-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
ROBERT V DAVIDSON TRUST XXXXX3009
Number and street (or P.O. box number if mail is not delivered to street address)
10 S DEARBORN IL1-0111
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO
,
IL
60603
A Employer identification number
74-6065195
B
Telephone number (see instructions)
(800) 496-2583
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)
$
4,919,773
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
...
171,001
170,802
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
119,510
b
Gross sales price for all assets on line 6a
1,464,996
7
Capital gain net income (from Part IV, line 2)
...
119,510
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)
.......
14,233
14,074
12
Total.
Add lines 1 through 11
........
304,744
304,386
13
Compensation of officers, directors, trustees, etc.
43,541
26,740
16,801
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
180
180
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
7,525
1,980
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)
.......
304
304
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
51,550
29,204
0
16,801
25
Contributions, gifts, grants paid
.......
217,872
217,872
26
Total expenses and disbursements.
Add lines 24 and 25
269,422
29,204
0
234,673
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
35,322
b
Net investment income
(if negative, enter -0-)
275,182
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
.............
38,796
44,699
44,699
2
Savings and temporary cash investments
.........
67,680
17,672
17,672
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)
.......
2,003,441
1,909,470
2,794,326
c
Investments—corporate bonds (attach schedule)
.......
1,515,244
1,689,673
1,716,288
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
221,527
221,010
221,152
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
1,349
1,349
125,636
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
3,848,037
3,883,873
4,919,773
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
........
3,848,037
3,883,873
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)
.....
3,848,037
3,883,873
30
Total liabilities and net assets/fund balances
(see instructions)
.
3,848,037
3,883,873
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
3,848,037
2
Enter amount from Part I, line 27a
.....................
2
35,322
3
Other increases not included in line 2 (itemize)
3
3,338
4
Add lines 1, 2, and 3
..........................
4
3,886,697
5
Decreases not included in line 2 (itemize)
5
2,824
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
3,883,873
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
255. VANGUARD BD INDEX FD INC
2018-12-17
2019-01-02
b
8007.823 BROWN ADV JAPAN ALPHA OPP-IS
2019-01-10
c
1. GILEAD SCIENCES INC
2018-01-08
2019-01-23
d
9. GILEAD SCIENCES INC
2018-01-08
2019-01-23
e
2. GILEAD SCIENCES INC
2018-01-08
2019-01-23
3. GILEAD SCIENCES INC
2018-01-08
2019-01-23
4. MASTERCARD INC - CLASS A
2012-10-15
2019-01-23
12. WORLDPAY INC CL A
2018-10-08
2019-01-23
1. WORLDPAY INC CL A
2018-10-08
2019-01-23
15. GILEAD SCIENCES INC
2018-01-08
2019-01-24
3. MASTERCARD INC - CLASS A
2012-10-15
2019-01-24
10. MASTERCARD INC - CLASS A
2012-10-15
2019-01-24
2. WORLDPAY INC CL A
2017-09-22
2019-01-24
18. WORLDPAY INC CL A
2018-10-08
2019-01-24
2. GILEAD SCIENCES INC
2018-01-08
2019-01-25
5. GILEAD SCIENCES INC
2018-01-08
2019-01-25
1. GILEAD SCIENCES INC
2018-01-08
2019-01-25
14. MASTERCARD INC - CLASS A
2012-10-15
2019-01-25
25. WORLDPAY INC CL A
2017-09-22
2019-01-25
2. GILEAD SCIENCES INC
2018-01-08
2019-01-28
4. GILEAD SCIENCES INC
2018-01-08
2019-01-28
14. WORLDPAY INC CL A
2017-09-22
2019-01-28
3. GILEAD SCIENCES INC
2018-01-08
2019-01-29
3. WORLDPAY INC CL A
2017-09-22
2019-01-29
2. GILEAD SCIENCES INC
2018-01-08
2019-01-30
17. WORLDPAY INC CL A
2017-09-22
2019-01-30
1. GILEAD SCIENCES INC
2018-01-08
2019-01-31
2. GILEAD SCIENCES INC
2018-01-08
2019-01-31
4. GILEAD SCIENCES INC
2018-01-08
2019-02-01
4713.077 DODGE & COX INCOME FUND
2019-02-11
1915.709 DOUBLELINE TTL RTRN BND-I
2015-12-02
2019-02-11
4206.094 JPM MULTI SECTOR INC FD - R6
2016-04-18
2019-02-11
3151.078 PIMCO INV GRD CRD BND-INST
2018-01-29
2019-02-11
5248.131 PIMCO INV GRD CRD BND-INST
2019-02-11
1345. VANGUARD BD INDEX FD INC
2019-02-11
1109.347 DODGE & INTERNATIONAL STOCK FUND
2019-02-14
3112.773 MFS EMERG MRKTS DEBT-R5
2016-07-13
2019-02-14
15. ANALOG DEVICES INC
2018-09-13
2019-02-19
6. ANALOG DEVICES INC
2018-09-13
2019-02-19
18. ANALOG DEVICES INC
2019-02-19
15. ANALOG DEVICES INC
2018-09-13
2019-02-19
33. ANALOG DEVICES INC
2019-02-19
6. ANALOG DEVICES INC
2019-02-19
24. ANALOG DEVICES INC
2019-02-20
5000. US TREAS 1.375% 02/28/19
2016-05-16
2019-02-28
2. ADOBE SYS INC
2012-08-03
2019-03-06
1. ALPHABET INC-CL C
2018-05-07
2019-03-06
1. ALPHABET INC-CL A
2016-07-11
2019-03-06
1. AMAZON COM INC
2015-06-30
2019-03-06
2. AMERICAN EXPRESS CO
2018-07-18
2019-03-06
8. APPLE COMPUTER INC
2008-01-08
2019-03-06
3. AUTOMATIC DATA PROCESSING INC
2018-12-03
2019-03-06
32. BANK OF AMERICA CORPORATION
2019-03-06
4. BERKSHIRE HATHAWAY INC DEL CL B
2018-09-11
2019-03-06
1. BIOGEN IDEC INC
2018-10-08
2019-03-06
16. BOSTON SCIENTIFIC CORP
2019-03-06
7. BRISTOL MYERS SQUIBB CO
2017-02-23
2019-03-06
3. BROADCOM INC
2013-04-25
2019-03-06
4531.72 CAPITAL GR NON US EQUITY
2016-01-12
2019-03-06
2. CELGENE CORP.
2019-03-06
1. CHARTER COMMUNICATIONS INC-A
2018-04-13
2019-03-06
11. CITIGROUP INC NEW
2017-05-15
2019-03-06
8. COCA-COLA CO
2018-04-16
2019-03-06
12. COMCAST CORP NEW CL A
2019-01-29
2019-03-06
5. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-03-06
3. DIAMONDBACK ENERGY INC
2019-01-08
2019-03-06
7. DISNEY WALT CO
2019-03-06
4. DOLLAR TREE INC
2017-10-27
2019-03-06
13. DOWDUPONT INC
2018-04-09
2019-03-06
7. EOG RESOURCES INC
2016-08-05
2019-03-06
4. ELECTRONIC ARTS
2018-09-20
2019-03-06
3. FACEBOOK INC-A
2014-07-25
2019-03-06
4. FIDELITY NATL INFORMATION SVCS INC
2019-03-06
4. FISERV INC
2019-01-25
2019-03-06
2. GENERAL DYNAMICS CORP
2017-02-10
2019-03-06
4. HOME DEPOT INC
2011-09-29
2019-03-06
6. HONEYWELL INTL INC
2012-06-15
2019-03-06
3. INTERCONTINENTALEXCHANGE GROUP, INC
2017-02-01
2019-03-06
22. KEYCORP NEW
2018-10-08
2019-03-06
4. LOWES COS INC
2011-09-28
2019-03-06
7. MARATHON PETROLEUM CORPORATION
2018-09-20
2019-03-06
4. MASTERCARD INC - CLASS A
2019-03-06
7. MERCK & CO INC
2018-01-08
2019-03-06
20. MICROSOFT CORP
2019-03-06
11. MONDELEZ INTERNATIONAL-W/I
2019-03-06
19. MORGAN STANLEY DEAN WITTER & CO NEW
2015-12-02
2019-03-06
1. NETFLIX.COM INC
2018-09-13
2019-03-06
2. NEXTERA ENERGY INC
2018-07-18
2019-03-06
10. NISOURCE INC
2019-03-06
4. NORFOLK SOUTHN CORP
2019-03-06
2. NORTHROP GRUMMAN CORP
2017-10-10
2019-03-06
3. NVIDIA CORP
2018-10-08
2019-03-06
1. O'REILLY AUTOMOTIVE INC
2017-05-05
2019-03-06
11. OCCIDENTAL PETE CORP
2019-03-06
2. PARKER HANNIFIN CORP
2018-01-11
2019-03-06
6. PAYPAL HOLDINGS INC
2019-01-23
2019-03-06
6. PEPSICO INC
2018-05-22
2019-03-06
23. PFIZER INC
2018-10-30
2019-03-06
6. PHILIP MORRIS INTERNATIONAL
2017-04-24
2019-03-06
4. PIONEER NAT RES CO
2019-03-06
3. PRUDENTIAL FINL INC
2018-12-21
2019-03-06
5. ROSS STORES INC
2018-12-11
2019-03-06
1. SVB FINANCIAL GROUP
2015-08-12
2019-03-06
4. SALESFORCE.COM INC
2018-10-08
2019-03-06
7. SCHWAB CHARLES CORP NEW
2016-06-03
2019-03-06
3. STANLEY BLACK & DECKER,INC.
2019-03-06
7. TEXAS INSTRS INC
2019-02-19
2019-03-06
5. UNION PAC CORP
2018-02-22
2019-03-06
2. UNITED TECHNOLOGIES CORP
2018-01-08
2019-03-06
5. UNITEDHEALTH GROUP INC
2019-03-06
2. VERTEX PHARMACEUTICALS INC
2019-03-06
3. VISA INC CLASS A SHARES
2015-10-19
2019-03-06
4. WASTE CONNECTIONS INC
2016-08-10
2019-03-06
14. WELLS FARGO & CO NEW
2019-03-06
2. WEX INC
2016-05-02
2019-03-06
2. YUM BRANDS INC
2019-03-06
6. ZIMMER HLDGS INC
2018-04-26
2019-03-06
3. ALLEGION PLC
2019-03-06
3. ACCENTURE PLC
2019-03-06
2. LINDE PLC
2018-12-11
2019-03-06
5. MEDTRONIC PLC
2018-07-18
2019-03-06
4. APTIV PLC
2018-04-26
2019-03-06
4. CHUBB LTD
2019-03-06
3. NXP SEMICONDUCTORS NV
2019-02-20
2019-03-06
6010.862 BLCKRCK HI YLD BND PORT-K
2019-03-07
11. BIOGEN IDEC INC
2010-06-18
2019-03-14
6. BIOGEN IDEC INC
2018-10-08
2019-03-14
182. BRISTOL MYERS SQUIBB CO
2019-03-14
40. DISNEY WALT CO
2019-03-14
. BANK OF AMERICA CORPORATION
2019-03-20
15000. FHLMC 3.750% 03/27/2019 DTD 03/27/2009
2012-05-17
2019-03-27
. PFIZER INC
2019-04-03
30.686 DOW INC
2019-04-08
3.314 DOW INC
2018-04-09
2019-04-08
5. DOW INC
2019-04-08
2. DOW INC
2017-02-22
2019-04-08
44. DOW INC
2019-04-08
22. DOW INC
2019-04-08
5. DOW INC
2015-07-15
2019-04-09
6. ADOBE SYS INC
2012-08-03
2019-04-11
4. ALEXION PHARMACEUTICALS INC
2019-03-14
2019-04-11
1. ALPHABET INC-CL C
2018-05-07
2019-04-11
3. ALPHABET INC-CL C
2019-04-11
1. ALPHABET INC-CL A
2016-07-11
2019-04-11
3. AMAZON COM INC
2015-04-08
2019-04-11
6. AMERICAN EXPRESS CO
2018-07-18
2019-04-11
24. APPLE COMPUTER INC
2008-01-08
2019-04-11
994.318 ARTISAN INTL VAL-INST
2011-12-30
2019-04-11
7. AUTOMATIC DATA PROCESSING INC
2018-12-03
2019-04-11
91. BANK OF AMERICA CORPORATION
2019-04-11
10. BERKSHIRE HATHAWAY INC DEL CL B
2018-09-11
2019-04-11
45. BOSTON SCIENTIFIC CORP
2016-09-15
2019-04-11
9. BROADCOM INC
2013-04-25
2019-04-11
12. CELGENE CORP.
2016-10-28
2019-04-11
6. CHARTER COMMUNICATIONS INC-A
2018-04-13
2019-04-11
32. CITIGROUP INC NEW
2017-05-15
2019-04-11
22. COCA-COLA CO
2019-04-11
53. COMCAST CORP NEW CL A
2019-03-14
2019-04-11
14. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-04-11
9. DIAMONDBACK ENERGY INC
2019-04-11
17. DISNEY WALT CO
2016-12-08
2019-04-11
323.276 DODGE & INTERNATIONAL STOCK FUND
2019-04-11
11. DOLLAR TREE INC
2017-10-27
2019-04-11
48. DOWDUPONT INC
2019-04-11
19. EOG RESOURCES INC
2016-08-05
2019-04-11
15. ELECTRONIC ARTS
2018-09-20
2019-04-11
8. FACEBOOK INC-A
2014-07-25
2019-04-11
12. FIDELITY NATL INFORMATION SVCS INC
2019-04-11
12. FISERV INC
2019-04-11
4. GENERAL DYNAMICS CORP
2017-02-10
2019-04-11
4. GENERAL DYNAMICS CORP
2018-12-13
2019-04-11
10. HOME DEPOT INC
2011-09-29
2019-04-11
18. HONEYWELL INTL INC
2019-04-11
7. INTERCONTINENTALEXCHANGE GROUP, INC
2019-04-11
63. KEYCORP NEW
2019-04-11
20. LILLY ELI & CO
2019-04-11
13. LOWES COS INC
2011-09-28
2019-04-11
23. MARATHON PETROLEUM CORPORATION
2019-04-11
12. MASTERCARD INC - CLASS A
2009-05-05
2019-04-11
25. MERCK & CO INC
2019-03-14
2019-04-11
57. MICROSOFT CORP
2015-02-13
2019-04-11
30. MONDELEZ INTERNATIONAL-W/I
2019-04-11
51. MORGAN STANLEY DEAN WITTER & CO NEW
2019-04-11
2. NETFLIX.COM INC
2018-09-13
2019-04-11
7. NEXTERA ENERGY INC
2019-04-11
28. NISOURCE INC
2019-04-11
11. NORFOLK SOUTHN CORP
2018-05-15
2019-04-11
5. NORTHROP GRUMMAN CORP
2019-04-11
7. NVIDIA CORP
2018-10-08
2019-04-11
2. O'REILLY AUTOMOTIVE INC
2017-05-05
2019-04-11
5. OCCIDENTAL PETE CORP
2018-08-09
2019-04-11
26. OCCIDENTAL PETE CORP
2018-01-08
2019-04-11
3. PARKER HANNIFIN CORP
2018-01-11
2019-04-11
17. PAYPAL HOLDINGS INC
2019-01-23
2019-04-11
17. PEPSICO INC
2018-05-22
2019-04-11
21. PFIZER INC
2019-04-11
40. PFIZER INC
2018-10-30
2019-04-11
16. PHILIP MORRIS INTERNATIONAL
2019-04-11
9. PIONEER NAT RES CO
2019-04-11
8. PRUDENTIAL FINL INC
2019-04-11
2. REGENERON PHARMACEUTICALS INC
2019-04-11
12. ROSS STORES INC
2018-12-11
2019-04-11
4. SVB FINANCIAL GROUP
2019-04-11
10. SALESFORCE.COM INC
2018-10-08
2019-04-11
17. SCHWAB CHARLES CORP NEW
2019-04-11
10. STANLEY BLACK & DECKER,INC.
2019-04-11
19. TEXAS INSTRS INC
2019-02-19
2019-04-11
13. UNION PAC CORP
2019-04-11
6. UNITED TECHNOLOGIES CORP
2018-01-08
2019-04-11
16. UNITEDHEALTH GROUP INC
2019-04-11
5. VERTEX PHARMACEUTICALS INC
2011-12-15
2019-04-11
9. VISA INC CLASS A SHARES
2015-10-19
2019-04-11
11. WASTE CONNECTIONS INC
2016-08-10
2019-04-11
37. WELLS FARGO & CO NEW
2009-12-15
2019-04-11
5. WEX INC
2016-05-02
2019-04-11
7. YUM BRANDS INC
2019-04-11
16. ZIMMER HLDGS INC
2019-04-11
9. ALLEGION PLC
2019-04-11
8. ACCENTURE PLC
2019-04-11
10. LINDE PLC
2019-04-08
2019-04-11
14. MEDTRONIC PLC
2018-07-18
2019-04-11
12. APTIV PLC
2018-04-26
2019-04-11
12. CHUBB LTD
2012-01-09
2019-04-11
10. NXP SEMICONDUCTORS NV
2019-04-11
. DOW INC
2019-04-23
69. OCCIDENTAL PETE CORP
2018-01-08
2019-04-25
70. OCCIDENTAL PETE CORP
2018-01-08
2019-04-25
15. OCCIDENTAL PETE CORP
2019-05-01
3. OCCIDENTAL PETE CORP
2017-02-10
2019-05-01
9. REGENERON PHARMACEUTICALS INC
2019-05-01
2. REGENERON PHARMACEUTICALS INC
2019-05-01
44. OCCIDENTAL PETE CORP
2019-05-02
3. OCCIDENTAL PETE CORP
2017-02-13
2019-05-02
2. OCCIDENTAL PETE CORP
2017-02-13
2019-05-02
9. OCCIDENTAL PETE CORP
2019-05-02
4. OCCIDENTAL PETE CORP
2008-10-15
2019-05-02
5. OCCIDENTAL PETE CORP
2008-10-15
2019-05-03
16. OCCIDENTAL PETE CORP
2008-10-15
2019-05-03
2. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
34. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
16. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
5. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
7. PRUDENTIAL FINL INC
2018-12-21
2019-05-14
49. SCHWAB CHARLES CORP NEW
2019-05-15
43. SCHWAB CHARLES CORP NEW
2019-05-16
11. SCHWAB CHARLES CORP NEW
2015-01-14
2019-05-16
28. SCHWAB CHARLES CORP NEW
2019-05-16
12. MEDTRONIC PLC
2018-04-10
2019-05-16
27. MEDTRONIC PLC
2019-05-16
33. MEDTRONIC PLC
2019-05-16
13. MEDTRONIC PLC
2019-05-17
23. MEDTRONIC PLC
2019-05-17
11. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
12. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
5. PARKER HANNIFIN CORP
2018-01-11
2019-05-20
44. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-05
16. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-05
48. PHILIP MORRIS INTERNATIONAL
2018-01-08
2019-06-05
6. PHILIP MORRIS INTERNATIONAL
2018-10-24
2019-06-05
1. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-06
14. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-06
16. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-06
3. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-06
2. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-07
2. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-07
3. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-07
1. DELTA AIR LINES INC DEL NEW
2018-01-08
2019-06-07
134. BANK OF AMERICA CORPORATION
2019-06-10
29. DOLLAR TREE INC
2019-06-10
105. WELLS FARGO & CO NEW
2019-06-10
30. DOLLAR TREE INC
2019-06-11
12. DOLLAR TREE INC
2018-12-17
2019-06-11
10. DOLLAR TREE INC
2018-12-17
2019-06-11
. CORTEVA INC
2019-06-13
. DUPONT DE NEMOURS INC-WI
2019-06-13
30000. FHLMC 2.375% 01/13/2022 DTD 01/13/2012
2019-06-13
12000. US TREAS 3.5% 05/15/20
2010-12-01
2019-06-13
25000. US TREAS 3.625% 02/15/21
2011-03-14
2019-06-13
7000. USA TREAS NOTES
2019-06-13
15000. US TREAS 2% 02/15/23
2019-06-13
1514.518 DIAMOND HILL LONG/SHORT-Y
2018-11-16
2019-06-18
10. ADOBE SYS INC
2012-08-03
2019-06-27
. AMGEN INC
2019-07-17
8000. USA TREAS NOTES
2017-05-15
2019-07-31
10. SVB FINANCIAL GROUP
2019-08-14
6. SVB FINANCIAL GROUP
2015-02-05
2019-08-14
15. APTIV PLC
2018-04-26
2019-08-14
8. APTIV PLC
2019-08-14
22. APTIV PLC
2019-08-14
12. SVB FINANCIAL GROUP
2015-02-05
2019-08-15
41. APTIV PLC
2019-08-15
. GENERAL MOTORS CO
2019-09-05
840. ISHARES TR BARCLAYS MBS BD FD
2019-02-11
2019-09-19
1125. VANGUARD BD INDEX FD INC
2019-09-19
52. DISNEY WALT CO
2019-10-25
13. ACCENTURE PLC
2014-01-15
2019-10-25
17. ACCENTURE PLC
2019-10-28
2441.151 CAPITAL GR NON US EQUITY
2016-01-12
2019-10-31
10000. US TREAS 1.5% 10/31/19
2015-01-05
2019-10-31
34. NISOURCE INC
2019-11-11
43. NISOURCE INC
2019-11-11
35. NISOURCE INC
2019-11-12
88. NISOURCE INC
2019-11-12
9. NISOURCE INC
2013-02-26
2019-11-12
7. NISOURCE INC
2013-02-26
2019-11-13
5000. U S A NOTES
2019-04-26
2019-11-15
50. CELGENE CORP.
2019-11-21
154. CELGENE CORP.
2019-11-21
78. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
8. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
3. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-25
393.809 FIDELITY 500 INDEX-INST PRM
2018-02-07
2019-11-25
99. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-26
16. RTS BRISTOL-MYERS SQUIBB-CVR
2019-11-21
2019-11-27
2351.194 EQUINOX IMP SYSTEM MACRO-I
2015-12-23
2019-12-09
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
20,050
19,979
71
b
51,960
83,321
-31,361
c
69
74
-5
d
615
668
-53
e
137
149
-12
204
223
-19
793
190
603
988
1,164
-176
83
97
-14
1,017
1,114
-97
599
142
457
1,989
475
1,514
164
144
20
1,480
1,746
-266
136
149
-13
345
371
-26
69
74
-5
2,836
665
2,171
2,073
1,801
272
136
149
-13
271
297
-26
1,165
1,009
156
207
223
-16
246
216
30
139
149
-10
1,420
1,225
195
70
74
-4
140
149
-9
279
297
-18
63,532
64,286
-754
20,000
20,785
-785
40,631
41,062
-431
31,889
32,913
-1,024
53,111
53,728
-617
106,052
105,195
857
44,030
37,152
6,878
44,201
46,754
-2,553
1,570
1,382
188
626
553
73
1,889
1,658
231
1,565
1,380
185
3,443
2,108
1,335
630
382
248
2,542
1,520
1,022
5,000
5,064
-64
512
64
448
1,161
1,052
109
1,168
727
441
1,680
435
1,245
219
206
13
1,398
208
1,190
459
442
17
928
973
-45
805
856
-51
319
342
-23
637
374
263
370
390
-20
818
120
698
59,864
47,719
12,145
173
209
-36
341
306
35
692
676
16
364
357
7
463
434
29
248
273
-25
301
316
-15
805
771
34
402
371
31
709
834
-125
648
632
16
380
456
-76
517
226
291
427
256
171
342
340
2
334
368
-34
737
135
602
926
319
607
226
176
50
375
450
-75
410
80
330
419
571
-152
901
132
769
565
397
168
2,236
879
1,357
517
480
37
795
663
132
358
371
-13
376
339
37
271
193
78
718
602
116
563
586
-23
463
805
-342
375
252
123
728
850
-122
346
416
-70
580
542
38
699
599
100
961
979
-18
523
673
-150
555
625
-70
289
240
49
474
403
71
246
138
108
629
605
24
319
204
115
403
321
82
742
753
-11
835
668
167
252
267
-15
1,194
611
583
363
131
232
444
231
213
338
212
126
702
369
333
351
188
163
193
184
9
740
688
52
270
200
70
489
261
228
339
321
18
462
440
22
332
348
-16
535
447
88
277
283
-6
45,021
41,759
3,262
3,522
506
3,016
1,921
2,054
-133
8,954
7,479
1,475
4,574
4,217
357
12
12
15,000
17,249
-2,249
209
209
1,753
1,971
-218
189
215
-26
286
318
-32
115
127
-12
2,518
2,595
-77
1,260
1,179
81
284
265
19
1,627
192
1,435
564
539
25
1,202
1,052
150
3,607
1,566
2,041
1,206
727
479
5,543
1,142
4,401
662
618
44
4,804
623
4,181
35,000
25,063
9,937
1,127
1,030
97
2,655
2,750
-95
2,046
2,140
-94
1,729
1,052
677
2,777
360
2,417
1,134
1,251
-117
2,127
1,836
291
2,110
1,966
144
1,026
982
44
2,177
2,111
66
814
765
49
924
945
-21
1,995
1,758
237
13,500
10,820
2,680
1,141
1,020
121
1,844
2,037
-193
1,865
1,715
150
1,513
1,709
-196
1,421
602
819
1,349
766
583
1,041
1,013
28
674
736
-62
674
687
-13
1,999
338
1,661
2,879
887
1,992
538
409
129
1,035
1,256
-221
2,543
1,719
824
1,474
262
1,212
1,461
1,853
-392
2,840
219
2,621
2,018
2,035
-17
6,872
2,474
4,398
1,493
1,187
306
2,280
1,661
619
724
741
-17
1,322
1,186
136
779
537
242
2,121
1,652
469
1,362
1,466
-104
1,344
1,878
-534
815
504
311
334
384
-50
1,737
1,952
-215
549
625
-76
1,818
1,537
281
2,081
1,697
384
897
728
169
1,709
1,703
6
1,371
1,723
-352
1,345
1,319
26
795
640
155
815
853
-38
1,183
967
216
954
530
424
1,591
1,514
77
753
495
258
1,426
1,064
362
2,176
2,044
132
2,165
1,735
430
791
802
-11
3,944
1,246
2,698
952
157
795
1,427
694
733
949
582
367
1,773
958
815
993
471
522
698
643
55
2,059
1,835
224
839
598
241
1,422
671
751
1,810
1,849
-39
1,241
1,233
8
1,057
1,045
12
1,650
840
810
981
941
40
38
38
4,286
5,180
-894
4,347
5,255
-908
864
1,043
-179
174
208
-34
3,069
3,729
-660
680
798
-118
2,523
3,007
-484
172
202
-30
115
134
-19
517
596
-79
230
177
53
290
221
69
930
708
222
196
159
37
3,346
2,708
638
1,581
1,274
307
488
398
90
693
558
135
2,096
1,414
682
1,874
1,215
659
478
298
180
1,215
750
465
1,058
952
106
2,380
2,377
3
2,915
2,613
302
1,143
1,025
118
2,031
1,785
246
1,794
2,290
-496
1,959
2,499
-540
815
1,041
-226
2,417
2,405
12
879
875
4
3,707
5,000
-1,293
463
535
-72
55
55
768
765
3
873
875
-2
164
164
110
109
1
111
109
2
167
164
3
55
55
55
55
3,779
2,121
1,658
3,011
2,671
340
4,872
2,557
2,315
3,199
2,745
454
1,280
1,037
243
1,066
864
202
9
9
25
25
30,378
30,741
-363
12,158
12,669
-511
25,714
25,543
171
6,988
6,982
6
15,100
15,251
-151
40,256
40,000
256
2,937
319
2,618
20
20
8,000
8,000
1,909
1,257
652
1,141
721
420
1,193
1,306
-113
643
695
-52
1,756
1,589
167
2,241
1,443
798
3,251
2,903
348
26
26
90,689
88,315
2,374
90,598
88,919
1,679
6,829
5,179
1,650
2,381
1,081
1,300
3,124
1,369
1,755
35,665
25,705
9,960
10,000
9,952
48
892
571
321
1,123
658
465
912
408
504
2,291
855
1,436
234
87
147
184
68
116
5,000
5,025
-25
5,402
1,489
3,913
16,637
14,370
2,267
163
179
-16
17
18
-1
6
7
-1
43,000
36,963
6,037
210
228
-18
34
37
-3
22,830
23,347
-517
17,306
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
71
b
-31,361
c
-5
d
-53
e
-12
-19
603
-176
-14
-97
457
1,514
20
-266
-13
-26
-5
2,171
272
-13
-26
156
-16
30
-10
195
-4
-9
-18
-754
-785
-431
-1,024
-617
857
6,878
-2,553
188
73
231
185
1,335
248
1,022
-64
448
109
441
1,245
13
1,190
17
-45
-51
-23
263
-20
698
12,145
-36
35
16
7
29
-25
-15
34
31
-125
16
-76
291
171
2
-34
602
607
50
-75
330
-152
769
168
1,357
37
132
-13
37
78
116
-23
-342
123
-122
-70
38
100
-18
-150
-70
49
71
108
24
115
82
-11
167
-15
583
232
213
126
333
163
9
52
70
228
18
22
-16
88
-6
3,262
3,016
-133
1,475
357
12
-2,249
209
-218
-26
-32
-12
-77
81
19
1,435
25
150
2,041
479
4,401
44
4,181
9,937
97
-95
-94
677
2,417
-117
291
144
44
66
49
-21
237
2,680
121
-193
150
-196
819
583
28
-62
-13
1,661
1,992
129
-221
824
1,212
-392
2,621
-17
4,398
306
619
-17
136
242
469
-104
-534
311
-50
-215
-76
281
384
169
6
-352
26
155
-38
216
424
77
258
362
132
430
-11
2,698
795
733
367
815
522
55
224
241
751
-39
8
12
810
40
38
-894
-908
-179
-34
-660
-118
-484
-30
-19
-79
53
69
222
37
638
307
90
135
682
659
180
465
106
3
302
118
246
-496
-540
-226
12
4
-1,293
-72
3
-2
1
2
3
1,658
340
2,315
454
243
202
9
25
-363
-511
171
6
-151
256
2,618
20
652
420
-113
-52
167
798
348
26
2,374
1,679
1,650
1,300
1,755
9,960
48
321
465
504
1,436
147
116
-25
3,913
2,267
-16
-1
-1
6,037
-18
-3
-517
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
119,510
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
225,293
4,733,913
0.047591
2017
193,393
4,626,614
0.0418
2016
245,765
3,965,134
0.061982
2015
248,344
4,992,409
0.049744
2014
101,202
5,031,046
0.020115
2
Total
of line 1, column (d)
.....................
2
0.221232
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
0.044246
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
4,701,852
5
Multiply line 4 by line 3
......................
5
208,038
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
2,752
7
Add lines 5 and 6
........................
7
210,790
8
Enter qualifying distributions from Part XII, line 4
,.............
8
234,673
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
2,752
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
2,752
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
2,752
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
5,505
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
5,505
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
2,753
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
2,752
Refunded
11
1
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)
TX
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
JP MORGAN CHASE BANK NA
Telephone no.
(800) 496-2583
Located at
10 S DEARBORN ST MC IL 1-0111
CHICAGO
IL
ZIP+4
60603
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
JP MORGAN CHASE BANK N A
TRUSTEE
2
43,541
10 S DEARBORN ST MC IL 1-0111
CHICAGO
,
IL
60603
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
4,518,032
b
Average of monthly cash balances
.......................
1b
129,623
c
Fair market value of all other assets (see instructions)
................
1c
125,799
d
Total
(add lines 1a, b, and c)
.........................
1d
4,773,454
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
4,773,454
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
71,602
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
4,701,852
6
Minimum investment return.
Enter 5% of line 5
..................
6
235,093
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
235,093
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
2,752
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
2,752
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
232,341
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
232,341
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
232,341
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
234,673
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
234,673
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
2,752
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
231,921
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
232,341
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
217,872
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
0
b
From 2015
......
0
c
From 2016
......
0
d
From 2017
......
0
e
From 2018
......
0
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
234,673
a
Applied to 2018, but not more than line 2a
217,872
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
.....
16,801
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
..........
215,540
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
....
0
b
Excess from 2016
....
0
c
Excess from 2017
....
0
d
Excess from 2018
....
0
e
Excess from 2019
....
0
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
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE
Dallas
,
TX
75231
NONE
PC
GENERAL
108,936
BAYLOR COLLEGE OF MEDICINE
ATTN ANNE KATHRYN HUNTER
HOUSTON
,
TX
770303411
NONE
PC
GENERAL
54,468
THE UNIVERSITY OF TEXAS MD
Anderson Cancer Center
1515 HOLCOMBE BLVD
Houston
,
TX
77030
NONE
PC
GENERAL
54,468
Total
.................................
3a
217,872
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
171,001
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
119,510
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
FEDERAL TAX REFUND
1
159
b
ROYALTY INCOME
15
14,074
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
304,744
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
304,744
(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