Milt=CaWftlGainsandLossesfor axonInvestmentIncome€¦ · Form990-PF (2017) STEPHEN & MARY BIRCH...

(krrmn 990-PF

- - Department of the Treasury

0NB No 1545-0052

2017

For calendar year 2017 or tax year beginning , 2017, andending,A

STEPHEN & MARY BIRCH FOUNDATION, INC. 22-1713022103 FOULK ROAD, #200 B Telephone number (see mstnrctions)

W11MINGTON, DE 19803 888-372-6303

C If exemption application is pending, check here ► ii

oV

G Check all that apply: Initial return Initial return of a former public charity D 1 Foreign organizations, check here.. . ... .. ► q

]

Final return

]

Amended return

Address change Name change I -zatn organ'h rns meeting the 85% tisst, check q2 h r ►tt " t^H Check type of organization: X Section 501 (c)(3) exempt private foundatlo

e coea a a i^ ' '°0

Section 4947(a)(1) nonexemp charitable trust [] Other taxable private to t n E If private foundation status was termnated

Fair market value of all assets at end of yearI J Accounting method: }(Cash Accrual

qunder section 507(b)(1)(A), check here . ►

(from Part U, column (CA line 16) (specify) _ _ F If the foundation is in a 60-month termination► q$ 134 , 319 , 768. (Part I, column (d) must be on cash basis.) under section 507(b)(1)(0), check here ......

Analysis of Revenue and (a) Revenue and (b) Net investment (c) Adjusted net (d) DisbursementsExpenses (The total of amounts in

l n tb ( d dexpenses per books income income for charitable

umns ( c), an ) mayco ), ( o neces-saril ual the amounts in column (a)e

purposesh b liy q (cas y)as s on

(see instructions).)1 r raRte. ebr, r (etldl s(' abs)- . -

2 e

j4

che* N A the tmmmd9m is not rapred to ettado Sdt B

3 i nto an swas and tm+vm cash irivestuats. 209 923. 209 923-4 to"detaaoatnw'rw secimbas .............. 406 229. 406 229.5aGross rer:ts---- ---------- --- - ----

1b or1 )

or(am) .....

R 6aitagan ,)f,xim sib e+essM rd m,nne10..... 2,344.EV

b Gross sales price for all2,344.assets on Ire Ga .... .

E 7 Capital gain net income (from Part IV. Me 2) 2 344 .N 8 Net strorf-term capital gam ........ .

_U 9 Income modficabons ..... ..... . . ..

E %10a Gr lessa

b Less Cost ofgooft sold......

c(hiss vrwm(ras)(anch)--------------

11 Other income (attach schedule) -

See Statement 1 114 564. 114 564.12 Total. ,cad i ,thou s al.............. 733 , 062 3 0.13 Compensation of officers, etredors. tnstees etc..-

.

1,2bU,Z8U 125,U29.

14 other employee salaries and usages ......... 145 252. 78 , 555. 66 , 698.15 won plans. employee benefits ... .

A 16a Legal teas (attach schedule) ... See . St .2 129 653. 116 688. 12 , 965.bAccounting ees a,>acnscfv...See.St..3 24,500. 2 , 450. 22 , 050.

1 conepoemre(attach sch)..See .St..4 13 , 879. 7, 947. 5 932.0 N 17 Interest....

E T 18 T. tad, maex ..Se.e..Stm 5 341,194. 304, 218. 34 640.p AT T

19 Devreaatron (aSeB

$tFlt..6schedule) and n . 99 , 583.Q V 20 Oco aney . .. l^r .et ie ^! . .

E 21 Trem• cra 27 ,85 1 . 2 5 , 066. 2 , 785.A E

x

22 Printing and "cations .

0 23 Other expenses (a

N See Statement 7 1 , 008 , 758- 968,177. 40 , 581.S 24 Total optand adadnuflrabve

ems. Add lines 13 through 23 ........ 3 , 040 , 958 . 1 628 130. `1 , 310 , 910.25 o> arv-1hpw.. ..RdXt XV. - 6 ,652 , 358. •. 6 , 652 , 358.26 Total expenses and dls5uroemuntc.

AM lines 25and 25 -- ------ ---------• 9,693,316. 1,628,130.1 0.1 7,963,268.27 Sdstred line 26 from tine 12

a Excess o1 revenue overexpensescfmbumemerft . ............... -8 960 256.

b Net bnveabnent hrcame (if negative, enter -o-) . 0 .

G Adjusted net Income (e negative. enter -0-) ... 0.

UP.A For Paperwork Reauctlon Act Notice, see instructions.

29491328115 19' 8

Return of Private Foundationor Section 4947(ax1) Trust Treated as Private Foundation

► Do not enter social security numbers on this form as it may be made public.► Go to wwwlrs.goYlForimW0PFtor instructions and the latest information

TEEAMW 0825!17 Form 990• FF (2017) n47; 1,

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION. INC. 22-1713022 Attadm'schedules and amounts In ft desaeiion Beginning of year End of year

Balance Sheets column should be Aor end-ot-year amoab any.(see onsnvdwns•) (a) Book Value (b) Book Value (e) Fair Market Value

1 Cash - non-interest-bearing .. . ... .. .. . .. ... ...

2 Savings and temporary cash investments.. .. . 34 178 455. 32 941, 445. 32 941 445.3 Accounts receivable ..-_ . .. ..-.. '

----------Less: allowance for doubtful accounts '

----------4 Pledges receivable .. ...... .. ..- ^ Via r---------

Less: allowance for doubtful accounts-.

5 Grants receivable - -

6 Receivables due from officers, directors, trustees, and otherdisqualred persons (attach schedule) (see instructions) . .. ....... ...

7 Other notes and loans nxenvable (attach sch) 6 , 55 , 8 2 0 .3

S

_ _ _ __ _ _

Less: allowance for doubtful accounts ' 5 , 155 , 820. 6 , 355 , 820. 6 , 355 , 820.S

----------8 Inventories for safe or use ...... ................... ......

ET

9 Prepaid expenses and deferred charges .. .. ............ .

S 10a Investments - U.S. and state governme9t^t 1t , , .eme&4 . ,obligations (attach schedule) .. ..... A 47 , 010 994. 42 , 104 , 016. 41 933 045.

b Investments - corporate stock (attach schedule) Statement. ,10 , 16 , 576. 16 # 576. 13 , 757.c Investments - corporate bonds (attach schedule) .....................

11 Investments - land, buildings, andequipment: basis . .. ...... .. .. . ' 15,432,614.Less: accumulated dep on(attad,sched,de)...` ee. Stmt.11 . 309,109.

----19 485 268. 15 123 505. 22 711 300.

-----12 Investments - mortgage loans. ..... ... .................

13 Investments - other (attach schedule) -Statement-12. 23 222 130. 22 610 853. 30 9 037 9 999.-14 Land, buildings, and equipment: basis _, 5_35- . 'g

Less: accumulated depredation(attach schedule). .. See Stmt.13 . 433 7 62 ., 347, 446. 322 773. 322 772._ _ _ _ __ _

15 Other assets (describe' See Statement 14 ) 3 , 630. 3 , 630- 3 , 630".16 Total assets (to be completed by all filers -_

_ _ _ _ _ _ _

see the instructions. Also, see page 1. item I) .. .... ...... 129 , 420 , 319. 119 478 618. 134,319 768.L 17 Accounts payable and accrued expenses ...................

A! 18 Grants payable.... .........

B 19 Deferred revenue ... . .. .. .. .. ................ ....

LI 20 Loans from officers,directas, trustees. & other disqualified persons ...

21 Mortgages and other notes payable (attach schedule). .. .. . . . .... .

T 22 Other liabilities (describe' )

S 23 Total liabilities (add lines 17 through 22) .... . ..... ..... 0. 0.Foundations that follow SFAS 117 check hem.. ..,and complete lines 24 through 26, and lines 30 and 31.

N F 24 Unrestricted ........ -E UT N 25 Temporarily restricted ... ...

D 26 Permanently restricted.. .. . .... ........ ..... .. z

S B Foundations that do not follow SFAS 117, check here... aS A and complete lines 27 through 31.

E LT A 27 Capital stock, trust principal, or current funds....... .."' 73 , 177. 73 , 177 . =4 `S N 28 Paid-in or capital surplus, or land, bldg., and equipment fund . .... .....

O E 29 Retained earnings, accumulated income, endowment, or other funds ... ... 129 347 142. 1.119 , 405#44R S 30 Total net assets or fund balances (see instructions). ... ... 12 9 420, 319. 119, 478, 618 .

31 Total liabilities and net assetslfund balances(see instructions). ..... 129, 420 319. 119 478 618.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 withend-of-year figure reported on prior year's return) ........ ......... ..... ........ ..... . . . .. .. .. . .. 1 129, 420, 319 .

2 Enter amount from Part 1, line 27a ...... ..... .. ..... ............... ..... .. ....... 2 -8 , 960,256.3 Other increases not included in line 2 (demze).. . ►

-----------------------------3

4 Add lines 1. 2. and 3... ..... .. ...... .. . ..... ...... . .. . ....... . . ... 4 120 , 460 , 063.5 Decreases not included in line 2 (iitermze) .......... 'See Statement 15_------------ -------------- 5 981 , 445.6 Total net assets or fund balances at end of year (Ime 4 minus line 5) -Part !I, column (b), We 30 ......... 6 119 478 618 .

BAA TEEA03ML osrzani Form 990-PF (2017)

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION INC. 22-1713022

Milt=CaWftl Gains and Losses for ax on Investment Income(a) List and describe the kind (s) of property sold (for example , real estate ,2-story brick warehouse ; or common stock , 200 shares MLC Company)

(b) How mowedP - PurduseD - Donation

(e) Date aamoreddey. yr.)

(d) Date sold(mo., day, yr.)

la PUBLI LY TRADED SECURITIES Pb

cd

e

(e) Gross sales price (f) Depreciation allowed(or allowable)

(so Cost or other basisplus expense of sale

(h) Gain or (loss)((e) plus (f) minus (g))

a 2 , 344. 2 , 344.bcdeComplete only for assets showing gain in column (h) and owned b the foundation on 12131169 (t) Gains (tat. (N

n FMV as of 1231169 Q Adjusted basisas of 12131/69

(ik) Excess of col. nover col. (D, if any

sin minus vol. (k), but not lessthan -0-) or Loss (from Col. (h))

a 2 , 344.b

cd

e

2 Capital gain net income or (net capital loss).....If gain , also enter in Part I. line 7

{If (doss), enter -0- in Part I . line 7 " 2 2 , 344.

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 Partl , line 8 .... .............. . .. ............... ......... ................ ...... 3 0.

i^ Qualification Under section 4940(e) for Reduced Tax on Net Investment Income(For optional use by domestic private foundations subject to the section 4940(0) tax on net inve3tment 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 ) N.

H 'Yes. ' the foundation doesn't qualify under section 4940(e). Do not complete this part.

1 Enter the appropriate amount in each column for each year; see the instruebons before making any entries.

Base period yearsCalendar year (or tax year

beginning in)

Adjusted qualifying distributions Net value ofnoncharitable-use assets

Distributtiion ratio(col. (b) divided by col. (c))

2016 5 , 907 , 306. 131,709 039. 0.0448532015 9 , 369 , 559. 141 549 738. 0.0661932014 9, 779 , 235. 155 158 824. 0.0630272013 4 , 826 , 653. r 161 203,801. 0.0299412012 7,104 806. 162 658,502. 0.043679

2 Totat of line 1, column (d)....... .............. ............ ................ ....... ........ 2 0.247693

3 Average distribution ratio for the 5-year base period - divide the total on line 2 bynumber of years the foundation has been in existence if less than 5 years. ..

5.0, or by the...... .... .. ........ 3 0.049539

4 Enter the net value of nonchantable-use assets for 2017 from Part X, line 5 4 117 131 642.

5 Multiply fine 4 by line 3.. . . . . . . .. .. .. ................ .......... ... 5 , 802 ,584 ,

6 Enter 1 % of net investment income (1 % of Part I. line 27b).. .. ......... ... . .. ....... 6

7 Add lines 5 and 6........ ................... ...... . ....... .......... ... ................... 7 5 02 5 84 .

8 Enter qualifying distributions from Part XII, line 4 . .. . . . ..... ... .. .. ...... . . ...... 8 7 , 963 , 268.

If line 8 is equal to or greater than line 7, check the box in Part Vi, Ire 1b, and complete that part using a I% tax rate. See thePart Vi instructions.

BAA iEEAnM CW4ni Form 990-PF (2017)

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION , INC. 22-1713022 Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see Instructions)

-1 a Exemptoperating foundations described in section 49t0(d)(2), check here ....... and enter 'N/A' on line 1. MW• Date of ruling or detemdnation letter _ _ _ (attach copy of letter if necessary - see instructions)

b Domestic foundations that meet the section 4940(e) requirements in Part V, 0.

check here- ► ( and enter 1 % of Part I, line 27h . .. . . ....... ...... ......... . .... .

c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part 1, line 12, col. (b) ..... .

2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxablefoundations only; others, enter -0-) ............ .. ... .. .............................. ........ 2 0.

3 Add lines 1 and 2 . ... . ..... ... 3 0.4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only; others, enter -0-).. 4 0.

S Tax based on bwastirnent income. Subtract line 4 from line 3. If zero or less, enter -0... ...... .. ...... . 5 0.6 Credits!Payments:

a 2017 estimated tax pmts and 2016 overpayment credited to 2017 .. .... .... ....... 6 a 60 , 148.b Exempt foreign organizations - tax withheld at source.... ... .............. 6b ,

c Tax paid with application for extension of time to file (Form 8868) ............ 6c

d Backup withholding erroneously withheld........ 6d

7 Total credits and payments. Add lines 6a through 6d ...... 7 60 , 148.8 Enter any penalty for underpayment of estimated tax. Check here

11if Form 2220 is attached............ 8

9 Tax due It the lotat of lines 5 and 8 is more than line 7, enter amount awed ........... ...................... ......... ' 9 0.10 Overpayment 0 line 7 is more than the total of fares 5 and 8, enter the amount overpaid ... . .. . . ......... ...... .. ' 10 60,148.11 Enter the amount of line 10 to be Credited to 2018 estimated tax .. . 60 , 148. 1 Refunded.. . . -! 1 11 0.

Statements Regarding Activities

1 a During the tax year, did the foundation attempt to influence any national state or local legislation or did it ° Yes fyo, ,participate or intervene in any political campaign? ..... . ... .... ... 1 a X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes?See the instructions for the definition .. ............... .... .. .......... ............ . .......... .............. 1b X

Of the answer is'Yes' to fa or tb, attach a detailed description of the actvitue; and copies of any materials publishedor distributed by the foundation in connection with the activities.

c Did the foundation file Form 1120-POL for this year?. 1c }(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 anon during the year for political expenditure tax impose onfoundation managers....... 11 $ 0.

2 Has the foundation engaged in any activities that have not previously been reported to the IRS? .... ............. .... 2 XIf 'Yes,' attach a detailed description of the activities. UREMM

3 Has the foundation made any changes , not previously reported to the IRS, in its governing instrument, articlesof incorporation , or bylaws, or other similar instruments ? If 'Yes,' attach a conformed copy of the changes ... ....... 3 - X

4a Did the foundation have unrelated business gross income of $1,000 or more during the year?........ .... . ... 4a Xb If Yes; has it filed a tax return on Form 990-T for this year?........................ .... .... .... ... . .. ....... . 4b N A

5 Was there a liquidation , termination, dissolution, or substantial contraction during the year? ........... . ....... ..................... 3 XIf '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 goveming instrument. or

• By state legislation that effectively amends the governing instrument so that no mandatory directions that conflictwith the state law remain in the governing instrument? ..... . ... .... .. .... ......... ....................... .. 6 )(

7 Did the foundation have at least $5,000 in asses at any tire during the year? If 'Yes,' complete Part Il, col . (c), and Part XV..... ....... ....... 7 X8a Enter the states to which the foundation reports or with which it is registered . See instructions .. . . . ► ;

DE CA

b If the answer is 'Yes' to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General(or designate) of each state as required by 6errera! (nsbvchon 6? If 'ft' attach explanation .. .. ...... . . .. .. . ................ 8 b X

9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(f)(3 ) or 4942^)V^^for calendar year 2017 or the tax year beginning in 2017? See the Instructions for Part XIV. If 'Yes,' complete Part XI 9 X

10 Did any persons become substantial contributors dining the tax year? If 'Yes; attach a schedule listing their namesand addresses . 10

SAA Form 990•PF (2017)

TEEA0304L 0824/17

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION. INC. 22-1713022

11 At a time durin the did lledwithinrthe meaning of motion 5122(b)(13) If es.'rattach schedule. Seeins

atructions

.entityy. o

12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person hadadvisory privileges? If 'Yes, attach statement . See instructions . . ..... ... ... ...................... ........ ....... 12 X

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application ?.. 13 X

Website address .... . . . ...... . ..... .. ► N/A-----------------------------------------

14 The books are in care of ► ROSE PATEK Telephone no. ' 888 -372-6303-----------------------------

Located at ► 103 FOULK ROADL SUITE- 200 WILMINGTON DE _ _ _ _ ZIP + 4 ► 19803-9803 ---

15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - check here. . ..... .... .......N/.^ .and enter the amount of tax -exempt interest received or accrued during the year ....... ...... ........ ► 15 N/A

16 At any time during calendar yea r 2017 , did the foundation have an interest in or a signature or other authority over a Yes No

bank , securities , or other financial account in a foreign country? .... ...... . . .... 16 X

See the instructions for exceptions and filing requirements for FinCEN Form 114 If 'Yes,'enter the name of the foreign country

WttV%W Statements Regarding Activities for Which Form 4720 May Be RequiredFile Form 4720 if any item is checked In the 'Yes column, unless an exception applies. Yes No

1 a 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 N No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) adisqualified person?.. .... ... . . .. . . .. .. . Yes nNo

(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? ....... ..... X Yes No

(5) Transfer any income or assets to a disqualified person (or make any of either availablefor 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 thefoundation agreed to make a grant to or to employ the official for a period after terminationof government service, if terminating within 90 days) .... .. ... ... ... .. . . ... ....... []Yes ©No

b If any answer is 'Yes' to la(l)-(6), did any of the acts fail to qualify under the exceptions described inRegulations section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ....... ........ 1 b XOrganizations relying on a current notice regarding disaster assistance. check here .... ...................

c Did the foundation engage in a pnor year in any of the acts described in la, other than excepted acts.that were not corrected before the first day of the tax year beginning in 2017? .... .. . . .. .. ...... ........ 1 C X

2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was aprivate operating foundation defined in section 49420)(3) or 4942(j)(5)):

a At the end of tax year 2017 , did the foundation have any undistributed income (lines 6dand 6e , Part XIII) for tax year(s) beginning before 2017 ..... ...... .... ....... . ... .. .. []Yes NoIf '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) toall years listed , answer 'No' and attach statement - see instructions .)...... ..... ......... ...... . .. . . .... . .

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 --3 a Did the foundation hold more than a 2% direct or indirect interest in any business

enterprise at any time during the year?....... .... .. .. ........... . ... ...... ...... .. []Yes a No

b If 'Yes,' did it have excess business holdings in 2017 as a result of (1) any purchase by the foundationor disqualified persons after May 26 , 1969; the lapse of the 5-year period (or longer period approvedb5 the Commissioner under section 4943(c)() to dispose of holdings acquired by gift or bequest; or(3j the lapse of the 10-, 15 -, or 20 -year first phase holding period ? (Use Schedule C, Form 4720, todetermine if the foundation had excess business holdings in 2017.) .... .... ...... ...... . .... . ... ... ...

4a Did the foundation invest during the year any amount in a manner that would jeopardize itscharitable purposes ? .... .............. .................... .. .... .. . . ......... ......... ......... ....... .

bOid the foundation make any investment in a prior year (but after December 31, 1969) that couldjeopardize its charitable purpose that had not been removed from jeopardy before the first day ofthe tax year beginning in 2017?. .. . .. ..... ... ....... ..... . ......... .

t3AA Form 990-PF

TEEAO3os1. oal24n 7

Form 990•PF (2017) STEPHEN & MARY BIRCH FOUNDATION , INC. 22 -1713022 Statements Regarding Activities for t Form 4720 May equi (continued)

5o During the year, did the foundation pay or incur any amount to. Yes No

.Cl) Carry on propaganda , or otherwise attempt to influence legislation (section 4945(e))? ... . - _ - ..11

Yes XX No 10^

-30.00

(2) Influence the outcome of any specific public election (see section 4955); or to carryon. directly or indirectly , any voter registration drive? . . ... .... ....... ................ .... Yes No

(3) Provide a grant to an individual for travel, study , or other similar purposes? ... .

e

Yes X No

(4) Provide a grant to an organization other than a chantable, etc., organization describedin section 4945(d)(4)(A)? See instructions ........................................... ........ [] Yes No

(5) Provide for any purpose other than religious , charitable, scientific, literary, oreducational purposes , or for the prevention of cruelty to children or animals? ... .... .... ..... [] Yes Q No

b If any answer is 'Yes' to 5a(1)-did any of the transactions fail to quality under the exceptionsdescribed in Regulations section 59%945 or in a current notice regarding disaster assistance?See instructions . .... .............. .. .... ..... . .....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 thetax because it maintained expenditure responsibility for the grant? ........................ .. N/A. [] Yes [] Ito

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 premiumson a personal benefit contract ...... . . ... . . .... . . []Yes No

b Did the foundation , during the year, pay premiums , directly or indirectly , on a personal benefit contract? ...... . ......

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 ? ... [jYes [) No

b If 'Yes,' did the foundation receive any proceeds or have any net income attributable to the transaction ? . ..... . N/A

and Contractors1 List all nfcers directors. trustees. and Inundation manana_rs and their enmnencatinn - Sea iestrueHers

(a) Name and address

(b)Ttle, and averagehours per week

devoted to position

(c) Compensationt not aid,

en^!p.)

(d) Contributions toemployee benefitplans and deterred

compensation

(e) Expense account.other allowances

ROSE PATER __________103 FOULK ROAD_-. _SUITE_ 200WILMINGTON DE 19803

President/Tr30.00

544,400. 0. 0.

DEBRA D DURKIN _ _ _ _ _-2_ _ _ _ _ _

103 FOULR ROADL SUITE 00 - - - -_WILMINGTON DE 19803

-

- VP/Secretary 37 0,120. 0. 0.

CHRISTOPHER PATER __________103 FODLK RO_ADJ SUITE 200 _ _ _ __WILMINGTON DE 19803

VP25.00

335,768. 0. 0.

------------------------------------------------

2 Compensation of five hi id a to other than those included on line 1 - see instrudtiorrs It now, enter 'NONE.'

(a) Name and address of each employeepaid more than $50,000

(b) Title, and averagehours per week

devoted to position(c) Compensation

(d)Contributions toemployee

plans and deferredbenefitcompensation

(e) off aeaacccnocnt,

None --------------------------------------------

------------------------------------------------

------------------------------------------------

------------------------

------------------------

------------------------------------------------

Total number of other over -------------------- ------- --- --- ---- '- - - - -- nn

BAA TEFAo3oa aerta1117 Form 990'PF (2017)

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION , INC. 22-1713022 WdmInformation About Officers; Directors, Trustees, Foundation Managers, Highly Paid Employees,

and Contractors (continued) 1

3 • Five highest-paid Independent contractors for orofessionaf 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

BERKOWITZ LICHTSTEIN-------------------------------------443 NORTHFIELD AVE -----------------------WBST ORANGE , NJ 07052 EGAL SERVICES 29,652.

--------------------------------------------------------------------------

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-------------------------------------

Total number of others receiving over $50.000 for professional services .......... ... ... .......... 0.1 0

Summary of Direct Charitable Activities

List the foundation ' s four larges t direct chantable activities during the tax year. Include relevant statistical information such as the number of I Expensesorganizati ons and other beneflaanes served, conferences convened, research papers produced, etc-

1 N/A----------------------------------------------------------------------------------------------------------

2------------------------------------------------------------------------------------------------------------

3

4-----------------------------------------------------11-----------------------------------------------------

(seeDescribe the two largest program -related investments made by the foundation dunng the tax year on lines i and 2. Amount

1 NLA ---------------------------------------------------------------------------------------------------------

2------------------------------------------------------------------------------------------------------------

All other program -related investments. See instructions.

3------------------------------------------------------------------------------------------------------------

Total. Add lines 1 through 3 ... . .... ....... ..... ....

BAA Form 99aPF (2017)

TEEAO3O7L 08/24117

Form 9M-PF (2017) STEPh)EN & MARY BIRCH FOUNDATION , INC. 22-1713022 Minimum Investment Return (All domestic foundations rnusl complete this part. Foreign foundations,see instructions.)

1 'Fair market value of assets not used (or held for use) directly in carrying out chantable, etc., purposes:a Average monthly fair market value of securities .... . ............... ............ ...... . ... . ..... . .... . 1 a 40 , 721 , 068.b Average of monthly cash balances ....... .... .. ......... .. ........... ........... . . 1 b 32 , 941 , 445.c Fair market value of all other assets (see instructions). . . .... ........ . . 1 c 45 252 860.Total (add lines ....... ...... 1dI 118 915 373.

e Reduction claimed for blockage or other factors reported on lines la and

lc (attach detailed explanation).. ....... ... . . ......... ... le i 0.

2 Acquisition indebtedness applicable to line 1 assets. ... .. .. . . ........ ........ . . 2 0.

3 Subtract line 2 from line id.... .. 3 118 , 915,373.

4 Cash deemed held for charitable activities. Enter 1-112% of line 3(for greater amount, see instructions) ..... . .. .... ..... . .... ......... _ ................. 4 1 , 783 , 731.

5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V. line A .. ..... 5 117 , 13 1, 642.6 Minimum investment return . Enter 5% of line 5 .... . ... . ....

Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) private operatand certain foreign organizations, check here' nand do not complete this part.)

6ing f

5 , 856 , 582.oundations

1 Minimum investment return from Part X, line 6 ... .. ...... ... . ..... .. . . ......... ..... .....

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.).._

_ . .. - .. 2be Add lines 2a and 2b ....... ............. ............ ..... .............. ................ .......

3 Distributable amount before adjustments. Subtract line 2c from line 1 .... .. .............. ...... .......

4 Recoveries of amounts treated as qualifying distributions... . ... ..

5 Add lines 3 and 4. .. ....... ....................................

6 Deduction from distributable amount (see instructions) ..... ....... ....... ........ .... . . . . .... .......

7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...........

Qualifying Distributions (see instructions)

1 Amounts paid (including administrative expenses) to accomplish chartable, etc., purposes:a Expenses, contributions, gifts, etc. - total from Part 1, column (d), line 26. ...... ...... ...... .........b Program-related investments - total from Part IX-B.. .. . .... ...... .. .. .... ... .... . ......

2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.. purposes.....

3 Amounts set aside for specific charitable projects that satisfy the:a Suitability test (prior IRS approval required)..... ...... ... . .............. .... ..................

b Cash distribution test (attach the required schedule) ... . .... . .. . . .. .. ... . ... ... ... .

4 Qualifying distributions. Add lines la through 3b Enter here and on PartV. line 8: and Part XIII, line 4

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.............................................

6 Adjusted qualifying distributions. Subtract line 5 from line 4. .

5.856.582.

5,856,582.

5,856,582.

5,856,582.

7,963,268.

7

Note: The amount on line 6 will be used in Part V, column (b). in subsequent years when calculating whether the foundationqualifies for the section 4940(e) reduction of tax in those years.

BAA Form 990-PF (2017)

TEEA0308L 09/1207

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION, INC. 22-1713022 Page9

Undistributed Income (see instructions)

1 Distributable amount for 2017 from Part XI,line 7 ... ..... ....... ....... ....... .

2 Undisanl ited income. it any. as of the end of 2017:

a Enter amount for 2016 only ..... ....... ..

b Total for prior years: 20 20 .20

3 Excess thstrihutions carryover. if any, to 2017:

a From 2012..... ....

b Frorn 2013 .. .. . .

c From 2014 1 , 343 , 398 .d From 2015 ..... .... 2,292 , 072.• From 2016 ... . ....

f Total of lines 3a through a .. . ....... .. . .

4 Qualifying distributions for 2017 from Part

Xll, line 4: ' $ 7,963,268.a Applied to 2016, but not more than line 2a.

b Applied to undistributed income of prior year.(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 Exoess drs ributi ns canyouer appied to 2017 ...... .(If an amount appears in column (d), thesame amount must be shown in column (a).)

6 Enter the net total of each column asindicated below

a Corpus. Add lines 3f, k, and 4e. Subtract line 5... ..

b Prior years' undistributed income. Subtractline 4b from line 2b ..................... ..

c Enter the amount of prior years' undrstributecincome for which a notice of deficiency hasbeen issued, or on which the section 4942(a)tax has been previously assessed . .

d Subtract line 6c from Iine lib. Taxableamount - see instructions .................

e Undistributed income for 2016. Subtract line 1a from'me 2a Taxable amount -see instructions . . .

f Undistributed income for 2017. Subtract lines4d and 5 from line 1. This amount must bedistributed in 2018 .......... .... .. . .. .

7 Amounts treated as distributions out ofcorpus satisfy requirements imposed by

70( 1)(F) or 4942(g)(3) (Electionmay be required - see instructions) ........

8 Excess distributions carryover from 2012 notapplied 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 .. 1 , 343 , 398.cExcess from 2015....._2, 292,072.d Excess from 2016. _ .e Excess from 2017.... 2 106 686.

BAA

Corpus Years prior to 2016 2016 0017

3.635.470.

0.

0.

856,582.

0.

5.742.156

0.

0.

7

Form 990-PF (2017)

TEEAD309L o3Ra17

Form 990•PF (2017) STEPHEN & MARY BIRCH FOUNDATION , INC. 22-1713022

PH(M- Private Operating Foundations (see instructions and Part VII-A, question 9) N/A1 a if the foundation has received a ruling or determination letter that it is a prorate operating foundation, and the ruling

is effective for 2017, enter the date of the ruling .......... ...... ............ ............... ..............

b'Check box to indicate whether the foundation is a private operating foundation described in section 49426)(3) or 4942Q(5)

2a Enter the lesser of the adjusted net Tax year Prior 3 yearsincome from Part I or the minimum

2017 2016 2x14(e) Total

investment return from Part X for (a) (0) 2013

each year listed ......

b 85% of line 2a ................

c Qualifying distributions from Part XIlsline 4 for each year listed

d Amounts included in line 2c not used directlyfor active conduct of exempt actnAties .. .....

e Qualifying distributions made directlyfor active conduct of exempt activities.Subtract line 2d from line 2c.

3 Complete 3a, b. or c for thealternative test relied upon:

a 'Assets' alternative test - enter:

(1) Value of all assets ........ ........

(2) Value of assets qualifying undersection 49420) (3)(B)(i ............

b'Endowment' alternative test - enter 2/3 ofminimum investment return shown in Part X,line 6 for each year listed. ..... . .

c 'Support ' alternative test - e to :

(1) Total support other grossinvestment income (interest,dividends , r̂ , paymentson • €s loans !?section5),2(a-)(5)), or royalties)......... ..

(2) Support from general public and 5 ormore exempt organizations as providedin section 4912( )(3XBXHh1 .... ... .. . .

(3) largest amount of support froman exempt organization .... ... .

(4) Gross investment income ..........

Supplementary Information (Complete this part only if the foundation had $5,000 or more inassets 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 thedose of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

None

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 ofa partnership or other entity) of which the foundation has a 10% or greater interest.None

2 Information Regarding Contribution, Grant, Gilt, Loan, $ctafarship. etc., Programs:Check here 0' [] if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicitedrequests for funds If the foundation makes gifts , grants , etc. to individuals or organizations under other conditions , complete items2a, b. c , and d . See instructions.

a The name, address, and telephone number or email address of the person to whom applications should be addressed-

See Statement 16b The form in which applications should be submitted and information and materials they should include:

See Statement for Line 2ac Any submission deadlines:

See Statement for Line 2ad Any restrictions or limitations on awards , such as by geographical areas, charitable fields, kinds of institutions , or other factors:

See Statement for Line 2aBAA TEEa03101. ovimn Form 990-PF (A17)

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION, INC. 22-1713022

3 Grants and Contributions Paid During the Year or Approved for Future Payment

RecipientIf recipient is an indnndualShow any reinambP t 'any foundation manager

Foundation Purpose of grant orcontribution

Amount

Name and address (home or business) or substantial contributor recipient

a Paid during the year

See Statement 17

Total .... .... ............... ....... .. ► 3a 6 , 652 , 358.b Approved for future payment

Total ..... . ... ............ ....................... ........ ... ......... ............ ...... ..... 3 b9

BAA 7EEADSO?L 0anan7 Form 990-PF (2017)

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION. INC.Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated. Unrelated business income Excluded

(a) (b) (clB 'n Amount Exdu-

1 Program service revenue:

usi e scode sion

code

abcdef

g Fees and contracts from government agencies

2 Membership dues and assessments. . . . ... .

3 Interest on savings and temporary cash investments . .... 144 Dividends and interest from securities .

5 Net rental income or (loss) from real estate:

a Debt-financed property .

14

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 1$

9 Net income or (loss) from special events ... .

10 Gross profit or (loss) from sales of inventory

11 Other revenue:

a RENTAL INCOME 161b RETREAT INCOME 23Cde

s

12 Subtotal . Add columns (b), (d), and (e) .........

13 Total. Add line 12, columns (b), (d). and (e). .... . .... .. .. ..

See worksheet in line 13 instructions to verify calculations )

22-17

section 512, 513, or 514

(d)Amount

(e)Related or exemptfunction income

(See instructions.)

. . .. . . 13 733.060.

Line No. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to theT I accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes). (See instructions.)

BAA mEnoso2I o11124ni Form 990-Pr: (2017)

Form 990-PF (2017) STEPHEN & MARY BIRCH FOUNDATION , INC. 22-1713022 Information Regarding Transfers to and Transactions and Relationships With NoncharitableExempt Organizations

Yes No1 Did the organization directly of indirectly engage in any of the following with any other organization

described m section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527,relating to political organizations?

a Transfers from the reporting foundation to a nonchantable exempt organization of:

(1) Cash . . .... ... . ..... . .. .. . ........... . . .... l a O) X

(2) Other assets ..................... ...... . .............. ... . ............. . ..... . ....... I a (2) Xb Other transactions: ;MM

(1) Sales of assets to a noncharitable exempt organization .... ............. ...... .. .... . ... ...... .... 1 b (1) X

(2) Purchases of assets from a noncharitable exempt organization. .. .... . .. ..... 1 b(2) X

(3) Rental of facilities, equipment, or other assets ...... ... ...... . ...... ....... ......................... . 1 b (3) X

(4) Reimbursement arrangements ...... . . . ................. ..... ..... ....... .................... ...... 1 b (4) X

(5) Loans or loan guarantees ............ .. ...... ... ........ .... .... . ... ... ... . ...... ..... 1 b (S) X(6) Performance of services or membership or fundraising solicitations. 1 b(6) X

c Sharing of facilities, equipment, mailing lists, other assets, or paid 11 Cc X

d If the answer to any of the above is 'Yes ,' complete the following schedule . Column (b) should always show the fair market value ofthe goods, other assets, or services given by the reporting foundation . If the foundation received less than fair market value in

(a) Name of organization (b) Type of organization (c) Description of relationship

N/A

Under penalties W peryury. Icarrent and complete. De

SignHere

&^/

I have ezamned this rehan. including aoromppaeparer (offer than taxpayer) is based on all m it

I

-s GTOfficer or

Wznnr yM prepa

A-

Preparer's

Paid Winnie MEW-CPA Winnie HuanPrepares Fwn'sname ' Winnie K. Huang AccountantUse Only Frrn dies 155 N. Lake Ave Suite 800

Pasadena, CA 91101BAA

2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizationsdescribed in section 501(c) of the Code (other than section 501(c)(3)) or in section 527 ? ... . ...... ................ Yes No11 Eki

b If 'Yes, ' complete the following schedule.

2017 Federal Statements Page 1

STEPHEN & MARY BIRCH FOUNDATION, INC. 22-1713022

Statement 1Form 990-PF, Part 1 , Line 11Other Income

(a) (b) Net (C)

pRevenue Investmenter Books Income

AdjustedNet Income

RENTAL INCOME.... $ 90,592.RETREAT INCOME ...... . ...... ............................. 23,972.

Total $ 114,564. $ 0. 0.

Statement 2Form 990-PF, Part 1 , Line 16aLegal Fees

(a) (b) Net (c) (d)Expenses Investment Adjusted CharitablePer Books Income Net Income Purposes

BERKOWITZ LICHTSTEIN KURITSKY.. . $ 129 653. $ 116,688 . $ 12,965.Total 129,653. $ 116,688. 0. $ 12,965.

Statement 3Form 990-PF, Part 1, Line 16bAccounting Fees

(a) (b) Net (c) (d)Expenses Investment Adjusted CharitableDer Books Income Net Income roses

WINNIE K HUANG ACCOUNTANCY CORP... 29 500.T t l 24 5

$ 2,450.4$ 2 0 0

$ 22 , 050.22 050o a , 00. , 5 . $ . , .

Statement 4Form 990-PF , Part 1, Line 16cOther Professional Fees

(a) (b) Net (C) (d)Expenses Investment Adjusted Charitableper Books Income Net Income Purposes

OTHER PROFESSIONAL FEES .... ...... .... $ 13,879. $ 7,947. $ 5 , 932.Total $ 13,879. $ 7,947. 0. 5,932.



Statement 5Form 990-PF, Part 1, Line 18Taxes

(a) (b) Net (C) (d)Expenses Investment Adjustedper Books Income Net Income

CharitablePurposes

OTHER TAXES AND LICENSE . .... . ..... $ 1,637.PAYROLL TAX ... . .... . .. ...... . . 44,088 . $ 9,448 . $ 34,640.PROPERTY TAXES.............. ...... ... . 294, 770. 294, 770.STATE TAX .. 699.

Total $ 341,194. 304,218. $ 0. $ 34,640.

Statement 6Form 990-PF, Part 1, Line 19Allocated Depreciation

Date Cost Prior Yr Current Net Invest AdjustedAcquired Basis Depr Method Rate Life Yr Depr Income NetSTORAGE BLDG & IMPROVE.7/01/01 348,660 138,204 S/L 0.0256 8,940 0 0

BUILDING IMPROVEMENT7/01/02 76,109 28,210 S/L 0.0256 1,951 0 0

BUILDING IMPROVEMENT3/31/09 10,000 1,995 S/L 0.0256 256 0 0

BUILDING8/19/13 2,755,225 238,465 S/L 0.0256 70,644 0 0

EQUIPMENT8/28/13 73,000 51,100 S/L 0.2 14,600 0 0

FURNITURE & FIXTURES7/01/15 4,894 1,048 S/L 0.1429 699 0 0

EQUIP-AIR CONDITIONING3/07/16 10,329 1,033 S/L 0.2 2,066 0 0

EQUIP-AIR CONDITIONING6/23/17 4,266 S/L 0.1 427 0 0

Statement 7Form 990-PF , Part 1, Line 23Other Expenses

(a) (b) Net (c) (d)Expenses Investment Adjusted Charitableper Books Income Net Income Purposes

AUTO EXPENSES . ........ . .... . . ..... $ 7,121. $ 6,409. $ 712.BANK CHARGE . .... .. . ...... 334. 301. 33.CLEANING......... ....... ..... ................ 3,167. 2,850. 317.DUE AND SUBSCRIPTION..... ............... 300. 270. 30.HEALTH INSURANCE. . ....... . .... . 9,335. 9, 335.INSURANCE - AUTO .. ...... .... . ... .. 1,682. 1,514. 168.INSURANCE - BUSINESS.. 10,399. 9,359. 1,040.INSURANCE - DIRECTORS .. ...... . ... . ... 12,614. 1,261. 11,353.

2017 , Federal Statements Page

Statement 7 (continued)Form 990-PF, Part 1, Line 23Other Expenses


(a) (b) Net (c) (d)Expensesper Books

InvestmentIncome N

Adjusted Charitableet Income Purposes

INSURANCE - PROPERTY ... ...... . . $ 96,232. $ 96,232.LANDSCAPING ................................. 31,340. 28,205. $ 3,135.MISC EXPENSE... .................... ....... 278. 250. 28.OFFICE EXPENSE......................... .... 1,801. 1,621. 180.PAYROLL EXPENSE FEES. .. ....... . . .. 3,236. 323. 2,913.PNC INVESTMENT ADVISOR FEES ... . 95,644. 95,644.POSTAGE AND DELIVERY..................... 5,502. 4,952. 550.REPAIRS & MAINTENANCE ... ....... ....... 9,855. 81870. 985.SECURITY. ..... ...... 42,792. 38,513. 4,279.STORAGE ... .... ... .. .... . .... .. ... . 3,276. 3,276.SUPPLIES.. .... ..... . ....... . .. 695. 625. 70.TELEPHONE ..... .... . ..... ............... 11,929. 10,736. 1,193.U.E. PORTFOLIO DEDUCTIONS............ 558, 032. 558, 032.UTILITIES ............ ..... ............... 94,875. 85,388. 9,487.WASTE DISPOSAL.... ....... ... . .....

T t l8,319.

$ 1 70087 , 487. 832.

o a , , 58. 968,177. $ 0. 40,581.

Statement 8Form 990-PF, Part II, Line 7Other Notes and Loans Receivable

DoubtfulFair Market Accounts

Notes and Loans Reported Separately Book Value Value Allowance

Borrower's Name: MARIAN COMMUNITY 501(C)(3) ORGBorrower's Title: MARIAN COMMUNITY, INCORPORATEDDate of Note: 3/09/2009Maturity Date:Repayment Terms: DEMAND NOTEInterest Rate: 3.00%Security Provided: REAL ESTATEPurpose of Loan: RETREAT CENTERBorrower Relationship: NONEConsideration: CASHConsideration FMV:Original Amount: $ 1,145,276.Balance Due: $ 2,355,820. $ 2,355,820.Doubtful Acct. Allow.: $ 0.

Borrower's Name:Borrower's Title:Date of Note:Maturity Date:Repayment Terms:Interest Rate:Security Provided:Purpose of Loan:Borrower Relationship:Consideration:Consideration FMV:Original Amount:Balance Due:

Q.E. LIMITED LLCQ.E. LIMITED LLC1/15/20151/15/2018

36 MONTHS0.41%DEED OF TRUST IN REAL PROPERTYOPERATION

DEED OF TRUST IN REAL ESTATE

$ 3, 000, 000.4,000 , 000. 4,000,000.

2017 . Federal Statements Page

STEPHEN & MARY BIRCH FOUNDATION, INC.

Statement 8 (continued)Form 990-PF, Part 11, Line 7Other Notes and Loans Receivable

Doubtful Acct. Allow.:

Total $ 6,355,820. $ 6,355,820.

22-1

0.

Allowance for Doubtful Accounts $ 0.Net Other Notes /Loans Rec . - Book Value $ 6,355,820.

Statement 9Form 990-PF, Part 11, Line 1 OaInvestments - U.S. and State Government Obligations

Valuation Book Fair MarketU.S. Government Obligations _ Method Value Value

USA TREASURY NOTE 1.000% DUE 8/15/2018 MktUSA TREASURY NOTE 0.875% DUE 10/15/2018 MktUSA TREASURY NOTE 1.250% DUE 11/15/2018 MktUSA TREASURY NOTE 0.750% DUE 4/30/2018 MktUSA TREASURY NOTE 0.750% DUE 10/31/2018 MktUSA TREASURY NOTE 0.875% DUE 1/31/2018 MktUSA TREASURY NOTE 1.125% DUE 6/15/2018 MktUSA TREASURY NOTE 0.75% DUE 7/15/19 MktUSA TREASURY NOTE 0.75% DUE 7/31/18 MktUSA TREASURY NOTE 0.75% DUE 8/15/19 MktUSA TREASURY NOTE 0.875% DUE 5/15/19 MktUSA TREASURY NOTE 1.00% DUE 10/15/19 MktUSA TREASURY NOTE 1.00% DUE 11/15/19 MktUSA TREASURY NOTE 1.00% DUE 2/15/18 MktUSA TREASURY NOTE 1.00% DUE 3/15/19 MktUSA TREASURY NOTE 1.125% DUE 1/15/19 MktUSA TREASURY NOTE 1.125% DUE 2/28/19 MktUSA TREASURY NOTE 1.25% DUE 4/30/19 MktUSA TREASURY NOTE 1.375% DUE 7/31/19 Mkt

Statement 10Form 990-PF, Part 11, Line 10bInvestments - Corporate Stocks

ValValValValValValValValValValValValValValValValValValValTotal

$ 3,005,918.2, 988, 906.2,004,238.

997,656.2,481,934.3,006,211.1,511,074.2,470,703.2,498,145.3,068,110.1,982,812.1,883,290.2,461,289.1, 943, 689.1,889,316.2,914,475.1,995,469.

998, B28.2, 001, 953.

$ 42,104,016.

S 2,988,060.2,980,560.1,990,860.

997,810.2,479,400.2,999,160.1,497,660.2,457,900.2,487,700.3,054,984.1,973,680.1,880,911.2,459,775.1,944,300.1,880,924.2,898,771.1,983,600.

992,070.1,984,920.

$ 41,933,045.

Valuation Book Fair MarketCoWorate Stocks Method Value Value

485.094 LIBERTY/COLUMBIA SAMLL CAP VAL C Mkt Val $ 16 , 576. $ 13,757.Total 16,576. $ 13,757.


STEPHEN & MARY BIRCH FOUNDATION, INC. 2217131

Statement 11Form 990-PF, Part 11, Line 11Investments - Land , Buildings, and Equipment

Accum. Book Fair MarketCategory Basis Deprec . Value Value

Buildings $ 2,755,225. $ 309,109. $ 2,446,116. $ 0.Land 12,677,389. 12,677,389. 22,711,300.

Total $ 15,432,614. 309,109. $ 15,123,505. $ 22,711,300.

Statement 12Form 990-PF, Part 11, Line 13Investments - Other

Valuation Book Fair MarketMethod Value Value

Other Investment

LUNA LUNA ASSETS FOR EXHIBIT Mkt Val $ 14,178,661. $ 14,178,661.U.E LIMITED LP Mkt Val 2,984,584. 7,600,000.MORGAN STANLEY - ANNUITY Mkt Val 1,000,000. 1,562,346.MORGAN STANLEY - ANNUITY Mkt Val 1,000,000. 1,562,346.MORGAN STANLEY - ANNUITY Mkt Val 1,000,000. 1,562,346.MORGAN STANLEY - ANNUITY Mkt Val 1,000,000. 1,562,346.MORGAN STANLEY - ANNUITY Mkt Val 1,000,000. 1,562,346.PRIMERA LLC Mkt Val 447,608. 447,608.

Total $ 22, 610,8!F3-. 30,037,999.

Statement 13Form 990-PF, Part II, Line 14Land, Buildings, and Equipment

Accum. Book Fair MarketCateg Basis Deprec. Value Value

Auto./Transportation Equip. $ 183,234. $ 183,234. $ 0. $ 0.Furniture and Fixtures 50,937. 1,747. 49,190 . 49,190.Machinery and Equipment 87,595. 69,226. 18,369. 18,369.Buildings 348,660. 147,144. 201,516. 201,516.Improvements

Total86 , 109 .

$ 756,535.32,411.

$ 433,762.53,698.

$ 322,773.53 , 697.

322,772.

Statement 14Form 990-PF, Part II , Line 15Other Assets

Fair MarketBook Value Value

UTILTIES DEPOSIT ...... ... .... ... ...... ..... $ 3, 630. $ 3,630.Total $ 3,630. $ 3,630.



Statement 15Form 990-PF, Part III, Line 5Other Decreases

DIFFERENCE BETWEEN FMV AND BOOK VALUE ON NON CASH DONATION ... ........ . .. $ 981, 445.Total $ 981,445.

Statement 16Form 990-PF, Part XV, Line 2a-dApplication Submission Information

Name of Grant Program:Name : ROSE PATEK, PRESIDENTCare Of: STEPHEN AND MARY BIRCH FOUNDATION. INCStreet Address: 103,FOULK ROAD, #200City, State, Zip Code: WILMINGTON, DE 19803Telephone: 888-372-6303E-Mail Address:Form and Content: NO SPECIFIC FORM BUT MUST INCLUDE FULL DESCRIPTION OF THE

PROJECT, THE PURPOSE AND IMPLEMENTATION. ALSO REQUIRE IRSDETERMINATION LETTER, CURRENT FINANCIALS AND BUDGET.

Submission Deadlines: NONERestrictions on Awards: NONE

Statement 17 V'Form 990-PF, Part XV, Line 3aRecipient Paid During the Year

Found-Donee ation Purpose of

Name and Address Relationship Status Grant Amount

AMERICAN JEWISH COMMITTEE NONE PC GENERAL $ 10,000.165 E. 56TH STREET OPEARATINGNEW YORK, NY 10022 SUPPORT

BLOOMFIELD COLLEGE & NONE PC PROGRAM SUPPORT 10,000.SEMINARY467 FRANKLIN STREETBLOOMFIELD NJ 07003

CHULA VISTA LIONS CLUB NONE PC SUPPORTING 10,000.P.O. BOX 2304 PROGRAMSCHULA VISTA CA 91910

CORNELL LAW SCHOOL NONE PC EDUCATIONAL 25,000.341 PINE THREAD PROGRAMSITHACA NY 14850

DAYTON VOLUNTEER FIRE DEPT NONE PC EQUIPMENT 10,000.203 COOK STDAYTON TX 77535

1 2017 Federal Statements Page

22-17130STEPHEN & MARY BIRCH FOUNDATION, INC.

Statement 17 (continued)Form 990-PF, Part XV, Line 3aRecipient Paid During the Year

Found-

Name and AddressDonee

Relationshiation

p StatusPurpose of

Grant Amount

METROPOLITAN OPERA ASSN INC NONE PC GENERAL $ 25,000.LINCOLN CENTER OPERATINGNEW YORK NY 10023 SUPPORT

SAN DIEGO COUNCIL ON NONE PC LITERACY NETWORK 15,000.LITERACY PROGRAM2515 CAMINO DEL RIO SOUTH#125SAN DIEGO CA 92108

ST ANNE'S MISSION - NONE PC GENERAL 7,500.EASTGATE OPERATINGP. 0. BOX 640 SUPPORTDAYTON TX 77535

ST JOSEPH'S CATHOLIC CHURCH NONE PC GENERAL 60,000.151 VILLAGE STREET OPERATINGMEDWAY MA 02053 SUPPORT

ST PIUS X CATHOLIC CHURCH NONE PC TUITION 40,000.1120 CUYAMACA AVE. ASSISTANCECHULA VISTA CA 91911

BLUE VOLUNTEER FIRE NONE PC EQUIPMENT 7,500.DEPARTMENT4401 COUNTRY ROAD 309LEXINGTON TX 78947

BURN INSTITUTE NONE PC BURN SURVIVOR 25,000.8825 AERO DRIVE #200 SUPPORTSAN DIEGO CA 92123

GIFTS FOR THE UNBORN NONE PC GENERAL 25,000.11305 ALHAMBRA DR. OPERATINGAUSTIN TX 78759 SUPPORT

JENNA KAY PATER SCHOLARSHIP NONE PC GENERAL 10,000.FUND OPERATING191 INDIAN TRAIL SUPPORTSEGUIN TX 78155

LEXINGTON VOLUNTEER FIRE NONE PC EQUIPMENT 5,000.PO BOX 543LEXINGTON TX 78947

MISSION OF DIVINE MERCY, NONE PC GENERAL 131,325.INC OPERATINGPO BOX 1759 SUPPORTCANYON LAKE TX 78133




Found-


RelationshipationStatus

Purpose ofGrant Amount

SERVANTS OF CHRIST NONE PC GENERAL $ 25,000.MINISTRIES OPERATING87 A MAPLE STREET SUPPORTSICTUATI MA 02066

STANFORD LAW SCHOOL NONE PC STUDENTS AID AND 10,000.559 NATHAN ABBOTT WAY SCHOLARSHIPSTANFORD CA 94305

VALLEY HOSPITAL FOUNDATION NONE PC GENERAL. 25,000.223 NO. VAN DIEN AVE OPERATINGRIDGEWOOD NJ 07450 SUPPORT

FENWICK HIGH SCHOOL NONE PC STUDENT AID AND 3,000.505 W. WASHINGTON BLVD SCHOLARSHIPOAK PACK IL 60302

USC LAW SCHOOL NONE PC ACADEMIC 12,000.UNIVERSITY PARK INSTITUTE TAX PRLOS ANGELES CA 90089

USC MEN'S TENNIS NONE PC STUDENT AID & 3,000.HERITAGE HALL 203A EQUIPMENTLOS ANGELES CA 90089

LEXINGTON POLICE DEPARTMENT NONE PC EQUIPMENT 5,000.650 MAIN ST.LEXINGTON TX 78947

BERKELEY EAST BAY HUMANE NONE PC SPECIAL PROJECTS 10,000.SOCIETY2700 9TH STREETBERKELEY CA 94710

BRINNEGAR CHARITABLE NONE PC EDT]. SEMINARS & 10,000.FOUNDATION SCHOOLP.O. BOX 863LA HABRA HEIGHTS CA 90633

JOHN MUIR HEALTH FDN NONE PC SPECIAL PROJECTS 5,000.1400 TREAT BLVD., 3RD FLOORWALNUT CREEK CA 94597

WEST VALLEY BOYS & GIRLS NONE PC AFTER SCHOOL 20,000.CLUB PROGRAMP.O. BOX 6576WOODLAND HILLS CA 91365

ST MARK'S SCHOOL NONE PC EQUIPMENT,MATERI 2,000.2323 LAS LOMITAS DRIVE ALS, PROGHACIENDA HEIGHTS CA 91745

2017 Federal Statements Page



Found-


Relationshiation

p StatusPurpose of

Grant Amount

FRIENDS OF WYCKOFF PUBLIC NONE PC General $ 2,500.LIBRARY INC Operating24 COLONIA DRIVE SupportWYCKOFF NJ 07481

NATIONAL SHRINE OF THE NONE PC General 10,000.INFANT JESUS Operating304 JIM THORPE BLVD. SupportPRAGUE OK 74864

MD ANDERSON CANCER CENTER NONE PC General 50,000.1515 HOLCOMBE BLVD. OperatingHOUSTON TX 77030 Support

FRIENDS OF YOGI, INC. NONE PC MUSEUM 50,000.8 YOGI BERRA DRIVE IMPROVEMENTLITTLE FALLS NJ 07424

ANIMAL CARE SERVICES NONE PC ANIMAL SERVICES 10,000.2013 SECOND STBERKELEY CA 94710

OPERATION WARM NONE PC WINTER COATS 20,000.6 DICKINSON DRIVE, STE 314 PROGRAM-REPLCHADDS FORD PA 19317

XAVERIAN MISSIONARIES NONE PC MISSION CENTER 75,000.PO BOX 5857 SUPPORTHOLLISTON MA 01746

OUR LADY OF FATIMA SHRINE NONE PC General 75,000.PO BOX 5857 OperatingHOLLISTON MA 01746 Support

NOCONA RURAL VOLUNTEER FIRE NONE PC Gen Operation & 10,000.DEPARTMENT Equipment101 COOKIE STREETNOCONA TX 76255

LEXINGTON EMS NONE PC General 5,000.LEXINGTON EMS OperatingLEXINGTON TX 78947 Support

PARLANCE CHAMBER CONCERTS NONE PC OPERATING 20,000.INC SUPPORT PROGRAM138 Phelps Rd.Ridgewood NJ 07450

THE KIMBERLY JO PATEK FDN NONE PC General 20,000.5408 N.E. Wedgewood Lane OperatingLee's Summit MO 64064 Support




Found-




BROWN COUNTY SHERIFF'S NONE PC General Support $ 10,000.DEPARTMENT1050 WEST COMMERCEBROWNWOOD TX 76801

THE MUSK OX DEV. NONE PC General Support 10,000.CORPORATIONPO BOX 587Palmer AK 99645

KICKSTART KIDS INC NONE PC General Support 100,000.10222 WESTHEIMER RDHOUSTON TX 77042

BATTERED WOMEN'S FOUNDATION NONE PC GENERAL SUPPORT 25,000.PO Box 54888Hurst TX 76054

THE VOLUNTEER LEAGUE OF SAN NONE PC General Support 10,000.FERNANDO VAL14603 HAMLIN STVAN NUYS CA 91411

EQUESTRIAN ORDER OF THE NONE PC General Support 35,000.HOLY SEPULCHRE2001 KIRBY DRIVE, 4902HOUSTON TX 77019

CAN DO CANINES NONE PC General Support 20,000.9440 SCIENCE CENTER DRIVENEW HOPE MN 55428

4 PAWS FOR ABILITY INC NONE PC General Support 10,000.253 DAYTON AVENUEXENIA OH 45385

KLASS KIDS FOUNDATION NONE PC General Support 50,000.POLICY CENTERPO BOX 925SAUSALITO CA 94966

HOUSE OF POSSIBILITIES INC NONE PC General Support 50,000.350 WASHINGTON STEASTON MA 02356

ST SCHOLASTICA PRIORY NONE PC General Support 100,000.PO BOX 606PETERSHAM MA 01366



Statement 17 (continued)Fonn 990-PF, Part XV, Line 3aRecipient Paid During the Year

Found-



Purpose ofGrant

FAITH NETWORK OF THE EAST NONE PC General Support $BAY2653 TELEGRAPH AVE #409OAKLAND CA 94612

ST JAMES CATHOLIC SCHOOL NONE PC General Support507 S CAMP STREETSEGUIN TX 78155

ST JOHN VIANNEY CATHOLIC NONE PC General SupportCHURCH1345 TQRNBALL CANYON ROADHACIENDA HEIGHTS CA 91745

CHILDREN'S TUMOR FOUNDATION NONE PC GENERAL SUPPORT95 PINE STREET, 16TH FLOORNEW YORK NY 10005

SALESIAN SISTERS NONE PC GENERAL659 BELMONT AVENUE OPERATINGNORTH HALEDON NJ 07508 SUPPORT

CATHOLIC DAUGHTERS OF THE NONE PC GENERAL SUPPORTAMERICAS10 WEST 71ST STREETNEW YORK NY 10023

MY FATHER'S HOUSE NONE PC GENERAL39 N. MOODUS RD. OPERATINGMOODUS CT 06469 SUPPORT

ABILITY FIRST PASADENA NONE PC Program Support1300 E GREEN STREETPASADENA CA 91106

ACHIEVE FDN NONE PC After SchoolPO BOX 84 ProgramMAPLEWOOD NJ 07040

CHALLENGED ATHLETES FDN NONE PC COMMUNITY SPORTS9591 WAPLES STREET PROGRAMSAN DIEGO CA 92121

CITY OF HOLLISTON FIRE DEPT NONE PC GENERAL59 CENTRAL STREET OPERATION ANDHOLLISTON MA" 01746 EQUIPMENT

CITY OF HOLLISTON POLICE NONE PC GENERALDEPT OPERATION AND550 WASHINGTON STREET EQUIPMENTHOLLISTON MA 01746

22-171

10,000.

45,000.

2,000.

51000.

5,000.

3,000.

150,000.

10,000.

12, 500.

2,000.

10, 000.

10,000.




Found-Donee ation Purpose of

Name and Address Relationship Status Grant Amount

JAMESTOWN POLICE DEPARTMENT NONE PC GENERAL SUPPORT $ 7,500.112 NORTH MAIN STREETJAMESTOWN KY 42629

JAMESTOWN VOLUNTEER FIRE NONE PC GEN OPERATION 7,500.DEPT AND EQUIPMENT112 N. MAINSTREETJAMESTOWN KY 42629

RUSSELL COUNTY EMS NONE PC GENERAL 5,000.108 FERCO WAY OPERATION ANDJAMESTOWN KY 42629 EQUIPMENT

RUSSELL COUNTY SHERIFF DEPT NONE PC GENERAL 5,000.410 MONUMENT SQUARE, #109 OPERATINGJAMESTOWN KY 42629 SUPPORT

SAN DIEGO YOUNG ARTIST NONE PC MUSIC PROGRAM 10,000.MUSIC ACADEMY4125 ALPHA STREET SUITE BSAN DIEGO CA 92113

ST MARGARET MARY CHURCH NONE PC GENERAL SUPPORT 15,000.1219 EXCELSIOR AVENUEOAKLAND CA 94610

TISCH MS RESEARCH CENTER NONE PC MEDICAL RESEARCH 15,000.521 WEST 57TH STREET 4THFLOORNEW YORK NY 10019

OUR LADY OF GAUDALUPE NONE PC General Suppot 50,000.CATHOLIC409 W. KREZDORN STREETSEGUIN TX 78155

BETHANY HOUSE ABUSE SHELTER NONE PC GENERAL 10,000.PO BOX 864 OPERATINGSOMERSET KY 42502 SUPPORT

BLUEBONNET YOUTH RANCH NONE PC GENERAL 20,000.PO BOX 90 OPERATINGYOAKUM TX 77995 SUPPORT

BOYS AND GIRLS COUNTRY OF NONE PC GENERAL 20,000.HOUSTON OPERATING18806 ROBERTS RD SUPPORTHOCKLEY TX 77447

BRIGHTER TOMORROWS NONE PC GENERAL 20,000.PO BOX 532151 OPERATINGGRAND PRAIRIE TX 75053 SUPPORT

1 2017 Federal Statements Page 1



Found-



Purpose ofGrant

CARMELITE SISTERS OF CA MEL NONE PC GENERAL $OF JESUS OPERATING1219 EXCELSIOR AVE SUPPORTOAKLAND CA 94610

CHRISTUS HEALTH FDN OF NONE PC GENERALSOUTHEAST TX OPERATING2830 CALDER ST SUPPORTBEAUMONT TX 77702

ELEARNING FOR KIDS NONE PC GENERAL953 CLOUD LANE OPERATINGWEST CHESTER PA 19382 SUPPORT

FISHERMANS MARK NONE PC GENERAL89 NORTH MAIN ST OPERATINGLAMBERTVILLE NJ 08530 SUPPORT

INSTITUTE OF CHRIST THE NONE PC GENERALKING OPERATING6415 SOUTH WOODLANW AVE SUPPORTCHICAGO IL 60637

MISSIONARIES OF THE HOLY NONE PC GENERALFAMILY OPERATING3014 OREGON AVENUE SUPPORTSAINT LOUIS MO 63118

MONTAGUE COUNTY SHERIFF NONE PC GENERALDEPT OPERATING1000 GRAND ST SUPPORTMONTAGUE TX 76251

OLD FRIENDS INC. NONE PC GENERAL1841 PAYNES DEPOT RD OPERATINGGEORGETOWN KY 40324 SUPPORT

OPERATION UNDERGROUND NONE PC GENERALRAILROAD OPERATING700 NORTH VALLEY ST STE B SUPPORTANAHEIM CA 92801

PARTNERS FOR HEALTH, INC NONE PC GENERAL54 PLYMOUTH STREET OPERATINGMONTCLAIR NJ 07042 SUPPORT

SACRED HEART CATHOLIC NONE PC GENERALSCHOOL OPERATING313 TEXANA ST SUPPORT

22-171

5,000.

106, 400.

10,000-

12,500.

5,000.

50,000.

10,000.

20,000.

5,000.

51000.

100,000.

HALLETSVILLE TX 77964


STEPHEN & MARY BIRCH FOUNDATION, INC. 2217130;


Found-


Relationshiation

p StatusPurpose of

Grant Amount

ST MARY OF THE ASSUMPTION NONE PC GENERAL $ 20,000.CATHOLI CHURCH OPERATING408 WASHBURN ST SUPPORTTAYLOR TX 76574

VATICAN OBSERVATORY NONE PC GENERAL 100,000.FOUNDATION OPERATING2017 EAST LEE ST SUPPORTTUCSON AZ 85719

COVENANT CHRISTIAN SCHOOL NONE PC GENERAL 50,000.4503 INTERSTATE 45 N OPERATINGCONROE TX 77304 SUPPORT

HAPPY HOLLOW CHILDRENS CAMP NONE PC GENERAL 25,000.615 N. ALABAMA ST GROUND OPERATINGFLR STE C SUPPORTINDIANAPOLIS IN 46204

GALILEAN HOME MINISTRIES, NONE PC GENERAL 20,000.INC. OPERATINGP.O. BOX 880 SUPPORTLIBERTY KY 42639

AGAPE HOUSE NONE PC GENERAL 1,500.114 OFFICE PARK DR. OPERATINGCOLUMBIA KY 42728 SUPPORT

ANGEL FLIGHT SOARS INC. NONE PC GENERAL 25,000.2000 AIRPORT ROAD STE 227 OPERATINGATLANTA GA 30341 SUPPORT

CIVIL WAR PRESERVATION NONE PC GENERAL 5,000.TRUST OPERATING1156 15TH ST NW #900 SUPPORTWASHINGTON DC 20005

K9S4COPS INC. NONE PC GENERAL 50,000.5858 WESTHEIMER ROAD STE OPERATING700 SUPPORTHOUSTON TX 77057

MARYLAND SCHOOL FOR THE NONE PC GENERAL 10,000.BLIND OPERATING3501 TAYLOR AVE SUPPORTBALTIMORE MD 21236

THE STATE THEATRE NONE PC GENERAL 25,000.11 LIVINGSTON AVE OPERATINGNEW BRUNSWICK NJ 08901 SUPPORT


STEPHEN & MARY BIRCH FOUNDATION, INC. 221713D^


Found-



Purpose ofGrant Amon t

UNIVERSITY OF ROCHESTER NONE PC GENERAL $ 43,000.P.O. BOX 270032 300 EAST OPERATINGRIVER ROAD SUPPORTROCHESTER NY 14627

ST. MICHAEL SPECIAL SCHOOL NONE PC GENERAL 52,500.1522 CHIPPEWA ST OPERATINGNEW ORLEANS LA 70130 SUPPORT

LUSTGARTEN FOUNDATION NONE PC GENERAL 50,000.1111 STEWART AVE OPERATINGBETHPAGE NY 11714 SUPPORT

LAFAYETTE AMBULANCE & NONE PC GENERAL 15,000.RESCUE SQUAD ` OPERATING180 NORTH HENDERSON ROAD SUPPORTKING OF PRUSSIA PA 19406

SAN DIEGO YOUTH SYMPHONY NONE PC GENERAL 15,000.1650 EL PRADO #207A OPERATINGSAN DIEGO CA 92101 SUPPORT

QUEST VISUAL THEATRE NONE PC GENERAL 10,000.7414 NEWBURG DRIVE OPERATINGLANHAM MD 20706 SUPPORT

RUSSELL COUNTY FFA NONE PC GENERAL 5,000.2166 US-127 OPERATINGRUSSELL SPRING KY 42642 SUPPORT

RUTGERS CANCER INSTITUTE NONE PC GENERAL 100,000.195 LITTLE ALBANY STREET OPERATINGNEW BRUNSWICK NJ 08903 SUPPORT

ARC OF SAN DIEGO NONE PC GENERAL 10,000.3030 MARKET STREET OPERATINGSAN DIEGO CA 92102 SUPPORT

DIOCESE OF BATON ROUGE NONE PC GENERAL 25,000.PO BOX 2028 OPERATINGBATON ROUGE LA 70821 SUPPORT

ST BENEDICT ABBEY NONE PC GENERAL 20,000.252 STILL RIVER RD OPERATINGSTILL RIVER MA 01467 SUPPORT

MONTCLAIR ART MUSEUM NONE PC GENERAL 5,000.3 SOUTH MOUNTAIN AVE OPERATINGMONTCLAIR NJ 07042 SUPPORT

12017 Federal Statements



Found-



Purpose ofGrant _

AMERICAN FRIENDS OF HEBREW NONE PC GENERAL $UNIVERSITY OPERATINGONE BATTERY PARK PLAZA, SUPPORT25TH FLOORNEW YORK NY 10004

SAN FRANCISCO BALLET NONE PC GENERAL515 HAMPTON PLACE OPERATINGPIEDMONT CA 94611 SUPPORT

THE CANCER LEAGUE NONE PC GENERAL236 SEA VIEW AVENUE OPERATINGPIEDMONT CA 94611 SUPPORT

HILL BRANCH - CHILDRENS NONE PC GENERALHOSPITAL OPERATINGPO BOX 11226 SUPPORTOAKLAND CA 94611

SUPPORT CIRCLE PREGNANCY NONE PC GENERALCLINICS OPERATING1933 DAVIS STREET, SUITE SUPPORT200-BSAN LEANDRO CA 94577

BROWNWOOD FIRE DEPARTMENT NONE PC GENERAL600 E. ADAMS STREET OPERATINGBROWNW00D TX 76801 SUPPORT

PVES FOUNDATION, INC NONE PC GENERAL29 HACIENDA DRIVE OPERATINGPOTTSBORO TX 75076 SUPPORT

OCCUPAWS GUIDE DOG NONE PC GENERALASSOCIATION OPERATINGP.O. BOX 45857 SUPPORTMADISON WI 53744

BETHANY HEALTH CARE CENTER NONE PC GENERAL97 BETHANY ROAD OPERATINGFRAMINGHAM MA 01702 SUPPORT

RISE ADAPTIVE SPORTS NONE PC GENERALP.O. BOX 141122 OPERATINGIRVING TX 75014 SUPPORT

PEDIATRIC BRAIN TUMOR NONE PC GENERALFOUNDATION OPERATING302 RIDGEFIELD COURT SUPPORT

Page 16

22-1713022

5,000.

5,000.

5,000.

5,000.

5,000.

10,000.

15,988.

7,500.

300, 000.

10,000.

20,000.

ASHEVILLE NC 28806


22-1713022STEPHEN & MARY BIRCH FOUNDATION, INC.


Found-




LIFEFLIGHT OF MAINE NONE PC GENERAL $ 50,000.PO BOX 899 OPERATINGCAMDEN ME 04843 SUPPORT

PONTIFICAL FACULTY OF THE NONE PC GENERAL 36,395.IMMACULATE CON OPERATING415 MICHIGAN AVENUE NE, SUPPORTSUITE 105WASHINGTON DC 20017

FATHER YERMO SCHOOLS NONE PC GENERAL 15,000.250 WASHINGTON ST OPERATINGEL PASO TX 79905 SUPPORT

LEXINGTON LIONS CLUB NONE PC GENERAL 5,000.P.O. BOX 71 OPERATINGLEXINGTON MA 02420 SUPPORT

SAN SEGUNDO D'ASTI CATHOLIC NONE PC GENERAL 50,000.CHURCH OPERATING250 N TURNER AVE SUPPORTONTARIO CA 91761

USC SCHOOL OF ACCOUNTING NONE PC GENERAL 68,000.3660 TROUSDALE PARKWAY OPERATINGLOS ANGELES CA 90089 SUPPORT

FOOD FOR THE POOR, INC. NONE PC GENERAL 5,000.6401 LYONS ROAD OPERATINGCOCONUT CREEK FL 33073 SUPPORT

WOUNDED WARRIOR PROJECT NONE PC GENERAL 5,000.PO BOX 758517 OPERATINGTOPEKA KS 66675 SUPPORT

ST. JOHN'S LUTHERAN SCHOOL NONE PC GENERAL 15,000.OF ORANGE OPERATING154 SOUTH SHAFFER STREET SUPPORTORANGE CA 92866

SOUTH RUSSELL VOLUNTEER NONE PC GENERAL 5,000.FIRE DEPT OPERATING300 MONUMENT SQUARE SUPPORTJAMESTOWN KY 42629

CAA-OUR LADY'S OF ANGELS NONE PC GENERAL 15,000.#2505 OPERATING616 S AUSTIN ST SUPPORTSEGUIN TX 78155

1 2017 Federal Statements Page 181



22-1713a

Found-




KENNER FIRE DEPARTMENT NONE PC GENERAL $ 250.2226 WILLIAMS BLVD OPERATINGKENNER LA 70062 SUPPORT

COA DONATION NONE PC GENERAL 5,000.45 BROADWAY, 29TH FLOOR OPERATINGNEW YORK NY 10006 SUPPORT

DAUGHTERS OF ST PAUL NONE PC GENERAL 5,000.50 ST. PAUL'S AVE OPERATINGBOSTON MA 02130 SUPPORT

HNDP NONE PC GENERAL 5,000.2420 LANGDALE AVE OPERATINGLOSA ANGELES CA 90041 SUPPORT

NATIONAL FFA NONE PC GENERAL 3 ,200,000.6060 FFA DRIVE OPERATINGINDIANAPOLIS IN 46268 SUPPORT

ST MARGARET MARY CATHOLIC NONE PC GENERAL 5,000.CHURCH OPERATING1219 EXCELSIOR AVE SUPPORTOAKLAND CA 94 610

Total

2017 Federal Supplemental Information Page 1


ATTACHMENT TO PART VII-A QUESTION 11

A. CONTROLLED ENTITY NAME: U .E. LIMITED LPADDRESS: PMB 96-2220 OTAY LAKES ROAD, #502

CHULA VISTA, CA 91915-1009TAX ID#: 33-0207552THE CONTROLLED ENTITY IS NOT AN EXCESS BUSINESS HOLDING. U.E. LIMITED LP IS AN

INVESTMENT ENTITY THAT CONDUCTS NO ACTIVE TRADE OR BUSINESS BUT A PASSIVEHOLDING OF REAL ESTATE.100% OF GROSS INCOME ARE FROM PASSIVE SOURCE.

B. CONTROLLED ENTITY NAME : BIRCH REAL ESTATE HOLDINGS LLC (SINGLE MEMBER LLC OWNED

100% BY STEPHEN AND MARY BIRCH FOUNDATION)

TAX ID#: 46-3056885ADDRESS: 75 LIVINGSTON AVENUE, ROSELAND, NJ 07068THE CONTROLLED ENTITY IS NOT AN EXCESS BUSINESS HOLDING. BIRCH REAL ESTATEHOLDINGS LLC IS AN INVESTMENT ENTITY THAT CONDUCTS NO ACTIVE TRADE OR BUSINESSBUT A PASSIVE HOLDING OF REAL ESTATE.100% OF GROSS INCOME ARE FROM PASSIVE SOURCE.

C. CONTROLLED ENTITY NAME: LOUISIANA RETREAT CENTER LLC (SINGLE MEMBER LLC OWNED100% BY STEPHEN AND MARY BIRCH FOUNDATION)

TAX ID#: 47-1255646ADDRESS: 103 FOULK ROAD, STE 202, WILMINGTON, DE 19803THE CONTROLLED ENTITY IS NOT AN EXCESS BUSINESS HOLDING. LOUISANA RETREATCENTER LLC IS AN INVESTMENT ENTITY THAT CONDUCTS NO ACTIVE TRADE ORBUSINESS BUT A PASSIVE HOLDING OF REAL ESTATE.100% OF GROSS INCOME ARE FROM PASSIVE SOURCE.

D. CONTROLLED ENTITY NAME: NOCOBO LLC (SINGLE MEMBER LLC OWNED100% BY STEPHEN AND MARY BIRCH FOUNDATION)

TAX ID#: 47-1219038ADDRESS: 103 FOULK ROAD, STE 202, WILMINGTON, DE 19803THE CONTROLLED ENTITY IS NOT AN EXCESS BUSINESS HOLDING. NOCOBO LLC IS ANINVESTMENT ENTITY THAT CONDUCTS NO ACTIVE TRADE OR BUSINESS BUT A PASSIVEHOLDING OF REAL ESTATE.100% OF GROSS INCOME ARE FROM PASSIVE SOURCE.

E. CONTROLLED ENTITY NAME : PE-OG, LLC (SINGLE MEMBER LLC OWNED100% BY STEPHEN AND MARY BIRCH FOUNDATION)

TAX ID#: 47-1198481ADDRESS: 103 FOULK ROAD, STE 202, WILMINGTON, DE 19803THE CONTROLLED ENTITY IS NOT AN EXCESS BUSINESS HOLDING. PE-OG LLC IS ANINVESTMENT ENTITY THAT CONDUCTS NO ACTIVE TRADE OR BUSINESS BUT A PASSIVEHOLDING OF INVESTMENT IN OIL AND GAS.100% OF GROSS INCOME ARE FROM PASSIVE SOURCE.

F. CONTROLLED ENTITY NAME : RANCHO DEL OTAY, LLC (SINGLE MEMBER LLC OWNED100% BY STEPHEN AND MARY BIRCH FOUNDATION)

TAX ID#: 47-1255646ADDRESS: 103 FOULK ROAD, STE 202, WILMINGTON, DE 19803THE CONTROLLED ENTITY IS NOT AN EXCESS BUSINESS HOLDING. RANCHO DEL OTAY LLCIS AN INVESTMENT ENTITY THAT CONDUCTS NO ACTIVE TRADE OR BUSINESS BUT APASSIVE HOLDING OF REAL ESTATE.100% OF GROSS INCOME ARE FROM PASSIVE SOURCE.

2017 Federal Supplemental Information Page

Client SMBF STEPHEN & MARY BIRCH FOUNDATION , INC. 22-17130

11112118 03.36

ATTACHMENT TO FORM 990-PF, PART XV, LINE 3A AND STATEMENT 15 (NON-CASH DONATION TONATIONAL FFA)

PROPERTY DESCRIPTION: 396.96 ACRES OF LAND IN TEXASDATE OF GIFT: AUGUST 2018METHOD USED TO DETERMINE BOOK VALUE: PURCHAES PRICEMETHOD USED TO DETERMINE FAIR MARKET VALUE: APPRAISAL REPORTBOOK VALUE OF PROPERTY: $4,181,445FAIR MARKET VALUE OF PROPERTY: $3,200,000DIFFERENCE BETWEEN BOOK VALUE AND FAIR MARKET VALUE: 981,445 (PART III, LINE 5-STATEMENT 15)

Milt=CaWftlGainsandLossesfor axonInvestmentIncome€¦ · Form990-PF (2017) STEPHEN & MARY BIRCH...

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Transcript of Milt=CaWftlGainsandLossesfor axonInvestmentIncome€¦ · Form990-PF (2017) STEPHEN & MARY BIRCH...