efile Public Visual Render
ObjectId: 201920379349100207 - Submission: 2019-02-06
TIN: 72-1399703
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
17
Open to Public Inspection
For calendar year 2017, or tax year beginning
09-01-2017
, and ending
08-31-2018
Name of foundation
THE ROBERT AND LOIS LUCKIE CHARITABLE
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
600 LUCKIE DRIVE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BIRMINGHAM
,
AL
352232429
A Employer identification number
72-1399703
B
Telephone number (see instructions)
(205) 879-2121
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)
$
3,930,573
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
3,088
3,088
3,088
4
Dividends and interest from securities
...
101,954
101,954
101,954
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
160,830
b
Gross sales price for all assets on line 6a
902,716
7
Capital gain net income (from Part IV, line 2)
...
160,830
8
Net short-term capital gain
.........
6,039
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
........
265,872
265,872
111,081
13
Compensation of officers, directors, trustees, etc.
0
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
4,286
0
0
0
c
Other professional fees (attach schedule)
....
54,420
0
0
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
2,456
0
0
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
61,162
0
0
0
25
Contributions, gifts, grants paid
.......
123,858
123,858
26
Total expenses and disbursements.
Add lines 24 and 25
185,020
0
0
123,858
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
80,852
b
Net investment income
(if negative, enter -0-)
265,872
c
Adjusted net income
(if negative, enter -0-)
...
111,081
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2017)
Page 2
Form 990-PF (2017)
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
.............
58,558
13,883
13,883
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
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)
.......
2,734,884
2,660,514
3,324,717
c
Investments—corporate bonds (attach schedule)
.......
147,040
317,188
325,230
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
259,038
288,787
266,743
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)
3,199,520
3,280,372
3,930,573
17
Accounts payable and accrued expenses
..........
18
Grants payable
..................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
..................
25
Temporarily restricted
...............
26
Permanently restricted
...............
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
........
0
0
28
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
29
Retained earnings, accumulated income, endowment, or other funds
3,199,520
3,280,372
30
Total net assets or fund balances
(see instructions)
.....
3,199,520
3,280,372
31
Total liabilities and net assets/fund balances
(see instructions)
.
3,199,520
3,280,372
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 30 (must agree with end-of-year figure reported on prior year’s return)
...............
1
3,199,520
2
Enter amount from Part I, line 27a
.....................
2
80,852
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
3,280,372
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
3,280,372
Form
990-PF
(2017)
Page 3
Form 990-PF (2017)
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
QWEST CORP PFD
2016-01-25
2017-11-10
b
TCG BDC INC
2010-06-30
2018-02-16
c
ABBVIE INC
2017-03-14
2018-07-17
d
SOUTHERN CO
2001-06-21
2018-07-30
e
LORD ABBETT GROWTH LEADERS FD
2016-11-18
2017-09-08
EATON VANCE WORLDWIDE HEALTH SCIENCES FD
2016-07-21
2017-12-15
LORD ABBETT GROWTH LEADDERS FD
2016-02-19
2018-03-01
LORD ABBETT BOND DEB FD
2017-12-15
2018-04-04
WILLIAM BLAIR SMALL MID CAP
2017-12-15
2018-04-23
FEDERATED STRATEGIC VALUE DIV FD
2017-12-15
2018-04-27
LORD ABBETT BOND DEB FD
2016-02-19
2018-04-04
FEDERATED STRATEGIC VALUE DIV FD
2013-06-30
2018-04-27
FPA CRESCENT FD
2017-08-04
2018-07-19
PGIM JENNISON GLOBAL OPP FD
2018-02-27
2018-07-30
CHIRON CAPITAL ALLOC FD
2018-02-27
2018-08-24
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
70,200
78,807
-8,607
b
49,054
49,054
c
47,778
33,357
14,421
d
47,417
35,360
12,057
e
50,000
41,517
8,483
194,762
218,216
-23,454
135,109
94,695
40,414
5,533
5,631
-98
4,000
3,712
288
14,919
15,861
-942
110,550
110,138
412
35,081
33,900
1,181
4,000
3,931
69
15,000
14,729
271
50,000
52,032
-2,032
69,313
69,313
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
-8,607
b
49,054
c
14,421
d
12,057
e
8,483
-23,454
40,414
-98
288
-942
412
1,181
69
271
-2,032
69,313
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
160,830
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
6,039
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))
2016
0
145,792
0.000000
2015
127,239
3,423,651
0.037165
2014
125,009
3,021,080
0.041379
2013
128,442
3,315,265
0.038743
2012
104,285
2,787,458
0.037412
2
Total
of line 1, column (d)
.....................
2
0.154699
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years
......
3
0.030940
4
Enter the net value of noncharitable-use assets for 2017 from Part X, line 5
......
4
3,791,154
5
Multiply line 4 by line 3
......................
5
117,298
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
2,659
7
Add lines 5 and 6
........................
7
119,957
8
Enter qualifying distributions from Part XII, line 4
,.............
8
123,858
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
(2017)
Page 4
Form 990-PF (2017)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
2,659
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
2,659
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
2,659
6
Credits/Payments:
a
2017 estimated tax payments and 2016 overpayment credited to 2017
6a
0
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
0
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
98
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
2,757
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2018 estimated tax
Refunded
11
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)
AL
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 2017 or the taxable year beginning in 2017 (see 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
(2017)
Page 5
Form 990-PF (2017)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions)
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement (see instructions)
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
JOHN WILSON CPA
Telephone no.
(205) 802-7212
Located at
2101 HIGHLAND AVE S SUITE 500
BIRMINGHAM
AL
ZIP+4
35205
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 2017, 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 instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). 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
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 2017?
.............
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 2017, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2017?
.............
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 2017 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 2017.)
..................
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 2017?
4b
No
Form
990-PF
(2017)
Page 6
Form 990-PF (2017)
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:
(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
Form
990-PF
(2017)
Page 7
Form 990-PF (2017)
Page
7
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
ROBERT E LUCKIE III
PRESIDENT
0.00
0
0
0
600 LUCKIE DRIVE
BIRMINGHAM
,
AL
35223
THOMAS G LUCKIE
VICE PRESIDENT
0.00
0
0
0
600 LUCKIE DRIVE
BIRMINGHAM
,
AL
35223
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
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
(2017)
Page 8
Form 990-PF (2017)
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
3,782,756
b
Average of monthly cash balances
.......................
1b
66,131
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
3,848,887
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
3,848,887
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
57,733
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
3,791,154
6
Minimum investment return.
Enter 5% of line 5
..................
6
189,558
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
2a
Tax on investment income for 2017 from Part VI, line 5
......
2a
b
Income tax for 2017. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
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
123,858
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
123,858
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b (see instructions)
.................
5
2,659
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
121,199
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
(2017)
Page 9
Form 990-PF (2017)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2016
(c)
2016
(d)
2017
1
Distributable amount for 2017 from Part XI, line 7
2
Undistributed income, if any, as of the end of 2017:
a
Enter amount for 2016 only
.......
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2017:
a
From 2012
......
b
From 2013
......
c
From 2014
......
d
From 2015
......
e
From 2016
......
f
Total
of lines 3a through e
........
4
Qualifying distributions for 2017 from Part
XII, line 4:
$
a
Applied to 2016, but not more than line 2a
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2017 distributable amount
.....
e
Remaining amount distributed out of corpus
5
Excess distributions carryover applied to 2017.
(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
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2016. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2017. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2018
..........
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)
.......
8
Excess distributions carryover from 2012 not
applied on line 5 or line 7 (see instructions)
...
9
Excess distributions carryover to 2018.
Subtract lines 7 and 8 from line 6a
......
10
Analysis of line 9:
a
Excess from 2013
....
b
Excess from 2014
....
c
Excess from 2015
....
d
Excess from 2016
....
e
Excess from 2017
....
Form
990-PF
(2017)
Page 10
Form 990-PF (2017)
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 2017, enter the date of the ruling
.......
1999-05-25
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)
2017
(b)
2016
(c)
2015
(d)
2014
111,081
0
138,424
151,054
400,559
b
85% of line 2a
.........
94,419
0
117,660
128,396
340,475
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
123,858
0
127,239
125,009
376,106
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
0
0
0
0
0
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
123,858
0
127,239
125,009
376,106
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
0
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
0
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
126,372
4,860
114,122
100,703
346,057
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)
....
0
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
0
(3)
Largest amount of support
from an exempt organization
0
(4)
Gross investment income
0
Part XV
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2017)
Page 11
Form 990-PF (2017)
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
AG GASTON BOYS & GIRLS CLUB
2900 SOUTH PARK DRIVE SW
BIRMINGHAM
,
AL
35211
PC
TO INSPIRE AND ENABLE ALL YOUNG PEOPLE, ESPECIALLY THOSE WHO NEED US MOST, TO REALIZE THEIR FULL POTENTIAL AS PRODUCTIVE, RESPONSIBLE, AND CARING CITIZENS.
5,000
ALABAMA GOLF ASSOCIATION
3041 LORNA ROAD
HOOVER
,
AL
35216
PC
TO SERVE AND PROMOTE AMATEUR GOLF IN ALAMBAMA
250
ALABAMA HUMANITIES FOUNDATION
1100 IRELAND WAY SUITE 202
BIRMINGHAM
,
AL
35205
PC
FOSTERS LEARNING, UNDERSTANDING, AND APPRECIATION OF OUR PEOPLE, COMMUNITIES, AND CULTURES.
1,000
ALABAMA SYMPHONY
3621 6TH AVENUE SOUTH
BIRMINGHAM
,
AL
35222
PC
ENDOWMENT OF THE MUSICAL ARTS
1,000
ANTIQUES AT THE GARDENS BIRMINGHAM BOTANICAL GARDENS
2612 LANE PARK RD
BIRMINGHAM
,
AL
35223
PC
PROMOTE PUBLIC KNOWLEDGE AND APPRECIATION OF PLANTS, GARDENS AND THE ENVIRONMENT
1,500
AUBURN UNIVERSITY FOUNDATION
317 SOUTH COLLEGE STREET
AUBURN
,
AL
36849
PC
DEVELOPE, SUPPORT AND ENCHANGE EDUCATIONAL INTEREST AND PROGRAM OF AUBURN UNIVERSITY
1,770
BEAUX ARTS KREWE
PO BOX 130007
BIRMINGHAM
,
AL
35213
PC
TO ASSIST IN THE PRESERVATION AND PURCHASES OF ART FOR THE BIRMINGHAM ART SOCIETY
800
BIRMINGHAM ULTIMATE YOUTH ASSOCIATION
1929 SOUTH LAKESHORE DR
BIRMINGHAM
,
AL
35209
PC
TO INTRODUCE CHILDREN TO AN EXCITING AND GROWING SPORT, INCREASING PHYSICAL ACTIVITY IN A FUN, HELPFUL, AND CONSTRUCTIVE ENVIRONMENT, AND TEACHING SPIRIT IN COMPETITION
250
BOY SCOUTS-GREATER AL COUNCIL
516 LIBERTY PKWY
BIRMINGHAM
,
AL
35242
PC
EDUCATION IN LEADERSHIP AND ENVIRONMENT
5,000
CATHOLIC FAMILY SERVICES
2121 3RD AVENUE NORTH
BIRMINGHAM
,
AL
35203
PC
FAMILY ASSISTANCE PROGRAMS
250
CENTER FOR EXECUTIVE LEADERSHIP
200 UNION HILL STE 200
BIRMINGHAM
,
AL
35209
PC
SPIRITUAL LEADERSHIP TRAINING OF MEN
5,000
CHILDREN'S HOSPITAL FOUNDATION
1600 7TH AVE S
BIRMINGHAM
,
AL
35233
PC
MEDICAL CARE
1,000
COMMUNITY FOOD BANK OF CENTRAL ALABAMA
107 WALTER DAVIS DRIVE
BIRMINGHAM
,
AL
35209
PC
TO PROVIDE FOOD TO THE PEOPLE IN NEED
3,000
COMMUNITY GRIEF SUPPORT
1119 OXMOOR ROAD
BIRMINGHAM
,
AL
35209
PC
TO ENHANCE THE QUALITY OF LIFE FOR BEREAVED ADULTS WHO FACE THE CHALLENGE OF REBUILDING THEIR LIVES WITHOUT THEIR LOVED ONES
1,000
CORNERSTONE SCHOOL
118 55TH STREET NORTH
BIRMINGHAM
,
AL
35212
PC
PRIVATE SCHOOL FOCUSED ON AT RISK CHILDREN
250
CRISTO REY CATHOLIC HIGH SCHOOL
680 W PEACHTREE STREET NW
ATLANTA
,
GA
30308
PC
CATHOLIC LEARNING COMMUNITY THAT EDUCATES YOUNG PEOPLE OF LIMITED ECONOMIC MEANS
500
CROSSING POINTS CHRISTIAN SCHOOL
1800 W HUNT STREET
MCKINNEY
,
TX
75069
PC
TO NURTURE THE DEVOLOPMENT OF THE WHOLE CHILD, INCLUDING PHYSICAL, EMOTIONAL, COGNITIVE, AND SPIRITUAL GROWTH
500
DANIEL'S MUSIC FOUNDATION
1595 LEXINGTON AVENUE 2ND FLOOR
NEW YORK
,
NY
10029
PC
TO PROVIDE A COMFORTABLE, EDUCATIONAL, AND SOCIAL ENVIRONMENT IN WHICH INDIVIDUALS OF ALL ABILITIES CAN ENJOY, LEARN, AND PRACTICE THE JOY OF MUSIC TOGETHER
1,000
EMMETT O NEAL LIBRARY
50 OAK STREET
MOUNTAIN BROOK
,
AL
35213
PC
SUPPORT READING AND EDUCATION OF THE COMMUNITY
500
ESPN PRODUCTIONS
545 MIDDLE ST
BRISTOL
,
CT
06010
PC
TO SUPPORT SPORTS FANS WHEREER SPORTS ARE WATCHED, LISTENED TO, DISCUSSED, DEBATED, READ ABOUT, OR PLAYED
1,150
EXCEPTIONAL FOUNDATION
1616 OXMOOR ROAD
BIRMINGHAM
,
AL
35202
PC
ASSISTS SPECIAL NEEDS INDIVIDUALS WITH SOCIAL AND RECREATIONAL ACTIVITIES
2,000
FIRST LIGHT
2230 FOURTH AVENUE NORTH
BIRMINGHAM
,
AL
35203
PC
WORK WITH HOMELESS WOMEN AND THEIR CHILDREN TO CREATE HOSPITALITY IN A SAFE AND NUTURING COMMUNITY
2,800
FOUNDRY MINISTRIES
PO BOX 824
BESSEMER
,
AL
35021
PC
RESTORE HOP AND REBUILD THE LIVES OF THE ADDICT, EX-INMATE AND DESTITUTE THROUGH CHRIST-CENTERED RECOVERY, RE-ENTRY AND RESCUE
3,000
HARBERT CENTER
2019 FOURTH AVE NORTH
BIRMINGHAM
,
AL
35203
PC
TO PROVIDE OPERATION OF FUNCTIONAL FACILITIES FOR CHARITABLE ORGANIZATIONS
3,000
HEART GALLERY OF ALABAMA
716 37TH STREET S
BIRMINGHAM
,
AL
35222
PC
DEDICATED TO FINDING FOREVER FAMILIES FOR CHILDREN IN ALABAMA'S FOSTER CARE SYSTEM BY RAISING AWARENESS AND EDUCATING THE PUBLIC
1,000
HOLOCAUST EDUCATION CENTER
2222 ARLINGTON AVENUE
BIRMINGHAM
,
AL
35205
PC
INSPIRE TEACHING AND LEARNING FOR HUMANITY
1,000
HOLY FAMILY CRISTO REY CATHOLIC HIGH SCHOOL
2001 19TH ST ENSLEY
BIRMINGHAM
,
AL
35218
PC
INTEGRATES COLLEGE PREPARATORY ACADEMICS AND A CORPORATE WORK-STUDY PROGRAM TO EMPOWER STUDENTS FROM ECONOMICALLY CHALLENGED FAMILIES TO GRADUATE HIGH SCHOOL PREPARED TO PERSIST IN COLLGE AND FLOURISH IN LIFE
3,000
HONEYWARD BIBLE FOUNDATION
1021 KINGS WAY
BIRMINGHAM
,
AL
35242
PC
TO CREATE AND DISTRIBUTE EASY-TO-UNDERSTAND-AND-REMEMBER DEVOTIONALS, BIBLES, AND ONLINE MATERIALS THAT ARE A FUN AND EASY APPROACH FOR PEOPLE OF ALL AGES TO LEARN, REMEMBER, AND APPLY THE BIG IDEAS OF THE BIBLE
500
JOURNEY OF HOPE
PO BOX 210390
ANCHORAGE
,
AK
995210390
PC
ADVOCATES FOR THE ABOLITION OF THE DEATH PENALTY BUT OFFERS A BROAD, UNIVERSAL MESSAGE THAT ADDRESSES ALL FORMS OF VIOLENCE WORLDWIDE
2,500
KID ONE
110 12TH STREET NORTH
BIRMINGHAM
,
AL
35203
PC
TRANSPORT CHILDREN AND EXPECTANT MOTHERS TO NECESSARY HEALTH CARE SERVICES
100
LEADERSHIP BIRMINGHAM
1710 6TH AVENUE N 12TH FLOOR
BIRMINGHAM
,
AL
35203
PC
SEEKING INDIVIDUAL AND GROUP ACTION TO BETTER CONTRIBUTE TO THE COMMUNITY.
100
LOVELADY CENTER
7916 2ND AVE S
BIRMINGHAM
,
AL
35206
PC
TO EMPOWER WOMEN, THROUGH FAITH-BASED INITIATIVES, SO THEY CAN RETURN TO SOCIETY AS WELL-EQUIPED WOMEN OF GOD
500
MAGIC MOMENTS
2112 11TH AVE SOUTH SUITE 219
BIRMINGHAM
,
AL
35205
PC
TO MAKE NON-MEDICAL GIFTS TO CHILDREN WITH CHRONIC LIFE-THREATENING DISEASES
350
MAKE WAY PARTNERS
PO BOX 26367
BIRMINGHAM
,
AL
35260
PC
ASSIST IN PREVENTING AND COMBATING HUMAN TRAFFICKING
500
MEDIA RESEARCH CENTER
1900 CAMPUS COMMONS DR SUITE 600
RESTON
,
VA
20191
PC
TO CREATE A MEDIA CULTURE IN AMERICA WHERE TRUTH AND LIBERTY FLOURISH
2,000
MONDAY MORNING QUARTERBACK CLUB
2019 4TH AVE N STE 101
BIRMINGHAM
,
AL
35203
PC
MEDICAL RESEARCH
11,750
MOUNTAIN BROOK CITY SCHOOLS FOUNDATION
32 VINE STREET
BIRMINGHAM
,
AL
35213
PC
PROVIDE MATERIALS AND FINANCING FOR THE EDUCATION OF YOUTH
1,923
MOUNTAIN BROOK FIRE FIGHTERS
102 TIBBETT ST
MOUNTAIN BROOK
,
AL
35213
PC
PROVIDES A RANGE OF QUALITY PUBLIC SERVICES FOR HEALTH,SAFETY AND WELFARE OF THE MOUNTAIN BROOK COMMUNITY
250
NICK'S KIDS CHARITIES
BOX 870323
TUSCALOOSA
,
AL
35487
PC
PROMOTE AND SUPPORT CHILDREN'S CAUSES
2,000
PARKINSONS ASSOCIATION OF ALABAMA
912 TULIP POPLAR LN
BIRMINGHAM
,
AL
35244
PC
MEDICAL RESERACH
6,000
PASTORAL COUNSELING & TRAINING CENTER
4525 LEMMON AVENUE SUITE 200
DALLAS
,
TX
75219
PC
TO PROVIDE COUNSELING AND PSYCHOLOGICAL EVALUATIONS FOR CHILDREN, TEENS, AND ADULTS
300
PITCHERS FOR PROSTHETICS
5047 SHERRI ANN RD
SAN ANTONIO
,
TX
78233
PC
TO RAISE AWARENESS ABOUT PROSTHETICS AND PROVIDE ASSISTANCE TO THE PROSTHETIC FOUNDATION
315
REGIONS ASSN ASSISTANCE FOUNDATION
320 AUDUBON AVE SUITE 105
THIBODAUX
,
LA
70301
PC
TO SUPPORT BTNEP IN RESTORATION OF OCEANIC LIFE IN THE AFTERMATH OF THE DEEPWATER HORIZON OIL SPILL
1,000
REGIONS TRADITION LLC
4100 GREYSTONE DR
BIRMINGHAM
,
AL
35242
PC
MEDICAL RESEARCH
10,000
RISE PROGRAM
25 BISHOP PLACE
NEW BRUNSWICK
,
NJ
089011181
PC
SCHOLARSHIPS
2,500
ROBERT REED ONCOLOGY RESEARCH FOUNDATION
PO BOX 530186
BIRMINGHAM
,
AL
35253
PC
CANCER RESEARCH
250
RONALD MCDONALD HOUSE
1700 4TH AVE S
BIRMINGHAM
,
AL
35233
PC
TO CREATE, FIND AND SUPPORT PROGRAMS THAT DIRECTLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES
500
ROTARY CLUB
2019 4TH AVENUE NORTH SUITE 200
BIRMINGHAM
,
AL
35203
PC
LEADERSHIP TRAINING IN BUSINESS AND PROFESSIONAL ORGANIZATION. PROMOTING HUMANITARIAN SERVICES WITH HIGH ETHICAL STANDARDS
1,000
THE BELL CENTER
1700 29TH CT S
BIRMINGHAM
,
AL
35209
PC
TO MAXIMIZE THE POTENTIAL OF CHILDREN FROM BIRTH TO THREE YEARS OF AGE WHO ARE AT RISK FOR DEVELOPMENTAL DELAY.
4,000
UAB COMPREHENSIVE DIABETES
1720 2ND AVENUE SOUTH FOT 1234
BIRMINGHAM
,
AL
352943412
PC
TO SUPPORT CUTTING EDGE RESEARCH, TRAIN FUTURE CLINICIANS AND RESEARCHERS AND DEVELOP NOVEL TREATMENT APPROACHES
5,000
UAB SCHOOL OF NURSING
1530 3RD AVENUE S
BIRMINGHAM
,
AL
35294
PC
SCHOLARSHIPS
3,750
UMS-WRIGHT PREPARATORY SCHOOL
65 MOBILE ST N
MOBILE
,
AL
36607
PC
TO EDUCATE ALL STUDENTS TO THEIR HIGHEST POTENTIAL IN MIND, BODY, AND SPIRIT
3,000
UNITED WAY
3600 8TH AVENUE SOUTH
BIRMINGHAM
,
AL
35232
PC
TO INCREASE THE ORGANIZED CAPACITY OF PEOPLE TO CARE FOR ONE ANOTHER AND IMPROVE THEIR COMMUNITY
10,000
UNIVERSITY OF ALABAMA
P O BOX 870144
TUSCALOOSA
,
AL
35487
PC
PROMOTE HIGHER EDUCATION
2,500
UNLESS U SCHOOL
2017 COLUMBIANA RD
VESTAVIA
,
AL
35216
PC
TO SERVICE ADULTS WITH DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES THROUGH CONTINUING EDUCATION, LIFE SKILLS AND SOCIAL SKILLS
250
WORKSHOPS
4244 3RD AVENUE S
BIRMINGHAM
,
AL
35222
PC
VOCATIONAL TRAINING AND EMPLOYMENT OPPORTUITIES FOR PEOPLE WITH DIABILITIES
2,000
WOUNDED WARRIORS PROJECT
3343 PEACHTREE ROAD NE M20
ATLANTA
,
GA
30326
PC
SUPPORT FAMILIES OF THOSE IN THE MILITARY WHO HAVE BEEN WOUNDED, INJURED OR KILLED DURING COMBAT OPERATIONS
1,500
YOUNG LIFE - MOBILE
7171 COTTAGE HILL RD
MOBILE
,
AL
36695
PC
TO INTRODUCE ADOLESCENTS TO JESUS CHRIST AND HELPING THEM GROW IN THEIR FAITH
1,000
Total
.................................
3a
123,858
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2017)
Page 12
Form 990-PF (2017)
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
3,088
4
Dividends and interest from securities
....
14
101,954
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
160,830
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
265,872
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
265,872
(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
(2017)
Page 13
Form 990-PF (2017)
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) of the Code (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) of the Code (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.
2019-01-25
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
JOHN M WILSON CPA
Preparer's Signature
Date
2019-01-25
Check if self-
employed
PTIN
P00744312
Firm's name
BORLAND BENEFIELD PC
Firm's EIN
63-0721243
Firm's address
2101 HIGHLAND AVE S SUITE 500
BIRMINGHAM
,
AL
35205
Phone no.
(205) 802-7212
Form
990-PF
(2017)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description