Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
ROGSTAD RAYMOND & MARY GRACE FDN
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

74-6433550
B Telephone number (see instructions)

(888) 730-4933
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$686,006J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 15,256 10,690  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 6,921
b Gross sales price for all assets on line 6a 351,753
7 Capital gain net income (from Part IV, line 2)... 6,921
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).......      
12 Total. Add lines 1 through 11........ 22,177 17,611  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 9,356 8,420   936
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)....... Click to see attachment 951 0 0 951
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 403 403   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)....... Click to see attachment 4 4    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 10,714 8,827 0 1,887
25 Contributions, gifts, grants paid....... 36,000 36,000
26 Total expenses and disbursements. Add lines 24 and 25 46,714 8,827 0 37,887
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -24,537
b Net investment income (if negative, enter -0-) 8,784
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 73 943 943
2 Savings and temporary cash investments......... 26,344 1,990 1,990
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......   Click to see attachment138,548 219,023
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 536,372 Click to see attachment396,832 464,050
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 562,789 538,313 686,006
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 562,789 538,313
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)..... 562,789 538,313
30 Total liabilities and net assets/fund balances (see instructions). 562,789 538,313
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
562,789
2
Enter amount from Part I, line 27a .....................
2
-24,537
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
121
4
Add lines 1, 2, and 3 ..........................
4
538,373
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
60
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
538,313
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 6. ZOETIS INC   2019-08-07 2020-02-03
b 8. ZOETIS INC   2017-04-25 2020-02-03
c 13. ISHARES S&P MID-CAP 400 GROWTH     2020-02-12
d 15. ISHARES S&P MID-CAP 400 GROWTH     2020-02-12
e 17. ISHARES S&P MID-CAP 400 VALUE   2012-09-06 2020-02-12
19. ISHARES S&P MID-CAP 400 VALUE     2020-02-12
2. MICROSOFT CORP   2019-12-04 2020-02-12
108. NUVEEN INT DURATION BD FD R #1670   2019-08-08 2020-02-12
206.384 T ROWE PR REAL ESTATE-I #432   2015-12-24 2020-02-12
161. SPDR DJ WILSHIRE INTERNATIONAL R ETF     2020-02-12
66. TCW EMRG MKTS INCM-I 4721   2019-08-08 2020-02-12
142. WF INTERMED TAX/AMT-FR-R6 #4809   2019-08-08 2020-02-12
8. HOME DEPOT INC   2017-03-31 2020-03-04
4. HOME DEPOT INC     2020-03-04
1. THERMO FISHER SCIENTIFIC INC   2019-12-04 2020-03-04
13. EATON CORP PLC     2020-03-04
6. CVS HEALTH CORPORATION     2020-03-17
1. CVS HEALTH CORPORATION   2018-11-15 2020-03-17
3. ELI LILLY & CO COM   2019-12-04 2020-03-17
5. MONDELEZ INTERNATIONAL INC   2019-12-04 2020-03-17
.99989 UNION PACIFIC CORP   2019-12-04 2020-03-17
1.00011 UNION PACIFIC CORP   2019-12-04 2020-03-17
19. EATON CORP PLC     2020-03-17
1. EATON CORP PLC   2019-08-07 2020-03-17
312. ISHARES CORE MSCI EMERGING ETF   2018-09-25 2020-04-03
27. ISHARES CORE MSCI EMERGING ETF   2020-02-12 2020-04-03
1081.414 NUVEEN INT DURATION BD FD R #1670     2020-04-03
4. PNC FINANCIAL SERVICES GROUP     2020-04-03
13. PNC FINANCIAL SERVICES GROUP     2020-04-03
82.125 PRINCIPAL HIGH YIELD-R6 #4264     2020-04-03
144. VANGUARD FTSE DEVELOPED ETF     2020-04-03
255. VANGUARD FTSE DEVELOPED ETF     2020-04-03
865.185 WF INTERMED TAX/AMT-FR-R6 #4809   2012-09-10 2020-04-03
1800.389 WF INTERMED TAX/AMT-FR-R6 #4809   2019-08-08 2020-04-03
15. EOG RESOURCES, INC     2020-04-27
13. EOG RESOURCES, INC     2020-04-27
1. ELECTRONIC ARTS INC   2019-02-15 2020-04-27
3. ELECTRONIC ARTS INC   2020-04-03 2020-04-27
1. THERMO FISHER SCIENTIFIC INC   2019-12-04 2020-04-27
.018 RAYTHEON TECHNOLOGIES CORP   2019-12-04 2020-04-29
7. AT & T INC   2019-12-04 2020-05-12
1. APPLE INC   2019-12-04 2020-05-12
7. CVS HEALTH CORPORATION   2019-12-04 2020-05-12
8. CVS HEALTH CORPORATION     2020-05-12
4. CISCO SYSTEMS INC   2019-08-07 2020-05-12
4. CITIGROUP INC.   2019-12-04 2020-05-12
1. DIAGEO PLC - ADR   2019-08-07 2020-05-12
1. WALT DISNEY CO   2019-12-04 2020-05-12
1. ELECTRONIC ARTS INC   2019-12-04 2020-05-12
1. FIDELITY NATL INFORMATION SVCS INC   2020-03-04 2020-05-12
7. GILEAD SCIENCES INC   2020-04-03 2020-05-12
5. HAIN CELESTIAL GROUP INC   2015-12-17 2020-05-12
8. ISHARES S&P MID-CAP 400 GROWTH   2020-04-03 2020-05-12
54. ISHARES S&P MID-CAP 400 GROWTH   2012-09-06 2020-05-12
109. ISHARES RUSSELL 2000 ETF   2018-01-25 2020-05-12
78. ISHARES S&P MID-CAP 400 VALUE   2012-09-06 2020-05-12
23. ISHARES S&P MID-CAP 400 VALUE   2020-04-03 2020-05-12
16. ISHARES CORE MSCI EMERGING ETF   2018-09-25 2020-05-12
12. ISHARES GLOBAL REIT ETF   2020-02-12 2020-05-12
2. JPMORGAN CHASE & CO   2019-12-04 2020-05-12
3. LAS VEGAS SANDS CORP   2020-02-03 2020-05-12
1. ELI LILLY & CO COM   2020-04-03 2020-05-12
12. MANULIFE FINANCIAL CORP   2019-12-04 2020-05-12
2. MERCK & CO INC NEW   2019-12-04 2020-05-12
4. MICROSOFT CORP     2020-05-12
4.00122 MONDELEZ INTERNATIONAL INC   2019-12-21 2020-05-12
9.99878 MONDELEZ INTERNATIONAL INC     2020-05-12
2. NIKE INC CL B   2019-12-04 2020-05-12
6. SUNCOR ENERGY INC NEW F   2018-11-26 2020-05-12
1. THERMO FISHER SCIENTIFIC INC   2019-08-07 2020-05-12
3. TORONTO DOMINION BK ONT COM NEW   2019-07-31 2020-05-12
4. TOTAL S.A. - ADR   2018-11-26 2020-05-12
1. UNION PACIFIC CORP   2019-12-21 2020-05-12
12. VANGUARD FTSE DEVELOPED ETF   2013-02-08 2020-05-12
1. VISA INC-CLASS A SHRS   2020-03-17 2020-05-12
15. FLEXTRONICS INTL LTD   2018-03-08 2020-05-12
11. HAIN CELESTIAL GROUP INC   2015-12-17 2020-05-19
8. TJX COMPANIES INC     2020-05-19
25.324 FIDELITY NEW MRKTS INC-Z #3323   2015-11-20 2020-05-21
42. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-05-21
188.557 NUVEEN INT DURATION BD FD R #1670   2020-05-13 2020-05-21
428.88818 NUVEEN INT DURATION BD FD R #1670   2019-05-10 2020-05-21
1251.35082 NUVEEN INT DURATION BD FD R #1670     2020-05-21
4442.989 PRINCIPAL HIGH YIELD-R6 #4264     2020-05-21
868.69602 WF INTERMED TAX/AMT-FR-R6 #4809   2012-09-10 2020-05-21
2118.06898 WF INTERMED TAX/AMT-FR-R6 #4809     2020-05-21
4. ELECTRONIC ARTS INC   2020-05-21 2020-05-29
22. TJX COMPANIES INC   2012-09-06 2020-05-29
12. TJX COMPANIES INC     2020-05-29
596. ISHARES GLOBAL REIT ETF     2020-06-17
1. CVS HEALTH CORPORATION   2019-12-04 2020-07-20
8. CVS HEALTH CORPORATION     2020-07-20
8. COGNIZANT TECH SOLUTIONS CRP COM     2020-07-20
1. APPLE INC   2020-05-21 2020-08-25
12. HAIN CELESTIAL GROUP INC   2015-12-17 2020-08-25
4. HAIN CELESTIAL GROUP INC   2020-04-03 2020-08-25
12. TORONTO DOMINION BK ONT COM NEW   2019-07-31 2020-08-25
3. UNITED PARCEL SERVICE-CL B   2019-12-04 2020-08-25
12. APPLE INC   2020-05-21 2020-09-14
4. NIKE INC CL B     2020-09-14
2. UNITED PARCEL SERVICE-CL B   2019-08-07 2020-09-14
1. UNITED PARCEL SERVICE-CL B   2019-12-04 2020-09-14
1. TE CONNECTIVITY LTD   2019-08-07 2020-09-14
5. TE CONNECTIVITY LTD   2019-12-04 2020-09-14
7. APPLE INC     2020-09-25
1. BLACKROCK INC   2020-05-21 2020-09-25
1. BROADCOM INC   2019-12-04 2020-09-25
78. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-09-25
55. ISHARES CORE MSCI EMERGING ETF     2020-09-25
5. ISHARES CORE MSCI EMERGING ETF   2019-12-04 2020-09-25
1. LAM RESEARCH CORP COM   2020-04-27 2020-09-25
4. MICROSOFT CORP   2020-05-21 2020-09-25
1783.6 NUVEEN INT DURATION BD FD R #1670     2020-09-25
2365.831 PGIM HIGH YIELD-Q 1067   2020-05-21 2020-09-25
100.3 TCW EMRG MKTS INCM-I 4721   2019-08-08 2020-09-25
2. UNION PACIFIC CORP     2020-09-25
2. UNITED PARCEL SERVICE-CL B   2019-08-07 2020-09-25
35. VANGUARD FTSE DEVELOPED ETF     2020-09-25
2389.829 WF INTERMED TAX/AMT-FR-R6 #4809     2020-09-25
7. APPLE INC   2019-12-04 2020-10-21
20. AT & T INC     2020-11-02
8. CME GROUP INC     2020-11-02
3. CME GROUP INC     2020-11-02
5. NIKE INC CL B     2020-11-02
71. FLEXTRONICS INTL LTD     2020-11-02
70. FLEXTRONICS INTL LTD     2020-11-02
3. AT & T INC   2019-10-18 2020-11-03
10. AT & T INC   2019-12-04 2020-11-03
10. SPIRIT AEROSYTSEMS HOLD-CL A     2020-11-03
24. SPIRIT AEROSYTSEMS HOLD-CL A     2020-11-03
1. THERMO FISHER SCIENTIFIC INC   2020-05-21 2020-11-03
3. UNITED PARCEL SERVICE-CL B     2020-11-03
1. BROADCOM INC   2019-09-10 2020-11-19
1. BROADCOM INC   2019-12-04 2020-11-19
3. TARGET CORP   2020-05-21 2020-11-30
14. AT & T INC     2020-12-09
1. ALPHABET INC CL C   2020-05-21 2020-12-09
6. APPLE INC   2019-12-04 2020-12-09
2. APPLE INC   2020-04-03 2020-12-09
3. BOEING CO     2020-12-09
5. CVS HEALTH CORPORATION     2020-12-09
3. CELANESE CORP   2019-12-04 2020-12-09
12. CISCO SYSTEMS INC   2019-08-07 2020-12-09
11. CITIGROUP INC.     2020-12-09
6. COGNIZANT TECH SOLUTIONS CRP COM   2019-08-07 2020-12-09
3. DIAGEO PLC - ADR   2019-08-07 2020-12-09
1. WALT DISNEY CO   2019-12-13 2020-12-09
2. WALT DISNEY CO   2019-12-04 2020-12-09
3. ELECTRONIC ARTS INC   2019-12-04 2020-12-09
407. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-12-09
3. JPMORGAN CHASE & CO   2019-12-04 2020-12-09
2. JPMORGAN CHASE & CO   2019-12-13 2020-12-09
1. LAM RESEARCH CORP COM   2020-04-27 2020-12-09
3. LAS VEGAS SANDS CORP   2019-12-04 2020-12-09
5. LAS VEGAS SANDS CORP     2020-12-09
3. ELI LILLY & CO COM   2020-07-20 2020-12-09
30. MANULIFE FINANCIAL CORP     2020-12-09
2. MERCK & CO INC NEW   2019-12-13 2020-12-09
3. MERCK & CO INC NEW   2019-12-04 2020-12-09
5. MICROSOFT CORP   2020-05-21 2020-12-09
7. MONDELEZ INTERNATIONAL INC   2019-08-07 2020-12-09
1. MONDELEZ INTERNATIONAL INC   2019-12-30 2020-12-09
4. NIKE INC CL B     2020-12-09
192.272 NUVEEN INT DURATION BD FD R #1670   2015-07-23 2020-12-09
6. RAYTHEON TECHNOLOGIES CORP   2019-12-04 2020-12-09
3. TARGET CORP   2019-09-26 2020-12-09
7. TORONTO DOMINION BK ONT COM NEW     2020-12-09
9. TOTAL S.A. - ADR     2020-12-09
6. UNILEVER PLC - ADR   2020-02-04 2020-12-09
2. UNITEDHEALTH GROUP INC     2020-12-09
13. VANGUARD FTSE DEVELOPED ETF   2013-02-08 2020-12-09
37. VANGUARD MIDCAP VIPER   2020-02-12 2020-12-09
2. VISA INC-CLASS A SHRS   2020-05-21 2020-12-09
3. EATON CORP PLC   2020-11-30 2020-12-09
3. TE CONNECTIVITY LTD   2019-08-07 2020-12-09
22. GILEAD SCIENCES INC     2020-12-10
3. GILEAD SCIENCES INC   2020-05-21 2020-12-10
2. LAM RESEARCH CORP COM   2020-05-21 2020-12-10
4. NIKE INC CL B   2019-08-07 2020-12-10
13. SUNCOR ENERGY INC NEW F     2020-12-10
6. TOTAL S.A. - ADR   2019-12-04 2020-12-10
3. UNION PACIFIC CORP     2020-12-10
35. FLEXTRONICS INTL LTD   2019-08-07 2020-12-21
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 813   717 96
b 1,084   441 643
c 3,178   1,910 1,268
d 3,667   3,464 203
e 2,897   1,465 1,432
3,238   3,131 107
371   299 72
1,040   1,031 9
5,506   5,659 -153
6,306   5,354 952
569   556 13
1,686   1,680 6
1,901   1,176 725
951   838 113
324   315 9
1,266   1,068 198
352   492 -140
59   79 -20
417   355 62
247   266 -19
128   172 -44
128   172 -44
1,410   808 602
74   76 -2
12,292   16,156 -3,864
1,064   1,446 -382
9,852   10,203 -351
359   583 -224
1,166   1,170 -4
501   588 -87
4,574   6,189 -1,615
8,101   9,482 -1,381
9,837   10,079 -242
20,470   21,299 -829
671   1,122 -451
581   1,361 -780
116   107 9
348   309 39
343   315 28
1   2 -1
207   268 -61
318   262 56
446   526 -80
510   630 -120
175   207 -32
178   298 -120
142   164 -22
109   148 -39
117   101 16
129   149 -20
559   540 19
152   205 -53
1,657   1,357 300
11,186   6,137 5,049
14,157   17,310 -3,153
9,505   6,720 2,785
2,803   2,371 432
704   828 -124
232   342 -110
180   264 -84
143   200 -57
159   141 18
148   230 -82
156   177 -21
747   615 132
204   217 -13
509   532 -23
183   187 -4
103   195 -92
337   273 64
124   175 -51
140   220 -80
156   185 -29
431   436 -5
184   158 26
146   279 -133
320   451 -131
404   491 -87
349   382 -33
510   500 10
1,763   1,746 17
4,010   4,019 -9
11,700   11,723 -23
29,190   29,827 -637
10,094   10,120 -26
24,612   24,670 -58
479   474 5
1,164   510 654
635   594 41
13,045   15,458 -2,413
64   75 -11
511   629 -118
490   499 -9
496   319 177
365   492 -127
122   108 14
583   700 -117
475   352 123
1,367   956 411
474   381 93
319   228 91
159   117 42
99   88 11
497   454 43
759   516 243
533   506 27
352   310 42
1,058   928 130
2,796   2,855 -59
254   257 -3
325   263 62
814   738 76
16,998   16,479 519
12,468   11,853 615
799   846 -47
390   366 24
320   228 92
1,397   1,276 121
28,248   27,649 599
825   459 366
548   768 -220
1,217   569 648
456   588 -132
612   469 143
976   1,140 -164
962   785 177
83   114 -31
275   383 -108
196   462 -266
470   1,490 -1,020
492   336 156
483   327 156
378   293 85
378   310 68
537   355 182
434   526 -92
1,819   1,407 412
747   394 353
249   121 128
716   1,050 -334
371   353 18
395   370 25
533   621 -88
649   824 -175
482   371 111
473   493 -20
156   157 -1
312   297 15
394   303 91
5,931   4,842 1,089
368   397 -29
245   265 -20
509   263 246
176   189 -13
293   338 -45
464   500 -36
541   566 -25
167   174 -7
250   265 -15
1,076   922 154
406   369 37
58   53 5
562   337 225
1,854   1,765 89
447   559 -112
519   321 198
394   407 -13
408   497 -89
349   352 -3
698   592 106
605   473 132
7,545   6,851 694
427   383 44
356   363 -7
357   264 93
1,332   1,040 292
182   221 -39
980   524 456
552   325 227
244   422 -178
274   315 -41
606   503 103
619   365 254
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
      9
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       96
b       643
c       1,268
d       203
e       1,432
      107
      72
      9
      -153
      952
      13
      6
      725
      113
      9
      198
      -140
      -20
      62
      -19
      -44
      -44
      602
      -2
      -3,864
      -382
      -351
      -224
      -4
      -87
      -1,615
      -1,381
      -242
      -829
      -451
      -780
      9
      39
      28
      -1
      -61
      56
      -80
      -120
      -32
      -120
      -22
      -39
      16
      -20
      19
      -53
      300
      5,049
      -3,153
      2,785
      432
      -124
      -110
      -84
      -57
      18
      -82
      -21
      132
      -13
      -23
      -4
      -92
      64
      -51
      -80
      -29
      -5
      26
      -133
      -131
      -87
      -33
      10
      17
      -9
      -23
      -637
      -26
      -58
      5
      654
      41
      -2,413
      -11
      -118
      -9
      177
      -127
      14
      -117
      123
      411
      93
      91
      42
      11
      43
      243
      27
      42
      130
      -59
      -3
      62
      76
      519
      615
      -47
      24
      92
      121
      599
      366
      -220
      648
      -132
      143
      -164
      177
      -31
      -108
      -266
      -1,020
      156
      156
      85
      68
      182
      -92
      412
      353
      128
      -334
      18
      25
      -88
      -175
      111
      -20
      -1
      15
      91
      1,089
      -29
      -20
      246
      -13
      -45
      -36
      -25
      -7
      -15
      154
      37
      5
      225
      89
      -112
      198
      -13
      -89
      -3
      106
      132
      694
      44
      -7
      93
      292
      -39
      456
      227
      -178
      -41
      103
      254
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 6,921
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 122
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........................... 3 122
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- ..... 5 122
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 100
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.............. 7 100
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 22
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet0 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletTX
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1     		9,356    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    600,094
    b
    Average of monthly cash balances.......................
    1b
    19,160
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    619,254
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    619,254
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    9,289
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    609,965
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    30,498
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    30,498
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    122
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    122
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    30,376
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    30,376
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    30,376
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    37,887
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    37,887
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    37,887
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 30,376
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 28,700
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 0
    b From 2016...... 0
    c From 2017...... 0
    d From 2018...... 0
    e From 2019...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 37,887
    a Applied to 2019, but not more than line 2a 28,700
    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..... 9,187
    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 ..........     		21,189
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2016.... 0
    b Excess from 2017.... 0
    c Excess from 2018.... 0
    d Excess from 2019.... 0
    e Excess from 2020.... 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    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.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    BOSQUE MEMORIAL MUSEUM
    PO BOX 345
    CLIFTON,TX76634     		NONE PC GENERAL OPERATING 7,200
    TRINITY LUTHERAN CHURCH
    803 W 3RD ST
    CLIFTON,TX76634     		NONE PC GENERAL OPERATING 7,200
    BOSQUE ARTS CENTER
    PO BOX 373
    CLIFTON,TX76634     		NONE PC GENERAL OPERATING 7,200
    CITY OF CLIFTON
    403 WEST THIRD STREET
    CLIFTON,TX766340231     		NONE GOV GENERAL OPERATING 9,000
    CLIFTON IND SCHOOL DISTRICT
    1102 NORTH AVE KEY
    CLIFTON,TX76634     		NONE PC GENERAL OPERATING 5,400
    Total .................................bullet 3a 36,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 15,256  
    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 6,921  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   22,177  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    22,177
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    ROGSTAD RAYMOND & MARY GRACE FDN
    EIN:
    74-6433550
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 951     951

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    ROGSTAD RAYMOND & MARY GRACE FDN
    EIN:
    74-6433550
    Name of Stock End of Year Book Value End of Year Fair Market Value
    G29183103 EATON CORP PLC 2,338 2,523
    58933Y105 MERCK & CO INC NEW 2,654 3,272
    867224107 SUNCOR ENERGY INC NE 3,401 2,198
    609207105 MONDELEZ INTERNATION 3,085 3,917
    891160509 TORONTO DOMINION BK 3,847 4,062
    904767704 UNILEVER PLC - ADR 2,678 2,958
    512807108 LAM RESEARCH CORP CO 1,488 4,250
    907818108 UNION PACIFIC CORP 1,456 3,956
    09247X101 BLACKROCK INC 2,653 5,051
    31620M106 FIDELITY NATL INFORM 2,827 3,112
    G5960L103 MEDTRONIC PLC 3,061 3,631
    883556102 THERMO FISHER SCIENT 623 3,260
    09260D107 BLACKSTONE GROUP INC 2,803 3,370
    097023105 BOEING CO 3,063 3,425
    037833100 APPLE INC 2,794 17,250
    285512109 ELECTRONIC ARTS INC 2,226 3,734
    92826C839 VISA INC-CLASS A SHR 2,394 3,281
    517834107 LAS VEGAS SANDS CORP 3,675 4,172
    00206R102 AT & T INC 3,878 3,451
    H2906T109 GARMIN LTD 2,661 3,470
    594918104 MICROSOFT CORP 5,910 15,569
    126650100 CVS HEALTH CORPORATI 2,209 3,210
    09857L108 BOOKING HOLDINGS INC 3,823 4,455
    Y2573F102 FLEX LTD 1,470 2,679
    654106103 NIKE INC CL B 1,933 4,386
    11135F101 BROADCOM INC 3,589 5,692
    00287Y109 ABBVIE INC 2,152 2,143
    75513E101 RAYTHEON TECHNOLOGIE 3,795 3,790
    25243Q205 DIAGEO PLC - ADR 3,172 4,129
    254687106 WALT DISNEY CO 2,357 4,892
    46625H100 JPMORGAN CHASE & CO 4,505 7,116
    H84989104 TE CONNECTIVITY LTD 1,691 3,027
    192446102 COGNIZANT TECH SOLUT 2,586 3,852
    91324P102 UNITEDHEALTH GROUP I 3,143 7,364
    460690100 INTERPUBLIC GROUP CO 2,667 3,175
    871829107 SYSCO CORP 2,824 4,381
    17275R102 CISCO SYSTEMS INC 3,644 4,609
    56501R106 MANULIFE FINANCIAL C 4,653 5,685
    94106L109 WASTE MANAGEMENT INC 3,717 3,892
    87612E106 TARGET CORP 1,209 3,707
    150870103 CELANESE CORP 2,006 4,158
    031162100 AMGEN INC 2,676 2,529
    89151E109 TOTAL S.A. - ADR 3,371 3,018
    02079K107 ALPHABET INC CL C 4,656 10,511
    172967424 CITIGROUP INC. 5,431 6,289
    532457108 ELI LILLY & CO COM 2,156 3,546
    405217100 HAIN CELESTIAL GROUP 1,326 2,329
    911312106 UNITED PARCEL SERVIC 2,272 4,547

    TY 2020 InvestmentsOtherSchedule2
    Name:
    ROGSTAD RAYMOND & MARY GRACE FDN
    EIN:
    74-6433550
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    26875P101 EOG RESOURCES, INC      
    150870103 CELANESE CORP      
    MI0224805 TX HARD 51.62 ACS CO AT COST 1 1
    192446102 COGNIZANT TECH SOLUT      
    907818108 UNION PACIFIC CORP      
    91324P102 UNITEDHEALTH GROUP I      
    02079K107 ALPHABET INC/CA      
    375558103 GILEAD SCIENCES INC      
    693475105 PNC FINANCIAL SERVIC      
    867224107 SUNCOR ENERGY INC NE      
    87234N765 TCW EMRG MKTS INCM-I AT COST 25,647 27,598
    517834107 LAS VEGAS SANDS CORP      
    172967424 CITIGROUP INC      
    848574109 SPIRIT AEROSYTSEMS H      
    G29183103 EATON CORP PLC      
    12572Q105 CME GROUP INC      
    98978V103 ZOETIS INC      
    17275R102 CISCO SYSTEMS INC      
    25243Q205 DIAGEO PLC - ADR      
    09247X101 BLACKROCK INC      
    Y2573F102 FLEXTRONICS INTL LTD      
    56501R106 MANULIFE FINANCIAL C      
    911312106 UNITED PARCEL SERVIC      
    464287655 ISHARES RUSSELL 2000 AT COST 20,702 28,429
    78463X863 SPDR DJ WILSHIRE INT      
    46625H100 JPMORGAN CHASE & CO      
    46090F100 INVESCO OPTIMUM YIEL AT COST 11,140 14,329
    58933Y105 MERCK & CO INC NEW      
    779919307 T ROWE PR REAL ESTAT      
    00206R102 AT & T INC      
    609207105 MONDELEZ INTERNATION      
    46434G103 ISHARES CORE MSCI EM AT COST 47,948 55,588
    285512109 ELECTRONIC ARTS INC      
    594918104 MICROSOFT CORP      
    654106103 NIKE INC CL B      
    872540109 TJX COS INC NEW      
    89151E109 TOTAL FINA ELF S.A.      
    94988V399 WF INTERMED TAX/AMT- AT COST 65,777 68,600
    921943858 VANGUARD FTSE DEVELO AT COST 21,424 27,854
    126650100 CVS/CAREMARK CORPORA      
    254687106 WALT DISNEY CO      
    437076102 HOME DEPOT INC      
    67065Q400 NUVEEN INT DURATION AT COST 38,866 41,227
    405217100 HAIN CELESTIAL GROUP      
    464287606 ISHARES S&P MIDCAP 4      
    037833100 APPLE COMPUTER INC C      
    512807108 LAM RESEARCH CORP CO      
    097023105 BOEING COMPANY      
    532457108 ELI LILLY & CO COM      
    883556102 THERMO FISHER SCIENT      
    87612E106 TARGET CORP      
    464287705 ISHARES S&P MIDCAP 4      
    H84989104 TE CONNECTIVITY LTD      
    G5960L103 MEDTRONIC PLC      
    31641Q755 FIDELITY NEW MRKTS I AT COST 13,567 13,879
    11135F101 BROADCOM INC      
    922908629 VANGUARD MIDCAP VIPE AT COST 86,018 117,652
    755111507 RAYTHEON CO      
    74256W626 PRINCIPAL HIGH YIELD      
    891160509 TORONTO DOMINION BK      
    31620M106 FIDELITY NATL INFORM      
    74440Y884 PGIM HIGH YIELD-Q 10 AT COST 18,840 20,565
    56064L751 MNSTY MCKY H/Y MUNI AT COST 46,902 48,328

    TY 2020 OtherDecreasesSchedule
    Name:
    ROGSTAD RAYMOND & MARY GRACE FDN
    EIN:
    74-6433550
    Description Amount
    COST BASIS ADJUSTMENT 60


    TY 2020 OtherExpensesSchedule
    Name:
    ROGSTAD RAYMOND & MARY GRACE FDN
    EIN:
    74-6433550
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES - ADR FEES 4 4   0


    TY 2020 OtherIncreasesSchedule
    Name:
    ROGSTAD RAYMOND & MARY GRACE FDN
    EIN:
    74-6433550
    Description Amount
    MUTUAL FUND TIMING ADJ 121


    TY 2020 TaxesSchedule
    Name:
    ROGSTAD RAYMOND & MARY GRACE FDN
    EIN:
    74-6433550
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 297 297   0
    FOREIGN TAXES ON QUALIFIED FOR 41 41   0
    FOREIGN TAXES ON NONQUALIFIED 65 65   0