-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
07-01-2019
, and ending
06-30-2020
Name of foundation
ALFRED I DUPONT AWARDS
Number and street (or P.O. box number if mail is not delivered to street address)
6325 S RAINBOW BLVD STE 300
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS
,
NV
89118
A Employer identification number
59-6122735
B
Telephone number (see instructions)
(336) 747-8182
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
2,997,056
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)
289,818
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
71,471
71,471
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
97,072
b
Gross sales price for all assets on line 6a
1,517,485
7
Capital gain net income (from Part IV, line 2)
...
97,072
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
........
458,361
168,543
13
Compensation of officers, directors, trustees, etc.
40,570
36,513
4,057
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
2,059
0
0
2,059
b
Accounting fees (attach schedule)
.......
1,020
0
0
1,020
c
Other professional fees (attach schedule)
....
1,160
1,160
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
4,312
840
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)
.......
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
49,121
38,513
0
7,136
25
Contributions, gifts, grants paid
.......
439,818
439,818
26
Total expenses and disbursements.
Add lines 24 and 25
488,939
38,513
0
446,954
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-30,578
b
Net investment income
(if negative, enter -0-)
130,030
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
.............
1,778
277
277
2
Savings and temporary cash investments
.........
210,624
54,786
54,786
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
2,599,042
2,723,175
2,941,993
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)
2,811,444
2,778,238
2,997,056
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
........
2,811,444
2,778,238
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)
.....
2,811,444
2,778,238
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,811,444
2,778,238
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
2,811,444
2
Enter amount from Part I, line 27a
.....................
2
-30,578
3
Other increases not included in line 2 (itemize)
3
287
4
Add lines 1, 2, and 3
..........................
4
2,781,153
5
Decreases not included in line 2 (itemize)
5
2,915
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
2,778,238
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
1. EQUINIX INC
2015-11-20
2019-07-10
b
4. PROGRESSIVE CORP OHIO
2015-08-04
2019-07-10
c
1. VERISIGN INC COM
2015-08-04
2019-07-10
d
1. VERISK ANALYTICS INC
2015-08-04
2019-07-10
e
101. AGILENT TECHNOLOGIES INC
2017-09-07
2019-07-25
263. BANK OF AMERICA CORP
2017-01-11
2019-07-25
16. PROGRESSIVE CORP OHIO
2018-08-09
2019-07-25
342. SYMANTEC CORP
2019-05-20
2019-07-25
78. VALERO ENERGY CORP
2019-07-25
5. COPART INC COM
2015-08-04
2019-07-29
3. DOLLAR GENERAL CORP
2015-08-04
2019-07-29
2. MOHAWK INDS INC COM
2015-08-04
2019-07-29
2. S&P GLOBAL INC
2016-01-26
2019-07-29
1. TRANSDIGM GROUP INC
2015-08-04
2019-07-29
1. VERISIGN INC COM
2015-08-04
2019-07-29
5142.863 EATON VANCE GLOBAL MACRO - I
2014-03-20
2019-07-31
2452.892 JOHN HANCOCK II-CURR STR-I 3643
2017-10-26
2019-07-31
1967. SPDR DJ WILSHIRE INTERNATIONAL REAL
2017-10-26
2019-07-31
1. EXPEDIA INC
2019-08-02
1. AIR PRODS & CHEMS INC COM
2016-06-15
2019-08-15
9. ECHOSTAR CORPORATION
2019-08-15
4. GARTNER INC
2019-08-15
6. MOHAWK INDS INC COM
2019-08-15
4. RESTAURANT BRANDS INTERN
2015-08-04
2019-08-15
722.007 INV OPP DEVELOP MRKTS-R6
2013-12-03
2019-08-16
1882.77 ARTISAN INTERNATIONAL FD INS #662
2012-12-06
2019-08-16
12115.191 CREDIT SUISSE COMM RT ST-CO 2156
2016-02-16
2019-08-16
1135.403 CREDIT SUISSE COMM RT ST-CO 2156
2019-05-30
2019-08-16
4832.153 DRIEHAUS ACTIVE INCOME FUND
2019-08-16
1766.559 EATON VANCE GLOBAL MACRO - I
2019-08-16
4395.564 MONDRIAN INTERNATIONAL EQUITY FUND
2019-08-16
1758.071 JOHN HANCOCK II-CURR STR-I 3643
2017-10-26
2019-08-16
1230.965 JPMORGAN HIGH YIELD FUND SS 3580
2019-08-16
2873.061 LAZARD EMERGING MKTS PTFL 638
2008-11-07
2019-08-16
2904.775 ASG GLOBAL ALTERNATIVES-Y 1993
2019-08-16
2438.303 PIMCO FOREIGN BD FD USD H-INST #103
2019-08-16
4039.011 ROBECO BP LNG/SHRT RES-INS
2019-08-16
7981.336 T ROWE PRICE INST FLOAT RATE 170
2019-08-16
811. VANGUARD BD INDEX FD INC
2019-08-16
687.374 VANGUARD INFLAT-PROT SECS-ADM 5119
2017-10-31
2019-08-16
439.976 WF LARGE CAP GROWTH-R6 #4653
2004-12-03
2019-08-16
.8 EXPEDIA INC
2019-08-26
6. COPART INC COM
2015-08-04
2019-08-30
3. RESTAURANT BRANDS INTERN
2015-08-04
2019-08-30
1. TRANSDIGM GROUP INC
2015-08-04
2019-08-30
3. TRANSUNION
2017-10-12
2019-08-30
1. S&P GLOBAL INC
2016-01-26
2019-09-20
7. IHS MARKIT LTD
2016-10-14
2019-09-20
4. SBA COMMUNICATIONS CORP
2015-08-04
2019-09-26
1. ANSYS INC
2018-06-22
2019-10-14
2. DOLLAR GENERAL CORP
2015-08-04
2019-10-14
1. METTLER-TOLEDO INTL INC
2018-05-10
2019-10-14
2. S&P GLOBAL INC
2019-10-14
1. VERISIGN INC COM
2015-08-04
2019-10-14
2. VERISK ANALYTICS INC
2015-08-04
2019-10-14
1. MARTIN MARIETTA MATLS INC COM
2015-12-10
2019-10-15
4. AIR PRODS & CHEMS INC COM
2019-11-05
4. MARTIN MARIETTA MATLS INC COM
2019-11-05
2. MOODYS CORP
2015-12-10
2019-11-05
1. S&P GLOBAL INC
2016-01-27
2019-11-05
3. ABBVIE INC
2018-03-20
2019-11-20
4. ALLISON TRANSMISSION HOLDINGS
2018-09-19
2019-11-20
1. AMERICAN TOWER REIT
2017-06-05
2019-11-20
2. AMGEN INC
2015-01-21
2019-11-20
1. APPLE INC
2014-10-15
2019-11-20
4. APPLIED INDL TECHNOLOGIES INC COM
2018-02-20
2019-11-20
2. BAXTER INTL INC
2017-12-15
2019-11-20
3. CBRE GROUP INC
2019-02-01
2019-11-20
1. CDW CORP/DE
2019-05-20
2019-11-20
1. CASEYS GEN STORES INC
2019-02-01
2019-11-20
4. CENTENE CORP DEL
2014-11-11
2019-11-20
220. CENTERPOINT ENERGY INC
2017-09-07
2019-11-20
1. CHEVRON CORP
2016-06-14
2019-11-20
3. CISCO SYSTEMS INC
2018-03-20
2019-11-20
4. CITIZENS FINANCIAL GROUP INC
2017-01-11
2019-11-20
1. COSTCO WHOLESALE CORP
2018-03-20
2019-11-20
2. CUMMINS INC.
2017-11-13
2019-11-20
16. EMCOR GROUP INC COM
2016-12-13
2019-11-20
2. EVERCORE PARTNERS INC
2018-07-03
2019-11-20
7. FORTINET INC
2019-05-20
2019-11-20
2. HOME DEPOT INC
2014-10-15
2019-11-20
5. HUNTSMAN CORP
2018-03-20
2019-11-20
3. INTEL CORP
2015-01-21
2019-11-20
2. JPMORGAN CHASE & CO
2015-05-18
2019-11-20
5. JABIL CIRCUIT INC COM
2015-12-21
2019-11-20
1. JOHNSON & JOHNSON
2017-08-01
2019-11-20
1. LEAR CORP
2014-10-15
2019-11-20
238. MACY'S INC
2018-05-03
2019-11-20
2. MICROSOFT CORP
2014-10-15
2019-11-20
2. PROLOGIS INC
2016-09-13
2019-11-20
3. PRUDENTIAL FINL INC
2015-08-13
2019-11-20
1. RELIANCE STL & ALUM CO COM
2019-05-20
2019-11-20
3. TJX COMPANIES INC
2016-09-13
2019-11-20
36. TARGET CORP
2017-09-07
2019-11-20
1. UNITEDHEALTH GROUP INC
2015-02-25
2019-11-20
1. WAL MART STORES INC
2016-10-31
2019-11-20
65. XILINX INC
2019-05-20
2019-11-20
8. ZEBRA TECHNOLOGIES CORP CL A
2018-08-09
2019-11-20
2. DOLLAR GENERAL CORP
2015-08-04
2019-11-26
2. MARTIN MARIETTA MATLS INC COM
2019-11-26
4. TRANSUNION
2017-10-12
2019-11-26
4. IHS MARKIT LTD
2019-11-26
115. PROGRESSIVE CORP OHIO
2018-08-09
2019-12-26
1. AIR PRODS & CHEMS INC COM
2016-10-14
2020-01-10
1. ANSYS INC
2018-06-22
2020-01-10
14. FNF GROUP
2015-08-04
2020-01-10
3. FIRST REPUBLIC BANK/SAN FRANCI
2018-02-22
2020-01-10
1. MARTIN MARIETTA MATLS INC COM
2017-03-01
2020-01-10
1. O'REILLY AUTOMOTIVE INC
2015-08-04
2020-01-10
1. AON PLC
2015-12-10
2020-01-10
1459.318 ARTISAN INTERNATIONAL FD INS #662
2012-12-06
2020-01-22
1273.026 DODGE & COX INT'L STOCK FD #1048
2020-01-22
852.209 HARTFORD MIDCAP FUND-F #3108
2017-10-26
2020-01-22
12678.968 JPMORGAN HIGH YIELD FUND SS 3580
2020-01-22
1794.688 LOOMIS SAYLES BOND FD INSTL 1162
2015-02-17
2020-01-22
5165.186 PIMCO EMERG MKTS BD-INST 137
2020-01-22
722.38 T ROWE PRICE EQUITY INC-I #426
2005-04-06
2020-01-22
517.393 WF LARGE CAP GROWTH-R6 #4653
2004-12-03
2020-01-22
2. AIR PRODS & CHEMS INC COM
2016-11-08
2020-01-30
1. ANSYS INC
2018-06-22
2020-01-30
2. MARTIN MARIETTA MATLS INC COM
2020-01-30
1. S&P GLOBAL INC
2016-01-27
2020-01-30
1. VERISK ANALYTICS INC
2015-08-04
2020-01-30
1240.505 FIDELITY NEW MRKTS INC-Z #3323
2017-10-26
2020-01-31
3796.446 PIMCO EMERG MKTS BD-INST 137
2020-01-31
3. COPART INC COM
2015-08-04
2020-02-10
1. MARTIN MARIETTA MATLS INC COM
2017-08-09
2020-02-10
9. BROOKFIELD ASSET MANAGE-CL A
2015-08-04
2020-02-18
10. FNF GROUP
2015-08-04
2020-02-18
5. IHS MARKIT LTD
2016-10-26
2020-02-18
7. BROOKFIELD ASSET MANAGE-CL A
2015-08-04
2020-02-25
1. ANSYS INC
2018-06-22
2020-03-05
2. DOMINOS PIZZA INC
2019-03-01
2020-03-05
1. FIRST REPUBLIC BANK/SAN FRANCI
2018-02-22
2020-03-05
4. GUIDEWIRE SOFTWARE INC
2018-09-17
2020-03-05
20.00693 KENNEDY-WILSON HOLDINGS INC
2020-03-05
8.99307 KENNEDY-WILSON HOLDINGS INC
2018-07-26
2020-03-05
3. VERISK ANALYTICS INC
2015-08-04
2020-03-05
12. WAYFAIR INC
2020-03-05
105. APPLIED INDL TECHNOLOGIES INC COM
2018-02-20
2020-03-09
160. CBRE GROUP INC
2019-02-01
2020-03-09
53. CASEYS GEN STORES INC
2019-02-01
2020-03-09
120. CENTENE CORP DEL
2020-03-09
57. VARIAN MED SYS INC
2019-05-20
2020-03-09
1. DOMINOS PIZZA INC
2019-03-01
2020-03-20
14. WAYFAIR INC
2020-03-20
5. BROWN & BROWN INC
2015-08-04
2020-03-31
4. DOLLAR GENERAL CORP
2020-03-31
2. MSCI INC
2015-12-10
2020-03-31
3. SHOPIFY INC - A W/I
2018-09-17
2020-03-31
1. SHOPIFY INC - A W/I
2020-02-10
2020-03-31
17. LIBERTY GLOBAL PLC-SERIES C
2015-08-04
2020-03-31
570.036 T ROWE PR REAL ESTATE-I #432
2019-07-31
2020-04-01
2682.506 T ROWE PR REAL ESTATE-I #432
2020-04-01
13. RESTAURANT BRANDS INTERN
2015-08-04
2020-04-07
5. SBA COMMUNICATIONS CORP
2020-04-07
9. AMERICAN TOWER REIT
2017-06-05
2020-04-21
16. BAXTER INTL INC
2017-12-15
2020-04-21
22. BRISTOL MYERS SQUIBB CO
2019-11-20
2020-04-21
4. COSTCO WHOLESALE CORP
2018-03-20
2020-04-21
128. DELTA AIR LINES INC
2019-07-25
2020-04-21
99. EXXON MOBIL CORPORATION
2020-04-21
14. GILEAD SCIENCES INC
2020-03-09
2020-04-21
8. HOME DEPOT INC
2014-10-15
2020-04-21
219. JABIL CIRCUIT INC COM
2015-12-21
2020-04-21
.5 BROOKFIELD ASSET MANAGE-CL A
2015-08-04
2020-04-22
12. COLFAX CORPORATION
2020-05-05
2. DOLLAR GENERAL CORP
2017-06-08
2020-05-05
4. FIRST REPUBLIC BANK/SAN FRANCI
2018-02-22
2020-05-05
3. GARTNER INC
2020-05-05
3. PROGRESSIVE CORP OHIO
2020-05-05
3. SBA COMMUNICATIONS CORP
2015-12-10
2020-05-05
3. VERISK ANALYTICS INC
2020-05-05
6. IHS MARKIT LTD
2016-10-26
2020-05-05
1. DOLLAR GENERAL CORP
2017-06-08
2020-06-01
2. DOMINOS PIZZA INC
2019-03-01
2020-06-01
9. FIRST REPUBLIC BANK/SAN FRANCI
2020-06-01
10. LIBERTY MEDIA GROUP
2020-06-01
10. IHS MARKIT LTD
2020-06-01
15. LIBERTY GLOBAL PLC-A
2020-06-01
25. LIBERTY GLOBAL PLC-SERIES C
2020-06-01
5. AMERCO
2020-06-03
6. BLACK KNIGHT INC
2015-08-04
2020-06-03
1. O'REILLY AUTOMOTIVE INC
2015-08-04
2020-06-03
5. TRANSUNION
2017-10-12
2020-06-03
1. ANSYS INC
2018-07-26
2020-06-26
1. AUTODESK INC
2015-09-28
2020-06-26
6. BROWN & BROWN INC
2015-08-04
2020-06-26
5. BROWN FORMAN CORP CL B
2020-06-26
1. DOMINOS PIZZA INC
2019-03-01
2020-06-26
12. ELANCO ANIMAL HEALTH INC
2020-06-26
2. FIRST REPUBLIC BANK/SAN FRANCI
2018-05-10
2020-06-26
2. IDEXX CORP
2018-08-01
2020-06-26
1. MSCI INC
2015-12-10
2020-06-26
1. MOODYS CORP
2015-12-10
2020-06-26
6. PROGRESSIVE CORP OHIO
2015-12-10
2020-06-26
5. SBA COMMUNICATIONS CORP
2015-12-10
2020-06-26
18. LIBERTY GLOBAL PLC-A
2020-06-26
25. LIBERTY GLOBAL PLC-SERIES C
2020-06-26
9. AMERICAN TOWER REIT
2017-06-05
2020-06-29
10. COSTCO WHOLESALE CORP
2018-03-20
2020-06-29
283. FIFTH THIRD BANCORP
2019-07-25
2020-06-29
31. FORTINET INC
2019-05-20
2020-06-29
287. HUNTSMAN CORP
2020-06-29
138. TJX COMPANIES INC
2016-09-13
2020-06-29
10. UNITED THERAPEUTICS CORP DEL
2020-04-21
2020-06-29
6. UNITEDHEALTH GROUP INC
2015-02-25
2020-06-29
6. ZEBRA TECHNOLOGIES CORP CL A
2018-08-09
2020-06-29
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
519
293
226
b
333
144
189
c
217
79
138
d
150
77
73
e
7,043
6,575
468
8,095
6,003
2,092
1,292
1,000
292
7,686
6,863
823
6,644
3,624
3,020
396
132
264
409
261
148
249
390
-141
488
177
311
494
228
266
214
79
135
45,103
47,958
-2,855
22,199
23,940
-1,741
75,492
75,050
442
129
106
23
225
135
90
348
397
-49
501
498
3
664
1,169
-505
296
179
117
29,516
27,176
2,340
59,891
46,658
13,233
53,428
52,566
862
5,007
4,926
81
45,036
52,107
-7,071
15,351
16,473
-1,122
58,065
69,609
-11,544
16,034
17,159
-1,125
8,826
9,375
-549
46,888
35,080
11,808
31,982
32,488
-506
27,650
25,926
1,724
60,626
61,334
-708
78,297
81,986
-3,689
65,665
64,771
894
18,154
17,693
461
19,627
11,108
8,519
103
84
19
454
158
296
236
134
102
535
228
307
250
178
72
254
88
166
472
279
193
984
433
551
224
172
52
323
174
149
682
562
120
505
177
328
185
79
106
312
154
158
266
191
75
866
541
325
1,011
762
249
426
211
215
251
88
163
263
341
-78
183
209
-26
216
132
84
450
314
136
264
111
153
251
288
-37
164
131
33
167
137
30
137
104
33
172
128
44
237
98
139
5,463
6,574
-1,111
118
101
17
136
134
2
152
145
7
301
186
115
363
338
25
1,432
1,135
297
157
208
-51
737
570
167
444
184
260
117
146
-29
174
109
65
260
133
127
195
118
77
135
133
2
119
82
37
3,568
7,492
-3,924
300
86
214
182
103
79
280
268
12
118
88
30
177
112
65
4,447
2,106
2,341
273
115
158
119
70
49
5,922
6,505
-583
1,915
1,300
615
316
174
142
533
381
152
345
237
108
291
160
131
8,230
7,189
1,041
235
135
100
261
172
89
641
437
204
343
292
51
275
191
84
437
224
213
208
97
111
49,821
36,164
13,657
55,326
55,751
-425
27,952
25,870
2,082
92,683
96,558
-3,875
25,000
26,359
-1,359
55,784
58,597
-2,813
23,297
20,643
2,654
24,162
13,063
11,099
474
271
203
277
172
105
523
381
142
296
88
208
163
77
86
18,905
20,239
-1,334
41,191
43,069
-1,878
308
79
229
274
191
83
606
314
292
445
312
133
401
200
201
446
244
202
253
172
81
669
515
154
101
97
4
387
391
-4
405
413
-8
182
186
-4
497
231
266
712
1,444
-732
5,297
7,572
-2,275
8,029
7,314
715
9,026
6,763
2,263
6,636
2,954
3,682
6,667
7,443
-776
337
257
80
376
1,684
-1,308
180
99
81
616
348
268
589
228
361
1,256
713
543
419
238
181
269
607
-338
9,833
11,174
-1,341
46,273
52,582
-6,309
521
582
-61
1,402
541
861
2,173
1,185
988
1,454
1,046
408
1,334
1,227
107
1,212
744
468
2,950
8,024
-5,074
4,069
8,307
-4,238
1,115
1,043
72
1,613
737
876
5,111
5,179
-68
16
12
4
292
362
-70
349
174
175
404
390
14
356
374
-18
231
108
123
874
325
549
466
231
235
395
240
155
193
87
106
784
515
269
984
877
107
350
306
44
703
399
304
325
615
-290
529
892
-363
1,599
1,818
-219
453
261
192
422
227
195
454
296
158
285
172
113
233
84
149
241
118
123
306
209
97
366
257
109
253
396
-143
208
195
13
652
416
236
333
114
219
270
105
165
466
216
250
1,464
541
923
377
738
-361
518
892
-374
2,274
1,185
1,089
3,008
1,860
1,148
5,262
8,453
-3,191
4,112
2,524
1,588
5,083
8,377
-3,294
6,958
5,139
1,819
1,192
1,046
146
1,732
688
1,044
1,503
975
528
60,304
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
226
b
189
c
138
d
73
e
468
2,092
292
823
3,020
264
148
-141
311
266
135
-2,855
-1,741
442
23
90
-49
3
-505
117
2,340
13,233
862
81
-7,071
-1,122
-11,544
-1,125
-549
11,808
-506
1,724
-708
-3,689
894
461
8,519
19
296
102
307
72
166
193
551
52
149
120
328
106
158
75
325
249
215
163
-78
-26
84
136
153
-37
33
30
33
44
139
-1,111
17
2
7
115
25
297
-51
167
260
-29
65
127
77
2
37
-3,924
214
79
12
30
65
2,341
158
49
-583
615
142
152
108
131
1,041
100
89
204
51
84
213
111
13,657
-425
2,082
-3,875
-1,359
-2,813
2,654
11,099
203
105
142
208
86
-1,334
-1,878
229
83
292
133
201
202
81
154
4
-4
-8
-4
266
-732
-2,275
715
2,263
3,682
-776
80
-1,308
81
268
361
543
181
-338
-1,341
-6,309
-61
861
988
408
107
468
-5,074
-4,238
72
876
-68
4
-70
175
14
-18
123
549
235
155
106
269
107
44
304
-290
-363
-219
192
195
158
113
149
123
97
109
-143
13
236
219
165
250
923
-361
-374
1,089
1,148
-3,191
1,588
-3,294
1,819
146
1,044
528
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
97,072
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
440,435
3,062,547
0.143813
2017
433,096
3,154,198
0.137308
2016
463,295
2,999,758
0.154444
2015
380,925
2,924,748
0.130242
2014
436,715
3,269,914
0.133556
2
Total
of line 1, column (d)
.....................
2
0.699363
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
0.139873
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
2,998,996
5
Multiply line 4 by line 3
......................
5
419,479
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
1,300
7
Add lines 5 and 6
........................
7
420,779
8
Enter qualifying distributions from Part XII, line 4
,.............
8
446,954
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
1,300
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
1,300
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
1,300
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,129
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
2,129
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
829
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
829
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.
$
(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)
FL
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
14
The books are in care of
Wells Fargo Bank NA
Telephone no.
(336) 747-8182
Located at
100 N MAIN ST D4001-065
WINSTON SALEM
NC
ZIP+4
27101
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
WELLS FARGO BANK N A
TRUSTEE
1
40,570
100 N MAIN ST MAC D4001-117
WINSTON SALEM
,
NC
27101
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
2,939,770
b
Average of monthly cash balances
.......................
1b
104,896
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
3,044,666
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
3,044,666
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
45,670
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,998,996
6
Minimum investment return.
Enter 5% of line 5
..................
6
149,950
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
149,950
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,300
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,300
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
148,650
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
148,650
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
148,650
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
446,954
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
446,954
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
1,300
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
445,654
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
148,650
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
......
57,802
b
From 2015
......
0
c
From 2016
......
314,301
d
From 2017
......
5,344
e
From 2018
......
83,486
f
Total
of lines 3a through e
........
460,933
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
446,954
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)
........
281,377
d
Applied to 2019 distributable amount
.....
148,650
e
Remaining amount distributed out of corpus
16,927
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
759,237
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)
.......
281,377
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
......
477,860
10
Analysis of line 9:
a
Excess from 2015
....
0
b
Excess from 2016
....
314,301
c
Excess from 2017
....
5,344
d
Excess from 2018
....
83,486
e
Excess from 2019
....
74,729
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
COLUMBIA UNIVERSITY JOURNALISM SCHOOL
2950 BROADWAY
NEW YORK
,
NY
10027
NONE
PC
GENERAL SUPPORT
439,818
Total
.................................
3a
439,818
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
71,471
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
97,072
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)
..
168,543
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
168,543
(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