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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
TEAGUE TR FBO CHRISTIAN FAM CARE AG
Number and street (or P.O. box number if mail is not delivered to street address)
2751 CENTERVILLE RD STE 400
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILMINGTON
,
DE
19808
A Employer identification number
86-6309087
B
Telephone number (see instructions)
(302) 657-8244
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)
$
1,735,114
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
...
38,611
38,349
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
19,602
b
Gross sales price for all assets on line 6a
928,745
7
Capital gain net income (from Part IV, line 2)
...
19,602
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
........
58,213
57,951
13
Compensation of officers, directors, trustees, etc.
6,822
5,116
1,705
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)
.......
500
0
0
500
c
Other professional fees (attach schedule)
....
14,749
14,749
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
4,669
1,025
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)
.......
40
40
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
26,780
20,930
0
2,205
25
Contributions, gifts, grants paid
.......
71,108
71,108
26
Total expenses and disbursements.
Add lines 24 and 25
97,888
20,930
0
73,313
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-39,675
b
Net investment income
(if negative, enter -0-)
37,021
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
.............
270
270
2
Savings and temporary cash investments
.........
54,815
96,013
96,013
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)
..........
1,298,220
1,216,905
1,638,831
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)
1,353,035
1,313,188
1,735,114
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
........
1,353,035
1,313,188
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)
.....
1,353,035
1,313,188
30
Total liabilities and net assets/fund balances
(see instructions)
.
1,353,035
1,313,188
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
1,353,035
2
Enter amount from Part I, line 27a
.....................
2
-39,675
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
1,313,360
5
Decreases not included in line 2 (itemize)
5
172
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,313,188
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
3. MCCORMICK & CO INC/MD
2017-10-04
2019-01-02
b
6. ERSTE GROUP BANK AG
2018-09-21
2019-01-03
c
1. AMAZON.COM INC
2005-12-22
2019-01-04
d
4. AMERICAN EXPRESS CO
2015-07-08
2019-01-04
e
3. BIOGEN IDEC INC
2016-08-03
2019-01-04
11. CELGENE CORP
2009-01-30
2019-01-04
1. CHIPOTLE MEXICAN GRILL INC CLASS A
2018-10-08
2019-01-04
10. COCA COLA CO
2006-12-22
2019-01-04
27. COMCAST CORP
2006-12-22
2019-01-04
7. WALT DISNEY CO
2011-06-03
2019-01-04
5. ECOLAB INC
2016-01-05
2019-01-04
1. WW GRAINGER INC
2018-10-17
2019-01-04
5. JOHNSON & JOHNSON
2006-12-22
2019-01-04
3. MICROSOFT CORP
2015-09-01
2019-01-04
7. NUTANIX INC CL A
2018-10-04
2019-01-04
12. ORACLE CORPORATION
2018-01-31
2019-01-04
13. ORACLE CORPORATION
2017-12-14
2019-01-04
4. PAYPAL HOLDINGS INCORPORATION
2006-05-05
2019-01-04
2. REGENERON PHARMACEUTICALS INC
2017-01-06
2019-01-04
7. SPLUNK INC
2017-07-19
2019-01-04
3. THERMO FISHER SCIENTIFIC INC
2010-06-10
2019-01-04
5. YUM CHINA HOLDINGS INC
2016-11-09
2019-01-04
9. ZOETIS INC
2014-02-25
2019-01-04
4. LINDE PLC
2018-01-25
2019-01-04
14. CANADIAN PACIFIC RAILWAY LTD
2017-05-11
2019-01-07
3. MCCORMICK & CO INC/MD
2017-08-09
2019-01-07
7. NESTLE SA
2014-03-10
2019-01-07
3. CELGENE CORP
2009-01-30
2019-01-08
11522.93 ALLIANZGI SHORT DURATION HIGH
2017-09-06
2019-01-09
1342.28 ALLIANZGI SHORT DURATION HIGH
2018-09-12
2019-01-09
4. CELGENE CORP
2009-01-30
2019-01-10
2. MCCORMICK & CO INC/MD
2017-08-09
2019-01-10
6. ORIX CORP
2017-02-13
2019-01-10
5. ORIX CORP
2007-05-25
2019-01-10
2631.58 TEMPLETON GLOBAL BOND FUND/UNITED STATES
2018-06-20
2019-01-10
2825.05 VIRTUS SEIX FLOATING RATE HIGH INCOME FU
2017-02-06
2019-01-10
2. ORIX CORP
2014-03-10
2019-01-11
2. ORIX CORP
2014-03-10
2019-01-11
13. ORIX CORP
2017-02-13
2019-01-15
9. ORIX CORP
2014-03-10
2019-01-16
8. ORIX CORP
2014-03-10
2019-01-16
2. CELGENE CORP
2009-01-30
2019-01-17
10. HOYA CORP
2013-11-07
2019-01-17
1. MCCORMICK & CO INC/MD
2017-08-09
2019-01-17
9. ORIX CORP
2014-03-10
2019-01-17
5. HOYA CORP
2013-11-07
2019-01-22
8. ORIX CORP
2014-03-10
2019-01-22
3. RED HAT INC
2013-12-06
2019-01-22
15. HOYA CORP
2013-11-07
2019-01-23
2. MCCORMICK & CO INC/MD
2017-08-09
2019-01-23
7. ORIX CORP
2014-03-10
2019-01-23
5. ORIX CORP
2011-01-06
2019-01-23
11. HOYA CORP
2013-11-07
2019-01-24
7. CELGENE CORP
2009-01-30
2019-01-30
2. RED HAT INC
2013-11-18
2019-01-30
19. APACHE CORP
2017-01-06
2019-01-31
6. CELGENE CORP
2009-01-30
2019-01-31
20. GENTEX CORP
2015-10-30
2019-01-31
55. HANESBRANDS INC
2017-11-14
2019-01-31
8. SERVICE CORP INTERNATIONAL/US
2017-02-13
2019-01-31
49. INVESCO LTD FGN COM
2017-02-13
2019-01-31
20. APACHE CORP
2017-02-13
2019-02-01
57. GENTEX CORP
2016-02-03
2019-02-01
36. HANESBRANDS INC
2017-11-14
2019-02-01
49. INVESCO LTD FGN COM
2017-01-04
2019-02-01
23. APACHE CORP
2017-02-16
2019-02-04
6. CELGENE CORP
2009-01-30
2019-02-04
42. GENTEX CORP
2016-02-03
2019-02-04
36. HANESBRANDS INC
2017-11-14
2019-02-04
40. INVESCO LTD FGN COM
2016-08-03
2019-02-04
44. APACHE CORP
2017-02-16
2019-02-05
6. CELGENE CORP
2009-01-30
2019-02-05
29. INVESCO LTD FGN COM
2016-08-03
2019-02-05
2. REGENERON PHARMACEUTICALS INC
2017-01-06
2019-02-06
2. RED HAT INC
2013-11-18
2019-02-07
11. CELGENE CORP
2008-12-03
2019-02-08
13. YUM CHINA HOLDINGS INC
2016-11-09
2019-02-08
43. RENTOKIL INITIAL PLC
2018-10-18
2019-02-11
9. BIOGEN IDEC INC
2017-02-13
2019-02-14
9. CITIGROUP INC
2013-12-20
2019-02-14
3. DISCOVER FINANCIAL SERVICES
2015-10-20
2019-02-14
31. AFLAC INC
2017-06-09
2019-02-22
3. METTLER-TOLEDO INTL INC
2018-07-26
2019-02-22
4. ECOLAB INC
2016-01-04
2019-03-01
23. RENTOKIL INITIAL PLC
2018-10-18
2019-03-06
171. VALE SA
2016-11-10
2019-03-06
4. REGENERON PHARMACEUTICALS INC
2014-07-18
2019-03-07
21. ERSTE GROUP BANK AG
2018-09-21
2019-03-11
29. ERSTE GROUP BANK AG
2017-11-03
2019-03-11
39. ERSTE GROUP BANK AG
2017-05-11
2019-03-12
5. YUM CHINA HOLDINGS INC
2016-11-10
2019-03-18
2. BLACKROCK INC
2010-11-09
2019-03-19
28. AFLAC INC
2017-06-09
2019-03-22
6. CANADIAN PACIFIC RAILWAY LTD
2017-02-13
2019-03-22
7. YUM CHINA HOLDINGS INC
2016-11-10
2019-03-25
10000. FHLMC 3.750% 3/27/19
2015-05-06
2019-03-27
5000. TIME WARNER INC 4.750% 03/29/2021
2011-11-08
2019-03-27
7. BAIDU.COM
2018-01-16
2019-03-28
7. YUM CHINA HOLDINGS INC
2016-11-10
2019-03-28
6. BAIDU.COM
2018-04-30
2019-03-29
7. BAIDU.COM
2018-02-15
2019-03-29
9. BIOGEN IDEC INC
2015-09-22
2019-04-01
6. YUM CHINA HOLDINGS INC
2016-11-10
2019-04-01
2. RED HAT INC
2013-11-18
2019-04-02
3. BIOGEN IDEC INC
2016-07-25
2019-04-03
5. YUM CHINA HOLDINGS INC
2016-11-10
2019-04-03
5. YUM CHINA HOLDINGS INC
2016-11-10
2019-04-04
2. BIOGEN IDEC INC
2016-07-25
2019-04-05
2. BIOGEN IDEC INC
2017-02-06
2019-04-09
4. YUM CHINA HOLDINGS INC
2013-06-21
2019-04-09
10. QUALCOMM INC
2018-08-15
2019-04-10
3. BIOGEN IDEC INC
2016-02-03
2019-04-11
14. ALCON INC ORD SHS
2019-03-27
2019-04-11
1. APPLE COMPUTER INC
2017-08-23
2019-04-12
3. APPLE COMPUTER INC
2018-09-26
2019-04-12
5. BIOGEN IDEC INC
2004-12-20
2019-04-16
20. AMERICAN HOMES 4 RENT
2017-02-13
2019-04-17
7. SHOPIFY INC CL A
2018-08-27
2019-04-23
6. YUM CHINA HOLDINGS INC
2013-06-21
2019-04-23
5. YUM CHINA HOLDINGS INC
2013-03-13
2019-04-24
10. AFLAC INC
2017-06-09
2019-04-26
.8 ALCON INC ORD SHS
2019-01-07
2019-04-29
31. AFLAC INC
2017-06-09
2019-04-30
13. YUM CHINA HOLDINGS INC
2013-10-09
2019-04-30
6. YUM CHINA HOLDINGS INC
2012-12-21
2019-05-02
6. YUM CHINA HOLDINGS INC
2012-12-21
2019-05-02
29. AFLAC INC
2017-06-02
2019-05-03
39. REALOGY HOLDINGS CORP
2016-05-17
2019-05-03
45. REALOGY HOLDINGS CORP
2017-02-13
2019-05-06
59. REALOGY HOLDINGS CORP
2017-02-13
2019-05-07
39. REALOGY HOLDINGS CORP
2017-02-13
2019-05-08
4.3 SCHLUMBERGER LTD
2011-11-08
2019-05-08
22.71 SCHLUMBERGER LTD
2013-07-25
2019-05-08
9. CANADIAN PACIFIC RAILWAY LTD
2016-03-17
2019-05-09
66. REALOGY HOLDINGS CORP
2016-10-11
2019-05-09
5. SHOPIFY INC CL A
2018-08-01
2019-05-09
4.63 SCHLUMBERGER LTD
2010-06-10
2019-05-10
27.37 SCHLUMBERGER LTD
2014-03-10
2019-05-10
1525. WEATHERFORD INTL PLC ORD SHS
2016-09-13
2019-05-15
86. WEATHERFORD INTL PLC ORD SHS
2006-12-22
2019-05-15
11. YUM CHINA HOLDINGS INC
2012-12-21
2019-05-17
6. PAYPAL HOLDINGS INCORPORATION
2006-05-05
2019-05-23
3413.33 TEMPLETON GLOBAL BOND FUND/UNITED STATES
2018-06-20
2019-05-23
4. PAYPAL HOLDINGS INCORPORATION
2006-05-05
2019-05-24
43. CISCO SYS INC
2017-02-13
2019-05-28
22. CISCO SYS INC
2006-12-22
2019-05-28
11. DISCOVER FINANCIAL SERVICES
2015-10-20
2019-05-28
12. DISCOVER FINANCIAL SERVICES
2015-09-30
2019-05-29
34. METLIFE INC COM
2017-08-08
2019-05-29
4. PAYPAL HOLDINGS INCORPORATION
2006-05-05
2019-05-29
4. CANADIAN PACIFIC RAILWAY LTD
2016-03-04
2019-05-30
3. RED HAT INC
2013-12-04
2019-05-31
2. TEMENOS AG
2019-02-22
2019-05-31
4. TEMENOS AG
2019-02-22
2019-06-03
4. HONEYWELL INTERNATIONAL INC COM
2019-02-04
2019-06-04
4. PAYPAL HOLDINGS INCORPORATION
2006-05-05
2019-06-04
114. LONDON STOCK EXCHANGE GROUP PLC
2015-11-09
2019-06-05
6. PAYPAL HOLDINGS INCORPORATION
2006-05-05
2019-06-05
44. AFLAC INC
2017-06-02
2019-06-06
5. PAYPAL HOLDINGS INCORPORATION
2007-03-15
2019-06-10
3. RED HAT INC
2013-12-04
2019-06-10
5. PAYPAL HOLDINGS INCORPORATION
2007-03-15
2019-06-11
3. RED HAT INC
2013-12-04
2019-06-12
47. ORACLE CORPORATION
2017-12-15
2019-06-19
5. RED HAT INC
2013-12-04
2019-06-21
21. COMCAST CORP
2019-04-02
2019-06-26
13537.91 DOUBLELINE CORE FIXED INCOME FUND
2019-05-23
2019-06-27
5000. AMERICAN INTL GROUP INC 3.75% 07/10/2025
2015-09-08
2019-07-02
5000. GILEAD SCIENCES INC SR NT DTD
2014-03-05
2019-07-10
7000. US TREASURY NOTE 3.375% 11/15/19
2010-12-17
2019-07-10
5000. US TREASURY NOTE 3.375% 11/15/19
2016-02-05
2019-07-10
67. UMICORE SA
2018-04-27
2019-07-11
5. METTLER-TOLEDO INTL INC
2017-02-13
2019-07-15
2. METTLER-TOLEDO INTL INC
2008-07-11
2019-07-15
.1 L3HARRIS TECHNOLOGIES INC
2006-12-22
2019-07-16
8. PAYPAL HOLDINGS INCORPORATION
2007-03-15
2019-07-16
5000. WELLS FARGO & CO. 3.500%
2013-01-14
2019-07-17
9. PAYPAL HOLDINGS INCORPORATION
2007-03-15
2019-07-22
4000. CITIGROUP INC DTD 10/25/2013
2014-03-18
2019-07-23
12. COCA COLA CO
2006-12-22
2019-07-25
12647.06 DOUBLELINE CORE FIXED INCOME FUND
2019-01-17
2019-07-25
31. RENTOKIL INITIAL PLC
2017-02-13
2019-07-25
22. RENTOKIL INITIAL PLC
2018-10-18
2019-07-25
12. RENTOKIL INITIAL PLC
2016-08-03
2019-07-30
22. COCA COLA CO
2006-12-22
2019-07-31
22. COCA COLA CO
2006-12-22
2019-08-02
5000. HSBC HOLDINGS PLC 4.000% 03/30/22
2013-03-14
2019-08-05
47. LONDON STOCK EXCHANGE GROUP PLC
2017-01-27
2019-08-05
24. RENTOKIL INITIAL PLC
2016-08-03
2019-08-05
35. ANADARKO PETE CORP
2007-01-03
2019-08-09
141. ANADARKO PETE CORP
2016-01-12
2019-08-09
9. AKAMAI TECHNOLOGIES INC
2012-05-17
2019-08-13
1. EQUINIX INC
2018-02-13
2019-08-14
5000. GENERAL ELEC CAP CORP 5.300%
2011-02-09
2019-08-14
.64 OCCIDENTAL PETROLEUM CORP
2019-08-09
2019-08-14
2. AUTOZONE INC
2017-10-26
2019-08-15
15. CITIGROUP INC
2014-10-14
2019-08-15
24. DISCOVER FINANCIAL SERVICES
2015-10-01
2019-08-15
50. WELLS FARGO & CO
2017-02-13
2019-08-15
1. EQUINIX INC
2018-02-13
2019-08-16
22. METLIFE INC COM
2016-04-22
2019-08-21
3. MURPHY USA INC
2019-05-28
2019-08-21
14. MURPHY USA INC
2017-10-27
2019-08-21
26. LONDON STOCK EXCHANGE GROUP PLC
2017-01-27
2019-08-22
13. RENTOKIL INITIAL PLC
2016-08-03
2019-08-22
23. METLIFE INC COM
2016-04-26
2019-08-23
7. CANADIAN PACIFIC RAILWAY LTD
2016-03-04
2019-08-26
11. CATERPILLAR INC
2018-03-13
2019-08-26
4000. COMCAST CORP 5.150% 3/1/20
2010-03-11
2019-08-26
12. METLIFE INC COM
2016-04-26
2019-08-26
12. METLIFE INC COM
2016-04-25
2019-08-27
5. CATERPILLAR INC
2018-03-01
2019-08-28
11. METLIFE INC COM
2016-04-25
2019-08-28
12. METLIFE INC COM
2016-04-25
2019-08-28
15. OWENS CORNING
2018-01-09
2019-08-28
6. CATERPILLAR INC
2018-03-01
2019-09-04
31. DOW INC
2017-10-26
2019-09-04
5. CATERPILLAR INC
2018-04-26
2019-09-06
12. CANADIAN PACIFIC RAILWAY LTD
2016-03-04
2019-09-09
68. LONDON STOCK EXCHANGE GROUP PLC
2017-01-27
2019-09-09
23. RENTOKIL INITIAL PLC
2016-08-03
2019-09-09
43. HONG KONG EXCHANGES & CLEARING LTD
2018-03-13
2019-09-10
24. NESTLE SA
2017-02-13
2019-09-10
3. ECOLAB INC
2016-01-04
2019-09-11
44. HONG KONG EXCHANGES & CLEARING LTD
2018-03-13
2019-09-12
2. HONG KONG EXCHANGES & CLEARING LTD
2019-08-07
2019-09-12
45. HONG KONG EXCHANGES & CLEARING LTD
2017-12-11
2019-09-13
49. HONG KONG EXCHANGES & CLEARING LTD
2017-12-11
2019-09-16
3. ALLERGAN PLC
2006-12-22
2019-09-20
27. ALLERGAN PLC
2016-11-15
2019-09-20
35. HALLIBURTON CO
2008-08-18
2019-09-27
41. HALLIBURTON CO
2017-02-13
2019-09-27
77. MYLAN N V SHS
2018-02-09
2019-09-27
27. HALLIBURTON CO
2015-11-30
2019-09-30
93. MYLAN N V SHS
2016-12-01
2019-09-30
29. HALLIBURTON CO
2015-11-30
2019-10-01
3. CHIPOTLE MEXICAN GRILL INC CLASS A
2017-07-18
2019-10-02
41. CISCO SYS INC
2006-12-22
2019-10-02
7. MERCK & CO INC NEW
2008-03-17
2019-10-02
42. ORACLE CORPORATION
2018-03-20
2019-10-02
8. TEXAS INSTRUMENTS INC
2005-12-22
2019-10-02
2. CHIPOTLE MEXICAN GRILL INC CLASS A
2017-08-03
2019-10-03
.25 CERENCE INC COM
2014-03-18
2019-10-09
25. GRUBHUB INC
2019-03-19
2019-10-29
31. CHECK POINT SOFTWARE TECH LT
2017-02-13
2019-10-29
11. DEVON ENERGY CORPORATION
2009-12-30
2019-10-30
22. CHECK POINT SOFTWARE TECH LT
2014-09-12
2019-10-30
12. DEVON ENERGY CORPORATION
2011-11-02
2019-10-31
15. DEVON ENERGY CORPORATION
2015-11-30
2019-10-31
28. MURPHY USA INC
2017-02-13
2019-10-31
19. DEVON ENERGY CORPORATION
2015-11-30
2019-11-01
11. GRUBHUB INC
2019-04-05
2019-11-01
20. DEVON ENERGY CORPORATION
2016-01-25
2019-11-04
31. DEVON ENERGY CORPORATION
2016-01-25
2019-11-05
66. CISCO SYS INC
2006-12-22
2019-11-12
13. QUALCOMM INC
2019-04-17
2019-11-18
36. CISCO SYS INC
2006-12-22
2019-11-19
32. DEVON ENERGY CORPORATION
2016-01-25
2019-11-19
9. SANDERSON FARMS INC
2018-10-09
2019-11-19
42. CISCO SYS INC
2006-12-22
2019-11-20
26. DEVON ENERGY CORPORATION
2016-01-25
2019-11-20
4. SANDERSON FARMS INC
2018-10-09
2019-11-20
5. SHISEIDO LTD ADR
2015-05-29
2019-11-26
9. SHISEIDO LTD ADR
2019-08-07
2019-11-26
32. ROGERS COMMUNICATIONS INC
2018-11-28
2019-12-02
65. SUNCOR ENERGY INC
2017-02-13
2019-12-02
18. SUNCOR ENERGY INC
2019-02-07
2019-12-02
7. ICON PLC
2018-07-10
2019-12-02
10. SHISEIDO LTD ADR
2015-05-29
2019-12-05
2772.64 HARDING LOEVNER INST EMER M-I
2018-01-29
2019-12-06
2. BLACKROCK INC
2010-11-09
2019-12-09
1. BLACKROCK INC
2010-11-09
2019-12-13
6. NESTLE SA
2017-02-13
2019-12-13
22. RENTOKIL INITIAL PLC
2016-08-03
2019-12-13
20. SUNCOR ENERGY INC
2017-02-13
2019-12-13
19. SUNCOR ENERGY INC
2009-09-01
2019-12-17
11. SUNCOR ENERGY INC
2017-02-13
2019-12-17
29. SUNCOR ENERGY INC
2009-09-01
2019-12-18
14. SUNCOR ENERGY INC
2016-08-17
2019-12-19
22. SUNCOR ENERGY INC
2009-09-01
2019-12-19
34. SUNCOR ENERGY INC
2016-08-17
2019-12-20
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
407
291
116
b
101
130
-29
c
1,574
49
1,525
d
389
306
83
e
957
852
105
935
293
642
452
449
3
470
242
228
958
379
579
764
276
488
732
564
168
277
281
-4
635
328
307
303
127
176
303
301
2
560
618
-58
607
653
-46
342
77
265
796
719
77
760
435
325
663
154
509
165
131
34
758
272
486
626
657
-31
2,561
2,167
394
415
288
127
574
530
44
262
80
182
166,391
175,000
-8,609
19,383
20,000
-617
347
106
241
279
192
87
464
482
-18
387
672
-285
30,000
30,474
-474
23,985
24,747
-762
154
148
6
154
148
6
1,001
994
7
692
668
24
615
593
22
174
53
121
595
261
334
139
96
43
697
668
29
287
130
157
622
593
29
526
140
386
852
391
461
277
192
85
535
519
16
382
247
135
621
287
334
614
186
428
352
93
259
627
1,210
-583
528
160
368
427
324
103
815
1,108
-293
345
230
115
894
1,560
-666
652
1,195
-543
1,198
864
334
540
692
-152
897
1,461
-564
751
1,299
-548
526
160
366
882
574
308
550
692
-142
740
1,162
-422
1,447
2,178
-731
527
159
368
540
825
-285
825
659
166
358
93
265
961
282
679
527
341
186
979
898
81
2,899
2,458
441
562
471
91
209
164
45
1,512
1,189
323
2,030
1,829
201
680
447
233
539
480
59
2,121
1,363
758
1,651
1,197
454
365
454
-89
505
561
-56
679
695
-16
216
131
85
878
333
545
1,392
1,074
318
1,207
894
313
302
183
119
10,000
10,000
5,199
5,147
52
1,146
1,825
-679
304
183
121
986
1,496
-510
1,150
1,782
-632
2,099
2,417
-318
272
157
115
366
93
273
696
797
-101
228
131
97
223
118
105
481
530
-49
475
530
-55
175
79
96
570
596
-26
706
730
-24
778
741
37
198
160
38
595
674
-79
1,152
300
852
460
460
1,569
993
576
266
119
147
221
98
123
494
384
110
43
41
2
1,554
1,184
370
607
251
356
284
108
176
284
108
176
1,464
1,102
362
361
1,254
-893
409
1,342
-933
504
1,577
-1,073
326
1,013
-687
173
311
-138
913
1,677
-764
1,977
1,162
815
566
1,706
-1,140
1,290
683
607
182
269
-87
1,075
1,984
-909
76
13,667
-13,591
4
1,835
-1,831
455
199
256
659
116
543
38,195
39,526
-1,331
441
77
364
2,344
1,362
982
1,199
594
605
844
584
260
912
622
290
1,599
1,594
5
441
77
364
884
505
379
554
139
415
345
284
61
696
551
145
672
582
90
431
77
354
1,925
1,127
798
662
116
546
2,365
1,671
694
581
95
486
556
139
417
572
95
477
555
139
416
2,474
2,293
181
939
231
708
887
841
46
150,000
145,309
4,691
5,254
5,043
211
5,261
5,015
246
7,029
6,978
51
5,020
5,030
-10
474
937
-463
4,108
1,441
2,667
1,643
186
1,457
19
6
13
962
151
811
5,132
5,095
37
1,068
170
898
4,205
3,962
243
637
291
346
140,003
134,691
5,312
791
457
334
562
459
103
301
176
125
1,164
533
631
1,151
533
618
5,210
5,123
87
939
464
475
629
352
277
2,540
1,476
1,064
10,234
5,216
5,018
797
265
532
542
435
107
5,204
5,010
194
29
30
-1
2,145
1,094
1,051
922
769
153
1,905
1,234
671
2,187
2,854
-667
550
435
115
1,007
919
88
271
244
27
1,263
1,020
243
547
256
291
358
191
167
1,039
957
82
1,639
883
756
1,258
1,710
-452
4,055
4,002
53
537
495
42
530
494
36
570
764
-194
479
451
28
523
492
31
833
1,418
-585
711
904
-193
1,310
1,412
-102
616
731
-115
2,849
1,514
1,335
1,495
669
826
635
337
298
1,344
1,592
-248
2,634
1,799
835
589
335
254
1,333
1,410
-77
61
66
-5
1,371
1,399
-28
1,472
1,338
134
500
322
178
4,500
5,794
-1,294
661
1,502
-841
774
1,750
-976
1,507
2,999
-1,492
508
1,075
-567
1,801
3,392
-1,591
542
1,136
-594
2,433
1,105
1,328
1,906
1,107
799
571
293
278
2,227
1,985
242
1,015
262
753
1,627
702
925
3
5
-2
856
1,967
-1,111
3,470
2,659
811
228
815
-587
2,460
1,576
884
241
792
-551
301
688
-387
3,167
1,697
1,470
398
872
-474
369
806
-437
445
737
-292
717
721
-4
3,195
1,782
1,413
1,178
1,023
155
1,633
972
661
687
744
-57
1,474
930
544
1,898
1,134
764
569
605
-36
663
410
253
364
102
262
655
612
43
1,527
1,701
-174
2,022
2,085
-63
560
590
-30
1,145
768
377
693
203
490
60,000
67,320
-7,320
991
333
658
499
166
333
627
441
186
625
322
303
640
635
5
614
583
31
355
349
6
935
890
45
454
395
59
713
675
38
1,100
960
140
2,084
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
116
b
-29
c
1,525
d
83
e
105
642
3
228
579
488
168
-4
307
176
2
-58
-46
265
77
325
509
34
486
-31
394
127
44
182
-8,609
-617
241
87
-18
-285
-474
-762
6
6
7
24
22
121
334
43
29
157
29
386
461
85
16
135
334
428
259
-583
368
103
-293
115
-666
-543
334
-152
-564
-548
366
308
-142
-422
-731
368
-285
166
265
679
186
81
441
91
45
323
201
233
59
758
454
-89
-56
-16
85
545
318
313
119
52
-679
121
-510
-632
-318
115
273
-101
97
105
-49
-55
96
-26
-24
37
38
-79
852
576
147
123
110
2
370
356
176
176
362
-893
-933
-1,073
-687
-138
-764
815
-1,140
607
-87
-909
-13,591
-1,831
256
543
-1,331
364
982
605
260
290
5
364
379
415
61
145
90
354
798
546
694
486
417
477
416
181
708
46
4,691
211
246
51
-10
-463
2,667
1,457
13
811
37
898
243
346
5,312
334
103
125
631
618
87
475
277
1,064
5,018
532
107
194
-1
1,051
153
671
-667
115
88
27
243
291
167
82
756
-452
53
42
36
-194
28
31
-585
-193
-102
-115
1,335
826
298
-248
835
254
-77
-5
-28
134
178
-1,294
-841
-976
-1,492
-567
-1,591
-594
1,328
799
278
242
753
925
-2
-1,111
811
-587
884
-551
-387
1,470
-474
-437
-292
-4
1,413
155
661
-57
544
764
-36
253
262
43
-174
-63
-30
377
490
-7,320
658
333
186
303
5
31
6
45
59
38
140
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
19,602
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
79,969
1,653,885
0.048352
2017
70,943
1,590,767
0.044597
2016
75,336
1,427,574
0.052772
2015
70,402
1,453,820
0.048426
2014
73,956
1,494,224
0.049495
2
Total
of line 1, column (d)
.....................
2
0.243642
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
0.048728
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
1,610,489
5
Multiply line 4 by line 3
......................
5
78,476
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
370
7
Add lines 5 and 6
........................
7
78,846
8
Enter qualifying distributions from Part XII, line 4
,.............
8
73,313
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
740
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
740
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
740
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,936
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
2,936
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
2,196
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
185
Refunded
11
2,011
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)
AZ
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
ARDEN TRUST COMPANY
Telephone no.
(302) 657-8244
Located at
500 DELAWARE AVENUE SUITE 900
WILMINGTON
DE
ZIP+4
19801
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
ARDEN TRUST COMPANY
TRUSTEE
1
6,822
500 DELAWARE AVENUE
WILMINGTON
,
DE
19801
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
1,564,928
b
Average of monthly cash balances
.......................
1b
70,086
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,635,014
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
1,635,014
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
24,525
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,610,489
6
Minimum investment return.
Enter 5% of line 5
..................
6
80,524
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
80,524
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
740
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
740
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
79,784
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
79,784
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
79,784
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
73,313
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
73,313
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
73,313
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
79,784
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
3,126
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:
$
73,313
a
Applied to 2018, but not more than line 2a
3,126
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
.....
70,187
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
..........
9,597
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
CHRISTIAN FAMILY CARE AGENCY INC
2346 N CENTRAL AVENUE
PHOENIX
,
AZ
85004
NONE
PC
GENERAL CHARITABLE
71,108
Total
.................................
3a
71,108
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
38,611
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
19,602
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)
..
58,213
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
58,213
(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