-
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
J&V FLYNN FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
1921 W ALTORFER DRIVE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PEORIA
,
IL
61615
A Employer identification number
37-1387143
B
Telephone number (see instructions)
(309) 713-2812
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)
$
12,275,367
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
...
228,135
228,135
228,135
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
785,487
b
Gross sales price for all assets on line 6a
6,320,151
7
Capital gain net income (from Part IV, line 2)
...
785,487
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
1,013,622
1,013,622
228,135
13
Compensation of officers, directors, trustees, etc.
0
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
19,915
0
0
0
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
10,524
392
392
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
148
0
0
0
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
30,587
392
392
0
25
Contributions, gifts, grants paid
.......
636,500
636,500
26
Total expenses and disbursements.
Add lines 24 and 25
667,087
392
392
636,500
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
346,535
b
Net investment income
(if negative, enter -0-)
1,013,230
c
Adjusted net income
(if negative, enter -0-)
...
227,743
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
.............
1,466,314
3,332,871
3,332,871
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
20,573
10,441
10,441
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
8,035,519
6,525,629
8,932,055
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
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)
9,522,406
9,868,941
12,275,367
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
0
0
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
9,522,406
9,868,941
29
Total net assets or fund balances
(see instructions)
.....
9,522,406
9,868,941
30
Total liabilities and net assets/fund balances
(see instructions)
.
9,522,406
9,868,941
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
9,522,406
2
Enter amount from Part I, line 27a
.....................
2
346,535
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
9,868,941
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
9,868,941
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
CELGENE CORPORATION
P
2015-10-13
2019-07-10
b
ANADARKO PETE CORPORATION
P
2014-08-12
2019-08-08
c
CHUBB LIMITED (SWITZERLAND)
P
2013-07-25
2019-08-16
d
WEC ENERGY GROUP INCORPORATED (WEC)
P
1999-06-30
2019-10-18
e
APPLE INCORPORATED QTY 1000
P
2017-07-06
2020-01-17
APPLE INCORPORATED QTY 1000
P
2017-12-19
2020-01-17
INTEL CORPORATION QTY 3000
P
2019-01-04
2020-01-17
MARATHON OIL CORPORATION QTY 3100
P
2012-04-20
2020-02-18
KRAFT HEINZ COMPANY QTY 140
P
2010-05-28
2020-02-18
ZIONS BANCORPORATION N A
P
1997-07-15
2020-02-13
ZIONS BANCORPORATION N A
P
2005-10-18
2020-02-13
ZIONS BANCORPORATION N A
P
2012-07-23
2020-02-13
CHEMOURS COMPANY QTY 360
P
2011-12-19
2020-02-18
CISCO SYSTEMS INCORPORATED QTY 2500
P
2018-02-21
2020-03-03
JOHN HANCOCK INTERNATIONAL GROWTH FUND
P
2016-06-22
2020-03-03
JOHN HANCOCK INTERNATIONAL GROWTH FUND
P
2016-06-22
2020-03-03
JOHN HANCOCK INTERNATIONAL GROWTH FUND
P
2018-01-03
2020-03-03
PRINCIPAL GLOBAL DIVERSIFIED INCOME (PGDIX)
P
2011-09-01
2020-04-06
PRINCIPAL GLOBAL DIVERSIFIED INCOME (PGDIX)
P
2011-09-01
2020-04-06
PGIM INCOME BUILDER FUND (PCFX) QTY 12872.125
P
2016-05-19
2020-04-06
PGIM INCOME BUILDER FUND (PCFX) QTY 12872.125
P
2016-05-19
2020-04-06
PNC FINL SVCS GROUP QTY 1200
P
2018-04-17
2020-04-06
GATX CORPORATION QTY 1400
P
1992-04-27
2020-04-06
GATX CORPORATION QTY 1400
P
1992-04-27
2020-04-06
GATX CORPORATION QTY 1400
P
2004-09-15
2020-04-06
ANALOG DEVICES INCORPORATED QTY 2400
P
2012-10-02
2020-04-06
TEREX CORPORATION NEW QTY 1000
P
2008-01-24
2020-04-06
PROLOSIS INCORPORATED REIT QTY 200
P
2003-10-14
2020-04-06
PROLOSIS INCORPORATED REIT QTY 200
P
2003-11-04
2020-04-06
PROLOSIS INCORPORATED REIT QTY 200
P
2003-11-04
2020-04-06
PROLOSIS INCORPORATED REIT QTY 200
P
2010-11-08
2020-04-06
PROLOSIS INCORPORATED REIT QTY 200
P
2012-07-23
2020-04-06
PGIM INCOME BUILDER FUND CLASS C M/F
P
2019-01-01
2020-05-30
CALL AMAZON COM INCORPORATED JUN 1900 EXP 6/21/19 REPRESENTS 100 AMZN
P
2019-03-20
2019-06-21
CALL FACEBOOK INC CLASS A JUN 180 EXP 6/21/19 REPRESENTS 100 FB
P
2019-03-20
2019-06-21
CALL MICROSOFT CORPORATION JUN 125 EXP 6/21/19 REPRESENTS 100 MSFT
P
2019-03-20
2019-06-21
CALL VISA INC COM CLASS A JUN 165 EXP 6/21/19 REPRESENTS 100 V
P
2019-03-20
2019-06-21
HOME DEPOT INCORPORATED
P
2018-11-15
2019-06-21
CALL ALPHABET INC CAP STK JUN 1300 EXP 6/21/19 REPRESENTS 100 GOOG
P
2019-03-20
2019-06-24
CALL ANALOG DEVICES INC JUN 115 EXP 6/21/19 REPRESENTS 100 ADI
P
2019-03-20
2019-06-24
CALL ANALOG DEVICES INC JUN 120 EXP 6/21/19 REPRESENTS 100 ADI
P
2019-03-20
2019-06-24
CALL APPLE INCORPORATED JUN 200 EXP 6/21/19 REPRESENTS 100 AAPL
P
2019-03-20
2019-06-24
CALL BIOGEN INCORPORATED JUN 370 EXP 6/21/19 REPRESENTS 100 BIIB
P
2019-03-20
2019-06-24
CALL BOEING COMPANY JUN 420 EXP 6/21/19 REPRESENTS 100 BA
P
2019-03-20
2019-06-24
CALL INTEL CORPORATION JUN 57.50 EXP 6/21/19 REPRESENTS 100 INTC
P
2019-03-20
2019-06-24
CALL NETFLIX INCORPORATED JUN 400 EXP 6/21/19 REPRESENTS 100 NFLX
P
2019-03-20
2019-06-24
CALL NVIDIA CORPORATION JUN 220 EXP 6/21/19 REPRESENTS 100 NVDA
P
2019-03-20
2019-06-24
CALL PNC FINL SVCS GROUP AUG 140 EXP 8/16/19
P
2019-03-20
2019-07-17
OCCIDENTAL PETE CORPORATION
P
2019-08-08
2019-08-16
CALL CISCO SYSTEMS INC AUG 60 EXP 08/16/19 REPRESENTS 100 CSCO
P
2019-03-20
2019-08-19
CALL PACCAR INCORPORATED AUG 75 EXP 8/16/19
P
2019-03-20
2019-08-19
CALL FACEBOOK INC CLASS A DEC 220 EXP 12/20/19 REPRESENTS 100 FB
P
2019-07-10
2019-11-07
CALL PACCAR INCORPORATED DEC 80 EXP 12/20/19 REPRESENTS 100 PCAR
P
2019-07-10
2019-11-07
CALL BOEING COMPANY NOV 415 EXP 11/15/19 REPRESENTS 100 BA
P
2019-07-12
2019-11-18
CALL NVIDIA CORPORATION DEC 175 EXP 12/20/19 REPRESENTS 100 NVDA
P
2019-07-10
2019-11-26
CALL ALPHABET INC CAP STK DEC 1270 EXP 12/20/19 REPRESENTS 100 GOOG
P
2019-07-10
2019-12-20
CALL ANALOG DEVICES INC DEC 120 EXP 12/20/19 REPRESENTS 100 ADI
P
2019-07-10
2019-12-20
CALL JPMORGAN CHASE & COMPANY DEC 125 EXP 12/20/19 REPRSENTS 100 JPM
P
2019-07-10
2019-12-20
CALL MICROSOFT CORPORATION DEC 145 EXP 12/20/19 REPRESENTS 100 MSFT
P
2019-07-10
2019-12-20
CALL MICROSOFT CORPORATION DEC 150 EXP 12/20/19 REPRESENTS 100 MSFT
P
2019-07-10
2019-12-20
CALL WALMART INCORPORATED DEC 120 EXP 12/20/19 REPRESENTS 100 WMT
P
2019-07-10
2019-12-20
CALL ANALOG DEVICES INC DEC 125 EXP 12/20/19 REPRESENTS 100 ADI
P
2019-07-10
2019-12-23
CALL CGATX CORPORATIONS DEC 85 EXP 12/20/19 REPRESENTS 100 GATX
P
2019-07-10
2019-12-23
CALL MCDONALDS CORPORATIONS DEC 220 EXP 12/20/19 REPRESETNS MCD
P
2019-07-10
2019-12-23
CALL NETFLIX INCORPORATED DEC 420 EXP 12/20/19 REPRESENTS 100 NFLX
P
2019-07-10
2019-12-23
CALL VISA INC COM CLASS A DEC 190 EXP 12/20/19 REPRESENTS 100 V
P
2019-07-10
2019-12-23
CALL AT&T INCORPORATED JAN 36 EXP 1/17/20 REPRESENTS 100 T
P
2019-07-10
2020-01-06
CALL BANK AMER CORPORATION JAN 32 EXP 1/17/20
P
2019-07-10
2020-01-15
CALL BANK AMER CORPORATION JAN 33 EXP 1/17/20
P
2019-07-10
2020-01-15
CALL BIOGEN INCORPORATED JAN 250 EXP 1/17/20
P
2019-07-10
2020-01-17
CALL AMAZON COM INCORPORATED JAN 2100 EXP 1/17/20
P
2019-07-10
2020-01-21
CALL CANADIAN NATL RY COMPANY JAN 100 EXP 1/17/20
P
2019-07-10
2020-01-21
CALL CHEMOURS COMPANY JAN 23 EXP 1/17/20
P
2019-07-10
2020-01-21
CALL COLGATE PALMOLIVE CO JAN 77.50 EXP 1/17/20
P
2019-07-10
2020-01-21
CALL FLOWERS FOODS INC JAN 25 EXP 1/17/20
P
2019-07-10
2020-01-21
CALL JOHNSON & JOHNSON JAN 150 EXP 1/17/20
P
2019-07-10
2020-01-21
CALL NETFLIX INCORPORATED JAN 350 EXP 1/17/20
P
2019-07-18
2020-01-21
CALL VERIZON COMMUNICATIONS JAN 62.50 EXP 1/17/20
P
2019-07-10
2020-01-21
CALL FACEBOOK INC CLASS A MAR 220 EXP 3/20/20
P
2019-11-07
2020-03-23
CALL NVIDIA CORPORATION MAR 230 EXP 3/20/20
P
2019-11-26
2020-03-23
CALL OCCIDENTAL PETE CORP JUN 50 EXP 6/19/20
P
2020-02-13
2020-04-06
CALL PNC FINL SVCS GROUP AUG 170 EXP 8/21/20
P
2020-02-13
2020-04-06
CALL PNC FINL SVCS GROUP AUG 175 EXP 8/21/20
P
2020-02-13
2020-04-06
CALL GATX CORPORATION JUN 90 EXP 6/19/20
P
2020-02-13
2020-04-06
CALL ANALOG DEVICES INC JUN 130 EXP 6/10/20
P
2020-02-13
2020-04-06
MICRON TECHNOLOGY QTY 1500
P
2020-02-24
2020-04-06
OCCIDENTAL PETE CORPORATION QTY 2000
P
2019-08-08
2020-04-06
OCCIDENTAL PETE CORPORATION QTY 2000
P
2020-02-13
2020-04-06
PNC FINL SVCS GROUP QTY 800
P
2020-02-13
2020-04-06
TARGET CORPORATION QTY 1000
P
2020-01-15
2020-04-08
PGIM INCOME BUILDER FUND (PCFX) QTY 12872.125
P
2020-02-13
2020-04-08
CALL DISNEY WALT COMPANY APR 150 EXP 4/17/20
P
2019-11-07
2020-04-20
CALL NVIDIA CORPORATION $240 EXP 6/21/19
P
2019-04-05
2019-06-21
CALL BOEING CORP $450 EXP 1/17/20
P
2019-02-04
2019-06-05
CALL AMAZON.COM INC $1600 EXP 6/21/19
P
2018-05-16
2019-06-12
CALL AMAZON.COM INC $1600 EXP 6/21/19
P
2018-05-16
2019-06-12
CALL AMAZON.COM INC $1600 EXP 6/21/19
P
2018-05-16
2019-06-12
CALL APPLE INC $220 EXP 9/20/19
P
2019-03-29
2019-06-12
CALL NVIDIA CORPORATION $250 EXP 9/20/19
P
2019-04-10
2019-06-27
CALL TWILO INC $150 EXP 7/19/19
P
2019-04-01
2019-07-19
CALL TWILO INC $150 EXP 7/19/19
P
2019-04-01
2019-07-19
CALL TWILO INC $150 EXP 7/19/19
P
2019-04-01
2019-07-19
CALL TWILO INC $150 EXP 7/19/19
P
2019-04-01
2019-07-19
CALL TWILO INC $150 EXP 7/19/19
P
2019-04-01
2019-07-19
CALL CONOCOPHILLIPS $72.50 EXP 8/16/19
P
2019-04-01
2019-08-16
CALL WHIRLPOOL CORP $145 EXP 9/20/19
P
2019-02-25
2019-09-17
CALL WHIRLPOOL CORP $145 EXP 9/20/19
P
2019-02-25
2019-09-17
CALL RELIANCE STEEL 495 EXP 9/20/19
P
2019-04-01
2019-09-17
CALL EXXON MOBIL CORP $85 EXP 9/20/19
P
2019-03-29
2019-09-20
CALL CAPITAL ONE FNCL $95 EXP 9/20/19
P
2019-02-13
2019-09-20
CALL BP PLC $47 EXP 10/18/19
P
2019-03-29
2019-10-18
CALL BP PLC $47 EXP 10/18/19
P
2019-03-29
2019-10-18
CALL NATL FUEL GAS CO $65 EXP 10/18/19
P
2019-04-01
2019-10-18
CALL PPG INDUSTRIES $120 EXP 11/15/19
P
2019-04-01
2019-10-22
CALL BOEING CORP $415 EXP 11/15/19
P
2019-07-09
2019-11-15
CALL TRANSOCEAN INC $8 EXP 11/15/19
P
2019-08-01
2019-11-15
CALL TWILIO INC $165 EXP 11/15/19
P
2019-07-23
2019-11-15
CALL NATIONAL OILWELL VA $26 EXP 11/15/19
P
2019-08-01
2019-11-15
CALL VISA $105 EXP 01/17/20
P
2018-01-19
2019-11-26
NORTH AMERICAN SVGS B CD
P
2019-10-29
2019-12-06
BANK OF NY MELLON CD
P
2019-11-04
2019-12-09
SVGS BK OF DANBURY CD
P
2019-11-04
2019-12-12
NORTH AMERICAN SVGS B CD
P
2019-11-04
2019-12-13
GREAT WESTERN BK CD
P
2019-11-04
2019-12-16
CALL BORG WARNER AUTOMOT
P
2019-02-04
2019-12-20
CALL WHIRLPOOL CORP
P
2019-09-17
2019-12-20
CALL WHIRLPOOL CORP
P
2019-09-17
2019-12-20
CALL WHIRLPOOL CORP
P
2019-09-17
2019-12-20
CALL PROOFPOINT INC
P
2019-04-01
2019-12-20
CALL BANK AMER CORP
P
2019-04-01
2019-12-26
CALL ALPHABE INC CL A
P
2019-06-20
2020-01-13
CALL ALPHABE INC CL A
P
2019-06-20
2020-01-13
CALL ALPHABE INC CL A
P
2019-06-20
2020-01-13
CALL DISCOVER FINL SERVI
P
2019-05-20
2020-01-14
CALL NVIDIA CORPORATION
P
2019-10-22
2020-01-14
CALL INTEL CORP
P
2019-02-04
2020-01-14
CALL CAPITAL ONE FNCL
P
2019-09-23
2020-01-16
CALL CAPITAL ONE FNCL
P
2019-09-23
2020-01-16
CALL WELLS FARGO & CO
P
2019-04-01
2020-01-17
CALL WELLS FARGO & CO
P
2019-04-01
2020-01-17
CALL BOEING CORP
P
2019-11-18
2020-01-17
CALL BAKER HUGHES COMPA
P
2019-04-01
2020-01-17
CALL HOME DEPOT INC
P
2019-01-30
2020-01-17
CALL JOHNSON & JOHNSON
P
2019-04-23
2020-01-17
CALL SCHLUMBERGER LTD
P
2019-04-01
2020-01-17
CALL CHEVRON CORP
P
2019-01-31
2020-01-17
CALL DEERE & CO
P
2019-01-29
2020-01-17
CALL DELL TECH INC CL C
P
2019-04-01
2020-01-17
BMO HARRIS BANK NA CD
P
2019-12-17
2020-01-23
NORTH AMERICAN SVGS B CD
P
2019-12-17
2020-01-23
DISCOVER BANK CD
P
2019-12-17
2020-01-27
VALLEY NATL NK WAYNE CD
P
2019-10-30
2020-02-06
CALL VISA
P
2019-11-26
2020-02-11
CALL VISA
P
2019-11-18
2020-02-11
WELLS FARGO BANK NA CD
P
2019-10-30
2020-02-13
CALL NVIDIA CORPORATION
P
2020-01-14
2020-02-14
CALL NVIDIA CORPORATION
P
2020-01-14
2020-02-14
CALL MICROSOFT CORP
P
2019-11-21
2020-02-18
CALL PROOFPOINT INC
P
2019-12-26
2020-02-21
PEOPLES UNITED BK NA CD
P
2019-11-18
2020-02-26
BANKUNITED NA CD
P
2019-11-18
2020-02-28
WELL FARGO BANK NA CD
P
2019-11-18
2020-03-04
CALL BANK AMER CORP
P
2019-12-26
2020-03-06
CALL DISCOVER FINL SERVI
P
2020-01-14
2020-03-06
CALL AMAZON INC
P
2019-06-12
2020-03-12
CALL AMAZON INC
P
2019-06-13
2020-03-12
CALL AMAZON INC
P
2019-06-13
2020-03-12
CALL WHIRLPOOL CORP
P
2019-12-16
2020-03-20
CALL RELIANCE STEEL
P
2019-09-17
2020-03-20
FIRST REPUBLUC BANK CD
P
2020-02-11
2020-04-09
CALL EXXON MOBIL CORP
P
2019-09-23
2020-04-17
CALL EXXON MOBIL CORP
P
2019-09-23
2020-04-17
CALL NATL FUEL GAS CO
P
2019-10-21
2020-04-17
CALL TWILIO INC
P
2019-11-18
2020-04-17
WELLS FARGO BANK NA CD
P
2020-02-05
2020-05-11
CALL NATIONAL OILWELL VA
P
2019-11-18
2020-05-15
CALL PPG INDUSTRIES
P
2019-10-22
2020-05-15
FASTENAL CO CUSIP XXX-XX-XXXX
P
2014-02-07
2019-07-23
FASTENAL CO CUSIP XXX-XX-XXXX
P
2014-02-07
2019-07-23
FASTENAL CO CUSIP XXX-XX-XXXX
P
2014-02-07
2019-07-23
VISA INC CLASS A CUSIP 92826C839
P
2015-11-03
2019-11-13
QUALCOMM INC
P
2014-01-27
2019-12-03
QUALCOMM INC
P
2014-01-27
2019-12-03
AMAZON COM INC
P
2017-01-09
2020-01-17
APPLE INC
P
2013-05-31
2020-01-17
COSTCO WHSL COPR NEW COM
P
2017-07-11
2020-01-17
EATON CORP PLC
P
2014-01-27
2020-01-17
JPMORGAN CHASE & CO
P
2011-07-15
2020-01-02
JPMORGAN CHASE & CO
P
2011-12-02
2020-01-02
PROCTER & GAMBLE CO
P
1996-01-09
2020-01-17
PROCTER & GAMBLE CO
P
1997-02-05
2020-01-17
PROCTER & GAMBLE CO
P
2008-04-24
2020-01-17
PROCTER & GAMBLE CO
P
2011-07-06
2020-01-17
BAKER HUGHES A GE CO
P
2014-10-22
2020-05-26
NATIONAL FUEL GAS CO
P
2014-02-13
2020-05-26
NATIONAL OILWELL VARCO
P
2014-01-27
2020-05-26
NATIONAL OILWELL VARCO
P
2014-01-27
2020-05-26
SCHLUMBERGER LTD
P
2014-01-28
2020-05-27
SCHLUMBERGER LTD
P
2014-08-26
2020-05-27
TRANSOCEAN LTD
P
2014-02-13
2020-05-26
TRANSOCEAN LTD
P
2014-11-24
2020-05-26
SEADRILL LTD NEW
P
2014-02-07
2020-05-26
SEADRILL LTD NEW
P
2014-02-07
2020-05-26
VALARIS PLC
P
2014-02-13
2020-05-26
VALARIS PLC
P
2014-02-13
2020-05-26
WHIRLPOOL CORP
P
2015-03-03
2020-05-19
WHIRLPOOL CORP
P
2016-06-02
2020-05-19
LINDE
P
2014-01-30
2019-12-02
(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
46,302
59,036
-12,734
b
36,292
53,847
-17,555
c
86,825
55,367
31,458
d
270,890
29,719
241,171
e
157,425
100,893
56,532
67,468
52,873
14,595
160,606
142,207
18,399
33,957
92,902
-58,945
3,760
3,962
-202
31,323
18,591
12,732
32,009
18,998
13,011
686
275
411
5,418
4,040
1,378
99,573
109,356
-9,783
2,219
1,901
318
65,227
50,006
15,221
50,052
50,006
46
22,996
28,474
-5,478
44,348
51,897
-7,549
9,582
11,782
-2,200
83,402
98,559
-15,157
110,399
169,918
-59,519
26,532
12,364
14,168
44,584
20,777
23,807
9,698
4,433
5,265
221,490
94,810
126,680
13,881
13,410
471
10,452
1,048
9,404
503
51
452
1,928
194
1,734
750
328
422
1,685
690
995
905
-905
5,022
1,578
3,444
2,252
7,043
-4,791
1,591
12,632
-11,041
1,379
8,671
-7,292
117,037
106,463
10,574
1,763
1,763
5,198
5,198
2,516
2,516
3,392
3,392
1,019
1,019
2,667
2,667
3,247
3,247
4,125
4,125
2,016
2,016
2,275
4,615
-2,340
31
32
-1
1,224
1,224
2,500
2,500
5,268
239
5,029
2,464
5,245
-2,781
1,607
1,607
9,989
44,258
-34,269
1,939
8,585
-6,646
12,194
775
11,419
3,135
33,459
-30,324
6,115
17,474
-11,359
3,978
10,333
-6,355
2,787
813
1,974
8,033
8,033
2,606
2,606
12,022
12,022
6,200
6,200
4,626
4,626
2,104
10,559
-8,455
2,907
10,692
-7,785
1,978
6,628
-4,650
2,657
7,560
-4,903
11,401
11,401
2,841
2,841
439
439
2,161
2,161
3,670
3,670
1,306
1,306
6,352
6,352
3,669
3,669
2,072
2,072
12,452
12,452
1,089
111
978
1,166
111
1,055
2,094
111
1,983
1,158
335
823
6,016
502
5,514
66,870
82,739
-15,869
1,864
6,760
-4,896
23,665
78,437
-54,772
73,600
125,260
-51,660
93,470
117,029
-23,559
3,422
4,207
-785
2,733
2,733
456
456
8,703
1,685
7,018
21,509
25,998
-4,489
21,509
26,479
-4,970
21,402
26,368
-4,966
9,401
9,170
231
1,802
154
1,648
650
650
653
653
651
651
649
649
648
648
7,666
7,666
7,355
2,373
4,982
4,878
1,582
3,296
2,029
3,868
-1,839
4,817
4,817
1,006
1,006
3,312
3,312
678
678
519
519
4,844
6,227
-1,383
1,723
1,723
225
225
4,668
4,668
604
604
2,847
7,890
-5,043
100,000
100,000
0
100,000
100,000
0
100,000
100,000
0
100,000
100,000
0
100,000
100,000
0
1,225
1,225
2,186
2,186
1,309
1,309
870
870
2,167
2,167
1,696
5,712
-4,016
2,853
23,677
-20,824
1,427
11,836
-10,409
2,853
23,673
-20,820
2,271
1,771
500
4,409
23,078
-18,669
4,798
8,452
-3,654
1,903
2,660
-757
208
296
-88
5,078
5,078
2,561
2,561
1,629
1,629
1,302
1,302
1,679
6,367
-4,688
1,476
1,476
2,071
2,071
6,760
6,760
4,004
4,004
967
967
100,000
100,000
0
100,000
100,000
0
100,000
100,000
0
100,000
100,000
0
1,584
2,984
-1,400
2,988
7,760
-4,772
100,000
100,000
0
19,912
37,296
-17,384
2,841
5,328
-2,487
3,576
28,079
-24,503
791
791
100,000
100,000
0
100,000
100,000
0
100,000
100,000
0
2,674
496
2,178
2,320
284
2,036
26,400
12,912
13,488
27,257
12,912
14,345
27,261
12,912
14,349
2,397
2,397
3,063
3,063
100,000
100,000
0
2,070
2,070
626
626
454
454
1,126
1,126
100,000
100,000
0
695
695
8,042
8,042
23,640
17,073
6,567
6,172
4,457
1,715
1,049
760
289
53,102
31,634
21,468
65,690
72,292
-6,602
72,292
73,962
-1,670
269,619
159,281
110,338
788,415
227,700
560,715
103,859
76,325
27,534
82,166
61,417
20,749
11,158
4,060
7,098
111,583
33,260
78,323
57,569
37,728
19,841
19,190
12,576
6,614
67,164
44,016
23,148
153,518
104,791
48,727
15,649
54,495
-38,846
21,037
37,917
-16,880
1,459
7,735
-6,276
11,054
58,944
-47,890
9,375
44,190
-34,815
9,375
56,170
-46,795
1,436
43,345
-41,909
1,436
25,868
-24,432
7,989
-7,989
1,998
-1,998
24
25,617
-25,593
24
25,618
-25,594
59,682
107,178
-47,496
59,682
87,389
-27,707
87,114
81,725
5,389
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
-12,734
b
-17,555
c
31,458
d
241,171
e
56,532
14,595
18,399
-58,945
-202
12,732
13,011
411
1,378
-9,783
318
15,221
46
-5,478
-7,549
-2,200
-15,157
-59,519
14,168
23,807
5,265
126,680
471
9,404
452
1,734
422
995
-905
3,444
-4,791
-11,041
-7,292
10,574
1,763
5,198
2,516
3,392
1,019
2,667
3,247
4,125
2,016
-2,340
-1
1,224
2,500
5,029
-2,781
1,607
-34,269
-6,646
11,419
-30,324
-11,359
-6,355
1,974
8,033
2,606
12,022
6,200
4,626
-8,455
-7,785
-4,650
-4,903
11,401
2,841
439
2,161
3,670
1,306
6,352
3,669
2,072
12,452
978
1,055
1,983
823
5,514
-15,869
-4,896
-54,772
-51,660
-23,559
-785
2,733
456
7,018
-4,489
-4,970
-4,966
231
1,648
650
653
651
649
648
7,666
4,982
3,296
-1,839
4,817
1,006
3,312
678
519
-1,383
1,723
225
4,668
604
-5,043
0
0
0
0
0
1,225
2,186
1,309
870
2,167
-4,016
-20,824
-10,409
-20,820
500
-18,669
-3,654
-757
-88
5,078
2,561
1,629
1,302
-4,688
1,476
2,071
6,760
4,004
967
0
0
0
0
-1,400
-4,772
0
-17,384
-2,487
-24,503
791
0
0
0
2,178
2,036
13,488
14,345
14,349
2,397
3,063
0
2,070
626
454
1,126
0
695
8,042
6,567
1,715
289
21,468
-6,602
-1,670
110,338
560,715
27,534
20,749
7,098
78,323
19,841
6,614
23,148
48,727
-38,846
-16,880
-6,276
-47,890
-34,815
-46,795
-41,909
-24,432
-7,989
-1,998
-25,593
-25,594
-47,496
-27,707
5,389
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
785,487
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
-149,179
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
600,000
12,335,224
0.048641
2017
540,000
12,219,671
0.044191
2016
542,060
11,421,486
0.047460
2015
532,658
11,397,453
0.046735
2014
480,000
11,958,033
0.040140
2
Total
of line 1, column (d)
.....................
2
0.227167
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
0.045433
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
12,097,241
5
Multiply line 4 by line 3
......................
5
549,614
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
10,132
7
Add lines 5 and 6
........................
7
559,746
8
Enter qualifying distributions from Part XII, line 4
,.............
8
636,500
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
10,132
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
10,132
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
10,132
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
20,573
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
40,000
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
60,573
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
50,441
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
50,441
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
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)
IL
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
WILLIAM R PILLMAN CPA
Telephone no.
(309) 713-2812
Located at
1921 W ALTORFER DRIVE
PEORIA
IL
ZIP+4
61615
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
WILLIAM R PILLMAN
PRESIDENT
1.00
0
0
0
1921 W ALTORFER DRIVE
PEORIA
,
IL
61615
SALLY A PILLMAN
TRUSTEE
1.00
0
0
0
1921 W ALTORFER DRIVE
PEORIA
,
IL
61615
WILLIAM CAMPBELL
TRUSTEE
1.00
0
0
0
401 MAIN ST SUITE 1600
PEORIA
,
IL
61602
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
9,866,361
b
Average of monthly cash balances
.......................
1b
2,399,595
c
Fair market value of all other assets (see instructions)
................
1c
15,507
d
Total
(add lines 1a, b, and c)
.........................
1d
12,281,463
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
12,281,463
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
184,222
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
12,097,241
6
Minimum investment return.
Enter 5% of line 5
..................
6
604,862
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
604,862
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
10,132
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
10,132
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
594,730
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
594,730
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
594,730
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
636,500
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
636,500
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
10,132
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
626,368
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
594,730
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
566,507
b
Total for prior years:
20
,
20
,
20
0
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
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
636,500
a
Applied to 2018, but not more than line 2a
566,507
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
.....
69,993
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
524,737
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
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:
WILLIAM R PILLMAN
1921 W ALTORFER DRIVE
PEORIA
,
IL
61615
(309) 713-2812
b
The form in which applications should be submitted and information and materials they should include:
NO PRESCRIBED FORM
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
NORMAN BORLAUG HERITAGE FOUNDATION
3372 MADISON ROAD
RIDGEWAY
,
IA
52165
NONE
NOT APPLICABLE
CULTURAL
10,000
BOYS AND GIRLS CLUB OF GREATER PEORIA
806 E KANSAS
PEORIA
,
IL
61603
NONE
NOT APPLICABLE
EDUCATIONAL
100,000
WTVP-PBS
101 STATE STREET
PEORIA
,
IL
61602
NONE
NOT APPLICABLE
EDUCATIONAL
50,000
PEORIA RIVERFRONT MUSEUM
222 SW WASHINGTON STREET
PEORIA
,
IL
61602
NONE
NOT APPLICABLE
EDUCATIONAL
100,000
CHRIST LUTHERAN SCHOOL
1311 S FARADAY
PEORIA
,
IL
61605
NONE
NOT APPLICABLE
CHARITABLE
60,000
RED CLOUD INDIAN SCHOOL
100 MISSION DRIVE
PINE RIDGE
,
SD
577702100
NONE
NOT APPLICABLE
CHARITABLE
20,000
CUMBERLAND COLLEGE
6191 COLLEGE STATION DRIVE
WILLIAMSBURG
,
KY
407691372
NONE
NOT APPLICABLE
EDUCATIONAL
10,000
ILLINOIS WESLEYAN UNIVERSITY
PO BOX 2900
BLOOMINGTON
,
IL
61702
NONE
NOT APPLICABLE
EDUCATIONAL
40,000
BRADLEY UNIVERSITY
1501 W BRADLEY
PEORIA
,
IL
616061048
NONE
NOT APPLICABLE
EDUCATIONAL
10,000
EUREKA COLLEGE
300 E COLLEGE
EUREKA
,
IL
61530
NONE
NOT APPLICABLE
EDUCATIONAL
40,000
MONMOUTH COLLEGE
700 E BROADWAY
MONMOUTH
,
IL
61462
NONE
NOT APPLICABLE
EDUCATIONAL
40,000
PEORIA HEIGHTS CONGREGATIONAL CHURCH
4906 N PROSPECT ROAD
PEORIA HEIGHTS
,
IL
61616
NONE
NOT APPLICABLE
CHARITABLE
10,000
CHILDREN'S HOSPITAL OF ILLINOIS
530 N E GLEN OAK AVENUE
PEORIA
,
IL
61603
NONE
NOT APPLICABLE
CHARITABLE
50,000
SOPHIA'S KITCHEN
103 S RICHARD PRYOR PLACE
PEORIA
,
IL
61605
NONE
NOT APPLICABLE
CHARITABLE
40,000
PEORIA PUBLIC SCHOOL DISTRICT 150 FOUNDATION
5901 N PROSPECT SUITE 14E
PEORIA
,
IL
61614
NONE
NOT APPLICABLE
EDUCATIONAL
31,500
PEORIA PLAYHOUSE CHILDREN'S MUSEUM
2218 N PROSPECT ROAD
PEORIA
,
IL
61603
NONE
NOT APPLICABLE
EDUCATIONAL
25,000
Total
.................................
3a
636,500
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
228,135
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
............
785,487
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
0
1,013,622
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
1,013,622
(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.)
1
THE ORGANIZATION IS ORGANIZED FOR THE EXCLUSIVE PURPOSE OF HOLDING TITLE TO PROPERTY, COLLECTING INCOME THEREFROM, AND TURNING OVER THE ENTIRE AMOUNT LESS EXPENSES TO EXEMPT ORGANIZATIONS. THE INDIVIDUAL LINE ITEMS ALLOW THE ORGANIZATION THE ABILITY TO DETERMINE THE TIMING AND AMOUNT OF THE INDIVIDUAL GRANTS IN ORDER TO FACILITATE THE MAXIMUM BENEFIT FROM LIMITED FUNDS. THIS ADDITIONALLY ALLOWS THE TRUSTEES TIME TO CONSIDER ALL REQUESTS AS TO
11
APPROPRIATENESS AND URGENCY.
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