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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
I & M SMITH FAMILY FDN-DIMA
Number and street (or P.O. box number if mail is not delivered to street address)
114 W 47TH ST NY8-114-07-07 AFT
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
100361510
A Employer identification number
13-4201730
B
Telephone number (see instructions)
(888) 866-3275
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
1,681,058
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
46,047
44,721
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
96,050
b
Gross sales price for all assets on line 6a
649,520
7
Capital gain net income (from Part IV, line 2)
...
96,050
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
........
142,097
140,771
13
Compensation of officers, directors, trustees, etc.
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)
.......
2,500
0
0
2,500
c
Other professional fees (attach schedule)
....
18,573
11,144
7,429
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
1,597
653
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)
.......
299
250
49
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
22,969
12,047
0
9,978
25
Contributions, gifts, grants paid
.......
64,487
64,487
26
Total expenses and disbursements.
Add lines 24 and 25
87,456
12,047
0
74,465
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
54,641
b
Net investment income
(if negative, enter -0-)
128,724
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
.............
477
194
194
2
Savings and temporary cash investments
.........
70,036
103,313
103,313
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)
.......
795,990
845,634
1,107,871
c
Investments—corporate bonds (attach schedule)
.......
447,283
420,136
441,236
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
28,774
28,766
28,444
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)
1,342,560
1,398,043
1,681,058
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
........
1,342,560
1,398,043
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)
.....
1,342,560
1,398,043
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,342,560
1,398,043
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
1,342,560
2
Enter amount from Part I, line 27a
.....................
2
54,641
3
Other increases not included in line 2 (itemize)
3
921
4
Add lines 1, 2, and 3
..........................
4
1,398,122
5
Decreases not included in line 2 (itemize)
5
79
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,398,043
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
11. ALTRIA GROUP INC
2017-12-13
2019-11-01
b
1000. AMERICAN EXPRESS CO
2019-02-20
2019-11-04
c
19. AMERICAN INTERNATIONAL GROUP INC
2015-02-18
2019-11-01
d
47. ANADARKO PETROLEUM CORP
2018-05-21
2019-04-12
e
42. ANADARKO PETROLEUM CORP
2018-05-18
2019-06-04
3. ANADARKO PETROLEUM CORP
2018-05-21
2019-06-04
12. ANADARKO PETROLEUM CORP
2018-08-09
2019-06-04
17. ANADARKO PETROLEUM CORP
2019-02-25
2019-06-04
41. ANADARKO PETROLEUM CORP
2019-02-25
2019-06-06
97. ANADARKO PETROLEUM CORP
2019-03-01
2019-06-19
7. ANADARKO PETROLEUM CORP
2019-02-25
2019-06-19
19000. ANHEUSER-BUSCH INBEV FIN
2018-03-01
2019-02-11
5. ANTHEM INC
2015-01-23
2019-03-01
16. ANTHEM INC
2015-01-22
2019-03-01
4. ANTHEM INC
2015-01-16
2019-11-01
1. ANTHEM INC
2015-01-15
2019-11-01
14. APPLE INC
2019-03-01
2019-04-23
32. APPLE INC
2018-12-20
2019-04-23
2000. APPLE INC
2017-02-08
2019-11-04
53. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-10-20
2019-03-19
11. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-04-06
2019-11-01
1. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-10-20
2019-11-18
5. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-04-07
2019-11-18
2. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2018-08-09
2019-11-18
86. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-04-07
2019-11-19
8. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2016-10-20
2019-11-19
35. ASTRAZENECA PLC-SPONS ADR (UK/USD) ISIN #US0463531089
2018-08-09
2019-11-19
2000. BB&T CORPORATION
2017-10-25
2019-11-04
8. BP P L C SPONS ADR
2018-01-23
2019-11-01
24. BP P L C SPONS ADR
2018-01-22
2019-11-01
1000. BANK OF NY MELLON CORP
2016-09-23
2019-11-04
9. BRISTOL MYERS SQUIBB CO COM
2019-08-08
2019-11-01
1. CDW CORP/DE
2018-02-05
2019-01-23
12. CDW CORP/DE
2018-02-21
2019-01-23
5. CDW CORP/DE
2018-03-19
2019-01-24
5. CDW CORP/DE
2018-03-12
2019-01-24
17. CDW CORP/DE
2018-02-22
2019-01-24
4. CDW CORP/DE
2018-02-21
2019-01-24
18. CDW CORP/DE
2018-03-19
2019-01-25
14. CRH PLC ADR
2017-12-01
2019-11-01
9. CVS HEALTH CORP
2018-11-30
2019-11-01
22. CARDINAL HEALTH INCORPORATED
2018-01-11
2019-03-19
3. CARDINAL HEALTH INCORPORATED
2018-01-12
2019-03-19
15. CARDINAL HEALTH INCORPORATED
2018-01-12
2019-03-20
10. CARDINAL HEALTH INCORPORATED
2018-01-12
2019-03-21
17. CARDINAL HEALTH INCORPORATED
2018-08-09
2019-03-21
2. CARDINAL HEALTH INCORPORATED
2018-01-17
2019-03-21
52. CISCO SYSTEMS INCORPORATED
2018-01-29
2019-02-25
118. CISCO SYSTEMS INCORPORATED
2018-01-29
2019-07-26
28. CISCO SYSTEMS INCORPORATED
2018-08-09
2019-07-26
3000. CISCO SYSTEMS INC
2017-10-03
2019-02-15
3000. CISCO SYSTEMS INC
2013-07-25
2019-02-15
10000. CISCO SYSTEMS INC
2009-11-17
2019-02-21
44. CITIGROUP INC
2013-03-11
2019-11-01
2000. CITIGROUP INC
2011-11-17
2019-11-04
11. COGNIZANT TECHNOLOGY SOLUTIONS CORP
2018-06-13
2019-11-01
. DOWDUPONT INC
2019-06-06
2019-06-06
13. DEVON ENERGY CORP
2018-05-09
2019-02-20
8. DEVON ENERGY CORP
2018-08-09
2019-02-20
40. DEVON ENERGY CORP
2018-05-09
2019-02-21
26. DEVON ENERGY CORP
2018-08-09
2019-02-21
22. DEVON ENERGY CORP
2018-05-09
2019-03-01
123. DEVON ENERGY CORP
2018-05-08
2019-03-01
3. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2008-07-29
2019-01-31
1. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2017-02-01
2019-01-31
5. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2017-02-02
2019-01-31
3. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2008-07-29
2019-02-01
5. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2017-02-02
2019-02-01
17. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2008-07-29
2019-07-01
17. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2008-07-29
2019-08-08
8. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2008-07-29
2019-08-21
10. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2018-08-09
2019-08-21
2. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2019-03-08
2019-08-21
15. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896
2019-03-08
2019-08-22
13. DOLLAR GENERAL CORP
2015-12-17
2019-12-02
4. DOLLAR GENERAL CORP
2018-08-09
2019-12-02
1. DOLLAR GENERAL CORP
2018-08-09
2019-12-03
6. DOLLAR GENERAL CORP
2015-12-17
2019-12-03
.67 DOW INC
2019-03-26
2019-04-05
7. DOW INC
2011-06-06
2019-11-18
1. DOW INC
2016-11-18
2019-11-18
13. DOW INC
2017-01-06
2019-11-18
7. DOW INC
2017-02-01
2019-11-18
7. DOW INC
2017-02-21
2019-11-19
5. DOW INC
2017-04-13
2019-11-19
17. DOW INC
2019-03-01
2019-11-19
18. DOW INC
2019-03-08
2019-11-19
16. DOW INC
2019-03-26
2019-11-19
5. DOW INC
2017-02-01
2019-11-19
.67 DUPONT DE NEMOURS INC
2019-05-07
2019-06-06
12. DUPONT DE NEMOURS INC
2017-02-01
2019-06-28
7. DUPONT DE NEMOURS INC
2017-02-21
2019-06-28
5. DUPONT DE NEMOURS INC
2017-04-13
2019-06-28
1. DUPONT DE NEMOURS INC
2019-03-08
2019-06-28
12. DUPONT DE NEMOURS INC
2017-01-06
2019-06-28
2000. FEDERAL NATL MTG ASSOC
2017-06-13
2019-11-04
6. FEDEX CORP
2019-06-26
2019-11-01
12. FIRSTENERGY CORP
2017-07-21
2019-11-01
6. ARTHUR J GALLAGHER & CO
2018-10-12
2019-11-01
1000. GLAXOSMITHKLINE CAPITAL
2018-06-08
2019-11-04
9. GOLDMAN SACHS GROUP INC
2017-05-17
2019-04-16
6. GOLDMAN SACHS GROUP INC
2018-08-09
2019-04-16
6. GOLDMAN SACHS GROUP INC
2017-05-03
2019-04-16
1. GOLDMAN SACHS GROUP INC
2015-04-02
2019-04-16
2. GOLDMAN SACHS GROUP INC
2015-04-01
2019-04-16
9. GOLDMAN SACHS GROUP INC
2014-10-02
2019-11-18
7. GOLDMAN SACHS GROUP INC
2014-10-02
2019-11-19
16. GOLDMAN SACHS GROUP INC
2014-10-03
2019-11-19
8. GOLDMAN SACHS GROUP INC
2015-04-01
2019-11-19
23. HESS CORP
2018-08-09
2019-02-06
24. HESS CORP
2016-02-12
2019-02-06
48. HESS CORP
2016-02-12
2019-02-25
6. HESS CORP
2016-02-12
2019-03-08
25. HESS CORP
2016-02-12
2019-03-11
9. HESS CORP
2016-02-12
2019-03-11
18. HESS CORP
2016-02-12
2019-03-12
19. HONEYWELL INTERNATIONAL INC
2011-04-06
2019-03-08
58. HONEYWELL INTERNATIONAL INC
2011-04-06
2019-08-20
2. HUMANA INC
2018-01-23
2019-11-01
97. INTERNATIONAL PAPER CO
2013-07-16
2019-06-28
38. J P MORGAN CHASE & CO COM
2007-11-09
2019-11-01
2000. JPMORGAN CHASE & CO
2014-09-16
2019-11-04
11. KELLOGG CO
2018-08-09
2019-02-13
35. KELLOGG CO
2017-11-09
2019-02-13
1. KONINKLIJKE PHILIPS ELECTRS N V
2018-08-09
2019-08-22
1. KONINKLIJKE PHILIPS ELECTRS N V
2017-05-05
2019-08-22
37. KONINKLIJKE PHILIPS ELECTRS N V
2018-08-09
2019-08-23
20. KONINKLIJKE PHILIPS ELECTRS N V
2017-05-05
2019-08-23
23. KONINKLIJKE PHILIPS ELECTRS N V
2017-03-17
2019-11-01
5. LOCKHEED MARTIN CORPORATION
2014-02-03
2019-08-21
2. LOCKHEED MARTIN CORPORATION
2018-08-09
2019-08-21
13. MARATHON PETROLEUM CORP
2018-08-03
2019-09-24
3. MARATHON PETROLEUM CORP
2019-03-18
2019-09-24
13. MARATHON PETROLEUM CORP
2018-08-09
2019-09-24
11. MARATHON PETROLEUM CORP
2018-08-03
2019-09-25
12. MARATHON PETROLEUM CORP
2018-08-09
2019-09-25
3. MARATHON PETROLEUM CORP
2019-03-18
2019-09-25
19. MARATHON PETROLEUM CORP
2008-02-15
2019-11-01
37. MASCO CORP
2019-01-07
2019-04-17
45. MASCO CORP
2019-01-07
2019-04-18
54. MASCO CORP
2019-01-09
2019-04-22
8. MASCO CORP
2019-01-07
2019-04-22
25. MASCO CORP
2019-01-09
2019-04-23
1. MATTEL INC
2017-08-02
2019-10-30
62. MATTEL INC
2017-08-01
2019-10-30
60. MATTEL INC
2017-07-31
2019-10-30
62. MATTEL INC
2017-08-03
2019-10-31
63. MATTEL INC
2017-08-02
2019-10-31
7. MCKESSON CORP
2017-07-20
2019-03-19
18. MCKESSON CORP
2017-06-22
2019-03-19
6. MCKESSON CORP
2017-06-23
2019-09-24
7. MCKESSON CORP
2017-07-20
2019-09-24
5. MCKESSON CORP
2018-03-12
2019-09-24
48. MERCK AND CO INC SHS
2013-04-19
2019-02-08
23. MERCK AND CO INC SHS
2010-01-05
2019-02-13
12. MERCK AND CO INC SHS
2013-04-19
2019-02-13
84. MERCK AND CO INC SHS
2008-07-29
2019-03-01
19. MERCK AND CO INC SHS
2010-01-05
2019-03-01
34. MERCK AND CO INC SHS
2008-07-29
2019-03-08
45. MERCK AND CO INC SHS
2018-08-09
2019-04-23
35. MERCK AND CO INC SHS
2008-07-29
2019-04-23
15. METLIFE INC
2013-07-09
2019-11-01
17. MICROSOFT CORPORATION
2014-01-15
2019-05-20
6. MICROSOFT CORPORATION
2015-02-18
2019-05-20
19. MICROSOFT CORPORATION
2014-01-15
2019-08-08
10. MICROSOFT CORPORATION
2010-07-15
2019-11-01
42. MORGAN STANLEY
2014-01-21
2019-11-01
16. MOTOROLA SOLUTIONS INC
2013-10-03
2019-02-13
6. MOTOROLA SOLUTIONS INC
2013-10-03
2019-02-14
3. MOTOROLA SOLUTIONS INC
2013-10-02
2019-11-01
7. NEWELL RUBBERMAID INC
2019-09-25
2019-11-01
26. NEWELL RUBBERMAID INC
2019-09-24
2019-11-01
13. NEXTERA ENERGY INC
2005-05-05
2019-01-14
3. NORTHROP GRUMMAN CORP
2008-07-17
2019-08-21
4. NORTHROP GRUMMAN CORP
2018-08-09
2019-08-21
1. NOVARTIS AG ADR
2018-12-13
2019-04-16
1. NOVARTIS AG ADR
2018-12-14
2019-04-16
3. NOVARTIS AG ADR
2018-11-05
2019-04-16
8. NOVARTIS AG ADR
2018-12-14
2019-04-17
6. NOVARTIS AG ADR
2018-12-13
2019-04-17
16. NOVARTIS AG ADR
2018-11-05
2019-04-17
12. NOVARTIS AG ADR
2018-11-05
2019-04-18
5. NOVARTIS AG ADR
2018-12-13
2019-04-18
6. NOVARTIS AG ADR
2018-12-14
2019-04-18
6. NOVARTIS AG ADR
2018-12-14
2019-07-26
17. NOVARTIS AG ADR
2018-10-19
2019-07-26
9. NOVARTIS AG ADR
2018-10-18
2019-07-26
16. NOVARTIS AG ADR
2018-10-16
2019-08-20
2. NOVARTIS AG ADR
2018-10-17
2019-08-20
24. NOVARTIS AG ADR
2018-10-17
2019-08-21
29. NOVARTIS AG ADR
2018-10-18
2019-08-21
40. NOVO-NORDISK A S ADR
2017-10-18
2019-01-07
8. NOVO-NORDISK A S ADR
2017-10-18
2019-01-08
12. NOVO-NORDISK A S ADR
2017-10-17
2019-11-01
13. NOVO-NORDISK A S ADR
2017-10-18
2019-11-19
36. NOVO-NORDISK A S ADR
2017-10-18
2019-11-20
12. NOVO-NORDISK A S ADR
2017-10-24
2019-12-17
7. NOVO-NORDISK A S ADR
2017-10-18
2019-12-17
23. NOVO-NORDISK A S ADR
2017-10-17
2019-12-17
5. NOVO-NORDISK A S ADR
2017-10-24
2019-12-17
9. NOVO-NORDISK A S ADR
2017-10-25
2019-12-18
20. NOVO-NORDISK A S ADR
2017-10-24
2019-12-18
19. NOVO-NORDISK A S ADR
2018-08-09
2019-12-18
4. ONEOK INC
2018-08-07
2019-06-19
2. ONEOK INC
2018-08-09
2019-06-19
8. ONEOK INC
2018-08-07
2019-06-20
4. ONEOK INC
2018-08-09
2019-06-20
16. ONEOK INC
2018-08-07
2019-06-21
10. ONEOK INC
2018-08-09
2019-06-21
21. ONEOK INC
2018-08-07
2019-08-21
19. ONEOK INC
2018-08-06
2019-08-21
1. ONEOK INC
2019-03-01
2019-09-24
10. ONEOK INC
2018-08-06
2019-09-24
3. ONEOK INC
2018-08-03
2019-09-24
2. ONEOK INC
2019-03-01
2019-09-25
17. ONEOK INC
2018-08-06
2019-09-25
7. ONEOK INC
2018-08-03
2019-09-25
21. ORACLE CORP
2015-07-16
2019-05-20
31. ORACLE CORP
2016-08-08
2019-05-20
4. ORACLE CORP
2017-02-21
2019-05-20
108. ORACLE CORP
2015-07-16
2019-06-19
17. ORACLE CORP
2015-07-16
2019-07-01
20. ORACLE CORP
2017-01-06
2019-07-01
42. ORACLE CORP
2016-11-17
2019-07-01
17. ORACLE CORP
2016-03-02
2019-08-08
27. ORACLE CORP
2017-01-06
2019-08-08
16. ORACLE CORP
2015-08-28
2019-11-01
48. ORACLE CORP
2018-08-09
2019-11-18
5. ORACLE CORP
2018-08-09
2019-11-19
2000. ORACLE CORP
2016-10-28
2019-11-04
21. PEPSICO INCORPORATED
2018-09-14
2019-09-24
43. PFIZER INC
2015-08-06
2019-01-07
11. PFIZER INC
2017-09-01
2019-02-08
57. PFIZER INC
2015-10-30
2019-02-08
7. PFIZER INC
2015-08-06
2019-02-08
38. PFIZER INC
2017-05-02
2019-03-01
58. PFIZER INC
2015-09-10
2019-03-01
47. PFIZER INC
2017-09-01
2019-03-01
35. PFIZER INC
2014-01-15
2019-04-16
9. PFIZER INC
2015-09-10
2019-04-16
55. PFIZER INC
2016-01-06
2019-04-16
13. PFIZER INC
2014-01-15
2019-04-17
2. PFIZER INC
2015-09-10
2019-04-17
22. PFIZER INC
2016-01-06
2019-04-17
83. PFIZER INC
2018-08-09
2019-09-24
19. PFIZER INC
2008-04-23
2019-11-01
23. PROCTER & GAMBLE CO/THE
2008-07-29
2019-05-31
50. PROCTER & GAMBLE CO/THE
2008-07-29
2019-11-18
9. PROCTER & GAMBLE CO/THE
2008-07-29
2019-11-19
22. PUBLIC SERVICE ENTERPRISE GROUP INC
2018-08-09
2019-01-07
18. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-17
2019-01-07
30. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-03
2019-02-06
21. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-17
2019-02-06
1. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-18
2019-06-26
1. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-03
2019-06-26
5. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-25
2019-06-26
6. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-03
2019-06-27
7. PUBLIC SERVICE ENTERPRISE GROUP INC
2017-05-18
2019-06-27
31. PUBLIC SERVICE ENTERPRISE GROUP INC
2015-09-25
2019-06-27
3. QUALCOMM INC
2015-04-01
2019-07-01
1. QUALCOMM INC
2014-10-24
2019-07-01
5. QUALCOMM INC
2014-10-24
2019-07-01
15. QUALCOMM INC
2015-04-01
2019-07-01
30. QUALCOMM INC
2015-02-02
2019-07-01
6. QUALCOMM INC
2015-04-01
2019-07-01
1. QUALCOMM INC
2015-04-01
2019-07-01
3. QUALCOMM INC
2015-05-20
2019-09-24
2. QUALCOMM INC
2015-04-01
2019-09-24
7. QUALCOMM INC
2015-05-20
2019-09-24
3. QUALCOMM INC
2015-05-20
2019-09-24
20. QUALCOMM INC
2018-08-09
2019-09-24
10. QUALCOMM INC
2015-05-20
2019-11-14
25. QUALCOMM INC
2017-08-16
2019-11-14
10000. USD ROYAL BK CANADA
2016-04-26
2019-09-23
13. CHARLES SCHWAB CORP/THE
2017-10-11
2019-11-01
2000. SHELL INTERNATIONAL FIN
2013-07-25
2019-09-23
3000. SHELL INTERNATIONAL FIN
2017-10-03
2019-09-23
11000. SHELL INTERNATIONAL FIN
2011-03-25
2019-09-23
11. SONY CORP/AMER SHARES NEW/
2019-07-03
2019-11-01
5. SONY CORP/AMER SHARES NEW/
2019-09-25
2019-11-19
10. SONY CORP/AMER SHARES NEW/
2019-07-05
2019-11-19
1. SONY CORP/AMER SHARES NEW/
2019-09-24
2019-11-19
34. SONY CORP/AMER SHARES NEW/
2019-09-25
2019-11-20
4. SONY CORP/AMER SHARES NEW/
2019-09-24
2019-11-20
61. SONY CORP/AMER SHARES NEW/
2019-07-05
2019-11-20
16. STATE ST CORP COM
2018-10-05
2019-11-01
64. SUNCOR ENERGY INC
2018-08-09
2019-02-25
3. SUNCOR ENERGY INC
2017-09-01
2019-03-21
5. SUNCOR ENERGY INC
2018-10-05
2019-03-21
2. SUNCOR ENERGY INC
2018-10-04
2019-03-21
2. SUNCOR ENERGY INC
2018-08-09
2019-03-21
3. SUNCOR ENERGY INC
2018-05-08
2019-03-21
6. SUNCOR ENERGY INC
2017-09-05
2019-03-21
1. SUNCOR ENERGY INC
2016-10-17
2019-03-21
2. SUNCOR ENERGY INC
2017-07-31
2019-03-21
2. SUNCOR ENERGY INC
2017-08-01
2019-03-21
1. SUNCOR ENERGY INC
2017-02-24
2019-03-21
2. SUNCOR ENERGY INC
2017-02-23
2019-03-21
2. SUNCOR ENERGY INC
2017-02-22
2019-03-21
3. SUNCOR ENERGY INC
2016-10-18
2019-03-21
1. SUNCOR ENERGY INC
2017-07-28
2019-03-21
5. SUNCOR ENERGY INC
2018-05-08
2019-03-22
6. SUNCOR ENERGY INC
2017-09-01
2019-03-22
4. SUNCOR ENERGY INC
2018-08-09
2019-03-22
9. SUNCOR ENERGY INC
2018-10-05
2019-03-22
10. SUNCOR ENERGY INC
2017-09-05
2019-03-22
3. SUNCOR ENERGY INC
2018-10-04
2019-03-22
5. SUNCOR ENERGY INC
2016-10-18
2019-03-22
4. SUNCOR ENERGY INC
2017-08-01
2019-03-22
1. SUNCOR ENERGY INC
2016-10-17
2019-03-22
4. SUNCOR ENERGY INC
2017-07-31
2019-03-22
1. SUNCOR ENERGY INC
2017-02-24
2019-03-22
3. SUNCOR ENERGY INC
2017-02-22
2019-03-22
2. SUNCOR ENERGY INC
2017-07-28
2019-03-22
4. SUNCOR ENERGY INC
2017-02-23
2019-03-22
26. SUNCOR ENERGY INC
2017-09-05
2019-03-25
16. SUNCOR ENERGY INC
2016-10-18
2019-03-25
10. SUNCOR ENERGY INC
2018-10-04
2019-03-25
13. SUNCOR ENERGY INC
2018-08-09
2019-03-25
14. SUNCOR ENERGY INC
2018-05-08
2019-03-25
23. SUNCOR ENERGY INC
2018-10-05
2019-03-25
11. SUNCOR ENERGY INC
2017-02-23
2019-03-25
12. SUNCOR ENERGY INC
2017-07-31
2019-03-25
9. SUNCOR ENERGY INC
2017-07-28
2019-03-25
5. SUNCOR ENERGY INC
2017-02-24
2019-03-25
10. SUNCOR ENERGY INC
2017-02-22
2019-03-25
16. SUNCOR ENERGY INC
2017-09-01
2019-03-25
11. SUNCOR ENERGY INC
2017-08-01
2019-03-25
5. SUNCOR ENERGY INC
2018-05-08
2019-03-26
9. SUNCOR ENERGY INC
2017-09-05
2019-03-26
4. SUNCOR ENERGY INC
2017-08-01
2019-03-26
4. SUNCOR ENERGY INC
2018-08-09
2019-03-26
3. SUNCOR ENERGY INC
2018-10-04
2019-03-26
8. SUNCOR ENERGY INC
2018-10-05
2019-03-26
5. SUNCOR ENERGY INC
2017-09-01
2019-03-26
1. SUNCOR ENERGY INC
2017-02-24
2019-03-26
4. SUNCOR ENERGY INC
2017-07-31
2019-03-26
2. SUNCOR ENERGY INC
2017-07-28
2019-03-26
3. SUNCOR ENERGY INC
2017-02-23
2019-03-26
3. SUNCOR ENERGY INC
2017-02-22
2019-03-26
5. SUNCOR ENERGY INC
2016-10-18
2019-03-26
25. SUNCOR ENERGY INC
2016-10-17
2019-03-26
34. SUNCOR ENERGY INC
2016-08-11
2019-03-26
21. SUNCOR ENERGY INC
2016-10-14
2019-03-26
9. SUNCOR ENERGY INC
2016-08-11
2019-06-07
17. SUNCOR ENERGY INC
2016-08-10
2019-06-07
55. SUNCOR ENERGY INC
2016-06-01
2019-06-07
13. SUNCOR ENERGY INC
2016-08-09
2019-06-07
93. SUNCOR ENERGY INC
2016-06-01
2019-08-20
72. SUNCOR ENERGY INC
2016-06-01
2019-08-21
113. SUNTRUST BANKS INC
2013-02-20
2019-01-07
8. TAIWAN S MANUFCTRING ADR
2018-08-09
2019-08-14
35. TAIWAN S MANUFCTRING ADR
2017-01-23
2019-08-14
12. TAIWAN S MANUFCTRING ADR
2017-03-09
2019-08-14
12. TAIWAN S MANUFCTRING ADR
2017-03-10
2019-08-14
27. TAIWAN S MANUFCTRING ADR
2017-03-10
2019-08-15
73. TAIWAN S MANUFCTRING ADR
2017-01-23
2019-08-15
26. TAIWAN S MANUFCTRING ADR
2017-03-09
2019-08-15
19. TAIWAN S MANUFCTRING ADR
2018-08-09
2019-08-15
32. TAIWAN S MANUFCTRING ADR
2017-01-23
2019-08-20
77. TAIWAN S MANUFCTRING ADR
2017-01-20
2019-08-20
74. TAIWAN S MANUFCTRING ADR
2018-12-13
2019-08-20
3. 3M CO
2018-08-09
2019-05-07
3. 3M CO
2018-08-09
2019-05-07
12. 3M CO
2019-04-16
2019-05-07
2. 3M CO
2018-08-09
2019-08-20
2. 3M CO
2018-05-08
2019-08-20
14. 3M CO
2018-08-16
2019-08-20
13. US BANCORP DEL
2005-05-05
2019-06-26
88. US BANCORP DEL
2005-05-05
2019-06-27
16. UNION PACIFIC CORP
2014-01-15
2019-02-25
3000. U.S. TREASURY BOND
2011-03-03
2019-11-04
5000. U.S. TREASURY BOND 3.125% FEB 15 2042
2012-02-24
2019-11-04
17000. U.S. TREASURY BOND
2016-09-23
2019-06-25
4000. U.S. TREASURY BOND
2017-10-03
2019-06-25
1000. U.S. TREASURY BOND
2018-03-01
2019-11-04
17000. U.S. TREASURY NOTE
2018-04-27
2019-01-11
9000. U.S. TREASURY NOTE
2018-03-01
2019-04-12
14000. U.S. TREASURY NOTE
2018-04-27
2019-04-12
1000. U.S. TREASURY NOTE
2019-07-18
2019-11-04
21000. U.S. TREASURY NOTE
2018-09-12
2019-05-15
9000. U.S. TREASURY NOTE
2018-09-12
2019-07-18
1000. U.S. TREASURY NOTE
2019-04-12
2019-11-04
1000. U.S. TREASURY NOTE
2019-02-20
2019-11-04
10000. U.S. TREASURY NOTE
2019-09-25
2019-12-18
19000. U.S. TREASURY NOTE
2019-02-20
2019-12-18
1000. U.S. TREASURY NOTE
2017-03-09
2019-11-04
3000. U.S. TREASURY NOTE
2010-06-24
2019-11-04
2000. U.S. TREASURY NOTE
2017-10-25
2019-11-04
1000. U.S. TREASURY NOTE
2018-08-23
2019-11-04
6. UNITEDHEALTH GROUP INC
2018-08-09
2019-01-07
3. UNITEDHEALTH GROUP INC
2015-01-16
2019-01-07
5. UNITEDHEALTH GROUP INC
2015-01-15
2019-02-06
6. UNITEDHEALTH GROUP INC
2015-01-16
2019-02-06
16. VERIZON COMMUNICATIONS INC
2006-04-20
2019-11-01
1000. WALMART INC
2018-08-23
2019-11-04
65. WELLS FARGO COMPANY
2008-07-29
2019-11-01
1000. WELLS FARGO & COMPANY
2016-07-26
2019-11-04
48. WILLIAMS COMPANIES DEL
2018-05-21
2019-11-01
10. WILLIAMS COMPANIES DEL
2018-05-18
2019-11-01
1. JOHNSON CTLS INTL PLC
2018-08-06
2019-05-28
89. JOHNSON CTLS INTL PLC
2018-08-07
2019-05-28
21. JOHNSON CTLS INTL PLC
2018-08-09
2019-09-05
4. JOHNSON CTLS INTL PLC
2018-08-06
2019-09-05
33. JOHNSON CTLS INTL PLC
2018-08-09
2019-09-06
9. JOHNSON CTLS INTL PLC
2018-08-06
2019-09-06
16. JOHNSON CTLS INTL PLC
2018-08-09
2019-09-24
18. JOHNSON CTLS INTL PLC
2019-03-08
2019-09-24
46. JOHNSON CTLS INTL PLC
2018-08-09
2019-09-25
54. JOHNSON CTLS INTL PLC
2019-03-08
2019-09-25
124. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-18
2019-09-05
132. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-22
2019-09-06
60. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-01-18
2019-09-06
8. MEDTRONIC PLC SHS
2017-10-26
2019-11-01
3. WILLIS TOWERS WATSON PLC
2019-02-11
2019-11-01
.2 ALCON SA ACT NOM
2018-12-14
2019-04-26
1. ALCON SA ACT NOM
2018-10-18
2019-11-01
5. ALCON SA ACT NOM
2018-10-17
2019-11-01
3. ALCON SA ACT NOM
2018-10-16
2019-11-01
6. NXP SEMICONDUCTORS N.V.
2019-08-14
2019-11-01
(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
495
795
-300
b
1,047
1,002
45
c
1,017
1,045
-28
d
2,906
3,367
-461
e
2,964
2,961
3
212
215
-3
847
796
51
1,200
751
449
2,877
1,812
1,065
6,794
4,276
2,518
490
309
181
18,195
18,941
-746
1,536
715
821
4,915
2,261
2,654
1,097
539
558
274
135
139
2,904
2,449
455
6,638
5,118
1,520
2,143
2,019
124
2,271
1,643
628
533
326
207
48
31
17
240
149
91
96
79
17
4,104
2,561
1,543
382
248
134
1,670
1,384
286
2,061
1,991
70
309
346
-37
927
1,040
-113
1,005
996
9
519
424
95
81
75
6
977
860
117
407
373
34
407
377
30
1,384
1,222
162
326
287
39
1,480
1,343
137
516
485
31
605
726
-121
1,112
1,510
-398
152
212
-60
742
1,062
-320
499
708
-209
849
841
8
100
145
-45
2,640
2,229
411
6,666
5,059
1,607
1,582
1,230
352
3,000
3,000
3,000
3,000
10,153
10,009
144
3,219
2,096
1,123
2,102
1,914
188
672
862
-190
18
17
1
395
523
-128
243
339
-96
1,204
1,608
-404
783
1,102
-319
658
885
-227
3,680
4,759
-1,079
457
211
246
152
112
40
762
557
205
454
211
243
757
557
200
2,902
1,195
1,707
2,773
1,195
1,578
1,349
562
787
1,686
1,441
245
337
318
19
2,512
2,382
130
2,016
935
1,081
620
412
208
153
103
50
920
432
488
38
35
3
381
240
141
54
52
2
707
719
-12
381
409
-28
373
415
-42
266
298
-32
905
890
15
958
956
2
852
834
18
266
292
-26
48
65
-17
893
1,070
-177
521
633
-112
372
455
-83
74
81
-7
893
1,013
-120
2,046
1,957
89
941
961
-20
580
379
201
548
425
123
1,047
999
48
1,816
1,934
-118
1,211
1,407
-196
1,211
1,358
-147
202
192
10
404
384
20
1,978
1,649
329
1,538
1,282
256
3,515
2,997
518
1,758
1,536
222
1,266
1,497
-231
1,321
953
368
2,762
1,905
857
329
238
91
1,390
992
398
503
357
146
1,027
715
312
2,874
1,071
1,803
9,522
3,268
6,254
594
565
29
4,210
4,552
-342
4,845
1,615
3,230
2,123
1,993
130
625
784
-159
1,987
2,201
-214
47
44
3
47
36
11
1,722
1,630
92
931
728
203
1,017
723
294
1,914
753
1,161
765
629
136
721
1,025
-304
166
186
-20
721
1,065
-344
643
868
-225
702
983
-281
175
186
-11
1,250
386
864
1,483
1,171
312
1,800
1,424
376
2,138
1,747
391
317
253
64
999
809
190
12
20
-8
734
1,220
-486
710
1,176
-466
735
1,180
-445
747
1,234
-487
855
1,161
-306
2,199
2,991
-792
842
990
-148
983
1,161
-178
702
787
-85
3,713
2,273
1,440
1,815
857
958
947
568
379
6,862
2,727
4,135
1,552
708
844
2,701
1,104
1,597
3,360
2,970
390
2,613
1,136
1,477
705
652
53
2,146
625
1,521
757
262
495
2,608
698
1,910
1,433
256
1,177
1,970
1,371
599
2,201
971
1,230
824
364
460
503
182
321
144
127
17
535
465
70
2,222
526
1,696
1,107
177
930
1,475
1,170
305
79
78
1
79
77
2
238
235
3
621
615
6
466
466
1,242
1,253
-11
917
940
-23
382
388
-6
458
462
-4
558
462
96
1,582
1,304
278
838
681
157
1,429
1,200
229
179
150
29
2,158
1,796
362
2,608
2,195
413
1,911
2,015
-104
386
403
-17
676
592
84
741
655
86
2,002
1,813
189
697
604
93
407
353
54
1,337
1,135
202
291
252
39
515
452
63
1,145
1,007
138
1,088
899
189
265
266
-1
132
134
-2
540
531
9
270
268
2
1,098
1,062
36
686
671
15
1,494
1,379
115
1,351
1,237
114
74
64
10
741
651
90
222
193
29
147
128
19
1,252
1,107
145
515
449
66
1,127
858
269
1,663
1,277
386
215
169
46
5,670
4,414
1,256
986
695
291
1,160
770
390
2,436
1,688
748
924
639
285
1,467
1,039
428
880
597
283
2,696
2,337
359
283
243
40
2,047
1,980
67
2,842
2,401
441
1,860
1,516
344
461
373
88
2,391
1,957
434
294
247
47
1,649
1,275
374
2,517
1,891
626
2,040
1,594
446
1,432
1,084
348
368
293
75
2,250
1,745
505
518
402
116
80
65
15
877
698
179
2,989
3,415
-426
734
379
355
2,396
1,496
900
6,093
3,253
2,840
1,098
586
512
1,136
1,136
929
787
142
1,650
1,310
340
1,155
918
237
59
44
15
59
44
15
296
205
91
353
262
91
412
305
107
1,824
1,269
555
233
195
38
78
71
7
388
352
36
1,163
1,015
148
2,325
1,896
429
465
387
78
78
65
13
226
195
31
150
130
20
526
458
68
226
195
31
1,504
1,300
204
905
651
254
2,261
1,325
936
10,000
10,041
-41
542
588
-46
2,000
2,000
3,000
3,000
11,000
11,000
675
602
73
309
303
6
618
548
70
62
59
3
2,096
2,060
36
247
236
11
3,761
3,342
419
1,080
1,389
-309
2,178
2,644
-466
104
96
8
173
198
-25
69
80
-11
69
83
-14
104
115
-11
207
190
17
35
29
6
69
65
4
69
64
5
35
32
3
69
65
4
69
64
5
104
87
17
35
32
3
168
191
-23
202
192
10
134
165
-31
303
357
-54
336
317
19
101
119
-18
168
144
24
134
129
5
34
29
5
134
129
5
34
32
2
101
97
4
67
65
2
134
130
4
860
824
36
529
461
68
331
398
-67
430
537
-107
463
535
-72
761
912
-151
364
358
6
397
388
9
298
292
6
165
161
4
331
322
9
529
511
18
364
354
10
167
191
-24
300
285
15
133
129
4
133
165
-32
100
119
-19
267
317
-50
167
160
7
33
32
1
133
129
4
67
65
2
100
98
2
100
97
3
167
144
23
833
714
119
1,133
950
183
700
598
102
275
251
24
519
468
51
1,680
1,482
198
397
355
42
2,622
2,505
117
2,048
1,940
108
6,162
3,144
3,018
324
334
-10
1,415
1,062
353
485
372
113
485
372
113
1,056
837
219
2,856
2,214
642
1,017
805
212
743
794
-51
1,346
971
375
3,240
2,314
926
3,113
2,762
351
538
620
-82
538
733
-195
2,152
2,600
-448
323
414
-91
323
403
-80
2,261
2,839
-578
676
373
303
4,571
2,522
2,049
2,715
1,364
1,351
4,066
2,974
1,092
5,815
5,012
803
16,926
17,481
-555
3,983
3,708
275
1,154
975
179
17,094
16,697
397
9,088
8,996
92
13,996
13,905
91
1,092
1,067
25
21,515
20,895
620
9,334
8,955
379
1,114
1,047
67
1,012
1,002
10
10,102
10,085
17
19,194
19,042
152
1,034
976
58
3,030
3,006
24
2,098
1,989
109
1,007
1,000
7
1,441
1,574
-133
721
315
406
1,341
522
819
1,609
630
979
965
471
494
1,053
1,010
43
3,388
1,932
1,456
1,001
1,000
1
1,094
1,314
-220
228
275
-47
39
38
1
3,431
3,388
43
902
791
111
172
151
21
1,417
1,243
174
386
339
47
696
602
94
783
643
140
2,006
1,732
274
2,355
1,929
426
3,079
2,105
974
3,288
2,186
1,102
1,495
1,019
476
878
643
235
568
508
60
11
11
59
52
7
296
259
37
177
156
21
699
601
98
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
-300
b
45
c
-28
d
-461
e
3
-3
51
449
1,065
2,518
181
-746
821
2,654
558
139
455
1,520
124
628
207
17
91
17
1,543
134
286
70
-37
-113
9
95
6
117
34
30
162
39
137
31
-121
-398
-60
-320
-209
8
-45
411
1,607
352
144
1,123
188
-190
1
-128
-96
-404
-319
-227
-1,079
246
40
205
243
200
1,707
1,578
787
245
19
130
1,081
208
50
488
3
141
2
-12
-28
-42
-32
15
2
18
-26
-17
-177
-112
-83
-7
-120
89
-20
201
123
48
-118
-196
-147
10
20
329
256
518
222
-231
368
857
91
398
146
312
1,803
6,254
29
-342
3,230
130
-159
-214
3
11
92
203
294
1,161
136
-304
-20
-344
-225
-281
-11
864
312
376
391
64
190
-8
-486
-466
-445
-487
-306
-792
-148
-178
-85
1,440
958
379
4,135
844
1,597
390
1,477
53
1,521
495
1,910
1,177
599
1,230
460
321
17
70
1,696
930
305
1
2
3
6
-11
-23
-6
-4
96
278
157
229
29
362
413
-104
-17
84
86
189
93
54
202
39
63
138
189
-1
-2
9
2
36
15
115
114
10
90
29
19
145
66
269
386
46
1,256
291
390
748
285
428
283
359
40
67
441
344
88
434
47
374
626
446
348
75
505
116
15
179
-426
355
900
2,840
512
142
340
237
15
15
91
91
107
555
38
7
36
148
429
78
13
31
20
68
31
204
254
936
-41
-46
73
6
70
3
36
11
419
-309
-466
8
-25
-11
-14
-11
17
6
4
5
3
4
5
17
3
-23
10
-31
-54
19
-18
24
5
5
5
2
4
2
4
36
68
-67
-107
-72
-151
6
9
6
4
9
18
10
-24
15
4
-32
-19
-50
7
1
4
2
2
3
23
119
183
102
24
51
198
42
117
108
3,018
-10
353
113
113
219
642
212
-51
375
926
351
-82
-195
-448
-91
-80
-578
303
2,049
1,351
1,092
803
-555
275
179
397
92
91
25
620
379
67
10
17
152
58
24
109
7
-133
406
819
979
494
43
1,456
1
-220
-47
1
43
111
21
174
47
94
140
274
426
974
1,102
476
235
60
7
37
21
98
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
96,050
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
10,119
1,523,287
0.006643
2017
9,323
1,461,655
0.006378
2016
9,030
1,329,323
0.006793
2015
8,772
1,289,816
0.006801
2014
8,884
1,255,914
0.007074
2
Total
of line 1, column (d)
.....................
2
0.033689
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
0.006738
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,592,415
5
Multiply line 4 by line 3
......................
5
10,730
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,287
7
Add lines 5 and 6
........................
7
12,017
8
Enter qualifying distributions from Part XII, line 4
,.............
8
74,465
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
1,287
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
1,287
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
1,287
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
1,558
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
1,558
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
271
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
271
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
NY
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
BANK OF AMERICA NA
Telephone no.
(888) 866-3275
Located at
114 WEST 47TH STREET NY8-114-07-07
NEW YORK
NY
ZIP+4
100361510
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
IAN SMITH
PRESIDENT/SECRETARY AS NEEDED
0
0
630 PARK AVE
NEW YORK
,
NY
10065
MARGARET SMITH
VP/SECRETARY AS NEEDED
0
0
630 PARK AVE
NEW YORK
,
NY
10065
JOSEPH SALERNO
DIRECTOR
0
0
110 WYCHWOOD
WESTFIELD
,
NJ
07090
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
1,540,782
b
Average of monthly cash balances
.......................
1b
75,883
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,616,665
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
1,616,665
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
24,250
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,592,415
6
Minimum investment return.
Enter 5% of line 5
..................
6
79,621
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
79,621
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,287
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,287
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
78,334
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
78,334
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
78,334
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
74,465
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
74,465
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
1,287
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
73,178
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
78,334
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
64,487
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:
$
74,465
a
Applied to 2018, but not more than line 2a
64,487
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
.....
9,978
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
..........
68,356
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).)
IAN SMITH
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
WEILL CORNELL MEDICINE
1300 YORK AVE BOX 314
NEW YORK
,
NY
10065
N/A
PC
SUPPORT M & I SMITH
64,487
Total
.................................
3a
64,487
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
46,047
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
96,050
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)
..
142,097
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
142,097
(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