24
2019-09-24
30. VARIAN MED SYS INC
2019-02-22
2019-09-24
235. VARIAN MED SYS INC
2017-01-24
2019-09-24
55. SONOCO PRODUCTS COMPANY
2019-10-08
20. SONOCO PRODUCTS COMPANY
2018-05-29
2019-10-08
5. AVERY DENNISON CORP
2017-01-24
2019-10-22
10. BOOT BARN HOLDINGS INC COMMON
2019-05-23
2019-10-22
5. BROADRIDGE FINANCIAL SOLUTIONS INC
2017-01-24
2019-10-22
25. BROWN & BROWN INC
2017-01-24
2019-10-22
5. CH ROBINSON WORLDWIDE INC
2019-02-22
2019-10-22
5. CADENCE DESIGN SYS INC COM RTS EXP 02/09/2006
2019-07-01
2019-10-22
10. CARLISLE COMMON
2017-01-24
2019-10-22
5. CHARLES RIV LABORATORIES INTL INC COM
2017-09-12
2019-10-22
5. CHEESECAKE FACTORY COMMON
2018-12-24
2019-10-22
10. CHURCH & DWIGHT CO
2017-01-24
2019-10-22
15. CISCO SYS INC
2019-02-22
2019-10-22
5. COLGATE-PALMOLIVE CO COM STK
2017-01-24
2019-10-22
10. COMCAST CORP NEW CL A
2019-04-17
2019-10-22
10. COMMERCE BANCSHARES, INC.
2019-10-22
10. CRACKER BARREL OLD COUNTRY STORE COMMON
2017-04-05
2019-10-22
5. CRANE CO COM
2018-11-16
2019-10-22
659.522 DFA GLOBAL REAL ESTATE SEC PORT
2019-06-28
2019-10-22
10. DE LUXE CHECK PRINTERS INCORPORATED
2017-01-24
2019-10-22
5. DISCOVER FINL SVCS
2017-01-24
2019-10-22
10. EAST WEST BANCORP INC COMMON
2019-10-22
10. EXXON MOBIL CORP
2019-02-22
2019-10-22
10. FACEBOOK INC CL A
2018-03-12
2019-10-22
15. GENTEX CORP COM
2018-05-29
2019-10-22
5. GENUINE PARTS CO
2017-01-24
2019-10-22
534.864 OAKMARK INTERNATIONAL-INST
2018-01-09
2019-10-22
5. GEO. A. HORMEL & CO*
2018-12-24
2019-10-22
10. HUBBELL INC COMMON
2017-01-24
2019-10-22
15. INTEL CORP
2019-02-22
2019-10-22
175.406 IVY INTERNATIONAL CORE EQUITY FUND CLASS
2017-09-13
2019-10-22
134.869 LAZARD GLOBAL LISTED INFRASTRUCTURE PORT
2018-07-25
2019-10-22
5. LUMENTUM HOLDINGS INC COMMON
2018-11-16
2019-10-22
164.942 MFS NEW DISCOVERY VALUE-R6
2017-01-24
2019-10-22
5. MARSH & MCLENNAN COS INC
2017-01-24
2019-10-22
5. MCDONALD'S CORP
2017-01-24
2019-10-22
10. MICROSOFT CORP
2017-01-24
2019-10-22
10. OMEGA HEALTHCARE INVESTORS INC REIT
2019-10-22
5. PAYPAL HOLDINGS INC
2019-02-22
2019-10-22
10. PEPSICO INC
2017-01-24
2019-10-22
10. PFIZER INC COM STK
2019-02-22
2019-10-22
10. PRESTIGE CONSUMER HEALTHCARE I COMMON
2018-11-16
2019-10-22
5. RPM INC OHIO COM
2017-01-24
2019-10-22
5. RAYTHON COMPANY
2017-01-24
2019-10-22
4.098 T ROWE PRICE INTL DISC-I CLOSE TO NEW WA
2019-06-28
2019-10-22
10.775 T ROWE PRICE INTL DISC-I CLOSE TO NEW WA
2017-01-24
2019-10-22
15. TJX COMPANIES
2017-01-24
2019-10-22
10. UGI CORP COM
2018-11-16
2019-10-22
10. US BANCORP
2017-01-24
2019-10-22
5. UNION PACIFIC CORP COMMON STO*
2017-01-24
2019-10-22
5. UNITEDHEALTH GROUP
2019-02-22
2019-10-22
5. URBAN OUTFITTERS INC COMMON
2018-11-16
2019-10-22
10. V F CORP COMMON
2018-03-12
2019-10-22
5. VALERO ENERGY CORP NEW COM
2017-11-21
2019-10-22
10. VARIAN MED SYS INC
2017-01-24
2019-10-22
10. VERIZON COMMUNICATIONS
2018-09-24
2019-10-22
5. WALGREENS BOOTS ALLIANCE INC
2019-02-22
2019-10-22
10. HELEN OF TROY CORP LTD COMMON
2019-06-05
2019-10-22
7000. U S TREASURY NOTES 2.000% 07/31/20
2018-10-11
2019-10-25
5. RESMED, INC.
2018-12-24
2019-11-05
105. RESMED, INC.
2019-11-05
8000. US TREASURY BOND DTD 05/15/2018 2.875% 0
2019-08-15
2019-11-08
187.999 OAKMARK INTERNATIONAL-INST
2018-01-09
2019-11-18
16410.912 IVY INTERNATIONAL CORE EQUITY FUND CLASS
2019-11-18
300.155 IVY INTERNATIONAL CORE EQUITY FUND CLASS
2019-06-11
2019-11-18
129.164 MFS NEW DISCOVERY VALUE-R6
2017-01-24
2019-11-18
14.333 T ROWE PRICE INTL DISC-I CLOSE TO NEW WA
2017-01-24
2019-11-18
10. AMC NETWORKS INC-A COMMON
2018-12-24
2019-11-20
20. ABBVIE INC
2017-11-21
2019-11-20
15. AVERY DENNISON CORP
2017-01-24
2019-11-20
10. BIOGEN INC COMMON
2019-02-22
2019-11-20
10. BROWN & BROWN INC
2017-01-24
2019-11-20
20. CH ROBINSON WORLDWIDE INC
2019-02-22
2019-11-20
20. CADENCE DESIGN SYS INC COM RTS EXP 02/09/2006
2019-03-05
2019-11-20
10. CIRRUS LOGIC COMMON
2017-01-24
2019-11-20
25. CISCO SYS INC
2019-02-22
2019-11-20
5. COLGATE-PALMOLIVE CO COM STK
2017-01-24
2019-11-20
30. COMCAST CORP NEW CL A
2019-04-17
2019-11-20
10. COMMERCE BANCSHARES, INC.
2017-01-24
2019-11-20
15. WALT DISNEY COMPANY THE
2019-02-22
2019-11-20
20. DISCOVER FINL SVCS
2017-01-24
2019-11-20
10. FLIR SYSTEMS INC COMMON
2017-11-21
2019-11-20
40. INTEL CORP
2017-01-24
2019-11-20
10. LAM RESH CORP
2017-08-08
2019-11-20
20. MARSH & MCLENNAN COS INC
2017-01-24
2019-11-20
10. MCDONALD'S CORP
2017-01-24
2019-11-20
15. MERCK & CO INC
2019-09-24
2019-11-20
20. MICROSOFT CORP
2017-01-24
2019-11-20
10. NAT'L INSTRUMENTS CORP COMMON
2019-03-05
2019-11-20
65. NATUS MEDICAL INC COMMON
2019-11-05
2019-11-20
10. OMEGA HEALTHCARE INVESTORS INC REIT
2019-02-20
2019-11-20
20. PAYPAL HOLDINGS INC
2019-02-22
2019-11-20
10. PEPSICO INC
2017-01-24
2019-11-20
25. PFIZER INC COM STK
2019-02-22
2019-11-20
10. PRESTIGE CONSUMER HEALTHCARE I COMMON
2018-11-16
2019-11-20
10. PROCTER & GAMBLE CO COM STK*
2019-02-22
2019-11-20
10. RAYTHON COMPANY
2017-01-24
2019-11-20
10. SEI INVESTMENTS CO
2019-04-24
2019-11-20
45. TJX COMPANIES
2017-01-24
2019-11-20
15. TARGET CORP COM
2019-11-20
10. TORO COMPANY COMMON
2017-01-24
2019-11-20
30. US BANCORP
2017-01-24
2019-11-20
15. UNION PACIFIC CORP COMMON STO*
2017-01-24
2019-11-20
10. UNITEDHEALTH GROUP
2017-01-24
2019-11-20
20. V F CORP COMMON
2018-03-12
2019-11-20
15. VALERO ENERGY CORP NEW COM
2017-11-21
2019-11-20
25. VERIZON COMMUNICATIONS
2018-09-24
2019-11-20
15. WALGREENS BOOTS ALLIANCE INC
2019-02-22
2019-11-20
10. WATSCO INC CL A
2019-11-20
15. ACCENTURE PLC IRELAND SHS
2017-01-24
2019-11-20
6000. AT&T INC DTD 05/04/2015 4.5% 05/15/2035
2018-09-28
2019-11-22
3000. ABBVIE INC DTD 9/18/2018 4.25% 11/14/202
2019-03-27
2019-11-22
2000. AMERICAN ELECTRIC POWER DTD 11/13/2017 3
2018-09-24
2019-11-22
6000. APACHE CORP DTD 08/23/2018 4.375% 10/15/
2018-08-14
2019-11-22
5000. APPLE INC DTD 05/06/2014 3.45% 05/06/202
2017-01-26
2019-11-22
4000. BANK OF AMERICA CORP DTD 01/11/2013 3.3%
2018-07-06
2019-11-22
2000. BANK OF MONTREAL DTD 06/28/2019 2.5% 06/
2019-06-25
2019-11-22
3000. BERKSHIRE HATHAWAY INC DTD 3/15/2016 3.1
2017-01-26
2019-11-22
3000. BOSTON PROPERTIES LP DTD 06/21/2019 3.4%
2019-06-12
2019-11-22
4000. CAPITAL ONE FINANCIAL CO DTD 02/05/2015
2018-10-17
2019-11-22
4000. CINTAS CORP NO. 2 DTD 03/14/2017 3.7% 04
2018-07-24
2019-11-22
1000. CISCO SYSTEMS INC SYSTEMS INC DTD 11/17/
2018-08-17
2019-11-22
6000. CITIGROUP INC DTD 01/26/2012 5.875% 01/3
2018-10-17
2019-11-22
3000. THE COCA-COLA CO DTD 09/06/2019 2.125% 0
2019-09-04
2019-11-22
4000. COMCAST CORP DTD 10/05/2018 4.15% 10/15/2028
2018-10-02
2019-11-22
1000. CONOCOPHILLIPS DTD 1/29/2009 6.5% 02/01/
2019-03-08
2019-11-22
3000. CONSTELLATION BRANDS INC DTD 10/29/2018
2019-03-08
2019-11-22
3000. FED NATL MTG ASSN DTD 11/3/00 6.625% 11/
2019-02-26
2019-11-22
12000. FED NATL MTG ASSN DTD 04/26/2016 2.125%
2018-07-06
2019-11-22
12000. FED NATL MTG ASSN DTD 01/23/2018 2.375%
2018-07-17
2019-11-22
12000. FED NATL MTG ASSN 2.625% 09/06/24
2018-07-17
2019-11-22
7000. FED HOME LN MTG CORP 2.375% 01/13/22
2019-11-22
4000. FISERV INC DD 06/24/2019 3.2% 07/01/2026
2019-06-10
2019-11-22
20000. GEORGIA ST TXBL-SER B DTD 07/12/2018 3.2
2018-06-20
2019-11-22
1000. GOLDMAN SACHS NOTE DTD 1/28/2011 6.25% 0
2019-07-31
2019-11-22
4000. GOLDMAN SACHS GROUP INC DTD 02/25/2016 2
2018-07-06
2019-11-22
2000. HOLLYFRONTIER CORP DTD 03/22/2016 5.875%
2018-07-24
2019-11-22
2000. HOME DEPOT INC DTD 12/19/2006 5.875% 12/
2017-01-26
2019-11-22
4000. INVESCO FINANCE PLC DTD 11/08/2012 3.125
2018-10-17
2019-11-22
8000. JPMORGAN CHASE & CO 4.250% 10/15/20
2017-01-26
2019-11-22
4000. KIMCO REALTY CORP DTD 03/30/2015 4.25% 0
2018-09-24
2019-11-22
2000. KINDER MORGAN INC DTD 03/01/2018 4.3% 03
2018-11-07
2019-11-22
4000. METLIFE INC DTD 11/13/2013 4.875% 11/13/
2018-09-20
2019-11-22
3000. MITSUBISHI UJF FINANCIAL GRP DTD 02/22/2017 2.998% 02/22/2022
2018-09-24
2019-11-22
7000. MORGAN STANLEY DTD 07/23/2015 4% 07/23/2
2018-07-06
2019-11-22
10000. NEW YORK ST DORM AUTH SALES TAX REV TXBL- REF-SER D DTD 07/19/2
2018-07-12
2019-11-22
4000. NUCOR CORP DTD 04/26/2018 3.95% 05/01/20
2018-09-28
2019-11-22
2000. PEPSICO INC DTD 10/06/2016 3.45% 10/06/2
2019-02-15
2019-11-22
2000. PFIZER INC DTD 03/11/2019 3.9% 03/15/203
2019-03-04
2019-11-22
5000. SHERWIN-WILLIAMS CO DTD 05/16/2017 3.45%
2018-08-16
2019-11-22
4000. SHIRE ACQ INV IRELAND DA DTD 09/23/2016
2019-06-10
2019-11-22
5000. SUMITOMO MITSUI FINL GRP DTD 07/12/2017
2018-07-06
2019-11-22
7000. TARGET CORP 2.900% 01/15/22
2017-01-26
2019-11-22
4000. TORONTO DOMINION BANK DTD 07/13/2016 1.8
2018-10-17
2019-11-22
3000. US TREASURY BOND DTD 02/15/2006 4.5% 02/
2017-01-26
2019-11-22
10000. US TREASURY BOND DTD 02/15/2012 3.125% 0
2019-03-05
2019-11-22
14000. US TREASURY NOTE DTD 08/15/2016 1.5% 08/
2019-11-22
7000. U S TREASURY NOTES 3.125% 05/15/21
2019-11-19
2019-11-22
5000. US TREASURY NOTE DTD 05/15/2015 2.125% 0
2019-02-26
2019-11-22
3000. UNITED TECHNOLOGIES CORP DTD 8/16/2018 4
2019-06-20
2019-11-22
3000. VENTAS REALTY LP DTD 4/17/2014 3.75% 05/
2018-08-17
2019-11-22
3000. VERIZON COMMUNICATIONS DTD 03/11/2015 4.
2018-08-16
2019-11-22
3000. WELLS FARGO & CO DTD 10/25/2016 3% 10/23
2019-06-11
2019-11-22
2000. WESTLAKE CHEMICAL CORP DTD 11/28/2017 4.
2018-07-24
2019-11-22
.9 COMMERCE BANCSHARES, INC.
2018-12-24
2019-12-02
340. GENUINE PARTS CO
2017-01-24
2019-12-16
5. GENUINE PARTS CO
2018-12-24
2019-12-16
255. PFIZER INC COM STK
2018-09-24
2019-12-16
65. PFIZER INC COM STK
2019-12-16
30. AMC NETWORKS INC-A COMMON
2018-11-16
2019-12-19
20. AMC NETWORKS INC-A COMMON
2018-12-24
2019-12-19
25. CHEESECAKE FACTORY COMMON
2019-12-19
10. CHEESECAKE FACTORY COMMON
2018-12-24
2019-12-19
90. DORMAN PRODUCTS, INC COMMON
2019-05-22
2019-12-19
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
2,996
3,041
-45
b
14,986
14,965
21
c
8,170
8,245
-75
d
1,152
1,010
142
e
11,518
11,227
291
155
206
-51
502
401
101
294
217
77
262
315
-53
460
508
-48
237
325
-88
330
231
99
316
255
61
9,991
7,228
2,763
605
492
113
244
368
-124
276
284
-8
100
116
-16
7,118
9,267
-2,149
277
223
54
213
183
30
42,304
48,918
-6,614
252
209
43
5,686
5,456
230
146
190
-44
295
264
31
505
520
-15
149,229
143,556
5,673
297
257
40
585
780
-195
151
209
-58
4,893
4,930
-37
973
763
210
9,825
11,643
-1,818
21,466
21,836
-370
51,156
44,398
6,758
4,951
4,861
90
4,982
4,892
90
12
12
16,093
16,354
-261
31,184
26,895
4,289
3,830
3,585
245
4,602
4,632
-30
14,160
13,986
174
33,815
34,796
-981
40,575
22,108
18,467
29,911
36,072
-6,161
4,085
2,433
1,652
1,422
768
654
3,413
3,589
-176
379
319
60
2,900
2,882
18
2,907
2,882
25
5,045
4,916
129
9,030
9,038
-8
9,973
9,931
42
1,935
1,922
13
9,051
9,084
-33
1,945
1,922
23
8,149
8,223
-74
9,157
9,208
-51
5,687
7,457
-1,770
1,175
1,521
-346
6,458
3,435
3,023
1,174
801
373
4,249
7,279
-3,030
425
506
-81
17
20
-3
3,172
4,227
-1,055
3,034
5,439
-2,405
8,322
8,146
176
8,184
8,127
57
273
295
-22
785
846
-61
1,943
1,201
742
1,123
738
385
1,149
1,616
-467
152
153
-1
327
217
110
1,206
1,375
-169
339
294
45
210
321
-111
1,095
1,025
70
5,181
3,635
1,546
828
827
1
676
575
101
785
699
86
376
391
-15
888
927
-39
437
301
136
119
116
3
1,541
1,657
-116
1,873
2,092
-219
1,401
1,119
282
431
445
-14
139
171
-32
949
787
162
6,278
6,630
-352
1,477
1,024
453
372
336
36
1,014
603
411
2,634
1,273
1,361
179
181
-2
1,140
956
184
1,329
1,049
280
1,065
1,099
-34
545
500
45
300
264
36
891
928
-37
3,586
3,152
434
2,074
1,608
466
845
1,042
-197
343
295
48
265
260
5
1,701
1,089
612
10,760
9,783
977
8,965
9,007
-42
4,972
4,927
45
14,994
15,000
-6
2,466
2,665
-199
115
185
-70
1,282
1,040
242
768
852
-84
3,788
3,712
76
1,952
1,990
-38
1,132
1,138
-6
793
1,050
-257
183
243
-60
1,833
1,165
668
13,949
13,732
217
10,014
9,468
546
5,807
5,585
222
10,266
9,751
515
14,998
15,000
-2
1,599
1,068
531
27,370
30,188
-2,818
7,664
8,453
-789
6,455
6,716
-261
7,700
9,803
-2,103
69,822
88,889
-19,067
4,231
4,824
-593
235
222
13
1,118
1,091
27
368
423
-55
1,009
600
409
421
458
-37
360
342
18
213
213
707
575
132
383
391
-8
968
927
41
522
552
-30
240
262
-22
504
341
163
677
318
359
575
478
97
658
525
133
219
220
-1
551
500
51
528
373
155
529
519
10
441
347
94
421
426
-5
283
284
-1
3,676
2,307
1,369
16,171
13,429
2,742
4,043
4,089
-46
2,916
2,141
775
97
98
-1
9,413
8,820
593
9,797
9,486
311
9,043
8,696
347
5,146
5,037
109
35
35
17,114
17,661
-547
7,014
6,945
69
10,455
10,229
226
2,409
2,761
-352
17,830
17,903
-73
3,496
3,979
-483
27,382
18,717
8,665
3,063
3,451
-388
1,114
1,029
85
593
369
224
374
305
69
611
336
275
909
543
366
443
458
-15
319
367
-48
1,456
1,082
374
639
544
95
200
211
-11
740
461
279
714
750
-36
337
342
-5
458
425
33
639
507
132
1,608
1,595
13
411
458
-47
8,422
7,736
686
487
736
-249
408
350
58
435
531
-96
693
782
-89
1,832
1,854
-22
416
349
67
517
484
33
12,815
15,823
-3,008
203
208
-5
1,376
1,186
190
782
785
-3
3,050
3,763
-713
2,119
2,185
-66
275
209
66
2,652
2,431
221
496
341
155
1,002
603
399
1,371
637
734
445
358
87
491
478
13
1,364
1,049
315
365
430
-65
361
380
-19
354
264
90
1,030
741
289
261
262
-1
687
597
90
906
560
346
486
569
-83
568
519
49
852
545
307
1,255
1,332
-77
144
185
-41
932
694
238
471
418
53
1,147
796
351
608
536
72
276
350
-74
1,590
1,345
245
7,018
6,956
62
723
520
203
15,173
7,476
7,697
8,614
8,872
-258
4,657
5,562
-905
291,622
313,626
-22,004
5,334
5,061
273
2,149
1,904
245
942
793
149
388
519
-131
1,742
1,898
-156
1,976
1,108
868
2,862
3,231
-369
381
217
164
1,509
1,834
-325
1,354
1,176
178
707
618
89
1,126
1,249
-123
335
342
-7
1,321
1,276
45
662
506
156
2,198
1,724
474
1,658
1,399
259
531
473
58
2,310
1,511
799
2,738
1,574
1,164
2,141
1,366
775
1,941
1,206
735
1,275
1,260
15
2,986
1,273
1,713
433
466
-33
2,069
2,239
-170
417
355
62
2,071
1,911
160
1,337
1,049
288
927
1,075
-148
371
380
-9
1,219
1,000
219
2,168
1,482
686
632
571
61
2,662
1,679
983
1,904
1,675
229
778
589
189
1,777
1,557
220
2,619
1,634
985
2,745
1,604
1,141
1,712
1,387
325
1,460
1,254
206
1,485
1,341
144
917
1,050
-133
1,780
1,548
232
2,956
1,748
1,208
6,618
5,634
984
3,292
3,064
228
2,076
1,890
186
6,065
5,991
74
5,309
5,090
219
4,138
3,962
176
2,022
2,000
22
3,166
2,977
189
3,145
2,994
151
4,124
3,785
339
4,347
3,930
417
1,365
1,206
159
8,301
6,861
1,440
2,939
2,999
-60
4,504
3,998
506
1,447
1,305
142
3,396
3,103
293
4,340
3,987
353
12,267
11,398
869
12,264
11,832
432
12,522
11,824
698
7,104
7,035
69
4,149
4,010
139
21,494
20,085
1,409
1,398
1,341
57
4,038
3,978
60
2,236
2,131
105
2,770
2,448
322
4,106
3,929
177
8,163
8,126
37
4,298
3,594
704
2,162
1,948
214
4,954
4,203
751
3,059
2,957
102
7,551
7,007
544
10,221
10,000
221
4,355
4,001
354
2,142
1,865
277
2,274
1,974
300
5,269
4,804
465
4,018
3,980
38
5,246
4,835
411
7,161
7,069
92
3,995
3,902
93
4,070
3,675
395
11,665
10,133
1,532
13,817
13,762
55
7,146
7,151
-5
5,120
4,899
221
3,383
3,290
93
3,160
2,983
177
3,737
3,031
706
3,077
2,981
96
2,005
1,855
150
61
46
15
35,829
32,903
2,926
527
459
68
9,983
11,213
-1,230
2,545
2,747
-202
1,164
1,773
-609
776
1,038
-262
977
1,600
-623
391
422
-31
6,614
7,363
-749
7,790
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
-45
b
21
c
-75
d
142
e
291
-51
101
77
-53
-48
-88
99
61
2,763
113
-124
-8
-16
-2,149
54
30
-6,614
43
230
-44
31
-15
5,673
40
-195
-58
-37
210
-1,818
-370
6,758
90
90
-261
4,289
245
-30
174
-981
18,467
-6,161
1,652
654
-176
60
18
25
129
-8
42
13
-33
23
-74
-51
-1,770
-346
3,023
373
-3,030
-81
-3
-1,055
-2,405
176
57
-22
-61
742
385
-467
-1
110
-169
45
-111
70
1,546
1
101
86
-15
-39
136
3
-116
-219
282
-14
-32
162
-352
453
36
411
1,361
-2
184
280
-34
45
36
-37
434
466
-197
48
5
612
977
-42
45
-6
-199
-70
242
-84
76
-38
-6
-257
-60
668
217
546
222
515
-2
531
-2,818
-789
-261
-2,103
-19,067
-593
13
27
-55
409
-37
18
132
-8
41
-30
-22
163
359
97
133
-1
51
155
10
94
-5
-1
1,369
2,742
-46
775
-1
593
311
347
109
-547
69
226
-352
-73
-483
8,665
-388
85
224
69
275
366
-15
-48
374
95
-11
279
-36
-5
33
132
13
-47
686
-249
58
-96
-89
-22
67
33
-3,008
-5
190
-3
-713
-66
66
221
155
399
734
87
13
315
-65
-19
90
289
-1
90
346
-83
49
307
-77
-41
238
53
351
72
-74
245
62
203
7,697
-258
-905
-22,004
273
245
149
-131
-156
868
-369
164
-325
178
89
-123
-7
45
156
474
259
58
799
1,164
775
735
15
1,713
-33
-170
62
160
288
-148
-9
219
686
61
983
229
189
220
985
1,141
325
206
144
-133
232
1,208
984
228
186
74
219
176
22
189
151
339
417
159
1,440
-60
506
142
293
353
869
432
698
69
139
1,409
57
60
105
322
177
37
704
214
751
102
544
221
354
277
300
465
38
411
92
93
395
1,532
55
-5
221
93
177
706
96
150
15
2,926
68
-1,230
-202
-609
-262
-623
-31
-749
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
46,785
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
227,800
4,850,603
0.046963
2017
219,400
4,773,995
0.045957
2016
219,400
4,468,582
0.049098
2015
220,600
4,650,882
0.047432
2014
223,000
4,838,743
0.046086
2
Total
of line 1, column (d)
.....................
2
0.235536
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
0.047107
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
4,822,978
5
Multiply line 4 by line 3
......................
5
227,196
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,193
7
Add lines 5 and 6
........................
7
228,389
8
Enter qualifying distributions from Part XII, line 4
,.............
8
266,362
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
1,193
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
1,193
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
1,193
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
4,624
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
4,624
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
3,431
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
1,196
Refunded
11
2,235
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)
VA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
BRANCH BANKING AND TRUST COMPANY
Telephone no.
(404) 442-5163
Located at
271 17TH ST NW STE 700
ATLANTA
GA
ZIP+4
30363
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
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
BRANCH BANKING AND TRUST
TRUSTEE
12
37,794
271 17TH ST NW STE 700
ATLANTA
,
GA
30363
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
4,797,469
b
Average of monthly cash balances
.......................
1b
98,955
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
4,896,424
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
4,896,424
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
73,446
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
4,822,978
6
Minimum investment return.
Enter 5% of line 5
..................
6
241,149
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
241,149
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,193
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,193
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
239,956
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
239,956
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
239,956
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
266,362
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
266,362
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
1,193
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
265,169
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
239,956
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
32,562
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:
$
266,362
a
Applied to 2018, but not more than line 2a
32,562
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
.....
233,800
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
..........
6,156
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
THE HERMITAGE FOUNDATION
7637 NORTH SHORE DRIVE
NORFOLK
,
VA
23505
NONE
EXEMPT
GENERAL OPERATIONS
265,362
Total
.................................
3a
265,362
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
...........
14
9
4
Dividends and interest from securities
....
14
112,169
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
46,785
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)
..
158,963
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
158,963
(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