-
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
SIRMAY ELIZABETH R CHARITABLE TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
BNY MELLON NA - PO BOX 185
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSBURGH
,
PA
152300185
A Employer identification number
25-6701861
B
Telephone number (see instructions)
(302) 421-2288
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)
$
5,736,775
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
...
129,835
127,927
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
365,635
b
Gross sales price for all assets on line 6a
3,877,436
7
Capital gain net income (from Part IV, line 2)
...
365,635
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
........
495,470
493,562
13
Compensation of officers, directors, trustees, etc.
94,463
56,678
37,785
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
4,158
2,238
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)
.......
333
333
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
98,954
59,249
0
37,785
25
Contributions, gifts, grants paid
.......
258,520
258,520
26
Total expenses and disbursements.
Add lines 24 and 25
357,474
59,249
0
296,305
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
137,996
b
Net investment income
(if negative, enter -0-)
434,313
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
.............
-38,822
-32,047
-32,047
2
Savings and temporary cash investments
.........
509,456
176,612
176,612
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
4,362,702
4,818,029
5,592,210
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)
4,833,336
4,962,594
5,736,775
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
........
4,833,336
4,962,594
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)
.....
4,833,336
4,962,594
30
Total liabilities and net assets/fund balances
(see instructions)
.
4,833,336
4,962,594
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
4,833,336
2
Enter amount from Part I, line 27a
.....................
2
137,996
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
4,971,332
5
Decreases not included in line 2 (itemize)
5
8,738
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
4,962,594
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
220. ANADARKO PETE CORP
2018-06-20
2019-01-02
b
34. HOME DEPOT INC USD 0.05
2013-07-15
2019-01-02
c
80. CORNING INC COM
2017-07-25
2019-01-03
d
30. ATLASSIAN CORP PLC-CLASS A
2018-03-02
2019-01-07
e
50. MEDTRONIC PLC
2018-06-12
2019-01-07
40. MEDTRONIC PLC
2018-08-09
2019-01-07
60. CISCO SYS INC
2018-09-21
2019-01-09
60. QUALCOMM INC
2018-11-30
2019-01-09
26. AMERICAN TOWER CORP-CL A
2017-11-01
2019-01-15
50. EXELON CORP
2018-08-17
2019-01-15
9. NEXTERA ENERGY INC
2018-08-17
2019-01-15
30. ATLASSIAN CORP PLC-CLASS A
2018-03-02
2019-01-16
150. CISCO SYS INC
2018-09-21
2019-01-17
19. HOME DEPOT INC USD 0.05
2013-07-15
2019-01-17
33. JOHNSON & JOHNSON COM
2018-11-20
2019-01-17
100. PFIZER INC COM
2018-08-06
2019-01-17
190. QUALCOMM INC
2018-11-19
2019-01-17
2. AMERICAN TOWER CORP-CL A
2018-04-11
2019-01-18
8. AMERICAN TOWER CORP-CL A
2017-11-01
2019-01-18
60. CISCO SYS INC
2018-09-21
2019-01-18
5. EQUINIX INC
2017-09-27
2019-01-18
40. EXELON CORP
2018-10-30
2019-01-18
10. NEXTERA ENERGY INC
2018-10-30
2019-01-18
20. ATLASSIAN CORP PLC-CLASS A
2018-03-02
2019-01-18
9. APPLE COMPUTER INC COM
2017-10-17
2019-01-24
24. APPLE COMPUTER INC COM
2018-07-12
2019-01-24
27. JOHNSON & JOHNSON COM
2018-10-30
2019-01-24
38. JOHNSON & JOHNSON COM
2017-08-10
2019-01-24
27. LAM RESH CORP COM
2017-07-27
2019-01-24
80. QUALCOMM INC
2018-11-19
2019-01-24
5. AMAZON COM INC
2013-07-15
2019-01-29
170. QUALCOMM INC
2018-11-19
2019-01-31
80. VERIZON COMMUNICATIONS INC
2018-10-19
2019-01-31
130. CRH PLC ADR
2014-09-26
2019-02-01
210. HEIDELBERGCEMENT AG-UNSP ADR
2018-01-25
2019-02-01
90. SOFTBANK CORP-UNSPON ADR
2013-05-07
2019-02-01
250. AMICUS THERAPEUTICS INC
2017-08-22
2019-02-06
100. BUILDERS FIRSTSOURCE INC
2017-10-03
2019-02-06
32. MOLINA HEALTHCARE INC
2015-12-15
2019-02-06
38. PRA HEALTH SCIENCES INC
2015-04-08
2019-02-06
50. POPULAR INC
2018-11-20
2019-02-06
60. PROGRESS SOFTWARE CORP
2017-05-16
2019-02-06
30. SPIRIT AEROSYSTEMS HLDGS INC
2017-01-24
2019-02-06
90. UNITI GROUP INC
2018-09-17
2019-02-06
120. UNITI GROUP INC
2018-07-11
2019-02-06
20. BUILDERS FIRSTSOURCE INC
2018-07-26
2019-02-07
40. BUILDERS FIRSTSOURCE INC
2017-10-03
2019-02-07
200. UNITI GROUP INC
2018-09-17
2019-02-07
.1167 LADDER CAPITAL CORP-CLASS A
2018-12-11
2019-02-08
40. MICROSOFT CORP COM
2018-11-08
2019-02-08
26. APPLE COMPUTER INC COM
2009-06-05
2019-02-11
42. MICROSOFT CORP COM
2018-10-29
2019-02-11
60. COMCAST CORP NEW CL A
2017-03-17
2019-02-13
40. COMCAST CORP NEW CL A
2018-11-06
2019-02-13
70. VERIZON COMMUNICATIONS INC
2018-10-19
2019-02-13
10. HFF INC
2018-04-19
2019-02-15
48. MOLINA HEALTHCARE INC
2015-12-15
2019-02-15
60. PREMIER INC-CLASS A
2018-09-17
2019-02-15
40. PROGRESS SOFTWARE CORP
2017-05-02
2019-02-15
10. RE/MAX HOLDINGS INC-CL A
2016-03-08
2019-02-15
4. TRADE DESK INC/THE
2018-12-11
2019-02-15
30. STRATASYS LTD
2017-08-22
2019-02-15
60. CORNING INC COM
2017-07-25
2019-02-19
110. HFF INC
2018-04-04
2019-02-19
50. PREMIER INC-CLASS A
2018-09-17
2019-02-19
100. RE/MAX HOLDINGS INC-CL A
2014-06-03
2019-02-19
24. TEXAS INSTRUMENTS INC
2018-08-07
2019-02-19
80. STRATASYS LTD
2017-08-22
2019-02-19
60. GILEAD SCIENCES INC
2018-06-20
2019-02-20
30. VEOLIA ENVIRONNEMENT
2016-03-10
2019-02-22
30. CSX CORP COM
2017-01-13
2019-02-27
130. NUCOR CORP
2013-07-15
2019-02-27
9. ILLUMINA INC
2018-07-31
2019-02-28
10. UNITED HEALTH GROUP INC
2016-09-14
2019-02-28
15. UNITED HEALTH GROUP INC
2019-01-17
2019-02-28
40. MEDTRONIC PLC
2018-06-12
2019-02-28
245. INTERCONTINENTALEXCHANGE GRO
2011-10-18
2019-03-04
3. AMAZON COM INC
2011-05-02
2019-03-06
90. HAWAIIAN HLDGS INC
2015-06-16
2019-03-06
100. NETSCOUT SYS INC
2017-12-13
2019-03-06
30. PRA HEALTH SCIENCES INC
2015-04-08
2019-03-06
1. RH
2017-11-28
2019-03-06
21. RH
2018-07-26
2019-03-06
190. RAYONIER ADVANCED MATERI-W/1
2017-06-27
2019-03-06
40. VERINT SYSTEMS INC
2017-11-14
2019-03-06
30. WINTRUST FINL CORP
2017-10-31
2019-03-06
40. BANK OF NT BUTTERFIELD & SON
2018-03-22
2019-03-06
22. LAM RESH CORP COM
2017-08-07
2019-03-07
5. LAM RESH CORP COM
2018-11-02
2019-03-07
8. ALIGN TECHNOLOGY INC
2017-06-19
2019-03-08
170. PFIZER INC COM
2018-08-06
2019-03-08
10. T -MOBILE US INC
2017-06-08
2019-03-08
60. T -MOBILE US INC
2018-10-19
2019-03-08
50. CISCO SYS INC
2018-09-21
2019-03-14
67. TEXAS INSTRUMENTS INC
2018-08-01
2019-03-14
20. ADOBE SYS INC COM
2019-01-16
2019-03-18
70. MONSTER BEVERAGE CORP
2014-01-13
2019-03-19
90. CISCO SYS INC
2018-09-21
2019-03-20
40. T -MOBILE US INC
2017-06-08
2019-03-20
50. VERIZON COMMUNICATIONS INC
2018-10-16
2019-03-20
32. BIOGEN IDEC INC
2018-01-18
2019-03-21
40. TEXAS INSTRUMENTS INC
2018-08-01
2019-03-25
30. YUM BRANDS INC
2017-04-06
2019-03-28
20. YUM BRANDS INC
2018-06-29
2019-03-28
10. MERCK & CO INC
2018-08-23
2019-04-02
20. MERCK & CO INC
2018-10-30
2019-04-02
20. MEDTRONIC PLC
2018-05-31
2019-04-02
140. CORNING INC COM
2017-07-05
2019-04-03
25. HDFC BK LTD
2015-06-26
2019-04-03
16. MICROSOFT CORP COM
2018-10-29
2019-04-03
70. CORNING INC COM
2017-06-29
2019-04-04
124. WORLDPAY INC
2017-07-12
2019-04-10
80. VERIZON COMMUNICATIONS INC
2018-10-16
2019-04-11
126. WORLDPAY INC
2017-07-11
2019-04-11
30. CSX CORP COM
2017-01-13
2019-04-12
19. HONEYWELL INTL INC
2013-07-15
2019-04-12
19. ILLINOIS TOOL WORKS INC COM
2014-08-15
2019-04-17
51. UNITED HEALTH GROUP INC
2016-09-14
2019-04-17
130. CORNING INC COM
2017-06-29
2019-04-18
50000. JP MORGAN CHASE & CO 6.3% 4/23/19
2012-11-01
2019-04-23
50. CORNING INC COM
2017-06-29
2019-04-24
340. INTEL CORPORATION
2019-01-24
2019-04-29
100. MONSTER BEVERAGE CORP
2014-01-13
2019-04-30
90. SYNCHRONY FINANCIAL
2016-10-05
2019-05-02
80. SYNCHRONY FINANCIAL
2018-08-01
2019-05-02
100. ALCOA UPSTREAM CORP
2018-05-22
2019-05-03
70. FIRST AMERICAN FINANCIAL-W/I
2014-07-01
2019-05-03
110. NU SKIN ENTERPRISES, INC CL A
2016-07-12
2019-05-03
4.0539 POTLATCH HLDGS INC
2018-11-15
2019-05-03
59.9461 POTLATCH HLDGS INC
2017-11-28
2019-05-03
10. RMR GROUP INC/THE - A
2018-08-10
2019-05-03
39. RH
2017-11-28
2019-05-03
40. RYMAN HOSPITALITY PPTYS INC
2016-01-26
2019-05-03
200. STERLING CONSTR INC
2017-08-22
2019-05-03
20. BANK OF NT BUTTERFIELD & SON
2018-03-22
2019-05-03
120. FIRST AMERICAN FINANCIAL-W/I
2014-03-11
2019-05-06
30. RMR GROUP INC/THE - A
2017-01-24
2019-05-06
10. RMR GROUP INC/THE - A
2018-08-10
2019-05-06
40. RMR GROUP INC/THE - A
2018-11-20
2019-05-06
70. BANK OF NT BUTTERFIELD & SON
2017-11-28
2019-05-06
260. ANADARKO PETE CORP
2018-06-15
2019-05-09
120. INTEL CORPORATION
2019-01-24
2019-05-09
260. MARATHON PETROLEUM CORP
2018-10-08
2019-05-09
190. QUINSTREET INC
2018-12-11
2019-05-10
110. CORNING INC COM
2017-06-29
2019-05-20
21. APPLE COMPUTER INC COM
2009-06-05
2019-05-24
110. WESTERN DIGITAL CORP
2019-04-18
2019-05-24
570. MITSUBISHI UFJ FINL GROUP INC
2017-11-27
2019-05-30
250. MITSUBISHI UFJ FINL GROUP INC
2018-07-18
2019-05-30
30. WOLTERS KLUWER N V SPONSORED ADR
2013-11-14
2019-05-30
50. AMERICAN EQUITY INVT LIFE HLDG
2018-01-24
2019-05-31
50. BRINKER INTL INC
2018-11-20
2019-05-31
40. BUILDERS FIRSTSOURCE INC
2018-07-26
2019-05-31
100. BUILDERS FIRSTSOURCE INC
2017-04-13
2019-05-31
60. FORTINET INC
2017-08-22
2019-05-31
110. JABIL CIRCUIT INC
2015-12-01
2019-05-31
110. OLD REPUBLIC INTERNATIONAL CORP
2015-12-01
2019-05-31
30. PROGRESS SOFTWARE CORP
2017-04-13
2019-05-31
10. RYMAN HOSPITALITY PPTYS INC
2016-01-26
2019-05-31
5. TRADE DESK INC/THE
2018-12-11
2019-05-31
160. NUTANIX INC
2019-01-18
2019-06-03
140. GILEAD SCIENCES INC
2018-06-20
2019-06-05
66. STATE ST CORP COM
2018-10-11
2019-06-05
214. STATE ST CORP COM
2018-10-11
2019-06-05
90. CORTEVA INC
2014-10-07
2019-06-10
250. WESTERN DIGITAL CORP
2019-04-17
2019-06-13
15. NETFLIX COM INC
2019-03-20
2019-06-14
70. COMERICA INC COM
2018-08-02
2019-06-19
50. MERCK & CO INC
2018-08-09
2019-06-19
7152.22 BNYM INFLTN ADJ SEC-Y
2009-06-05
2019-06-20
190. MICRON TECHNOLOGY
2019-01-31
2019-06-21
19. LAM RESH CORP COM
2018-11-02
2019-06-24
8. LAM RESH CORP COM
2019-05-20
2019-06-24
80. MICRON TECHNOLOGY
2018-11-19
2019-06-24
210. MICRON TECHNOLOGY
2019-01-31
2019-06-24
26. LAM RESH CORP COM
2018-11-02
2019-06-25
3. DIAGEO PLC SPON ADR NEW
2015-09-14
2019-07-01
5. DIAGEO PLC SPON ADR NEW
2019-05-30
2019-07-01
80. INFINEON TECHNOLOGIES AG
2018-07-05
2019-07-01
40. INFINEON TECHNOLOGIES AG
2014-10-24
2019-07-01
10. L OREAL CO ADR
2018-12-26
2019-07-01
80. L OREAL CO ADR
2012-10-19
2019-07-01
10. UNILEVER NV NY SHARE F NEW
2018-07-05
2019-07-01
30. UNILEVER NV NY SHARE F NEW
2019-05-30
2019-07-01
120. TAIWAN SEMICONDUCTOR ADR
2019-04-29
2019-07-08
120. BNP PARIBAS
2017-03-29
2019-07-11
20. BNP PARIBAS
2018-09-28
2019-07-11
170. COMERICA INC COM
2018-08-03
2019-07-18
12. BAIDU COM INC
2018-12-26
2019-07-22
11. BAIDU COM INC
2015-10-27
2019-07-22
275. VODAFONE GROUP PLC NEW
2013-09-12
2019-07-22
250. MAN WAH HOLDINGS LTD-UNS ADR
2015-11-30
2019-07-23
50. AMN HEALTHCARE SVCS INC
2018-04-19
2019-07-24
140. ALCOA UPSTREAM CORP
2018-06-22
2019-07-24
120. AMERICAN EQUITY INVT LIFE HLDG
2018-01-09
2019-07-24
100. B M C STOCK HOLDINGS INC
2018-08-28
2019-07-24
40. BJS RESTAURANTS INC
2018-12-11
2019-07-24
90. BRINKER INTL INC
2018-11-20
2019-07-24
60. CIRRUS LOGIC INC
2017-08-09
2019-07-24
110. CROCS INC
2018-12-11
2019-07-24
70. MARCUS CORP CIL
2018-11-20
2019-07-24
13. MEDIFAST INC
2018-10-10
2019-07-24
60. MEDIDATA SOLUTIONS INC
2019-05-03
2019-07-24
50. PREFERRED BANK/ LOS ANGELES
2018-02-23
2019-07-24
60. SHENANDOAH TELECOMMUNICATIONS CO
2018-12-11
2019-07-24
52. TECH DATA CORP
2017-07-11
2019-07-24
40. USANA HEALTH SCIENCES INC
2012-10-19
2019-07-24
70. WINTRUST FINL CORP
2017-06-27
2019-07-24
70. BANK OF NT BUTTERFIELD & SON
2017-11-28
2019-07-24
23. JOHNSON & JOHNSON COM
2019-04-17
2019-07-25
50. PFIZER INC COM
2018-08-03
2019-07-25
10. WOLTERS KLUWER N V SPONSORED ADR
2013-11-14
2019-07-25
10. WOLTERS KLUWER N V SPONSORED ADR
2013-11-14
2019-07-26
12. EQUINIX INC
2017-06-21
2019-07-29
16. ARISTA NETWORKS INC
2019-05-24
2019-08-01
29. FACEBOOK INC
2018-12-12
2019-08-01
2. SALESFORCE COM INC
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2012-10-19
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2019-08-05
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2019-07-01
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250. ADVANCED MICRO DEVICES INC
2019-04-29
2019-08-07
6. NETFLIX COM INC
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34. INGERSOLL-RAND PLC
2013-07-15
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155. MONSTER BEVERAGE CORP
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180. FERGUSON NEWCO PLC-ADR
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490. GALP ENERGIA SGPS-UNSPON ADR
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80. MONDELEZ INTERNATIONAL INC
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560. ACCO BRANDS CORP
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2013-01-29
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54. SPLUNK INC
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220. VISHAY INTERTECHNOLOGY INC COM
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120. WABASH NATL CORP
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67. SPLUNK INC
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17. SVB FINL GROUP
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2015-05-11
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2019-05-09
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2015-08-03
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2019-08-16
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150. SUNTORY BEVERAGE & FOOD LTD
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2019-11-08
140. VALEO ADR
2019-07-22
2019-11-08
130. VEOLIA ENVIRONNEMENT
2016-08-03
2019-11-08
60. VEOLIA ENVIRONNEMENT
2019-08-09
2019-11-08
100. VINCI S A-ADR
2019-07-01
2019-11-08
310. VIVENDI SA-UNSPON ADR
2014-09-29
2019-11-08
90. WOLTERS KLUWER N V SPONSORED ADR
2013-11-13
2019-11-08
210. ZURICH INSURANCE GROUP-ADR
2018-01-11
2019-11-08
40. ALCON INC
2019-08-09
2019-11-08
120. MICRON TECHNOLOGY
2019-08-16
2019-11-15
30. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-03-20
2019-11-15
140. MARVELL TECHNOLOGY GROUP LTD 0.002
2018-02-06
2019-11-15
40. CVS CORP
2018-09-18
2019-11-18
30. TEXAS INSTRUMENTS INC
2018-09-19
2019-11-18
9. THERMO ELECTRON CORP
2019-03-21
2019-11-18
200. MARVELL TECHNOLOGY GROUP LTD 0.002
2019-03-20
2019-11-18
130. COMCAST CORP NEW CL A
2017-03-17
2019-11-25
16. ALCON INC
2012-10-19
2019-11-26
10. GIVAUDAN-UNSPON ADR
2019-11-08
2019-12-03
12. ASML HLDG N V
2019-11-08
2019-12-03
50000. GLAXOSMITHLINE CAPT 2.85% 5/08/22
2012-11-01
2019-12-09
75000. INTERCONTINENTALEXCHAN 4.0% 10/15/23
2017-05-03
2019-12-09
15000. US BANCORP
2017-08-17
2019-12-09
50000. WELLS FARGO CO 3.55% 9/29/25
2019-06-26
2019-12-09
50000. WESTPAC BANKING CORP 2.5% 6/28/22
2019-06-26
2019-12-09
50000. AT&T INC
2012-11-01
2019-12-10
50000. BLACKROCK INC 3.375% 6/01/22
2012-11-01
2019-12-10
50000. CATERPILLAR FINANCIAL 3.3% 6/09/24
2019-06-26
2019-12-10
75000. NBCUNIVERSAL MEDIA LLC
2017-05-03
2019-12-10
50000. ORACLE CORP 3.875% 7/15/20
2012-11-01
2019-12-10
50000. SHELL INTERNATIONAL FI 3.4% 8/12/23
2017-08-17
2019-12-10
50000. ADOBE SYSTEMS INC 3.25% 2/01/25
2019-06-26
2019-12-11
50000. SIMON PROPERTY GROUP 3.375% 10/01/24
2017-08-17
2019-12-11
50000. STATE STREET CORP 3.1% 5/15/23
2019-06-26
2019-12-11
50000. CREDIT SUISSE NEW YO 3.625% 9/09/24
2017-08-17
2019-12-12
50000. PFIZER INC 1.95% 6/03/21
2017-08-17
2019-12-12
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
9,729
15,327
-5,598
b
5,852
2,755
3,097
c
2,252
2,567
-315
d
2,816
1,737
1,079
e
4,123
4,328
-205
3,298
3,651
-353
2,604
2,909
-305
3,402
3,487
-85
4,220
3,719
501
2,287
2,219
68
1,569
1,553
16
2,825
1,728
1,097
6,594
7,273
-679
3,291
1,540
1,751
4,239
4,847
-608
4,236
4,108
128
10,376
10,777
-401
329
281
48
1,314
1,144
170
2,693
2,909
-216
1,879
2,203
-324
1,841
1,765
76
1,758
1,719
39
1,843
1,152
691
1,367
1,442
-75
3,646
4,582
-936
3,417
3,900
-483
4,809
5,098
-289
4,313
4,345
-32
4,072
4,477
-405
8,004
1,531
6,473
8,433
9,464
-1,031
4,357
4,518
-161
3,785
3,039
746
2,913
4,692
-1,779
3,453
2,201
1,252
2,901
3,195
-294
1,327
1,832
-505
4,395
1,876
2,519
4,101
1,301
2,800
2,692
2,673
19
2,208
1,801
407
2,776
1,736
1,040
1,770
1,862
-92
2,361
2,586
-225
263
341
-78
527
716
-189
3,893
3,911
-18
2
2
4,190
4,463
-273
4,415
3,355
1,060
4,426
4,677
-251
2,217
2,246
-29
1,478
1,511
-33
3,809
3,855
-46
429
477
-48
6,493
2,747
3,746
2,256
2,649
-393
1,489
1,197
292
407
335
72
627
552
75
846
654
192
2,053
1,925
128
4,660
4,881
-221
1,884
2,169
-285
4,040
3,005
1,035
2,566
2,776
-210
2,250
1,744
506
4,010
4,282
-272
663
678
-15
2,175
1,160
1,015
7,896
5,864
2,032
2,816
2,872
-56
2,427
1,332
1,095
3,640
3,904
-264
3,644
3,462
182
18,652
7,761
10,891
5,047
708
4,339
2,374
2,606
-232
2,667
2,813
-146
3,161
890
2,271
150
99
51
3,159
2,950
209
2,602
2,971
-369
2,075
1,661
414
2,178
2,435
-257
1,545
1,816
-271
3,677
3,417
260
836
759
77
1,849
1,204
645
6,920
6,952
-32
705
657
48
4,231
4,199
32
2,632
2,424
208
7,120
7,548
-428
5,113
5,129
-16
4,045
1,626
2,419
4,785
4,301
484
2,886
2,629
257
2,881
2,696
185
7,258
10,996
-3,738
4,275
4,458
-183
2,967
1,939
1,028
1,978
1,572
406
832
689
143
1,663
1,454
209
1,804
1,728
76
4,808
4,290
518
2,882
1,537
1,345
1,923
1,715
208
2,411
2,129
282
14,032
7,805
6,227
4,672
4,290
382
14,250
7,898
6,352
2,283
1,160
1,123
3,072
1,497
1,575
2,971
1,649
1,322
10,963
6,796
4,167
4,526
3,935
591
50,000
61,125
-11,125
1,736
1,513
223
17,408
17,683
-275
5,955
2,301
3,654
3,070
2,519
551
2,729
2,349
380
2,653
4,918
-2,265
3,922
2,275
1,647
6,452
5,631
821
164
150
14
2,419
3,109
-690
581
878
-297
4,240
3,763
477
3,259
1,822
1,437
2,758
1,916
842
807
908
-101
6,702
3,292
3,410
1,695
1,336
359
565
878
-313
2,259
2,537
-278
2,785
3,008
-223
19,126
17,067
2,059
5,551
5,980
-429
13,792
21,737
-7,945
2,911
3,034
-123
3,259
3,330
-71
3,772
434
3,338
4,510
6,053
-1,543
2,593
3,942
-1,349
1,137
1,457
-320
2,094
844
1,250
1,427
1,742
-315
1,869
2,492
-623
561
681
-120
1,403
1,623
-220
4,360
2,258
2,102
2,697
2,772
-75
2,413
2,074
339
1,227
889
338
801
455
346
996
690
306
4,311
8,409
-4,098
8,967
9,987
-1,020
3,704
5,447
-1,743
11,945
16,779
-4,834
2,316
2,375
-59
9,260
13,316
-4,056
5,058
5,614
-556
4,909
6,881
-1,972
4,231
3,394
837
90,762
84,671
6,091
6,256
7,896
-1,640
3,454
2,885
569
1,454
1,503
-49
2,667
3,046
-379
7,002
8,053
-1,051
4,666
3,948
718
512
318
194
853
844
9
1,448
2,143
-695
724
388
336
560
448
112
4,484
2,302
2,182
604
562
42
1,812
1,825
-13
4,721
5,257
-536
2,860
3,990
-1,130
477
615
-138
11,785
15,635
-3,850
1,338
1,908
-570
1,227
1,837
-610
4,359
10,745
-6,386
2,333
2,987
-654
2,730
3,330
-600
3,244
6,376
-3,132
3,141
3,963
-822
2,115
2,246
-131
1,612
2,148
-536
3,627
4,459
-832
2,882
3,361
-479
2,529
2,839
-310
2,246
2,913
-667
1,465
2,622
-1,157
5,449
5,605
-156
2,637
3,298
-661
2,263
2,854
-591
5,230
5,443
-213
2,525
946
1,579
4,793
5,336
-543
2,351
2,683
-332
3,007
3,212
-205
2,140
2,030
110
726
281
445
737
281
456
5,839
5,255
584
4,376
4,095
281
5,729
4,223
1,506
313
297
16
4,378
4,498
-120
5,024
4,748
276
2,626
1,136
1,490
1,103
1,524
-421
735
888
-153
7,223
7,576
-353
1,801
2,198
-397
4,028
1,610
2,418
8,841
3,438
5,403
2,400
2,534
-134
1,737
3,099
-1,362
1,295
1,072
223
3,489
3,761
-272
2,246
1,339
907
1,465
1,533
-68
580
451
129
716
567
149
728
854
-126
364
366
-2
2,598
3,071
-473
2,334
2,319
15
3,795
2,179
1,616
4,267
3,481
786
5,331
4,425
906
5,933
4,931
1,002
2,091
1,406
685
729
1,272
-543
10,316
11,488
-1,172
4,383
3,115
1,268
4,878
5,345
-467
6,762
6,725
37
1,441
1,500
-59
480
586
-106
3,383
2,931
452
1,664
1,622
42
813
901
-88
695
388
307
563
713
-150
3,599
4,264
-665
1,799
2,198
-399
5,895
6,345
-450
7,126
9,664
-2,538
7,515
3,914
3,601
1,570
1,738
-168
18
19
-1
407
484
-77
2,067
2,122
-55
891
832
59
6,534
5,392
1,142
18,990
11,573
7,417
5,689
3,000
2,689
7,380
9,212
-1,832
5,057
2,805
2,252
2,485
2,537
-52
3,615
4,331
-716
1,063
1,088
-25
4,717
3,529
1,188
566
677
-111
642
564
78
1,298
1,080
218
12,003
10,844
1,159
737
369
368
4,210
3,680
530
1,473
1,497
-24
2,661
772
1,889
813
772
41
2,004
2,645
-641
815
723
92
2,989
531
2,458
1,174
1,393
-219
3,665
3,612
53
2,229
1,629
600
1,631
2,007
-376
5,851
2,051
3,800
1,551
753
798
1,943
1,247
696
2,259
3,269
-1,010
1,614
902
712
2,128
1,519
609
7,946
8,677
-731
564
615
-51
16,212
17,287
-1,075
9,648
7,800
1,848
4,638
5,218
-580
4,867
4,290
577
2,361
2,229
132
7,084
7,222
-138
4,653
2,056
2,597
3,638
3,388
250
6,011
5,363
648
12,074
11,870
204
3,637
3,592
45
2,273
1,719
554
16,296
12,474
3,822
1,164
1,088
76
4,965
2,556
2,409
3,548
3,469
79
1,664
1,409
255
819
737
82
4,842
5,871
-1,029
2,035
338
1,697
1,817
1,979
-162
1,815
1,218
597
1,296
753
543
5,256
4,576
680
7,177
804
6,373
2,794
2,842
-48
1,029
467
562
6,029
4,614
1,415
1,522
1,429
93
7,271
6,958
313
7,553
5,920
1,633
108,482
124,057
-15,575
400,000
397,152
2,848
218,083
113,002
105,081
174,049
121,463
52,586
1,920
2,750
-830
3,654
1,815
1,839
2,030
1,877
153
1,147
1,019
128
1,147
1,253
-106
3,533
2,221
1,312
2,780
2,533
247
2,974
1,547
1,427
2,142
2,364
-222
6,968
6,568
400
2,179
1,984
195
2,892
1,083
1,809
6,910
2,363
4,547
3,565
3,618
-53
3,766
3,541
225
2,565
2,756
-191
1,933
1,845
88
2,617
2,738
-121
1,782
1,694
88
1,336
1,123
213
1,718
1,234
484
2,441
1,208
1,233
4,710
4,689
21
2,897
3,376
-479
2,849
2,108
741
5,236
3,573
1,663
3,581
3,107
474
6,602
5,624
978
2,255
2,083
172
2,813
2,511
302
1,671
1,737
-66
713
746
-33
5,594
5,168
426
10,963
5,932
5,031
2,786
3,248
-462
1,569
1,308
261
3,055
3,916
-861
806
527
279
3,129
3,261
-132
2,914
3,059
-145
2,652
2,619
33
5,321
4,019
1,302
1,481
1,861
-380
3,668
4,405
-737
4,713
1,882
2,831
3,420
3,154
266
2,833
3,066
-233
2,416
3,347
-931
1,808
3,969
-2,161
1,205
1,916
-711
6,966
6,550
416
2,326
810
1,516
3,426
1,497
1,929
4,847
5,564
-717
1,283
1,701
-418
3,301
3,331
-30
2,056
2,213
-157
3,003
1,475
1,528
2,328
1,990
338
4,173
3,675
498
1,043
922
121
5,867
3,209
2,658
1,838
1,944
-106
1,032
1,046
-14
7,317
6,902
415
4,076
4,112
-36
1,902
1,928
-26
8,026
7,811
215
2,270
2,574
-304
1,459
2,628
-1,169
4,368
3,644
724
2,776
3,255
-479
8,168
8,187
-19
3,314
2,655
659
3,983
1,777
2,206
9,381
8,952
429
3,394
3,133
261
2,067
1,656
411
5,003
5,417
-414
871
1,066
-195
8,268
3,471
4,797
2,886
2,184
702
3,606
3,115
491
5,670
4,616
1,054
2,764
2,688
76
3,545
5,344
-1,799
7,077
2,108
4,969
3,456
3,708
-252
1,901
1,736
165
2,728
3,023
-295
2,199
1,884
315
738
729
9
3,294
4,140
-846
6,138
4,268
1,870
1,502
1,730
-228
3,725
3,832
-107
2,990
2,267
723
10,028
7,660
2,368
8,759
7,911
848
2,868
2,545
323
4,052
2,918
1,134
4,149
4,002
147
4,564
3,631
933
2,670
1,348
1,322
2,813
2,812
1
3,485
3,721
-236
1,920
500
1,420
1,303
963
340
5,305
5,696
-391
3,524
3,560
-36
11,288
6,453
4,835
1,937
2,269
-332
7,475
7,150
325
2,123
2,134
-11
2,603
1,959
644
817
657
160
2,151
2,004
147
1,314
1,201
113
2,344
2,166
178
3,103
2,577
526
2,148
2,010
138
5,264
7,560
-2,296
5,736
3,130
2,606
1,788
1,661
127
2,046
1,066
980
1,608
565
1,043
7,104
6,111
993
979
901
78
7,916
5,929
1,987
5,404
2,432
2,972
2,314
1,605
709
7,399
2,834
4,565
1,894
971
923
7,189
5,329
1,860
4,908
6,078
-1,170
3,081
3,337
-256
806
403
403
346
387
-41
3,654
3,551
103
757
693
64
1,820
962
858
3,745
1,374
2,371
2,683
2,151
532
1,811
1,746
65
3,660
3,396
264
1,732
1,508
224
940
880
60
1,501
1,417
84
1,509
1,629
-120
647
611
36
3,008
2,703
305
4,683
4,071
612
6,646
7,795
-1,149
5,298
2,640
2,658
6,343
7,129
-786
3,119
2,798
321
2,027
2,332
-305
3,386
3,204
182
3,114
3,509
-395
3,529
3,975
-446
5,487
4,144
1,343
723
674
49
4,700
4,926
-226
2,170
2,042
128
2,964
3,095
-131
4,351
2,774
1,577
1,324
1,221
103
2,207
1,971
236
7,502
6,985
517
3,602
1,755
1,847
2,289
1,066
1,223
2,898
2,902
-4
3,322
5,409
-2,087
3,684
3,525
159
5,319
4,033
1,286
5,453
1,659
3,794
2,482
2,559
-77
1,904
1,878
26
4,760
2,075
2,685
372
353
19
3,174
2,795
379
8,486
8,009
477
3,482
4,517
-1,035
2,548
1,821
727
3,193
2,898
295
5,017
4,889
128
3,967
4,638
-671
7,228
3,763
3,465
3,302
2,507
795
925
989
-64
5,179
6,232
-1,053
555
459
96
2,436
2,692
-256
1,290
1,344
-54
4,610
4,885
-275
2,985
2,950
35
601
593
8
6,606
4,643
1,963
1,201
1,111
90
2,712
2,138
574
3,262
2,786
476
1,505
1,476
29
2,751
2,567
184
8,482
7,119
1,363
6,327
2,522
3,805
8,209
6,722
1,487
2,334
2,400
-66
5,733
5,297
436
808
604
204
3,770
3,011
759
2,992
3,152
-160
3,533
3,217
316
2,709
2,437
272
5,263
4,024
1,239
5,631
4,767
864
897
620
277
582
573
9
3,152
3,190
-38
51,006
52,454
-1,448
80,295
80,239
56
15,348
15,383
-35
52,867
52,151
716
50,534
50,320
214
51,650
59,282
-7,632
51,735
54,035
-2,300
52,583
52,278
305
77,117
75,943
1,174
50,585
57,719
-7,134
52,395
52,599
-204
52,642
52,158
484
52,557
51,496
1,061
51,504
51,265
239
52,810
52,247
563
50,116
50,174
-58
44,331
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
-5,598
b
3,097
c
-315
d
1,079
e
-205
-353
-305
-85
501
68
16
1,097
-679
1,751
-608
128
-401
48
170
-216
-324
76
39
691
-75
-936
-483
-289
-32
-405
6,473
-1,031
-161
746
-1,779
1,252
-294
-505
2,519
2,800
19
407
1,040
-92
-225
-78
-189
-18
-273
1,060
-251
-29
-33
-46
-48
3,746
-393
292
72
75
192
128
-221
-285
1,035
-210
506
-272
-15
1,015
2,032
-56
1,095
-264
182
10,891
4,339
-232
-146
2,271
51
209
-369
414
-257
-271
260
77
645
-32
48
32
208
-428
-16
2,419
484
257
185
-3,738
-183
1,028
406
143
209
76
518
1,345
208
282
6,227
382
6,352
1,123
1,575
1,322
4,167
591
-11,125
223
-275
3,654
551
380
-2,265
1,647
821
14
-690
-297
477
1,437
842
-101
3,410
359
-313
-278
-223
2,059
-429
-7,945
-123
-71
3,338
-1,543
-1,349
-320
1,250
-315
-623
-120
-220
2,102
-75
339
338
346
306
-4,098
-1,020
-1,743
-4,834
-59
-4,056
-556
-1,972
837
6,091
-1,640
569
-49
-379
-1,051
718
194
9
-695
336
112
2,182
42
-13
-536
-1,130
-138
-3,850
-570
-610
-6,386
-654
-600
-3,132
-822
-131
-536
-832
-479
-310
-667
-1,157
-156
-661
-591
-213
1,579
-543
-332
-205
110
445
456
584
281
1,506
16
-120
276
1,490
-421
-153
-353
-397
2,418
5,403
-134
-1,362
223
-272
907
-68
129
149
-126
-2
-473
15
1,616
786
906
1,002
685
-543
-1,172
1,268
-467
37
-59
-106
452
42
-88
307
-150
-665
-399
-450
-2,538
3,601
-168
-1
-77
-55
59
1,142
7,417
2,689
-1,832
2,252
-52
-716
-25
1,188
-111
78
218
1,159
368
530
-24
1,889
41
-641
92
2,458
-219
53
600
-376
3,800
798
696
-1,010
712
609
-731
-51
-1,075
1,848
-580
577
132
-138
2,597
250
648
204
45
554
3,822
76
2,409
79
255
82
-1,029
1,697
-162
597
543
680
6,373
-48
562
1,415
93
313
1,633
-15,575
2,848
105,081
52,586
-830
1,839
153
128
-106
1,312
247
1,427
-222
400
195
1,809
4,547
-53
225
-191
88
-121
88
213
484
1,233
21
-479
741
1,663
474
978
172
302
-66
-33
426
5,031
-462
261
-861
279
-132
-145
33
1,302
-380
-737
2,831
266
-233
-931
-2,161
-711
416
1,516
1,929
-717
-418
-30
-157
1,528
338
498
121
2,658
-106
-14
415
-36
-26
215
-304
-1,169
724
-479
-19
659
2,206
429
261
411
-414
-195
4,797
702
491
1,054
76
-1,799
4,969
-252
165
-295
315
9
-846
1,870
-228
-107
723
2,368
848
323
1,134
147
933
1,322
1
-236
1,420
340
-391
-36
4,835
-332
325
-11
644
160
147
113
178
526
138
-2,296
2,606
127
980
1,043
993
78
1,987
2,972
709
4,565
923
1,860
-1,170
-256
403
-41
103
64
858
2,371
532
65
264
224
60
84
-120
36
305
612
-1,149
2,658
-786
321
-305
182
-395
-446
1,343
49
-226
128
-131
1,577
103
236
517
1,847
1,223
-4
-2,087
159
1,286
3,794
-77
26
2,685
19
379
477
-1,035
727
295
128
-671
3,465
795
-64
-1,053
96
-256
-54
-275
35
8
1,963
90
574
476
29
184
1,363
3,805
1,487
-66
436
204
759
-160
316
272
1,239
864
277
9
-38
-1,448
56
-35
716
214
-7,632
-2,300
305
1,174
-7,134
-204
484
1,061
239
563
-58
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
365,635
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
309,434
5,648,468
0.054782
2017
271,545
5,576,282
0.048696
2016
282,887
5,199,672
0.054405
2015
283,874
5,507,404
0.051544
2014
283,086
5,677,511
0.049861
2
Total
of line 1, column (d)
.....................
2
0.259288
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
0.051858
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
5,518,429
5
Multiply line 4 by line 3
......................
5
286,175
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
4,343
7
Add lines 5 and 6
........................
7
290,518
8
Enter qualifying distributions from Part XII, line 4
,.............
8
296,305
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
4,343
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
4,343
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
4,343
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
3,640
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
3,640
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
703
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
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)
PA
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
BNY MELLON NA
Telephone no.
(302) 421-2288
Located at
PO BOX 185
PITTSBURGH
PA
ZIP+4
152300185
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
BNY MELLON N A
CO-TRUSTEE
0
66,081
PO BOX 185
PITTSBURGH
,
PA
152300185
MARK N DILTS ESQ
CO-TRUSTEE
0
28,382
455 PENNSYLVANIA AVE STE 220
FORT WASHINGTON
,
PA
19034
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
5,228,271
b
Average of monthly cash balances
.......................
1b
374,195
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
5,602,466
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
5,602,466
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
84,037
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
5,518,429
6
Minimum investment return.
Enter 5% of line 5
..................
6
275,921
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
275,921
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
4,343
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
4,343
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
271,578
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
271,578
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
271,578
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
296,305
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
296,305
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
4,343
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
291,962
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
271,578
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
4,995
b
From 2015
......
12,652
c
From 2016
......
24,167
d
From 2017
......
0
e
From 2018
......
34,291
f
Total
of lines 3a through e
........
76,105
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
296,305
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
271,578
e
Remaining amount distributed out of corpus
24,727
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
100,832
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
..........
0
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)
...
4,995
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
95,837
10
Analysis of line 9:
a
Excess from 2015
....
12,652
b
Excess from 2016
....
24,167
c
Excess from 2017
....
0
d
Excess from 2018
....
34,291
e
Excess from 2019
....
24,727
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
SACRED HEART HOME FOR INCUR CANCER
1315 W HUNTING PARK AVENUE
PHILADELPHIA
,
PA
19140
NONE
PC
GENERAL OPERATING PURPOSES
64,630
ST FRANCIS COUNTRY HOUSE
427 S PENNSYLVANIA AVE
NORTH WALES
,
PA
19454
NONE
PC
GENERAL OPERATING
64,630
ACADEMY OF NOTRE DAME DE NAMUR
560 SPROUL ROAD
VILLANOVA
,
PA
19085
NONE
PC
GENERAL OPERATING PURPOSES
64,630
WOMEN'S AUXILIARY ST EDMOND'S HOME
100 MATSONFORD RD-ATTNCAROL WYETH
RADNOR
,
PA
19087
NONE
PC
GENERAL OPERATING PURPOSES
64,630
Total
.................................
3a
258,520
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
129,835
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
365,635
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)
..
495,470
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
495,470
(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