Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
DIK EDWARD & EVELYN FAM FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 3636
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GRAND RAPIDS, MI495013636
A Employer identification number

46-6500183
B Telephone number (see instructions)

(800) 400-0439
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$6,654,316
J Accounting method:
 
(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)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 155,114 152,942  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -83,813
b Gross sales price for all assets on line 6a 2,197,419
7 Capital gain net income (from Part IV, line 2)... 0
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)....... 1,596    
12 Total. Add lines 1 through 11........ 72,897 152,942  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 67,789 67,789    
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)....... 1,175 588 0 588
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 1,054 1,054   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)....... 39 24   15
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 70,057 69,455 0 603
25 Contributions, gifts, grants paid....... 285,900 285,900
26 Total expenses and disbursements. Add lines 24 and 25 355,957 69,455 0 286,503
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -283,060
b Net investment income (if negative, enter -0-) 83,487
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
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
Assets 1 Cash—non-interest-bearing............. 1 1 1
2 Savings and temporary cash investments......... 418,664 273,641 273,641
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet0      
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)....... 1,997,465 Click to see attachment2,063,964 2,884,003
c Investments—corporate bonds (attach schedule)....... 707,984 Click to see attachment508,760 515,791
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,505,985 Click to see attachment2,415,675 2,859,595
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment1,953 Click to see attachment86,061 Click to see attachment121,285
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,632,052 5,348,102 6,654,316
Liabilities 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 bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
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 bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 5,387,071 5,348,102
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 244,981  
29 Total net assets or fund balances (see instructions)..... 5,632,052 5,348,102
30 Total liabilities and net assets/fund balances (see instructions). 5,632,052 5,348,102
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
5,632,052
2
Enter amount from Part I, line 27a .....................
2
-283,060
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
628
4
Add lines 1, 2, and 3 ..........................
4
5,349,620
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,518
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
5,348,102
Form 990-PF (2020)
Form 990-PF (2020)
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 1000. AT&T INC   2013-05-14 2020-11-19
b 200. CVS/CAREMARK CORPORATION   2020-03-30 2020-11-19
c 400. CARRIER GLOBAL CORP   2020-02-24 2020-04-16
d 500. CHEVRON CORP   2020-02-24 2020-03-30
e 200000. CISCO SYS INC SR NT 06/17/15 2.450 06/15/20   2018-02-20 2020-06-15
500. DOMINION RES INC VA NEW   2018-11-20 2020-11-19
50000. EBAY INC 10/28/10 3.250 10/15/20   2013-03-18 2020-07-23
200. EMERSON ELEC CO COM   2015-01-28 2020-04-16
800. EMERSON ELEC CO COM   2015-01-28 2020-05-13
100. EXXON MOBIL CORP COM   2018-01-11 2020-01-30
400. EXXON MOBIL CORP COM   2017-05-01 2020-01-30
600. EXXON MOBIL CORP COM   2017-05-01 2020-02-24
300. EXXON MOBIL CORP COM   2019-06-21 2020-02-24
100. EXXON MOBIL CORP COM   2018-04-09 2020-02-24
1000. GENERAL MLS INC COM   2019-01-24 2020-01-30
300. HEALTHPEAK PPTYS INC   2019-06-05 2020-04-16
2700. HEALTHPEAK PPTYS INC   2019-06-05 2020-05-13
300. HEALTHPEAK PPTYS INC   2019-06-05 2020-05-13
5876.069 HOTCHKIS & WILEY HIGH YIELD I   2019-02-26 2020-03-30
580.833 HOTCHKIS & WILEY HIGH YIELD I   2019-02-26 2020-07-07
200. INTEL CORP COM   2013-02-26 2020-01-30
200. ISHARES DOW JONES SELECT DIV IND   2018-11-20 2020-11-19
1000. ISHARES DOW JONES SELECT DIV IND   2013-06-11 2020-11-19
500. ISHARES TR RUSSELL MIDCAP INDEX FD ETF [RIC]   2013-04-02 2020-02-24
300. ISHARES TR RUSSELL MIDCAP INDEX FD ETF [RIC]   2013-04-02 2020-04-16
200. ISHARES COHEN & STEERS REALTY ETF   2013-05-09 2020-06-11
400. ISHARES COHEN & STEERS REALTY ETF   2013-04-26 2020-06-11
600. ISHARES COHEN & STEERS REALTY ETF   2013-04-26 2020-07-07
100. ISHARES MSCI EAFE SM CAPIDX ETF   2018-02-13 2020-02-24
400. ISHARES MSCI EAFE SM CAPIDX ETF   2018-02-13 2020-04-16
1000. ISHARES MSCI EAFE SM CAPIDX ETF   2014-08-28 2020-05-13
1000. ISHARES MSCI EAFE SM CAPIDX ETF   2015-01-28 2020-05-13
500. ISHARES S&P GLOB INFRAS INDEX FD   2020-02-24 2020-06-11
500. ISHARES S&P GLOB INFRAS INDEX FD   2017-11-30 2020-06-11
500. ISHARES S&P GLOB INFRAS INDEX FD   2018-09-20 2020-06-11
1000. ISHARES S&P GLOB INFRAS INDEX FD   2018-11-20 2020-06-11
500. J P MORGAN CHASE & CO   2018-10-11 2020-04-16
100. LOWES COS INC COM   2020-01-30 2020-04-16
100. LOWES COS INC COM   2017-07-25 2020-04-16
1500. MARATHON PETROLEUM CORP   2016-06-03 2020-03-30
100. MC DONALDS CORP COM   2014-08-28 2020-04-16
50958.778 FEDERATED INSTITUTIONAL PRIME VALUE OBLIGATIONS FUND #853   2020-03-01 2020-03-17
100. NIKE INC CL B COM   2016-11-28 2020-04-16
200. NIKE INC CL B COM   2016-11-28 2020-09-09
200. OCCIDENTAL PETE CORP COM   2019-09-17 2020-01-30
1800. OCCIDENTAL PETE CORP COM   2019-09-17 2020-02-24
200. OTIS WORLDWIDE CORP   2020-02-24 2020-04-16
300. PROCTER & GAMBLE CO COM   2019-01-24 2020-11-19
400. RAYTHEON TECHNOLOGIES CORP   2020-02-24 2020-04-16
300. SPDR GOLD TRUST [WHFIT]   2020-05-13 2020-07-07
300. SPDR GOLD TRUST [WHFIT]   2019-10-03 2020-07-07
220. SPDR GOLD TRUST [WHFIT]   2019-11-20 2020-07-07
100. SPDR S&P BIOTECH ETF   2019-05-24 2020-02-24
300. CEF SEL SECTOR SPDR FD MATERIALS ETF [EQTY]   2013-05-28 2020-01-30
500. CEF SEL SECTOR SPDR FD MATERIALS ETF [EQTY]   2013-05-28 2020-02-24
100. TJX COS INC NEW COM   2017-06-16 2020-02-24
400. TJX COS INC NEW COM   2017-06-16 2020-04-16
500. TJX COS INC NEW COM   2017-06-16 2020-06-11
200. US BANCORP   2018-09-20 2020-04-16
400. US BANCORP   2019-05-14 2020-04-16
1000. US BANCORP   2013-04-16 2020-09-09
400. UNITED PARCEL SERVICE COM CLS B   2017-05-12 2020-02-24
50. UNITEDHEALTH GROUP INC   2019-11-20 2020-02-24
1000. VANGUARD EXTENDED MARKET ETF   2018-03-02 2020-07-07
.052 VIATRIS INC   2019-01-24 2020-11-27
200. WISDOMTREE TRUST EMG MKTS SM CP   2013-04-03 2020-04-16
1000. WISDOMTREE TRUST EMG MKTS SM CP   2013-03-22 2020-04-16
800. WISDOMTREE TRUST EMG MKTS SM CP   2017-08-15 2020-04-16
900. WISDOMTREE GLOBAL EX-U.S. QUALITY DIVIDEND GROWTH FUND   2018-02-13 2020-04-16
100. WISDOMTREE GLOBAL EX-U.S. QUALITY DIVIDEND GROWTH FUND   2013-04-19 2020-04-16
1000. WISDOMTREE GLOBAL EX-U.S. QUALITY DIVIDEND GROWTH FUND   2013-04-02 2020-05-13
500. WISDOMTREE GLOBAL EX-U.S. QUALITY DIVIDEND GROWTH FUND   2013-04-02 2020-09-09
500. WISDOMTREE GLOBAL EX-U.S. QUALITY DIVIDEND GROWTH FUND   2013-04-02 2020-11-19
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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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 28,229   36,938 -8,709
b 13,084   11,896 1,188
c 4,984   10,896 -5,912
d 35,922   52,308 -16,386
e 200,000   199,224 776
39,874   37,264 2,610
50,000   53,468 -3,468
9,328   11,392 -2,064
42,088   45,568 -3,480
6,380   8,710 -2,330
25,521   32,716 -7,195
33,966   49,074 -15,108
16,983   23,224 -6,241
5,661   7,569 -1,908
53,481   43,860 9,621
7,443   9,428 -1,985
58,672   84,696 -26,024
6,519   9,120 -2,601
55,000   68,339 -13,339
6,000   6,755 -755
13,164   4,160 9,004
18,356   19,194 -838
91,778   64,595 27,183
29,622   15,784 13,838
13,815   9,471 4,344
20,348   17,722 2,626
40,695   34,655 6,040
61,421   51,982 9,439
5,802   6,393 -591
18,358   25,572 -7,214
49,251   51,450 -2,199
49,251   47,436 1,815
19,720   24,169 -4,449
19,720   23,163 -3,443
19,720   21,350 -1,630
39,440   40,819 -1,379
43,569   54,163 -10,594
9,306   11,955 -2,649
9,306   7,597 1,709
36,259   54,240 -17,981
17,849   9,451 8,398
50,959   50,959  
8,624   5,093 3,531
23,114   10,186 12,928
7,952   9,592 -1,640
71,729   86,328 -14,599
8,823   15,239 -6,416
41,705   28,221 13,484
24,763   32,664 -7,901
50,573   48,362 2,211
50,573   42,609 7,964
37,087   30,479 6,608
9,280   8,295 985
17,554   12,309 5,245
29,192   20,515 8,677
6,130   3,600 2,530
18,585   14,402 4,183
26,600   18,002 8,598
6,294   11,050 -4,756
12,588   20,352 -7,764
36,724   32,843 3,881
39,101   41,606 -2,505
13,883   13,637 246
120,957   111,050 9,907
1   1  
6,994   10,195 -3,201
34,970   50,608 -15,638
27,976   37,630 -9,654
26,353   39,387 -13,034
2,928   4,180 -1,252
30,479   41,750 -11,271
17,365   20,875 -3,510
17,850   20,875 -3,025
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
      1,271
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       -8,709
b       1,188
c       -5,912
d       -16,386
e       776
      2,610
      -3,468
      -2,064
      -3,480
      -2,330
      -7,195
      -15,108
      -6,241
      -1,908
      9,621
      -1,985
      -26,024
      -2,601
      -13,339
      -755
      9,004
      -838
      27,183
      13,838
      4,344
      2,626
      6,040
      9,439
      -591
      -7,214
      -2,199
      1,815
      -4,449
      -3,443
      -1,630
      -1,379
      -10,594
      -2,649
      1,709
      -17,981
      8,398
       
      3,531
      12,928
      -1,640
      -14,599
      -6,416
      13,484
      -7,901
      2,211
      7,964
      6,608
      985
      5,245
      8,677
      2,530
      4,183
      8,598
      -4,756
      -7,764
      3,881
      -2,505
      246
      9,907
       
      -3,201
      -15,638
      -9,654
      -13,034
      -1,252
      -11,271
      -3,510
      -3,025
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 -83,813
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 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
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 Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,160
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,160
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,160
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 3,000
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 3,000
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,840
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet1,840 RefundedBullet 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 the instructions
for the 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. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
    bulletIL
    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 2020 or the taxable year beginning in 2020? 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 (2020)
    Form 990-PF (2020)
    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 addressbulletN/A
    14
    The books are in care ofbulletFIFTH THIRD BANK NA Telephone no.bullet (630) 468-8938

    Located atbullet640 PASQUINELLI DRIVEWESTMONTIL ZIP+4bullet60559
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    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 bullet
    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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?...............
    (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.).......
    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
    ........bullet
    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 2020?.............
    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 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 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.
    bullet20, 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?......................
    b
    If "Yes," did it have excess business holdings in 2020 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 2020.)..................
    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 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    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
     
     
    .........bullet
    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?..........
    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?.....................
    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?
    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? .................
    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
    FIFTH THIRD BANK N A TRUSTEE
    1
    63,789    
    111 LYON ST NW
    GRAND RAPIDS,MI49503
    EVELYN DIX BOARD MEMBER
    1
    0    
    2640 N CEDAR RD
    NEW LENOX,IL60451
    STEVEN E DIX BOARD MEMBER
    1
    4,000    
    12432 TAHOE LANE
    MOKENA,IL60448
    KRISTINE S TAYLOR BOARD MEMBER
    1
    0    
    5525 S MORGAN STREET
    SEATTLE,WA98118
    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...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    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.............bullet0
    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.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    5,452,910
    b
    Average of monthly cash balances.......................
    1b
    336,239
    c
    Fair market value of all other assets (see instructions)................
    1c
    392,612
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,181,761
    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
    6,181,761
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    92,726
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,089,035
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    304,452
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    304,452
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,160
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,160
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    303,292
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    303,292
    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
    303,292
    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
    286,503
    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
    286,503
    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
    286,503
    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 (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2019
    (c)
    2019
    (d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 303,292
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 285,825
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 0
    b From 2016...... 0
    c From 2017...... 0
    d From 2018...... 0
    e From 2019...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 286,503
    a Applied to 2019, but not more than line 2a 285,825
    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 2020 distributable amount..... 678
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter 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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    302,614
    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 2015 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2016.... 0
    b Excess from 2017.... 0
    c Excess from 2018.... 0
    d Excess from 2019.... 0
    e Excess from 2020.... 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    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) 2020 (b) 2019 (c) 2018 (d) 2017
             
    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.)
    1Information Regarding Foundation Managers:
    aList 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).)
    EVELYN DIX
    bList 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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    FIFTH THIRD BANK N A FOUNDATION O
    38 FOUNTAIN SQ PLAZA MD1090VD
    CINCINNATI,OH45202
    (513) 534-2796
    NONE
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER
    cAny submission deadlines:
    DECEMBER 31
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2020)
    Form 990-PF (2020)
    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)
    aPaid during the year
    COUNTRY DOCTOR COMMUNITY CLINIC
    2101 E YESLER WAY
    SEATTLE,WA98122
    NONE PC GENERAL PROGRAM SUPPORT 15,000
    CRADLE SOCIETY
    2049 RIDGE AVE
    EVANSTON,IL60201
    NONE PC GENERAL PROGRAM SUPPORT 10,000
    NORTHWEST HARVEST E M M
    PO BOX 12272
    SEATTLE,WA98102
    NONE PC GENERAL PROGRAM SUPPORT 10,000
    BEST FRIENDS ANIMAL SOCIETY
    5001 ANGEL CANYON ROAD
    KANAB,UT847415000
    NONE PC GENERAL PROGRAM SUPPORT 1,000
    CRISIS CENTER FOR SOUTH SUBURBIA
    PO BOX 39
    TINLEY PARK,IL604770039
    NONE PC GENERAL PROGRAM SUPPORT 38,400
    FEED THE CHILDREN INC
    333 N MERIDIAN AVE
    OKLAHOMA CITY,OK731076507
    NONE PC GENERAL PROGRAM SUPPORT 2,000
    GIDEONS INTERNATIONAL
    50 CENTURY BLVD
    NASHVILLE,TN37214
    NONE PC GENERAL PROGRAM SUPPORT 2,000
    HEIFER PROJECT INTERNATIONAL
    1 WORLD AVENUE
    LITTLE ROCK,AR72202
    NONE PC GENERAL PROGRAM SUPPORT 3,000
    MOODY BIBLE INSTITUTE OF CHICAGO
    820 N LA SALLE DRIVE
    CHICAGO,IL606103214
    NONE PC GENERAL PROGRAM SUPPORT 25,000
    MORNING STAR MISSION MINISTRIES
    350 E WASHINGTON ST
    JOLIET,IL604331150
    NONE PC GENERAL PROGRAM SUPPORT 10,000
    NAPERVILLE AREA HUMAN SOCIETY
    1620 W DIEHL RD
    NAPERVILLE,IL605631130
    NONE PC GENERAL PROGRAM SUPPORT 500
    NIGHT MINISTRY
    4711 N RAVENSWOOD
    CHICAGO,IL60640
    NONE PC GENERAL PROGRAM SUPPORT 40,000
    PACIFIC GARDEN MISSION
    1458 S CANEL ST
    CHICAGO,IL606075201
    NONE PC GENERAL PROGRAM SUPPORT 10,000
    PEDIATRIC ONCOLOGY TREASURE
    CHEST FOUNDATION
    15430 70TH CT
    ORLAND PARK,IL60462
    NONE PC GENERAL PROGRAM SUPPORT 1,000
    PROVIDENCE LIFE SERVICES
    18601 NORTH CREEK DRIVE
    TINLEY PARK,IL604776397
    NONE PC GENERAL PROGRAM SUPPORT 2,500
    SALEM CHILDRENS HOME
    15161 N 400 EAST RD
    FLANAGAN,IL617409143
    NONE PC GENERAL PROGRAM SUPPORT 27,500
    BRAVEHEARTS THERAPEUTIC RIDING
    & EDUCATIONAL CTR
    7319 MAXON ROAD
    HARVARD,IL60033
    NONE PC GENERAL PROGRAM SUPPORT 5,000
    CAMP QUALITY USA INC
    1444 MOCKINGBIRD TRAIL
    STOW,OH442242320
    NONE PC GENERAL PROGRAM SUPPORT 8,500
    GARY SINISE FOUNDATION
    1901 AVE OF THE STARS STE 1050
    LOS ANGELES,CA900676036
    NONE PC GENERAL PROGRAM SUPPORT 5,000
    USO OF ILLINOIS
    333 S WABASH AVE 16TH FLOOR
    CHICAGO,IL606044250
    NONE PC GENERAL PROGRAM SUPPORT 2,500
    FAMILY SERVICES FNDN OF
    NEW LENOX TWP
    1100 S CEDAR RD
    NEW LENOX,IL60451
    NONE PC PROGRAM SUPPORT 21,000
    PEACE LUTHERAN CHURCH
    PO BOX 205
    NEW LENOX,IL60451
    NONE PC GENERAL PROGRAM SUPPORT 6,000
    ANN & ROBERT LURIE CHILDREN'S
    HOSPITAL OF CHICAGO
    225 E CHICAGO AVENUE BOX 4
    CHICAGO,IL606112991
    NONE PC GENERAL PROGRAM SUPPORT 10,000
    CHICAGO WHITE SOX CHARITIES
    333 W 35TH STREET
    CHICAGO,IL60616
    NONE NC GENERAL PROGRAM SUPPORT 10,000
    TEAM RUBICON
    6171 W CENTURY BLVD SUITE 310
    LOS ANGELES,CA90045
    NONE PC GENERAL PROGRAM SUPPORT 5,000
    SHRINERS CHILDRENS HOSPITAL
    2900 N ROCKY POINT DR
    TAMPA,FL33607
    NONE PC GENERAL PROGRAM SUPPORT 10,000
    YWCA OF SEATTLE - KING COUNTY
    1118 5TH AVE
    SEATTLE,WA98101
    NONE PC GENERAL PROGRAM SUPPORT 5,000
    Total .................................bullet 3a 285,900
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2020)
    Form 990-PF (2020)
    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.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 155,114  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot 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 -83,813  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aEXCISE TAX REFUND
        14 1,596  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   72,897  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    72,897
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    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 (2020)
    Form 990-PF (2020)
    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? ...........
    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.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,175 588   588

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Name of Bond End of Year Book Value End of Year Fair Market Value
    06406HBY4 BANK OF NEW YORK MEL 203,764 204,234
    24422ETL3 DEERE JOHN CAP CORP 97,982 102,437
    30231GAR3 EXXON MOBIL CORP SR 97,206 104,776
    46625HHZ6 JPMORGAN CHASE & CO 56,340 50,768
    89114QCA4 TORONTO DOMINION BAN 53,468 53,576

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Name of Stock End of Year Book Value End of Year Fair Market Value
    00206R102 AT&T INC 85,095 71,900
    002824100 ABBOTT LABS 79,519 109,490
    00287Y109 ABBVIE INC. 113,551 160,725
    023135106 AMAZON COM INC COM 97,728 162,847
    025537101 AMERICAN ELEC PWR IN 73,394 66,616
    037833100 APPLE INC COM 62,138 106,152
    084670702 BERKSHIRE HATHAWAY I 44,935 92,748
    110122108 BRISTOL MYERS SQUIBB 27,818 43,421
    126650100 CVS/CAREMARK CORPORA 59,478 68,300
    17275R102 CISCO SYSTEMS COM 99,125 89,500
    458140100 INTEL CORP COM 40,940 99,640
    46625H100 J P MORGAN CHASE & C 45,785 63,535
    478160104 JOHNSON & JOHNSON CO 135,540 157,380
    548661107 LOWES COS INC COM 59,937 128,408
    580135101 MC DONALDS CORP COM 47,255 107,290
    58933Y105 MERCK & CO INC 77,024 122,700
    594918104 MICROSOFT CORP COM 136,232 177,936
    609207105 MONDELEZ INTL INC CL 90,197 116,940
    654106103 NIKE INC CL B COM 25,465 70,735
    717081103 PFIZER INC COM 97,653 117,792
    742718109 PROCTER & GAMBLE CO 95,603 166,968
    844741108 SOUTHWEST AIRLS CO C 45,748 46,610
    872540109 TJX COS INC NEW COM 18,002 34,145
    91324P102 UNITEDHEALTH GROUP I 112,266 140,272
    92343V104 VERIZON COMMUNICATIO 115,674 141,000
    92556V106 VIATRIS INC 5,356 7,440
    931142103 WAL MART STORES INC 60,915 72,075
    98311A105 WYNDHAM HOTELS & RES 55,564 59,440
    G5960L103 MEDTRONIC PLC SEDOL 56,027 81,998

    TY 2020 InvestmentsOtherSchedule2
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    00143W859 INVESCO OPPENHEIMER AT COST 200,000 256,701
    03027X100 AMERICAN TOWER CORPO AT COST 62,975 56,115
    09260B382 BLACKROCK FDS II STR AT COST 204,971 214,360
    192476505 COHEN & STEERS REALT AT COST 58,000 63,850
    22822V101 CROWN CASTLE INTL CO AT COST 64,932 63,676
    253868103 DIGITAL RLTY TR INC AT COST 53,487 55,804
    44134R735 HOTCHKIS & WILEY HIG AT COST 124,906 121,255
    464287499 ISHARES TR RUSSELL M AT COST 100,447 219,360
    464287507 ISHARES TRUST-S&P 40 AT COST 139,518 179,497
    464287804 ISHARES S&P SMALL CA AT COST 156,677 189,314
    464288687 ISHARES S&P PFD STK AT COST 147,522 154,040
    46432F842 ISHARES CORE MSCI EA AT COST 381,442 414,540
    665162384 NORTHERN MULTI-MANAG AT COST 65,000 70,797
    78464A870 SPDR S&P BIOTECH ETF AT COST 123,265 211,170
    808524797 SCHWAB US DIVIDEND E AT COST 123,398 128,280
    81369Y886 SECTOR SPDR TR SHS B AT COST 83,339 125,400
    87234N765 TCW EMERGING MARKETS AT COST 120,000 129,594
    922908553 VANGUARD REAL ESTATE AT COST 122,540 130,962
    97717W802 WISDOMTREE GLOBAL EX AT COST 83,256 74,880

    TY 2020 OtherAssetsSchedule
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INCOME 1,953 0 0
    78463V107 SPDR GOLD TRUST [WHF   86,061 121,285


    TY 2020 OtherDecreasesSchedule
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Description Amount
    COST BASIS ADJUSTMENT 28
    PULLBACK 1,087
    INCOME NOT YET FACTORED 403


    TY 2020 OtherExpensesSchedule
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER MISC. EXPENSES 15 0   15
    OTHER EXPENSE (NON-DEDUCTIBLE 24 24   0


    TY 2020 OtherIncomeSchedule2
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    EXCISE TAX REFUND 1,596 0  


    TY 2020 OtherIncreasesSchedule
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Description Amount
    ROUNDING 17
    ACCRUED INTEREST 593
    WASH SALE ADJUSTMENT 18


    TY 2020 TaxesSchedule
    Name:
    DIK EDWARD & EVELYN FAM FOUNDATION
    EIN:
    46-6500183
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES ON QUALIFIED FOR 994 994   0
    FOREIGN TAXES ON NONQUALIFIED 60 60   0