-
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
06-01-2019
, and ending
05-31-2020
Name of foundation
HYMAN M SCHWARTZ CHARITABLE FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 75000
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DETROIT
,
MI
482757874
A Employer identification number
26-6438653
B
Telephone number (see instructions)
(619) 652-5822
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)
$
585,239
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
...
15,824
15,753
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
3,397
b
Gross sales price for all assets on line 6a
277,034
7
Capital gain net income (from Part IV, line 2)
...
3,397
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
19,221
19,150
13
Compensation of officers, directors, trustees, etc.
3,977
3,580
398
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
1,000
500
0
500
c
Other professional fees (attach schedule)
....
8,686
8,686
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
923
794
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
10
10
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
14,596
13,560
0
908
25
Contributions, gifts, grants paid
.......
33,050
33,050
26
Total expenses and disbursements.
Add lines 24 and 25
47,646
13,560
0
33,958
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-28,425
b
Net investment income
(if negative, enter -0-)
5,590
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
14,556
16,084
16,084
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
346,866
341,717
370,602
c
Investments—corporate bonds (attach schedule)
.......
222,381
196,845
198,553
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
583,803
554,646
585,239
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
........
583,803
554,646
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)
.....
583,803
554,646
30
Total liabilities and net assets/fund balances
(see instructions)
.
583,803
554,646
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
583,803
2
Enter amount from Part I, line 27a
.....................
2
-28,425
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
555,378
5
Decreases not included in line 2 (itemize)
5
732
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
554,646
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
.44 ACS ACTIV DE CONSTRUC Y SERV ADR
2016-12-14
2019-07-29
b
.6045 ACS ACTIV DE CONSTRUC Y SERV ADR
2020-02-21
2020-04-01
c
.6045 ACS ACTIV DE CONSTRUC Y SERV ADR
2020-02-21
2020-04-01
d
9. AIA GROUP LTD ADR
2016-09-21
2020-01-15
e
8. AIA GROUP LTD ADR
2019-11-05
2020-04-14
9. AIA GROUP LTD ADR
2019-11-05
2020-04-14
2. AIA GROUP LTD ADR
2016-09-21
2020-04-14
7. AIA GROUP LTD ADR
2016-09-21
2020-05-28
9. ACADIA HEALTHCARE CO INC
2018-06-15
2019-10-25
7. ACADIA HEALTHCARE CO INC
2018-06-15
2019-10-28
5. ACADIA HEALTHCARE CO INC
2018-06-15
2019-10-29
2. ACADIA HEALTHCARE CO INC
2018-06-15
2019-10-30
2. ACADIA HEALTHCARE CO INC
2018-06-15
2019-10-31
3. ACCOR S A SPONSORED ADR
2019-08-29
2020-01-15
1. ADECCO SA SPON ADR
2019-12-04
2020-01-15
1. ADIDAS AG ADR
2018-03-28
2020-01-15
3. ADIDAS AG ADR
2018-03-28
2020-04-14
1. ADOBE SYS INC
2018-06-19
2019-08-15
1. ADOBE SYS INC
2018-06-19
2020-01-15
1. ADOBE SYS INC
2018-06-15
2020-02-06
5. AIRBUS GROUP ADR
2017-09-13
2020-01-15
2. AKAMAI TECHNOLOGIES
2017-06-22
2019-08-13
1. AKAMAI TECHNOLOGIES
2017-06-22
2020-04-13
1. AKAMAI TECHNOLOGIES
2017-06-22
2020-04-14
1. ALIBABA GROUP HLDG LTD ADR
2018-06-19
2020-01-15
2. ALIBABA GROUP HLDG LTD ADR
2018-03-28
2020-04-14
1. ALPHABET INC CL C
2017-06-22
2020-01-15
2. AMERIPRISE FINL INC
2018-06-15
2020-01-15
1. AMGEN INC
2018-06-15
2020-01-15
9. ANGLO AMERICAN PLC SPONSORED ADR
2019-10-22
2020-01-15
1. ANHEUSER BUSCH INBEV SA/NV ADR
2017-06-22
2020-01-15
1. ANHEUSER BUSCH INBEV SA/NV ADR
2017-06-22
2020-03-09
1. ANSYS INC
2018-06-15
2020-01-15
5. ARCELORMITTAL SA LUXEMBOURG
2018-04-06
2019-06-03
15. ARCELORMITTAL SA LUXEMBOURG
2019-04-05
2019-06-03
43. ARCELORMITTAL SA LUXEMBOURG
2017-05-10
2019-06-04
1. AXA-UAP SPON ADR ONE ADR REPRESENTS 1/2 SHR
2018-04-06
2020-01-15
54. AXA-UAP SPON ADR ONE ADR REPRESENTS 1/2 SHR
2018-06-19
2020-02-27
8. BAE SYSTEMS PLC
2017-09-21
2020-01-15
6. BAE SYSTEMS PLC
2017-09-21
2020-04-14
1. BASF AG SPONSORED ADR
2017-09-13
2020-01-15
73. BASF AG SPONSORED ADR
2018-09-21
2020-03-10
8. BASF AG SPONSORED ADR
2019-07-23
2020-03-10
12. BHP BILLITON PLC ADR
2018-04-06
2019-10-10
17. BHP BILLITON PLC ADR
2018-11-13
2019-10-10
1. BOK FINL CORP COM NEW
2018-06-15
2020-01-15
1. BAIDU COM INC SPONSORED ADR
2019-01-15
2019-08-16
7. BAIDU COM INC SPONSORED ADR
2017-05-01
2019-08-16
6. BANCO BILBAO VIZCAYA SP ADR
2018-03-28
2019-11-27
36. BANCO BILBAO VIZCAYA SP ADR
2019-03-05
2019-11-27
98. BANCO BILBAO VIZCAYA SP ADR
2018-06-15
2019-11-27
16. BANCO BILBAO VIZCAYA SP ADR
2018-06-15
2020-01-15
51. BANCO BILBAO VIZCAYA SP ADR
2018-06-15
2020-04-14
7. BANK OF AMERICA CORP
2018-06-15
2020-01-15
35. BANK OF AMERICA CORP
2018-06-15
2020-05-28
3. BAYERISCHE MOTOREN WERKE A G ADR
2019-03-05
2020-01-15
14. BAYERISCHE MOTOREN WERKE A G ADR
2017-09-13
2020-04-14
1. BHP LIMITED SPONS ADR
2018-05-16
2020-01-15
4. BHP LIMITED SPONS ADR
2018-06-19
2020-04-14
1. BLACKROCK INC
2017-06-22
2020-01-09
1. BLACKROCK INC
2017-06-22
2020-01-13
270.334 BLACKROCK FDS V LOW DURATION BOND PORTFO
2019-04-05
2020-01-31
6010.943 BLACKROCK FDS V LOW DURATION BOND PORTFO
2017-12-29
2020-01-31
67. BRAMBLES LTD SPONSORED ADR
2018-04-06
2019-11-21
5. BRIDGESTONE CORP UNSPONS ADR
2019-03-05
2020-01-15
80. BRIDGESTONE CORP UNSPONS ADR
2018-07-13
2020-01-28
6. BRIDGESTONE CORP UNSPONS ADR
2019-03-05
2020-01-28
10. BUNZL PLC ADR
2019-07-16
2020-04-14
4. BURBERRY GROUP PLC ADR
2019-11-21
2020-01-15
7. BURBERRY GROUP PLC ADR
2019-11-21
2020-04-14
9. CABOT OIL & GAS CORP CL A
2019-10-25
2020-01-15
4. CAPGEMINI S E ADR
2019-09-09
2020-01-15
2. CAPITAL ONE FINANCIAL CORP
2018-06-15
2020-01-15
10. CARLSBERG AS ADR
2018-06-19
2020-01-15
2. CARLSBERG AS ADR
2016-02-05
2020-04-14
6. CARRIER GLOBAL CORPORATION COM
2020-03-24
2020-04-09
1. CATERPILLAR INC
2018-02-06
2019-08-26
1. CATERPILLAR INC
2018-02-06
2019-08-28
1. CATERPILLAR INC
2018-03-01
2019-09-04
2. CATERPILLAR INC
2018-04-26
2019-09-06
119.731 CAUSEWAY EMERGING MKTS FD INSTL CLASS
2016-01-22
2020-01-15
2410.668 CAUSEWAY EMERGING MKTS FD INSTL CLASS
2016-01-22
2020-05-20
607.576 CAUSEWAY EMERGING MKTS FD INSTL CLASS
2020-04-14
2020-05-20
2. CHIPOTLE MEXICAN GRILL INC CL A
2017-12-29
2019-10-07
8. COCA COLA CO
2017-06-22
2019-07-25
1. COCA COLA CO
2017-06-22
2019-07-31
4. COCA COLA CO
2018-06-15
2019-07-31
3. COCA COLA CO
2018-06-15
2019-08-02
1. COCA COLA CO
2018-06-15
2020-01-15
5. COMCAST CORP CL A
2017-06-22
2019-06-26
.6 COMMERCE BANCSHARES INC
2019-09-10
2019-12-19
24. COMPAGNIE FINANCIERE RICHEMONT A ADR
2018-08-22
2020-01-15
37. COMPAGNIE FINANCIERE RICHEMONT A ADR
2019-09-10
2020-04-14
7. CONTINENTAL AG ADR
2017-09-13
2020-01-15
12. CONTINENTAL AG ADR
2019-10-07
2020-04-14
5. CORTEVA INC
2019-11-29
2020-01-15
1. COSTCO WHOLESALE CORP
2017-10-06
2019-08-21
1. CULLEN FROST
2018-06-15
2020-01-15
14. DAIMLER AG ADR
2019-01-15
2019-08-20
77. DAIMLER AG ADR
2018-06-19
2019-08-20
1. DANAHER CORP
2018-06-15
2020-01-15
15. DANONE SPONSORED ADR
2019-06-03
2020-04-14
11. DEUTSCHE BOERSE ADR
2017-10-17
2020-01-15
20. DEUTSCHE BOERSE ADR
2017-10-17
2020-04-14
5. DEUTSCHE POST AG ADR
2018-04-06
2020-01-15
2. DEUTSCHE POST AG ADR
2018-04-06
2020-04-14
5. DEUTSCHE WOHNEN SE ADR
2019-11-21
2020-01-15
12. DEUTSCHE WOHNEN SE ADR
2019-11-21
2020-04-14
2. DIAGEO PLC SPNSRD ADR NEW
2017-09-13
2019-09-10
2. DIAGEO PLC SPNSRD ADR NEW
2017-09-13
2019-10-24
2. DIAGEO PLC SPNSRD ADR NEW
2017-09-13
2020-04-14
1. WALT DISNEY CO
2017-06-22
2020-01-15
2. WALT DISNEY CO
2019-01-22
2020-04-09
19. E.ON AG SPON ADR
2018-06-19
2020-04-14
2. EAST WEST BANCORP INC
2018-06-15
2020-01-15
23.986 EATON VANCE INCOME FD BOSTON CL I
2017-12-29
2020-01-15
1. ECOLAB INC
2017-06-22
2020-02-27
24. ENEL SOCIETA PER AZIONI ADR
2020-03-31
2020-04-14
8. ENGIE ADR
2016-08-15
2020-01-15
5. ENGIE ADR
2016-08-15
2020-01-30
82. ENGIE ADR
2018-06-19
2020-04-02
66. EQUINOR ASA ADR
2020-02-25
2020-03-10
20. EQUINOR ASA ADR
2020-02-25
2020-03-11
2. EQUITY LIFESTYLE PROPERTIES (REIT)
2018-09-19
2020-01-15
2. EQUITY LIFESTYLE PROPERTIES (REIT)
2020-04-14
2020-05-28
5. ERSTE BK DER OESTERREICHISCHEN SPONSORED ADR
2019-03-05
2020-01-15
11. ERSTE BK DER OESTERREICHISCHEN SPONSORED ADR
2018-03-28
2020-04-14
11. ESSILOR INTL ADR
2017-09-13
2019-10-14
3. ESSILOR INTL ADR
2017-09-13
2020-01-15
7. ESSILOR INTL ADR
2017-09-13
2020-01-29
11. ESSILOR INTL ADR
2017-10-20
2020-01-29
3. ESSILOR INTL ADR
2017-02-02
2020-04-14
2. FACEBOOK INC
2018-08-23
2020-01-15
3. FANUC LTD ADR
2018-08-09
2020-04-14
4. GEA GROUP AG ADR
2019-03-29
2020-01-15
13. GEA GROUP AG ADR
2019-03-29
2020-04-14
1. GENERAL DYNAMICS CORP
2018-06-15
2020-01-15
4. GLAXO WELLCOME PLC ADR
2018-08-28
2020-01-15
7. GLAXO WELLCOME PLC ADR
2018-08-28
2020-04-14
3. GRUBHUB INC
2019-02-07
2019-10-29
4. GRUBHUB INC
2019-04-05
2019-11-01
4. HDFC BANK LTD ADR
2017-09-13
2020-01-15
3. HALLIBURTON CO HLDG
2018-06-15
2020-01-15
24. HALLIBURTON CO HLDG
2018-06-15
2020-04-07
10.996 HARTFORD SMALLCAP GROWTH FD
2017-06-22
2020-01-15
7.996 HARTFORD MIDCAP FD CL I
2016-01-22
2020-01-15
2. HITACHI LTD 10 COM ADR
2019-05-31
2020-01-15
2. HOME DEPOT INC
2018-06-15
2020-01-15
1. HOME DEPOT INC
2018-06-15
2020-03-16
2. HOME DEPOT INC
2017-06-22
2020-03-17
2. HOME DEPOT INC
2017-06-22
2020-03-17
1. HOME DEPOT INC
2017-06-22
2020-04-06
1. HOME DEPOT INC
2017-06-22
2020-05-15
1. HONEYWELL INTERNATIONAL INC
2017-06-22
2020-01-15
2. HONEYWELL INTERNATIONAL INC
2017-06-22
2020-05-19
2. HONG KONG EXCHANGES & CLEARING L ADR
2019-11-21
2020-01-15
6. HONG KONG EXCHANGES & CLEARING L ADR
2019-11-21
2020-04-14
5. IBERDROLA S A SPONSORED ADR REPSTG 1 ORD
2020-02-21
2020-04-14
11. INDUSTRIA DE DISENO TEXTIL INDIT ADR
2018-08-29
2020-01-15
11. INDUSTRIA DE DISENO TEXTIL INDIT ADR
2018-08-29
2020-04-14
7. INFINEON TECHNOLOGIES AG SPONSORED ADR
2017-10-20
2020-01-15
9. INFINEON TECHNOLOGIES AG SPONSORED ADR
2018-06-29
2020-04-14
11. ISHARES RUSSELL 1000 VALUE
2017-07-13
2020-01-15
16. ISHARES TRUST RUSSELL 1000 GROWTH INDEX FUND
2018-06-15
2020-01-15
2. ISHARES TRUST RUSSELL 1000 GROWTH INDEX FUND
2018-06-15
2020-04-14
5. ISHARES CORE MSCI EMERGING MARKETS ETF
2019-04-05
2020-01-15
6. ISHARES MSCI JAPAN ETF
2018-01-12
2020-01-15
1. J P MORGAN CHASE & CO
2018-06-15
2020-01-15
4. JAPAN AIRLS LTD ADR
2020-01-08
2020-01-15
5. JARDINE STRATEGIC UNSPON ADR
2017-09-13
2020-01-15
39. JARDINE STRATEGIC UNSPON ADR
2017-09-13
2020-03-02
1. JOHNSON & JOHNSON
2017-06-22
2020-03-03
1. JOHNSON & JOHNSON
2019-08-27
2020-03-13
2. JOHNSON & JOHNSON
2017-06-22
2020-03-19
2. JOHNSON & JOHNSON
2017-06-22
2020-03-24
20. JULIUS BAER GROUP LTD ADR
2018-10-12
2020-01-15
1. JULIUS BAER GROUP LTD ADR
2018-10-12
2020-04-14
37. KASIKORNBANK PUB CO LTD ADR
2017-09-13
2019-07-17
4. KNORR BREMSE ADR
2019-07-17
2020-01-15
7. KNORR BREMSE ADR
2019-07-17
2020-04-14
9. KONINKLIJKE AHOLD NV SPON ADR SPONSORED
2020-03-25
2020-04-14
2. KONINKLIJKE (ROYAL) PHILIPS ELECTRONICS NY SHR
2019-09-10
2020-01-15
7. KONINKLIJKE (ROYAL) PHILIPS ELECTRONICS NY SHR
2019-09-10
2020-04-14
27. KROGER CO
2018-06-15
2019-06-03
13. KROGER CO
2018-06-15
2019-06-04
17. KUBOTA CORP ADR FORMERLY
2017-09-13
2019-07-16
2. LENNAR CORP
2018-06-15
2020-01-15
51. LLOYDS TSB GROUP PLC SPON ADR
2019-04-23
2020-01-15
362. LLOYDS TSB GROUP PLC SPON ADR
2019-04-23
2020-03-10
442. LLOYDS TSB GROUP PLC SPON ADR
2018-11-14
2020-03-18
154. LLOYDS TSB GROUP PLC SPON ADR
2019-10-24
2020-03-18
11. LONDON STK EXCHANGE GROUP ADR
2020-03-25
2020-04-14
9. LONZA GROUP AG UNSPON ADR
2018-06-19
2019-09-10
4. LONZA GROUP AG UNSPON ADR
2018-06-19
2020-01-15
8. LONZA GROUP AG UNSPON ADR
2018-05-11
2020-04-14
1. MAKITA CORP ADR NEW
2018-05-17
2020-01-15
5. MAKITA CORP ADR NEW
2019-09-11
2020-04-14
26. MAKITA CORP ADR NEW
2019-03-05
2020-05-26
2. MAKITA CORP ADR NEW
2019-09-11
2020-05-26
1. MC CORMICK & CO
2019-02-13
2020-03-09
1. MC CORMICK & CO
2017-08-09
2020-03-17
1. MC CORMICK & CO
2017-08-09
2020-03-18
4. MERCK KGAA ADR
2020-02-20
2020-04-14
88.99 METROPOLITAN WEST FDS TOTAL RETURN BD FD
2017-04-06
2020-01-15
1316.446 METROPOLITAN WEST FDS TOTAL RETURN BD FD
2019-04-05
2020-04-14
2. MICROSOFT CORP
2018-06-15
2020-01-15
2. MICROSOFT CORP
2018-06-15
2020-03-11
1. MICROSOFT CORP
2018-06-15
2020-05-12
2. MICROCHIP TECHNOLOGY INC
2018-06-15
2020-01-15
15. MITSUBISHI UFJ FINL GROUP INC ADR
2018-06-15
2020-01-15
26. MURATA MFG CO LTD ADR
2018-11-14
2019-11-05
10. MURATA MFG CO LTD ADR
2018-11-14
2020-01-15
16. MURATA MFG CO LTD ADR
2018-11-13
2020-04-14
21. NASPERS LTD-N SHS SPON ADR SPONSORED ADR REPSTG CL N SHS NEW
2019-04-24
2019-10-29
18. NATIONAL FUEL GAS CO
2018-06-15
2019-09-20
4. NATIONAL GRID PLC ADR
2020-03-10
2020-04-14
9. NESTLE SA SPONSORED ADR
2017-11-08
2019-07-16
1. NESTLE SA SPONSORED ADR
2019-12-23
2020-01-15
1. NESTLE SA SPONSORED ADR
2016-09-21
2020-03-31
3. NESTLE SA SPONSORED ADR
2016-09-21
2020-04-14
748.72 NEUBERGER BERMAN EQUITY FDS INTRINSIC VA
2019-04-05
2020-05-20
3. NINTENDO CO LTD ADR
2017-10-20
2019-10-24
4. NINTENDO CO LTD ADR
2017-10-20
2020-01-15
8. NINTENDO CO LTD ADR
2017-10-20
2020-03-25
16. NINTENDO CO LTD ADR
2017-10-04
2020-04-14
7. NINTENDO CO LTD ADR
2017-09-19
2020-04-24
17. NINTENDO CO LTD ADR
2019-01-18
2020-05-22
27. NORSK HYDRO AS ADR
2019-04-25
2020-01-15
45. NORSK HYDRO AS ADR
2019-04-25
2020-04-14
262. NORSK HYDRO AS ADR
2019-04-25
2020-05-26
2. NOVARTIS A G ADR
2018-06-15
2020-01-15
3. NOVOZYMES A/S UNSPONSORED ADR
2020-03-31
2020-04-14
1. NUTANIX INC A
2019-03-29
2020-01-15
2. NUTRIEN LTD
2019-06-21
2020-04-14
7. OCADO GROUP PLC -SP ADR
2018-11-06
2020-04-14
1. ORACLE CORPORATION
2017-12-08
2020-01-15
4. ORACLE CORPORATION
2017-12-15
2020-01-15
2. ORACLE CORPORATION
2017-12-15
2020-03-03
1. ORACLE CORPORATION
2017-12-15
2020-03-05
3. ORACLE CORPORATION
2017-12-15
2020-03-16
7. ORACLE CORPORATION
2018-03-20
2020-03-25
55. ORANGE ADR
2016-04-14
2019-07-11
31. ORANGE ADR
2017-09-13
2019-07-12
1. OSHKOSH TRUCK CORP
2018-06-15
2020-01-15
2. OTIS WORLDWIDE CORP COM
2020-03-02
2020-05-29
9. OTSUKA HLDGS CO LTD ADR
2018-06-19
2020-01-15
9. OTSUKA HLDGS CO LTD ADR
2019-04-05
2020-03-09
12. OTSUKA HLDGS CO LTD ADR
2017-09-13
2020-03-09
23. OTSUKA HLDGS CO LTD ADR
2017-09-13
2020-03-10
20. OTSUKA HLDGS CO LTD ADR
2016-01-22
2020-03-11
8. OVERSEA-CHINESE BKG CORP LTD ADR
2017-09-13
2020-01-15
2. OVERSEA-CHINESE BKG CORP LTD ADR
2017-09-13
2020-03-19
22. OVERSEA-CHINESE BKG CORP LTD ADR
2017-09-13
2020-04-14
2. PPG INDS INC
2018-06-15
2020-01-15
3. PPG INDS INC
2018-06-15
2020-01-16
4. PPG INDS INC
2018-06-15
2020-01-17
3. PPG INDS INC
2018-06-15
2020-01-21
1. PALO ALTO NETWORKS INC
2017-06-22
2020-02-03
1. PAYPAL HLDGS INC
2017-06-22
2019-06-05
1. PAYPAL HLDGS INC
2017-06-22
2019-06-10
2. PAYPAL HLDGS INC
2017-06-22
2019-06-11
1. PAYPAL HLDGS INC
2018-06-15
2019-07-16
1. PAYPAL HLDGS INC
2018-06-15
2019-07-22
1. PAYPAL HLDGS INC
2018-06-15
2020-01-15
2. PAYPAL HLDGS INC
2018-06-15
2020-04-07
7. PERNOD RICARD S A ADR
2020-03-17
2020-04-14
9. PHILIP MORRIS INTL INC
2018-07-12
2019-09-10
11. PHILIP MORRIS INTL INC
2018-07-12
2019-09-23
2. PHILLIPS 66
2018-06-15
2020-01-15
1128.745 PIMCO INTERNATIONAL BOND FUND (U.S. DOLL
2019-04-05
2020-04-14
457.231 PIMCO LOW DURATION INCOME FUND I-2
2020-01-31
2020-04-14
1. PIONEER NATURAL RESOURCES
2020-04-14
2020-04-21
1. PIONEER NATURAL RESOURCES
2020-04-14
2020-04-22
1. PIONEER NATURAL RESOURCES
2018-06-15
2020-04-29
1. PIONEER NATURAL RESOURCES
2018-06-15
2020-04-30
21. PROSUS NV - SPON ADR
2019-09-16
2020-01-15
28. PROSUS NV - SPON ADR
2019-10-18
2020-04-14
27. PROSUS NV - SPON ADR
2019-10-18
2020-05-06
14. PROSUS NV - SPON ADR
2019-10-18
2020-05-07
2. QUALCOMM INC
2018-05-10
2019-11-18
6. RWE AKTIENGESELLSCHAF-SP ADR
2019-08-05
2020-01-15
3. RWE AKTIENGESELLSCHAF-SP ADR
2019-08-01
2020-01-30
4. RWE AKTIENGESELLSCHAF-SP ADR
2019-08-01
2020-04-14
3. RECKITT BENCKISER GROUP PLC SPONSORED AD
2019-12-02
2020-01-15
24. RECKITT BENCKISER GROUP PLC SPONSORED AD
2019-12-02
2020-04-14
1. RED HAT INC
2017-06-22
2019-06-12
1. RED HAT INC
2017-07-13
2019-06-21
34. REPSOL S A SPON ADR
2018-10-01
2019-09-20
92. REPSOL S A SPON ADR
2018-11-09
2020-02-28
5. ROCHE HLDG LTD SPON ADR
2016-09-21
2020-01-15
9. ROCHE HLDG LTD SPON ADR
2016-09-21
2020-01-15
6. ROCHE HLDG LTD SPON ADR
2019-02-26
2020-03-25
6. ROCHE HLDG LTD SPON ADR
2019-02-26
2020-03-31
20. ROCHE HLDG LTD SPON ADR
2019-02-25
2020-04-14
37. ROLLS-ROYCE PLC ADR
2019-05-20
2020-04-03
76. ROLLS-ROYCE PLC ADR
2019-05-21
2020-04-06
26. ROYAL DSM N V KONINKLIJKE DSM NV-SPONS A
2016-01-22
2020-01-16
19. ROYAL DSM N V KONINKLIJKE DSM NV-SPONS A
2016-01-22
2020-02-20
23. ROYAL DSM N V KONINKLIJKE DSM NV-SPONS A
2019-06-03
2020-02-21
6. ROYAL DSM N V KONINKLIJKE DSM NV-SPONS A
2016-01-22
2020-02-21
5. ROYAL DUTCH SHELL PLC-ADR A
2019-06-05
2019-11-04
3. ROYAL DUTCH SHELL PLC-ADR A
2019-06-05
2019-11-05
2. ROYAL DUTCH SHELL PLC-ADR A
2019-06-05
2020-02-19
23. ROYAL DUTCH SHELL PLC-ADR A
2017-09-13
2020-02-19
67. SKF AB SPON PAR S KR 12.5 ADR
2017-09-13
2019-07-16
3. SMC CORPORATION ADR
2018-03-29
2019-10-08
12. SMC CORPORATION ADR
2018-03-29
2020-01-15
15. SMC CORPORATION ADR
2017-09-13
2020-04-14
71. SAMSONITE INTL SA -UNSP ADR
2018-09-19
2019-10-25
2. SANDS CHINA LTD UNSPONSORED ADR
2019-11-06
2020-01-15
4. SANOFI-SYNTHELABO ADR
2020-01-15
2020-04-14
2. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT
2018-11-13
2020-01-15
10. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT
2018-11-13
2020-04-14
28. SCHNEIDER ELEC SA ADR
2018-06-15
2019-12-23
6. SCHNEIDER ELEC SA ADR
2017-09-13
2020-01-15
22. SCHNEIDER ELEC SA ADR
2017-09-13
2020-04-14
3. SCHWAB CHARLES CORP NEW
2019-01-22
2020-01-15
1. SCHWAB CHARLES CORP NEW
2019-03-20
2020-03-05
2. SCHWAB CHARLES CORP NEW
2017-06-22
2020-03-05
2. SCHWAB CHARLES CORP NEW
2017-06-22
2020-03-09
2. SCHWAB CHARLES CORP NEW
2017-06-22
2020-04-14
69. SECOM LTD
2017-04-06
2019-11-29
3. SHISEIDO LTD ADR
2020-03-11
2020-04-14
9. SIEMENS HEALTHINEERS AG ADR
2019-04-02
2020-01-15
9. SIEMENS HEALTHINEERS AG ADR
2019-04-02
2020-04-14
3. SIEMENS HEALTHINEERS AG ADR
2019-04-02
2020-05-28
5. SIEMENS HEALTHINEERS AG ADR
2019-04-02
2020-05-29
3. SMITH & NEPHEW PLC ADR
2016-01-22
2019-07-16
3. SMITH & NEPHEW PLC ADR
2016-01-22
2020-01-15
3. SMITH & NEPHEW PLC ADR
2016-01-22
2020-04-14
4. SONY CORP AMERN SH NEW ADR
2018-06-15
2020-01-15
3. SONY CORP AMERN SH NEW ADR
2018-06-15
2020-04-14
1. SPLUNK INC
2017-06-22
2020-01-15
196. SUMITOMO MITSUI FIN-UNSP ADR SPONSORED A
2017-09-13
2019-08-13
1. SUN COMMUNITIES, INC (REIT)
2019-04-05
2020-05-28
4. TAIWAN SEMICONDUCTOR SPON ADR
2018-03-01
2020-01-15
8. TAIWAN SEMICONDUCTOR SPON ADR
2018-07-12
2020-04-14
9. TAKEDA PHARMACEUTICAL CO ADR
2019-03-05
2020-01-15
17. TAKEDA PHARMACEUTICAL CO ADR
2019-09-23
2020-04-14
34. TENARIS SA-ADR
2017-10-04
2019-10-14
6. TENARIS SA-ADR
2019-03-05
2019-10-14
3. TENCENT HLDGS LTD ADR
2017-09-13
2020-01-15
7. TENCENT HLDGS LTD ADR
2017-09-13
2020-04-14
114. TESCO PLC SPONSORED ADR
2019-05-02
2019-10-21
30. TESCO PLC SPONSORED ADR
2019-05-02
2019-10-22
1. TEXAS INSTRS INC
2017-06-22
2019-10-02
53. TORAY INDUSTRIES INC ADR
2017-11-16
2019-11-18
4. TORAY INDUSTRIES INC ADR
2019-04-05
2019-11-18
47. TORAY INDUSTRIES INC ADR
2018-06-19
2019-11-19
1.34 TOTAL S A SPONSORED ADR
2018-06-19
2019-06-13
5.66 TOTAL S A SPONSORED ADR
2018-03-01
2019-06-13
13. TOTAL S A SPONSORED ADR
2018-03-01
2019-06-13
6. TOTAL S A SPONSORED ADR
2018-03-01
2020-01-15
11. TOTAL S A SPONSORED ADR
2018-03-01
2020-02-21
39. TOTAL S A SPONSORED ADR
2018-10-22
2020-02-26
1. TOYOTA MTR CORP ADR
2018-03-28
2020-01-15
1. TOYOTA MTR CORP ADR
2018-03-28
2020-04-14
3. TOYOTA MTR CORP ADR
2017-11-08
2020-05-22
4. TWITTER INC
2018-08-27
2020-01-15
3. UBER TECHNOLOGIES INC
2019-06-27
2020-01-15
7. UMICORE GROUP ADR
2017-09-13
2020-01-15
7. UMICORE GROUP ADR
2017-09-13
2020-04-14
3. UNILEVER NV- NY SHARES
2018-06-15
2020-01-15
9. UNILEVER NV- NY SHARES
2018-06-15
2020-03-16
9. UNILEVER NV- NY SHARES
2018-06-15
2020-03-17
3. VESTAS WIND SYS A/S UTD KINGDOM ADR
2019-02-20
2020-01-15
8. VESTAS WIND SYS A/S UTD KINGDOM ADR
2019-02-20
2020-04-14
1. VISA INC CL A
2017-06-22
2020-01-15
9. VIVENDI SA ADR
2018-09-19
2019-08-16
61. VIVENDI SA ADR
2017-12-18
2019-08-16
5. WALGREENS BOOTS ALLIANCE INC
2018-06-15
2020-01-15
18.988 WELLS FARGO ADVANTAGE SPECIAL MID CAP VA
2016-01-22
2020-01-15
620.486 WESTERN ASSET CORE PLUS BD I
2018-09-28
2020-03-30
1021.123 WESTERN ASSET CORE PLUS BD I
2019-04-05
2020-04-14
6. WHITBREAD PLC ADR
2018-05-10
2020-01-15
27. WHITBREAD PLC ADR
2018-05-10
2020-04-14
1. ZOETIS INC
2017-06-22
2020-01-15
1. ALLEGION PLC
2019-06-04
2020-01-15
2. IHS MARKIT LTD
2018-10-26
2020-01-15
3. JOHNSON CONTROLS INTERNATIONAL PLC
2018-06-15
2020-01-15
1. LINDE PUBLIC LIMITED COMPANY
2017-11-13
2020-02-26
1. LINDE PUBLIC LIMITED COMPANY
2018-02-09
2020-03-02
2. LINDE PUBLIC LIMITED COMPANY
2018-02-09
2020-03-06
3. MEDTRONIC PLC
2018-06-15
2020-01-15
2. ALCON INC
2020-02-26
2020-04-14
8. UBS GROUP AG
2017-09-13
2020-01-15
19. UBS GROUP AG
2017-09-13
2020-04-14
7. AERCAP HOLDINGS NV
2017-04-06
2019-07-17
2. AERCAP HOLDINGS NV
2017-04-06
2019-07-19
2. AERCAP HOLDINGS NV
2016-03-03
2019-07-22
5. AERCAP HOLDINGS NV
2016-03-03
2019-07-23
2. AERCAP HOLDINGS NV
2016-03-03
2019-11-14
1. AERCAP HOLDINGS NV
2016-03-03
2019-11-15
1. AERCAP HOLDINGS NV
2016-03-03
2020-01-15
21. AERCAP HOLDINGS NV
2016-03-03
2020-03-24
9. AERCAP HOLDINGS NV
2020-03-09
2020-03-24
1. ASML HOLDING NV NY REG SHS
2019-03-22
2019-07-18
1. ASML HOLDING NV NY REG SHS
2019-03-22
2019-10-24
1. ASML HOLDING NV NY REG SHS
2018-11-30
2020-01-15
1. ASML HOLDING NV NY REG SHS
2019-03-22
2020-04-14
2. ASML HOLDING NV NY REG SHS
2018-11-30
2020-04-14
2. NXP SEMICONDUCTORS NV
2018-12-13
2019-12-10
2. NXP SEMICONDUCTORS NV
2018-12-13
2020-01-15
5. NXP SEMICONDUCTORS NV
2018-12-27
2020-04-20
6. NXP SEMICONDUCTORS NV
2018-12-27
2020-04-29
10. DNB ASA
2017-09-13
2020-01-15
15. DNB ASA
2019-09-24
2020-04-14
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
4
2
2
b
1
4
-3
c
1
4
-3
d
403
236
167
e
298
336
-38
335
378
-43
75
53
22
232
184
48
275
376
-101
217
292
-75
154
209
-55
60
84
-24
60
84
-24
27
26
1
32
31
1
176
120
56
368
359
9
283
252
31
343
252
91
367
251
116
187
79
108
178
99
79
94
50
44
99
50
49
225
203
22
412
372
40
1,439
958
481
336
294
42
242
186
56
127
116
11
80
114
-34
49
114
-65
264
177
87
75
125
-50
226
369
-143
666
1,008
-342
27
27
1,292
1,254
38
257
276
-19
160
207
-47
18
26
-8
986
1,858
-872
108
142
-34
504
353
151
714
704
10
86
102
-16
95
169
-74
666
1,249
-583
32
46
-14
189
216
-27
515
709
-194
84
111
-27
164
353
-189
242
205
37
883
1,024
-141
80
85
-5
264
469
-205
55
52
3
161
191
-30
513
423
90
520
423
97
2,617
2,578
39
58,186
58,356
-170
1,101
978
123
91
99
-8
1,413
1,751
-338
106
119
-13
218
274
-56
122
106
16
129
183
-54
156
171
-15
102
100
2
205
194
11
306
183
123
46
34
12
87
120
-33
114
153
-39
114
153
-39
119
152
-33
246
293
-47
1,590
1,028
562
26,493
20,708
5,785
6,677
6,495
182
1,628
712
916
425
361
64
53
45
8
212
178
34
157
131
26
57
44
13
211
202
9
41
34
7
193
206
-13
212
294
-82
91
168
-77
97
148
-51
143
129
14
276
157
119
94
113
-19
160
198
-38
882
1,500
-618
161
103
58
201
245
-44
176
122
54
297
221
76
191
221
-30
58
88
-30
100
96
4
229
230
-1
329
272
57
324
272
52
267
272
-5
144
104
40
211
215
-4
182
203
-21
94
139
-45
136
138
-2
188
132
56
168
169
-1
133
134
-1
86
83
3
786
1,284
-498
794
1,074
-280
228
325
-97
141
97
44
125
128
-3
94
95
-1
113
279
-166
814
705
109
237
192
45
532
445
87
836
653
183
178
175
3
442
348
94
42
60
-18
128
105
23
300
341
-41
182
195
-13
191
165
26
278
289
-11
102
239
-137
134
297
-163
250
199
51
71
142
-71
197
1,135
-938
585
606
-21
259
174
85
164
135
29
449
402
47
175
201
-26
335
313
22
335
313
22
189
157
32
238
157
81
181
129
52
267
258
9
72
63
9
193
189
4
199
243
-44
192
171
21
159
171
-12
164
185
-21
169
238
-69
1,508
1,177
331
2,913
2,361
552
331
295
36
273
266
7
358
377
-19
136
108
28
62
62
80
112
-32
551
875
-324
136
136
128
130
-2
257
271
-14
234
271
-37
203
218
-15
7
9
-2
879
1,006
-127
104
107
-3
157
188
-31
219
196
23
100
93
7
292
325
-33
619
701
-82
308
338
-30
1,356
1,430
-74
126
107
19
152
172
-20
782
1,221
-439
676
1,554
-878
235
478
-243
253
233
20
311
242
69
148
107
41
343
212
131
37
48
-11
155
157
-2
862
1,093
-231
66
63
3
145
129
16
132
96
36
141
96
45
85
107
-22
979
942
37
14,915
13,871
1,044
326
203
123
309
203
106
186
102
84
215
204
11
79
89
-10
369
325
44
153
125
28
212
198
14
595
1,087
-492
856
948
-92
227
243
-16
927
742
185
107
109
-2
103
79
24
324
238
86
9,614
10,571
-957
131
145
-14
196
194
2
343
377
-34
852
744
108
382
325
57
886
724
162
99
121
-22
94
201
-107
628
1,700
-1,072
190
134
56
142
137
5
35
38
-3
72
110
-38
255
157
98
55
49
6
219
192
27
99
96
3
49
48
1
135
144
-9
332
332
839
938
-99
466
517
-51
91
72
19
103
136
-33
202
197
5
162
178
-16
216
238
-22
410
381
29
362
325
37
130
131
-1
22
33
-11
279
359
-80
262
209
53
382
314
68
510
419
91
380
314
66
236
134
102
110
54
56
116
54
62
229
107
122
120
85
35
119
85
34
115
85
30
204
169
35
210
187
23
660
751
-91
796
911
-115
210
231
-21
11,897
12,087
-190
3,708
3,923
-215
71
80
-9
79
80
-1
87
189
-102
89
189
-100
332
322
10
385
418
-33
404
403
1
211
209
2
181
108
73
197
167
30
105
82
23
112
110
2
49
48
1
395
384
11
185
100
85
188
98
90
531
684
-153
1,021
1,747
-726
208
157
51
374
282
92
220
209
11
244
209
35
825
692
133
117
450
-333
271
923
-652
790
314
476
590
230
360
718
659
59
187
72
115
297
313
-16
180
188
-8
101
125
-24
1,156
1,306
-150
1,134
1,368
-234
65
60
5
291
227
64
344
270
74
689
1,439
-750
114
103
11
184
205
-21
273
207
66
1,258
952
306
570
486
84
123
104
19
394
381
13
141
142
-1
35
45
-10
70
83
-13
61
83
-22
70
83
-13
1,465
1,117
348
183
191
-8
214
187
27
183
187
-4
76
62
14
129
104
25
131
98
33
147
98
49
119
98
21
286
196
90
184
147
37
156
59
97
1,293
1,501
-208
138
119
19
234
172
62
408
302
106
180
188
-8
287
297
-10
701
957
-256
124
159
-35
153
128
25
358
298
60
1,093
1,129
-36
285
297
-12
127
80
47
728
1,052
-324
55
55
639
864
-225
71
81
-10
300
320
-20
688
736
-48
325
340
-15
527
623
-96
1,727
1,891
-164
139
129
10
125
129
-4
353
383
-30
133
142
-9
105
132
-27
85
70
15
70
70
169
164
5
398
493
-95
425
493
-68
96
84
12
236
223
13
200
94
106
254
230
24
1,723
1,637
86
272
325
-53
801
528
273
7,173
6,962
211
12,202
11,545
657
95
88
7
239
394
-155
139
63
76
125
100
25
159
102
57
123
105
18
204
148
56
194
147
47
378
294
84
351
260
91
106
127
-21
104
134
-30
188
318
-130
356
315
41
103
89
14
101
76
25
256
191
65
120
76
44
60
38
22
61
38
23
396
802
-406
170
402
-232
226
189
37
262
189
73
300
171
129
293
189
104
587
341
246
238
157
81
264
157
107
437
363
74
627
427
200
179
195
-16
165
263
-98
1,553
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
b
-3
c
-3
d
167
e
-38
-43
22
48
-101
-75
-55
-24
-24
1
1
56
9
31
91
116
108
79
44
49
22
40
481
42
56
11
-34
-65
87
-50
-143
-342
38
-19
-47
-8
-872
-34
151
10
-16
-74
-583
-14
-27
-194
-27
-189
37
-141
-5
-205
3
-30
90
97
39
-170
123
-8
-338
-13
-56
16
-54
-15
2
11
123
12
-33
-39
-39
-33
-47
562
5,785
182
916
64
8
34
26
13
9
7
-13
-82
-77
-51
14
119
-19
-38
-618
58
-44
54
76
-30
-30
4
-1
57
52
-5
40
-4
-21
-45
-2
56
-1
-1
3
-498
-280
-97
44
-3
-1
-166
109
45
87
183
3
94
-18
23
-41
-13
26
-11
-137
-163
51
-71
-938
-21
85
29
47
-26
22
22
32
81
52
9
9
4
-44
21
-12
-21
-69
331
552
36
7
-19
28
-32
-324
-2
-14
-37
-15
-2
-127
-3
-31
23
7
-33
-82
-30
-74
19
-20
-439
-878
-243
20
69
41
131
-11
-2
-231
3
16
36
45
-22
37
1,044
123
106
84
11
-10
44
28
14
-492
-92
-16
185
-2
24
86
-957
-14
2
-34
108
57
162
-22
-107
-1,072
56
5
-3
-38
98
6
27
3
1
-9
-99
-51
19
-33
5
-16
-22
29
37
-1
-11
-80
53
68
91
66
102
56
62
122
35
34
30
35
23
-91
-115
-21
-190
-215
-9
-1
-102
-100
10
-33
1
2
73
30
23
2
1
11
85
90
-153
-726
51
92
11
35
133
-333
-652
476
360
59
115
-16
-8
-24
-150
-234
5
64
74
-750
11
-21
66
306
84
19
13
-1
-10
-13
-22
-13
348
-8
27
-4
14
25
33
49
21
90
37
97
-208
19
62
106
-8
-10
-256
-35
25
60
-36
-12
47
-324
-225
-10
-20
-48
-15
-96
-164
10
-4
-30
-9
-27
15
5
-95
-68
12
13
106
24
86
-53
273
211
657
7
-155
76
25
57
18
56
47
84
91
-21
-30
-130
41
14
25
65
44
22
23
-406
-232
37
73
129
104
246
81
107
74
200
-16
-98
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
3,397
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
30,821
618,194
0.049857
2017
35,390
661,133
0.053529
2016
33,315
627,203
0.053117
2015
33,450
638,809
0.052363
2014
36,975
704,086
0.052515
2
Total
of line 1, column (d)
.....................
2
0.261381
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
0.052276
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
601,445
5
Multiply line 4 by line 3
......................
5
31,441
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
56
7
Add lines 5 and 6
........................
7
31,497
8
Enter qualifying distributions from Part XII, line 4
,.............
8
33,958
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
56
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
56
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
56
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
288
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
288
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
232
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
56
Refunded
11
176
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)
CA
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
NONE
14
The books are in care of
COMERICA BANK
Telephone no.
(313) 222-3568
Located at
411 WEST LAFAYETTE M/C 3420
DETROIT
MI
ZIP+4
48226
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
COMERICA BANK
TRUSTEE
1
3,977
350 TENTH AVE STE 700
SAN DIEGO
,
CA
921018706
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
594,094
b
Average of monthly cash balances
.......................
1b
16,510
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
610,604
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
610,604
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
9,159
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
601,445
6
Minimum investment return.
Enter 5% of line 5
..................
6
30,072
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
30,072
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
56
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
56
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
30,016
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
30,016
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
30,016
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
33,958
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
33,958
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
56
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
33,902
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
30,016
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
......
3,328
b
From 2015
......
1,561
c
From 2016
......
2,141
d
From 2017
......
3,215
e
From 2018
......
196
f
Total
of lines 3a through e
........
10,441
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
33,958
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
.....
30,016
e
Remaining amount distributed out of corpus
3,942
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
14,383
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)
...
3,328
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
11,055
10
Analysis of line 9:
a
Excess from 2015
....
1,561
b
Excess from 2016
....
2,141
c
Excess from 2017
....
3,215
d
Excess from 2018
....
196
e
Excess from 2019
....
3,942
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
DISABLED AMERICAN VETERANS
CHISHOLM CHISHOLM KILPATRICK L
PROVIDENCE
,
RI
02903
NONE
EXEMPT
SUPPORT
6,610
ST JUDE CHILDREN'S RESEARCH
HOSPITAL
501 ST JUDE PLACE
MEMPHIS
,
TN
38105
NONE
EXEMPT
SUPPORT
6,610
UNITED JEWISH FED OF SD COUNTY
4950 MURPHY CANYON RD
SAN DIEGO
,
CA
92123
NONE
EXEMPT
SUPPORT
6,610
JEWISH FAMILY SERVICES OF SD CO
ATTN CONTROLLER
SAN DIEGO
,
CA
92123
NONE
EXEMPT
SUPPORT
6,610
SAN DIEGO RESCUE MISSION
ATTN ALMEATRA MEACHE SMITH
SAN DIEGO
,
CA
92138
NONE
EXEMPT
SUPPORT
6,610
Total
.................................
3a
33,050
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
15,824
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
3,397
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)
..
19,221
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
19,221
(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