TY 2020 Form 990PF

- TIN:

Form990-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.
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Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0052

2020

Open to Public Inspection

For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020

Name of foundation
THE VIRGINIA & TOM GOSSAGE FOUNDATION INC

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1802
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
PROVIDENCE, RI029011802

A Employer identification number

31-1501910

B Telephone number (see instructions)

(404) 607-6219

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

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 ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$2,801,343J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(c) Adjusted net income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	29,908		29,796
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		96,409
b	Gross sales price for all assets on line 6a 603,506
7	Capital gain net income (from Part IV, line 2)...			96,409
8	Net short-term capital gain.........				0
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......		1,674
12	Total. Add lines 1 through 11........	127,991		126,205
13	Compensation of officers, directors, trustees, etc.
14	Other employee salaries and wages......			0	0	0
15	Pension plans, employee benefits.......			0	0
16a	Legal fees (attach schedule).........					0
b	Accounting fees (attach schedule).......		2,000	1,200	0	800
c	Other professional fees (attach schedule)....		18,132	18,132		0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		2,513	985		0
19	Depreciation (attach schedule) and depletion...		0	0
20	Occupancy..............
21	Travel, conferences, and meetings.......			0	0
22	Printing and publications..........			0	0
23	Other expenses (attach schedule).......
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	22,645		20,317	0	800
25	Contributions, gifts, grants paid.......	116,000				116,000
26	Total expenses and disbursements. Add lines 24 and 25	138,645		20,317	0	116,800
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-10,654
b	Net investment income (if negative, enter -0-)			105,888
c	Adjusted net income (if negative, enter -0-)...				0

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2020)

Form 990-PF (2020)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	2,326	1,326	1,326
	2	Savings and temporary cash investments.........	73,665	83,973	83,973
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts 0
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......	1,514,785	1,494,802	2,716,044
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........			0
	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)	1,590,776	1,580,101	2,801,343
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	1,590,776	1,580,101
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	1,590,776	1,580,101
	30	Total liabilities and net assets/fund balances (see instructions).	1,590,776	1,580,101

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............

1,590,776

Enter amount from Part I, line 27a .....................

-10,654

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

1,580,211

Decreases not included in line 2 (itemize) bullet

110

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

1,580,101

Form 990-PF (2020)

Page 3

Part IV

Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation	(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1 a	39. ACTIVISION BLIZZARD INC COM		2019-10-07	2020-02-04
b	51. ACTIVISION BLIZZARD INC COM		2020-03-24	2020-05-27
c	20. ACTIVISION BLIZZARD INC COM		2020-03-24	2020-06-05
d	26. ACTIVISION BLIZZARD INC COM		2019-10-07	2020-06-05
e	5. ACTIVISION BLIZZARD INC COM		2019-09-20	2020-06-05
	25. ACTIVISION BLIZZARD INC COM		2019-09-20	2020-08-21
	6. ADOBE SYS INC		2020-08-06	2020-08-21
	11. AGILENT TECHNOLOGIES INC		2018-01-24	2020-08-31
	3. AGILENT TECHNOLOGIES INC		2018-01-24	2020-09-01
	15. AGILENT TECHNOLOGIES INC		2018-02-05	2020-09-01
	12. AGILENT TECHNOLOGIES INC		2018-05-18	2020-09-01
	22. ALIBABA GROUP HLDG LTD ADS		2018-01-02	2020-01-27
	26. ALIBABA GROUP HLDG LTD ADS		2018-01-02	2020-05-27
	11. ALIBABA GROUP HLDG LTD ADS		2018-01-02	2020-08-21
	9. ALIBABA GROUP HLDG LTD ADS		2018-01-02	2020-09-21
	1. ALIBABA GROUP HLDG LTD ADS		2020-09-23	2020-11-11
	4. ALIBABA GROUP HLDG LTD ADS		2018-01-02	2020-11-11
	13. ALIBABA GROUP HLDG LTD ADS		2018-02-06	2020-11-11
	3. ALPHABET INC CL C COM		2020-02-04	2020-08-21
	2. AMAZON COM INC		2009-03-09	2020-08-21
	37. ANHEUSER BUSCH INBEV SA/NV SPONSORED ADR		2018-01-24	2020-06-12
	7. APPLE INC COM		2014-02-06	2020-02-04
	3. APPLE INC COM		2018-01-24	2020-05-27
	12. APPLE INC COM		2018-01-24	2020-09-09
	41. APPLE INC COM		2014-02-06	2020-09-15
	6. APPLE INC COM		2018-01-24	2020-11-18
	7. APPLE INC COM		2014-02-06	2020-11-24
	12. APPLE INC COM		2014-02-06	2020-12-23
	11. BECTON DICKINSON & COMPANY		2019-08-09	2020-05-21
	191. BP PLC ORD USD0.25		2019-02-25	2020-10-09
	323. BP PLC ORD USD0.25		2019-02-25	2020-10-12
	134. BP PLC ORD USD0.25		2019-05-30	2020-10-12
	5. BERKSHIRE HATHAWAY INC DEL NEW CL B COM		2018-01-24	2020-12-23
	10. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-28	2020-07-13
	4. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-28	2020-07-13
	12. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-28	2020-07-14
	11. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-28	2020-11-18
	1. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-28	2020-11-18
	2. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-28	2020-11-19
	2. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-27	2020-11-19
	22. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-27	2020-12-23
	6. BOOZ ALLEN HAMILTON HLDG CORP CL A COM		2018-12-27	2020-12-23
	14. BURLINGTON STORES INC COM		2019-09-04	2020-02-10
	5. BURLINGTON STORES INC COM		2018-04-10	2020-02-10
	11. BURLINGTON STORES INC COM		2020-04-28	2020-08-21
	9. BURLINGTON STORES INC COM		2020-04-28	2020-11-11
	3. BURLINGTON STORES INC COM		2020-03-31	2020-11-11
	67. CME GROUP INC COM		2019-01-15	2020-01-03
	26. CME GROUP INC COM		2019-03-04	2020-01-03
	6. CHEVRONTEXACO CORP COM		2019-06-25	2020-12-08
	21. CISCO SYSTEMS INCORPORATED		2018-08-21	2020-09-29
	18. CONOCOPHILLIPS COM		2018-07-25	2020-12-08
	17. CONOCOPHILLIPS COM		2018-08-21	2020-12-08
	4. CONOCOPHILLIPS COM		2018-07-31	2020-12-08
	23. CONOCOPHILLIPS COM		2018-05-15	2020-12-08
	7. COSTAR GROUP INC		2019-08-09	2020-02-25
	8. COSTAR GROUP INC		2019-11-25	2020-04-23
	1. COSTAR GROUP INC		2019-07-16	2020-04-23
	2. COSTAR GROUP INC		2019-07-16	2020-08-21
	14. DIAGEO SPONSORED ADR (UK-USD) SEDOL #2133896		2018-01-24	2020-01-30
	4. DISNEY WALT CO		2019-04-30	2020-02-04
	2. DISNEY WALT CO		2019-01-09	2020-02-04
	7. DISNEY WALT CO		2019-01-09	2020-04-28
	18. DISNEY WALT CO		2017-07-11	2020-04-28
	15. DISNEY WALT CO		2017-08-22	2020-04-28
	4. DISNEY WALT CO		2018-01-24	2020-12-23
	13. DOMINION ENERGY INC COM		2019-08-20	2020-12-22
	22. DOMINION ENERGY INC COM		2012-03-01	2020-12-22
	11.666 DOW INC COM		2019-04-30	2020-04-02
	7.667 DOW INC COM		2016-10-18	2020-04-02
	28. DOW INC COM		2019-05-14	2020-04-02
	2.667 DOW INC COM		2016-03-18	2020-04-02
	13. DOW INC COM		2016-02-12	2020-04-02
	2. ONEX CORP COM		2018-01-24	2020-03-27
	41. ONEX CORP COM		2018-01-24	2020-03-30
	21. ONEX CORP COM		2018-01-24	2020-03-31
	27. EOG RESOURCES INC		2018-01-24	2020-02-24
	1. EOG RESOURCES INC		2018-11-09	2020-02-24
	7. EOG RESOURCES INC		2018-11-09	2020-02-24
	22. EDWARDS LIFESCIENCES CORP		2019-09-04	2020-08-21
	20. EPAM SYS INC COM		2019-11-25	2020-07-30
	5. EPAM SYS INC COM		2019-03-26	2020-07-30
	8. EPAM SYS INC COM		2019-03-26	2020-08-21
	21. EXXON MOBIL CORPORATION		2015-09-28	2020-01-21
	27. EXXON MOBIL CORPORATION		2010-02-23	2020-01-21
	56. EXXON MOBIL CORPORATION		2010-02-23	2020-01-21
	12. FACEBOOK INC CL A COM		2013-08-20	2020-08-21
	76. ICICI BK LTD SPONSORED ADR		2018-01-24	2020-01-17
	65. ICICI BK LTD SPONSORED ADR		2018-01-24	2020-01-17
	326. ICICI BK LTD SPONSORED ADR		2018-01-24	2020-04-22
	12. ILLUMINA INC		2019-12-03	2020-03-24
	5. ILLUMINA INC		2018-06-14	2020-03-24
	43. ILLUMINA INC		2018-05-30	2020-03-24
	6. ILLUMINA INC		2019-08-09	2020-09-23
	6.177 INGERSOLL RAND INC COM		2019-01-09	2020-03-17
	1.765 INGERSOLL RAND INC COM		2017-07-11	2020-03-17
	13.058 INGERSOLL RAND INC COM		2016-11-15	2020-03-17
	15.179 INGERSOLL RAND INC COM		2016-11-15	2020-03-18
	8.821 INGERSOLL RAND INC COM		2016-11-16	2020-03-18
	.003 INGERSOLL RAND INC COM		2016-11-16	2020-04-13
	20. INTEL CORPORATION		2018-08-21	2020-01-21
	5. INTEL CORPORATION		2018-08-21	2020-07-30
	42. INTEL CORPORATION		2017-11-14	2020-07-30
	1. INTEL CORPORATION		2011-11-18	2020-07-30
	3. INTEL CORPORATION		2011-06-21	2020-07-30
	11. INTEL CORPORATION		2009-02-06	2020-07-30
	18. INTEL CORPORATION		2009-02-06	2020-07-30
	41. INTEL CORPORATION		2009-01-28	2020-07-30
	47. INTEL CORPORATION		2009-01-28	2020-08-18
	12. INTEL CORPORATION		2009-01-28	2020-08-18
	6. INTERCONTINENTAL EXCHANGE INC COM		2019-09-04	2020-11-13
	10. INTERCONTINENTAL EXCHANGE INC COM		2019-09-03	2020-11-13
	735. ISHARES MSCI EMERGING MKTS INDEX FUND		2017-01-11	2020-03-23
	4. KLA-TENCOR CORP COM		2019-02-19	2020-12-22
	6. KEYSIGHT TECHNOLOGIES INC COM		2018-11-01	2020-08-21
	183. KEYSIGHT TECHNOLOGIES INC COM		2018-11-01	2020-10-02
	3. LAM RESEARCH CORP		2019-04-30	2020-12-22
	25. LULULEMON ATHLETICA INC COM		2019-08-09	2020-01-27
	19. LULULEMON ATHLETICA INC COM		2020-03-31	2020-06-02
	2. LULULEMON ATHLETICA INC COM		2019-08-09	2020-06-02
	4. LULULEMON ATHLETICA INC COM		2019-03-06	2020-06-02
	10. LULULEMON ATHLETICA INC COM		2019-03-06	2020-08-21
	9. LULULEMON ATHLETICA INC COM		2019-03-06	2020-08-28
	3. LULULEMON ATHLETICA INC COM		2019-03-06	2020-09-04
	8. LULULEMON ATHLETICA INC COM		2019-01-03	2020-09-04
	6. M & T BANK CORPORATION		2019-01-22	2020-03-17
	9. M & T BANK CORPORATION		2019-01-22	2020-03-18
	8. M & T BANK CORPORATION		2019-06-25	2020-03-18
	4. MSCI INC COM CL A		2020-01-14	2020-07-30
	6. MSCI INC COM CL A		2020-01-14	2020-08-21
	5. MASIMO CORP COM		2020-05-21	2020-08-21
	4. MASTERCARD INC CL A COM		2018-01-24	2020-05-27
	2. MCDONALDS CORP		2008-11-13	2020-02-04
	8. MICROSOFT CORPORATION		2011-09-19	2020-02-04
	2. MICROSOFT CORPORATION		2011-09-19	2020-06-23
	5. MICROSOFT CORPORATION		2011-09-19	2020-11-24
	7. MICROSOFT CORPORATION		2011-09-19	2020-12-22
	12. MONDELEZ INTL INC COM		2019-01-29	2020-04-02
	6. NIDEC CORP COM		2018-01-25	2020-12-24
	1. NVIDIA CORP COM		2018-04-06	2020-01-27
	6. NVIDIA CORP COM		2018-04-27	2020-01-27
	11. NVIDIA CORP COM		2018-10-31	2020-01-27
	17. NVIDIA CORP COM		2017-09-15	2020-01-27
	2. NVIDIA CORP COM		2017-09-15	2020-05-27
	12. NVIDIA CORP COM		2019-08-23	2020-08-21
	12. NVIDIA CORP COM		2019-08-23	2020-08-28
	3. NVIDIA CORP COM		2019-08-23	2020-09-04
	88. SOFTBANK CORP JPY50		2018-01-25	2020-01-20
	14. PAYPAL HOLDINGS INC COM		2020-01-30	2020-08-21
	4. PAYPAL HOLDINGS INC COM		2017-05-01	2020-08-21
	32. PAYPAL HOLDINGS INC COM		2017-05-01	2020-09-21
	6. PAYPAL HOLDINGS INC COM		2019-02-25	2020-11-13
	3. ROCHE HLDGS AG-GENUSSCHEIN COM		2018-01-24	2020-11-13
	4. PEPSICO INCORPORATED		2015-03-26	2020-07-21
	106. PFIZER INC		2009-07-09	2020-03-20
	6. PFIZER INC		2009-07-09	2020-03-20
	14. PFIZER INC		2009-07-09	2020-03-23
	17. PFIZER INC		2009-07-10	2020-03-23
	12. PRINCIPAL FINL GROUP INC COM		2018-08-21	2020-03-17
	15. PRINCIPAL FINL GROUP INC COM		2018-08-21	2020-03-18
	22. PRINCIPAL FINL GROUP INC COM		2018-08-22	2020-03-18
	6. PRINCIPAL FINL GROUP INC COM		2018-09-04	2020-03-18
	15. PROOFPOINT INC COM		2019-10-07	2020-08-06
	12. PROOFPOINT INC COM		2019-10-08	2020-08-06
	27. PROOFPOINT INC COM		2019-09-23	2020-08-06
	60. PROOFPOINT INC COM		2019-09-13	2020-08-06
	35. PROOFPOINT INC COM		2019-12-03	2020-08-06
	11. SALESFORCE.COM INC COMMON		2020-02-04	2020-08-21
	18. SALESFORCE.COM INC COMMON		2020-02-04	2020-12-02
	35. SALESFORCE.COM INC COMMON		2015-08-26	2020-12-02
	7. SERVICENOW INC COM		2019-05-28	2020-06-02
	1. SERVICENOW INC COM		2019-05-28	2020-08-21
	7. SERVICENOW INC COM		2019-08-09	2020-08-21
	6. SERVICENOW INC COM		2019-08-09	2020-08-28
	8. SERVICENOW INC COM		2018-10-12	2020-08-28
	5. SERVICENOW INC COM		2018-10-12	2020-09-21
	3. SERVICENOW INC COM		2018-02-06	2020-09-21
	1. SERVICENOW INC COM		2017-07-14	2020-09-21
	1. SHOPIFY INC COM		2020-03-25	2020-08-21
	5. SUNCOR ENERGY INC NEW COM		2018-02-20	2020-03-20
	2. SUNCOR ENERGY INC NEW COM		2017-10-17	2020-03-20
	35. SUNCOR ENERGY INC NEW COM		2020-01-21	2020-03-20
	5. SUNCOR ENERGY INC NEW COM		2016-12-13	2020-03-20
	59. SUNCOR ENERGY INC NEW COM		2016-12-13	2020-03-23
	33. SUNCOR ENERGY INC NEW COM		2016-12-14	2020-03-23
	7. SUNCOR ENERGY INC NEW COM		2020-01-22	2020-03-23
	14. TJX COMPANIES INCORPORATED NEW		2019-05-14	2020-04-06
	46. TJX COMPANIES INCORPORATED NEW		2015-08-14	2020-04-06
	3. TELADOC HEALTH INC COM		2019-08-30	2020-03-16
	9. TELADOC HEALTH INC COM		2019-09-03	2020-03-16
	2. TELADOC HEALTH INC COM		2018-06-08	2020-03-16
	7. TELADOC HEALTH INC COM		2018-06-08	2020-05-11
	5. TELADOC HEALTH INC COM		2018-06-08	2020-07-13
	1. TELADOC HEALTH INC COM		2018-05-30	2020-07-13
	4. TELADOC HEALTH INC COM		2018-05-25	2020-08-31
	1. TELADOC HEALTH INC COM		2018-05-25	2020-11-13
	3. TELADOC HEALTH INC COM		2018-05-29	2020-11-13
	1. TELADOC HEALTH INC COM		2018-05-22	2020-11-13
	3. TELADOC HEALTH INC COM		2018-05-24	2020-11-13
	3. TELADOC HEALTH INC COM		2018-05-21	2020-11-13
	22. THE TRADE DESK INC CL A COM		2020-01-03	2020-05-08
	3. THE TRADE DESK INC CL A COM		2020-01-03	2020-08-21
	22. 3M CO COM		2016-09-26	2020-03-03
	4. 3M CO COM		2016-11-15	2020-03-03
	4. 3M CO COM		2019-06-25	2020-03-03
	30. TRUIST FINL CORP COM		2020-01-21	2020-04-07
	26. TRUIST FINL CORP COM		2019-11-12	2020-04-07
	5. TRUIST FINL CORP COM		2016-11-01	2020-04-07
	6. TRUIST FINL CORP COM		2018-04-17	2020-04-07
	16. TRUIST FINL CORP COM		2018-06-26	2020-04-07
	9. TRUIST FINL CORP COM		2018-06-26	2020-04-07
	6. TRUIST FINL CORP COM		2018-03-27	2020-04-08
	9. TRUIST FINL CORP COM		2018-06-05	2020-04-08
	70. TRUIST FINL CORP COM		2016-11-01	2020-04-08
	5. TRUIST FINL CORP COM		2016-10-11	2020-04-08
	42. UBER TECHNOLOGIES INC COM		2020-02-10	2020-08-21
	30. ULTA SALON COSMETICS & FRAGRANCE INC COM		2019-12-09	2020-05-14
	45. ULTA SALON COSMETICS & FRAGRANCE INC COM		2015-04-02	2020-05-14
	413.39 UNDISCOVERED MANAGERS BEHAVIORAL VALUE FUND CL R6		2016-06-08	2020-08-21
	854.095 UNDISCOVERED MANAGERS BEHAVIORAL VALUE FUND CL R6		2015-10-26	2020-08-21
	87.954 UNDISCOVERED MANAGERS BEHAVIORAL VALUE FUND CL R6		2016-07-05	2020-08-21
	28. UNION PAC CORP COM		2019-02-25	2020-03-10
	78. UNION PAC CORP COM		2019-01-15	2020-03-10
	5. UNITED PARCEL SERVICE CL B		2019-10-29	2020-06-23
	1. UNITED PARCEL SERVICE CL B		2019-03-26	2020-06-23
	7. UNITEDHEALTH GROUP INC		2018-05-30	2020-08-21
	10. VALERO ENERGY CORP - NEW		2020-01-21	2020-12-08
	11. VALERO ENERGY CORP - NEW		2020-01-21	2020-12-22
	10. VALERO ENERGY CORP - NEW		2015-11-20	2020-12-22
	33. VALERO ENERGY CORP - NEW		2015-11-20	2020-12-23
	13. VEEVA SYS INC CL A COM		2019-07-16	2020-02-04
	3. VEEVA SYS INC CL A COM		2019-09-24	2020-02-04
	26. VEEVA SYS INC CL A COM		2019-09-24	2020-04-23
	4. VEEVA SYS INC CL A COM		2019-09-24	2020-08-21
	5. VEEVA SYS INC CL A COM		2019-01-15	2020-08-21
	9. VEEVA SYS INC CL A COM		2019-01-15	2020-08-28
	18. VEEVA SYS INC CL A COM		2019-01-15	2020-11-04
	7. VERTEX PHARMACEUTICALS INC COM		2020-01-03	2020-08-21
	4. VISA INC CL A COM		2016-11-15	2020-02-10
	29. VISA INC CL A COM		2011-12-12	2020-02-10
	20. VISA INC CL A COM		2020-04-23	2020-08-21
	9. VISA INC CL A COM		2020-04-23	2020-11-04
	26. VISA INC CL A COM		2011-12-12	2020-11-04
	12. VONTIER CORP COM		2020-06-12	2020-11-13
	.8 VONTIER CORP COM		2020-06-12	2020-12-15
	15. WABCO HLDGS INC COM		2018-01-24	2020-03-18
	13. WABCO HLDGS INC COM		2018-01-24	2020-03-18
	8. WAL-MART STORES INCORPORATED		2020-04-06	2020-12-22
	2. WAL-MART STORES INCORPORATED		2014-08-28	2020-12-22
	1. WELLS FARGO COMPANY		2018-01-23	2020-01-07
	13. WELLS FARGO COMPANY		2018-06-26	2020-01-07
	12. WELLS FARGO COMPANY		2018-06-26	2020-05-13
	24. WELLS FARGO COMPANY		2018-04-17	2020-05-13
	31. WELLS FARGO COMPANY		2019-06-25	2020-05-13
	6. WELLS FARGO COMPANY		2012-03-21	2020-05-13
	19. WELLS FARGO COMPANY		2020-04-07	2020-05-13
	28. WELLS FARGO COMPANY		2020-03-17	2020-05-13
	103. WELLS FARGO COMPANY		2002-02-15	2020-05-13
	17. WORKDAY INC CL A COM		2019-06-20	2020-02-04
	6. WORKDAY INC CL A COM		2019-07-16	2020-02-04
	15. WORKDAY INC CL A COM		2019-07-16	2020-03-25
	92. WORKDAY INC CL A COM		2019-06-13	2020-03-25
	26. WORKDAY INC CL A COM		2019-08-09	2020-03-25
	1. ZOETIS INC CL A COM		2017-06-26	2020-06-05
	29. ZOETIS INC CL A COM		2017-02-16	2020-06-05
	15. ZOETIS INC CL A COM		2017-02-16	2020-08-21
	5. DANONE COM		2018-03-27	2020-07-02
	41. DANONE COM		2018-03-26	2020-07-02
	9. DANONE COM		2018-08-02	2020-07-02
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	2,308	2,162	146
b	3,497	2,832	665
c	1,389	1,111	278
d	1,806	1,441	365
e	347	276	71
	2,083	1,378	705
	2,843	2,759	84
	1,105	811	294
	302	221	81
	1,510	1,055	455
	1,208	773	435
	4,500	4,028	472
	5,174	4,760	414
	2,930	2,014	916
	2,428	1,648	780
	269	276	-7
	1,074	732	342
	3,491	2,377	1,114
	4,744	4,327	417
	6,566	122	6,444
	1,913	4,227	-2,314
	2,231	513	1,718
	952	525	427
	1,416	525	891
	4,743	751	3,992
	717	263	454
	806	128	678
	1,584	220	1,364
	2,632	2,781	-149
	550	1,355	-805
	919	2,292	-1,373
	381	926	-545
	1,122	1,081	41
	725	450	275
	293	180	113
	858	540	318
	969	495	474
	88	45	43
	175	90	85
	175	89	86
	1,927	981	946
	526	267	259
	3,199	2,815	384
	1,143	686	457
	2,119	2,072	47
	2,017	1,695	322
	672	484	188
	13,693	12,140	1,553
	5,314	4,696	618
	552	746	-194
	824	968	-144
	763	1,283	-520
	721	1,211	-490
	170	284	-114
	975	1,612	-637
	4,888	4,387	501
	4,695	4,831	-136
	587	581	6
	1,670	1,162	508
	2,238	2,035	203
	576	549	27
	288	224	64
	751	785	-34
	1,931	1,872	59
	1,609	1,536	73
	698	444	254
	956	1,005	-49
	1,618	1,115	503
	326	661	-335
	214	414	-200
	782	1,479	-697
	75	139	-64
	363	599	-236
	70	150	-80
	1,465	3,079	-1,614
	757	1,577	-820
	1,890	3,183	-1,293
	70	106	-36
	492	741	-249
	1,729	1,608	121
	5,719	4,204	1,515
	1,430	845	585
	2,468	1,352	1,116
	1,422	1,533	-111
	1,829	1,766	63
	3,793	3,645	148
	3,210	459	2,751
	1,130	838	292
	967	716	251
	2,923	3,593	-670
	2,996	3,861	-865
	1,248	1,452	-204
	10,734	11,756	-1,022
	1,641	1,786	-145
	131	148	-17
	38	42	-4
	278	252	26
	301	293	8
	175	169	6

	1,214	955	259
	239	239
	2,008	1,927	81
	48	24	24
	143	65	78
	526	162	364
	861	265	596
	1,960	577	1,383
	2,291	661	1,630
	585	168	417
	594	566	28
	989	935	54
	22,674	26,614	-3,940
	1,031	436	595
	575	344	231
	17,798	10,499	7,299
	1,431	622	809
	5,920	4,583	1,337
	5,916	3,605	2,311
	623	367	256
	1,245	595	650
	3,692	1,488	2,204
	3,398	1,339	2,059
	1,073	446	627
	2,862	998	1,864
	653	997	-344
	944	1,495	-551
	839	1,328	-489
	1,495	1,071	424
	2,189	1,606	583
	1,097	1,219	-122
	1,197	668	529
	430	108	322
	1,442	215	1,227
	405	54	351
	1,067	134	933
	1,563	188	1,375
	597	521	76
	731	484	247
	240	291	-51
	1,441	1,357	84
	2,642	2,303	339
	4,084	3,029	1,055
	656	356	300
	6,074	1,958	4,116
	6,308	1,958	4,350
	1,470	489	981
	3,896	3,809	87
	2,767	1,625	1,142
	791	190	601
	5,800	1,520	4,280
	1,144	582	562
	1,028	747	281
	542	383	159
	3,085	1,524	1,561
	175	86	89
	401	201	200
	487	241	246
	344	679	-335
	396	849	-453
	580	1,238	-658
	158	334	-176
	1,640	1,955	-315
	1,312	1,552	-240
	2,951	3,446	-495
	6,558	7,540	-982
	3,826	4,165	-339
	2,286	2,083	203
	4,009	3,409	600
	7,796	2,380	5,416
	2,671	1,882	789
	451	269	182
	3,160	1,858	1,302
	2,928	1,592	1,336
	3,904	1,468	2,436
	2,296	918	1,378
	1,378	437	941
	459	110	349
	1,022	462	560
	56	174	-118
	22	67	-45
	389	1,168	-779
	56	167	-111
	632	1,966	-1,334
	354	1,099	-745
	75	232	-157
	645	736	-91
	2,121	1,622	499
	358	174	184
	1,074	511	563
	239	106	133
	1,320	371	949
	1,165	265	900
	233	51	182
	852	203	649
	186	51	135
	558	151	407
	186	50	136
	558	150	408
	558	150	408
	6,902	5,998	904
	1,388	818	570
	3,266	3,874	-608
	594	692	-98
	594	688	-94
	926	1,692	-766
	802	1,414	-612
	154	194	-40
	185	311	-126
	494	821	-327
	278	462	-184
	190	300	-110
	285	445	-160
	2,214	2,719	-505
	158	185	-27
	1,297	1,688	-391
	5,900	7,678	-1,778
	8,849	6,811	2,038
	19,491	25,000	-5,509
	40,271	50,000	-9,729
	4,147	5,000	-853
	3,979	4,759	-780
	11,085	11,948	-863
	546	587	-41
	109	108	1
	2,198	1,706	492
	587	903	-316
	594	993	-399
	540	719	-179
	1,813	2,373	-560
	2,007	2,223	-216
	463	461	2
	4,868	3,996	872
	1,072	615	457
	1,339	503	836
	2,469	906	1,563
	5,102	1,812	3,290
	1,910	1,528	382
	822	318	504
	5,961	702	5,259
	4,094	3,363	731
	1,751	1,513	238
	5,059	629	4,430
	342	281	61
	25	19	6
	1,860	2,369	-509
	1,612	2,053	-441
	1,150	994	156
	288	152	136
	53	65	-12
	683	695	-12
	267	642	-375
	533	1,221	-688
	689	1,435	-746
	133	205	-72
	422	556	-134
	622	813	-191
	2,288	2,384	-96
	3,326	3,688	-362
	1,174	1,281	-107
	2,079	3,204	-1,125
	12,751	19,211	-6,460
	3,604	4,976	-1,372
	141	63	78
	4,094	1,548	2,546
	2,380	800	1,580
	339	401	-62
	2,782	3,264	-482
	611	710	-99
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472
			24,472

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			146
b			665
c			278
d			365
e			71
			705
			84
			294
			81
			455
			435
			472
			414
			916
			780
			-7
			342
			1,114
			417
			6,444
			-2,314
			1,718
			427
			891
			3,992
			454
			678
			1,364
			-149
			-805
			-1,373
			-545
			41
			275
			113
			318
			474
			43
			85
			86
			946
			259
			384
			457
			47
			322
			188
			1,553
			618
			-194
			-144
			-520
			-490
			-114
			-637
			501
			-136
			6
			508
			203
			27
			64
			-34
			59
			73
			254
			-49
			503
			-335
			-200
			-697
			-64
			-236
			-80
			-1,614
			-820
			-1,293
			-36
			-249
			121
			1,515
			585
			1,116
			-111
			63
			148
			2,751
			292
			251
			-670
			-865
			-204
			-1,022
			-145
			-17
			-4
			26
			8
			6

			259

			81
			24
			78
			364
			596
			1,383
			1,630
			417
			28
			54
			-3,940
			595
			231
			7,299
			809
			1,337
			2,311
			256
			650
			2,204
			2,059
			627
			1,864
			-344
			-551
			-489
			424
			583
			-122
			529
			322
			1,227
			351
			933
			1,375
			76
			247
			-51
			84
			339
			1,055
			300
			4,116
			4,350
			981
			87
			1,142
			601
			4,280
			562
			281
			159
			1,561
			89
			200
			246
			-335
			-453
			-658
			-176
			-315
			-240
			-495
			-982
			-339
			203
			600
			5,416
			789
			182
			1,302
			1,336
			2,436
			1,378
			941
			349
			560
			-118
			-45
			-779
			-111
			-1,334
			-745
			-157
			-91
			499
			184
			563
			133
			949
			900
			182
			649
			135
			407
			136
			408
			408
			904
			570
			-608
			-98
			-94
			-766
			-612
			-40
			-126
			-327
			-184
			-110
			-160
			-505
			-27
			-391
			-1,778
			2,038
			-5,509
			-9,729
			-853
			-780
			-863
			-41
			1
			492
			-316
			-399
			-179
			-560
			-216
			2
			872
			457
			836
			1,563
			3,290
			382
			504
			5,259
			731
			238
			4,430
			61
			6
			-509
			-441
			156
			136
			-12
			-12
			-375
			-688
			-746
			-72
			-134
			-191
			-96
			-362
			-107
			-1,125
			-6,460
			-1,372
			78
			2,546
			1,580
			-62
			-482
			-99

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	96,409
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

Part V

Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE

1 Reserved

(a) Reserved	(b) Reserved	(c) Reserved	(d) Reserved

Reserved...........................

Reserved,..........................

Form 990-PF (2020)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Reserved................................	1	1,472
c	All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2...........................	3	1,472
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4	0
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	1,472
6	Credits/Payments:

a	2020 estimated tax payments and 2019 overpayment credited to 2020	6a	1,528
b	Exempt foreign organizations—tax withheld at source......	6b	0
c	Tax paid with application for extension of time to file (Form 8868)...	6c	0
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	1,528
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	56
11	Enter the amount of line 10 to be: Credited to 2021 estimated tax0	Refunded	11	56

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

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

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.

If "Yes," complete Part XIV .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2020)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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

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

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

Yes

Website address bullet

The books are in care of bullet

TOM GOSSAGE Telephone no. bullet

(404) 607-6219

Located at bullet

2724PTREE RD NW APT 1100ATLANTAGA ZIP+4 bullet

30305

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo

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

16 No

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

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 ........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2020?.............

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)):

At the end of tax year 2020, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2020?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

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

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

any time during the year?......................YesNo

If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2020.)..................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?

Form 990-PF (2020)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?.............YesNo

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

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?..........YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?.....................YesNo

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

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .................YesNo

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
MR TOM GOSSAGE	PRESIDENT 4	0
2724PTREE RD NW APT 1100 ATLANTA,GA303052957	PRESIDENT 4	0

2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."


(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
NONE









Total number of other employees paid over $50,000...................				0

Form 990-PF (2020)

Page 7

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part IX-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

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

Form 990-PF (2020)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

2,338,980

Average of monthly cash balances.......................

82,131

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

2,421,111

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

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

Subtract line 2 from line 1d.........................

2,421,111

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

36,317

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

2,384,794

Minimum investment return. Enter 5% of line 5..................

119,240

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

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

119,240

Tax on investment income for 2020 from Part VI, line 5......

1,472

Income tax for 2020. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

1,472

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

117,768

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

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

117,768

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

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

117,768

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

116,800

Program-related investments—total from Part IX-B..................

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

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

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

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

116,800

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

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

116,800

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

Form 990-PF (2020)

Page 9

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(b) Years prior to 2019	(c) 2019	(d) 2020
1 Distributable amount for 2020 from Part XI, line 7					117,768
2 Undistributed income, if any, as of the end of 2020:
a Enter amount for 2019 only.......				10,052
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2020:
a From 2015......	0
b From 2016......	0
c From 2017......	0
d From 2018......	0
e From 2019......	0
fTotal of lines 3a through e........		0
4Qualifying distributions for 2020 from Part
XII, line 4: $ 116,800
a Applied to 2019, but not more than line 2a				10,052
b Applied to undistributed income of prior years (Election required—see instructions).....			0
c Treated as distributions out of corpus (Election required—see instructions)........		0
d Applied to 2020 distributable amount.....					106,748
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2020.		0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		0
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2020. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2021 ..........					11,020
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		0
8 Excess distributions carryover from 2015 not applied on line 5 or line 7 (see instructions) ...		0
9Excess distributions carryover to 2021. Subtract lines 7 and 8 from line 6a ......		0
10 Analysis of line 9:
a Excess from 2016....	0
b Excess from 2017....	0
c Excess from 2018....	0
d Excess from 2019....	0
e Excess from 2020....	0

Form 990-PF (2020)

Page 10

Part XIV

Private Operating Foundations (see instructions and Part VII-A, question 9)

1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(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) 2020	(b) 2019	(c) 2018	(d) 2017	(e) Total

b 85% of line 2a .........
c Qualifying distributions from Part XII, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed...
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

TOM GOSSAGE

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

TOM GOSSAGE
212 15TH ST NE
ATLANTA,GA303093507
(404) 607-6219

bThe form in which applications should be submitted and information and materials they should include:

NONE

cAny submission deadlines:

NONE

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

NONE

Form 990-PF (2020)

Page 11

Part XV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
PIEDMONT HEALTHCARE FDN PO BOX 105452 ATLANTA,GA30348	N/A	PC	UNRESTRICTED GENERAL	15,000
CATHEDRAL OF ST PHILIP 2744 PEACHTREE RD NW ATLANTA,GA30305	N/A	PC	UNRESTRICTED GENERAL	25,000
GEORGIA TECH FOUNDATION 760 SPRING ST NW STE 400 ATLANTA,GA30308	N/A	PC	UNRESTRICTED GENERAL	26,000
HIGH MUSEUM OF ART 1280 PEACHTREE ST NE ATLANTA,GA30309	N/A	PC	UNRESTRICTED GENERAL	15,000
HISTORIC OAKLAND FOUNDATION 248 OAKLAND AVE SE ATLANTA,GA30312	N/A	PC	UNRESTRICTED GENERAL	35,000
Total ................................. 3a				116,000

bApproved for future payment

Total ................................. 3b

Form 990-PF (2020)

Page 12

Part XVI-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities....			14	29,908
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income.....
8 Gain or (loss) from sales of assets other than inventory ............			18	96,409
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aEXCISE TAX REFUND			1	1,674
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..				127,991

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

127,991

(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 (2020)

Page 13

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

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

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

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

1b(1)

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

1b(2)

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

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

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

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2020)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT MGMT FEES - BOA	13,999	13,999
INVESTMENT ADVISORY FEES	4,133	4,133

Category	Amount	Net Investment Income
FOREIGN TAXES	152	152
EXCISE TAX ESTIMATES	1,528	0
FOREIGN TAXES ON QUALIFIED FOR	571	571
FOREIGN TAXES ON NONQUALIFIED	262	262

Description	Amount
ROUNDING	8
COST ADJUSTMENT	28
TYE INCOME ADJUSTMENT	74