-
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
SHELTON H SHORT JR TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
6325 S RAINBOW BLVD STE 300
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS
,
NV
89118
A Employer identification number
54-6140127
B
Telephone number (see instructions)
(800) 352-3705
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)
$
27,233,802
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
...
574,328
536,779
5a
Gross rents
............
195,052
195,052
b
Net rental income or (loss)
140,430
6a
Net gain or (loss) from sale of assets not on line 10
739,373
b
Gross sales price for all assets on line 6a
5,352,335
7
Capital gain net income (from Part IV, line 2)
...
739,373
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)
.......
7,248
1,969
12
Total.
Add lines 1 through 11
........
1,516,001
1,473,173
13
Compensation of officers, directors, trustees, etc.
163,257
122,443
40,814
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)
.......
981
0
0
981
c
Other professional fees (attach schedule)
....
27,234
6,756
20,478
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
12,509
11,509
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)
.......
55,521
55,521
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
259,502
196,229
0
62,273
25
Contributions, gifts, grants paid
.......
1,419,000
1,419,000
26
Total expenses and disbursements.
Add lines 24 and 25
1,678,502
196,229
0
1,481,273
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-162,501
b
Net investment income
(if negative, enter -0-)
1,276,944
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
.............
12,457
12,457
2
Savings and temporary cash investments
.........
1,063,485
1,589,301
1,589,301
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
24,277,968
23,581,406
25,632,044
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)
25,341,453
25,183,164
27,233,802
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
........
25,341,453
25,183,164
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)
.....
25,341,453
25,183,164
30
Total liabilities and net assets/fund balances
(see instructions)
.
25,341,453
25,183,164
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
25,341,453
2
Enter amount from Part I, line 27a
.....................
2
-162,501
3
Other increases not included in line 2 (itemize)
3
20,893
4
Add lines 1, 2, and 3
..........................
4
25,199,845
5
Decreases not included in line 2 (itemize)
5
16,681
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
25,183,164
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
11. MARRIOTT INTERNATIONAL INC CLASS A
2017-10-12
2019-01-03
b
27. ALBEMARLE CORP COM
2019-01-04
c
9. FLEETCOR TECHNOLOGIES INC
2019-01-04
d
6. MARRIOTT INTERNATIONAL INC CLASS A
2017-10-12
2019-01-04
e
20. ALBEMARLE CORP COM
2017-09-15
2019-01-09
7. FLEETCOR TECHNOLOGIES INC
2017-10-12
2019-01-09
1. FLEETCOR TECHNOLOGIES INC
2018-05-04
2019-01-09
27. GOLDMAN SACHS GROUP INC
2017-10-13
2019-01-09
30000. FED HOME LN MTG CORP 3.750% 3/27/19
2010-10-04
2019-01-11
15. ALBEMARLE CORP COM
2017-09-15
2019-01-14
22. APPLE INC
2017-09-15
2019-01-14
.842 CIGNA CORP
2017-09-14
2019-01-15
1531.44 CNH EQUIPMENT TRUST 1.740% 11/16/20
2015-08-13
2019-01-15
568.83 FED HOME LN MTG CORP 2.250% 7/15/38
2014-01-03
2019-01-15
345.32 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-01-15
4. ALBEMARLE CORP COM
2017-09-15
2019-01-16
2. ALBEMARLE CORP COM
2018-05-18
2019-01-16
8. ALBEMARLE CORP COM
2018-05-18
2019-01-16
8. ALBEMARLE CORP COM
2019-01-16
11. ALBEMARLE CORP COM
2019-01-16
11. ALBEMARLE CORP COM
2019-01-16
4. NETFLIX.COM INC
2018-10-29
2019-01-16
4. NETFLIX.COM INC
2018-10-29
2019-01-16
16. CELGENE CORP COM
2019-01-17
23. CELGENE CORP COM
2019-01-18
7. CELGENE CORP COM
2019-01-22
15. NVIDIA CORP
2019-01-22
26. ALIBABA GROUP HOLDING LTD
2017-10-12
2019-01-23
25. ALIBABA GROUP HOLDING LTD
2019-01-23
15. CELGENE CORP COM
2019-01-23
83. METLIFE INC
2019-01-23
35. PPG INDUSTRIES INC
2017-10-13
2019-01-23
24. TENCENT HOLDINGS LTD-UNS ADR
2019-01-23
20. TENCENT HOLDINGS LTD-UNS ADR
2019-01-23
22. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-01-23
21. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-01-23
30000. ANHEUSER-BUSCH INBEV 2.500% 7/15/22
2014-05-28
2019-01-24
25000. KOHL'S CORPORATION 4.000% 11/01/21
2013-10-18
2019-01-24
14. MERCK & CO INC NEW
2018-12-21
2019-01-24
9. MERCK & CO INC NEW
2018-12-21
2019-01-25
11. ALEXION PHARMACEUTICALS INC
2018-02-27
2019-01-28
4. ALIGN TECHNOLOGY INC
2018-06-26
2019-01-28
32. AMERICAN AIRLS GROUP INC
2017-09-14
2019-01-28
20. ANADARKO PETROLEUM CORP
2018-03-29
2019-01-28
1. AUTOZONE INC
2018-07-05
2019-01-28
6. BROADCOM INC
2017-11-05
2019-01-28
10. CENTENE CORP DEL
2018-06-26
2019-01-28
23. CITIGROUP INC
2017-09-14
2019-01-28
5. CLOROX CO
2018-07-05
2019-01-28
21. COLGATE PALMOLIVE CO
2017-09-14
2019-01-28
18. EVERETT SPINCO INC
2017-09-14
2019-01-28
32. DEVON ENERGY CORPORATION
2017-12-01
2019-01-28
10. WALT DISNEY CO
2017-04-25
2019-01-28
19. EDISON INTL COM
2017-09-14
2019-01-28
3. EQUINIX INC
2018-04-30
2019-01-28
13. EQUITY RESIDENTIAL PPTYS TR SH BEN
2018-04-30
2019-01-28
21. FIFTH THIRD BANCORP
2017-09-14
2019-01-28
36. HALLIBURTON CO
2017-09-14
2019-01-28
8. HARRIS CORP DEL
2018-02-27
2019-01-28
10. INTERNATIONAL BUSINESS MACHS CORP
2018-07-05
2019-01-28
2. L3 TECHNOLOGIES INC
2018-07-05
2019-01-28
81. MARATHON OIL CORP
2017-12-01
2019-01-28
6. MASTERCARD INC
2018-07-05
2019-01-28
16. MERCK & CO INC NEW
2017-09-14
2019-01-28
6. MOTOROLA SOLUTIONS, INC.
2018-07-05
2019-01-28
5. NEWFIELD EXPL CO COM
2018-02-27
2019-01-28
3. O'REILLY AUTOMOTIVE INC
2017-09-14
2019-01-28
7. OMNICOM GROUP
2018-07-05
2019-01-28
31. PG&E CORP COM
2018-02-27
2019-01-28
15. PAYPAL HOLDINGS INC
2018-07-05
2019-01-28
11. PEPSICO INC
2017-09-14
2019-01-28
6. PIONEER NAT RES CO COM
2017-09-14
2019-01-28
19. PROCTER & GAMBLE CO
2017-09-14
2019-01-28
12. REALTY INCOME CORP COM
2018-07-05
2019-01-28
6. RED HAT INC
2017-09-14
2019-01-28
9. REPUBLIC SERVICES INC CL A COMM
2018-07-05
2019-01-28
4. SBA COMMUNICATIONS CORP
2017-09-14
2019-01-28
15. SKYWORKS SOLUTIONS INC
2017-09-14
2019-01-28
16. STATE STREET CORP
2017-09-14
2019-01-28
14. TEXAS INSTRUMENTS INC
2018-07-05
2019-01-28
2. TRANSDIGM GROUP INC
2018-07-05
2019-01-28
8. UNITED CONTINENTAL HOLDINGS, INC.
2017-09-14
2019-01-28
21. VERIZON COMMUNICATIONS
2017-09-14
2019-01-28
7. VERISK ANALYTICS INC
2018-07-05
2019-01-28
3. WATERS CORP
2018-07-05
2019-01-28
17. XCEL ENERGY INC
2018-04-30
2019-01-28
10. XILINX INC
2018-07-05
2019-01-28
33. MYLAN N V
2017-12-01
2019-01-28
.99988 MCDONALDS CORP
2019-01-24
2019-01-31
10.00012 MCDONALDS CORP
2019-01-24
2019-01-31
11. MCDONALDS CORP
2019-02-07
10. MCDONALDS CORP
2018-12-27
2019-02-07
21. MCDONALDS CORP
2017-09-15
2019-02-08
47. PHILIP MORRIS INTERNATIONAL IN
2017-09-18
2019-02-08
2. UNITEDHEALTH GROUP INC
2017-10-26
2019-02-08
2. UNITEDHEALTH GROUP INC
2018-06-01
2019-02-08
51. ACTIVISION BLIZZARD INC
2017-09-15
2019-02-12
9. ACTIVISION BLIZZARD INC
2018-03-08
2019-02-12
12.00061 MICROSOFT CORP
2019-02-12
19.99939 MICROSOFT CORP
2019-02-12
19.99698 DUKE ENERGY HOLDING CORP. COM
2017-11-15
2019-02-13
17.00302 DUKE ENERGY HOLDING CORP. COM
2017-11-15
2019-02-13
28. MCDONALDS CORP
2017-09-15
2019-02-13
83. METLIFE INC
2017-09-18
2019-02-13
35000. US TREASURY NOTE 1.250% 1/31/20
2019-02-13
1. DECKERS OUTDOOR CORP
2017-10-17
2019-02-14
1. NEWMARKET CORP
2017-10-17
2019-02-14
3. PAYCHEX INC
2017-10-17
2019-02-14
5. STORE CAPITAL CORP
2018-01-17
2019-02-14
1408.04 CNH EQUIPMENT TRUST 1.740% 11/16/20
2015-08-13
2019-02-15
283.19 FHLMC POOL #J13606 3.500% 11/01/25
2012-12-28
2019-02-15
96.21 FED HOME LN MTG CORP 2.250% 7/15/38
2014-01-03
2019-02-15
337.02 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-02-15
31. ACTIVISION BLIZZARD INC
2017-09-15
2019-02-19
30. ACTIVISION BLIZZARD INC
2019-02-20
31. ACTIVISION BLIZZARD INC
2019-02-21
15. ACTIVISION BLIZZARD INC
2019-02-22
41. JPMORGAN CHASE & CO
2017-10-12
2019-02-22
15. ACTIVISION BLIZZARD INC
2019-02-25
9. HOME DEPOT INC
2019-02-27
8. HOME DEPOT INC
2017-10-12
2019-02-27
31. AMERICAN INTERNATIONAL GROUP, INC
2017-09-14
2019-02-28
37. APPLIED MATERIALS INC
2017-09-14
2019-02-28
25. CBS CORP NEW
2017-09-14
2019-02-28
22. CARNIVAL CORP
2017-09-14
2019-02-28
28. CELGENE CORP COM
2017-09-14
2019-02-28
105. CENTURYLINK, INC
2018-07-05
2019-02-28
22. CERNER CORP COM
2017-09-14
2019-02-28
8. CONSTELLATION BRANDS INC
2017-09-14
2019-02-28
36. DOWDUPONT INC
2018-07-05
2019-02-28
76. DOWDUPONT INC
2017-09-14
2019-02-28
13. ELECTRONIC ARTS INC
2017-09-14
2019-02-28
136. FORD MOTOR COMPANY
2017-09-14
2019-02-28
150. GENERAL ELECTRIC CO
2018-07-05
2019-02-28
308. GENERAL ELECTRIC CO
2017-09-14
2019-02-28
28. GENERAL MILLS INC
2017-09-14
2019-02-28
28. GILEAD SCIENCES INC
2018-07-05
2019-02-28
27. GILEAD SCIENCES INC
2017-09-14
2019-02-28
27. INTERNATIONAL PAPER CO
2017-09-14
2019-02-28
16. JPMORGAN CHASE & CO
2017-10-12
2019-02-28
47. NATIONAL OILWELL INC COM
2018-07-05
2019-02-28
48. SCHLUMBERGER LTD
2017-09-14
2019-02-28
31. SCHLUMBERGER LTD
2018-07-05
2019-02-28
14. UNITEDHEALTH GROUP INC
2019-02-28
46. WEYERHAEUSER CO
2017-09-14
2019-02-28
50. WILLIAMS COS INC
2017-09-14
2019-02-28
55. AMDOCS LIMITED COM
2019-02-28
38. JOHNSON CTLS INTL PLC
2017-01-11
2019-02-28
6. UNITEDHEALTH GROUP INC
2017-09-15
2019-03-05
2. COSTCO WHOLESALE CORP
2019-01-04
2019-03-06
33. DANAHER CORP
2017-09-18
2019-03-06
4. GOLDMAN SACHS GROUP INC
2018-03-08
2019-03-06
4. GOLDMAN SACHS GROUP INC
2017-10-12
2019-03-06
8. MICROSOFT CORP
2017-10-12
2019-03-06
3. MICROSOFT CORP
2018-08-01
2019-03-06
19. NIKE INC CL B
2018-08-21
2019-03-06
132. BALL CORP
2017-10-17
2019-03-07
128. PROGRESSIVE CORP OHIO
2017-10-17
2019-03-07
4. MARRIOTT INTERNATIONAL INC CLASS A
2017-10-12
2019-03-11
5. MARRIOTT INTERNATIONAL INC CLASS A
2017-10-12
2019-03-11
9. JPMORGAN CHASE & CO
2017-10-12
2019-03-12
8. MARRIOTT INTERNATIONAL INC CLASS A
2017-10-12
2019-03-12
37. PNC FINANCIAL SERVICES GROUP
2019-03-12
1201.78 CNH EQUIPMENT TRUST 1.740% 11/16/20
2015-08-13
2019-03-15
204.51 FHLMC POOL #J13606 3.500% 11/01/25
2012-12-28
2019-03-15
687.39 FED HOME LN MTG CORP 2.250% 7/15/38
2014-01-03
2019-03-15
574.98 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-03-15
84. DECKERS OUTDOOR CORP
2017-10-17
2019-03-18
16.0001 FACEBOOK INC
2017-10-12
2019-03-18
1.9999 FACEBOOK INC
2017-10-12
2019-03-18
9. FACEBOOK INC
2018-05-02
2019-03-18
42. TWENTY FIRST CENTURY FOX INC
2017-09-14
2019-03-19
15. TWENTY FIRST CENTURY FOX INC
2017-09-14
2019-03-19
30.95 TWENTY-FIRST CENTURY FOX INC
2018-07-05
2019-03-19
11.05 TWENTY-FIRST CENTURY FOX INC
2018-07-05
2019-03-19
166. ALTRIA GROUP INC
2019-03-20
13. GOLDMAN SACHS GROUP INC
2017-10-12
2019-03-21
51042.733 NEUBERGER BERMAN LONG SH-INS #1830
2019-03-21
10895.49 ROBECO BP LNG/SHRT RES-INS
2013-09-06
2019-03-21
40000. CAPITAL ONE FINANCIA 2.450% 4/24/19
2016-09-20
2019-03-25
13. GOLDMAN SACHS GROUP INC
2019-03-25
7. GOLDMAN SACHS GROUP INC
2018-11-02
2019-03-25
5. GOLDMAN SACHS GROUP INC
2017-09-15
2019-03-26
5. GOLDMAN SACHS GROUP INC
2017-09-15
2019-03-26
45000. FED HOME LN MTG CORP 3.750% 3/27/19
2010-10-04
2019-03-27
.46 WABTEC CORP
2019-01-31
2019-03-27
9. GOLDMAN SACHS GROUP INC
2017-09-15
2019-03-28
47. PHILIP MORRIS INTERNATIONAL IN
2017-09-18
2019-03-28
31.99402 GENERAL MILLS INC
2019-03-29
50.00598 GENERAL MILLS INC
2017-09-27
2019-03-29
2. AMAZON COM INC COM
2018-02-15
2019-04-02
2. AMAZON COM INC COM
2019-04-02
10. BRISTOL MYERS SQUIBB CO
2018-07-12
2019-04-05
28. BRISTOL MYERS SQUIBB CO
2019-04-05
25000. DOW CHEMICAL CO/THE 4.250% 11/15/20
2011-07-08
2019-04-05
65000. HOME DEPOT INC 3.950% 9/15/20
2016-03-01
2019-04-05
33. MERCK & CO INC NEW
2019-04-05
50000. MORGAN STANLEY 2.500% 4/21/21
2016-04-29
2019-04-05
28. BRISTOL MYERS SQUIBB CO
2019-04-08
28. BRISTOL MYERS SQUIBB CO
2019-04-08
28. BRISTOL MYERS SQUIBB CO
2019-04-09
5. ABIOMED INC
2018-07-05
2019-04-10
27. ACTIVISION BLIZZARD INC
2018-07-05
2019-04-10
24. ACTIVISION BLIZZARD INC
2017-09-14
2019-04-10
8. BIOGEN IDEC INC
2017-09-14
2019-04-10
29. BRISTOL MYERS SQUIBB CO
2019-04-10
14. CIGNA CORP
2019-04-10
52. CITIZENS FINANCIAL GROUP INC
2018-07-05
2019-04-10
17. COMERICA INC
2019-02-28
2019-04-10
13. CONCHO RESOURCES INC
2018-10-29
2019-04-10
8. FEDEX CORPORATION
2017-09-14
2019-04-10
2. FEDEX CORPORATION
2018-06-22
2019-04-10
10. GENERAL DYNAMICS CORP
2017-09-14
2019-04-10
29. HARTFORD FINANCIAL SERVICES GROUP
2017-09-14
2019-04-10
29. KELLOGG CO
2018-07-05
2019-04-10
84. KEYCORP NEW
2017-09-14
2019-04-10
31. KRAFT HEINZ CO/THE
2019-01-28
2019-04-10
12. LABORATORY CRP OF AMER HLDGS
2018-07-05
2019-04-10
12. MCKESSON CORP
2019-01-28
2019-04-10
48. MERCK & CO INC NEW
2019-04-10
37. METLIFE INC
2017-09-14
2019-04-10
27. MONSTER BEVERAGE CORP
2017-09-14
2019-04-10
28. MOODYS CORP
2018-10-17
2019-04-10
26. NETAPP INC
2018-07-05
2019-04-10
3. OCCIDENTAL PETE CORP
2018-07-05
2019-04-10
27. OCCIDENTAL PETE CORP
2011-02-04
2019-04-10
4. REGENERON PHARMACEUTICALS INC
2017-09-14
2019-04-10
114. REGIONS FINL CORP NEW
2018-07-05
2019-04-10
7. SVB FINL GROUP
2018-07-05
2019-04-10
31. TEXTRON INC
2018-07-05
2019-04-10
22. VENTAS INC COM
2017-09-14
2019-04-10
30. WALGREENS BOOTS ALLIANCE INC
2017-09-14
2019-04-10
11. ALLERGAN PLC
2018-03-29
2019-04-10
2. ALLERGAN PLC
2018-07-05
2019-04-10
36. SEAGATE TECHNOLOGY
2018-07-05
2019-04-10
7. TESLA MOTORS INC
2019-04-11
17. MERCK & CO INC NEW
2018-10-18
2019-04-12
3026.29 CNH EQUIPMENT TRUST 1.740% 11/16/20
2015-08-13
2019-04-15
209.26 FHLMC POOL #J13606 3.500% 11/01/25
2012-12-28
2019-04-15
771.08 FED HOME LN MTG CORP 2.250% 7/15/38
2014-01-03
2019-04-15
784.49 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-04-15
15. MERCK & CO INC NEW
2019-04-15
16. MERCK & CO INC NEW
2019-04-16
12. RED HAT INC
2017-10-12
2019-04-17
8. UNITEDHEALTH GROUP INC
2017-09-15
2019-04-17
20. KERINGIUNSPONSORED ADR
2019-04-18
43. KERINGIUNSPONSORED ADR
2019-04-18
11. TESLA MOTORS INC
2017-09-15
2019-04-22
5. BROADCOM INC
2017-10-12
2019-04-23
4. BROADCOM INC
2019-02-28
2019-04-23
22. RED HAT INC
2019-04-23
11. RED HAT INC
2017-09-15
2019-04-24
14. SQUARE INC
2018-11-08
2019-04-24
5. BROADCOM INC
2019-04-25
33. RED HAT INC
2017-09-15
2019-04-25
28. SQUARE INC
2019-04-25
13. SQUARE INC
2019-04-26
14. MASTERCARD INC
2017-10-12
2019-04-29
41. ASTRAZENECA PLC ADR
2019-04-30
41. ASTRAZENECA PLC ADR
2019-04-30
28. STATE STREET CORP
2017-10-13
2019-05-01
37. STATE STREET CORP
2018-06-27
2019-05-01
119. JOHNSON CTLS INTL PLC
2017-01-15
2019-05-08
35. ASTRAZENECA PLC ADR
2019-05-10
24. CROWN CASTLE INTL CORP
2019-05-10
13. ASTRAZENECA PLC ADR
2019-05-13
14. ASTRAZENECA PLC ADR
2018-09-25
2019-05-13
.2454 WALT DISNEY CO
2018-07-05
2019-05-14
.333 WALT DISNEY CO
2017-09-14
2019-05-14
4146.14 CNH EQUIPMENT TRUST 1.740% 11/16/20
2015-08-13
2019-05-15
208.47 FHLMC POOL #J13606 3.500% 11/01/25
2012-12-28
2019-05-15
89.92 FED HOME LN MTG CORP 2.250% 7/15/38
2014-01-03
2019-05-15
715.27 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-05-15
9. LOCKHEED MARTIN CORP
2018-04-05
2019-05-15
13. UNITEDHEALTH GROUP INC
2019-05-15
11. ABBVIE INC
2017-09-14
2019-05-16
22. ABBVIE INC
2018-07-05
2019-05-16
30. ALBEMARLE CORP COM
2019-04-10
2019-05-16
19. ALEXION PHARMACEUTICALS INC
2019-04-10
2019-05-16
22. AMGEN INC
2019-05-16
44. APACHE CORP
2018-10-29
2019-05-16
36. THE BANK OF NEW YORK MELLON CORP.
2017-09-14
2019-05-16
28. BEST BUY INC
2018-07-05
2019-05-16
1. BLACKROCK INC
2018-07-05
2019-05-16
36. BRISTOL MYERS SQUIBB CO
2018-07-05
2019-05-16
31. BRISTOL MYERS SQUIBB CO
2017-09-14
2019-05-16
31. CVS HEALTH CORPORATION
2018-07-05
2019-05-16
24. CVS HEALTH CORPORATION
2017-09-14
2019-05-16
15. CITRIX SYS INC COM
2019-02-28
2019-05-16
21. COGNIZANT TECH SOLUTIONS CRP COM
2017-09-14
2019-05-16
102. DOWDUPONT INC
2019-04-10
2019-05-16
18. EASTMAN CHEM CO COM
2019-02-28
2019-05-16
27. EXXON MOBIL CORPORATION
2018-07-05
2019-05-16
19. FOX CORP
2019-03-20
2019-05-16
108. FREEPORT-MCMORAN INC.
2017-09-14
2019-05-16
14. GENUINE PARTS CO
2019-02-28
2019-05-16
35. HORMEL FOODS CORP COM
2019-02-28
2019-05-16
30. INTEL CORP
2018-07-05
2019-05-16
35. NRG ENERGY INC
2019-01-28
2019-05-16
6. NETFLIX.COM INC
2018-07-05
2019-05-16
33. NUCOR CORP
2018-07-05
2019-05-16
9. NVIDIA CORP
2018-07-05
2019-05-16
45. PHILIP MORRIS INTERNATIONAL IN
2017-09-14
2019-05-16
56. SCHLUMBERGER LTD
2019-04-10
2019-05-16
7. SCHWAB CHARLES CORP NEW
2018-07-05
2019-05-16
11. STANLEY BLACK DECKER INC
2017-09-14
2019-05-16
17. VISA INC-CLASS A SHRS
2017-10-12
2019-05-16
2. WABTEC CORP
2019-01-31
2019-05-16
20. XILINX INC
2019-04-10
2019-05-16
16. APTIV PLC
2017-09-14
2019-05-16
16. LYONDELLBASELL INDU-CL A
2017-09-14
2019-05-16
61. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-05-17
18. CROWN CASTLE INTL CORP
2018-10-08
2019-05-20
18. KERINGIUNSPONSORED ADR
2019-05-20
18. GOLDMAN SACHS GROUP INC
2017-10-13
2019-05-22
10. GOLDMAN SACHS GROUP INC
2018-08-22
2019-05-22
31. LOWES COS INC
2019-05-22
9. ALIBABA GROUP HOLDING LTD
2019-05-23
6. BOEING CO
2018-02-16
2019-05-23
5. BOEING CO
2019-05-23
42. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-05-23
10. LOWES COS INC
2019-02-27
2019-05-24
26. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-05-24
14. LOWES COS INC
2019-05-28
13. LOWES COS INC
2019-05-28
26. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-05-28
92. GENERAL MILLS INC
2019-05-29
26. LOWES COS INC
2019-05-29
26. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-05-29
25. TAIWAN SEMICONDUCTOR MANUFACTU - ADR
2019-04-18
2019-05-29
14. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-06-04
9. TENCENT HOLDINGS LTD-UNS ADR
2018-06-04
2019-06-04
5. TENCENT HOLDINGS LTD-UNS ADR
2018-03-22
2019-06-04
3. ALPHABET INC/CA
2019-06-05
2. ALPHABET INC/CA
2019-06-05
101. GENERAL MILLS INC
2019-06-05
8. BIOMARIN PHARMACEUTICAL INC
2018-10-15
2019-06-06
14. MARRIOTT INTERNATIONAL INC CLASS A
2019-06-06
13. ALEXION PHARMACEUTICALS INC
2019-06-07
10. BIOMARIN PHARMACEUTICAL INC
2017-10-12
2019-06-07
10. BIOMARIN PHARMACEUTICAL INC
2019-06-07
12. ALEXION PHARMACEUTICALS INC
2019-06-10
3818. ISHARES RUSSELL 1000 GROWTH ETF
2012-11-26
2019-06-10
104. TENCENT HOLDINGS LTD-UNS ADR
2019-06-10
5029.795 T ROWE PRICE BLUE CHIP-I #429
2012-11-26
2019-06-11
3. AMERICAN TOWER REIT
2018-12-07
2019-06-12
69. TENCENT HOLDINGS LTD-UNS ADR
2019-06-12
5. ALEXION PHARMACEUTICALS INC
2017-10-12
2019-06-13
5. ALEXION PHARMACEUTICALS INC
2017-10-12
2019-06-13
45000. FED FARM CREDIT BK 2.900% 9/05/23
2019-03-26
2019-06-13
.4286 KONTOOR BRANDS INC
2017-09-14
2019-06-13
4. NETFLIX.COM INC
2018-10-29
2019-06-13
7. NETFLIX.COM INC
2017-10-12
2019-06-13
18. TENCENT HOLDINGS LTD-UNS ADR
2017-12-19
2019-06-13
19. TENCENT HOLDINGS LTD-UNS ADR
2019-06-13
11. UNITEDHEALTH GROUP INC
2017-10-12
2019-06-13
220.99 FHLMC POOL #J13606 3.500% 11/01/25
2012-12-28
2019-06-15
1193.5 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-06-15
1659.6 CNH EQUIPMENT TRUST 1.740% 11/16/20
2015-08-13
2019-06-17
42. ALTRIA GROUP INC
2017-09-14
2019-06-19
36. ALTRIA GROUP INC
2018-07-05
2019-06-19
14. FOX CORP
2019-03-20
2019-06-19
47. GENERAL MOTORS CO
2017-09-14
2019-06-19
3. KONTOOR BRANDS INC
2017-09-14
2019-06-19
29. MARATHON PETROLEUM CORP.
2017-09-14
2019-06-19
17. MICROCHIP TECHNOLOGY INC COM
2017-09-14
2019-06-19
5. MORGAN STANLEY
2018-07-05
2019-06-19
49. MORGAN STANLEY
2017-09-14
2019-06-19
9. ROCKWELL AUTOMATION INC
2017-09-14
2019-06-19
212. AT & T INC
2017-09-14
2019-06-24
44. ABBVIE INC
2017-09-14
2019-06-24
315. AIRBUS GROUP NV-UNSP ADR
2019-06-24
14. ALIBABA GROUP HOLDING LTD
2019-04-03
2019-06-24
154. ALIBABA GROUP HOLDING LTD
2019-06-24
119. ASTRAZENECA PLC ADR
2019-06-24
242. ASTRAZENECA PLC ADR
2019-06-24
51. BANK OF AMERICA CORP
2019-02-28
2019-06-24
6. BROADCOM INC
2019-06-24
3. BROADCOM INC
2019-06-24
36. CIGNA CORP
2019-06-24
67. CIGNA CORP
2019-06-24
55. CABOT OIL & GAS CORP CL A
2019-01-28
2019-06-24
130. EVERETT SPINCO INC
2019-06-24
23. EOG RESOURCES, INC
2017-10-13
2019-06-24
18. EOG RESOURCES, INC
2019-06-24
15. FEDEX CORPORATION
2019-05-16
2019-06-24
80. GOLDMAN SACHS GROUP INC
2019-06-24
9. GOLDMAN SACHS GROUP INC
2018-08-22
2019-06-24
26. GUARDANT HEALTH INC
2019-06-24
3. INTUITIVE SURGICAL INC
2019-06-24
42. KERINGIUNSPONSORED ADR
2019-06-24
136. KERINGIUNSPONSORED ADR
2019-06-24
10. LULULEMON ATHLETICA INC
2019-04-29
2019-06-24
75. MCKESSON CORP
2019-06-24
220. NESTLE S.A. REGISTERED SHARES - ADR
2019-06-24
36. NESTLE S.A. REGISTERED SHARES - ADR
2019-03-20
2019-06-24
27. NETFLIX.COM INC
2019-06-24
41. NVIDIA CORP
2019-06-24
102. NVIDIA CORP
2019-06-24
192. QUALCOMM INC
2019-06-24
488. ROCHE HOLDINGS LTD - ADR
2019-06-24
418. SAFRAN SA-UNSPON ADR
2019-06-24
15. SAGE THERAPEUTICS INC
2019-06-24
21. SPLUNK INC
2017-09-15
2019-06-24
14. SPLUNK INC
2019-06-24
56. SQUARE INC
2019-06-24
89. STATE STREET CORP
2019-06-24
113. STATE STREET CORP
2019-06-24
156. TENCENT HOLDINGS LTD-UNS ADR
2019-06-24
276. TENCENT HOLDINGS LTD-UNS ADR
2019-06-24
13. 3M CO
2017-09-14
2019-06-24
11. 3M CO
2018-07-05
2019-06-24
73. UBER TECHNOLOGIES INC
2019-05-10
2019-06-24
9. VERTEX PHARMACEUTICALS INC COM
2019-06-24
11. WORKDAY INC
2019-01-23
2019-06-24
9. WORKDAY INC
2017-10-12
2019-06-24
91. JOHNSON CTLS INTL PLC
2017-01-15
2019-06-24
19. TE CONNECTIVITY LTD
2017-09-14
2019-06-24
13. ROYAL CARRIBEAN CRUISE
2017-09-14
2019-06-24
25000. FEDEX CORP 2.700% 4/15/23
2017-03-30
2019-06-26
14. RED HAT INC
2019-05-16
2019-07-09
509.25 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-07-15
154. ENERGIZER SPINCO INC
2017-10-17
2019-07-22
101. PAYCHEX INC
2017-10-17
2019-07-22
129. TIFFANY & CO NEW
2017-10-17
2019-07-22
56. WHIRLPOOL CORP
2017-10-17
2019-07-22
204.01 FHLMC POOL #ZK2735 3.500% 11/01/25
2012-12-28
2019-07-25
5. AMAZON COM INC COM
2019-07-31
3. CHIPOTLE MEXICAN GRILL INC
2019-04-30
2019-07-31
4. CHIPOTLE MEXICAN GRILL INC
2019-07-31
72. CITIGROUP INC
2017-10-13
2019-07-31
297. CONCHO RESOURCES INC
2019-06-24
2019-07-31
102. DOMINION RES INC VA
2019-06-24
2019-07-31
24. EDWARDS LIFESCIENCES CORP
2019-07-31
49. ENTERGY CORP NEW COM
2019-06-24
2019-07-31
22. ERIE INDTY CO
2019-06-24
2019-07-31
221. EXELON CORPORATION
2019-06-24
2019-07-31
26. ILLUMINA INC
2019-07-31
4. ILLUMINA INC
2019-07-31
11. ILLUMINA INC
2019-07-31
37. KIMBERLY CLARK CORP COM
2019-07-31
40. ESTEE LAUDER COMPANIES INC
2019-07-31
351. LINCOLN NATL CORP IND
2019-07-31
53. LULULEMON ATHLETICA INC
2019-07-31
82. MASTERCARD INC
2019-07-31
16. NETFLIX.COM INC
2017-09-15
2019-07-31
2064. NOBLE ENERGY INC
2019-07-31
66. PEGASYSTEMS INC
2019-06-24
2019-07-31
117. PHILIP MORRIS INTERNATIONAL IN
2019-07-31
197. REPUBLIC SERVICES INC CL A COMM
2019-06-24
2019-07-31
54. SALESFORCE COM INC
2019-07-31
161. SALESFORCE COM INC
2019-07-31
106. SALESFORCE COM INC
2019-06-24
2019-07-31
18. SERVICENOW INC
2019-07-31
34. STANLEY BLACK DECKER INC
2017-09-14
2019-07-31
13. TESLA MOTORS INC
2019-07-31
9. TESLA MOTORS INC
2019-07-31
40. VISA INC-CLASS A SHRS
2019-07-31
16. VISA INC-CLASS A SHRS
2019-05-16
2019-07-31
37. WORKDAY INC
2019-07-31
210. XCEL ENERGY INC
2019-07-31
39. ACCENTURE PLC
2019-07-31
63. EATON CORP PLC
2019-07-31
17. WHITE MTNS INS GROUP
2019-06-24
2019-07-31
321.34 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-08-15
228.52 FHLMC POOL #ZK2735 3.500% 11/01/25
2012-12-28
2019-08-25
111. BALL CORP
2017-10-17
2019-08-28
55000. BP CAP MARKETS AMERI 2.750% 5/10/23
2018-12-13
2019-08-29
30000. STATE STREET CORP 3.700% 11/20/23
2015-03-16
2019-08-29
40000. US TREASURY NOTE 1.250% 1/31/20
2015-02-18
2019-08-29
30000. COMCAST CORP 5.150% 3/01/20
2017-03-16
2019-09-03
30. ALEXION PHARMACEUTICALS INC
2019-09-05
64. ALEXION PHARMACEUTICALS INC
2019-09-05
35. ARCHER DANIELS MIDLAND CO
2017-09-14
2019-09-05
456. BANK OF AMERICA CORP
2019-07-31
2019-09-05
100. BIOMARIN PHARMACEUTICAL INC
2019-09-05
105. CIMAREX ENERGY CO
2019-06-24
2019-09-05
255. CISCO SYSTEMS INC
2019-06-24
2019-09-05
11. CISCO SYSTEMS INC
2018-07-05
2019-09-05
10. CUMMINS INC.
2017-09-14
2019-09-05
89. EOG RESOURCES, INC
2019-09-05
30. ERIE INDTY CO
2019-06-24
2019-09-05
324. EXXON MOBIL CORPORATION
2019-09-05
440. FREEPORT-MCMORAN INC.
2019-07-31
2019-09-05
966. GENERAL ELECTRIC CO
2019-09-05
231. HALLIBURTON CO
2019-07-31
2019-09-05
55. INTERNATIONAL BUSINESS MACHS CORP
2019-07-31
2019-09-05
19. INTERNATIONAL FLAVORS & FRAGRANCES
2019-05-16
2019-09-05
64. LEAR CORP
2019-09-05
152. LINCOLN NATL CORP IND
2019-06-24
2019-09-05
14. PARKER HANNIFIN CORP
2019-04-10
2019-09-05
123. PHILIP MORRIS INTERNATIONAL IN
2017-10-13
2019-09-05
13. PHILIP MORRIS INTERNATIONAL IN
2019-06-24
2019-09-05
17. PIONEER NAT RES CO COM
2019-04-10
2019-09-05
15. PRUDENTIAL FINL INC
2017-09-14
2019-09-05
71. SCHLUMBERGER LTD
2019-06-19
2019-09-05
304. SCHLUMBERGER LTD
2019-09-05
37. STANLEY BLACK DECKER INC
2019-05-08
2019-09-05
3. STANLEY BLACK DECKER INC
2017-09-14
2019-09-05
24. TESLA MOTORS INC
2019-09-05
8. TESLA MOTORS INC
2019-09-05
32. 3M CO
2019-07-31
2019-09-05
5. ULTA SALON COSMETICS & FRAGRAN
2019-02-28
2019-09-05
12. VARIAN MED SYS INC
2019-02-28
2019-09-05
89. WILLIAMS COS INC
2019-04-10
2019-09-05
51. XILINX INC
2019-09-05
320.19 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-09-15
88. COPART INC COM
2017-10-17
2019-09-20
61. DOLLAR TREE INC
2017-10-17
2019-09-20
613.63 FHLMC POOL #ZK2735 3.500% 11/01/25
2012-12-28
2019-09-25
2. BROWN FORMAN CORP CL B
2017-10-17
2019-10-01
1. CINTAS CORP
2017-10-17
2019-10-01
1. DOLLAR TREE INC
2017-10-17
2019-10-01
.962 GLOBAL PMTS INC W/I
2019-02-28
2019-10-01
3927.04 PARTNERS GROUP PRIVATE EQTY FD CL I
2019-10-01
1666.581 PARTNERS GROUP PRIVATE EQTY FD CL I
2019-10-01
1. POST HOLDINGS INC
2017-10-17
2019-10-01
1. T ROWE PRICE GROUP INC
2017-10-17
2019-10-01
2. PERRIGO CO PLC
2019-03-07
2019-10-01
79. DANAHER CORP
2019-10-10
7. DANAHER CORP
2019-10-10
13. FLEETCOR TECHNOLOGIES INC
2019-10-10
33. FLEETCOR TECHNOLOGIES INC
2019-10-10
78. HP INC
2017-09-14
2019-10-10
27. ILLINOIS TOOL WORKS INC
2019-05-15
2019-10-10
82. ILLINOIS TOOL WORKS INC
2019-10-10
11. INTUITIVE SURGICAL INC
2019-10-10
9. INTUITIVE SURGICAL INC
2019-10-10
63. JOHNSON & JOHNSON
2019-10-10
2. ESTEE LAUDER COMPANIES INC
2018-12-17
2019-10-10
51. ESTEE LAUDER COMPANIES INC
2019-10-10
164. PPG INDUSTRIES INC
2019-10-10
76. PAYPAL HOLDINGS INC
2019-10-10
9. PAYPAL HOLDINGS INC
2018-07-05
2019-10-10
11. SIMON PROPERTY GROUP INC
2017-09-14
2019-10-10
65. TEXAS INSTRUMENTS INC
2019-10-10
36. TWILIO INC
2019-10-10
71. UNION PACIFIC CORP
2019-10-10
47. VERTEX PHARMACEUTICALS INC COM
2019-10-10
36. AON PLC
2017-10-13
2019-10-10
28. AON PLC
2019-03-15
2019-10-10
45. ACCENTURE PLC
2019-10-10
144. INGERSOLL-RAND PLC
2019-10-10
79. MEDTRONIC PLC
2019-10-10
512.09 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-10-15
743.43 FHLMC POOL #ZK2735 3.500% 11/01/25
2012-12-28
2019-10-25
30000. DR PEPPER SNAPPLE GR 2.000% 1/15/20
2016-01-14
2019-11-13
8. AMAZON COM INC COM
2019-06-24
2019-11-15
65. CENTERPOINT ENERGY INC
2018-08-31
2019-11-15
140. CENTERPOINT ENERGY INC
2019-06-24
2019-11-15
71. CONCHO RESOURCES INC
2019-06-24
2019-11-15
21. EXACT SCIENCES CORP
2019-05-29
2019-11-15
556.63 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-11-15
101038.934 JPMORGAN HIGH YIELD FUND SS 3580
2019-11-15
232. OCCIDENTAL PETE CORP
2019-09-05
2019-11-15
62. STARBUCKS CORP COM
2019-07-31
2019-11-15
44. TWITTER INC
2019-01-28
2019-11-15
42. CELGENE CORP COM
2019-04-10
2019-11-21
33. CELGENE CORP COM
2019-06-24
2019-11-21
35000. BANK OF NEW YORK MEL 3.550% 9/23/21
2012-02-14
2019-11-22
35000. KEYCORP 2.900% 9/15/20
2016-10-27
2019-11-22
686.69 FHLMC POOL #ZK2735 3.500% 11/01/25
2012-12-28
2019-11-25
680.82 FED HOME LN MTG CORP 1.250% 11/15/27
2013-02-26
2019-12-15
88. DUPONT DE NEMOURS INC
2019-07-31
2019-12-19
151. GENERAL MOTORS CO
2019-07-31
2019-12-19
35000. PNC BANK NA 2.150% 4/29/21
2016-08-23
2019-12-20
119. PAYCHEX INC
2017-10-17
2019-12-20
192.96 FHLMC POOL #ZK2735 3.500% 11/01/25
2012-12-28
2019-12-25
.26 TRUIST FINANCIAL CORP
2019-03-20
2019-12-27
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
1,143
1,255
-112
b
2,040
3,542
-1,502
c
1,670
1,876
-206
d
638
684
-46
e
1,522
2,539
-1,017
1,318
1,131
187
188
202
-14
4,729
6,454
-1,725
30,075
32,582
-2,507
1,157
1,904
-747
3,301
3,530
-229
165
153
12
1,531
1,531
569
563
6
345
342
3
297
508
-211
148
211
-63
596
844
-248
598
843
-245
815
1,137
-322
815
1,050
-235
1,400
1,149
251
1,413
1,149
264
1,391
1,458
-67
1,988
2,008
-20
598
608
-10
2,259
3,726
-1,467
3,968
4,764
-796
3,807
4,575
-768
1,297
1,301
-4
3,661
4,140
-479
3,546
3,987
-441
1,019
1,391
-372
849
1,116
-267
930
1,178
-248
887
1,124
-237
29,066
29,024
42
25,657
25,202
455
1,023
1,039
-16
658
668
-10
1,302
1,313
-11
881
1,417
-536
1,163
1,488
-325
922
1,205
-283
814
675
139
1,603
1,855
-252
1,281
1,237
44
1,464
1,600
-136
735
674
61
1,315
1,515
-200
1,126
1,344
-218
846
1,277
-431
1,104
1,154
-50
1,040
1,541
-501
1,128
1,264
-136
924
806
118
579
553
26
1,115
1,523
-408
1,140
1,281
-141
1,337
1,408
-71
367
386
-19
1,270
1,227
43
1,194
1,188
6
1,163
1,055
108
686
703
-17
91
123
-32
1,005
623
382
532
531
1
363
1,261
-898
1,380
1,262
118
1,194
1,255
-61
836
821
15
1,776
1,779
-3
788
656
132
1,056
647
409
679
619
60
707
596
111
1,083
1,613
-530
1,144
1,509
-365
1,434
1,558
-124
700
693
7
676
490
186
1,155
990
165
808
763
45
684
583
101
855
797
58
1,097
664
433
939
1,249
-310
179
186
-7
1,791
1,864
-73
1,931
1,784
147
1,756
1,835
-79
3,668
3,302
366
3,642
5,452
-1,810
522
416
106
522
484
38
2,089
3,325
-1,236
369
683
-314
1,283
1,291
-8
2,138
2,186
-48
1,787
1,819
-32
1,519
1,547
-28
4,873
4,403
470
3,658
4,067
-409
34,571
34,669
-98
141
66
75
435
432
3
224
190
34
159
124
35
1,408
1,408
283
298
-15
96
95
1
337
334
3
1,374
2,021
-647
1,288
1,952
-664
1,317
1,977
-660
624
952
-328
4,312
3,932
380
629
942
-313
1,664
1,577
87
1,476
1,320
156
1,338
1,853
-515
1,417
1,748
-331
1,250
1,441
-191
1,270
1,516
-246
2,341
3,944
-1,603
1,370
2,034
-664
1,229
1,578
-349
1,356
1,635
-279
1,909
2,372
-463
4,031
5,333
-1,302
1,252
1,554
-302
1,176
1,580
-404
1,556
2,005
-449
3,196
7,444
-4,248
1,314
1,543
-229
1,828
2,036
-208
1,763
2,220
-457
1,235
1,527
-292
1,670
1,535
135
1,308
2,051
-743
2,099
3,237
-1,138
1,355
2,059
-704
3,467
2,813
654
1,156
1,522
-366
1,331
1,525
-194
3,035
3,567
-532
1,339
1,676
-337
1,430
1,189
241
440
411
29
4,097
2,910
1,187
783
1,062
-279
783
964
-181
897
617
280
336
319
17
1,619
1,560
59
7,199
5,543
1,656
9,243
6,245
2,998
483
456
27
603
570
33
936
863
73
964
913
51
4,760
5,445
-685
1,202
1,202
205
215
-10
687
680
7
575
569
6
12,030
5,542
6,488
2,596
2,771
-175
324
346
-22
1,460
1,587
-127
2,164
1,113
1,051
775
398
377
1,595
1,486
109
563
531
32
9,238
11,628
-2,390
2,509
3,134
-625
706,431
701,190
5,241
164,086
146,217
17,869
40,000
40,866
-866
2,447
2,956
-509
1,318
1,606
-288
950
1,121
-171
949
1,121
-172
45,000
48,873
-3,873
33
35
-2
1,709
2,018
-309
4,098
5,452
-1,354
1,653
1,664
-11
2,583
2,602
-19
3,631
2,916
715
3,631
3,363
268
468
566
-98
1,312
1,767
-455
25,473
25,048
425
66,097
70,619
-4,522
2,685
2,398
287
49,648
50,133
-485
1,307
1,538
-231
1,305
1,523
-218
1,286
1,494
-208
1,395
2,003
-608
1,287
2,046
-759
1,144
1,568
-424
1,928
2,588
-660
1,338
1,471
-133
2,351
2,212
139
1,761
2,037
-276
1,303
1,487
-184
1,406
1,724
-318
1,522
1,719
-197
381
456
-75
1,679
1,972
-293
1,439
1,543
-104
1,654
2,067
-413
1,362
1,509
-147
1,016
1,451
-435
1,897
2,168
-271
1,369
1,505
-136
3,885
3,466
419
1,635
1,790
-155
1,473
1,522
-49
5,182
4,534
648
1,920
2,013
-93
202
252
-50
1,814
2,535
-721
1,608
1,762
-154
1,699
1,996
-297
1,631
2,039
-408
1,554
2,040
-486
1,379
1,507
-128
1,639
2,465
-826
1,601
1,856
-255
291
344
-53
1,774
2,099
-325
1,883
2,646
-763
1,360
1,223
137
3,026
3,026
209
220
-11
771
763
8
784
777
7
1,179
1,079
100
1,266
1,147
119
2,191
1,450
741
1,725
1,585
140
1,152
1,065
87
2,478
1,976
502
2,905
4,140
-1,235
1,579
1,253
326
1,263
1,096
167
4,014
2,595
1,419
2,009
1,178
831
1,017
1,063
-46
1,540
1,248
292
6,022
3,535
2,487
2,038
2,104
-66
935
940
-5
3,458
2,060
1,398
1,552
1,608
-56
1,546
1,603
-57
1,848
2,762
-914
2,442
3,546
-1,104
4,683
5,228
-545
1,318
1,363
-45
3,004
2,659
345
483
504
-21
521
542
-21
33
27
6
45
36
9
4,146
4,146
208
219
-11
90
89
1
715
708
7
2,998
3,079
-81
3,072
2,569
503
882
977
-95
1,765
2,085
-320
2,099
2,542
-443
2,486
2,666
-180
3,771
4,164
-393
1,380
1,615
-235
1,686
1,845
-159
1,941
2,062
-121
448
492
-44
1,708
2,015
-307
1,471
1,954
-483
1,641
2,018
-377
1,271
1,980
-709
1,453
1,579
-126
1,233
1,511
-278
3,131
3,909
-778
1,297
1,479
-182
2,067
2,223
-156
720
775
-55
1,160
1,502
-342
1,368
1,520
-152
1,400
1,516
-116
1,369
1,519
-150
1,259
1,412
-153
2,171
2,380
-209
1,819
2,077
-258
1,451
2,170
-719
3,853
5,265
-1,412
2,237
2,549
-312
308
347
-39
1,526
1,630
-104
2,803
1,843
960
138
154
-16
2,172
2,656
-484
1,185
1,312
-127
1,308
1,514
-206
2,471
2,759
-288
2,232
1,981
251
1,017
825
192
3,551
4,302
-751
1,973
2,382
-409
3,064
3,362
-298
1,407
1,632
-225
2,079
2,151
-72
1,733
1,942
-209
1,745
2,248
-503
947
1,062
-115
998
1,277
-279
1,310
1,430
-120
1,213
1,296
-83
986
1,273
-287
4,424
4,767
-343
2,423
2,508
-85
970
1,200
-230
938
1,121
-183
586
749
-163
378
479
-101
210
268
-58
3,103
3,449
-346
2,073
2,337
-264
5,185
5,205
-20
644
799
-155
1,781
1,563
218
1,540
2,132
-592
804
945
-141
804
977
-173
1,414
1,877
-463
594,586
248,475
346,111
4,558
5,445
-887
571,787
227,467
344,320
632
505
127
2,948
3,554
-606
587
706
-119
583
706
-123
45,000
45,023
-23
12
4
8
1,360
1,149
211
2,381
1,375
1,006
764
919
-155
806
969
-163
2,689
2,139
550
221
232
-11
1,194
1,182
12
1,660
1,659
1
2,100
2,619
-519
1,800
2,061
-261
498
563
-65
1,751
1,828
-77
82
29
53
1,451
1,531
-80
1,442
1,526
-84
218
233
-15
2,135
2,279
-144
1,429
1,547
-118
6,908
7,697
-789
3,448
3,909
-461
10,978
10,253
725
2,349
2,510
-161
25,844
27,304
-1,460
4,918
4,449
469
10,002
8,828
1,174
1,431
1,496
-65
1,671
1,840
-169
835
903
-68
5,744
6,927
-1,183
10,690
12,008
-1,318
1,284
1,406
-122
7,009
10,141
-3,132
2,084
2,243
-159
1,631
1,832
-201
2,417
2,634
-217
15,759
18,213
-2,454
1,773
2,144
-371
2,284
2,073
211
1,582
1,677
-95
2,467
1,914
553
7,987
5,893
2,094
1,830
1,780
50
9,777
15,017
-5,240
22,828
18,824
4,004
3,735
3,403
332
10,025
5,066
4,959
6,267
7,810
-1,543
15,591
18,289
-2,698
14,069
15,567
-1,498
17,259
15,861
1,398
15,609
13,812
1,797
2,650
2,458
192
2,577
1,414
1,163
1,718
1,484
234
4,074
3,967
107
4,971
8,335
-3,364
6,311
8,695
-2,384
7,047
5,679
1,368
12,467
12,453
14
2,261
2,748
-487
1,913
2,162
-249
3,142
3,259
-117
1,628
1,749
-121
2,301
1,908
393
1,883
978
905
3,687
3,998
-311
1,807
1,547
260
1,521
1,619
-98
25,182
24,654
528
2,660
2,597
63
509
504
5
5,946
7,241
-1,295
8,564
6,396
2,168
11,873
12,166
-293
8,334
9,871
-1,537
204
214
-10
9,477
9,571
-94
2,371
2,016
355
3,162
1,901
1,261
5,123
5,183
-60
29,243
30,594
-1,351
7,564
8,095
-531
5,185
4,154
1,031
5,154
5,087
67
4,956
5,583
-627
10,097
11,068
-971
7,870
5,805
2,065
1,211
1,361
-150
3,330
3,552
-222
5,075
4,309
766
7,466
4,396
3,070
23,076
22,213
863
10,231
8,283
1,948
22,698
12,161
10,537
5,277
2,943
2,334
45,843
44,111
1,732
5,071
4,756
315
9,944
13,574
-3,630
17,556
17,201
355
8,509
7,982
527
25,370
16,413
8,957
16,703
16,216
487
5,064
4,771
293
5,074
5,171
-97
3,179
4,771
-1,592
2,201
3,154
-953
7,246
4,557
2,689
2,898
2,644
254
7,674
3,909
3,765
12,694
10,218
2,476
7,609
5,543
2,066
5,197
4,742
455
18,227
17,610
617
321
318
3
229
240
-11
8,737
4,661
4,076
56,279
53,261
3,018
31,994
32,029
-35
39,891
39,333
558
30,441
32,576
-2,135
3,046
4,006
-960
6,498
8,318
-1,820
1,364
1,521
-157
12,876
14,026
-1,150
7,366
9,253
-1,887
4,621
5,882
-1,261
12,352
14,543
-2,191
533
468
65
1,556
1,670
-114
6,815
8,243
-1,428
6,524
7,613
-1,089
22,725
25,042
-2,317
4,266
5,010
-744
8,675
9,519
-844
4,486
5,355
-869
7,736
8,237
-501
2,172
2,602
-430
7,677
8,841
-1,164
8,344
9,555
-1,211
2,396
2,542
-146
8,901
14,143
-5,242
941
1,019
-78
2,194
2,551
-357
1,226
1,530
-304
2,446
2,608
-162
10,471
20,600
-10,129
5,029
5,386
-357
408
456
-48
5,381
7,383
-2,002
1,794
1,602
192
5,310
5,646
-336
1,177
1,563
-386
1,290
1,620
-330
2,126
2,562
-436
5,448
5,840
-392
320
317
3
7,296
3,195
4,101
6,882
5,612
1,270
614
645
-31
125
89
36
265
152
113
114
92
22
153
112
41
23,684
21,142
2,542
10,051
9,108
943
106
87
19
113
95
18
111
93
18
10,997
10,193
804
974
670
304
3,732
3,420
312
9,473
5,721
3,752
1,253
1,519
-266
4,060
4,084
-24
12,331
12,015
316
5,672
5,752
-80
4,641
4,753
-112
8,176
8,816
-640
383
265
118
9,754
5,578
4,176
18,894
17,929
965
7,664
6,909
755
908
757
151
1,613
1,793
-180
8,382
6,595
1,787
4,037
5,038
-1,001
11,034
11,174
-140
7,974
7,534
440
6,810
5,383
1,427
5,296
4,746
550
8,306
6,242
2,064
16,490
12,911
3,579
8,473
6,588
1,885
512
507
5
743
781
-38
29,982
29,542
440
13,919
15,287
-1,368
1,647
1,806
-159
3,547
4,178
-631
5,174
7,314
-2,140
1,708
2,049
-341
557
551
6
726,470
765,784
-39,314
9,013
10,407
-1,394
5,210
5,956
-746
1,286
1,446
-160
4,566
3,975
591
3,587
3,088
499
35,976
36,318
-342
35,257
36,135
-878
687
721
-34
681
674
7
5,645
6,446
-801
5,626
6,090
-464
35,088
35,626
-538
10,187
7,536
2,651
193
203
-10
15
13
2
104,310
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
-112
b
-1,502
c
-206
d
-46
e
-1,017
187
-14
-1,725
-2,507
-747
-229
12
6
3
-211
-63
-248
-245
-322
-235
251
264
-67
-20
-10
-1,467
-796
-768
-4
-479
-441
-372
-267
-248
-237
42
455
-16
-10
-11
-536
-325
-283
139
-252
44
-136
61
-200
-218
-431
-50
-501
-136
118
26
-408
-141
-71
-19
43
6
108
-17
-32
382
1
-898
118
-61
15
-3
132
409
60
111
-530
-365
-124
7
186
165
45
101
58
433
-310
-7
-73
147
-79
366
-1,810
106
38
-1,236
-314
-8
-48
-32
-28
470
-409
-98
75
3
34
35
-15
1
3
-647
-664
-660
-328
380
-313
87
156
-515
-331
-191
-246
-1,603
-664
-349
-279
-463
-1,302
-302
-404
-449
-4,248
-229
-208
-457
-292
135
-743
-1,138
-704
654
-366
-194
-532
-337
241
29
1,187
-279
-181
280
17
59
1,656
2,998
27
33
73
51
-685
-10
7
6
6,488
-175
-22
-127
1,051
377
109
32
-2,390
-625
5,241
17,869
-866
-509
-288
-171
-172
-3,873
-2
-309
-1,354
-11
-19
715
268
-98
-455
425
-4,522
287
-485
-231
-218
-208
-608
-759
-424
-660
-133
139
-276
-184
-318
-197
-75
-293
-104
-413
-147
-435
-271
-136
419
-155
-49
648
-93
-50
-721
-154
-297
-408
-486
-128
-826
-255
-53
-325
-763
137
-11
8
7
100
119
741
140
87
502
-1,235
326
167
1,419
831
-46
292
2,487
-66
-5
1,398
-56
-57
-914
-1,104
-545
-45
345
-21
-21
6
9
-11
1
7
-81
503
-95
-320
-443
-180
-393
-235
-159
-121
-44
-307
-483
-377
-709
-126
-278
-778
-182
-156
-55
-342
-152
-116
-150
-153
-209
-258
-719
-1,412
-312
-39
-104
960
-16
-484
-127
-206
-288
251
192
-751
-409
-298
-225
-72
-209
-503
-115
-279
-120
-83
-287
-343
-85
-230
-183
-163
-101
-58
-346
-264
-20
-155
218
-592
-141
-173
-463
346,111
-887
344,320
127
-606
-119
-123
-23
8
211
1,006
-155
-163
550
-11
12
1
-519
-261
-65
-77
53
-80
-84
-15
-144
-118
-789
-461
725
-161
-1,460
469
1,174
-65
-169
-68
-1,183
-1,318
-122
-3,132
-159
-201
-217
-2,454
-371
211
-95
553
2,094
50
-5,240
4,004
332
4,959
-1,543
-2,698
-1,498
1,398
1,797
192
1,163
234
107
-3,364
-2,384
1,368
14
-487
-249
-117
-121
393
905
-311
260
-98
528
63
5
-1,295
2,168
-293
-1,537
-10
-94
355
1,261
-60
-1,351
-531
1,031
67
-627
-971
2,065
-150
-222
766
3,070
863
1,948
10,537
2,334
1,732
315
-3,630
355
527
8,957
487
293
-97
-1,592
-953
2,689
254
3,765
2,476
2,066
455
617
3
-11
4,076
3,018
-35
558
-2,135
-960
-1,820
-157
-1,150
-1,887
-1,261
-2,191
65
-114
-1,428
-1,089
-2,317
-744
-844
-869
-501
-430
-1,164
-1,211
-146
-5,242
-78
-357
-304
-162
-10,129
-357
-48
-2,002
192
-336
-386
-330
-436
-392
3
4,101
1,270
-31
36
113
22
41
2,542
943
19
18
18
804
304
312
3,752
-266
-24
316
-80
-112
-640
118
4,176
965
755
151
-180
1,787
-1,001
-140
440
1,427
550
2,064
3,579
1,885
5
-38
440
-1,368
-159
-631
-2,140
-341
6
-39,314
-1,394
-746
-160
591
499
-342
-878
-34
7
-801
-464
-538
2,651
-10
2
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
739,373
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
1,680,956
27,377,016
0.0614
2017
1,613,122
27,637,742
0.058367
2016
1,534,044
26,632,211
0.057601
2015
1,377,630
27,858,831
0.04945
2014
1,470,930
29,345,845
0.050124
2
Total
of line 1, column (d)
.....................
2
0.276942
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
0.055388
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
26,622,250
5
Multiply line 4 by line 3
......................
5
1,474,553
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
12,769
7
Add lines 5 and 6
........................
7
1,487,322
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,481,273
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
25,539
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
25,539
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
25,539
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
13,156
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
12,396
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
25,552
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
272
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
259
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)
VA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
WELLS FARGO BANK NA
Telephone no.
(800) 352-3705
Located at
100 NORTH MAIN STREET 6TH FLOOR D40
WINSTON SALEM
NC
ZIP+4
271014000
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
WELLS FARGO BANK N A
TRUSTEE
1
163,257
100 N MAIN ST MAC D4001-117
WINSTON SALEM
,
NC
27101
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
24,916,065
b
Average of monthly cash balances
.......................
1b
2,111,600
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
27,027,665
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
27,027,665
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
405,415
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
26,622,250
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,331,113
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
1,331,113
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
25,539
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
25,539
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,305,574
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
1,305,574
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
1,305,574
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
1,481,273
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
1,481,273
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
1,481,273
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
1,305,574
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
631,347
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:
$
1,481,273
a
Applied to 2018, but not more than line 2a
631,347
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
.....
849,926
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
..........
455,648
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 e-mail address of the person to whom applications should be addressed:
WELLS FARGO BANK
100 NORTH MAIN STREET 6th FLOOR D40
WINSTONSALEM
,
NC
271013818
(888) 234-1999
b
The form in which applications should be submitted and information and materials they should include:
www.wellsfargo.com/privatefoundationgrants/short Applications must be submitted through the online grant application form.
c
Any submission deadlines:
SEPTEMBER 15
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
PRIMARY CONSIDERATION IS GIVEN TO ORGANIZATIONS IN THE SOUTHEAST REGION OF VIRGINIA.
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
MILK AND COOKIES CHILDREN'S PROGRAM
1 NORTH 5TH STREET
Richmond
,
VA
23219
NONE
PC
GENERAL OPERATING
10,000
CRISTO REY RICHMOND HIGH SCHOOL INC
304 N SHEPPARD ST
Richmond
,
VA
23221
NONE
PC
GENERAL OPERATING
15,000
ELEVEN PICTURES LTD
166 MORTON RD JUANITA M GILES
Keysville
,
VA
23947
NONE
PC
GENERAL OPERATING
10,000
GATEWAY HOMES INC
4901 LIBBIE MILL EAST BLVD SUITE
Richmond
,
VA
23230
NONE
PC
GENERAL OPERATING
25,000
GOOCHLAND FREE CLINIC AND FAMILY
2999 RIVER ROAD WEST
Goochland
,
VA
23063
NONE
PC
GENERAL OPERATING
15,000
CAMP HOPE RICHMOND
8400 MEADOWBRIDGE RD
Mechanicsville
,
VA
23116
NONE
PC
GENERAL OPERATING
15,000
ANNA JULIA COOPER EPISCOPAL
2124 N 29TH ST
RICHMOND
,
VA
23223
NONE
PC
GENERAL SUPPORT
40,000
ALL SAINTS CATHOLIC SCHOOL
3418 NOBLE AVE
RICHMOND
,
VA
23222
NONE
PC
GENERAL SUPPORT
25,000
THE DOORWAYS
612 E MARSHALL ST
RICHMOND
,
VA
23219
NONE
PC
GENERAL SUPPORT
15,000
MEDICAL HOME PLUS
8719 FOREST HILL AVE
RICHMOND
,
VA
23235
NONE
PC
GENERAL SUPPORT
10,000
SAINT FRANCIS HOME
65 W CLOPTON ST
RICHMOND
,
VA
23225
NONE
PC
GENERAL SUPPORT
10,000
CAPUP
1021 OLIVER HILL WAY
RICHMOND
,
VA
23219
NONE
PC
GENERAL SUPPORT
5,000
VIRGINIA FOUNDATION OF COMMUNITY COLLEGE
300 ARBORETUM PLACE SUITE 200
RICHMOND
,
VA
23236
NONE
PC
GENERAL PURPOSE
25,000
DELTA OMEGA FOUNDATION INC
1 HAYDEN ST
PETERSBURG
,
VA
23806
NONE
PC
GENERAL SUPPORT
5,000
The Visual Arts Center of Richmond
1812 WEST MAIN STREET
Richmond
,
VA
23220
NONE
PC
GENERAL PURPOSE
10,000
J Sargeant Reynolds Community
PO BOX 26924
Richmond
,
VA
23286
NONE
PC
GENERAL PURPOSE
20,000
JOHN TYLER COMMUNITY COLLEGE
13101 JEFFERSON DAVIS HIGHWAY
Chester
,
VA
23831
NONE
PC
GENERAL OPERATING
25,000
BLUE SKY FUND
PO BOX 8108
RICHMOND
,
VA
23223
NONE
PC
GENERAL OPERATING
25,000
NEXTUP RVA
3409 MOORE STREET
Richmond
,
VA
23230
NONE
PC
GENERAL OPERATING
25,000
POSITIVE VIBE FOUNDATION
2825 HATHAWAY ROAD
Richmond
,
VA
23225
NONE
PC
GENERAL OPERATING
25,000
PETER PAUL DEVELOPMENT CENTER INC
1708 N 22ND ST
Richmond
,
VA
23223
NONE
PC
GENERAL OPERATING
25,000
PROJECT CARE FOR INC
6831 BROOKFIELD RD
Columbia
,
SC
29206
NONE
PC
GENERAL OPERATING
10,000
RICHMOND SYMPHONY
612 E GRACE ST 401
Richmond
,
VA
23219
NONE
PC
GENERAL OPERATING
20,000
RIVERSIDE SCHOOL INC
2110 MCRAE RD
North Chesterfield
,
VA
23235
NONE
PC
GENERAL OPERATING
25,000
SOUTHSIDE VIRGINIA COMMUNTIY
109 CAMPUS DRIVE
ALBERTA
,
VA
23821
NONE
I
SCHOLARSHIP
50,000
LAKE COUNTY SPCA
PO BOX 14
CLARKVILLE
,
VA
23927
NONE
PC
GENERAL PURPOSE
20,000
BOYS TO MEN MENTORIG NETWORK of
VIRGINIA INC
1107 W 42ND STREET
RICHMOND
,
VA
23225
NONE
PC
GENERAL SUPPORT
15,000
STEWARD SCHOOL CORPORATION
11600 GAYTON RD
Richmond
,
VA
23238
NONE
PC
GENERAL OPERATING
20,000
VIRGINIA ADVANCED STUDY STRATEGIES INC
820 BRUCE ST
South Boston
,
VA
24592
NONE
PC
GENERAL OPERATING
25,000
VIRGINIA COLLEGE FUND
1011 EAST MAIN STREET
RICHMOND
,
VA
23219
NONE
I
SCHOLARSHIP
100,000
VIRGINIA FOUNDATION FOR
300 ARBORETUM PLACE SUITE 200
Richmond
,
VA
23236
NONE
PC
GENERAL OPERATING
14,000
VIRGINIA HOME FOR BOYS AND GIRLS
716 W BROAD ST
Richmond
,
VA
23294
NONE
PC
GENERAL OPERATING
15,000
CHALLENGE DISCOVERY PROJECTS
1503 SANTO ROSA RD
RICHMOND
,
VA
232295105
NONE
PC
GENERAL SUPPORT
50,000
CHILDSAVERS-MEMORIAL CHILD GUIDANCE
CLINIC
200 N 22ND STREET
RICHMOND
,
VA
23223
NONE
PC
GENERAL PURPOSE
30,000
RANDOLPH-MACON COLLEGE
PO BOX 5005
Ashland
,
VA
230055505
NONE
PC
CREATION OF TWO
175,000
ST JOSEPHS VILLA
8000 BROOK ROAD
RICHMOND
,
VA
23227
NONE
PC
SUPPORT OF FLAGLER HOME
50,000
YMCA OF GREATER RICHMOND
1051 E CARY STREET SUITE 300
RICHMOND
,
VA
23219
NONE
PC
GENERAL PURPOSE
60,000
JUNIOR ACHIEVEMENT OF CENTRAL VIRGINIA
1801 LIBBIE AVENUE SUITE 203
RICHMOND
,
VA
22336
NONE
PC
GENERAL PURPOSE
25,000
DANVILLE COMMUNITY COLLEGE
1008 S MAIN STREET
DANVILLE
,
VA
24541
NONE
PC
GENERAL OPERATING
50,000
READING & EDUCATION FOR ADULT
DEVELOPMENT INC
2000 BREMO RD SUITE 102
RICHMOND
,
VA
23226
NONE
PC
TUTOR RECRUITMENT, TRAINING
30,000
CARITAS
PO BOX 25790
RICHMOND
,
VA
232605790
NONE
PC
GENERAL PURPOSE
40,000
BETTER HOUSING COALITION
23 WEST BROAD STREET
RICHMOND
,
VA
23219
NONE
PC
GENERAL PURPOSE
25,000
CRATER COMMUNITY HOSPICE
3916 S CRATER ROAD
PETERSBURG
,
VA
23805
NONE
PC
GENERAL PURPOSE
20,000
ST ANDREWS SCHOOL
227 SOUTH CHERRY STREET
RICHMOND
,
VA
23220
NONE
PC
GENERAL PURPOSE
50,000
NORTHSTAR ACADEMY
8055 SCHRADER ROAD
RICHMOND
,
VA
23294
NONE
PC
GENERAL PURPOSE
25,000
CLARKSVILLE RURITANS INC
PO BOX 44
CLARKSVILLE
,
VA
23927
NONE
PC
SCHOLARSHIP PROGRAM
50,000
SAFE HARBOR
PO BOX 17996
RICHMOND
,
VA
23226
NONE
PC
GENERAL PURPOSE
20,000
MEDICAL COLLEGE OF VIRGINIA
PO BOX 980234
RICHMOND
,
VA
23298
NONE
PC
RESEARCH FOR LIFE CAMPAIGN
25,000
Total
.................................
3a
1,419,000
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
574,328
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
16
140,430
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
739,373
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
PARTNERSHIP/S-CORP
1
76
b
FEDERAL TAX REFUND
1
5,279
c
OTHER INCOME
1
1,893
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
1,461,379
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
1,461,379
(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