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
JOHANSEN T H FAMILY 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

41-6014249
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$1,012,369J 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... 18,379 18,245  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 49,044
b Gross sales price for all assets on line 6a 371,281
7 Capital gain net income (from Part IV, line 2)... 49,044
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)....... Click to see attachment 399    
12 Total. Add lines 1 through 11........ 67,822 67,289  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 11,317 8,488   2,829
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 950 0 0 950
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 657 657   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 32 7   25
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 12,956 9,152 0 3,804
25 Contributions, gifts, grants paid....... 42,500 42,500
26 Total expenses and disbursements. Add lines 24 and 25 55,456 9,152 0 46,304
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 12,366
b Net investment income (if negative, enter -0-) 58,137
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.............   126 126
2 Savings and temporary cash investments......... 33,355 17,934 17,934
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 attachment224,523 383,356
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).......... 666,654 Click to see attachment469,223 610,953
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) 700,009 711,806 1,012,369
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........ 700,009 711,806
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)..... 700,009 711,806
30 Total liabilities and net assets/fund balances (see instructions). 700,009 711,806
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
700,009
2
Enter amount from Part I, line 27a .....................
2
12,366
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
16
4
Add lines 1, 2, and 3 ..........................
4
712,391
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
585
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
711,806
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 5. MICROSOFT CORP   2016-09-19 2020-02-03
b 35. ZOETIS INC   2017-10-26 2020-02-03
c 25. HOME DEPOT INC   2014-04-24 2020-03-04
d 10. EATON CORP PLC   2018-12-19 2020-03-04
e 15. CVS HEALTH CORPORATION   2019-09-10 2020-03-16
10. ELI LILLY & CO COM   2017-05-09 2020-03-16
5. UNION PACIFIC CORP   2010-06-14 2020-03-16
61. EATON CORP PLC   2012-12-03 2020-03-16
5. MICROSOFT CORP   2016-09-19 2020-04-01
15. MONDELEZ INTERNATIONAL INC   2018-12-19 2020-04-01
35. PNC FINANCIAL SERVICES GROUP   2016-09-19 2020-04-01
10. EOG RESOURCES, INC   2019-06-11 2020-04-23
50. EOG RESOURCES, INC   2018-04-19 2020-04-23
5. THERMO FISHER SCIENTIFIC INC   2018-08-16 2020-04-23
.37 RAYTHEON TECHNOLOGIES CORP   2019-10-16 2020-04-29
25. CVS HEALTH CORPORATION   2014-03-27 2020-05-06
15. GILEAD SCIENCES INC   2018-08-16 2020-05-06
15. MONDELEZ INTERNATIONAL INC   2018-12-19 2020-05-06
3356.241 ASHMORE EMERG MKTS CR DB-INS   2015-11-12 2020-06-01
250. ISHARES MSCI EAFE ETF   2015-01-22 2020-06-01
250. ISHARES CORE S&P SMALL-CAP E   2012-06-13 2020-06-01
115. ISHARES MSCI EAFE GROWTH ETF   2015-12-08 2020-06-01
2655.807 BOSTON P LNG/SHRT RES-INS 7015   2013-11-25 2020-06-01
532. SPDR DJ WILSHIRE INTERNATIONAL R ETF   2012-04-19 2020-06-01
525. VANGUARD S/T CORP BOND ETF   2013-05-09 2020-06-01
370. VANGUARD REAL ESTATE ETF   2012-04-19 2020-06-01
5093.437 WF SHRT TRM HI YLD-INS 3170   2015-12-08 2020-06-01
30. AT & T INC   2018-02-27 2020-06-09
20. AT & T INC   2019-10-16 2020-06-09
1. ALPHABET INC CL C   2018-08-16 2020-06-09
5. APPLE INC   2013-01-29 2020-06-09
5. BLACKROCK INC   2018-12-21 2020-06-09
10. CVS HEALTH CORPORATION   2014-03-27 2020-06-09
15. CISCO SYSTEMS INC   2019-12-26 2020-06-09
30. CITIGROUP INC.   2019-07-30 2020-06-09
15. ELECTRONIC ARTS INC   2019-02-14 2020-06-09
55. HAIN CELESTIAL GROUP INC   2016-12-08 2020-06-09
15. MICROSOFT CORP   2015-10-28 2020-06-09
15. MONDELEZ INTERNATIONAL INC   2018-08-16 2020-06-09
10. NIKE INC CL B   2018-08-16 2020-06-09
65. TJX COMPANIES INC   2016-09-19 2020-06-09
15. TORONTO DOMINION BK ONT COM NEW   2019-07-30 2020-06-09
15. UNILEVER N.V. - ADR   2020-02-03 2020-06-09
10. UNION PACIFIC CORP   2010-06-14 2020-06-09
15. UNITED PARCEL SERVICE-CL B   2016-09-19 2020-06-09
10. MEDTRONIC PLC   2019-07-19 2020-06-09
5. APPLE INC   2013-01-29 2020-08-25
10. COGNIZANT TECH SOLUTIONS CRP COM   2018-08-16 2020-08-25
15. TORONTO DOMINION BK ONT COM NEW   2019-10-16 2020-08-25
15. APPLE INC   2013-01-29 2020-09-15
5. TARGET CORP   1998-10-30 2020-09-15
10. TE CONNECTIVITY LTD   2017-10-26 2020-09-15
10. APPLE INC   2013-01-29 2020-10-20
20. CME GROUP INC   2012-12-17 2020-10-26
15. CVS HEALTH CORPORATION   2014-03-27 2020-10-26
10. CELANESE CORP   2017-05-09 2020-10-26
10. NIKE INC CL B   2018-08-16 2020-10-26
10. UNITED PARCEL SERVICE-CL B   2016-09-19 2020-10-26
230. FLEXTRONICS INTL LTD   2018-04-19 2020-10-26
40. AT & T INC   2018-02-27 2020-11-03
60. SPIRIT AEROSYTSEMS HOLD-CL A   2017-10-26 2020-11-03
5. THERMO FISHER SCIENTIFIC INC   2018-08-16 2020-11-03
348.867 ACADIAN EMG MRKTS PORT-I #1960   2015-12-08 2020-12-02
450. ISHARES S&P 500 GROWTH ETF   2015-12-08 2020-12-02
160. ISHARES MSCI EAFE ETF   2015-01-22 2020-12-02
45. GILEAD SCIENCES INC   2013-08-23 2020-12-10
5. LAM RESEARCH CORP COM   2018-08-16 2020-12-10
10. NIKE INC CL B   2017-10-26 2020-12-10
50. SUNCOR ENERGY INC NEW F   2015-10-28 2020-12-10
25. TOTAL S.A. - ADR   2018-08-16 2020-12-10
5. UNION PACIFIC CORP   2020-11-03 2020-12-10
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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 869   286 583
b 4,744   2,237 2,507
c 5,847   1,992 3,855
d 963   664 299
e 818   958 -140
1,351   807 544
633   183 450
4,683   2,549 2,134
766   286 480
731   633 98
3,071   3,165 -94
444   875 -431
2,221   5,436 -3,215
1,643   1,157 486
25   32 -7
1,545   1,854 -309
1,161   1,133 28
755   633 122
24,568   27,041 -2,473
15,171   15,372 -201
16,898   8,671 8,227
9,440   7,802 1,638
34,871   37,500 -2,629
15,547   18,583 -3,036
43,039   42,310 729
29,425   20,542 8,883
40,238   40,746 -508
974   1,115 -141
650   758 -108
1,465   1,211 254
1,700   328 1,372
2,791   1,860 931
697   742 -45
715   719 -4
1,759   2,127 -368
1,793   1,583 210
1,708   2,239 -531
2,838   837 2,001
794   633 161
1,036   803 233
3,656   2,622 1,034
726   878 -152
799   883 -84
1,797   366 1,431
1,605   1,749 -144
1,016   1,014 2
2,483   328 2,155
668   752 -84
730   846 -116
1,746   246 1,500
742   103 639
1,013   890 123
1,170   164 1,006
3,181   1,029 2,152
884   1,113 -229
1,154   862 292
1,275   803 472
1,674   1,075 599
3,220   3,966 -746
1,101   1,486 -385
1,176   4,753 -3,577
2,459   1,157 1,302
7,543   5,319 2,224
27,926   13,325 14,601
11,480   9,833 1,647
2,719   2,760 -41
2,451   877 1,574
1,379   569 810
929   1,644 -715
1,137   1,497 -360
1,014   926 88
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
      41
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       583
b       2,507
c       3,855
d       299
e       -140
      544
      450
      2,134
      480
      98
      -94
      -431
      -3,215
      486
      -7
      -309
      28
      122
      -2,473
      -201
      8,227
      1,638
      -2,629
      -3,036
      729
      8,883
      -508
      -141
      -108
      254
      1,372
      931
      -45
      -4
      -368
      210
      -531
      2,001
      161
      233
      1,034
      -152
      -84
      1,431
      -144
      2
      2,155
      -84
      -116
      1,500
      639
      123
      1,006
      2,152
      -229
      292
      472
      599
      -746
      -385
      -3,577
      1,302
      2,224
      14,601
      1,647
      -41
      1,574
      810
      -715
      -360
      88
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 49,044
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................................ 1 808
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........................... 3 808
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- ..... 5 808
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 368
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.............. 7 368
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 9 440
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)
    bulletMN
    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     		11,317    
    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
    874,388
    b
    Average of monthly cash balances.......................
    1b
    23,162
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    897,550
    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
    897,550
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    13,463
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    884,087
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    44,204
    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
    44,204
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    808
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    808
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    43,396
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    43,396
    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
    43,396
    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
    46,304
    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
    46,304
    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
    46,304
    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 43,396
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 40,199
    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$ 46,304
    a Applied to 2019, but not more than line 2a 40,199
    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..... 6,105
    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 ..........     		37,291
    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
    MAYO CLINIC
    13400 E SHEA BLVD
    SCOTTSDALE,AZ85259     		NONE PC GENERAL OPERATING 1,000
    NEWBERG EARLY BIRDS ROTARY FOUNDATION
    415 E SHERIDAN STREET
    NEWBERG,OR97132     		NONE PC GENERAL OPERATING 1,500
    PROVIDENCE NEWBERG HEALTH FOUNDATION
    1001 PROVIDENCE DRIVE
    NEWBERG,OR97132     		NONE PC GENERAL OPERATING 4,000
    SHRINERS HOSPITALS FOR CHILDREN
    950 WEST FARIS ROAD
    GREENVILLE,SC29605     		NONE PC GENERAL OPERATING 500
    WIDOWS MIGHT
    PO BOX 1738
    MAPLE GROVE,MN55311     		NONE PC GENERAL OPERATING 500
    YAMHILL COUNTY HISTORICAL SOCIETY
    605 MARKET STREET
    LAFAYETTE,OR97127     		NONE PC GENERAL OPERATING 500
    YOUNG LIFE
    PO BOX 520
    COLORADO SPRINGS,CO80901     		NONE PC GENERAL OPERATING 500
    ELIJAH KELLOGG CONGREGATIONAL CHURCH
    917 HARPSWELL NECK RD
    HARPSWELL,ME04079     		NONE PC GENERAL OPERATING 1,000
    HARPSWELL HERITAGE LAND TRUST
    153 HARPSWELL NECK RD
    HARPSWELL,ME04079     		NONE PC GENERAL OPERATING 500
    SAFE HARBORS OF THE HUDSON INC
    111 BROADWAY
    NEWBURGH,NY125505565     		NONE PC GENERAL OPERATING 500
    CONGREGATIONAL CHRISTIAN CHURCHES
    PO BOX 288
    OAK CREEK,WI53154     		NONE PC GENERAL OPERATING 6,500
    OASIS HEALTH NETWORK INC
    66 BARIBEAU DRIVE BOX 1
    BRUNSWICK,ME04011     		NONE PC GENERAL OPERATING 1,000
    TEDFORD HOUSING
    14 MIDDLE STREET
    BRUNSWICK,ME04011     		NONE PC GENERAL OPERATING 2,000
    CENTER FOR YOUTH ENGAGEMENT INC
    905 MONROE AVE
    ROCHESTER,NY14620     		NONE PC GENERAL OPERATING 1,000
    DOOR COMMUNITY AUDITORIUM
    3926 WI-42
    FISH CREEK,WI54212     		NONE PC GENERAL OPERATING 500
    DOOR COUNTY MARITIME MUSEUM & LIGHTHOUSE
    120 N MADISON AVE
    STURGEON BAY,WI54235     		NONE PC GENERAL OPERATING 1,000
    FRIENDS OF EGG HARBOR LIBRARY INC
    290 MATHISTOWN RD
    LITTLE EGG HARBOR TWP,NJ08087     		NONE PC GENERAL OPERATING 1,000
    MICHAEL J FOX FOUNDATION FOR PARKINSONS
    PO BOX 4777
    NEW YORK,NY10163     		NONE PC GENERAL OPERATING 1,000
    NORTH SHORE CONGREGATIONAL CHURCH
    7330 N SANTA MONICA BLVD
    MILWAUKEE,WI53217     		NONE PC GENERAL OPERATING 1,500
    WATER ORG INC
    117 WEST 20TH STREET SUITE 203
    KANSAS CITY,MO64108     		NONE PC GENERAL OPERATING 500
    COMMUNITY AND SHELTER ASSIST CORP
    20508 SW ROY ROGERS RD
    SHERWOOD,OR97140     		NONE PC GENERAL OPERATING 500
    DELTA GAMMA FOUNDATION
    3250 RIVERSIDE DRIVE
    COLUMBUS,OH43221     		NONE PC GENERAL OPERATING 1,000
    FRIENDSVIEW MANOR
    1301 FULTON ST
    NEWBERG,OR97132     		NONE PC GENERAL OPERATING 1,500
    GEORGE FOX UNIVERSITY
    414 N MERIDIAN ST
    NEWBERG,OR97132     		NONE PC GENERAL OPERATING 6,000
    NEWBERG AREA HABITAT FOR HUMANITY
    PO BOX 118
    NEWBERG,OR97132     		NONE PC GENERAL OPERATING 500
    PATHFINDERS MILWAUKEE INC
    4200 N HOLTON ST STE 400
    MILWAUKEE,WI532121064     		NONE PC GENERAL OPERATING 1,000
    PINK UMBRELLA THEATER COMPANY LLC
    1660 N PROSPECT AVE UNIT 501
    MILWAUKEE,WI532026703     		NONE PC GENERAL OPERATING 1,000
    UNITED PERFORMING ARTS FUND INC
    301 W WISCONSIN AVE 600
    MILWAUKEE,WI53203     		NONE PC GENERAL OPERATING 500
    MILWAUKEE HOMELESS VETERANS INITIATIVE
    PO BOX 14575
    West Allis,WI53214     		NONE PC GENERAL OPERATING 1,000
    MILWAUKEE ART MUSEUM INC
    700 N ART MUSEUM DR
    MILWAUKEE,WI53202     		NONE PC GENERAL OPERATING 500
    OREGON RIGHT TO LIFE EDUCATION
    4335 RIVER RD N
    Keizer,OR97303     		NONE PC GENERAL OPERATING 500
    MASONIC-EASTERN STAR HOME FOR CHILDREN
    ATTENTION RON GIESSELMANN
    Fremont,NE68026     		NONE PC GENERAL OPERATING 1,000
    LUTHERAN COMMUNITY SERVICES NORTHWEST
    4040 S 188TH ST SUITE 300
    SeaTac,WA98188     		NONE PC GENERAL OPERATING 1,000
    Total .................................bullet 3a 42,500
    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 18,379  
    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 49,044  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND     		    1 399  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   67,822  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    67,822
    (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:
    JOHANSEN T H FAMILY FDN
    EIN:
    41-6014249
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 950     950

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    JOHANSEN T H FAMILY FDN
    EIN:
    41-6014249
    Name of Stock End of Year Book Value End of Year Fair Market Value
    09857L108 BOOKING HOLDINGS INC 5,111 6,682
    00287Y109 ABBVIE INC 3,750 3,750
    87612E106 TARGET CORP 902 7,767
    31620M106 FIDELITY NATL INFORM 4,213 4,951
    904767704 UNILEVER PLC - ADR 4,630 5,131
    285512109 ELECTRONIC ARTS INC 3,635 6,462
    17275R102 CISCO SYSTEMS INC 4,364 8,279
    09260D107 BLACKSTONE GROUP INC 4,387 5,509
    883556102 THERMO FISHER SCIENT 1,469 4,658
    460690100 INTERPUBLIC GROUP CO 3,405 4,234
    532457108 ELI LILLY & CO COM 3,125 5,909
    037833100 APPLE INC 1,834 31,182
    89151E109 TOTAL S.A. - ADR 6,734 5,448
    G29183103 EATON CORP PLC 3,325 3,604
    907818108 UNION PACIFIC CORP 1,207 6,871
    Y2573F102 FLEX LTD 3,367 5,124
    56501R106 MANULIFE FINANCIAL C 9,150 10,068
    150870103 CELANESE CORP 3,538 6,497
    25243Q205 DIAGEO PLC - ADR 4,518 7,146
    654106103 NIKE INC CL B 3,131 7,781
    254687106 WALT DISNEY CO 3,179 9,059
    91324P102 UNITEDHEALTH GROUP I 1,886 12,274
    097023105 BOEING CO 5,542 5,352
    512807108 LAM RESEARCH CORP CO 2,631 7,084
    126650100 CVS HEALTH CORPORATI 5,417 5,464
    11135F101 BROADCOM INC 7,284 10,946
    871829107 SYSCO CORP 4,687 7,426
    891160509 TORONTO DOMINION BK 7,307 7,335
    H2906T109 GARMIN LTD 4,920 5,983
    92826C839 VISA INC-CLASS A SHR 4,736 6,562
    192446102 COGNIZANT TECH SOLUT 5,209 7,376
    G5960L103 MEDTRONIC PLC 5,025 5,857
    405217100 HAIN CELESTIAL GROUP 2,547 4,818
    46625H100 JPMORGAN CHASE & CO 5,228 12,072
    02079K107 ALPHABET INC CL C 7,005 19,271
    609207105 MONDELEZ INTERNATION 5,062 7,016
    867224107 SUNCOR ENERGY INC NE 5,689 3,524
    594918104 MICROSOFT CORP 6,327 27,803
    911312106 UNITED PARCEL SERVIC 4,476 7,578
    517834107 LAS VEGAS SANDS CORP 7,384 8,046
    58933Y105 MERCK & CO INC NEW 4,518 5,726
    94106L109 WASTE MANAGEMENT INC 6,380 6,486
    031162100 AMGEN INC 3,759 3,449
    H84989104 TE CONNECTIVITY LTD 4,004 5,448
    75513E101 RAYTHEON TECHNOLOGIE 6,205 5,935
    09247X101 BLACKROCK INC 6,586 10,823
    00206R102 AT & T INC 7,044 6,183
    172967424 CITIGROUP INC. 8,691 11,407

    TY 2020 InvestmentsOtherSchedule2
    Name:
    JOHANSEN T H FAMILY FDN
    EIN:
    41-6014249
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    47803M168 JOHN HANCOCK II-ABSL AT COST 34,887 36,742
    044820504 ASHMORE EMERG MKTS C      
    78463X863 SPDR DJ WILSHIRE INT      
    097023105 BOEING COMPANY      
    405217100 HAIN CELESTIAL GROUP      
    464287804 ISHARES CORE S&P SMA AT COST 8,671 22,975
    464287606 ISHARES S&P MID-CAP AT COST 22,020 62,109
    02079K107 ALPHABET INC/CA      
    92206C409 VANGUARD S/T CORP BO      
    G29183103 EATON CORP PLC      
    911312106 UNITED PARCEL SERVIC      
    09247X101 BLACKROCK INC      
    Y2573F102 FLEXTRONICS INTL LTD      
    037833100 APPLE COMPUTER INC C      
    192446102 COGNIZANT TECH SOLUT      
    25243Q205 DIAGEO PLC - ADR      
    254687106 WALT DISNEY CO      
    512807108 LAM RESEARCH CORP CO      
    654106103 NIKE INC CL B      
    693475105 PNC FINANCIAL SERVIC      
    87612E106 TARGET CORP      
    46625H100 JPMORGAN CHASE & CO      
    517834107 LAS VEGAS SANDS CORP      
    464288885 ISHARES MSCI EAFE GR      
    94987W752 WFA SHRT TRM HI YLD-      
    375558103 GILEAD SCIENCES INC      
    532457108 ELI LILLY & CO COM      
    464287705 ISHARES S&P MID-CAP AT COST 17,170 37,972
    58933Y105 MERCK & CO INC NEW      
    922908553 VANGUARD REIT VIPER      
    848574109 SPIRIT AEROSYTSEMS H      
    126650100 CVS/CAREMARK CORPORA      
    907818108 UNION PACIFIC CORP      
    91324P102 UNITEDHEALTH GROUP I      
    464287465 ISHARES MSCI EAFE ET AT COST 23,306 30,351
    H84989104 TE CONNECTIVITY LTD      
    609207105 MONDELEZ INTERNATION      
    74925K581 ROBECO BP LNG/SHRT R      
    594918104 MICROSOFT CORP      
    89151E109 TOTAL FINA ELF S.A.      
    12572Q105 CME GROUP INC      
    98978V103 ZOETIS INC      
    17275R102 CISCO SYSTEMS INC      
    883556102 THERMO FISHER SCIENT      
    56501R106 MANULIFE FINANCIAL C      
    867224107 SUNCOR ENERGY INC NE      
    150870103 CELANESE CORP      
    285512109 ELECTRONIC ARTS INC      
    437076102 HOME DEPOT INC      
    872540109 TJX COS INC NEW      
    26875P101 EOG RESOURCES, INC      
    464287309 ISHARES S&P 500 GROW AT COST 11,548 24,890
    464287242 ISHARES IBOXX $ INVE AT COST 36,293 41,301
    172967424 CITIGROUP INC      
    00206R102 AT & T INC      
    31620M106 FIDELITY NATL INFORM      
    11135F101 BROADCOM INC      
    755111507 RAYTHEON CO      
    G5960L103 MEDTRONIC PLC      
    891160509 TORONTO DOMINION BK      
    00769G188 ACADIAN EMG MRKTS PO AT COST 34,830 51,585
    31641Q755 FIDELITY NEW MRKTS I AT COST 20,068 21,816
    46090F100 INVESCO OPTIMUM YIEL AT COST 25,161 30,902
    693390841 PIMCO HIGH YIELD FD- AT COST 45,000 45,400
    87234N765 TCW EMRG MKTS INCM-I AT COST 20,088 22,885
    922908629 VANGUARD MIDCAP VIPE AT COST 30,293 38,252
    74256W626 PRINCIPAL HIGH YIELD AT COST 40,140 43,311
    464287226 ISHARES CORE U.S. AG AT COST 99,748 100,462

    TY 2020 OtherDecreasesSchedule
    Name:
    JOHANSEN T H FAMILY FDN
    EIN:
    41-6014249
    Description Amount
    PY RETURN OF CAPITAL ADJ 289
    COST BASIS ADJUSTMENT 296


    TY 2020 OtherExpensesSchedule
    Name:
    JOHANSEN T H FAMILY FDN
    EIN:
    41-6014249
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FILING FEE/STATE TAX 25 0   25
    INVESTMENT EXPENSES - ADR FEES 7 7   0


    TY 2020 OtherIncomeSchedule2
    Name:
    JOHANSEN T H FAMILY FDN
    EIN:
    41-6014249
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 399 0  


    TY 2020 OtherIncreasesSchedule
    Name:
    JOHANSEN T H FAMILY FDN
    EIN:
    41-6014249
    Description Amount
    MUTUAL FUND TIMING ADJ 16


    TY 2020 TaxesSchedule
    Name:
    JOHANSEN T H FAMILY FDN
    EIN:
    41-6014249
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 656 656   0
    FOREIGN TAXES ON NONQUALIFIED 1 1   0