| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FIDUCIARY TAX FEE | 3,450 | 1,725 | 1,725 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| CHANGE IN CARRYOVER | FORM 990-PF, PART XIII UNDISTRIBUTED INCOME, LINES 2 AND 3 | THERE HAD BEEN A CHANGE IN THE REPORTING OF QUALIFIED DISTRIBUTIONS IN A PRIOR YEAR WHICH CAUSED A CHANGE TO THE EXCESS DISTRIBUTIONS CARRYOVER TO 2020 TO -0- AND AN INCREASE IN THE UNDISTRIBUTED INCOME CARRYOVER TO 2020 TO 9,259. |
| EXPENDITURE RESPONSIBILITY STATEMENT | EXPENDITURE RESPONSIBILITY STATEMENT | GRANTEE'S NAME: CERTGROUP FOUNDATIONGRANTEE'S ADDRESS: 145 CASCADE AVE, ALPINE, UT 84004GRANT AMOUNT: $10,000DATE OF GRANT: 6/19/15AMOUNT EXPENDED: $0PURPOSE OF GRANT: PROVIDE FINANCIAL ASSISTANCE TO NEEDY FAMILIES TO START AND/OR TO COMPLETE RESIDENTIAL TREATMENT FOR THEIR CHILDDATES OF REPORTS BY GRANTEE: JUNE 2021ANY DIVERSION BY GRANTEE: NO REASON TO BELIEVE ANY DIVERSION HAS OCCURRED. |
| EXPENDITURE RESPONSIBILITY STATEMENT | EXPENDITURE RESPONSIBILITY STATEMENT | GRANTEE'S NAME: CERTGROUP FOUNDATIONGRANTEE'S ADDRESS: 145 CASCADE AVE, ALPINE, UT 84004GRANT AMOUNT: $5,000DATE OF GRANT: 10/18/16AMOUNT EXPENDED: $0PURPOSE OF GRANT: PROVIDE FINANCIAL ASSISTANCE TO NEEDY FAMILIES TO START AND/OR TO COMPLETE RESIDENTIAL TREATMENT FOR THEIR CHILDDATES OF REPORTS BY GRANTEE: JUNE 2021ANY DIVERSION BY GRANTEE: NO REASON TO BELIEVE ANY DIVERSION HAS OCCURRED. |
| EXPENDITURE RESPONSIBILITY STATEMENT | EXPENDITURE RESPONSIBILITY STATEMENT | GRANTEE'S NAME: CERTGROUP FOUNDATIONGRANTEE'S ADDRESS: 145 CASCADE AVE, ALPINE, UT 84004GRANT AMOUNT: $5,000DATE OF GRANT: 9/29/17AMOUNT EXPENDED: $0PURPOSE OF GRANT: PROVIDE FINANCIAL ASSISTANCE TO NEEDY FAMILIES TO START AND/OR TO COMPLETE RESIDENTIAL TREATMENT FOR THEIR CHILDDATES OF REPORTS BY GRANTEE: JUNE 2021ANY DIVERSION BY GRANTEE: NO REASON TO BELIEVE ANY DIVERSION HAS OCCURRED. |
| EXPENDITURE RESPONSIBILITY STATEMENT | EXPENDITURE RESPONSIBILITY STATEMENT | GRANTEE'S NAME: CERTGROUP FOUNDATIONGRANTEE'S ADDRESS: 145 CASCADE AVE, ALPINE, UT 84004GRANT AMOUNT: $5,000DATE OF GRANT: 7/13/18AMOUNT EXPENDED: $0PURPOSE OF GRANT: PROVIDE FINANCIAL ASSISTANCE TO NEEDY FAMILIES TO START AND/OR TO COMPLETE RESIDENTIAL TREATMENT FOR THEIR CHILDDATES OF REPORTS BY GRANTEE: JUNE 2021ANY DIVERSION BY GRANTEE: NO REASON TO BELIEVE ANY DIVERSION HAS OCCURRED. |
| EXPENDITURE RESPONSIBILITY STATEMENT | EXPENDITURE RESPONSIBILITY STATEMENT | GRANTEE'S NAME: CERTGROUP FOUNDATIONGRANTEE'S ADDRESS: 145 CASCADE AVE, ALPINE, UT 84004GRANT AMOUNT: $5,000DATE OF GRANT: 10/22/19AMOUNT EXPENDED: $0PURPOSE OF GRANT: PROVIDE FINANCIAL ASSISTANCE TO NEEDY FAMILIES TO START AND/OR TO COMPLETE RESIDENTIAL TREATMENT FOR THEIR CHILDDATES OF REPORTS BY GRANTEE: JUNE 2021ANY DIVERSION BY GRANTEE: NO REASON TO BELIEVE ANY DIVERSION HAS OCCURRED. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 23,419 SHS PEPSICO INC | 1,346 | 3,473,038 |
| 3,657 SHS YUM BRANDS INC | 0 | 397,004 |
| 6,149 SHS YUM CHINA HLDGS INC | 40 | 351,046 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| 1,240.383 SHS T. ROWE PRICE MID CAP GROWTH FUND | AT COST | 48,926 | 140,387 |
| 3,960.536 SHS HARDING LOEVNER EMERGING MARKETS FUND CLASS I | AT COST | 68,063 | 101,429 |
| 8,648.946 SHS PIMCO INCOME INSTITUTIONAL FUND | AT COST | 102,279 | 104,739 |
| 3,408.712 SHS MFS INTERNATIONAL VALUE | AT COST | 93,900 | 176,742 |
| 3,005.136 SHS VANGUARD DEVELOPED MARKETS INDEX ADMIRAL FUND | AT COST | 119,500 | 141,872 |
| 32,932.788 SHS FEDERATED TOTAL RETURN BOND | AT COST | 363,200 | 380,703 |
| 28,576.986 SHS METROPOLITAN WEST TOTAL RETURN BOND | AT COST | 310,267 | 319,491 |
| 1,911.176 SHS AMERICAN FUNDS EUROPACIFIC GROWTH F3 | AT COST | 105,000 | 132,559 |
| 651.747 SHS DELAWARE GROUP VALUE FD INC | AT COST | 30,000 | 41,340 |
| 10,772.616 SHS FEDERATED HERMES INSTITUTIONAL | AT COST | 100,000 | 107,511 |
| Description | Amount |
|---|---|
| BOOK/TAX TIMING | 5,686 |
| COST ADJUSTMENT OF SECURITIES CONTRIBUTED | 354,542 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OHIO CHARITABLE REGISTRATION FEE | 200 | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TRUSTEE FEES | 10,758 | 5,379 | 5,379 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOREIGN TAXES | 648 | 648 | 0 | |
| EXCISE TAX | 2,299 | 0 | 0 |