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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
08-01-2019
, and ending
07-31-2020
Name of foundation
LULA H MCAFEE FOUNDATION XXXXX7006
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
74-6109154
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)
$
988,431
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
...
26,896
26,892
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
37,644
b
Gross sales price for all assets on line 6a
287,081
7
Capital gain net income (from Part IV, line 2)
...
37,644
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
........
64,540
64,536
13
Compensation of officers, directors, trustees, etc.
17,701
10,373
7,328
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)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
441
265
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
..........
18,142
10,638
0
7,328
25
Contributions, gifts, grants paid
.......
42,500
42,500
26
Total expenses and disbursements.
Add lines 24 and 25
60,642
10,638
0
49,828
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
3,898
b
Net investment income
(if negative, enter -0-)
53,898
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
.............
19,014
1,655
1,655
2
Savings and temporary cash investments
.........
10,945
10,985
10,985
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)
.......
429,842
414,321
515,839
c
Investments—corporate bonds (attach schedule)
.......
348,363
386,136
416,549
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
45,611
44,543
43,403
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)
853,775
857,640
988,431
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
........
853,775
857,640
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)
.....
853,775
857,640
30
Total liabilities and net assets/fund balances
(see instructions)
.
853,775
857,640
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
853,775
2
Enter amount from Part I, line 27a
.....................
2
3,898
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
857,673
5
Decreases not included in line 2 (itemize)
5
33
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
857,640
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. AIR PRODS & CHEMS INC
2018-05-01
2019-08-01
b
1. COMCAST CORP NEW CL A
2019-05-07
2019-08-01
c
1. COMCAST CORP NEW CL A
2017-11-16
2019-08-01
d
1. COMCAST CORP NEW CL A
2017-11-16
2019-08-01
e
2. COMCAST CORP NEW CL A
2019-08-01
1. COMCAST CORP NEW CL A
2017-11-16
2019-08-02
1. COMCAST CORP NEW CL A
2018-12-14
2019-08-02
1. COMCAST CORP NEW CL A
2018-12-14
2019-08-02
1. COMCAST CORP NEW CL A
2018-12-14
2019-08-02
10. PFIZER INC
2019-08-02
2. COMCAST CORP NEW CL A
2018-12-14
2019-08-05
2. PFIZER INC
2019-04-18
2019-08-05
1. PFIZER INC
2019-04-18
2019-08-05
1. PFIZER INC
2019-04-18
2019-08-05
3. PFIZER INC
2019-04-18
2019-08-05
1. PFIZER INC
2019-04-18
2019-08-05
4. NISOURCE INC
2018-10-24
2019-08-06
9. NISOURCE INC
2019-08-06
5. NISOURCE INC
2019-08-07
3. CHEVRON CORP
2019-04-12
2019-08-13
1. GENUINE PARTS CO
2008-05-07
2019-08-28
65. ISHARES MISCI EAFE INDEX FUND
2011-07-13
2019-08-28
103.135 JPMORGAN CORE BOND FUND ULTRA
2013-08-08
2019-08-28
105.619 VANGUARD TTL INTL BND-ADM
2019-06-14
2019-08-28
3. GENUINE PARTS CO
2008-05-07
2019-08-29
1. GENUINE PARTS CO
2008-05-07
2019-08-30
1. GENUINE PARTS CO
2008-05-07
2019-09-03
5. COMCAST CORP NEW CL A
2018-12-14
2019-09-04
2. ILLINOIS TOOL WKS INC
2013-03-21
2019-09-04
1. CME GROUP INC
2012-02-14
2019-09-10
3. MICROSOFT CORP
2009-07-17
2019-09-10
1. CME GROUP INC
2012-02-14
2019-09-11
5. ALTRIA GROUP INC
2019-09-13
1. ALTRIA GROUP INC
2014-06-20
2019-09-13
1. ALTRIA GROUP INC
2014-06-20
2019-09-13
2. ALTRIA GROUP INC
2014-06-20
2019-09-13
1. GENUINE PARTS CO
2008-05-07
2019-09-23
185. ISHARES TR BARCLAYS MBS BD FD
2019-02-11
2019-09-23
344.986 JPM GL RES ENH IDX FD - USD - R6 ISIN US48129C2070
2013-04-12
2019-09-23
125. VANGUARD BD INDEX FD INC
2019-03-11
2019-09-23
1. GENERAL DYNAMICS CORP
2019-06-05
2019-09-25
1. GENUINE PARTS CO
2008-05-07
2019-09-25
1. GENERAL DYNAMICS CORP
2019-03-01
2019-09-26
1. GENUINE PARTS CO
2008-05-07
2019-09-26
7.566 CORTEVA INC
2019-10-01
1.434 CORTEVA INC
2019-03-01
2019-10-01
2. HONEYWELL INTL INC
2009-07-17
2019-10-01
3. STARBUCKS CORP
2018-08-10
2019-10-01
1. THE TRAVELERS COMPANIES INC.
2008-05-07
2019-10-01
1. STANLEY BLACK & DECKER,INC.
2018-12-04
2019-10-02
5. ABBOTT LABS
2015-05-05
2019-10-04
1. STANLEY BLACK & DECKER,INC.
2018-12-04
2019-10-04
1. STANLEY BLACK & DECKER,INC.
2016-11-01
2019-10-07
1. APPLE COMPUTER INC
2019-04-10
2019-10-17
1. APPLE COMPUTER INC
2013-12-13
2019-10-17
2. MICROSOFT CORP
2009-07-17
2019-10-17
1. MICROSOFT CORP
2009-07-17
2019-10-17
2. MICROSOFT CORP
2009-07-17
2019-10-17
1. MICROSOFT CORP
2009-07-17
2019-10-17
1. TEXAS INSTRS INC
2019-05-07
2019-10-17
1. TEXAS INSTRS INC
2013-03-12
2019-10-17
1. TEXAS INSTRS INC
2013-03-12
2019-10-18
1. TEXAS INSTRS INC
2013-03-12
2019-10-18
1. TEXAS INSTRS INC
2013-03-12
2019-10-21
1. HARTFORD FINL SVCS GROUP INC
2015-07-01
2019-10-22
1. HARTFORD FINL SVCS GROUP INC
2015-07-01
2019-10-22
1. MICROSOFT CORP
2009-07-17
2019-10-22
2. MICROSOFT CORP
2009-07-17
2019-10-22
2. HARTFORD FINL SVCS GROUP INC
2015-07-01
2019-10-23
1. MICROSOFT CORP
2009-07-17
2019-10-23
1. HARTFORD FINL SVCS GROUP INC
2015-07-01
2019-10-24
1. HARTFORD FINL SVCS GROUP INC
2015-07-01
2019-10-28
1. TIFFANY & CO NEW
2018-10-31
2019-10-28
1. TIFFANY & CO NEW
2018-11-12
2019-10-28
1. TIFFANY & CO NEW
2018-11-13
2019-10-28
1. TIFFANY & CO NEW
2018-11-12
2019-10-28
1. TIFFANY & CO NEW
2018-10-30
2019-10-28
1. BECTON DICKINSON & CO
2011-10-13
2019-10-29
1. HARTFORD FINL SVCS GROUP INC
2015-07-01
2019-10-29
1. EDISON INTL
2019-07-31
2019-10-30
1. TIFFANY & CO NEW
2018-10-29
2019-10-30
2. TIFFANY & CO NEW
2019-10-30
1. EDISON INTL
2019-07-31
2019-10-31
1. EDISON INTL
2019-07-31
2019-10-31
1. EDISON INTL
2019-07-31
2019-10-31
1. ILLINOIS TOOL WKS INC
2013-03-21
2019-11-01
1. ILLINOIS TOOL WKS INC
2013-03-21
2019-11-01
2. MICROSOFT CORP
2009-07-17
2019-11-01
12. NISOURCE INC
2019-11-01
1. CHUBB LTD
2015-07-23
2019-11-01
1. CHUBB LTD
2019-05-07
2019-11-01
1. HOME DEPOT INC
2019-05-07
2019-11-05
1. HOME DEPOT INC
2009-07-17
2019-11-05
2. MERCK & CO INC
2012-04-04
2019-11-15
4. PFIZER INC
2019-04-18
2019-11-15
9. PFIZER INC
2009-10-16
2019-11-15
3. PFIZER INC
2019-04-18
2019-11-15
1. MERCK & CO INC
2012-04-04
2019-11-18
2. MERCK & CO INC
2012-04-04
2019-11-18
2. MERCK & CO INC
2012-04-04
2019-11-19
1. TIFFANY & CO NEW
2019-07-01
2019-11-22
1014.988 EV GLBL MACR ABS RTRN-R6
2016-02-04
2019-11-25
105.321 FIDELITY 500 INDEX-INST PRM
2018-02-07
2019-11-25
1. TIFFANY & CO NEW
2019-07-01
2019-11-25
3. TIFFANY & CO NEW
2019-02-01
2019-11-25
1. HOME DEPOT INC
2009-07-17
2019-12-03
1. PPG INDS INC
2016-08-02
2019-12-03
1. PPG INDS INC
2019-05-07
2019-12-03
1. STANLEY BLACK & DECKER,INC.
2016-11-01
2019-12-03
2. AIR PRODS & CHEMS INC
2019-12-10
1. ALEXANDRIA REAL ESTATE EQUITIES INC
2010-05-20
2019-12-10
6. ALTRIA GROUP INC
2019-12-10
2. ANALOG DEVICES INC
2019-01-04
2019-12-10
3. ANALOG DEVICES INC
2011-05-03
2019-12-10
2. APPLE COMPUTER INC
2013-12-13
2019-12-10
2. AUTOMATIC DATA PROCESSING INC
2019-12-10
1. AVALONBAY CMNTYS INC
2018-03-01
2019-12-10
34. BANK OF AMERICA CORPORATION
2019-12-10
2. BECTON DICKINSON & CO
2011-10-13
2019-12-10
2. BLACKROCK INC
2019-12-10
1. BOSTON PPTYS INC
2016-03-16
2019-12-10
2. BRISTOL MYERS SQUIBB CO
2019-12-10
11. BRISTOL MYERS SQUIBB CO
2019-12-10
5. CME GROUP INC
2012-02-14
2019-12-10
5. CMS ENERGY CORP
2008-05-07
2019-12-10
4. CVS CORP
2019-12-10
3. CAPITAL ONE FINL CORP
2019-12-10
1. CHEVRON CORP
2019-04-12
2019-12-10
8. CHEVRON CORP
2019-12-10
8. COCA-COLA CO
2019-12-10
3. COMCAST CORP NEW CL A
2019-12-10
12. COMCAST CORP NEW CL A
2019-12-10
12. CONOCOPHILLIPS
2019-12-10
2. CULLEN FROST BANKERS INC
2011-11-10
2019-12-10
2. DEERE & CO
2019-12-10
3. DISCOVER FINL SVCS
2016-04-25
2019-12-10
3. DOVER CORP
2019-12-10
3. DOVER CORP
2019-11-01
2019-12-10
3. DUPONT DE NEMOURS INC-WI
2019-12-10
2. EDISON INTL
2019-12-10
6. EXXON MOBIL CORP
2019-12-10
2. FIDELITY NATL INFORMATION SVCS INC
2013-03-22
2019-12-10
1. FIDELITY NATL INFORMATION SVCS INC
2019-05-07
2019-12-10
2. ARTHUR J GALLAGHER & CO
2012-03-16
2019-12-10
2. ARTHUR J GALLAGHER & CO
2019-05-07
2019-12-10
3. GENERAL DYNAMICS CORP
2019-12-10
2. GILEAD SCIENCES INC
2018-10-15
2019-12-10
8. HARTFORD FINL SVCS GROUP INC
2019-12-10
4. HASBRO INC
2019-12-10
2. HOME DEPOT INC
2009-07-17
2019-12-10
1. HONEYWELL INTL INC
2009-07-17
2019-12-10
2. ILLINOIS TOOL WKS INC
2013-03-20
2019-12-10
5. JOHNSON & JOHNSON
2019-12-10
5. LAS VEGAS SANDS CORP
2019-12-10
3. LILLY ELI & CO
2019-12-10
2. M & T BK CORP
2010-11-04
2019-12-10
1. MARSH & MCLENNAN COS INC
2019-09-04
2019-12-10
2. MCDONALDS CORP
2019-12-10
1. MCDONALDS CORP
2018-08-09
2019-12-10
6. MERCK & CO INC
2019-12-10
7. METLIFE INC
2013-06-26
2019-12-10
4. MICROSOFT CORP
2009-07-17
2019-12-10
10. MONDELEZ INTERNATIONAL-W/I
2019-12-10
1. NEXTERA ENERGY INC
2019-04-10
2019-12-10
1. NEXTERA ENERGY INC
2018-02-06
2019-12-10
1. NORFOLK SOUTHN CORP
2018-12-19
2019-12-10
1. NORFOLK SOUTHN CORP
2015-10-28
2019-12-10
2. NORTHERN TR CORP
2012-12-26
2019-12-10
1. PNC FINL SVCS GROUP INC
2019-04-10
2019-12-10
4. PNC FINL SVCS GROUP INC
2013-06-25
2019-12-10
4. PPG INDS INC
2018-06-04
2019-12-10
2. PARKER HANNIFIN CORP
2019-12-10
3. PEPSICO INC
2019-12-10
12. PFIZER INC
2019-12-10
1. PHILIP MORRIS INTERNATIONAL
2018-03-01
2019-12-10
6. PHILIP MORRIS INTERNATIONAL
2019-12-10
3. PRICE T ROWE GROUP INC
2019-12-10
4. PROCTER & GAMBLE CO
2019-12-10
3. PROGRESSIVE CORP OHIO
2019-12-10
5. PRUDENTIAL FINL INC
2019-12-10
4. PUBLIC SVC ENTERPRISE GROUP INC
2019-12-10
2. RPM INC OHIO
2019-12-10
3. REPUBLIC SERVICES INC
2019-12-10
1. SIMON PPTY GROUP INC NEW
2019-05-07
2019-12-10
2. STANLEY BLACK & DECKER,INC.
2019-12-10
5. TEXAS INSTRS INC
2019-12-10
1. TIFFANY & CO NEW
2019-02-01
2019-12-10
4. THE TRAVELERS COMPANIES INC.
2008-05-07
2019-12-10
7. TRUIST FINANCIAL CORP
2019-12-10
7. US BANCORP DEL NEW
2019-12-10
3. UNITED TECHNOLOGIES CORP
2019-12-10
1. UNITEDHEALTH GROUP INC
2019-10-30
2019-12-10
4. V F CORP
2019-12-10
2. VALERO REFNG & MARKETING CO
2018-08-29
2019-12-10
1. VALERO REFNG & MARKETING CO
2019-05-07
2019-12-10
2. VENTAS INC
2019-12-10
8. VERIZON COMMUNICATIONS
2008-05-07
2019-12-10
2. VERIZON COMMUNICATIONS
2019-04-10
2019-12-10
3. VORNADO RLTY TR
2018-08-10
2019-12-10
2. WAL MART STORES INC
2019-12-10
12. WELLS FARGO & CO NEW
2019-12-10
3. WYNDHAM HOTELS & RESORTS INC
2019-12-10
7. XCEL ENERGY INC
2019-12-10
2. ACCENTURE PLC
2019-12-10
5. MEDTRONIC PLC
2019-12-10
2. CHUBB LTD
2019-12-10
4. NISOURCE INC
2012-12-19
2019-12-11
1. NISOURCE INC
2012-12-19
2019-12-12
3. NISOURCE INC
2012-12-19
2019-12-12
8. NISOURCE INC
2012-12-19
2019-12-13
1. ILLINOIS TOOL WKS INC
2013-03-20
2019-12-18
1. ILLINOIS TOOL WKS INC
2013-03-20
2019-12-18
2. APPLE COMPUTER INC
2013-12-13
2020-01-02
2. DOVER CORP
2020-01-02
1. TIFFANY & CO NEW
2019-01-04
2020-01-03
1. TIFFANY & CO NEW
2019-01-04
2020-01-03
1. TIFFANY & CO NEW
2019-01-04
2020-01-06
1. V F CORP
2019-08-19
2020-01-08
460.852 CRM LNG/SHRT OPPORT-INST
2016-12-09
2020-01-09
1. V F CORP
2019-08-19
2020-01-09
1.797 CORTEVA INC
2010-04-29
2020-01-15
.203 CORTEVA INC
2019-03-01
2020-01-15
2. CORTEVA INC
2010-04-29
2020-01-15
3. CORTEVA INC
2020-01-15
425.159 CRM LNG/SHRT OPPORT-INST
2016-12-09
2020-01-16
1. CORTEVA INC
2010-05-06
2020-01-16
1. CORTEVA INC
2010-05-06
2020-01-16
1. THE TRAVELERS COMPANIES INC.
2008-05-07
2020-01-30
1. APPLE COMPUTER INC
2013-12-13
2020-01-31
179.621 AMER FNDS INTL VNTG-F3
2012-05-31
2020-01-31
1. FIDELITY NATL INFORMATION SVCS INC
2013-03-21
2020-01-31
1. FIDELITY NATL INFORMATION SVCS INC
2013-03-21
2020-01-31
1. ILLINOIS TOOL WKS INC
2013-04-23
2020-01-31
2. LILLY ELI & CO
2020-01-31
2. THE TRAVELERS COMPANIES INC.
2008-05-07
2020-01-31
2. ANALOG DEVICES INC
2011-05-03
2020-02-03
3. COCA-COLA CO
2019-02-27
2020-02-03
1. FIDELITY NATL INFORMATION SVCS INC
2013-03-21
2020-02-03
2. LILLY ELI & CO
2018-02-05
2020-02-03
2. MERCK & CO INC
2010-09-30
2020-02-03
1. MICROSOFT CORP
2009-07-17
2020-02-03
1. NEXTERA ENERGY INC
2011-02-14
2020-02-03
6. MERCK & CO INC
2020-02-05
2. ABBOTT LABS
2015-05-06
2020-02-10
1. AIR PRODS & CHEMS INC
2017-10-02
2020-02-10
1. ALTRIA GROUP INC
2019-11-18
2020-02-10
1. ANALOG DEVICES INC
2011-05-03
2020-02-10
1. AUTOMATIC DATA PROCESSING INC
2019-05-07
2020-02-10
1. AVALONBAY CMNTYS INC
2018-03-01
2020-02-10
6. BANK OF AMERICA CORPORATION
2016-08-16
2020-02-10
3. BRISTOL MYERS SQUIBB CO
2019-08-02
2020-02-10
1. CMS ENERGY CORP
2008-05-07
2020-02-10
1. CAPITAL ONE FINL CORP
2015-05-01
2020-02-10
2. CHEVRON CORP
2020-02-10
1. CINCINNATI FINL CORP
2009-07-17
2020-02-10
1. COCA-COLA CO
2019-02-27
2020-02-10
1. COCA-COLA CO
2018-04-05
2020-02-10
3. COMCAST CORP NEW CL A
2018-09-24
2020-02-10
2. CONOCOPHILLIPS
2019-11-01
2020-02-10
1. DEERE & CO
2020-01-02
2020-02-10
1. DISCOVER FINL SVCS
2020-01-24
2020-02-10
1. DOVER CORP
2017-06-23
2020-02-10
1. DUPONT DE NEMOURS INC-WI
2020-02-10
1. EXXON MOBIL CORP
2019-05-01
2020-02-10
1. GILEAD SCIENCES INC
2018-10-15
2020-02-10
1. HARTFORD FINL SVCS GROUP INC
2012-09-21
2020-02-10
1. ILLINOIS TOOL WKS INC
2013-04-23
2020-02-10
1. JOHNSON & JOHNSON
2019-12-02
2020-02-10
1. LILLY ELI & CO
2018-02-05
2020-02-10
1. MERCK & CO INC
2010-12-10
2020-02-10
1. METLIFE INC
2013-06-26
2020-02-10
1. MICROSOFT CORP
2009-07-17
2020-02-10
2. MONDELEZ INTERNATIONAL-W/I
2019-10-30
2020-02-10
1. NEXTERA ENERGY INC
2011-02-14
2020-02-10
1. NORFOLK SOUTHN CORP
2015-10-28
2020-02-10
1. NORTHERN TR CORP
2012-12-26
2020-02-10
1. PNC FINL SVCS GROUP INC
2013-06-25
2020-02-10
1. PARKER HANNIFIN CORP
2019-06-28
2020-02-10
2. PFIZER INC
2020-02-10
1. PHILIP MORRIS INTERNATIONAL
2020-01-02
2020-02-10
1. PRICE T ROWE GROUP INC
2009-07-17
2020-02-10
1. PROCTER & GAMBLE CO
2019-04-18
2020-02-10
1. PROGRESSIVE CORP OHIO
2020-02-03
2020-02-10
1. PRUDENTIAL FINL INC
2019-10-01
2020-02-10
1. PUBLIC SVC ENTERPRISE GROUP INC
2018-07-23
2020-02-10
1. STARBUCKS CORP
2018-08-10
2020-02-10
1. TEXAS INSTRS INC
2020-02-03
2020-02-10
2. TRUIST FINANCIAL CORP
2019-04-10
2020-02-10
1. US BANCORP DEL NEW
2011-05-13
2020-02-10
1. UNITED TECHNOLOGIES CORP
2019-09-23
2020-02-10
1. V F CORP
2019-08-20
2020-02-10
1. VENTAS INC
2019-08-12
2020-02-10
2. VERIZON COMMUNICATIONS
2008-05-07
2020-02-10
1. VORNADO RLTY TR
2018-08-10
2020-02-10
1. WAL MART STORES INC
2019-02-01
2020-02-10
2. WELLS FARGO & CO NEW
2020-02-10
1. XCEL ENERGY INC
2013-06-19
2020-02-10
1. MEDTRONIC PLC
2019-10-29
2020-02-10
150. ISHARES MISCI EAFE INDEX FUND
2011-07-13
2020-02-12
127. JPMORGAN BETABUILDERS JAPAN ETF
2020-02-12
73. JPMORGAN BETABUILDERS JAPAN ETF
2018-07-19
2020-02-12
1. EXXON MOBIL CORP
2019-05-01
2020-02-27
5. EXXON MOBIL CORP
2020-02-27
1. BLACKROCK INC
2013-12-16
2020-02-28
1. EXXON MOBIL CORP
2019-06-18
2020-02-28
1. ACCENTURE PLC
2011-11-04
2020-02-28
1. PRUDENTIAL FINL INC
2019-10-01
2020-03-06
1. THE TRAVELERS COMPANIES INC.
2008-05-07
2020-03-06
1. WELLS FARGO & CO NEW
2019-07-29
2020-03-06
1. WELLS FARGO & CO NEW
2019-06-28
2020-03-06
1. WELLS FARGO & CO NEW
2019-06-28
2020-03-06
4. WELLS FARGO & CO NEW
2020-03-06
4. WELLS FARGO & CO NEW
2010-11-03
2020-03-06
1. EDISON INTL
2019-08-02
2020-03-09
1. EXXON MOBIL CORP
2019-06-18
2020-03-09
5. EXXON MOBIL CORP
2020-03-09
1. EXXON MOBIL CORP
2019-06-17
2020-03-09
2. EXXON MOBIL CORP
2009-07-17
2020-03-09
2. PRUDENTIAL FINL INC
2016-06-30
2020-03-09
1. THE TRAVELERS COMPANIES INC.
2008-05-07
2020-03-09
3. WELLS FARGO & CO NEW
2010-11-03
2020-03-09
11. WELLS FARGO & CO NEW
2020-03-09
3. EDISON INTL
2020-03-10
3. EXXON MOBIL CORP
2009-07-17
2020-03-10
1. EXXON MOBIL CORP
2009-07-17
2020-03-10
1. EXXON MOBIL CORP
2009-07-17
2020-03-10
1. PRUDENTIAL FINL INC
2016-06-30
2020-03-10
3. PRUDENTIAL FINL INC
2011-11-09
2020-03-10
1. THE TRAVELERS COMPANIES INC.
2008-05-07
2020-03-10
2. WELLS FARGO & CO NEW
2009-07-17
2020-03-10
2. EDISON INTL
2020-03-11
2. PRUDENTIAL FINL INC
2020-03-11
9. EXXON MOBIL CORP
2009-07-17
2020-03-13
1. EXXON MOBIL CORP
2009-07-17
2020-03-13
2. EXXON MOBIL CORP
2009-07-17
2020-03-13
200. ISHARES MISCI EAFE INDEX FUND
2020-03-13
200. SCHWAB U.S. TIPS ETF
2018-10-01
2020-03-13
132. ISHARES MISCI EAFE INDEX FUND
2020-03-16
68. ISHARES MISCI EAFE INDEX FUND
2020-03-16
60. SPDR TR UNIT SER 1
2020-03-16
25. SPDR TR UNIT SER 1
2020-03-16
1. AIR PRODS & CHEMS INC
2017-09-29
2020-03-18
1. LAS VEGAS SANDS CORP
2019-05-31
2020-03-18
2. LAS VEGAS SANDS CORP
2019-05-31
2020-03-18
2. LAS VEGAS SANDS CORP
2020-03-18
1. RPM INC OHIO
2015-07-07
2020-03-18
1. LAS VEGAS SANDS CORP
2019-05-31
2020-03-19
1. LAS VEGAS SANDS CORP
2018-12-18
2020-03-19
2. RPM INC OHIO
2020-03-20
1. RPM INC OHIO
2015-07-22
2020-03-23
1. DUPONT DE NEMOURS INC-WI
2020-03-24
1. DUPONT DE NEMOURS INC-WI
2020-03-24
3. DUPONT DE NEMOURS INC-WI
2020-03-24
3. DUPONT DE NEMOURS INC-WI
2020-03-25
2. HARTFORD FINL SVCS GROUP INC
2012-09-21
2020-03-25
3. HARTFORD FINL SVCS GROUP INC
2012-09-21
2020-03-26
2. WYNDHAM HOTELS & RESORTS INC
2020-03-26
1. CHEVRON CORP
2020-01-15
2020-03-27
1. CHEVRON CORP
2017-07-05
2020-03-27
5. CHEVRON CORP
2020-03-27
2. HARTFORD FINL SVCS GROUP INC
2012-09-21
2020-03-27
2. WYNDHAM HOTELS & RESORTS INC
2019-11-01
2020-03-27
1. DUPONT DE NEMOURS INC-WI
2010-04-29
2020-03-30
1. DUPONT DE NEMOURS INC-WI
2020-03-30
1. RPM INC OHIO
2015-07-22
2020-03-30
1. RPM INC OHIO
2015-07-21
2020-03-30
1. WYNDHAM HOTELS & RESORTS INC
2019-11-01
2020-03-30
2. DUPONT DE NEMOURS INC-WI
2010-05-06
2020-03-31
1. DUPONT DE NEMOURS INC-WI
2010-05-06
2020-03-31
1. DUPONT DE NEMOURS INC-WI
2010-05-06
2020-04-01
1. ILLINOIS TOOL WKS INC
2013-04-23
2020-04-01
1. MICROSOFT CORP
2009-07-17
2020-04-01
1. RPM INC OHIO
2015-07-21
2020-04-01
2. STANLEY BLACK & DECKER,INC.
2020-04-01
2. THE TRAVELERS COMPANIES INC.
2009-07-17
2020-04-01
2. LAS VEGAS SANDS CORP
2018-12-18
2020-04-03
2. LAS VEGAS SANDS CORP
2020-04-03
2. LAS VEGAS SANDS CORP
2018-12-19
2020-04-06
1. RPM INC OHIO
2015-07-23
2020-04-06
3. GILEAD SCIENCES INC
2020-04-07
2. SIMON PPTY GROUP INC NEW
2014-02-26
2020-04-08
2. SIMON PPTY GROUP INC NEW
2014-02-26
2020-04-08
2. DISCOVER FINL SVCS
2020-01-24
2020-04-09
1. DISCOVER FINL SVCS
2020-01-24
2020-04-09
1. DISCOVER FINL SVCS
2020-02-28
2020-04-13
3. DISCOVER FINL SVCS
2016-04-25
2020-04-13
2. DISCOVER FINL SVCS
2020-02-28
2020-04-13
1. WYNDHAM HOTELS & RESORTS INC
2019-11-01
2020-04-13
1. WYNDHAM HOTELS & RESORTS INC
2014-04-14
2020-04-13
1. WYNDHAM HOTELS & RESORTS INC
2014-04-14
2020-04-13
4. CHEVRON CORP
2015-11-03
2020-04-14
3. WYNDHAM HOTELS & RESORTS INC
2020-04-14
3. WYNDHAM HOTELS & RESORTS INC
2020-04-14
4. DISCOVER FINL SVCS
2016-04-25
2020-04-16
12. WELLS FARGO & CO NEW
2009-07-17
2020-04-16
5. DISCOVER FINL SVCS
2020-04-17
3. GILEAD SCIENCES INC
2020-04-17
1. HONEYWELL INTL INC
2020-02-28
2020-04-17
1. HONEYWELL INTL INC
2009-07-17
2020-04-17
1. DISCOVER FINL SVCS
2015-08-21
2020-04-20
5. DISCOVER FINL SVCS
2015-08-21
2020-04-22
1. EDISON INTL
2019-08-02
2020-04-22
1. EDISON INTL
2019-08-05
2020-04-22
1. VALERO REFNG & MARKETING CO
2019-05-07
2020-04-22
1. VALERO REFNG & MARKETING CO
2019-08-13
2020-04-22
2. VALERO REFNG & MARKETING CO
2019-08-13
2020-04-22
2. COCA-COLA CO
2020-04-23
3. COCA-COLA CO
2018-07-05
2020-04-23
1. EDISON INTL
2019-08-05
2020-04-23
1. EDISON INTL
2019-08-06
2020-04-23
4. LAS VEGAS SANDS CORP
2018-12-19
2020-04-23
1. LAS VEGAS SANDS CORP
2018-12-19
2020-04-23
1. MCDONALDS CORP
2018-08-09
2020-04-23
1. VALERO REFNG & MARKETING CO
2019-08-13
2020-04-23
2. COCA-COLA CO
2018-07-05
2020-04-24
1. MCDONALDS CORP
2018-08-09
2020-04-24
1. MCDONALDS CORP
2018-07-23
2020-04-24
3. ABBOTT LABS
2020-04-27
5. LAS VEGAS SANDS CORP
2020-04-28
1. RPM INC OHIO
2015-07-23
2020-04-28
1. RPM INC OHIO
2015-07-24
2020-04-28
1. LAS VEGAS SANDS CORP
2018-12-20
2020-04-29
1034.743 SIX CIRCLES ULTR SHRT DUR
2018-10-24
2020-04-29
1. RPM INC OHIO
2015-07-24
2020-04-30
45. ISHARES TR 7-10 YR TREAS INDEX FD
2019-09-23
2020-05-07
365. ISHARES US TREASURY BOND ETF
2020-03-13
2020-05-07
2. NISOURCE INC
2012-12-19
2020-05-07
1. NISOURCE INC
2012-12-19
2020-05-07
1. NISOURCE INC
2012-12-19
2020-05-08
3. NISOURCE INC
2012-12-19
2020-05-08
1. CARRIER GLOBAL CORPORATION
2019-09-24
2020-05-11
2. CARRIER GLOBAL CORPORATION
2020-05-11
1. CARRIER GLOBAL CORPORATION
2019-08-09
2020-05-11
2. NISOURCE INC
2012-12-19
2020-05-11
2. NISOURCE INC
2012-12-19
2020-05-11
1. CARRIER GLOBAL CORPORATION
2019-08-08
2020-05-12
1. CARRIER GLOBAL CORPORATION
2019-08-08
2020-05-12
2. CARRIER GLOBAL CORPORATION
2020-05-12
2. CARRIER GLOBAL CORPORATION
2019-08-29
2020-05-13
2. CARRIER GLOBAL CORPORATION
2019-08-29
2020-05-13
2. CARRIER GLOBAL CORPORATION
2020-05-13
3. CARRIER GLOBAL CORPORATION
2020-05-13
1. WELLS FARGO & CO NEW
2009-07-17
2020-05-13
4. WELLS FARGO & CO NEW
2009-07-17
2020-05-13
21. WELLS FARGO & CO NEW
2009-07-17
2020-05-13
2. WELLS FARGO & CO NEW
2009-07-17
2020-05-13
1. CARRIER GLOBAL CORPORATION
2020-03-06
2020-05-14
2. CARRIER GLOBAL CORPORATION
2020-03-06
2020-05-14
183.794 AMER FNDS INTL VNTG-F3
2012-05-31
2020-05-15
3. GILEAD SCIENCES INC
2018-05-31
2020-05-19
4. MERCK & CO INC
2010-12-10
2020-05-19
4. GILEAD SCIENCES INC
2019-04-10
2020-05-20
2. MICROSOFT CORP
2009-07-17
2020-05-28
37.573 BLACKSTONE ALT MULTI-STRAT-Y
2018-11-14
2020-05-29
972.268 BLACKSTONE ALT MULTI-STRAT-Y
2019-06-14
2020-05-29
1. CINCINNATI FINL CORP
2009-07-17
2020-06-02
3. CINCINNATI FINL CORP
2009-07-17
2020-06-03
1. CINCINNATI FINL CORP
2009-07-17
2020-06-03
2. COCA-COLA CO
2020-06-11
2. COCA-COLA CO
2020-06-11
2. COCA-COLA CO
2018-06-04
2020-06-11
1. COCA-COLA CO
2018-06-04
2020-06-11
125. ISHARES MISCI EAFE INDEX FUND
2016-02-04
2020-06-11
1. COCA-COLA CO
2018-06-04
2020-06-12
4. COCA-COLA CO
2020-06-12
1. PFIZER INC
2020-03-25
2020-06-16
3. PFIZER INC
2020-03-25
2020-06-16
1. PFIZER INC
2020-03-26
2020-06-16
5. PFIZER INC
2020-06-16
3. PFIZER INC
2010-09-30
2020-06-16
3. PFIZER INC
2010-09-30
2020-06-16
6. PFIZER INC
2010-09-30
2020-06-23
1. PFIZER INC
2010-09-30
2020-06-23
1. PFIZER INC
2010-09-30
2020-06-23
5. PFIZER INC
2009-08-24
2020-06-23
594.25 JPM GL RES ENH IDX FD - USD - R6 ISIN US48129C2070
2013-04-12
2020-06-25
1. PFIZER INC
2009-08-24
2020-06-25
6. PFIZER INC
2009-08-24
2020-06-25
5. PFIZER INC
2020-06-25
1. APPLE COMPUTER INC
2013-12-13
2020-07-01
7. BANK OF AMERICA CORPORATION
2016-08-16
2020-07-01
4. BANK OF AMERICA CORPORATION
2016-08-16
2020-07-01
6. BANK OF AMERICA CORPORATION
2016-08-16
2020-07-01
2. AIR PRODS & CHEMS INC
2017-09-29
2020-07-14
2. CAPITAL ONE FINL CORP
2015-05-01
2020-07-14
2. CAPITAL ONE FINL CORP
2015-04-30
2020-07-15
2. MICROSOFT CORP
2009-07-17
2020-07-16
1. APPLE COMPUTER INC
2012-05-18
2020-07-24
1. MICROSOFT CORP
2009-07-17
2020-07-24
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
226
161
65
b
44
43
1
c
44
37
7
d
44
37
7
e
86
74
12
42
37
5
42
36
6
42
36
6
43
36
7
379
420
-41
84
73
11
73
78
-5
37
39
-2
37
39
-2
112
118
-6
37
39
-2
112
104
8
253
154
99
138
85
53
367
360
7
89
44
45
4,057
3,816
241
1,250
1,204
46
2,500
2,403
97
269
132
137
90
44
46
90
44
46
223
182
41
292
126
166
206
58
148
407
73
334
203
58
145
212
217
-5
43
43
43
43
86
87
-1
98
44
54
20,004
19,450
554
7,500
5,371
2,129
10,085
9,879
206
186
170
16
97
44
53
186
169
17
97
44
53
207
258
-51
39
40
-1
329
62
267
260
154
106
146
51
95
136
133
3
408
234
174
139
133
6
140
114
26
235
201
34
235
79
156
280
49
231
139
24
115
279
49
230
140
24
116
131
113
18
130
36
94
130
36
94
130
36
94
130
36
94
58
44
14
58
44
14
138
24
114
274
49
225
116
88
28
136
24
112
57
44
13
57
44
13
127
112
15
127
109
18
130
109
21
129
109
20
129
108
21
254
74
180
57
44
13
62
75
-13
124
107
17
247
203
44
63
75
-12
63
74
-11
63
74
-11
171
63
108
173
63
110
287
49
238
332
147
185
150
106
44
150
143
7
232
194
38
232
25
207
170
78
92
149
157
-8
336
158
178
112
117
-5
84
39
45
168
78
90
169
78
91
126
94
32
8,942
8,799
143
11,500
9,885
1,615
133
94
39
399
264
135
215
25
190
127
104
23
127
114
13
151
114
37
460
318
142
163
60
103
300
291
9
230
164
66
344
120
224
539
159
380
337
332
5
215
155
60
1,138
524
614
514
147
367
992
626
366
139
124
15
124
125
-1
684
544
140
1,023
289
734
307
75
232
291
302
-11
307
250
57
118
120
-2
942
859
83
431
367
64
129
109
20
516
422
94
738
737
1
191
101
90
338
341
-3
254
170
84
339
226
113
339
318
21
192
298
-106
143
149
-6
412
478
-66
273
77
196
136
116
20
189
72
117
189
165
24
545
469
76
134
146
-12
490
180
310
399
405
-6
432
49
383
174
31
143
349
126
223
700
691
9
321
287
34
361
246
115
335
165
170
108
99
9
390
383
7
195
159
36
536
229
307
344
284
60
606
97
509
544
531
13
234
189
45
234
153
81
189
150
39
189
82
107
217
100
117
154
127
27
616
286
330
530
410
120
407
390
17
410
382
28
460
210
250
84
104
-20
502
500
2
369
127
242
497
446
51
220
231
-11
462
476
-14
231
205
26
149
97
52
266
121
145
149
173
-24
315
192
123
609
177
432
133
88
45
542
205
337
386
343
43
420
176
244
437
429
8
279
254
25
363
326
37
188
241
-53
94
84
10
114
145
-31
489
288
201
122
117
5
199
219
-20
239
211
28
644
605
39
174
175
-1
433
202
231
404
214
190
557
540
17
306
213
93
108
35
73
27
9
18
80
27
53
214
71
143
178
63
115
178
63
115
597
159
438
232
138
94
134
83
51
134
83
51
134
83
51
97
80
17
4,650
4,609
41
96
80
16
52
28
24
6
6
57
32
25
86
45
41
4,269
4,252
17
29
15
14
29
15
14
133
51
82
317
79
238
2,556
1,563
993
144
38
106
144
38
106
177
63
114
280
162
118
264
103
161
220
80
140
176
135
41
145
38
107
281
161
120
174
74
100
174
24
150
267
55
212
513
216
297
176
93
83
252
152
100
47
48
-1
112
40
72
179
158
21
220
155
65
207
90
117
199
137
62
68
15
53
102
82
20
218
232
-14
114
23
91
60
45
15
60
44
16
133
105
28
116
114
2
168
176
-8
75
78
-3
118
62
56
52
99
-47
60
79
-19
68
73
-5
59
19
40
183
63
120
151
138
13
143
80
63
86
36
50
52
41
11
186
24
162
118
104
14
270
55
215
210
82
128
101
50
51
153
71
82
208
170
38
76
35
41
88
85
3
139
41
98
126
106
20
84
81
3
95
87
8
57
51
6
87
51
36
128
123
5
108
96
12
55
25
30
157
136
21
83
80
3
59
72
-13
120
72
48
66
73
-7
116
94
22
95
98
-3
69
29
40
119
107
12
10,471
8,807
1,664
3,118
3,047
71
1,793
1,751
42
52
79
-27
255
390
-135
455
303
152
48
76
-28
180
58
122
70
87
-17
125
51
74
37
48
-11
37
47
-10
37
47
-10
148
189
-41
148
104
44
63
74
-11
43
76
-33
214
376
-162
42
75
-33
84
137
-53
125
141
-16
116
51
65
97
78
19
365
278
87
188
221
-33
129
205
-76
42
68
-26
42
68
-26
63
70
-7
185
156
29
116
51
65
67
50
17
120
146
-26
118
100
18
328
614
-286
38
68
-30
72
137
-65
10,567
11,652
-1,085
11,044
10,753
291
6,277
7,639
-1,362
3,235
3,751
-516
14,722
11,954
2,768
6,174
4,911
1,263
202
151
51
38
55
-17
70
110
-40
73
110
-37
58
48
10
41
55
-14
38
53
-15
104
94
10
47
47
31
98
-67
32
98
-66
97
259
-162
101
143
-42
69
39
30
103
58
45
71
115
-44
71
116
-45
69
105
-36
352
506
-154
66
39
27
64
110
-46
33
45
-12
33
45
-12
60
47
13
60
47
13
31
55
-24
69
84
-15
35
42
-7
33
42
-9
136
63
73
153
24
129
57
47
10
180
188
-8
194
81
113
76
106
-30
75
106
-31
81
106
-25
60
47
13
223
209
14
122
303
-181
125
303
-178
80
155
-75
41
76
-35
36
65
-29
109
170
-61
73
130
-57
32
55
-23
32
39
-7
32
39
-7
340
392
-52
100
117
-17
100
117
-17
127
227
-100
322
300
22
173
280
-107
249
204
45
137
157
-20
138
31
107
34
55
-21
175
276
-101
59
73
-14
59
73
-14
51
84
-33
52
79
-27
101
158
-57
90
89
1
136
133
3
58
73
-15
59
73
-14
177
205
-28
45
51
-6
182
159
23
52
79
-27
91
89
2
184
159
25
183
159
24
285
132
153
228
254
-26
68
47
21
67
47
20
49
51
-2
10,275
10,358
-83
66
46
20
5,487
5,048
439
10,237
10,017
220
46
18
28
23
9
14
23
9
14
70
27
43
18
25
-7
37
50
-13
18
25
-7
47
18
29
46
18
28
18
24
-6
18
24
-6
36
49
-13
33
48
-15
32
48
-16
33
48
-15
48
72
-24
23
25
-2
89
100
-11
466
525
-59
45
50
-5
16
23
-7
32
47
-15
2,325
1,599
726
219
203
16
313
143
170
293
269
24
363
49
314
355
400
-45
9,188
10,452
-1,264
61
23
38
191
69
122
64
23
41
92
88
4
92
88
4
91
87
4
46
44
2
7,531
6,831
700
46
44
2
182
174
8
33
31
2
99
91
8
33
30
3
165
151
14
100
52
48
100
52
48
198
104
94
33
17
16
33
17
16
165
84
81
11,778
9,252
2,526
32
17
15
192
101
91
160
81
79
365
79
286
163
105
58
93
60
33
140
90
50
554
302
252
122
163
-41
126
161
-35
409
49
360
362
76
286
199
24
175
2,424
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
65
b
1
c
7
d
7
e
12
5
6
6
7
-41
11
-5
-2
-2
-6
-2
8
99
53
7
45
241
46
97
137
46
46
41
166
148
334
145
-5
-1
54
554
2,129
206
16
53
17
53
-51
-1
267
106
95
3
174
6
26
34
156
231
115
230
116
18
94
94
94
94
14
14
114
225
28
112
13
13
15
18
21
20
21
180
13
-13
17
44
-12
-11
-11
108
110
238
185
44
7
38
207
92
-8
178
-5
45
90
91
32
143
1,615
39
135
190
23
13
37
142
103
9
66
224
380
5
60
614
367
366
15
-1
140
734
232
-11
57
-2
83
64
20
94
1
90
-3
84
113
21
-106
-6
-66
196
20
117
24
76
-12
310
-6
383
143
223
9
34
115
170
9
7
36
307
60
509
13
45
81
39
107
117
27
330
120
17
28
250
-20
2
242
51
-11
-14
26
52
145
-24
123
432
45
337
43
244
8
25
37
-53
10
-31
201
5
-20
28
39
-1
231
190
17
93
73
18
53
143
115
115
438
94
51
51
51
17
41
16
24
25
41
17
14
14
82
238
993
106
106
114
118
161
140
41
107
120
100
150
212
297
83
100
-1
72
21
65
117
62
53
20
-14
91
15
16
28
2
-8
-3
56
-47
-19
-5
40
120
13
63
50
11
162
14
215
128
51
82
38
41
3
98
20
3
8
6
36
5
12
30
21
3
-13
48
-7
22
-3
40
12
1,664
71
42
-27
-135
152
-28
122
-17
74
-11
-10
-10
-41
44
-11
-33
-162
-33
-53
-16
65
19
87
-33
-76
-26
-26
-7
29
65
17
-26
18
-286
-30
-65
-1,085
291
-1,362
-516
2,768
1,263
51
-17
-40
-37
10
-14
-15
10
-67
-66
-162
-42
30
45
-44
-45
-36
-154
27
-46
-12
-12
13
13
-24
-15
-7
-9
73
129
10
-8
113
-30
-31
-25
13
14
-181
-178
-75
-35
-29
-61
-57
-23
-7
-7
-52
-17
-17
-100
22
-107
45
-20
107
-21
-101
-14
-14
-33
-27
-57
1
3
-15
-14
-28
-6
23
-27
2
25
24
153
-26
21
20
-2
-83
20
439
220
28
14
14
43
-7
-13
-7
29
28
-6
-6
-13
-15
-16
-15
-24
-2
-11
-59
-5
-7
-15
726
16
170
24
314
-45
-1,264
38
122
41
4
4
4
2
700
2
8
2
8
3
14
48
48
94
16
16
81
2,526
15
91
79
286
58
33
50
252
-41
-35
360
286
175
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
37,644
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
52,309
994,587
0.052594
2017
47,518
1,028,292
0.046211
2016
48,144
973,732
0.049443
2015
52,300
966,663
0.054104
2014
54,353
1,046,035
0.051961
2
Total
of line 1, column (d)
.....................
2
0.254313
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
0.050863
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
986,094
5
Multiply line 4 by line 3
......................
5
50,156
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
539
7
Add lines 5 and 6
........................
7
50,695
8
Enter qualifying distributions from Part XII, line 4
,.............
8
49,828
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
1,078
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
1,078
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
1,078
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
588
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
588
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
490
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
0
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)
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 NA
TRUSTEE
2
17,701
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
961,940
b
Average of monthly cash balances
.......................
1b
39,171
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,001,111
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
1,001,111
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
15,017
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
986,094
6
Minimum investment return.
Enter 5% of line 5
..................
6
49,305
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
49,305
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
1,078
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,078
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
48,227
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
48,227
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
48,227
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
49,828
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
49,828
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
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
49,828
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
48,227
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
42,149
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:
$
49,828
a
Applied to 2018, but not more than line 2a
42,149
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
.....
7,679
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
..........
40,548
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
ALZHEIMERS DISEASE AND RELATED
DISORDERS ASSOCIATION INC
225 N MICHIGAN AVE 17TH FL
CHICAGO
,
IL
60601
NONE
PC
GENERAL
17,500
EL PASOANS FIGHTING HUNGER
9541 PLAZA CIR
EL PASO
,
TX
79927
NONE
PC
GENERAL
20,000
OPPORTUNITY CENTER FOR THE HOMELESS
1208 MYRTLE AVE
EL PASO
,
TX
79901
NONE
PC
GENERAL
5,000
Total
.................................
3a
42,500
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
26,896
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
37,644
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)
..
64,540
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
64,540
(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