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
BACICH GEORGE P TR FBO CHARITIES
 
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

47-2277891
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$1,938,451J 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... 37,155 36,661  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 62,110
b Gross sales price for all assets on line 6a 946,007
7 Capital gain net income (from Part IV, line 2)... 62,110
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........ 99,265 98,771  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 24,368 21,931   2,437
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 1,067 0 0 1,067
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,040 604   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 10     10
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 26,485 22,535 0 3,514
25 Contributions, gifts, grants paid....... 109,745 109,745
26 Total expenses and disbursements. Add lines 24 and 25 136,230 22,535 0 113,259
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -36,965
b Net investment income (if negative, enter -0-) 76,236
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.............      
2 Savings and temporary cash investments......... 61,603 44,644 44,644
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 attachment259,863 604,730
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).......... 1,382,034 Click to see attachment1,101,230 1,289,077
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) 1,443,637 1,405,737 1,938,451
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........ 1,443,637 1,405,737
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)..... 1,443,637 1,405,737
30 Total liabilities and net assets/fund balances (see instructions). 1,443,637 1,405,737
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
1,443,637
2
Enter amount from Part I, line 27a .....................
2
-36,965
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
1,406,672
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
935
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,405,737
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 16. FIDELITY NEW MRKTS INC-Z #3323   2018-10-09 2020-02-14
b 71. ISHARES S&P MID-CAP 400 GROWTH   2014-11-13 2020-02-14
c 90. ISHARES S&P MID-CAP 400 VALUE   2014-11-13 2020-02-14
d 572.532 T ROWE PR REAL ESTATE-I #432     2020-02-14
e 419. SPDR DJ WILSHIRE INTERNATIONAL R ETF   2017-01-20 2020-02-14
99. TCW EMRG MKTS INCM-I 4721   2018-07-18 2020-02-14
119. VANGUARD SHORT TERM BOND ETF     2020-02-14
196. VANGUARD SHORT TERM BOND ETF   2019-02-26 2020-02-14
2. ALPHABET INC CL C   2019-08-15 2020-02-18
1. AMAZON COM INC COM   2019-08-15 2020-02-18
7. APPLE INC   2014-11-14 2020-02-18
1. BOOKING HOLDINGS INC   2019-08-15 2020-02-18
4. BROADCOM INC   2018-11-27 2020-02-18
38. CENTENE CORP DEL   2019-12-26 2020-02-18
20. COCA COLA CO   2019-10-30 2020-02-18
7. DANAHER CORP   2019-08-15 2020-02-18
4. DEXCOM INC     2020-02-18
8. FACEBOOK INC   2019-08-15 2020-02-18
9. FIDELITY NATL INFORMATION SVCS INC   2019-08-15 2020-02-18
18. FORTUNE BRANDS HOME & SECURITY   2014-11-14 2020-02-18
7. HOME DEPOT INC   2019-08-15 2020-02-18
11. INTERCONTINENTAL EXCHANGE INC   2019-08-15 2020-02-18
1. ESTEE LAUDER COMPANIES INC   2018-11-27 2020-02-18
4. ESTEE LAUDER COMPANIES INC   2019-08-15 2020-02-18
10. LULULEMON ATHLETICA INC     2020-02-18
15. MICROSOFT CORP   2019-08-15 2020-02-18
1. MICROSOFT CORP   2018-11-27 2020-02-18
10. MIDDLEBY CORP   2018-11-27 2020-02-18
34. MORGAN STANLEY   2017-12-26 2020-02-18
3. NETFLIX.COM INC   2019-08-15 2020-02-18
10. NVIDIA CORP   2018-11-27 2020-02-18
9. PALO ALTO NETWORKS INC     2020-02-18
5. POOL CORPORATION   2018-11-27 2020-02-18
8. SALESFORCE COM INC     2020-02-18
2. TRANSDIGM GROUP INC     2020-02-18
5. VERTEX PHARMACEUTICALS INC COM   2018-09-12 2020-02-18
8. VISA INC-CLASS A SHRS   2019-08-15 2020-02-18
12. XPO LOGISTICS INC   2017-06-12 2020-02-18
6. ACCENTURE PLC   2019-08-15 2020-02-18
45. MIDDLEBY CORP     2020-03-06
19. MIDDLEBY CORP   2019-08-15 2020-03-06
47. ALEXION PHARMACEUTICALS INC     2020-03-11
25. ALEXION PHARMACEUTICALS INC   2019-08-15 2020-03-11
2. TRANSDIGM GROUP INC   2019-10-01 2020-03-11
351.337 EATON VANCE GLOB MACRO ADV-I 208   2017-10-26 2020-04-03
452. ISHARES CORE U.S. AGGREGATE ETF     2020-04-03
102. ISHARES CORE MSCI EMERGING ETF   2020-02-14 2020-04-03
101. ISHARES CORE MSCI EMERGING ETF   2018-10-05 2020-04-03
305.386 PRINCIPAL HIGH YIELD-R6 #4264     2020-04-03
490. VANGUARD INTERMEDIATE TERM B     2020-04-03
78. VANGUARD INTERMEDIATE TERM B     2020-04-03
881. VANGUARD FTSE DEVELOPED ETF     2020-04-03
152. VANGUARD FTSE DEVELOPED ETF     2020-04-03
796. VANGUARD FTSE EMERGING MARKETS ETF     2020-04-03
27. VANGUARD FTSE EMERGING MARKETS ETF   2020-02-14 2020-04-03
13. ALIGN TECHNOLOGY INC     2020-05-15
30. APPLE INC   2020-04-03 2020-05-15
43.00076 BOSTON SCIENTIFIC CORP COM     2020-05-15
70.99924 BOSTON SCIENTIFIC CORP COM     2020-05-15
15. CANADIAN PAC RY LTD   2019-10-01 2020-05-15
5. CONSTELLATION BRANDS INC   2019-03-25 2020-05-15
12. CONSTELLATION BRANDS INC   2019-08-15 2020-05-15
7. HOME DEPOT INC   2019-08-15 2020-05-15
3. HOME DEPOT INC   2014-11-14 2020-05-15
29. ISHARES S&P MID-CAP 400 GROWTH   2020-04-03 2020-05-15
184. ISHARES S&P MID-CAP 400 GROWTH     2020-05-15
13. ISHARES RUSSELL 2000 ETF   2020-02-14 2020-05-15
265. ISHARES RUSSELL 2000 ETF   2018-02-02 2020-05-15
265. ISHARES S&P MID-CAP 400 VALUE     2020-05-15
83. ISHARES S&P MID-CAP 400 VALUE   2020-04-03 2020-05-15
6. ISHARES CORE MSCI EMERGING ETF   2018-10-05 2020-05-15
6. NETFLIX.COM INC   2017-06-12 2020-05-15
17. NVIDIA CORP   2020-04-03 2020-05-15
6989.414 PRINCIPAL HIGH YIELD-R6 #4264   2019-10-11 2020-05-15
35. VISA INC-CLASS A SHRS     2020-05-15
34. ACCENTURE PLC     2020-05-15
13. BOEING CO   2019-08-15 2020-06-04
11. LULULEMON ATHLETICA INC   2019-06-28 2020-06-04
2. NETFLIX.COM INC   2019-08-15 2020-06-04
3. NETFLIX.COM INC   2017-06-12 2020-06-04
3. NVIDIA CORP   2020-04-03 2020-06-04
2. NVIDIA CORP   2018-11-27 2020-06-04
8. POOL CORPORATION     2020-06-04
110. NORWEGIAN CRUISE LINE HOLDING     2020-06-04
101. NORWEGIAN CRUISE LINE HOLDING     2020-06-04
2316.581 JAMES ALPHA GL REAL EST-I     2020-06-17
21. BOEING CO     2020-06-26
78. COCA COLA CO     2020-06-26
151. COCA COLA CO     2020-06-26
4. TRANSDIGM GROUP INC   2015-12-21 2020-06-26
11. DEXCOM INC   2018-11-27 2020-07-13
3. NETFLIX.COM INC   2017-06-12 2020-07-13
9. TRACTOR SUPPLY CO COM   2014-11-14 2020-07-13
13. JAZZ PHARMACEUTICALS PLC   2019-08-15 2020-07-13
45. JAZZ PHARMACEUTICALS PLC     2020-07-13
20. ACTIVISION BLIZZARD INC   2018-11-27 2020-09-25
4. ALIGN TECHNOLOGY INC   2020-06-04 2020-09-25
1. ALPHABET INC CL C   2019-08-15 2020-09-25
1. AMAZON COM INC COM   2019-10-30 2020-09-25
35. APPLE INC   2019-08-15 2020-09-25
6. ARISTA NETWORKS INC   2018-10-10 2020-09-25
4. CANADIAN PAC RY LTD   2019-10-01 2020-09-25
1. CHIPOTLE MEXICAN GRILL INC   2020-03-06 2020-09-25
21. CONCHO RESOURCES INC     2020-09-25
16. CONCHO RESOURCES INC   2020-03-06 2020-09-25
6. ECOLAB INC     2020-09-25
7. FACEBOOK INC   2019-08-15 2020-09-25
230. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-09-25
121. ISHARES CORE U.S. AGGREGATE ETF   2020-05-15 2020-09-25
102. ISHARES CORE MSCI EMERGING ETF   2018-10-05 2020-09-25
6. ESTEE LAUDER COMPANIES INC   2020-06-04 2020-09-25
4. LULULEMON ATHLETICA INC   2019-06-28 2020-09-25
19. MICROSOFT CORP   2019-08-15 2020-09-25
3. NETFLIX.COM INC   2017-06-12 2020-09-25
4. NVIDIA CORP   2019-08-15 2020-09-25
4. POOL CORPORATION   2019-08-15 2020-09-25
3. S&P GLOBAL INC   2019-08-15 2020-09-25
1. S&P GLOBAL INC   2019-10-01 2020-09-25
5. SALESFORCE COM INC   2019-08-15 2020-09-25
3. SERVICENOW INC   2020-06-26 2020-09-25
8. TRACTOR SUPPLY CO COM   2019-08-15 2020-09-25
81. VANGUARD INTERMEDIATE TERM B   2020-05-15 2020-09-25
886. VANGUARD INTERMEDIATE TERM B     2020-09-25
41. VANGUARD FTSE DEVELOPED ETF   2014-12-10 2020-09-25
6. VISA INC-CLASS A SHRS   2020-04-03 2020-09-25
31. XPO LOGISTICS INC     2020-09-25
15. APPLE INC   2019-08-15 2020-10-22
14. CONCHO RESOURCES INC   2019-08-15 2020-10-22
66. CONCHO RESOURCES INC     2020-10-22
15. DANAHER CORP     2020-10-22
5. NVIDIA CORP   2019-10-01 2020-10-22
4. ALIGN TECHNOLOGY INC   2015-08-04 2020-12-08
1439.395 EV GL MACR ABS RTRN ADV-R6 #1072   2017-10-26 2020-12-09
1258. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-12-09
70. VANGUARD FTSE DEVELOPED ETF   2014-12-10 2020-12-09
133. VANGUARD MIDCAP VIPER   2020-02-14 2020-12-09
132.316 EV GL MACR ABS RTRN ADV-R6 #1072   2017-10-26 2020-12-24
115.856 FIDELITY NEW MRKTS INC-Z #3323   2020-12-09 2020-12-24
188. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-12-24
82. ISHARES CORE U.S. AGGREGATE ETF     2020-12-24
36. ISHARES RUSSELL 2000 ETF   2020-12-09 2020-12-24
64. ISHARES CORE MSCI EMERGING ETF   2020-12-09 2020-12-24
1410.654 PGIM HIGH YIELD-Q 1067   2020-12-09 2020-12-24
381.985 TCW EMRG MKTS INCM-I 4721   2020-12-09 2020-12-24
66. VANGUARD FTSE DEVELOPED ETF   2014-12-10 2020-12-24
75. VANGUARD MIDCAP VIPER   2020-02-14 2020-12-24
3. ALIGN TECHNOLOGY INC   2015-08-04 2020-12-28
1. ALPHABET INC CL C   2019-08-15 2020-12-28
1. AMAZON COM INC COM   2019-10-01 2020-12-28
43. APPLE INC   2019-08-15 2020-12-28
35. BOSTON SCIENTIFIC CORP COM   2019-09-04 2020-12-28
3. BROADCOM INC   2019-10-01 2020-12-28
6. CONSTELLATION BRANDS INC     2020-12-28
5. FACEBOOK INC     2020-12-28
14. FORTUNE BRANDS HOME & SECURITY   2019-08-15 2020-12-28
5. HOME DEPOT INC   2014-11-14 2020-12-28
11. INTERCONTINENTAL EXCHANGE INC   2019-08-15 2020-12-28
11. MICROSOFT CORP   2019-08-15 2020-12-28
39. MORGAN STANLEY   2017-12-26 2020-12-28
5. PALO ALTO NETWORKS INC     2020-12-28
6. TELADOC HEALTH INC   2020-07-13 2020-12-28
2. TRANSDIGM GROUP INC   2015-12-21 2020-12-28
22. TRIMBLE NAV LTD   2020-10-22 2020-12-28
5. ULTA BEAUTY INC     2020-12-28
6. VISA INC-CLASS A SHRS   2020-04-03 2020-12-28
11. XPO LOGISTICS INC   2017-08-23 2020-12-28
9. ZENDESK INC   2020-10-22 2020-12-28
6. ACCENTURE PLC   2014-11-14 2020-12-28
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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 245   233 12
b 17,486   11,297 6,189
c 15,332   11,390 3,942
d 15,516   14,913 603
e 16,525   15,260 1,265
856   794 62
9,645   9,401 244
15,886   15,495 391
3,047   2,337 710
2,162   1,772 390
2,235   797 1,438
1,975   1,912 63
1,241   949 292
2,526   2,404 122
1,193   1,080 113
1,149   961 188
1,184   519 665
1,739   1,454 285
1,395   1,207 188
1,310   769 541
1,709   1,406 303
1,056   994 62
212   140 72
847   702 145
2,591   2,261 330
2,810   2,002 808
187   107 80
1,122   1,172 -50
1,882   1,780 102
1,167   879 288
2,960   1,543 1,417
2,246   2,023 223
1,177   776 401
1,526   1,233 293
1,285   984 301
1,225   890 335
1,688   1,408 280
1,166   714 452
1,282   1,133 149
4,450   5,083 -633
1,879   2,084 -205
3,903   6,052 -2,149
2,076   2,738 -662
930   987 -57
3,355   3,752 -397
51,906   51,452 454
4,019   5,417 -1,398
3,979   4,981 -1,002
1,863   2,180 -317
43,640   41,285 2,355
6,947   6,591 356
27,986   34,301 -6,315
4,829   6,457 -1,628
26,049   28,923 -2,874
884   1,187 -303
2,637   2,015 622
9,182   7,215 1,967
1,485   1,797 -312
2,452   2,442 10
3,302   3,314 -12
793   841 -48
1,903   2,328 -425
1,690   1,406 284
724   294 430
5,792   4,920 872
36,747   29,083 7,664
1,613   2,194 -581
32,883   40,969 -8,086
30,644   33,238 -2,594
9,598   8,556 1,042
258   296 -38
2,681   906 1,775
5,594   4,116 1,478
45,012   49,625 -4,613
6,357   5,631 726
6,186   5,483 703
2,413   4,251 -1,838
3,500   1,978 1,522
838   586 252
1,257   453 804
1,056   726 330
704   309 395
2,111   1,217 894
2,168   4,598 -2,430
1,991   2,207 -216
37,552   42,149 -4,597
3,591   3,087 504
3,420   4,203 -783
6,621   6,839 -218
1,681   711 970
4,800   1,375 3,425
1,707   453 1,254
1,251   673 578
1,389   1,705 -316
4,808   6,252 -1,444
1,614   1,013 601
1,269   1,066 203
1,442   1,169 273
3,079   1,771 1,308
3,898   1,759 2,139
1,198   1,375 -177
1,202   884 318
1,245   707 538
910   1,998 -1,088
693   928 -235
1,177   1,130 47
1,772   1,272 500
3,119   2,736 383
14,288   14,161 127
5,185   5,031 154
1,284   1,213 71
1,248   719 529
3,937   2,536 1,401
1,443   453 990
2,044   593 1,451
1,255   771 484
1,059   760 299
353   244 109
1,210   713 497
1,436   1,192 244
1,112   793 319
7,560   7,399 161
82,698   73,502 9,196
1,637   1,582 55
1,182   916 266
2,603   1,906 697
1,729   754 975
641   970 -329
3,022   3,324 -302
3,499   1,782 1,717
2,667   890 1,777
2,046   247 1,799
15,718   15,387 331
18,333   14,965 3,368
3,258   2,701 557
27,120   24,698 2,422
1,450   1,414 36
1,744   1,724 20
2,835   2,236 599
9,674   9,643 31
7,172   6,921 251
3,854   3,902 -48
7,773   7,759 14
3,251   3,224 27
3,082   2,546 536
15,502   13,927 1,575
1,567   185 1,382
1,770   1,169 601
3,207   1,737 1,470
5,811   2,161 3,650
1,226   1,577 -351
1,304   826 478
1,313   733 580
1,363   889 474
1,234   695 539
1,359   491 868
1,245   994 251
2,485   1,468 1,017
2,662   2,041 621
1,812   1,063 749
1,196   1,408 -212
1,221   355 866
1,470   1,122 348
1,369   1,437 -68
1,274   916 358
1,304   633 671
1,263   979 284
1,559   507 1,052
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
      85
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       12
b       6,189
c       3,942
d       603
e       1,265
      62
      244
      391
      710
      390
      1,438
      63
      292
      122
      113
      188
      665
      285
      188
      541
      303
      62
      72
      145
      330
      808
      80
      -50
      102
      288
      1,417
      223
      401
      293
      301
      335
      280
      452
      149
      -633
      -205
      -2,149
      -662
      -57
      -397
      454
      -1,398
      -1,002
      -317
      2,355
      356
      -6,315
      -1,628
      -2,874
      -303
      622
      1,967
      -312
      10
      -12
      -48
      -425
      284
      430
      872
      7,664
      -581
      -8,086
      -2,594
      1,042
      -38
      1,775
      1,478
      -4,613
      726
      703
      -1,838
      1,522
      252
      804
      330
      395
      894
      -2,430
      -216
      -4,597
      504
      -783
      -218
      970
      3,425
      1,254
      578
      -316
      -1,444
      601
      203
      273
      1,308
      2,139
      -177
      318
      538
      -1,088
      -235
      47
      500
      383
      127
      154
      71
      529
      1,401
      990
      1,451
      484
      299
      109
      497
      244
      319
      161
      9,196
      55
      266
      697
      975
      -329
      -302
      1,717
      1,777
      1,799
      331
      3,368
      557
      2,422
      36
      20
      599
      31
      251
      -48
      14
      27
      536
      1,575
      1,382
      601
      1,470
      3,650
      -351
      478
      580
      474
      539
      868
      251
      1,017
      621
      749
      -212
      866
      348
      -68
      358
      671
      284
      1,052
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 62,110
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,060
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 1,060
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 1,060
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 568
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.............. 7 568
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 9 492
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)
    bulletCA
    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     		24,368    
    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
    1,699,855
    b
    Average of monthly cash balances.......................
    1b
    68,602
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,768,457
    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
    1,768,457
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    26,527
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,741,930
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    87,097
    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
    87,097
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,060
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,060
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    86,037
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    86,037
    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
    86,037
    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
    113,259
    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
    113,259
    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
    113,259
    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 86,037
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 39,331
    b From 2016...... 29,774
    c From 2017...... 25,443
    d From 2018...... 30,003
    e From 2019...... 26,446
    fTotal of lines 3a through e........ 150,997
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 113,259
    a Applied to 2019, but not more than line 2a 0
    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..... 86,037
    e Remaining amount distributed out of corpus 27,222
    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 5 178,219
    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 ..........     		0
    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) ...     		39,331
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		138,888
    10 Analysis of line 9:
    a Excess from 2016.... 29,774
    b Excess from 2017.... 25,443
    c Excess from 2018.... 30,003
    d Excess from 2019.... 26,446
    e Excess from 2020.... 27,222
    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
    AMERICAN CANCER SOCIETY INC
    6525 N MERIDIAN AVE NO 110
    OKLAHOMA CITY,OK731720366     		NONE PC GENERAL OPERATING 21,949
    AMERICAN HEART ASSOCIATION
    ATTN ANDREW FUSSNER
    ST PETERSBURG,FL33716     		NONE PC GENERAL OPERATING 21,949
    BURN INSTITUTE
    ATTN DAVID OTT
    SAN DIEGO,CA92123     		NONE PC GENERAL OPERATING 21,949
    KVIE CHANNEL 6
    ATTN KEVIN SMITH FAGAN VP
    SACRAMENTO,CA95833     		NONE PC GENERAL OPERATING 21,949
    BREATHE CALIFORNIA OF SACRAMENTO
    EMIGRANT TRAILS CO KORI TITUS CEO
    SACRAMENTO,CA958142931     		NONE PC GENERAL OPERATING 21,949
    Total .................................bullet 3a 109,745
    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 37,155  
    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 62,110  
    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)..   99,265  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    99,265
    (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:
    BACICH GEORGE P TR FBO CHARITIES
    EIN:
    47-2277891
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,067     1,067

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    BACICH GEORGE P TR FBO CHARITIES
    EIN:
    47-2277891
    Name of Stock End of Year Book Value End of Year Fair Market Value
    023135106 AMAZON COM INC COM 5,578 42,340
    037833100 APPLE INC 10,845 50,290
    235851102 DANAHER CORP 3,074 10,885
    278865100 ECOLAB INC 2,968 5,842
    30303M102 FACEBOOK INC 8,012 27,043
    34964C106 FORTUNE BRANDS HOME 4,046 7,801
    437076102 HOME DEPOT INC 3,239 8,765
    45866F104 INTERCONTINENTAL EXC 4,584 10,261
    518439104 ESTEE LAUDER COMPANI 3,315 9,849
    594918104 MICROSOFT CORP 10,217 42,482
    79466L302 SALESFORCE COM INC 6,073 17,357
    892356106 TRACTOR SUPPLY CO CO 5,010 9,278
    92826C839 VISA INC-CLASS A SHR 6,610 18,155
    G1151C101 ACCENTURE PLC 5,274 12,277
    016255101 ALIGN TECHNOLOGY INC 2,144 9,084
    02079K107 ALPHABET INC CL C 10,870 33,286
    101137107 BOSTON SCIENTIFIC CO 5,790 9,599
    21036P108 CONSTELLATION BRANDS 3,951 7,448
    697435105 PALO ALTO NETWORKS I 5,699 12,439
    893641100 TRANSDIGM GROUP INC 2,181 6,807
    G66721104 NORWEGIAN CRUISE LIN 1,698 5,086
    15135B101 CENTENE CORP DEL 6,990 10,265
    78409V104 S&P GLOBAL INC 3,320 9,862
    617446448 MORGAN STANLEY 8,245 11,856
    90384S303 ULTA BEAUTY INC 4,861 6,318
    339041105 FLEETCOR TECHNOLOGIE 7,625 8,458
    64110L106 NETFLIX INC 4,104 9,733
    13645T100 CANADIAN PAC RY LTD 5,820 9,361
    87918A105 TELADOC HEALTH INC 6,397 5,599
    81762P102 SERVICENOW INC 6,173 10,458
    92532F100 VERTEX PHARMACEUTICA 5,779 8,036
    00507V109 ACTIVISION BLIZZARD 4,617 9,099
    169656105 CHIPOTLE MEXICAN GRI 3,537 6,934
    040413106 ARISTA NETWORKS INC 8,722 11,623
    69354M108 PRA HEALTH SCIENCES 5,456 7,526
    532457108 ELI LILLY & CO COM 11,953 12,663
    252131107 DEXCOM INC 7,644 12,940
    31620M106 FIDELITY NATL INFORM 4,576 9,478
    896239100 TRIMBLE INC 7,207 10,817
    11135F101 BROADCOM INC 7,677 14,887
    98936J101 ZENDESK INC 6,005 9,875
    09857L108 BOOKING HOLDINGS INC 6,360 11,136
    67066G104 NVIDIA CORP 4,748 16,188
    983793100 XPO LOGISTICS INC 3,356 8,225
    550021109 LULULEMON ATHLETICA 3,550 6,961
    73278L105 POOL CORPORATION 3,963 10,058

    TY 2020 InvestmentsOtherSchedule2
    Name:
    BACICH GEORGE P TR FBO CHARITIES
    EIN:
    47-2277891
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    79466L302 SALESFORCE COM INC      
    277923264 EATON VANCE GLOB MAC      
    G50871105 JAZZ PHARMACEUTICALS      
    73278L105 POOL CORPORATION      
    697435105 PALO ALTO NETWORKS I      
    46434G103 ISHARES CORE MSCI EM AT COST 133,563 157,644
    893641100 TRANSDIGM GROUP INC      
    30303M102 FACEBOOK INC      
    00507V109 ACTIVISION BLIZZARD      
    037833100 APPLE COMPUTER INC C      
    101137107 BOSTON SCIENTIFIC CO      
    67066G104 NVIDIA CORP      
    040413106 ARISTA NETWORKS INC      
    46090F100 INVESCO OPTIMUM YIEL AT COST 30,155 38,760
    34964C106 FORTUNE BRANDS HOME      
    921943858 VANGUARD FTSE DEVELO AT COST 63,195 77,802
    92826C839 VISA INC-CLASS A SHR      
    45866F104 INTERCONTINENTALEXCH      
    235851102 DANAHER CORP      
    11135F101 BROADCOM INC      
    779919307 T ROWE PR REAL ESTAT      
    596278101 MIDDLEBY CORP      
    78463X863 SPDR DJ WILSHIRE INT      
    921937819 VANGUARD INTERMEDIAT      
    594918104 MICROSOFT CORP      
    G1151C101 ACCENTURE PLC      
    15135B101 CENTENE CORP DEL      
    78409V104 S&P GLOBAL INC      
    921937827 VANGUARD BD INDEX FD      
    G66721104 NORWEGIAN CRUISE LIN      
    278865100 ECOLAB INC      
    617446448 MORGAN STANLEY      
    92532F100 VERTEX PHARMACEUTICA      
    015351109 ALEXION PHARMACEUTIC      
    64110L106 NETFLIX.COM INC      
    252131107 DEXCOM INC      
    20605P101 CONCHO RESOURCES INC      
    191216100 COCA COLA CO      
    023135106 AMAZON COM INC      
    892356106 TRACTOR SUPPLY CO CO      
    87234N765 TCW EMRG MKTS INCM-I AT COST 71,502 76,957
    983793100 XPO LOGISTICS INC      
    437076102 HOME DEPOT INC      
    518439104 ESTEE LAUDER COMPANI      
    21036P108 CONSTELLATION BRANDS      
    464287655 ISHARES RUSSELL 2000 AT COST 54,035 75,679
    69354M108 PRA HEALTH SCIENCES      
    02079K107 ALPHABET INC/CA      
    922042858 VANGUARD EMERGING MA      
    90384S303 ULTA SALON COSMETICS      
    09857L108 BOOKING HOLDINGS INC      
    016255101 ALIGN TECHNOLOGY INC      
    464287705 ISHARES S&P MIDCAP 4      
    464287606 ISHARES S&P MIDCAP 4      
    31641Q755 FIDELITY NEW MRKTS I AT COST 36,048 38,587
    097023105 BOEING COMPANY      
    31620M106 FIDELITY NATL INFORM      
    922908629 VANGUARD MIDCAP VIPE AT COST 226,052 306,226
    464287226 ISHARES CORE U.S. AG AT COST 253,972 269,710
    74256W626 PRINCIPAL HIGH YIELD      
    550021109 LULULEMON ATHLETICA      
    13645T100 CANADIAN PAC RY LTD      
    74440Y884 PGIM HIGH YIELD-Q 10 AT COST 195,966 211,383
    27830W108 EV GL MACR ABS RTRN AT COST 36,742 36,329

    TY 2020 OtherDecreasesSchedule
    Name:
    BACICH GEORGE P TR FBO CHARITIES
    EIN:
    47-2277891
    Description Amount
    PY RETURN OF CAPITAL ADJ 56
    MUTUAL FUND TIMING ADJ 671
    COST BASIS ADJUSTMENT 208


    TY 2020 OtherExpensesSchedule
    Name:
    BACICH GEORGE P TR FBO CHARITIES
    EIN:
    47-2277891
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FILING FEE/STATE TAX 10 0   10


    TY 2020 TaxesSchedule
    Name:
    BACICH GEORGE P TR FBO CHARITIES
    EIN:
    47-2277891
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 260 260   0
    FEDERAL ESTIMATES - PRINCIPAL 436 0   0
    FOREIGN TAXES ON QUALIFIED FOR 123 123   0
    FOREIGN TAXES ON NONQUALIFIED 221 221   0