-
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
JOE AND ARLENE WATT FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 6085
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SHERIDAN
,
WY
82801
A Employer identification number
83-0330482
B
Telephone number (see instructions)
(307) 672-1498
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)
$
25,705,848
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)
250
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
655,856
655,856
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
3,314,688
b
Gross sales price for all assets on line 6a
12,679,346
7
Capital gain net income (from Part IV, line 2)
...
3,314,688
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)
.......
12,633
12,633
12
Total.
Add lines 1 through 11
........
3,983,427
3,983,177
13
Compensation of officers, directors, trustees, etc.
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
1,850
1,400
450
c
Other professional fees (attach schedule)
....
124,130
120,400
3,730
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
47,325
13
12
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
234
117
117
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
173,539
121,930
4,309
25
Contributions, gifts, grants paid
.......
1,269,000
1,269,000
26
Total expenses and disbursements.
Add lines 24 and 25
1,442,539
121,930
1,273,309
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
2,540,888
b
Net investment income
(if negative, enter -0-)
3,861,247
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
.........
2,663,428
849,310
849,310
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
..........
10a
Investments—U.S. and state government obligations (attach schedule)
3,805,777
2,459,352
2,461,348
b
Investments—corporate stock (attach schedule)
.......
9,038,625
13,088,838
16,391,071
c
Investments—corporate bonds (attach schedule)
.......
3,382,578
4,141,433
4,200,782
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
739,991
1,631,564
1,799,298
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
3,249
4,039
4,039
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
19,633,648
22,174,536
25,705,848
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
........
19,633,648
22,174,536
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)
.....
19,633,648
22,174,536
30
Total liabilities and net assets/fund balances
(see instructions)
.
19,633,648
22,174,536
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
19,633,648
2
Enter amount from Part I, line 27a
.....................
2
2,540,888
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
22,174,536
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
22,174,536
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
LITIGATION PROCEEDS
P
2017-01-01
2019-12-31
b
242.-GOLDMAN SACHS GROUP INC/THE
P
2018-11-02
2019-10-09
c
100.274-ALPHABET INC
P
2010-07-29
2019-08-21
d
783.-BRISTOL-MYERS SQUIBB CO
P
2013-02-05
2019-10-09
e
600.-WALT DISNEY CO/THE
P
2009-01-12
2019-05-28
1,000.-EXXON MOBIL CORP
P
2003-12-24
2019-08-21
469.-JPMORGAN CHASE & CO
P
2017-02-23
2019-10-09
628.-MONDELEZ INTERNATIONAL INC
P
2010-07-29
2019-10-09
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-06-25
3,076.-STARBUCKS CORP
P
2016-04-18
2019-08-21
797.559-AMERICAN FUNDS EUROPACIFIC G
P
2004-01-28
2019-06-26
867.303-VANGUARD MID-CAP INDEX FUND
P
2017-02-23
2019-01-08
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-10-25
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-01-02
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-02-01
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-05-01
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-08-20
4.-AMAZON.COM INC
P
2019-02-22
2019-08-21
1,072.-INDUSTRIAL SELECT SECTOR SPDR
P
2019-07-09
2019-11-08
109.299-ALPHABET INC
P
2012-03-22
2019-08-21
381.-CHEVRON CORP
P
2004-07-07
2019-08-21
700.-WALT DISNEY CO/THE
P
2009-01-12
2019-05-28
7.-EXXON MOBIL CORP
P
2010-04-05
2019-08-21
1,687.-LOWE'S COS INC
P
2016-10-19
2019-08-21
1,450.-NIKE INC
P
2016-10-12
2019-08-21
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-07-25
528.-STARBUCKS CORP
P
2016-04-18
2019-10-09
412.854-AMERICAN FUNDS EUROPACIFIC G
P
2004-04-05
2019-06-26
265.59-VANGUARD 500 INDEX FUND
P
2014-12-01
2019-11-20
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-11-25
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-02-01
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-03-01
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-06-25
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-09-20
4.-AMAZON.COM INC
P
2019-03-19
2019-08-21
1,165.-INDUSTRIAL SELECT SECTOR SPDR
P
2019-08-21
2019-11-08
41.-ALPHABET INC
P
2010-06-09
2019-08-21
450.-CHEVRON CORP
P
2010-04-05
2019-08-21
17.-WALT DISNEY CO/THE
P
2009-01-12
2019-08-21
143.-EXXON MOBIL CORP
P
2010-04-05
2019-10-09
398.-LOWE'S COS INC
P
2016-10-19
2019-10-09
674.-NIKE INC
P
2016-10-12
2019-10-09
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-08-26
200,000.-TORONTO-DOMINION BANK/THE 1
P
2016-10-14
2019-08-13
1,597.443-DFA US SMALL CAP PORTFOLIO
P
2015-03-25
2019-06-26
250,000.-FEDERAL HOME LOAN BANKS 2.6
P
2017-06-14
2019-11-14
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-12-26
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-03-01
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-04-01
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-07-25
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-10-21
27.-AMAZON.COM INC
P
2019-03-19
2019-10-09
861.-MATERIALS SELECT SECTOR SPDR FU
P
2019-02-08
2019-10-09
53.-ALPHABET INC
P
2010-07-29
2019-08-21
150.-CHEVRON CORP
P
2010-04-05
2019-10-09
513.-WALT DISNEY CO/THE
P
2009-01-12
2019-10-09
250.-EXXON MOBIL CORP
P
2010-12-17
2019-10-09
592.-MCKESSON CORP
P
2012-09-13
2019-07-09
130.-PEPSICO INC
P
2004-05-12
2019-08-21
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-09-25
861.-UNION PACIFIC CORP
P
2013-11-20
2019-08-21
937.207-DFA US SMALL CAP PORTFOLIO
P
2015-04-10
2019-06-26
500,000.-FEDERAL FARM CREDIT BANKS F
P
2017-08-18
2019-09-11
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-01-02
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-04-01
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-05-01
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-08-26
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-11-20
109.-BOEING CO/THE
P
2019-07-09
2019-08-21
2,082.-MATERIALS SELECT SECTOR SPDR
P
2019-02-08
2019-11-20
44.-ALPHABET INC
P
2010-07-29
2019-10-09
135.-CHEVRON CORP
P
2010-09-13
2019-10-09
192.3-DOWDUPONT INC
P
2010-10-19
2019-02-08
310.-EXXON MOBIL CORP
P
2011-03-03
2019-10-09
178.-MCKESSON CORP
P
2012-09-13
2019-10-09
1,000.-PEPSICO INC
P
2004-07-07
2019-08-21
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-10-25
312.-UNION PACIFIC CORP
P
2013-11-20
2019-10-09
5,821.69-DFA US SMALL CAP PORTFOLIO
P
2016-06-21
2019-06-26
100,000.-FEDERAL HOME LOAN MORTGAGE
P
2017-10-24
2019-06-28
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-02-01
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-05-01
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-06-17
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-09-25
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-12-20
57.-BOEING CO/THE
P
2019-07-09
2019-10-09
1,392.-MICROCHIP TECHNOLOGY INC
P
2018-11-02
2019-08-21
739.-AMERICAN EXPRESS CO
P
2013-08-29
2019-08-21
200.-CISCO SYSTEMS INC
P
2002-07-10
2019-08-21
2,564.-DOWDUPONT INC
P
2010-12-17
2019-02-08
250,000.-EXXON MOBIL CORP 1.708% 01
P
2016-07-20
2019-03-01
650.-MICROSOFT CORP
P
2012-10-17
2019-08-21
96.-PEPSICO INC
P
2004-09-07
2019-08-21
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-11-25
408.-UNITEDHEALTH GROUP INC
P
2012-09-27
2019-08-21
783.888-DFA US SMALL CAP PORTFOLIO
P
2017-03-09
2019-06-26
100,000.-FEDERAL NATIONAL MORTGAGE A
P
2013-11-05
2019-01-30
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-03-01
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-06-17
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-07-15
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-10-25
68.-CONSUMER DISCRETIONARY SELECT SE
P
2018-03-14
2019-02-22
454.-MICROCHIP TECHNOLOGY INC
P
2018-11-02
2019-10-09
207.-AMERICAN EXPRESS CO
P
2013-08-29
2019-10-09
1,500.-CISCO SYSTEMS INC
P
2002-08-22
2019-08-21
1,410.2-DOWDUPONT INC
P
2011-12-27
2019-02-08
572.-FACEBOOK INC
P
2016-11-10
2019-08-21
839.-MICROSOFT CORP
P
2012-11-08
2019-08-21
437.-PEPSICO INC
P
2004-09-07
2019-10-09
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-12-26
155.-UNITEDHEALTH GROUP INC
P
2012-09-27
2019-10-09
4,145.937-DFA COMMODITY STRATEGY POR
P
2015-08-20
2019-11-20
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-01-02
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-04-01
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-07-15
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-08-15
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-11-25
19,083.969-DFA COMMODITY STRATEGY PO
P
2018-12-24
2019-11-20
1,105.622-OPPENHEIMER DEVELOPING MAR
P
2019-03-19
2019-05-28
471.-AMERICAN EXPRESS CO
P
2013-12-10
2019-10-09
448.-CISCO SYSTEMS INC
P
2002-09-03
2019-08-21
961.5-DOWDUPONT INC
P
2014-01-13
2019-02-08
150.-FACEBOOK INC
P
2016-11-10
2019-10-09
646.-MICROSOFT CORP
P
2012-11-08
2019-10-09
1,800.-QUALCOMM INC
P
2016-03-11
2019-05-10
3,344.-HEALTH CARE SELECT SECTOR SPD
P
2018-04-03
2019-08-21
1,200.-VANGUARD FTSE EMERGING MARKET
P
2011-12-27
2019-08-21
12,417.218-DFA COMMODITY STRATEGY PO
P
2017-01-27
2019-11-20
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-02-01
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-05-01
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-08-15
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-09-16
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-12-26
37.-ENERGY SELECT SECTOR SPDR FUND
P
2018-11-02
2019-03-19
2,294.104-OPPENHEIMER DEVELOPING MAR
P
2019-04-12
2019-05-28
375.-APPLE INC
P
2014-03-28
2019-08-21
552.-CISCO SYSTEMS INC
P
2002-09-03
2019-10-09
1,019.-EMERSON ELECTRIC CO
P
2002-12-24
2019-08-21
357.-FEDEX CORP
P
2016-01-08
2019-08-21
265.-MICROSOFT CORP
P
2012-11-08
2019-11-01
290.-QUALCOMM INC
P
2017-02-02
2019-05-10
2,139.-HEALTH CARE SELECT SECTOR SPD
P
2018-08-14
2019-08-21
1,200.-VANGUARD FTSE EMERGING MARKET
P
2012-11-08
2019-08-21
8,223.685-DFA COMMODITY STRATEGY POR
P
2017-02-02
2019-11-20
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-03-01
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-06-17
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-09-16
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-10-15
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-01-02
873.-EXELON CORP
P
2019-08-21
2019-11-12
1,385.-REAL ESTATE SELECT SECTOR SPD
P
2019-04-01
2019-08-21
396.-APPLE INC
P
2014-03-28
2019-10-09
86.-CISCO SYSTEMS INC
P
2009-04-01
2019-10-09
381.-EMERSON ELECTRIC CO
P
2002-12-24
2019-10-09
168.-FEDEX CORP
P
2016-01-08
2019-10-09
145.-MICROSOFT CORP
P
2013-08-15
2019-11-01
1,110.-QUALCOMM INC
P
2017-02-23
2019-05-10
1,092.-HEALTH CARE SELECT SECTOR SPD
P
2018-08-14
2019-10-09
2,600.-VANGUARD FTSE EMERGING MARKET
P
2013-04-10
2019-08-21
24,875.621-DFA COMMODITY STRATEGY PO
P
2017-02-23
2019-11-20
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-04-01
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-07-15
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-10-15
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-11-15
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-02-01
400,000.-FEDERAL HOME LOAN BANKS 3%
P
2018-05-17
2019-05-03
1,293.-REAL ESTATE SELECT SECTOR SPD
P
2019-04-01
2019-10-09
209.-APPLE INC
P
2014-03-28
2019-10-16
500.-CISCO SYSTEMS INC
P
2010-12-17
2019-10-09
355.-EMERSON ELECTRIC CO
P
2003-01-16
2019-10-09
2,031.-GILEAD SCIENCES INC
P
2012-05-04
2019-08-21
1,169.-MONDELEZ INTERNATIONAL INC
P
2008-10-02
2019-07-09
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-01-02
182.-HEALTH CARE SELECT SECTOR SPDR
P
2018-10-05
2019-10-09
1,047.-WALMART INC
P
2016-01-22
2019-08-21
3,532.297-OPPENHEIMER DEVELOPING MAR
P
2013-03-07
2019-05-28
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-05-01
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-08-15
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-11-15
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-12-16
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-03-01
150,000.-FEDERAL NATIONAL MORTGAGE A
P
2019-01-11
2019-08-28
1,000.-VANGUARD FTSE EMERGING MARKET
P
2019-06-13
2019-08-21
95.-APPLE INC
P
2016-04-28
2019-10-16
111,000.-CISCO SYSTEMS INC 1.4% 20 S
P
2017-06-30
2019-09-20
445.-EMERSON ELECTRIC CO
P
2003-01-16
2019-11-08
669.-GILEAD SCIENCES INC
P
2012-05-04
2019-10-09
720.-MONDELEZ INTERNATIONAL INC
P
2009-01-05
2019-07-09
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-02-01
2,089.-CONSUMER STAPLES SELECT SECTO
P
2018-05-18
2019-08-21
538.-WALMART INC
P
2016-01-22
2019-10-09
1,487.129-OPPENHEIMER DEVELOPING MAR
P
2012-11-08
2019-05-28
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-06-25
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-09-16
FREDDIE MAC REMICS FHR 4103 NJ 1.5%
P
2016-09-30
2019-12-16
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-01-02
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-04-01
275,000.-FIFTH THIRD BANK/CINCINNATI
P
2018-06-29
2019-03-15
2,500.-VANGUARD FTSE EMERGING MARKET
P
2019-04-12
2019-08-21
428.-BERKSHIRE HATHAWAY INC
P
2010-03-31
2019-08-21
100.-WALT DISNEY CO/THE
P
2017-02-23
2019-04-04
677.-EMERSON ELECTRIC CO
P
2007-09-10
2019-11-08
138.-GILEAD SCIENCES INC
P
2013-12-10
2019-10-09
471.-MONDELEZ INTERNATIONAL INC
P
2009-06-24
2019-07-09
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-03-25
465.-CONSUMER STAPLES SELECT SECTOR
P
2018-05-18
2019-10-09
659.738-AMERICAN FUNDS EUROPACIFIC G
P
2003-07-10
2019-06-26
5,662.044-OPPENHEIMER DEVELOPING MAR
P
2013-02-22
2019-05-28
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-07-25
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-10-15
FREDDIE MAC REMICS FHR 2764 OE 4.5%
P
2007-10-03
2019-01-02
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-02-01
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-05-01
2,343.-FINANCIAL SELECT SECTOR SPDR
P
2019-08-21
2019-11-20
28,137.566-VANGUARD SHORT-TERM FEDER
P
2019-06-27
2019-09-23
228.-BERKSHIRE HATHAWAY INC
P
2010-03-31
2019-10-09
900.-WALT DISNEY CO/THE
P
2013-12-10
2019-04-04
100.-EXXON MOBIL CORP
P
2002-06-13
2019-08-21
2,000.-JPMORGAN CHASE & CO
P
2012-05-25
2019-04-01
729.-MONDELEZ INTERNATIONAL INC
P
2009-06-24
2019-08-21
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-04-25
1,104.-SKYWORKS SOLUTIONS INC
P
2013-08-23
2019-08-21
876.137-AMERICAN FUNDS EUROPACIFIC G
P
2003-10-17
2019-06-26
1,603.386-VANGUARD MID-CAP INDEX FUN
P
2016-06-07
2019-01-08
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-08-26
FREDDIE MAC REMICS FHR 3820 DL 2.5%
P
2016-08-22
2019-11-15
150,000.-FREDDIE MAC REMICS FHR 2764
P
2007-10-03
2019-02-01
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-03-01
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-06-20
386.-GOLDMAN SACHS GROUP INC/THE
P
2018-11-02
2019-08-21
40.427-ALPHABET INC
P
2010-06-09
2019-08-21
1,514.-BRISTOL-MYERS SQUIBB CO
P
2013-02-05
2019-08-21
100.-WALT DISNEY CO/THE
P
2009-01-05
2019-05-28
700.-EXXON MOBIL CORP
P
2002-06-13
2019-08-21
50.-JPMORGAN CHASE & CO
P
2017-02-23
2019-08-21
306.-MONDELEZ INTERNATIONAL INC
P
2010-07-29
2019-08-21
RBSGC MORTGAGE LOAN TRUST 2007-B RBS
P
2008-02-15
2019-05-01
537.-SKYWORKS SOLUTIONS INC
P
2013-08-23
2019-10-09
337.287-AMERICAN FUNDS EUROPACIFIC G
P
2003-12-23
2019-06-26
1,625.805-VANGUARD MID-CAP INDEX FUN
P
2016-06-10
2019-01-08
FANNIE MAE REMICS FNR 2015-96 EA 3%
P
2015-12-11
2019-09-25
250,000.-FREDDIE MAC REMICS FHR 3820
P
2016-08-22
2019-12-16
FREDDIE MAC REMICS FHR 2790 TN 4% 15
P
2007-08-31
2019-01-02
FANNIE MAE POOL FN AB4090 3% 01 DEC
P
2014-07-25
2019-04-01
GOVERNMENT NATIONAL MORTGAGE ASSOCIA
P
2011-06-23
2019-07-22
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
2,051
2,051
b
47,847
55,466
-7,619
c
119,808
24,371
95,437
d
39,597
28,937
10,660
e
80,069
13,098
66,971
69,801
40,010
29,791
52,899
42,669
10,230
34,365
11,570
22,795
14
13
1
295,946
187,726
108,220
41,816
25,000
16,816
153,634
150,000
3,634
783
802
-19
818
817
1
580
508
72
1,646
1,699
-53
11
12
-1
7,292
6,528
764
87,534
82,051
5,483
130,591
35,291
95,300
45,000
17,758
27,242
93,472
15,281
78,191
489
478
11
181,630
117,243
64,387
119,148
76,290
42,858
14
13
1
45,341
32,224
13,117
21,646
13,588
8,058
76,394
50,499
25,895
785
805
-20
1,171
1,169
2
258
226
32
1,747
1,804
-57
12
12
7,292
7,091
201
95,128
87,640
7,488
49,032
9,938
39,094
53,149
34,893
18,256
2,309
371
1,938
9,634
9,766
-132
42,281
27,660
14,621
62,424
35,462
26,962
16
15
1
200,000
199,722
278
52,668
53,081
-413
250,000
250,000
787
807
-20
1,157
1,155
2
369
323
46
1,142
1,179
-37
233
245
-12
46,583
46,583
47,933
45,089
2,844
63,382
12,949
50,433
16,998
11,631
5,367
66,202
11,199
55,003
16,843
18,041
-1,198
82,413
52,053
30,360
17,144
6,906
10,238
14
14
145,150
68,418
76,732
30,900
32,240
-1,340
500,000
500,000
1,068
1,085
-17
1,584
1,582
2
1,004
880
124
1,521
1,570
-49
65
69
-4
37,202
38,453
-1,251
124,567
109,031
15,536
52,814
10,750
42,064
15,298
10,674
4,624
9,840
6,563
3,277
20,885
26,503
-5,618
23,519
15,651
7,868
131,879
53,427
78,452
14
14
47,774
24,794
22,980
191,941
188,914
3,027
100,000
99,950
50
677
688
-11
2,407
2,404
3
269
236
33
2,375
2,452
-77
10
11
-1
21,326
20,108
1,218
124,271
97,013
27,258
90,581
53,559
37,022
9,752
2,740
7,012
131,202
94,718
36,484
250,000
252,908
-2,908
90,150
19,244
70,906
12,660
4,899
7,761
14
14
98,263
22,994
75,269
25,845
28,941
-3,096
100,000
96,290
3,710
852
866
-14
2,230
2,227
3
236
207
29
1,654
1,707
-53
7,553
7,191
362
41,379
31,641
9,738
23,700
15,002
8,698
73,142
22,785
50,357
72,161
48,598
23,563
105,759
69,148
36,611
116,363
24,466
91,897
60,088
22,300
37,788
14
13
1
34,473
8,736
25,737
22,429
25,000
-2,571
762
783
-21
1,656
1,682
-26
385
384
1
499
438
61
1,687
1,742
-55
103,244
100,000
3,244
47,000
47,000
53,926
40,251
13,675
21,845
6,021
15,824
49,201
44,748
4,453
26,880
18,133
8,747
89,225
18,838
70,387
152,221
90,831
61,390
305,206
267,864
37,342
48,239
46,209
2,030
67,177
75,000
-7,823
765
784
-19
1,626
1,652
-26
2,714
2,710
4
233
204
29
1,275
1,316
-41
2,450
2,505
-55
100,000
100,000
79,945
28,743
51,202
25,851
7,419
18,432
59,663
25,465
34,198
56,576
48,872
7,704
37,889
7,728
30,161
24,524
14,757
9,767
195,226
192,935
2,291
48,239
49,620
-1,381
44,490
50,000
-5,510
767
786
-19
2,681
2,724
-43
2,933
2,929
4
217
190
27
11
11
38,662
39,711
-1,049
53,726
49,818
3,908
89,911
30,352
59,559
4,027
1,496
2,531
24,266
9,521
14,745
23,237
22,999
238
20,732
4,606
16,126
93,869
61,649
32,220
96,806
96,806
104,518
112,045
-7,527
134,577
150,000
-15,423
769
789
-20
2,355
2,393
-38
2,996
2,992
4
221
193
28
12
12
400,000
399,600
400
50,829
46,509
4,320
48,920
16,019
32,901
23,416
9,832
13,584
22,610
9,139
13,471
129,701
51,520
78,181
64,395
25,040
39,355
1
1
16,134
16,134
117,465
65,792
51,673
125,337
125,337
771
791
-20
2,558
2,599
-41
2,882
2,878
4
584
512
72
11
12
-1
150,000
148,629
1,371
40,199
41,308
-1,109
22,236
9,109
13,127
111,000
110,378
622
32,750
11,458
21,292
41,536
16,970
24,566
39,662
12,592
27,070
17
16
1
125,843
103,438
22,405
63,997
33,807
30,190
50,000
50,000
774
793
-19
1,935
1,966
-31
2,497
2,494
3
2,058
2,125
-67
11
12
-1
275,000
274,203
797
100,498
109,371
-8,873
85,266
34,829
50,437
11,422
11,016
406
49,824
32,225
17,599
8,568
10,121
-1,553
25,945
7,656
18,289
14
14
28,226
23,025
5,201
34,590
16,606
17,984
200,000
200,000
776
795
-19
2,929
2,976
-47
39
37
2
2,185
2,256
-71
73
76
-3
69,659
62,459
7,200
301,916
301,353
563
46,946
18,554
28,392
102,799
64,306
38,493
6,980
3,956
3,024
208,540
67,259
141,281
39,462
11,850
27,612
14
13
1
85,533
27,766
57,767
45,936
25,000
20,936
284,024
250,000
34,024
778
798
-20
1,831
1,860
-29
36
34
2
1,319
1,362
-43
34
35
-1
77,633
88,471
-10,838
48,302
9,747
38,555
72,144
55,953
16,191
13,345
2,386
10,959
48,860
27,692
21,168
5,406
4,549
857
16,564
5,638
10,926
14
13
1
43,349
13,506
29,843
17,684
10,000
7,684
287,995
250,000
37,995
780
800
-20
772
785
-13
258
226
32
2,090
2,158
-68
12
12
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
2,051
b
-7,619
c
95,437
d
10,660
e
66,971
29,791
10,230
22,795
1
108,220
16,816
3,634
-19
1
72
-53
-1
764
5,483
95,300
27,242
78,191
11
64,387
42,858
1
13,117
8,058
25,895
-20
2
32
-57
201
7,488
39,094
18,256
1,938
-132
14,621
26,962
1
278
-413
-20
2
46
-37
-12
2,844
50,433
5,367
55,003
-1,198
30,360
10,238
76,732
-1,340
-17
2
124
-49
-4
-1,251
15,536
42,064
4,624
3,277
-5,618
7,868
78,452
22,980
3,027
50
-11
3
33
-77
-1
1,218
27,258
37,022
7,012
36,484
-2,908
70,906
7,761
75,269
-3,096
3,710
-14
3
29
-53
362
9,738
8,698
50,357
23,563
36,611
91,897
37,788
1
25,737
-2,571
-21
-26
1
61
-55
3,244
13,675
15,824
4,453
8,747
70,387
61,390
37,342
2,030
-7,823
-19
-26
4
29
-41
-55
51,202
18,432
34,198
7,704
30,161
9,767
2,291
-1,381
-5,510
-19
-43
4
27
-1,049
3,908
59,559
2,531
14,745
238
16,126
32,220
-7,527
-15,423
-20
-38
4
28
400
4,320
32,901
13,584
13,471
78,181
39,355
51,673
-20
-41
4
72
-1
1,371
-1,109
13,127
622
21,292
24,566
27,070
1
22,405
30,190
-19
-31
3
-67
-1
797
-8,873
50,437
406
17,599
-1,553
18,289
5,201
17,984
-19
-47
2
-71
-3
7,200
563
28,392
38,493
3,024
141,281
27,612
1
57,767
20,936
34,024
-20
-29
2
-43
-1
-10,838
38,555
16,191
10,959
21,168
857
10,926
1
29,843
7,684
37,995
-20
-13
32
-68
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
3,314,688
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
61,901
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
1,197,115
24,434,976
0.048992
2017
1,086,655
24,549,647
0.044264
2016
1,260,720
23,141,848
0.054478
2015
1,116,622
24,331,136
0.045893
2014
1,166,802
23,944,462
0.048730
2
Total
of line 1, column (d)
.....................
2
0.242357
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
0.048471
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
24,031,946
5
Multiply line 4 by line 3
......................
5
1,164,852
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
38,612
7
Add lines 5 and 6
........................
7
1,203,464
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,273,309
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
38,612
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
3
Add lines 1 and 2
...........................
3
38,612
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
38,612
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
60,023
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
60,023
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
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
21,411
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
21,411
Refunded
11
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)
WY
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
FIRST INTERSTATE BANK FSG
Telephone no.
(307) 672-1498
Located at
16 S MAIN ST
SHERIDAN
WY
ZIP+4
82801
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
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
JOHN M PRADERE
DIRECTOR
2.00
0
0
0
PO BOX 6085
SHERIDAN
,
WY
82801
ROBERT EBERHART
DIRECTOR
2.00
0
0
0
PO BOX 6085
SHERIDAN
,
WY
82801
KY DIXON
SEC/TREAS
2.00
0
0
0
PO BOX 6085
SHERIDAN
,
WY
82801
RICHARD HAMMER JR
PRESIDENT
2.00
0
0
0
PO BOX 6085
SHERIDAN
,
WY
82801
JACK E PELISSIER
DIRECTOR
2.00
0
0
0
PO BOX 6085
SHERIDAN
,
WY
82801
DEBRA WENDTLAND
VICE PRESIDE
2.00
0
0
0
PO BOX 6085
SHERIDAN
,
WY
82801
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
...................
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
.............
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
N/A
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
22,815,953
b
Average of monthly cash balances
.......................
1b
1,403,678
c
Fair market value of all other assets (see instructions)
................
1c
178,284
d
Total
(add lines 1a, b, and c)
.........................
1d
24,397,915
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
3
Subtract line 2 from line 1d
.........................
3
24,397,915
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
365,969
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
24,031,946
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,201,597
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
1,201,597
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
38,612
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
38,612
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,162,985
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
1,162,985
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
1,162,985
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
1,273,309
b
Program-related investments—total from Part IX-B
..................
1b
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
1,273,309
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
38,612
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
1,234,697
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
1,162,985
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
1,143,467
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,273,309
a
Applied to 2018, but not more than line 2a
1,143,467
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
129,842
e
Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2019.
(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
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
1,033,143
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
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 e-mail address of the person to whom applications should be addressed:
JOE AND ARLENE WATT FOUNDATION
PO BOX 6085
SHERIDAN
,
WY
82801
(307) 672-1498
b
The form in which applications should be submitted and information and materials they should include:
THE APPLICATION SHOULD BE IN WRITTEN FORM AND INCLUDE: 1. NAME, ADDRESS AND TAX ID NUMBER OF THE CHARITY, 2. DOCUMENTARY PROOF OF THE TAX EXEMPT STATUS OF THE CHARITY UNDER SECTION 501(C)(3) OF THE IRC OF 1954, OR AS AMENDED. 3. COPY OF THE MOST RECENT ANNUAL REPORT OF THE CHARITY IN THE FORM REQUIRED OF IT BY APPLICABLE SECTION OF THE INTERNAL REVENUE CODE. 4. DESCRIPTION OF THE CHARITABLE PURPOSE, OR PURPOSES, TO WHICH THE FUNDS FOR WHICH APPLICATION IS BEING MADE SHALL BE PUT.
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
NONE
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
ALTERNATIVE ELDER LIVING INC
2311 SHIRLEY COVE
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
25,000
COMPASS CENTER FOR FAMILIES
1095 SUGARVIEW DRIVE
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
57,500
GREATER WY BIG BROTHERS BIG SISTERS
1056 LONG DRIVE
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
25,000
HABITAT FOR HUMANITY OF THE EASTERN
PO BOX 6196
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
50,000
JOEY'S FOUNDATION INC
109 S MAIN SUITE B
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
10,000
SENIOR CITIZENS COUNCIL
211 SMITH STREET
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
200,000
SHERIDAN CO LIBRARY FOUNDATION
335 W ALGER ST
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
150,000
SHERIDAN COLLEGE FOUNDATION
PO BOX 6328
SHERIDAN
,
WY
82801
EXEMPT
WHITNEY CENTER FOR ARTS
50,000
SHERIDAN COLLEGE FOUNDATION
PO BOX 6328
SHERIDAN
,
WY
82801
EXEMPT
AGRI PARK PARKING
36,500
SHERIDAN COLLEGE FOUNDATION
PO BOX 6328
SHERIDAN
,
WY
82801
EXEMPT
TECH CENTER
100,000
SHERIDAN COMMUNITY EDUCATION FOUNDA
PO BOX 6399
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
50,000
SHERIDAN COUNTY MEM HOSPITAL FOUND
1401 W 5TH ST
SHERIDAN
,
WY
82801
EXEMPT
ICU
100,000
SHERIDAN COUNTY YMCA
417 N JEFFERSON ST
SHERIDAN
,
WY
82801
EXEMPT
NEW AQUATIC CENTER
100,000
SHERIDAN HEALTH CENTER
PO BOX 682
SHERIDAN
,
WY
82801
EXEMPT
SUPPORT FOR MID-LEVEL PROVIDER
60,000
SHERIDAN KIDS LIFE
444 W ALGER ST
SHERIDAN
,
WY
82801
EXEMPT
BUILDING FUND
30,000
SHERIDAN ROTARY CLUB
PO BOX 997
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
10,000
THE FOOD GROUP
PO BOX 6702
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
15,000
UNIVERSITY OF WYOMING
1000 E UNIVERSITY AVE
LARAMIE
,
WY
82071
EXEMPT
PESIDENTIAL SCHOLARSHIP
100,000
WYO THEATER
42 NORTH MAIN
SHERIDAN
,
WY
82801
EXEMPT
UNRESTRICTED
100,000
Total
.................................
3a
1,269,000
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
655,856
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
.....
15
12,633
8
Gain or (loss) from sales of assets other than
inventory
............
18
3,314,688
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)
..
3,983,177
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
3,983,177
(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