-
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
07-01-2019
, and ending
06-30-2020
Name of foundation
JOHN AND GRACE NAUMAN FOUNDATION
C/O TODD RUSSELL
Number and street (or P.O. box number if mail is not delivered to street address)
180 PLANTATION DRIVE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CARSON CITY
,
NV
89703
A Employer identification number
88-0399323
B
Telephone number (see instructions)
(775) 882-5397
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)
$
2,140,309
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
...
53,973
53,973
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
-190,705
b
Gross sales price for all assets on line 6a
916,986
7
Capital gain net income (from Part IV, line 2)
...
0
8
Net short-term capital gain
.........
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
........
-136,732
53,973
13
Compensation of officers, directors, trustees, etc.
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
5,002
0
0
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
1,386
1,386
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
25,129
25,129
0
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
31,517
26,515
0
25
Contributions, gifts, grants paid
.......
114,157
114,157
26
Total expenses and disbursements.
Add lines 24 and 25
145,674
26,515
114,157
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-282,406
b
Net investment income
(if negative, enter -0-)
27,458
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
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
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
4,391
4,116
4,116
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
1,690,252
1,614,839
2,054,005
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)
..........
146,960
41,134
41,134
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
409,082
308,190
41,054
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
2,250,685
1,968,279
2,140,309
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
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
........
0
0
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
2,250,685
1,968,279
29
Total net assets or fund balances
(see instructions)
.....
2,250,685
1,968,279
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,250,685
1,968,279
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
2,250,685
2
Enter amount from Part I, line 27a
.....................
2
-282,406
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
1,968,279
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,968,279
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
KRAFT HEINZ CO
P
2006-06-30
2020-06-05
b
KRAFT HEINZ CO
P
2007-07-09
2020-06-05
c
KRAFT HEINZ CO
P
2007-10-08
2020-06-05
d
KRAFT HEINZ CO
P
2008-01-07
2020-06-05
e
KRAFT HEINZ CO
P
2008-04-07
2020-06-05
KRAFT HEINZ CO
P
2008-07-17
2020-06-05
KRAFT HEINZ CO
P
2008-10-09
2020-06-05
KRAFT HEINZ CO
P
2009-01-14
2020-06-05
KRAFT HEINZ CO
P
2009-04-09
2020-06-05
KRAFT HEINZ CO
P
2009-07-15
2020-06-05
KRAFT HEINZ CO
P
2009-10-15
2020-06-05
UNITED STS STL CP (NEW)
P
2006-06-30
2020-06-05
UNITED STS STL CP (NEW)
P
2007-06-12
2020-06-05
UNITED STS STL CP (NEW)
P
2007-09-11
2020-06-05
UNITED STS STL CP (NEW)
P
2007-12-11
2020-06-05
UNITED STS STL CP (NEW)
P
2008-03-11
2020-06-05
UNITED STS STL CP (NEW)
P
2008-06-11
2020-06-05
UNITED STS STL CP (NEW)
P
2008-09-11
2020-06-05
UNITED STS STL CP (NEW)
P
2008-12-11
2020-06-05
UNITED STS STL CP (NEW)
P
2009-03-11
2020-06-05
UNITED STS STL CP (NEW)
P
2009-06-11
2020-06-05
UNITED STS STL CP (NEW)
P
2009-06-11
2020-06-05
UNITED STS STL CP (NEW)
P
2009-09-11
2020-06-05
CADENCE DESIGN SYSTEM
P
2014-10-22
2019-07-09
CADENCE DESIGN SYSTEM
P
2015-03-10
2019-07-09
FORTINET INC
P
2018-05-30
2019-07-09
LAMB WESTON HLDGS INC COM
P
2018-07-25
2019-07-09
PULTE GROUP INC
P
2018-12-12
2019-07-09
ADVANCED MICRO DEVICES
P
2019-01-23
2019-07-09
PENTAIR PLC
P
2019-01-23
2019-07-09
PENTAIR PLC
P
2019-02-06
2019-07-09
FORTINET INC
P
2019-03-19
2019-07-09
W P CAREY INC COM
P
2019-04-03
2019-07-09
MEDIFAST INC
P
2019-04-30
2019-07-09
MEDIFAST INC
P
2019-06-05
2019-07-09
CADENCE DESIGN SYSTEM
P
2014-10-22
2019-07-24
FORTINET INC
P
2016-08-02
2019-07-24
FORTINET INC
P
2018-05-30
2019-07-24
HLTH CARE SVC GRP
P
2018-07-10
2019-07-24
HLTH CARE SVC GRP
P
2018-08-22
2019-07-24
HLTH CARE SVC GRP
P
2018-09-18
2019-07-24
ALTRA INDL MOTION CORP
P
2018-10-03
2019-07-24
PATTERSON -UTI ENERGY INC
P
2018-11-14
2019-07-24
WYNDHAM DESTINATIONS INC
P
2019-03-06
2019-07-24
W P CAREY INC COM
P
2019-04-03
2019-07-24
AXOGEN INC
P
2019-04-16
2019-07-24
TOLL BROTHERS
P
2019-04-16
2019-07-24
CADENCE DESIGN SYSTEM
P
2014-10-22
2019-08-06
FORTINET INC
P
2016-08-02
2019-08-06
TRIMBLE INC
P
2018-08-07
2019-08-06
REINSURANCE GROUP OF AMERICA
P
2018-10-30
2019-08-06
EAGLE BANCORP INC MD
P
2018-11-27
2019-08-06
TERADYNE INC
P
2018-11-27
2019-08-06
INTERSECT ENT INC
P
2019-03-06
2019-08-06
TERADYNE INC
P
2019-03-06
2019-08-06
WYNDHAM DESTINATIONS INC
P
2019-03-06
2019-08-06
W P CAREY INC COM
P
2019-04-03
2019-08-06
WYNDHAM DESTINATIONS INC
P
2019-04-16
2019-08-06
BERRY GLOBAL GROUP INC
P
2019-04-30
2019-08-06
GLOBAL BLOOD THERAPEUTICS INC
P
2019-06-04
2019-08-06
INTERSECT ENT INC
P
2019-06-05
2019-08-06
CADENCE DESIGN SYSTEM
P
2014-10-22
2019-08-21
ZIONS BANCORPORATION N A
P
2017-06-20
2019-08-21
NUTANIX INC CL A
P
2018-03-21
2019-08-21
HLTH CARE SVC GRP
P
2018-07-10
2019-08-21
STERIS PLC
P
2018-08-07
2019-08-21
TRIMBLE INC
P
2018-08-07
2019-08-21
ALTRA INDL MOTION CORP
P
2018-10-03
2019-08-21
COEUR D'ALENE MINES COR IDAHO
P
2018-10-16
2019-08-21
TOLL BROTHERS
P
2019-01-23
2019-08-21
ZIONS BANCORPORATION N A
P
2019-01-23
2019-08-21
NUTANIX INC CL A
P
2019-02-20
2019-08-21
TOLL BROTHERS
P
2019-02-20
2019-08-21
NUTANIX INC CL A
P
2019-03-19
2019-08-21
TOLL BROTHERS
P
2019-04-16
2019-08-21
DMC GLOBAL INC
P
2019-06-04
2019-08-21
TRIMBLE INC
P
2017-05-23
2019-09-04
ZIONS BANCORPORATION N A
P
2017-06-20
2019-09-04
DINE BRANDS GLOBAL INC
P
2018-02-21
2019-09-04
COMMVAULT SYSTEMS INC.
P
2018-04-18
2019-09-04
DINE BRANDS GLOBAL INC
P
2018-05-01
2019-09-04
TRIMBLE INC
P
2018-08-07
2019-09-04
HECLA MINING CO
P
2019-01-09
2019-09-04
DINE BRANDS GLOBAL INC
P
2019-07-24
2019-09-04
TERADYNE INC
P
2015-12-08
2019-09-18
TERADYNE INC
P
2016-01-20
2019-09-18
TERADYNE INC
P
2016-02-17
2019-09-18
LANCASTER COLONY CRP
P
2018-07-10
2019-09-18
CIRRUS LOGIC INC
P
2018-08-07
2019-09-18
CIRRUS LOGIC INC
P
2018-11-14
2019-09-18
TERADYNE INC
P
2018-11-27
2019-09-18
DOMO INC COM CL B
P
2019-03-19
2019-09-18
AMBARELLA INC
P
2019-04-16
2019-09-18
AMBARELLA INC
P
2019-04-30
2019-09-18
REXFORD INDL REALTY INC
P
2019-04-30
2019-09-18
SHAKE SHACK INC CL A
P
2019-05-15
2019-09-18
GLOBAL BLOOD THERAPEUTICS INC
P
2019-06-04
2019-09-18
DOMO INC COM CL B
P
2019-06-05
2019-09-18
TERADYNE INC
P
2016-02-17
2019-10-01
COUPA SOFTWARE INC
P
2018-02-06
2019-10-01
FOX FACTORY HOLDING CORP
P
2018-09-05
2019-10-01
CIRRUS LOGIC INC
P
2018-11-14
2019-10-01
AMBARELLA INC
P
2019-04-16
2019-10-01
AMBARELLA INC
P
2019-05-15
2019-10-01
COUPA SOFTWARE INC
P
2019-06-05
2019-10-01
EXACT SCIENCES CORP
P
2019-06-19
2019-10-01
ALNYLAM PHARMACEUTICALS INC
P
2019-07-24
2019-10-01
COUPA SOFTWARE INC
P
2018-02-06
2019-10-16
A O SMITH CORP
P
2018-03-21
2019-10-16
COMMVAULT SYSTEMS INC.
P
2018-04-03
2019-10-16
COMMVAULT SYSTEMS INC.
P
2018-04-18
2019-10-16
COMMVAULT SYSTEMS INC.
P
2018-05-01
2019-10-16
LAMB WESTON HLDGS INC COM
P
2018-06-13
2019-10-16
SEATTLE GENETICS INC
P
2018-07-10
2019-10-16
LAMB WESTON HLDGS INC COM
P
2018-07-25
2019-10-16
SEATTLE GENETICS INC
P
2018-07-25
2019-10-16
A O SMITH CORP
P
2019-02-20
2019-10-16
FEDERATED INVESTORS INC
P
2019-02-20
2019-10-16
FEDERATED INVESTORS INC
P
2019-03-06
2019-10-16
AMBARELLA INC
P
2019-05-15
2019-10-16
AMBARELLA INC
P
2019-06-05
2019-10-16
APPIAN CORPORATION CL A
P
2019-07-24
2019-10-16
ADTALEM GLOBAL EDUCATION INC
P
2019-08-21
2019-10-16
FLOOR & DECOR HLDGS INC CL-A
P
2019-08-21
2019-10-16
MONOLITHIC PWR SYSTEMS INC
P
2017-03-28
2019-10-29
MONOLITHIC PWR SYSTEMS INC
P
2017-05-09
2019-10-29
WINGSTOP INC
P
2017-09-19
2019-10-29
POWER INTEGRATIONS INC
P
2018-12-12
2019-10-29
PLANET FITNESS INC CL A
P
2019-04-03
2019-10-29
PLANET FITNESS INC CL A
P
2019-04-16
2019-10-29
QTS RLTY TR INC COM CL A
P
2019-05-15
2019-10-29
FRONTDOOR INC
P
2019-08-21
2019-10-29
HOSTESS BRANDS INC CL A
P
2019-08-21
2019-10-29
FRONTDOOR INC
P
2019-09-04
2019-10-29
LAZARD CLA A COM STK
P
2019-10-16
2019-10-29
WINGSTOP INC
P
2017-08-08
2019-11-12
WINGSTOP INC
P
2017-09-19
2019-11-12
SEALED AIR CP NEW
P
2018-11-27
2019-11-12
SEALED AIR CP NEW
P
2018-12-12
2019-11-12
PLANET FITNESS INC CL A
P
2019-03-19
2019-11-12
PLANET FITNESS INC CL A
P
2019-04-03
2019-11-12
QTS RLTY TR INC COM CL A
P
2019-05-15
2019-11-12
SITE CENTERS CORP
P
2019-06-04
2019-11-12
PLURALSIGHT INC COM CL A
P
2019-06-19
2019-11-12
PLURALSIGHT INC COM CL A
P
2019-07-09
2019-11-12
APPIAN CORPORATION CL A
P
2019-07-24
2019-11-12
NOVOCURE LTD
P
2019-07-24
2019-11-12
LIBERTY MEDIA CORP SER C
P
2019-08-21
2019-11-12
POTLATCHDELTIC CORP
P
2017-11-14
2019-12-04
POTLATCHDELTIC CORP
P
2017-11-28
2019-12-04
PINNACLE WEST CAPITAL CORP
P
2019-03-19
2019-12-04
RADIUS HEALTH INC
P
2019-04-03
2019-12-04
RADIUS HEALTH INC
P
2019-04-16
2019-12-04
OCEANEERING INTL INC
P
2019-07-09
2019-12-04
LIBERTY MEDIA CORP SER C
P
2019-08-21
2019-12-04
WELBILT INC.
P
2019-10-01
2019-12-04
CF INDUSTRIES HOLDINGS INC
P
2019-10-16
2019-12-04
VIAVI SOLUTIONS INC COM
P
2019-10-16
2019-12-04
POTLATCHDELTIC CORP
P
2017-11-28
2019-12-18
POTLATCHDELTIC CORP
P
2017-12-12
2019-12-18
WEST PHARMACEUTICAL SVCS INC
P
2018-09-05
2019-12-18
WEST PHARMACEUTICAL SVCS INC
P
2018-09-05
2019-12-18
A O SMITH CORP
P
2019-02-20
2019-12-18
A O SMITH CORP
P
2019-03-06
2019-12-18
RADIUS HEALTH INC
P
2019-04-03
2019-12-18
CLEARWAY ENERGY INC CL C
P
2019-04-16
2019-12-18
EVO PMTS INC CL A
P
2019-05-15
2019-12-18
SITEONE LANDSCAPE SUPPLY INC
P
2019-05-15
2019-12-18
AMERICAN HOMES 4 RENT
P
2019-06-04
2019-12-18
BRANDYWINE REALTY TR SBI NEW
P
2019-06-04
2019-12-18
EVO PMTS INC CL A
P
2019-06-05
2019-12-18
NOVOCURE LTD
P
2019-06-19
2019-12-18
SPIRIT REALTY CAPITAL INC.
P
2019-07-09
2019-12-18
NOVOCURE LTD
P
2019-07-24
2019-12-18
CF INDUSTRIES HOLDINGS INC
P
2019-10-16
2019-12-18
VIAVI SOLUTIONS INC COM
P
2019-10-16
2019-12-18
AMERICAN HOMES 4 RENT
P
2019-06-04
2020-01-07
BOX INC. CL A
P
2019-10-01
2020-01-07
JEFFERIES FINL GROUP INC
P
2019-10-29
2020-01-07
MONOLITHIC PWR SYSTEMS INC
P
2017-03-14
2020-01-07
MONOLITHIC PWR SYSTEMS INC
P
2017-03-28
2020-01-07
RENEWABLE ENERGY GP INC
P
2019-12-04
2020-01-07
TRIMBLE INC
P
2017-05-23
2020-01-07
UNITED NAT FOODS INC
P
2019-09-18
2020-01-07
URBAN OUTFITTERS INC
P
2019-10-01
2020-01-07
ACCELERON PHARMA INC
P
2019-12-18
2020-01-23
CHEMOURS CO COM
P
2019-11-12
2020-01-23
ELEMENT SOLUTIONS INC
P
2019-11-12
2020-01-23
ENERGIZER HLDGS INC
P
2019-10-29
2020-01-23
JEFFERIES FINL GROUP INC
P
2019-10-29
2020-01-23
LAUREATE EDUCATION INC CL A
P
2019-08-21
2020-01-23
MONOLITHIC PWR SYSTEMS INC
P
2017-03-14
2020-01-23
PERRIGO CO LTD
P
2019-12-18
2020-01-23
CHEMOURS CO COM
P
2019-11-12
2020-02-04
ELEMENT SOLUTIONS INC
P
2019-11-12
2020-02-04
ENERSYS
P
2019-10-16
2020-02-04
LAUREATE EDUCATION INC CL A
P
2019-06-04
2020-02-04
LAUREATE EDUCATION INC CL A
P
2019-08-21
2020-02-04
NATL INSTRUMS CP
P
2016-11-22
2020-02-04
NATL INSTRUMS CP
P
2017-08-22
2020-02-04
NATL INSTRUMS CP
P
2018-03-21
2020-02-04
PERRIGO CO LTD
P
2019-12-18
2020-02-04
PURE STORAGE INC CLASS A
P
2019-09-18
2020-02-04
URBAN OUTFITTERS INC
P
2019-10-01
2020-02-04
COLUMBIA PPTY TR INC COM NEW
P
2019-06-04
2020-02-20
HAWAIIAN ELECTRIC IND
P
2019-06-05
2020-02-20
HAWAIIAN ELECTRIC IND
P
2018-08-22
2020-02-20
HERON THERAPEUTICS INC
P
2019-09-18
2020-02-20
II VI INC
P
2020-01-07
2020-02-20
NATL INSTRUMS CP
P
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EQUITRANS MIDSTREAM CORPORATIO
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2018-02-08
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2018-09-17
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2018-11-06
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NORDSTROM INC
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2020-01-30
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2019-01-16
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2017-08-09
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2015-01-23
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2015-03-17
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UNUMPROVIDENT CORP
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2015-02-05
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UNUMPROVIDENT CORP
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2016-01-29
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2016-02-01
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UNUMPROVIDENT CORP
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2018-05-29
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UNUMPROVIDENT CORP
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2019-02-05
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2018-08-10
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2018-11-06
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2018-05-03
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2011-08-16
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MELLANOX TECH LTD
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2019-04-10
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TRINITY IND
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2014-04-07
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2017-04-27
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2015-08-02
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2014-07-24
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2014-08-12
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2020-01-03
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2017-11-17
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2019-02-05
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2019-02-05
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2020-06-24
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2020-06-24
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2015-03-19
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2014-06-10
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2014-09-30
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2016-12-08
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2017-10-26
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2017-12-01
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2015-01-21
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2015-09-25
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2014-02-07
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2014-10-28
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NIPPON TELEGRAPH&TELEPHONE ADS
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2017-12-01
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2017-12-01
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2019-08-07
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2015-09-25
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2017-12-01
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2018-03-16
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PANASONIC CORP - SPON ADR
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2004-12-03
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PANASONIC CORP - SPON ADR
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2007-09-12
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2010-09-27
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2011-03-17
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2012-09-25
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2018-10-02
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2019-05-14
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2011-10-04
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2011-12-21
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2012-01-12
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2012-07-24
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2016-12-08
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2017-12-01
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2017-12-01
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2018-05-07
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P
2018-09-20
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NATIONAL GRID PLC SPON ADR
P
2019-06-06
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2014-10-28
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P
2011-08-08
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P
2016-12-14
2020-02-21
FRESENIUS MEDICAL CARE AG&CO
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2019-08-16
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2019-08-21
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2018-01-29
2020-03-09
ISS A S SPONSORED ADR
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2019-10-24
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2018-01-29
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ISS A S SPONSORED ADR
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2018-02-07
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ISS A S SPONSORED ADR
P
2018-02-08
2020-03-10
ISS A S SPONSORED ADR
P
2018-05-07
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P
2018-05-14
2020-03-10
ISS A S SPONSORED ADR
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2018-07-06
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P
2018-07-09
2020-03-10
TENARIS S.A.
P
2019-10-23
2020-03-13
TENARIS S.A.
P
2015-05-21
2020-03-13
TENARIS S.A.
P
2015-06-10
2020-03-13
TENARIS S.A.
P
2016-03-04
2020-03-13
TENARIS S.A.
P
2017-08-04
2020-03-13
TENARIS S.A.
P
2017-12-01
2020-03-13
TENARIS S.A.
P
2019-01-18
2020-03-13
ROCHE HOLDINGS ADR
P
2015-03-19
2020-03-18
ROCHE HOLDINGS ADR
P
2017-12-01
2020-03-18
FUJIFILM HLDGS CORP ADR
P
2008-03-05
2020-03-19
CANADIAN NATURAL RESOURCES LTD
P
2019-10-30
2020-03-26
CANADIAN NATURAL RESOURCES LTD
P
2015-03-17
2020-03-26
CANADIAN NATURAL RESOURCES LTD
P
2016-03-11
2020-03-26
CANADIAN NATURAL RESOURCES LTD
P
2017-12-01
2020-03-26
CANADIAN NATURAL RESOURCES LTD
P
2018-02-12
2020-03-26
CANADIAN NATURAL RESOURCES LTD
P
2018-10-05
2020-03-26
FUJIFILM HLDGS CORP ADR
P
2006-03-23
2020-04-06
FUJIFILM HLDGS CORP ADR
P
2008-03-05
2020-04-06
THALES USDPONSORD ADR
P
2019-12-12
2020-04-24
WACOAL HOLDINGS ADR
P
2004-12-15
2020-04-24
WACOAL HOLDINGS ADR
P
2007-11-15
2020-04-24
BANK IRELAND GRP PLC UNSPD ADR
P
2019-05-14
2020-04-27
BANK IRELAND GRP PLC UNSPD ADR
P
2019-08-27
2020-04-27
BANK IRELAND GRP PLC UNSPD ADR
P
2018-01-26
2020-04-27
BANK IRELAND GRP PLC UNSPD ADR
P
2018-05-07
2020-04-27
BANK IRELAND GRP PLC UNSPD ADR
P
2018-10-03
2020-04-27
SANOFI ADR
P
2017-12-01
2020-04-27
SANOFI ADR
P
2018-02-23
2020-04-27
TOYOTA MOTOR CP ADR NEW
P
2015-08-24
2020-05-12
TOYOTA MOTOR CP ADR NEW
P
2017-12-01
2020-05-12
SIEMENS AKTIENGESELLSCHAFT
P
2018-03-16
2020-06-05
SIEMENS AKTIENGESELLSCHAFT
P
2018-10-12
2020-06-05
SIEMENS AKTIENGESELLSCHAFT
P
2019-02-25
2020-06-05
WACOAL HOLDINGS ADR
P
2004-12-15
2020-06-08
WACOAL HOLDINGS ADR
P
2013-03-11
2020-06-08
SAP AG
P
2015-02-03
2020-06-12
TURKCELL ILETISM HIZM AS NEW
P
2016-07-22
2020-06-19
TURKCELL ILETISM HIZM AS NEW
P
2016-07-25
2020-06-19
TURKCELL ILETISM HIZM AS NEW
P
2017-01-03
2020-06-19
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P
2017-09-18
2020-06-19
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P
2017-12-01
2020-06-19
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P
2018-05-07
2020-06-19
TURKCELL ILETISM HIZM AS NEW
P
2019-05-14
2020-06-19
SEKISUI HOUSE LTD ADR
P
2014-03-05
2020-06-26
SEKISUI HOUSE LTD ADR
P
2018-09-20
2020-06-26
HOME DEPOT INC
P
2014-10-15
2019-07-08
BOEING CO
P
2015-08-03
2019-07-08
T ROWE PRICE GROUP INC
P
2018-01-16
2019-07-08
LYONDELLBASELL NV CL-A
P
2018-07-16
2019-07-08
LYONDELLBASELL NV CL-A
P
2018-07-31
2019-07-08
ALTRIA GROUP INC
P
2018-12-31
2019-07-08
ALTRIA GROUP INC
P
2019-01-12
2019-07-08
ALTRIA GROUP INC
P
2019-02-12
2019-07-08
ALTRIA GROUP INC
P
2019-03-05
2019-07-08
ALTRIA GROUP INC
P
2019-05-01
2019-07-08
RED HAT INC
P
2017-05-22
2019-07-09
RED HAT INC
P
2017-12-26
2019-07-09
STARBUCKS CORP WASHINGTON
P
2018-12-10
2019-07-22
UNION PACIFIC CORP
P
2019-02-19
2019-07-22
UNION PACIFIC CORP
P
2019-05-01
2019-07-22
ULTA BEAUTY INC
P
2019-05-06
2019-07-29
LEAR CORP
P
2017-08-07
2019-08-05
SPROUTS FARMERS MARKET INC
P
2018-01-22
2019-08-05
SPROUTS FARMERS MARKET INC
P
2018-03-14
2019-08-05
SPROUTS FARMERS MARKET INC
P
2018-03-15
2019-08-05
SPROUTS FARMERS MARKET INC
P
2018-07-31
2019-08-05
SPROUTS FARMERS MARKET INC
P
2019-01-02
2019-08-05
TJX COS INC NEW
P
2018-08-21
2019-08-12
TJX COS INC NEW
P
2018-09-11
2019-08-12
MONSTER BEVERAGE CORP NEW COM
P
2019-07-22
2019-08-12
ENCOMPASS HEALTH CORP
P
2018-10-14
2019-08-19
ENCOMPASS HEALTH CORP
P
2018-11-12
2019-08-19
ULTA BEAUTY INC
P
2019-05-06
2019-08-19
ULTA BEAUTY INC
P
2019-05-13
2019-08-19
VISA INC CL A
P
2016-07-11
2019-09-03
VISA INC CL A
P
2017-07-31
2019-09-03
ADOBE INC
P
2019-07-22
2019-09-03
MONSTER BEVERAGE CORP NEW COM
P
2019-06-17
2019-09-09
MONSTER BEVERAGE CORP NEW COM
P
2019-07-22
2019-09-09
VMWARE INC CLASS A
P
2017-09-25
2019-09-23
VMWARE INC CLASS A
P
2017-10-02
2019-09-23
UNION PACIFIC CORP
P
2019-02-19
2019-09-30
UNION PACIFIC CORP
P
2019-03-05
2019-09-30
INTUIT INC
P
2017-04-10
2019-11-11
STARBUCKS CORP WASHINGTON
P
2018-12-10
2019-11-11
INTUIT INC
P
2019-05-01
2019-11-11
FISERV INC WISCONSIN
P
2019-09-09
2019-11-11
FISERV INC WISCONSIN
P
2019-09-23
2019-11-11
STARBUCKS CORP WASHINGTON
P
2018-12-10
2019-12-02
STARBUCKS CORP WASHINGTON
P
2018-12-17
2019-12-02
STARBUCKS CORP WASHINGTON
P
2019-01-02
2019-12-02
STARBUCKS CORP WASHINGTON
P
2019-01-02
2019-12-02
CADENCE DESIGN SYSTEM
P
2017-02-21
2019-12-09
ALTRIA GROUP INC
P
2018-12-31
2019-12-09
CADENCE DESIGN SYSTEM
P
2019-05-28
2019-12-09
GENESEE & WYOMING INC A
P
2019-03-04
2019-12-30
SYSCO CORP
P
2019-08-12
2020-01-13
SYSCO CORP
P
2016-02-23
2020-01-13
PARKER HANNIFIN CORP
P
2019-04-22
2020-02-03
VMWARE INC CLASS A
P
2017-09-25
2020-02-10
SYSCO CORP
P
2016-02-23
2020-02-18
VEEVA SYS INC CL A
P
2019-09-03
2020-02-18
FLEETCOR TECHNOLOGIES
P
2019-06-03
2020-02-24
BROADRIDGE FIN SOLU.LLC
P
2018-05-29
2020-03-09
BROADRIDGE FIN SOLU.LLC
P
2019-01-02
2020-03-09
CISCO SYS INC
P
2019-07-22
2020-03-23
CISCO SYS INC
P
2019-07-29
2020-03-23
GILEAD SCIENCE
P
2019-12-09
2020-03-23
BRISTOL MYERS SQUIBB CO
P
2019-06-24
2020-04-06
MSCI INC COM
P
2019-09-30
2020-04-06
MSCI INC COM
P
2019-09-30
2020-04-13
ORACLE CORP
P
2019-11-11
2020-04-20
PEPSICO INC NC
P
2014-10-27
2020-06-01
PEPSICO INC NC
P
2015-01-12
2020-06-01
COSTCO WHOLESALE CORP NEW
P
2020-04-20
2020-06-22
SOUTHWEST AIRLINES
P
2019-01-16
2020-06-22
SOUTHWEST AIRLINES
P
2019-02-05
2020-06-22
CISCO SYS INC
P
2019-07-08
2020-06-29
CISCO SYS INC
P
2019-07-29
2020-06-29
CISCO SYS INC
P
2019-08-05
2020-06-29
CISCO SYS INC
P
2019-08-19
2020-06-29
S&P GLOBAL INC COM
P
2020-02-18
2020-06-29
B-PVL-2
P
NORTH CENTER STREET
P
STN CLAYTON
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
4,338
4,153
185
b
32
34
-2
c
35
37
-2
d
38
37
1
e
38
37
1
41
37
4
44
41
3
47
41
6
60
40
20
50
42
8
52
37
15
2,727
19,429
-16,702
5
56
-51
6
56
-50
5
56
-51
6
70
-64
4
70
-66
8
84
-76
22
84
-62
40
85
-45
1
6
-5
2
9
-7
3
14
-11
593
132
461
1,630
394
1,236
716
549
167
1,289
1,402
-113
834
680
154
1,338
817
521
667
724
-57
519
581
-62
557
593
-36
1,262
1,179
83
591
749
-158
118
129
-11
1,656
363
1,293
433
170
263
520
366
154
24
44
-20
401
707
-306
567
1,045
-478
638
759
-121
1,405
1,833
-428
1,249
1,237
12
1,186
1,100
86
733
901
-168
1,021
1,107
-86
1,103
264
839
897
374
523
640
677
-37
888
831
57
565
821
-256
205
145
60
425
845
-420
922
723
199
679
779
-100
926
865
61
599
646
-47
676
935
-259
795
952
-157
17
24
-7
1,256
297
959
245
258
-13
313
857
-544
664
1,325
-661
606
464
142
1,173
1,235
-62
749
1,266
-517
1,180
1,386
-206
319
313
6
613
722
-109
215
590
-375
602
628
-26
313
616
-303
425
458
-33
1,153
1,973
-820
75
72
3
559
603
-44
1,067
1,004
63
515
849
-334
569
638
-69
783
837
-54
736
1,099
-363
569
733
-164
116
41
75
1,279
422
857
291
94
197
871
858
13
1,258
1,004
254
1,149
811
338
581
363
218
474
1,188
-714
130
97
33
713
547
166
1,054
905
149
3,030
1,828
1,202
1,258
1,428
-170
53
94
-41
929
300
629
1,588
469
1,119
934
1,016
-82
906
656
250
1,525
1,216
309
1,647
1,310
337
132
115
17
1,720
2,213
-493
2,834
2,822
12
1,411
391
1,020
439
594
-155
765
1,103
-338
540
849
-309
495
750
-255
1,136
986
150
168
139
29
76
70
6
1,089
924
165
829
888
-59
1,394
1,286
108
31
30
1
647
582
65
108
80
28
969
825
144
805
1,132
-327
927
960
-33
459
276
183
918
563
355
1,420
492
928
1,225
833
392
631
708
-77
1,073
1,257
-184
1,031
870
161
909
984
-75
788
869
-81
670
719
-49
2,470
2,398
72
1,655
613
1,042
602
231
371
852
814
38
232
203
29
837
815
22
907
921
-14
1,018
916
102
1,284
1,124
160
1,132
2,096
-964
662
1,205
-543
1,681
1,571
110
324
281
43
1,630
1,583
47
639
799
-160
341
417
-76
781
850
-69
22
22
0
776
820
-44
1,499
2,173
-674
1,112
1,041
71
1,753
1,815
-62
1,129
1,222
-93
1,504
1,518
-14
128
157
-29
724
875
-151
744
581
163
149
116
33
188
209
-21
376
416
-40
954
997
-43
735
586
149
956
1,073
-117
1,239
919
320
1,043
997
46
1,157
1,157
0
52
58
-6
1,070
785
285
2,193
1,992
201
576
493
83
1,619
1,711
-92
957
958
-1
1,037
973
64
1,748
1,729
19
2,023
1,841
182
884
455
429
1,061
553
508
1,329
937
392
1,031
894
137
794
1,154
-360
726
705
21
1,569
1,576
-7
627
771
-144
1,175
1,135
40
774
694
80
971
844
127
603
606
-3
2,552
1,275
1,277
1,717
1,577
140
1,465
1,997
-532
1,029
1,015
14
615
521
94
1,057
870
187
20
18
2
597
393
204
597
516
81
505
581
-76
1,250
1,142
108
1,858
1,805
53
1,758
1,888
-130
929
911
18
546
473
73
248
177
71
1,245
1,268
-23
1,400
1,367
33
1,289
876
413
1,185
1,089
96
1,423
1,450
-27
1,261
1,487
-226
958
920
38
871
906
-35
569
1,188
-619
311
674
-363
876
1,795
-919
674
704
-30
1,527
1,668
-141
34
38
-4
713
1,157
-444
1,783
2,478
-695
1,261
1,405
-144
541
960
-419
924
1,403
-479
444
1,941
-1,497
160
714
-554
471
927
-456
874
1,067
-193
1,000
1,858
-858
149
1,252
-1,103
467
1,303
-836
404
939
-535
553
1,134
-581
309
648
-339
667
2,832
-2,165
292
1,271
-979
297
972
-675
1,252
2,601
-1,349
808
2,249
-1,441
924
943
-19
410
829
-419
39
70
-31
97
203
-106
559
1,060
-501
460
302
158
406
333
73
781
1,660
-879
725
1,089
-364
371
709
-338
325
648
-323
186
424
-238
232
807
-575
912
1,182
-270
320
1,014
-694
90
109
-19
448
659
-211
830
709
121
955
1,134
-179
154
113
41
926
696
230
478
1,276
-798
255
623
-368
829
874
-45
138
136
2
558
836
-278
613
957
-344
1,312
2,690
-1,378
764
1,027
-263
80
94
-14
1,359
1,604
-245
491
1,839
-1,348
408
1,468
-1,060
599
994
-395
785
1,706
-921
302
649
-347
553
977
-424
1,438
1,188
250
839
910
-71
915
1,728
-813
694
716
-22
637
390
247
1,025
1,144
-119
972
1,826
-854
1,227
1,293
-66
484
333
151
691
478
213
1,033
997
36
1,233
1,236
-3
956
1,095
-139
716
1,010
-294
619
852
-233
750
765
-15
160
119
41
680
505
175
864
979
-115
1,159
1,162
-3
1,061
941
120
936
866
70
1,584
1,371
213
335
332
3
603
636
-33
1,671
838
833
1,231
1,532
-301
1,047
1,235
-188
414
333
81
564
481
83
865
990
-125
1,232
1,040
192
743
1,193
-450
778
447
331
559
816
-257
647
758
-111
934
1,127
-193
625
1,061
-436
1,075
1,263
-188
595
823
-228
783
1,022
-239
284
94
190
1,761
1,029
732
341
224
117
2,496
1,587
909
1,941
1,255
686
33
19
14
2,582
2,544
38
915
717
198
1,242
1,002
240
1,205
704
501
2,872
1,693
1,179
771
780
-9
465
485
-20
267
291
-24
277
297
-20
30
34
-4
238
240
-2
3,154
2,798
356
485
386
99
485
386
99
606
565
41
890
709
181
288
259
29
328
318
10
368
366
2
864
789
75
914
768
146
5,007
4,174
833
404
374
30
3,108
2,583
525
694
578
116
1,488
1,177
311
1,100
844
256
639
496
143
1,535
1,132
403
407
427
-20
357
370
-13
1,630
1,691
-61
1,070
1,029
41
3,353
3,325
28
2,045
1,730
315
1,227
1,136
91
3,189
3,013
176
3,044
2,271
773
3,999
2,241
1,758
1,818
1,544
274
2,389
2,106
283
831
784
47
208
195
13
5,352
6,139
-787
2,556
2,938
-382
228
252
-24
2,177
2,285
-108
2,042
2,140
-98
370
402
-32
516
562
-46
123
194
-71
2,323
3,125
-802
752
799
-47
864
777
87
4
6
-2
1,029
2,934
-1,905
568
1,624
-1,056
550
1,582
-1,032
1,003
2,804
-1,801
733
1,874
-1,141
238
353
-115
238
328
-90
2,540
3,574
-1,034
2,676
2,895
-219
1,518
1,649
-131
3,268
3,479
-211
382
386
-4
1,912
1,743
169
6,120
5,819
301
182
219
-37
4,373
3,200
1,173
4,920
5,525
-605
770
568
202
1,926
1,410
516
47
48
-1
1,609
1,631
-22
1,609
1,580
29
189
186
3
947
964
-17
237
239
-2
142
144
-2
230
1,071
-841
59
278
-219
67
317
-250
89
421
-332
216
1,018
-802
149
631
-482
119
501
-382
178
666
-488
126
441
-315
30
104
-74
30
110
-80
119
422
-303
268
1,115
-847
52
247
-195
186
845
-659
216
1,003
-787
216
861
-645
401
1,688
-1,287
320
1,272
-952
201
788
-587
201
775
-574
571
523
48
1,713
1,331
382
761
641
120
305
794
-489
557
951
-394
37
144
-107
498
1,692
-1,194
238
795
-557
3,612
2,577
1,035
359
408
-49
36
41
-5
637
617
20
2,547
2,338
209
389
450
-61
3,625
4,134
-509
1,839
2,078
-239
612
709
-97
813
800
13
3,440
4,782
-1,342
1,345
1,874
-529
602
840
-238
1,905
2,436
-531
1,137
877
260
909
165
744
562
150
412
1,756
469
1,287
471
691
-220
903
1,354
-451
67
99
-32
298
593
-295
421
837
-416
582
582
0
582
582
0
702
702
0
1
3
-2
119
119
0
883
1,788
-905
60
133
-73
682
1,333
-651
757
1,349
-592
1,588
1,775
-187
1,787
2,102
-315
4,071
4,363
-292
69
74
-5
138
137
1
944
740
204
2,643
1,954
689
27
7
20
2,696
1,978
718
2,888
2,094
794
1,155
822
333
486
677
-191
130
180
-50
648
929
-281
681
955
-274
454
636
-182
84
175
-91
378
812
-434
903
1,719
-816
924
1,907
-983
189
376
-187
420
840
-420
273
552
-279
1,575
2,316
-741
273
404
-131
126
263
-137
676
1,616
-940
48
271
-223
42
234
-192
232
1,261
-1,029
1,507
3,870
-2,363
619
1,603
-984
188
504
-316
585
2,303
-1,718
125
409
-284
839
2,530
-1,691
281
626
-345
107
933
-826
29
250
-221
32
286
-254
43
379
-336
104
917
-813
71
568
-497
57
451
-394
86
600
-514
61
397
-336
14
94
-80
14
99
-85
57
380
-323
129
1,004
-875
25
222
-197
89
761
-672
104
903
-799
104
775
-671
193
1,520
-1,327
154
1,146
-992
96
709
-613
114
827
-713
239
1,524
-1,285
114
716
-602
482
2,368
-1,886
634
2,919
-2,285
762
1,873
-1,111
3,255
6,864
-3,609
218
461
-243
2,729
2,253
476
772
1,924
-1,152
33
88
-55
137
421
-284
1,053
2,959
-1,906
1,221
3,439
-2,218
516
1,477
-961
74
209
-135
958
2,507
-1,549
495
1,548
-1,053
104
260
-156
860
1,571
-711
365
732
-367
182
385
-203
469
985
-516
782
1,625
-843
147
137
10
368
339
29
257
573
-316
630
1,605
-975
476
1,039
-563
566
1,237
-671
129
283
-154
257
555
-298
167
596
-429
578
2,200
-1,622
141
537
-396
1,363
3,982
-2,619
746
2,007
-1,261
1,711
2,738
-1,027
719
1,157
-438
650
959
-309
352
337
15
1,266
1,114
152
2,040
1,886
154
1,126
1,085
41
5
1
4
4,218
4,159
59
3,182
2,484
698
386
442
-56
2,414
3,038
-624
193
240
-47
1,004
1,247
-243
2,718
1,501
1,217
1,249
910
339
1,560
1,401
159
2,299
565
1,734
511
247
264
4,669
5,951
-1,282
1,688
2,164
-476
2,011
2,826
-815
193
441
-248
571
1,270
-699
456
2,001
-1,545
456
1,901
-1,445
550
1,980
-1,430
94
334
-240
1,338
300
1,038
251
56
195
2,782
2,019
763
271
312
-41
606
696
-90
334
384
-50
8
14
-6
4
8
-4
2,265
2,409
-144
68
71
-3
780
789
-9
37
80
-43
449
837
-388
660
965
-305
428
385
43
1,468
1,235
233
708
308
400
413
164
249
639
679
-40
46
48
-2
875
922
-47
956
832
124
1,131
1,069
62
2,003
736
1,267
194
203
-9
645
658
-13
48
75
-27
677
1,242
-565
419
606
-187
476
592
-116
1,477
1,063
414
515
650
-135
715
614
101
459
631
-172
202
269
-67
593
768
-175
778
784
-6
137
206
-69
1,772
2,290
-518
22
18
4
67
55
12
535
370
165
992
777
215
809
765
44
302
72
230
831
394
437
39
33
6
1,360
1,164
196
876
2,227
-1,351
968
1,566
-598
258
648
-390
403
956
-553
161
380
-219
56
124
-68
702
1,560
-858
452
973
-521
40
88
-48
539
1,046
-507
399
1,116
-717
367
1,016
-649
582
1,289
-707
377
1,000
-623
485
1,339
-854
766
1,707
-941
454
412
42
227
191
36
495
404
91
21
52
-31
712
2,031
-1,319
361
949
-588
62
212
-150
237
698
-461
454
1,423
-969
1,256
715
541
114
73
41
1,589
2,088
-499
741
863
-122
49
59
-10
101
375
-274
565
1,329
-764
459
2,881
-2,422
31
164
-133
308
1,501
-1,193
1,398
1,255
143
449
362
87
362
345
17
844
871
-27
365
365
0
792
751
41
731
658
73
1,763
2,015
-252
252
265
-13
649
342
307
307
426
-119
1,079
1,526
-447
477
505
-28
552
756
-204
188
284
-96
652
788
-136
960
727
233
399
266
133
342
277
65
9,569
3,903
5,666
8,773
3,580
5,193
4,049
4,279
-230
3,058
3,723
-665
2,184
2,765
-581
2,794
2,796
-2
686
698
-12
6,764
6,844
-80
735
786
-51
294
325
-31
3,610
1,665
1,945
5,700
3,634
2,066
4,000
2,868
1,132
7,470
7,363
107
521
532
-11
5,172
5,169
3
4,748
5,891
-1,143
3,943
6,047
-2,104
70
99
-29
18
24
-6
35
43
-8
35
47
-12
3,225
3,409
-184
10,092
10,743
-651
5,703
6,379
-676
375
413
-38
5,312
6,280
-968
1,958
2,068
-110
5,222
5,299
-77
2,339
997
1,342
2,159
1,196
963
6,243
6,794
-551
6,566
7,127
-561
742
829
-87
3,016
1,956
1,060
1,206
802
404
6,196
6,507
-311
9,131
9,392
-261
2,322
1,069
1,253
6,256
4,954
1,302
2,322
2,228
94
7,723
7,470
253
4,855
4,592
263
2,197
1,695
502
9,800
7,512
2,288
84
64
20
5,322
4,037
1,285
3,589
1,660
1,929
7,142
6,915
227
3,456
3,333
123
9,184
6,754
2,430
8,221
7,105
1,116
923
471
452
8,778
8,358
420
7,361
4,597
2,764
10,716
5,955
4,761
10,814
10,599
215
7,177
6,081
1,096
5,216
6,407
-1,191
93
95
-2
2,001
3,349
-1,348
793
1,308
-515
3,971
3,689
282
8,146
6,497
1,649
4,405
3,275
1,130
7,394
5,240
2,154
8,453
8,806
-353
3,726
2,652
1,074
3,992
2,902
1,090
4,196
4,409
-213
3,675
5,385
-1,710
4,603
7,736
-3,133
13,608
16,658
-3,050
3,126
3,869
-743
3,448
3,878
-430
414
434
-20
3,856
3,686
170
87,190
-87,190
16
16
810
810
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
185
b
-2
c
-2
d
1
e
1
4
3
6
20
8
15
-16,702
-51
-50
-51
-64
-66
-76
-62
-45
-5
-7
-11
461
1,236
167
-113
154
521
-57
-62
-36
83
-158
-11
1,293
263
154
-20
-306
-478
-121
-428
12
86
-168
-86
839
523
-37
57
-256
60
-420
199
-100
61
-47
-259
-157
-7
959
-13
-544
-661
142
-62
-517
-206
6
-109
-375
-26
-303
-33
-820
3
-44
63
-334
-69
-54
-363
-164
75
857
197
13
254
338
218
-714
33
166
149
1,202
-170
-41
629
1,119
-82
250
309
337
17
-493
12
1,020
-155
-338
-309
-255
150
29
6
165
-59
108
1
65
28
144
-327
-33
183
355
928
392
-77
-184
161
-75
-81
-49
72
1,042
371
38
29
22
-14
102
160
-964
-543
110
43
47
-160
-76
-69
0
-44
-674
71
-62
-93
-14
-29
-151
163
33
-21
-40
-43
149
-117
320
46
0
-6
285
201
83
-92
-1
64
19
182
429
508
392
137
-360
21
-7
-144
40
80
127
-3
1,277
140
-532
14
94
187
2
204
81
-76
108
53
-130
18
73
71
-23
33
413
96
-27
-226
38
-35
-619
-363
-919
-30
-141
-4
-444
-695
-144
-419
-479
-1,497
-554
-456
-193
-858
-1,103
-836
-535
-581
-339
-2,165
-979
-675
-1,349
-1,441
-19
-419
-31
-106
-501
158
73
-879
-364
-338
-323
-238
-575
-270
-694
-19
-211
121
-179
41
230
-798
-368
-45
2
-278
-344
-1,378
-263
-14
-245
-1,348
-1,060
-395
-921
-347
-424
250
-71
-813
-22
247
-119
-854
-66
151
213
36
-3
-139
-294
-233
-15
41
175
-115
-3
120
70
213
3
-33
833
-301
-188
81
83
-125
192
-450
331
-257
-111
-193
-436
-188
-228
-239
190
732
117
909
686
14
38
198
240
501
1,179
-9
-20
-24
-20
-4
-2
356
99
99
41
181
29
10
2
75
146
833
30
525
116
311
256
143
403
-20
-13
-61
41
28
315
91
176
773
1,758
274
283
47
13
-787
-382
-24
-108
-98
-32
-46
-71
-802
-47
87
-2
-1,905
-1,056
-1,032
-1,801
-1,141
-115
-90
-1,034
-219
-131
-211
-4
169
301
-37
1,173
-605
202
516
-1
-22
29
3
-17
-2
-2
-841
-219
-250
-332
-802
-482
-382
-488
-315
-74
-80
-303
-847
-195
-659
-787
-645
-1,287
-952
-587
-574
48
382
120
-489
-394
-107
-1,194
-557
1,035
-49
-5
20
209
-61
-509
-239
-97
13
-1,342
-529
-238
-531
260
744
412
1,287
-220
-451
-32
-295
-416
0
0
0
-2
0
-905
-73
-651
-592
-187
-315
-292
-5
1
204
689
20
718
794
333
-191
-50
-281
-274
-182
-91
-434
-816
-983
-187
-420
-279
-741
-131
-137
-940
-223
-192
-1,029
-2,363
-984
-316
-1,718
-284
-1,691
-345
-826
-221
-254
-336
-813
-497
-394
-514
-336
-80
-85
-323
-875
-197
-672
-799
-671
-1,327
-992
-613
-713
-1,285
-602
-1,886
-2,285
-1,111
-3,609
-243
476
-1,152
-55
-284
-1,906
-2,218
-961
-135
-1,549
-1,053
-156
-711
-367
-203
-516
-843
10
29
-316
-975
-563
-671
-154
-298
-429
-1,622
-396
-2,619
-1,261
-1,027
-438
-309
15
152
154
41
4
59
698
-56
-624
-47
-243
1,217
339
159
1,734
264
-1,282
-476
-815
-248
-699
-1,545
-1,445
-1,430
-240
1,038
195
763
-41
-90
-50
-6
-4
-144
-3
-9
-43
-388
-305
43
233
400
249
-40
-2
-47
124
62
1,267
-9
-13
-27
-565
-187
-116
414
-135
101
-172
-67
-175
-6
-69
-518
4
12
165
215
44
230
437
6
196
-1,351
-598
-390
-553
-219
-68
-858
-521
-48
-507
-717
-649
-707
-623
-854
-941
42
36
91
-31
-1,319
-588
-150
-461
-969
541
41
-499
-122
-10
-274
-764
-2,422
-133
-1,193
143
87
17
-27
0
41
73
-252
-13
307
-119
-447
-28
-204
-96
-136
233
133
65
5,666
5,193
-230
-665
-581
-2
-12
-80
-51
-31
1,945
2,066
1,132
107
-11
3
-1,143
-2,104
-29
-6
-8
-12
-184
-651
-676
-38
-968
-110
-77
1,342
963
-551
-561
-87
1,060
404
-311
-261
1,253
1,302
94
253
263
502
2,288
20
1,285
1,929
227
123
2,430
1,116
452
420
2,764
4,761
215
1,096
-1,191
-2
-1,348
-515
282
1,649
1,130
2,154
-353
1,074
1,090
-213
-1,710
-3,133
-3,050
-743
-430
-20
170
-87,190
16
810
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
-190,705
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
118,291
2,279,381
0.051896
2017
107,000
2,301,301
0.046495
2016
103,504
2,086,437
0.049608
2015
110,216
1,990,125
0.055381
2014
101,150
2,384,140
0.042426
2
Total
of line 1, column (d)
.....................
2
0.245806
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
0.049161
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
2,243,052
5
Multiply line 4 by line 3
......................
5
110,271
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
275
7
Add lines 5 and 6
........................
7
110,546
8
Enter qualifying distributions from Part XII, line 4
,.............
8
114,157
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
275
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
275
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
275
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
4,391
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
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
4,391
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
4,116
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
4,116
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
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
No
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)
NV
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
JAMES T RUSSELL
Telephone no.
(775) 882-5397
Located at
180 PLANTATION DRIVE
CARSON CITY
NV
ZIP+4
89703
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
JAMES T RUSSELL
TRUSTEE / PRESIDENT
2.00
0
0
0
180 PLANTATION DR
CARSON CITY
,
NV
89703
JOHN MCKENNA
TRUSTEE / TREASURER
0.25
0
0
0
4 CHARLESTON COURT
CARSON CITY
,
NV
89701
JOAN BAKER GARDNER
TRUSTEE / SECRETARY
0.25
0
0
0
610 WESTVIEW AVE
CARSON CITY
,
NV
89703
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
.........................
0
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
2,091,399
b
Average of monthly cash balances
.......................
1b
139,849
c
Fair market value of all other assets (see instructions)
................
1c
45,962
d
Total
(add lines 1a, b, and c)
.........................
1d
2,277,210
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
2,277,210
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
34,158
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,243,052
6
Minimum investment return.
Enter 5% of line 5
..................
6
112,153
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
112,153
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
275
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
275
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
111,878
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
111,878
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
111,878
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
114,157
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
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
114,157
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
275
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
113,882
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
111,878
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
......
b
From 2015
......
910
c
From 2016
......
2,174
d
From 2017
......
e
From 2018
......
4,740
f
Total
of lines 3a through e
........
7,824
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
114,157
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
.....
111,878
e
Remaining amount distributed out of corpus
2,279
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
10,103
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)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
10,103
10
Analysis of line 9:
a
Excess from 2015
....
910
b
Excess from 2016
....
2,174
c
Excess from 2017
....
d
Excess from 2018
....
4,740
e
Excess from 2019
....
2,279
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).)
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.
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
BOYS AND GIRLS CLUB OF WESTERN NEVADA
673 SOUTH STEWART STREET
CARSON CITY
,
NV
89703
N/A
501(C)3
CAPITAL IMPROVEMENTS
2,000
BREWERY ARTS CENTER
449 WEST KING STREET
CARSON CITY
,
NV
89703
N/A
501(C)3
SUMMER CAMP PROGRAM
8,000
CAPITAL CITY ARTS INITIATIVE
885 EAST MUSSER STREET
CARSON CITY
,
NV
89702
N/A
501(C)3
ARTIST IN EDUCATION PROGRAMS
6,000
CHILDREN'S MUSEUM OF NORTHERN NEVADA
813 N CARSON ST
CARSON CITY
,
NV
89701
N/A
501(C)3
CAPITAL IMPROVEMENTS
4,000
COTTEY COLLEGE
1000 W AUSTIN
NEVADA
,
MO
64772
N/A
501(C)3
SCHOLARSHIPS
2,000
FIRST PRESBYTARIAN CHURCH
306 WEST MUSSER STREET
CARSON CITY
,
NV
89703
N/A
501(C)3
CAPITAL IMPROVEMENTS
3,148
HISTORIC FOURTH WARD SCHOOL
537 SOUTH C STREET
VIRGINIA
,
NV
89440
N/A
501(C)3
SCHOLARSHIPS
2,000
NEVADA STATE MUSEUM
600 N CARSON STREET
CARSON CITY
,
NV
89703
N/A
501(C)3
CAPITAL IMPROVEMENTS
7,009
UNIVERSITY OF NEVADA
RENO-MAIL STOP 076
RENO
,
NV
89557
N/A
501(C)3
SCHOLARSHIPSFOR SCHOLARSHIPS
80,000
Total
.................................
3a
114,157
b
Approved for future payment
Total
.................................
3b
0
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
....
53,973
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
............
-190,705
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)
..
0
0
-136,732
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
-136,732
(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.)
4
ALL INCOME EARNED IS USED FOR CONTRIBUTIONS TO ORGANIZATIONS THAT ARE THEMSELVES TAX EXEMPT UNDER 501(C)3
7
ALL INCOME EARNED IS USED FOR CONTRIBUTIONS TO ORGANIZATIONS THAT ARE THEMSELVES TAX EXEMPT UNDER 501(C)3
8
ALL INCOME EARNED IS USED FOR CONTRIBUTIONS TO ORGANIZATIONS THAT ARE THEMSELVES TAX EXEMPT UNDER 501(C)3
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