-
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
10-01-2019
, and ending
09-30-2020
Name of foundation
WARSH MOTT LEGACY
Number and street (or P.O. box number if mail is not delivered to street address)
245 KENTUCKY STREET NO E
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PETALUMA
,
CA
949522876
A Employer identification number
68-0049658
B
Telephone number (see instructions)
(707) 874-2942
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)
$
36,168,692
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)
2,372,473
2
Check
.............
3
Interest on savings and temporary cash investments
644
644
4
Dividends and interest from securities
...
754,105
754,105
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
-552,083
b
Gross sales price for all assets on line 6a
7,994,189
7
Capital gain net income (from Part IV, line 2)
...
509,429
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
2,575,139
1,264,178
0
13
Compensation of officers, directors, trustees, etc.
57,875
3,867
0
106,853
14
Other employee salaries and wages
......
90,308
0
0
170,127
15
Pension plans, employee benefits
.......
33,582
648
0
58,671
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
35,550
17,000
0
18,550
c
Other professional fees (attach schedule)
....
20,723
20,025
0
2,224
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
32,823
17,385
0
19,647
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
13,191
0
0
19,815
21
Travel, conferences, and meetings
.......
2,606
0
0
25,106
22
Printing and publications
..........
442
0
0
1,362
23
Other expenses (attach schedule)
.......
120,557
93,968
0
53,616
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
407,657
152,893
0
475,971
25
Contributions, gifts, grants paid
.......
755,000
1,295,000
26
Total expenses and disbursements.
Add lines 24 and 25
1,162,657
152,893
0
1,770,971
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
1,412,482
b
Net investment income
(if negative, enter -0-)
1,111,285
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
.............
26,424
27,323
27,323
2
Savings and temporary cash investments
.........
2,850,477
1,070,644
1,070,644
3
Accounts receivable
12,601
Less: allowance for doubtful accounts
12,293
12,601
12,601
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
21,721,986
25,348,776
25,348,776
c
Investments—corporate bonds (attach schedule)
.......
2,591,804
3,700,650
3,700,650
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
7,046,912
6,008,698
6,008,698
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)
34,249,896
36,168,692
36,168,692
17
Accounts payable and accrued expenses
..........
231,764
18
Grants payable
.................
730,000
190,000
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)
.........
961,764
190,000
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
2,567,576
2,567,576
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
30,720,556
33,411,116
29
Total net assets or fund balances
(see instructions)
.....
33,288,132
35,978,692
30
Total liabilities and net assets/fund balances
(see instructions)
.
34,249,896
36,168,692
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
33,288,132
2
Enter amount from Part I, line 27a
.....................
2
1,412,482
3
Other increases not included in line 2 (itemize)
3
1,753,571
4
Add lines 1, 2, and 3
..........................
4
36,454,185
5
Decreases not included in line 2 (itemize)
5
475,493
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
35,978,692
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
BOOK/TAX TIMING DIFFERENCE FROM INSPIRE SALES INCLUDED IN PY T/R
P
b
TGAP VENTURE CAPITAL FUND
P
2020-09-30
c
MFO D&D SMID CAP VALUE FUND (JOINT VENTURE)
P
2019-12-31
d
MFO D&D SMID CAP VALUE FUND (JOINT VENTURE)
P
2019-12-31
e
MFO TOWLE FUND (JOINT VENTURE)
P
2019-12-31
MFO TOWLE FUND (JOINT VENTURE)
P
2019-12-31
MFO WESTFIELD FUND A (JOINT VENTURE)
P
2019-12-31
MFO WESTFIELD FUND A (JOINT VENTURE)
P
2019-12-31
9980.04 BLACKROCK FLOATING RATE INCOME PORTFOLIO CL BFRIX
P
2019-04-12
2019-12-04
19673.083 BLACKROCK FLOATING RATE INCOME PORTFOLIO CL BFRIX
P
2014-04-10
2019-12-04
7525.384 BLACKROCK FLOATING RATE INCOME PORTFOLIO CL BFRIX
P
2015-03-31
2019-12-04
2912.621 BLACKROCK FLOATING RATE INCOME PORTFOLIO CL BFRIX
P
2014-10-23
2019-12-04
25693.731 BLACKROCK FLOATING RATE INCOME PORTFOLIO CL BFRIX
P
2016-02-12
2019-12-04
150 PHILLIPS 66 SHS PSX
P
2014-09-03
2019-11-07
250 QUALCOMM INC QCOM
P
2017-09-07
2019-11-07
1150 PAPA JOHNS INTL INC PZZA
P
2019-07-10
2020-01-07
350 DISNEY (WALT) CO DIS
D
2015-12-17
2020-01-08
506 JOHNSON AND JOHNSON COM JNJ
D
2016-12-19
2020-01-08
250 PHILLIPS 66 SHS PSX
P
2014-09-03
2020-01-08
625 PHILLIPS 66 SHS PSX
D
2014-09-03
2020-01-08
850 QUALCOMM INC QCOM
D
2015-07-30
2020-01-08
750 QUALCOMM INC QCOM
D
2012-12-05
2020-01-08
200 QUALCOMM INC QCOM
D
2017-09-07
2020-01-08
2541 VANECK VECTORS GOLD MINERS ETF GDX
P
2017-01-12
2020-01-08
800 SPDR S P BIOTECH XBI
D
2017-01-12
2020-01-08
700 SCHLUMBERGER LTD SLB
P
1989-11-06
2020-03-24
3950 CARLYLE GROUP INC/THE CG
P
2020-02-26
2020-04-03
400 FEDEX CORP FDX
P
2019-07-24
2020-04-13
400 FEDEX CORP FDX
P
2019-09-18
2020-04-13
250 PAPA JOHNS INTL INC PZZA
P
2019-07-10
2020-05-11
325 PAPA JOHNS INTL INC PZZA
P
2019-08-16
2020-05-11
575 PAPA JOHNS INTL INC PZZA
P
2019-08-16
2020-05-12
800 VIPER ENERGY PARTNERS VNOM
P
2018-08-24
2020-06-03
1250 VIPER ENERGY PARTNERS VNOM
P
2018-11-16
2020-06-03
800 PHILLIPS 66 SHS PSX
D
2014-09-03
2020-06-19
600 PHILLIPS 66 SHS PSX
P
2014-10-28
2020-06-19
650 RAYTHEON TECHNOLOGIES CORP RTX
P
2008-10-17
2020-06-19
730 RAYTHEON TECHNOLOGIES CORP RTX
P
2020-05-26
2020-06-19
159 VANECK VECTORS GOLD MINERS ETF GDX
P
2017-01-12
2020-06-19
1300 VANECK VECTORS GOLD MINERS ETF GDX
P
2018-04-24
2020-06-19
1682 VANECK VECTORS GOLD MINERS ETF GDX
D
2018-04-24
2020-06-19
2650 VANECK VECTORS GOLD MINERS ETF GDX
P
2018-08-23
2020-06-19
3659 VANECK VECTORS GOLD MINERS ETF GDX
D
2018-08-23
2020-06-19
250 VAIL RESORTS INC MTN
P
2018-10-24
2020-08-25
150 VAIL RESORTS INC MTN
P
2018-03-06
2020-08-25
900 KRAFT (THE) HEINZ CO SHS KHC
P
2017-03-01
2020-08-27
56997.793 VANGUARD GLOBAL CAPITAL CYCLES FD VGPMX
P
2019-03-08
2020-06-19
1351.717 VANGUARD SMALL CAP INDEX - ADMIRAL SHRS VSMAX
P
2018-05-18
2020-01-08
1850.481 VANGUARD SMALL CAP INDEX - ADMIRAL SHRS VSMAX
P
2017-09-28
2020-01-08
3084.992 VANGUARD SMALL CAP INDEX - ADMIRAL SHRS VSMAX
P
2017-07-11
2020-01-08
3161.034 VANGUARD SMALL CAP INDEX - ADMIRAL SHRS VSMAX
P
2017-04-28
2020-01-08
82 COUPA SOFTWARE INC COUP
P
2012-05-01
2020-06-26
61 COUPA SOFTWARE INC COUP
P
2012-05-01
2020-07-14
6095.703 CATALYST/MILBURN HEDGE STRATEGY FUND MBXIX
P
2019-04-15
2020-04-07
644.745 CATALYST/MILBURN HEDGE STRATEGY FUND MBXIX
P
2017-04-28
2020-04-07
8872.823 CATALYST/MILBURN HEDGE STRATEGY FUND MBXIX
P
2019-01-24
2020-04-07
3884.501 CATALYST/MILBURN HEDGE STRATEGY FUND MBXIX
P
2017-03-07
2020-04-07
16155.579 CATALYST/MILBURN HEDGE STRATEGY FUND MBXIX
P
2017-03-07
2020-04-30
3390.98 CATALYST/MILBURN HEDGE STRATEGY FUND MBXIX
P
2018-03-02
2020-04-30
70.002 ARIEL INVT TR APPRECIATION INV CAAPX
P
2019-12-17
2020-02-27
470.389 ARIEL INVT TR APPRECIATION INV CAAPX
P
2019-11-21
2020-02-27
5.726 ARIEL INVT TR APPRECIATION INV CAAPX
P
2019-11-21
2020-02-27
32.266 ARIEL INVT TR APPRECIATION INV CAAPX
P
2013-12-30
2020-02-27
32.92 ARIEL INVT TR APPRECIATION INV CAAPX
P
2014-12-30
2020-02-27
186.447 ARIEL INVT TR APPRECIATION INV CAAPX
P
2013-11-14
2020-02-27
84.092 ARIEL INVT TR APPRECIATION INV CAAPX
P
2013-11-14
2020-02-27
402.299 ARIEL INVT TR APPRECIATION INV CAAPX
P
2014-11-20
2020-02-27
91.766 ARIEL INVT TR APPRECIATION INV CAAPX
P
2014-11-20
2020-02-27
1.182 ARIEL INVT TR APPRECIATION INV CAAPX
P
2006-12-28
2020-02-27
171.513 ARIEL INVT TR APPRECIATION INV CAAPX
P
2006-11-16
2020-02-27
7.894 ARIEL INVT TR APPRECIATION INV CAAPX
P
2006-11-16
2020-02-27
52.476 ARIEL INVT TR APPRECIATION INV CAAPX
P
2017-12-28
2020-02-27
2.273 ARIEL INVT TR APPRECIATION INV CAAPX
P
2004-12-29
2020-02-27
29.847 ARIEL INVT TR APPRECIATION INV CAAPX
P
2015-11-19
2020-02-27
467.391 ARIEL INVT TR APPRECIATION INV CAAPX
P
2015-11-19
2020-02-27
36.69 ARIEL INVT TR APPRECIATION INV CAAPX
P
2016-12-29
2020-02-27
7.026 ARIEL INVT TR APPRECIATION INV CAAPX
P
2005-12-29
2020-02-27
46.982 ARIEL INVT TR APPRECIATION INV CAAPX
P
2016-11-17
2020-02-27
342.782 ARIEL INVT TR APPRECIATION INV CAAPX
P
2016-11-17
2020-02-27
89.678 ARIEL INVT TR APPRECIATION INV CAAPX
P
2005-11-17
2020-02-27
22.289 ARIEL INVT TR APPRECIATION INV CAAPX
P
2005-11-17
2020-02-27
667.403 ARIEL INVT TR APPRECIATION INV CAAPX
P
2017-11-16
2020-02-27
35.723 ARIEL INVT TR APPRECIATION INV CAAPX
P
2017-11-16
2020-02-27
7.734 ARIEL INVT TR APPRECIATION INV CAAPX
P
2004-11-17
2020-02-27
53.181 ARIEL INVT TR APPRECIATION INV CAAPX
P
2004-11-17
2020-02-27
58.573 ARIEL INVT TR APPRECIATION INV CAAPX
P
2015-12-30
2020-02-27
1.558 ARIEL INVT TR APPRECIATION INV CAAPX
P
2007-11-15
2020-02-27
267.897 ARIEL INVT TR APPRECIATION INV CAAPX
P
2007-11-15
2020-02-27
30.989 ARIEL INVT TR APPRECIATION INV CAAPX
P
2018-11-15
2020-02-27
327.969 ARIEL INVT TR APPRECIATION INV CAAPX
P
2018-11-15
2020-02-27
2309.469 ARIEL INVT TR APPRECIATION INV CAAPX
P
2003-12-31
2020-02-27
15.656 ARIEL INVT TR APPRECIATION INV CAAPX
P
2007-12-27
2020-02-27
1.067 ARIEL INVT TR APPRECIATION INV CAAPX
P
2010-12-29
2020-02-27
32.069 ARIEL INVT TR APPRECIATION INV CAAPX
P
2012-12-27
2020-02-27
14.185 ARIEL INVT TR APPRECIATION INV CAAPX
P
2011-12-29
2020-02-27
1.719 ARIEL INVT TR APPRECIATION INV CAAPX
P
2012-11-16
2020-02-27
409.969 ARIEL INVT TR APPRECIATION INV CAAPX
P
2012-11-16
2020-02-27
76.152 ARIEL INVT TR APPRECIATION INV CAAPX
P
2018-12-27
2020-02-27
37.388 ARIEL INVT TR APPRECIATION INV CAAPX
P
2011-11-21
2020-02-27
4.073 ARIEL INVT TR APPRECIATION INV CAAPX
P
2009-12-29
2020-02-27
30.973 ARIEL INVT TR APPRECIATION INV CAAPX
P
2008-12-29
2020-02-27
3.02 ARIEL INVT TR APPRECIATION INV CAAPX
P
2008-11-24
2020-02-27
473.613 ARIEL INVT TR APPRECIATION INV CAAPX
P
2008-11-24
2020-02-27
43.542 ARIEL INVT TR ARIEL FD INV ARGFX
P
2019-12-17
2020-02-27
240.532 ARIEL INVT TR ARIEL FD INV ARGFX
P
2019-11-21
2020-02-27
9.894 ARIEL INVT TR ARIEL FD INV ARGFX
P
2019-11-21
2020-02-27
16.459 ARIEL INVT TR ARIEL FD INV ARGFX
P
2013-12-30
2020-02-27
18.46 ARIEL INVT TR ARIEL FD INV ARGFX
P
2014-12-30
2020-02-27
28.49 ARIEL INVT TR ARIEL FD INV ARGFX
P
2014-11-20
2020-02-27
364.981 ARIEL INVT TR ARIEL FD INV ARGFX
P
2014-11-20
2020-02-27
30.073 ARIEL INVT TR ARIEL FD INV ARGFX
P
2017-12-28
2020-02-27
232.862 ARIEL INVT TR ARIEL FD INV ARGFX
P
2017-11-16
2020-02-27
10.912 ARIEL INVT TR ARIEL FD INV ARGFX
P
2017-11-16
2020-02-27
11.904 ARIEL INVT TR ARIEL FD INV ARGFX
P
2016-12-29
2020-02-27
355.357 ARIEL INVT TR ARIEL FD INV ARGFX
P
2018-11-15
2020-02-27
4.226 ARIEL INVT TR ARIEL FD INV ARGFX
P
2018-11-15
2020-02-27
253.816 ARIEL INVT TR ARIEL FD INV ARGFX
P
2016-11-17
2020-02-27
512.051 ARIEL INVT TR ARIEL FD INV ARGFX
P
2015-11-19
2020-02-27
26.979 ARIEL INVT TR ARIEL FD INV ARGFX
P
2015-12-30
2020-02-27
51.88 ARIEL INVT TR ARIEL FD INV ARGFX
P
2018-12-27
2020-02-27
0.988 ARIEL INVT TR ARIEL FD INV ARGFX
P
2004-12-29
2020-02-27
8.9 ARIEL INVT TR ARIEL FD INV ARGFX
P
2004-11-17
2020-02-27
67.764 ARIEL INVT TR ARIEL FD INV ARGFX
P
2004-11-17
2020-02-27
163.314 ARIEL INVT TR ARIEL FD INV ARGFX
P
2006-11-16
2020-02-27
23.072 ARIEL INVT TR ARIEL FD INV ARGFX
P
2005-11-17
2020-02-27
134.201 ARIEL INVT TR ARIEL FD INV ARGFX
P
2005-11-17
2020-02-27
28.161 ARIEL INVT TR ARIEL FD INV ARGFX
P
2012-12-27
2020-02-27
7.286 ARIEL INVT TR ARIEL FD INV ARGFX
P
2005-12-29
2020-02-27
0.24 ARIEL INVT TR ARIEL FD INV ARGFX
P
2010-12-29
2020-02-27
239.467 ARIEL INVT TR ARIEL FD INV ARGFX
P
2007-11-15
2020-02-27
7.771 ARIEL INVT TR ARIEL FD INV ARGFX
P
2007-11-15
2020-02-27
9.185 ARIEL INVT TR ARIEL FD INV ARGFX
P
2007-12-27
2020-02-27
2216.312 ARIEL INVT TR ARIEL FD INV ARGFX
P
2003-12-31
2020-02-27
6.235 ARIEL INVT TR ARIEL FD INV ARGFX
P
2011-12-29
2020-02-27
0.476 ARIEL INVT TR ARIEL FD INV ARGFX
P
2009-12-29
2020-02-27
49.628 ARIEL INVT TR ARIEL FD INV ARGFX
P
2008-12-29
2020-02-27
9.613 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2019-12-02
2020-02-28
203.179 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2019-12-02
2020-02-28
2.298 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2019-12-02
2020-02-28
1.648 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2014-12-29
2020-02-28
395.304 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2014-12-11
2020-02-28
13.036 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2014-12-11
2020-02-28
4.534 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2013-12-26
2020-02-28
167.059 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2013-12-05
2020-02-28
20.192 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2018-11-29
2020-02-28
531.685 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2018-11-29
2020-02-28
1.924 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2018-11-29
2020-02-28
6.894 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2017-12-19
2020-02-28
493.129 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2017-12-19
2020-02-28
17.836 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2015-12-29
2020-02-28
1114.145 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2015-12-10
2020-02-28
198.101 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2007-12-06
2020-02-28
5.535 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2012-12-06
2020-02-28
0.746 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2012-12-27
2020-02-28
130.348 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2006-12-07
2020-02-28
9.579 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2017-10-01
2020-02-28
615.473 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2017-10-01
2020-02-28
49.79 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2005-12-08
2020-02-28
183.694 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2011-12-07
2020-02-28
3012.048 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2003-12-31
2020-02-28
4.256 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2009-12-23
2020-02-28
293.34 CALVERT SOCIAL INVT FD EQTY PTF A CSIEX
P
2008-12-03
2020-02-28
234.387 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2019-12-18
2020-02-28
0.388 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2019-12-18
2020-02-28
30.762 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2018-09-30
2020-02-28
9.317 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2014-09-17
2020-02-28
36.68 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2018-06-20
2020-02-28
10.478 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2018-03-21
2020-02-28
32.788 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2017-12-20
2020-02-28
465.971 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2017-12-20
2020-02-28
25.434 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2017-12-20
2020-02-28
34.061 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2014-06-18
2020-02-28
10.522 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2015-03-18
2020-02-28
47.273 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2014-12-17
2020-02-28
650.809 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2014-12-17
2020-02-28
8.385 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2014-03-19
2020-02-28
44.159 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2016-12-21
2020-02-28
161.433 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2016-12-21
2020-02-28
13.476 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2015-09-16
2020-02-28
8.443 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2016-09-21
2020-02-28
5.92 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2013-09-18
2020-02-28
52.85 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2015-12-16
2020-02-28
454.249 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2015-12-16
2020-02-28
41.296 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2015-12-16
2020-02-28
46.561 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2016-03-16
2020-02-28
7.318 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2013-06-19
2020-02-28
233.751 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2018-12-19
2020-02-28
1164.782 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2018-12-19
2020-02-28
24.464 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2018-12-19
2020-02-28
16.802 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2007-06-13
2020-02-28
40.417 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2013-03-20
2020-02-28
6.682 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2012-09-19
2020-02-28
25.729 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2012-03-21
2020-02-28
31.828 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2006-12-13
2020-02-28
0.754 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2007-12-12
2020-02-28
15.753 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2012-06-20
2020-02-28
417.664 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2007-12-12
2020-02-28
10.982 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2011-06-22
2020-02-28
21.492 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2011-03-23
2020-02-28
25.887 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2005-12-15
2020-02-28
29.785 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2006-06-15
2020-02-28
58.972 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2004-12-15
2020-02-28
57.661 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2008-06-11
2020-02-28
25.749 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2005-06-15
2020-02-28
11.509 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2011-09-21
2020-02-28
15.165 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2004-06-16
2020-02-28
7319.15 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2003-12-31
2020-02-28
16.045 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2010-03-24
2020-02-28
9.551 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2010-09-22
2020-02-28
20.464 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2010-06-23
2020-02-28
8.425 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2009-09-16
2020-02-28
67.657 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2008-11-25
2020-02-28
83.54 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2009-03-11
2020-02-28
11.58 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2019-09-18
2020-02-28
2.114 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2019-06-19
2020-02-28
51.556 DOMINI SOCIAL INVT TR EQUITY FD DSEFX
P
2019-03-20
2020-02-28
89.24 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2019-12-27
2020-02-28
195.732 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2019-12-11
2020-02-28
0.848 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2014-08-21
2020-02-28
546.835 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2013-12-23
2020-02-28
9.591 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2013-12-23
2020-02-28
63.286 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2017-10-26
2020-02-28
214.262 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2017-10-26
2020-02-28
0.834 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2017-12-27
2020-02-28
1222.859 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2017-12-27
2020-02-28
77.163 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2017-12-27
2020-02-28
115.16 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2016-12-15
2020-02-28
66.756 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2016-12-15
2020-02-28
1026.485 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2014-12-16
2020-02-28
179.787 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2014-12-16
2020-02-28
0.127 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2015-08-25
2020-02-28
276.141 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2012-12-27
2020-02-28
122.336 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2015-12-16
2020-02-28
696.725 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2015-12-16
2020-02-28
247.196 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2016-03-28
2020-02-28
94.094 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2018-12-12
2020-02-28
923.401 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2018-12-12
2020-02-28
115.797 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2018-12-27
2020-02-28
6029.018 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2003-12-31
2020-02-28
416.779 TOUCHSTONE SUSTAINABILITY & IMP EQ TEQAX
P
2008-12-22
2020-02-28
CAPITAL GAINS 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
0
b
77,965
-77,965
c
192,854
179,783
13,071
d
553,023
479,591
73,432
e
191,845
238,381
-46,536
519,967
505,923
14,044
173,317
184,951
-11,634
334,722
188,432
146,290
99,301
100,000
-699
195,747
206,567
-10,820
74,878
77,737
-2,859
28,981
30,000
-1,019
255,653
250,000
5,653
17,858
13,180
4,678
22,945
12,560
10,385
73,002
52,963
20,039
50,848
39,399
11,449
73,370
58,952
14,418
26,169
21,966
4,203
65,424
54,915
10,509
75,675
53,368
22,307
66,772
46,423
20,349
17,806
10,048
7,758
71,483
57,963
13,520
76,552
50,448
26,104
9,754
6,449
3,305
76,887
117,805
-40,918
49,252
70,512
-21,260
49,252
60,392
-11,140
20,769
11,514
9,255
27,000
13,949
13,051
46,710
24,678
22,032
9,071
29,641
-20,570
14,174
36,029
-21,855
61,095
70,291
-9,196
45,821
46,151
-330
42,331
18,775
23,556
47,541
46,913
628
5,292
3,627
1,665
43,264
29,547
13,717
55,977
38,230
17,747
88,192
49,238
38,954
121,772
67,986
53,786
56,149
59,628
-3,479
33,690
32,077
1,613
31,260
82,584
-51,324
432,043
434,323
-2,280
107,299
100,000
7,299
146,891
125,000
21,891
244,887
200,000
44,887
250,923
203,602
47,321
22,496
255
22,241
17,259
190
17,069
150,503
200,000
-49,497
15,919
20,000
-4,081
219,070
270,000
-50,930
95,908
116,302
-20,394
432,162
483,698
-51,536
90,709
100,000
-9,291
2,780
3,111
-331
18,679
20,391
-1,712
227
248
-21
1,281
1,792
-511
1,307
1,782
-475
7,404
9,938
-2,534
3,339
4,482
-1,143
15,975
21,414
-5,439
3,644
4,885
-1,241
47
57
-10
6,811
8,246
-1,435
313
380
-67
2,084
2,523
-439
90
108
-18
1,185
1,419
-234
18,560
22,220
-3,660
1,457
1,732
-275
279
329
-50
1,866
2,198
-332
13,612
16,035
-2,423
3,561
4,181
-620
885
1,039
-154
26,503
30,754
-4,251
1,419
1,646
-227
307
352
-45
2,112
2,420
-308
2,326
2,656
-330
62
69
-7
10,638
11,838
-1,200
1,231
1,366
-135
13,024
14,457
-1,433
91,709
100,000
-8,291
622
675
-53
42
45
-3
1,273
1,300
-27
563
551
12
68
66
2
16,280
15,747
533
3,024
2,919
105
1,485
1,365
120
162
146
16
1,230
631
599
120
58
62
18,807
9,136
9,671
2,488
2,799
-311
13,744
15,166
-1,422
565
624
-59
940
1,210
-270
1,055
1,336
-281
1,628
2,034
-406
20,855
26,063
-5,208
1,718
2,113
-395
13,306
15,762
-2,456
624
739
-115
680
769
-89
20,305
22,690
-2,385
241
270
-29
14,503
15,864
-1,361
29,259
31,419
-2,160
1,542
1,611
-69
2,964
2,847
117
56
53
3
509
461
48
3,872
3,507
365
9,332
8,365
967
1,318
1,173
145
7,668
6,820
848
1,609
1,425
184
416
366
50
14
12
2
13,683
11,430
2,253
444
371
73
525
426
99
126,640
100,000
26,640
356
269
87
27
19
8
2,836
1,094
1,742
506
514
-8
10,687
10,864
-177
121
123
-2
87
81
6
20,793
18,888
1,905
686
623
63
238
217
21
8,787
7,726
1,061
1,062
895
167
27,967
23,575
4,392
101
85
16
363
298
65
25,939
21,298
4,641
938
727
211
58,604
45,156
13,448
10,420
7,750
2,670
291
211
80
39
28
11
6,856
4,879
1,977
504
358
146
32,374
22,945
9,429
2,619
1,783
836
9,662
6,260
3,402
158,434
100,000
58,434
224
130
94
15,430
6,497
8,933
5,328
5,574
-246
9
9
0
699
756
-57
212
227
-15
834
878
-44
238
251
-13
745
778
-33
10,592
11,052
-460
578
603
-25
774
798
-24
239
244
-5
1,075
1,056
19
14,793
14,541
252
191
186
5
1,004
964
40
3,669
3,523
146
306
292
14
192
177
15
135
120
15
1,201
1,071
130
10,325
9,208
1,117
939
837
102
1,058
918
140
166
138
28
5,313
4,371
942
26,475
21,781
4,694
556
457
99
382
304
78
919
726
193
152
115
37
585
440
145
723
531
192
17
12
5
358
256
102
9,493
6,787
2,706
250
170
80
489
333
156
588
396
192
677
441
236
1,340
867
473
1,311
847
464
585
370
215
262
165
97
345
214
131
166,364
100,000
66,364
365
218
147
217
127
90
465
265
200
191
105
86
1,538
620
918
1,899
657
1,242
263
262
1
48
47
1
1,172
1,092
80
1,746
1,948
-202
3,830
4,183
-353
17
22
-5
10,702
13,238
-2,536
188
232
-44
1,239
1,525
-286
4,193
5,161
-968
16
19
-3
23,931
27,441
-3,510
1,510
1,732
-222
2,254
2,481
-227
1,306
1,438
-132
20,088
22,093
-2,005
3,518
3,870
-352
2
3
-1
5,404
5,643
-239
2,394
2,466
-72
13,635
14,042
-407
4,838
4,846
-8
1,841
1,838
3
18,071
18,034
37
2,266
2,108
158
117,988
100,000
17,988
8,156
4,594
3,562
59,051
59,051
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
0
b
-77,965
c
13,071
d
73,432
e
-46,536
14,044
-11,634
146,290
-699
-10,820
-2,859
-1,019
5,653
4,678
10,385
20,039
11,449
14,418
4,203
10,509
22,307
20,349
7,758
13,520
26,104
3,305
-40,918
-21,260
-11,140
9,255
13,051
22,032
-20,570
-21,855
-9,196
-330
23,556
628
1,665
13,717
17,747
38,954
53,786
-3,479
1,613
-51,324
-2,280
7,299
21,891
44,887
47,321
22,241
17,069
-49,497
-4,081
-50,930
-20,394
-51,536
-9,291
-331
-1,712
-21
-511
-475
-2,534
-1,143
-5,439
-1,241
-10
-1,435
-67
-439
-18
-234
-3,660
-275
-50
-332
-2,423
-620
-154
-4,251
-227
-45
-308
-330
-7
-1,200
-135
-1,433
-8,291
-53
-3
-27
12
2
533
105
120
16
599
62
9,671
-311
-1,422
-59
-270
-281
-406
-5,208
-395
-2,456
-115
-89
-2,385
-29
-1,361
-2,160
-69
117
3
48
365
967
145
848
184
50
2
2,253
73
99
26,640
87
8
1,742
-8
-177
-2
6
1,905
63
21
1,061
167
4,392
16
65
4,641
211
13,448
2,670
80
11
1,977
146
9,429
836
3,402
58,434
94
8,933
-246
0
-57
-15
-44
-13
-33
-460
-25
-24
-5
19
252
5
40
146
14
15
15
130
1,117
102
140
28
942
4,694
99
78
193
37
145
192
5
102
2,706
80
156
192
236
473
464
215
97
131
66,364
147
90
200
86
918
1,242
1
1
80
-202
-353
-5
-2,536
-44
-286
-968
-3
-3,510
-222
-227
-132
-2,005
-352
-1
-239
-72
-407
-8
3
37
158
17,988
3,562
59,051
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
509,429
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
1,251,934
30,903,972
0.040510
2017
2,746,142
29,667,013
0.092566
2016
2,621,059
28,132,971
0.093167
2015
3,022,182
27,003,865
0.111917
2014
2,078,223
29,100,863
0.071414
2
Total
of line 1, column (d)
.....................
2
0.409574
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
0.081915
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
34,064,419
5
Multiply line 4 by line 3
......................
5
2,790,387
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
11,113
7
Add lines 5 and 6
........................
7
2,801,500
8
Enter qualifying distributions from Part XII, line 4
,.............
8
1,770,971
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
22,226
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
22,226
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
22,226
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
54,994
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
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
54,994
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
32,768
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
32,768
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
CA
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
Yes
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
WWW.CSFUND.ORG
14
The books are in care of
BAILEY MALONE
Telephone no.
(707) 874-2942
Located at
245 KENTUCKY STREET SUITE E
PETALUMA
CA
ZIP+4
949522876
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
ALLOCATION FROM RELATED EXEMPT
ENTITY, CS FUND
0.00
0
0
0
SEE FED STATEMENT 17 FOR
EXPLANATION
,
CA
949522876
MARYANNE MOTT
TRUSTEE
4.00
0
0
0
245 KENTUCKY STREET SUITE E
PETALUMA
,
CA
949522876
MICHAEL WARSH
TRUSTEE
2.00
1,045
0
0
245 KENTUCKY STREET SUITE E
PETALUMA
,
CA
949522876
MARISE MEYNET STEWART
PRESIDENT/TRUSTEE
3.00
3,037
0
0
245 KENTUCKY STREET SUITE E
PETALUMA
,
CA
949522876
BAILEY MALONE
EXECUTIVE DIRECTOR
20.00
48,666
1,217
0
245 KENTUCKY STREET SUITE E
PETALUMA
,
CA
949522876
CORINNE MEADOWS-EFRAM
VP/TRUSTEE
3.00
3,037
0
0
245 KENTUCKY STREET SUITE E
PETALUMA
,
CA
949522876
TERESA ROBINSON
SECRETARY/TRUSTEE
2.00
1,045
0
0
245 KENTUCKY STREET SUITE E
PETALUMA
,
CA
949522876
KAU'I KELIIPIO
TREASURER/TRUSTEE
2.00
1,045
0
0
245 KENTUCKY STREET SUITE E
PETALUMA
,
CA
949522876
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
27,025,607
b
Average of monthly cash balances
.......................
1b
1,673,953
c
Fair market value of all other assets (see instructions)
................
1c
5,883,607
d
Total
(add lines 1a, b, and c)
.........................
1d
34,583,167
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
34,583,167
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
518,748
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
34,064,419
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,703,221
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
1,703,221
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
22,226
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
22,226
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,680,995
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
1,680,995
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
1,680,995
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
1,770,971
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
1,770,971
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
1,770,971
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
1,680,995
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
1,204,039
e
From 2018
......
f
Total
of lines 3a through e
........
1,204,039
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
1,770,971
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
1,680,995
e
Remaining amount distributed out of corpus
89,976
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
1,294,015
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
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
......
1,294,015
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
1,204,039
d
Excess from 2018
....
e
Excess from 2019
....
89,976
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).)
MARYANNE MOTT
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:
BAILEY MALONE
245 KENTUCKY STREET SUITE E
PETALUMA
,
CA
949522876
(707) 874-2942
b
The form in which applications should be submitted and information and materials they should include:
SEE STATEMENT 16
c
Any submission deadlines:
SEE STATEMENT 16
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SEE STATEMENT 16
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
AGUILA YOUTH LEADERSHIP INSTITUTE
4730 N 23RD AVE
PHOENIX
,
AZ
85015
NONE
PC
ARIZONA STUDENT ASSOCIATION GENERAL SUPPORT
40,000
ARIZONA DREAM ACT COALITION
1402 S CENTRAL AVENUE
PHOENIX
,
AZ
85004
NONE
PC
ARIZONA DREAM ACT COALITION
15,000
BRENNAN CENTER FOR JUSTICE
120 BROADWAY SUITE 1750
NEW YORK
,
NY
10271
NONE
PC
LIBERTY AND NATIONAL SECURITY PROGRAM
40,000
CENTER FOR CONSTITUTIONAL RIGHTS
666 BROADWAY
NEW YORK
,
NY
10012
NONE
PC
GENERAL SUPPORT
115,000
CLEAN WATER FUND
23885 DENTON ST STE B
CLINTON TWP
,
MI
48036
NONE
PC
CLEAN WATER FUND, MASSACHUSETTS NANOTECHNOLOGY PROJECT
20,000
FRIENDS OF ACTION GROUP ON EROSION TECHNOLOGY AND CONCENTRATION
441 AVON ST
OAKLAND
,
CA
94618
NONE
PC
ACTION GROUP ON EROSION, TECHNOLOGY AND CONCENTRATION, INC. AND GENERAL SUPPORT
150,000
GOVERNMENT ACCOUNTABILITY PROJECT
1612 K ST NW
WASHINGTON
,
DC
20006
NONE
PC
MATCHING GRANT/GENERAL SUPPORT
75,000
INSTITUTE FOR AGRICULTURE & TRADE POLICY
2105 FIRST AVE SOUTH
MINNEAPOLIS
,
MN
554042505
NONE
PC
EMERGING TECHNOLOGIES IN FOOD AND AGRICULTURE
60,000
INSTITUTE FOR FOOD AND DEVELOPMENT POLICY INC
2105 FIRST AVENUE
MINNEAPOLIS
,
MN
554042505
NONE
PC
AGROECOLOGICAL CAPACITY BUILDING FOR AFRICA
40,000
INSTITUTO LAB
21 E INDIANOLA AVE
PHOENIX
,
AZ
85012
NONE
PC
GENERAL SUPPORT
10,000
MARIN COMMUNITY FOUNDATION
5 HAMILTON LANDING STE 200
NOVATO
,
CA
94949
NONE
DONOR ADVISED FUND
GENERAL SUPPORT
100,000
MICHIGAN FAITH IN ACTION
PO BOX 480
FLINT
,
MI
48501
NONE
PC
GENERAL SUPPORT
30,000
MICHIGAN ORGANIZING PROJECT
4405 WESSON ST
DETROIT
,
MI
48210
NONE
PC
OAKLAND FORWARD GENERAL SUPPORT
40,000
PARTNERSHIP FOR CIVIL JUSTICE FUND
617 FLORIDA AVE NW
WASHINGTON
,
DC
20001
NONE
PC
GENERAL SUPPORT
20,000
PARTNERSHIP FOR CIVIL JUSTICE FUND
617 FLORIDA AVE NW
WASHINGTON
,
DC
20001
NONE
PC
CENTER FOR PROTEST LAW AND LITIGATION
100,000
PODER IN ACTION
5877 W INDIAN SCHOOL RD
PHOENIX
,
AZ
85031
NONE
PC
BLACK PHOENIX ORGANIZING COLLECTIVE GENERAL SUPPORT
25,000
PRAXIS PROJECT
PO BOX 7259
OAKLAND
,
CA
94601
NONE
PC
NATIONAL BLACK FOOD AND JUSTICE ALLIANCE: GENERAL SUPPORT
30,000
PUBLIC CITIZEN FOUNDATION INC
215 PENNSYLVANIA AVE SE
WASHINGTON
,
DC
20003
NONE
PC
TRADE JUSTICE EDUCATION FUND, GENERAL SUPPORT
100,000
PUBLIC CITIZEN FOUNDATION INC
215 PENNSYLVANIA AVE SE
WASHINGTON
,
DC
20003
NONE
PC
GLOBAL TRADE WATCH
115,000
SIERRA CLUB FOUNDATION
2101 WEBSTER ST
OAKLAND
,
CA
94612
NONE
PC
SIERRA CLUB LIVING ECONOMY PROGRAM
60,000
SOUL FIRE FARM INSTITUTE
1972 NY HWY 2
PETERSBURG
,
NY
12138
NONE
PC
NORTHEAST FARMERS OF COLOR NETWORK AND LAND TRUST (NEFOC) NETWORK COORDINATOR
20,000
STATE VOICES
1616 P ST NW STE 220
WASHINGTON
,
DC
20036
NONE
PC
MICHIGAN VOICES GENERAL SUPPORT
20,000
TIDES CENTER
PO BOX 29907
SAN FRANCISCO
,
CA
94129
NONE
PC
DETROIT ACTION EDUCATION FUND GENERAL SUPPORT
45,000
TOMORROW WE VOTE
PO BOX 16741
PHOENIX
,
AZ
85011
NONE
PC
GENERAL SUPPORT
25,000
Total
.................................
3a
1,295,000
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
644
4
Dividends and interest from securities
....
14
754,105
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
-552,083
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
202,666
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
202,666
(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