TY 2020 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

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

OMB No. 1545-0052

2020

Open to Public Inspection

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

Name of foundation
GROSE JOHN EDWIN CHARITABLE TRUST

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

45-2859202

B Telephone number (see instructions)

(888) 730-4933

C If exemption application is pending, check here bullet

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

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

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

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

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

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

$4,075,798J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

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


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	78,144		77,292
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		89,485
b	Gross sales price for all assets on line 6a 546,979
7	Capital gain net income (from Part IV, line 2)...			89,485
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........	167,629		166,777
13	Compensation of officers, directors, trustees, etc.	43,821		39,439		4,382
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).......		951	0	0	951
c	Other professional fees (attach schedule)....					0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		5,765	1,294		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).......		17	17
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	50,554		40,750	0	5,333
25	Contributions, gifts, grants paid.......	200,000				200,000
26	Total expenses and disbursements. Add lines 24 and 25	250,554		40,750	0	205,333
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-82,925
b	Net investment income (if negative, enter -0-)			126,027
c	Adjusted net income (if negative, enter -0-)...				0

For Paperwork Reduction Act Notice, see instructions.

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

Form 990-PF (2020)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	203,890	155,273	155,273
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts 0
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......		636,445	1,257,393
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	2,814,613	2,143,338	2,663,132
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	3,018,503	2,935,056	4,075,798
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	3,018,503	2,935,056
	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).....	3,018,503	2,935,056
	30	Total liabilities and net assets/fund balances (see instructions).	3,018,503	2,935,056

Part III

Analysis of Changes in Net Assets or Fund Balances

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

3,018,503

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

-82,925

Other increases not included in line 2 (itemize) bullet

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

2,935,578

Decreases not included in line 2 (itemize) bullet

522

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

2,935,056

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	510. ROCHE HOLDINGS LTD - ADR			2020-02-20
b	465. UBS GROUP AG		2019-09-06	2020-02-20
c	.414 RAYTHEON TECHNOLOGIES CORP		2019-09-06	2020-04-29
d	2053.388 BLACKROCK GL L/S CREDIT-K #1940		2018-04-24	2020-06-08
e	336.7 FIDELITY ADV INTL RL EST-Z #3301		2018-04-24	2020-06-08
	14147.933 JPMORGAN HIGH YIELD-R6 #3938			2020-06-08
	500. VANGUARD REAL ESTATE ETF		2019-12-26	2020-06-08
	829.849 INVESCO INTL GROWTH-R6 #5016		2017-01-04	2020-06-18
	60. BOEING CO		2016-07-14	2020-07-10
	120. CARRIER GLOBAL CORP		2002-10-08	2020-07-10
	100. EOG RESOURCES, INC			2020-07-10
	105. HOME DEPOT INC			2020-07-10
	60. OTIS WORLDWIDE CORP		2002-10-08	2020-07-10
	155. PNC FINANCIAL SERVICES GROUP		2015-06-03	2020-07-10
	210. TJX COMPANIES INC		2013-08-01	2020-07-10
	30. UNITEDHEALTH GROUP INC		2013-08-01	2020-07-10
	95. VERIZON COMMUNICATIONS		1994-07-22	2020-07-10
	80. EATON CORP PLC		2013-02-04	2020-07-10
	2425.876 DODGE & COX INCOME FD COM #147		2015-01-15	2020-08-03
	2533.784 FIDELITY ADV INTL RL EST-Z #3301		2018-04-24	2020-08-03
	160. ISHARES S&P MID-CAP 400 GROWTH			2020-08-03
	330. ISHARES CORE S&P SMALL-CAP E			2020-08-03
	300. ISHARES MSCI EAFE GROWTH ETF		2013-06-11	2020-08-03
	208.752 JPMORGAN MID CAP VALUE-R6 #2335		2019-12-26	2020-08-03
	937.899 JPMORGAN MID CAP VALUE-R6 #2335			2020-08-03
	250. VANGUARD REAL ESTATE ETF		2019-12-26	2020-08-03
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	22,344	17,101	5,243
b	6,152	5,078	1,074
c	28	34	-6
d	20,000	21,478	-1,478
e	4,000	3,939	61
	96,064	88,647	7,417
	43,043	45,610	-2,567
	25,053	24,149	904
	10,668	7,904	2,764
	2,994	562	2,432
	4,490	9,293	-4,803
	26,178	3,856	22,322
	3,390	786	2,604
	15,779	14,922	857
	10,681	5,605	5,076
	8,749	2,194	6,555
	5,179	2,229	2,950
	6,867	3,366	3,501
	36,000	33,744	2,256
	30,000	29,645	355
	38,562	26,225	12,337
	23,707	22,899	808
	26,341	19,233	7,108
	6,918	8,269	-1,351
	31,082	38,000	-6,918
	20,034	22,726	-2,692
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676
			22,676

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			5,243
b			1,074
c			-6
d			-1,478
e			61
			7,417
			-2,567
			904
			2,764
			2,432
			-4,803
			22,322
			2,604
			857
			5,076
			6,555
			2,950
			3,501
			2,256
			355
			12,337
			808
			7,108
			-1,351
			-6,918
			-2,692

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	89,485
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

Part V

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

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

1 Reserved

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

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

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

Form 990-PF (2020)

Page 4

Part VI

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

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Reserved................................	1	1,752
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	1,752
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	1,752
6	Credits/Payments:

a	2020 estimated tax payments and 2019 overpayment credited to 2020	6a	2,768
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	2,768
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	1,016
11	Enter the amount of line 10 to be: Credited to 2021 estimated tax1,016	Refunded	11	0

Part VII-A

Statements Regarding Activities

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

Yes

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

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

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

If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

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

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

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

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

on foundation managers. bullet

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

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

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....

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

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

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

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

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),

and Part XV..................................

Yes

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

If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If "No," attach explanation .

Yes

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

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

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

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

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

Form 990-PF (2020)

Page 5

Part VII-A

Statements Regarding Activities (continued)

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement. See instructions.................

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

Yes

Website address bullet

N/A

The books are in care of bullet

WELLS FARGO BANK NA Telephone no. bullet

(888) 730-4933

Located at bullet

100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4 bullet

27101

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

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

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

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

16 No

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

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

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

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? YesNo

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

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

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

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

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)?...............YesNo

(6) Agree to pay money or property to a government official? (Exception. Check "No"

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.).......YesNo

If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........

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

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

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

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

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

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

If "Yes," list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement—see instructions.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

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

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

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

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

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

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

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

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

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

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

Form 990-PF (2020)

Page 6

Part VII-B

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

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

Yes

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

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

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

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

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

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

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

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

If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......

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

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant?..........YesNo

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

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

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

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

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

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

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

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

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

Part VIII

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

1 List all officers, directors, trustees, foundation managers and their compensation. See instructions

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
WELLS FARGO BANK N A	TRUSTEE 1	43,821
100 N MAIN ST MAC D4001-117 WINSTON SALEM,NC27101	TRUSTEE 1	43,821

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


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









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

Form 990-PF (2020)

Page 7

Part VIII

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

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

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

Part IX-A

Summary of Direct Charitable Activities

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


2


3


4

Part IX-B

Summary of Program-Related Investments (see instructions)

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


2


All other program-related investments. See instructions.
3

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

Form 990-PF (2020)

Page 8

Part X

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

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

purposes:

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

3,491,019

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

160,814

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

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

3,651,833

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

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

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

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

3,651,833

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

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

54,777

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

3,597,056

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

179,853

Part XI

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

and do not complete this part.)

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

179,853

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

1,752

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

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

1,752

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

178,101

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

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

178,101

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

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

178,101

Part XII

Qualifying Distributions (see instructions)

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

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

205,333

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

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

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

Amounts set aside for specific charitable projects that satisfy the:

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

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

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

205,333

Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b. See instructions.................

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

205,333

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

Form 990-PF (2020)

Page 9

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(b) Years prior to 2019	(c) 2019	(d) 2020
1 Distributable amount for 2020 from Part XI, line 7					178,101
2 Undistributed income, if any, as of the end of 2020:
a Enter amount for 2019 only.......				116,040
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: $ 205,333
a Applied to 2019, but not more than line 2a				116,040
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.....					89,293
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 ..........					88,808
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		0
8 Excess distributions carryover from 2015 not applied on line 5 or line 7 (see instructions) ...		0
9Excess distributions carryover to 2021. Subtract lines 7 and 8 from line 6a ......		0
10 Analysis of line 9:
a Excess from 2016....	0
b Excess from 2017....	0
c Excess from 2018....	0
d Excess from 2019....	0
e Excess from 2020....	0

Form 990-PF (2020)

Page 10

Part XIV

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

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

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2020	(b) 2019	(c) 2018	(d) 2017	(e) Total

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

Part XV

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

1Information Regarding Foundation Managers:

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

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

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

aThe name, address, and telephone number or 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)

Page 11

Part XV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
THE UMC OF THE UNITED STATES LETICIA WRIGHT ASST GENERAL COUNCIL NASHVILLE,TN37204	NONE	PC	GENERAL OPERATING	50,000
WEST VIRGINIA UNIVERSITY FND INC ATTN ADAM HELLER MORGANTOWN,WV26507	NONE	PC	GENERAL OPERATING	150,000
Total ................................. 3a				200,000

bApproved for future payment

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

Form 990-PF (2020)

Page 12

Part XVI-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities....			14	78,144
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	89,485
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)..				167,629

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

167,629

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)

Form 990-PF (2020)

Page 13

Part XVII

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

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

Yes

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

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

1a(1)

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

1a(2)

Other transactions:

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

1b(1)

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

1b(2)

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

1b(3)

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

1b(4)

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

1b(5)

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

1b(6)

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

If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

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

If "Yes," complete the following schedule.

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

Sign Here

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

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

Form 990-PF (2020)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2020 AccountingFeesSchedule

Name:

GROSE JOHN EDWIN CHARITABLE TRUST

EIN:

45-2859202

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
TAX PREPARATION FEE (NON-ALLOC	951			951

- TIN:

TY 2020 InvestmentsCorpStockSchedule

Name:

GROSE JOHN EDWIN CHARITABLE TRUST

EIN:

45-2859202

Name of Stock	End of Year Book Value	End of Year Fair Market Value
02079K107 ALPHABET INC CL C	27,653	70,075
871829107 SYSCO CORP	15,322	21,907
30231G102 EXXON MOBIL CORPORAT	4,571	5,359
254687106 WALT DISNEY CO	11,353	38,954
92343V104 VERIZON COMMUNICATIO	6,569	16,450
87612E106 TARGET CORP	16,989	56,490
09260D107 BLACKSTONE GROUP INC	12,313	14,906
G5960L103 MEDTRONIC PLC	16,265	17,571
11135F101 BROADCOM INC	17,512	26,271
56501R106 MANULIFE FINANCIAL C	24,345	30,116
285512109 ELECTRONIC ARTS INC	15,233	22,258
405217100 HAIN CELESTIAL GROUP	11,269	14,655
375558103 GILEAD SCIENCES INC	7,973	11,652
150870103 CELANESE CORP	12,558	29,886
532457108 ELI LILLY & CO COM	5,041	6,754
883556102 THERMO FISHER SCIENT	9,496	37,262
09857L108 BOOKING HOLDINGS INC	8,498	11,136
172967424 CITIGROUP INC.	17,635	22,506
H84989104 TE CONNECTIVITY LTD	4,865	7,264
907818108 UNION PACIFIC CORP	8,776	29,151
517834107 LAS VEGAS SANDS CORP	23,359	25,032
46625H100 JPMORGAN CHASE & CO	13,428	38,121
31620M106 FIDELITY NATL INFORM	13,856	14,146
94106L109 WASTE MANAGEMENT INC	11,398	12,972
17275R102 CISCO SYSTEMS INC	6,604	22,151
609207105 MONDELEZ INTERNATION	7,643	7,893
904767704 UNILEVER PLC - ADR	14,055	14,486
25243Q205 DIAGEO PLC - ADR	14,021	15,087
097023105 BOEING CO	12,389	20,336
91324P102 UNITEDHEALTH GROUP I	11,972	64,876
00206R102 AT & T INC	15,237	12,079
192446102 COGNIZANT TECH SOLUT	22,820	30,731
09247X101 BLACKROCK INC	10,808	25,254
Y2573F102 FLEX LTD	12,154	24,093
12572Q105 CME GROUP INC	3,500	10,923
H2906T109 GARMIN LTD	13,553	16,752
437076102 HOME DEPOT INC	3,016	23,906
58155Q103 MCKESSON CORP	15,099	14,783
037833100 APPLE INC	15,115	124,729
512807108 LAM RESEARCH CORP CO	9,838	30,698
92826C839 VISA INC-CLASS A SHR	17,273	19,686
848574109 SPIRIT AEROSYTSEMS H	5,379	2,541
867224107 SUNCOR ENERGY INC NE	19,672	12,082
89151E109 TOTAL S.A. - ADR	14,235	11,106
126650100 CVS HEALTH CORPORATI	29,679	27,320
75513E101 RAYTHEON TECHNOLOGIE	12,191	17,734
654106103 NIKE INC CL B	10,223	16,976
891160509 TORONTO DOMINION BK	12,325	12,412
594918104 MICROSOFT CORP	11,367	97,865

- TIN:

TY 2020 InvestmentsOtherSchedule2

Name:

GROSE JOHN EDWIN CHARITABLE TRUST

EIN:

45-2859202

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
464287804 ISHARES CORE S&P SMA	AT COST	95,252	183,800
46625H100 JPMORGAN CHASE & CO
12572Q105 CME GROUP INC
172967424 CITIGROUP INC
464288885 ISHARES MSCI EAFE GR	AT COST	19,233	30,273
037833100 APPLE COMPUTER INC C
594918104 MICROSOFT CORP
883556102 THERMO FISHER SCIENT
405217100 HAIN CELESTIAL GROUP
003021714 ABERDEEN EMERG MARKE	AT COST	27,367	42,096
99X031431 BRAXTON COUNTY WV 46	AT COST	360	1
464287234 ISHARES MSCI EMERGIN	AT COST	63,508	74,922
517834107 LAS VEGAS SANDS CORP
921937819 VANGUARD INTERMEDIAT	AT COST	84,484	92,850
464287606 ISHARES S&P MID-CAP	AT COST	72,505	202,216
00770G847 JOHCM INTERNATIONAL	AT COST	32,000	41,828
097023105 BOEING COMPANY
17275R102 CISCO SYSTEMS INC
957663701 WESTERN ASSET INTERM
25243Q205 DIAGEO PLC - ADR
512807108 LAM RESEARCH CORP CO
872540109 TJX COS INC NEW
921910501 VANGUARD INTL GRTH F	AT COST	93,164	139,091
044820504 ASHMORE EMERG MKTS C	AT COST	66,498	63,105
126650100 CVS/CAREMARK CORPORA
254687106 WALT DISNEY CO
89151E109 TOTAL FINA ELF S.A.
901165100 TWEEDY BROWNE FD GLO	AT COST	84,000	86,542
26875P101 EOG RESOURCES, INC
56501R106 MANULIFE FINANCIAL C
09260C703 BLACKROCK GL L/S CRE	AT COST	56,920	56,572
339128100 JP MORGAN MID CAP VA
02079K107 ALPHABET INC/CA
4812C0803 JPMORGAN HIGH YIELD
G29183103 EATON CORP PLC
Y2573F102 FLEXTRONICS INTL LTD
192446102 COGNIZANT TECH SOLUT
693475105 PNC FINANCIAL SERVIC
907818108 UNION PACIFIC CORP
913017109 UNITED TECHNOLOGIES
91324P102 UNITEDHEALTH GROUP I
867224107 SUNCOR ENERGY INC NE
256210105 DODGE & COX INCOME F	AT COST	263,307	280,323
375558103 GILEAD SCIENCES INC
437076102 HOME DEPOT INC
771195104 ROCHE HOLDINGS LTD -
09247X101 BLACKROCK INC
464287242 ISHARES IBOXX $ INVE	AT COST	129,183	157,468
150870103 CELANESE CORP
58155Q103 MCKESSON CORP
30231G102 EXXON MOBIL CORPORAT
87612E106 TARGET CORP
92343V104 VERIZON COMMUNICATIO
316390152 FIDELITY ADV INTL RL	AT COST	48,099	57,351
H84989104 TE CONNECTIVITY LTD
532457108 ELI LILLY & CO COM
00143W859 INV OPP DEVELOP MRKT	AT COST	136,620	212,614
609207105 MONDELEZ INTERNATION
848574109 SPIRIT AEROSYTSEMS H
00889A400 INVESCO INTL GROWTH-
654106103 NIKE INC CL B
11135F101 BROADCOM INC
922031760 VANGUARD HIGH YIELD	AT COST	75,000	77,332
891160509 TORONTO DOMINION BK
31620M106 FIDELITY NATL INFORM
87234N765 TCW EMRG MKTS INCM-I	AT COST	128,000	128,757
77957P402 T ROWE PR SHRT-TRM B	AT COST	60,630	61,238
922908553 VANGUARD REAL ESTATE	AT COST	22,873	21,233
47803P476 JH SEAPORT LONG/SHOR	AT COST	165,000	181,038
285512109 ELECTRONIC ARTS INC
H42097107 UBS GROUP AG
00206R102 AT & T INC
G5960L103 MEDTRONIC PLC
755111507 RAYTHEON CO
957663610 WESTERN ASSET INTMD	AT COST	144,000	153,140
89155H389 TOUCHSTONE MID CAP V	AT COST	48,000	56,930
74440Y884 PGIM HIGH YIELD-Q 10	AT COST	75,000	78,267
464287481 ISHARES RUSSELL MID-	AT COST	34,604	41,060
19247U106 COHEN & STEERS INSTL	AT COST	55,000	55,338
46647B404 JPMORGAN MID CAP VAL	AT COST	62,731	87,747

- TIN:

TY 2020 OtherDecreasesSchedule

Name:

GROSE JOHN EDWIN CHARITABLE TRUST

EIN:

45-2859202

Description	Amount
PY RETURN OF CAPITAL ADJ	227
MUTUAL FUND TIMING ADJ	65
COST BASIS ADJUSTMENT	230

- TIN:

TY 2020 OtherExpensesSchedule

Name:

GROSE JOHN EDWIN CHARITABLE TRUST

EIN:

45-2859202

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT EXPENSES - ADR FEES	17	17		0

- TIN:

TY 2020 TaxesSchedule

Name:

GROSE JOHN EDWIN CHARITABLE TRUST

EIN:

45-2859202

Category	Amount	Net Investment Income
FOREIGN TAXES	1,175	1,175
FEDERAL TAX PAYMENT - PRIOR YE	1,704	0
FEDERAL ESTIMATES - PRINCIPAL	2,767	0
FOREIGN TAXES ON NONQUALIFIED	119	119