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
TUSCARORA WAYNE MUTUAL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)41908 ROUTE 6 PO BOX 7
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WYALUSING, PA18853
A Employer identification number

22-2521649
B Telephone number (see instructions)

(570) 746-9540
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$1,384,731J 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) 262,148
2 Check bullet.............
3 Interest on savings and temporary cash investments 4 4  
4 Dividends and interest from securities... 44,398 44,398  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment -13,206
b Gross sales price for all assets on line 6a 144,112
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
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 205    
12 Total. Add lines 1 through 11........ 293,549 44,402  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 9,217 9,217    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 616      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 9,833 9,217   0
25 Contributions, gifts, grants paid....... 72,570 72,570
26 Total expenses and disbursements. Add lines 24 and 25 82,403 9,217   72,570
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 211,146
b Net investment income (if negative, enter -0-) 35,185
c Adjusted net income (if negative, enter -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............. 6,911 5,435 5,435
2 Savings and temporary cash investments......... 7,852 7,071 7,071
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
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).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans............. 1,148,981 1,372,225 1,372,225
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,163,744 1,384,731 1,384,731
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........... 1,163,744 1,384,731
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,163,744 1,384,731
30 Total liabilities and net assets/fund balances (see instructions). 1,163,744 1,384,731
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,163,744
2
Enter amount from Part I, line 27a .....................
2
211,146
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
9,841
4
Add lines 1, 2, and 3 ..........................
4
1,384,731
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,384,731
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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  
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................................ 1 489
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  
3 Add lines 1 and 2........................... 3 489
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 489
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 520
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 520
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 31
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet31 RefundedBullet 11  
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)
    bulletPA
    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. Click to see attachment...............................
    10
    Yes
     
    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 ofbulletSTEPHANIE M KEISER Telephone no.bullet (717) 746-1515

    Located atbullet41908 ROUTE 6WYALUSINGPA ZIP+4bullet18853
    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
     
     
    ........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
    SHELBY J NAPOLI PRESIDENT
    0.25     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    STEPHANIE M KEISER SECRETARY/TR
    0.25     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    JAY W CHADWICK CHAIRMAN
    0.25     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    ANTHONY J VENTELLO VICE CHAIRMA
    0.25     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    SCOTT T BURGESS DIRECTOR
    0.10     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    ROBERT J GRIFFIN DIRECTOR
    0.10     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    R JOSEPH LANDY DIRECTOR
    0.10     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    STEPHEN W MOORE DIRECTOR
    0.10     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    ANDREW S RIPIC III DIRECTOR
    0.10     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    RANDY W WILLIAMS DIRECTOR
    0.10     		0 0 0
    41908 ROUTE 6
    WYALUSING,PA18853
    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  
    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.............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 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,346,664
    b
    Average of monthly cash balances.......................
    1b
    33,261
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,379,925
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,379,925
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    20,699
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,359,226
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    67,961
    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
    67,961
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    489
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    489
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    67,472
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    67,472
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    67,472
    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
    72,570
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    72,570
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    72,570
    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 67,472
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016...... 512
    c From 2017......  
    d From 2018...... 4,708
    e From 2019...... 1,772
    fTotal of lines 3a through e........ 6,992
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 72,570
    a Applied to 2019, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2020 distributable amount..... 67,472
    e Remaining amount distributed out of corpus 5,098
    5 Excess distributions carryover applied to 2020.    
    (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 12,090
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    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......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		12,090
    10 Analysis of line 9:
    a Excess from 2016.... 512
    b Excess from 2017....  
    c Excess from 2018.... 4,708
    d Excess from 2019.... 1,772
    e Excess from 2020.... 5,098
    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).)
    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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    STEPHANIE M KEISER
    41908 ROUTE 6
    WYALUSING,PA18853
    (570) 746-9540
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN REQUEST SPECIFYING USE OF FUNDS AND AFFIRMATION THAT THE APPLICANT IS A TAX-EXEMPT ENTITY.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    BRADFORD-TIOGA HEAD START INC
    5 RIVERSIDE PLAZA
    BLOSSBURG,PA16912     		    GENERAL-PURPOSE FUND 500
    WYALUSING AREA EDUCATION FOUNDATION
    PO BOX 204
    WYALUSING,PA18853     		    GENERAL-PURPOSE FUND 1,000
    LEBANON RESCUE MISSION
    PO BOX 5
    LEBANON,PA17042     		    GENERAL-PURPOSE FUND 500
    NORTH ORWELL UNION CHURCH
    53 ROUGHT HOLLOW LANE
    ROME,PA18837     		    GENERAL-PURPOSE FUND 500
    RAMS BASEBALL BOOSTER CLUB
    11364 WYAL NEW ALBANY RD
    WYALUSING,PA18853     		    GENERAL-PURPOSE FUND 300
    PREMIER FIGHT CLUB
    2284 BROADHEAD ROAD
    ALIQUIPPA,PA15001     		    GENERAL-PURPOSE FUND 1,000
    ERIE CATHOLIC SCHOOL
    429 EAST GRANDVIEW BLVD
    ERIE,PA16504     		    GENERAL-PURPOSE FUND 1,000
    DUSHORE FIRE COMPANY AMBULANCE ASSO
    PO BOX 1
    DUSHORE,PA18614     		    GENERAL-PURPOSE FUND 200
    RONALD MCDONALD HOUSE OF DANVILLE
    PO BOX 300
    DANVILLE,PA17821     		    GENERAL-PURPOSE FUND 100
    WYALUSING PUBLIC LIBRARY
    PO BOX 98
    WYALUSING,PA18853     		    GENERAL-PURPOSE FUND 1,000
    NORTHEAST BRADFOR AREA LITTLE LEAGU
    288 MAIN STREET
    LERAYSVILLE,PA18829     		    GENERAL-PURPOSE FUND 1,000
    HUMANE SOCIETY OF LEBANON COUNTY
    150 N RAMONA ROAD
    MYERSTOWN,PA17067     		    GENERAL-PURPOSE FUND 1,000
    ELK COUNTY HUMANE SOCIETY
    1029 EESCHBACH ROAD
    SAINT MARYS,PA158573147     		    GENERAL-PURPOSE FUND 1,000
    ST BALDRICK'S FOUNDATION
    1333 S MAYFLOWER AVENUE
    SUITE 400
    MONROVIA,CA91016     		    GENERAL-PURPOSE FUND 1,000
    PHOENIXVILLE WOMEN'S OUTREACH
    PO BOX 244
    PHOENIXVILLE,PA19460     		    GENERAL-PURPOSE FUND 1,000
    SOUTH LEBANON PTP
    1825 S FIFTH AVENUE
    LEBANON,PA17042     		    GENERAL-PURPOSE FUND 100
    FIVE RIVERS COUNCIL BSA
    PO BOX 91
    TOWANDA,PA18848     		    GENERAL-PURPOSE FUND 1,000
    WVHS SOFTBALL BOOSTER CLUB
    164 ROSS ROAD
    SUGAR RUN,PA18846     		    GENERAL-PURPOSE FUND 75
    LEBANON COUNTY CHRISTIAN MINISTRIES
    250 S 7TH STREET
    LEBANON,PA17042     		    GENERAL-PURPOSE FUND 1,000
    HELPING HANDS FOOD PANTRY
    137 MAIN ST
    PO BOX 233
    WYALUSING,PA18853     		    GENERAL-PURPOSE FUND 2,000
    ROLLER EDUCATIONAL FOUNDATION
    250 REYNDERS STREET
    STEELTON,PA17113     		    GENERAL-PURPOSE FUND 1,000
    CARING CUPBOARD INC
    131 N RAILROAD STREET
    PALMYRA,PA17078     		    GENERAL-PURPOSE FUND 1,000
    GIRLSCOUTS IN THE HEART OF PA
    350 HALE AVENUE
    HARRISBURG,PA17104     		    GENERAL-PURPOSE FUND 500
    LEHIGH VALLEY HEALTH NETWORK-MEM
    PO BOX 1883
    ALLENTOWN,PA18105     		    GENERAL-PURPOSE FUND 100
    THE HUMANE SOCIETY OF SOMERSET
    204 WHITETAIL ROAD
    PO BOX 182
    SOMERSET,PA15501     		    GENERAL-PURPOSE FUND 1,000
    SEVEN LOAVES SOUP KITCHEN
    51 WARREN STREET
    TUNHANNOCK,PA18657     		    GENERAL-PURPOSE FUND 1,500
    TOWANDA AREA CHRISTIAN OUTREACH
    EMERGENCY FOOD PANTRY
    PO BOX 463
    WYSOX,PA18854     		    GENERAL-PURPOSE FUND 500
    HERSHEY FOOD BANK
    PO BOX 205
    HERSHEY,PA17033     		    GENERAL-PURPOSE FUND 500
    ST COLUMBA CHURCH FOOD CUPBOARD
    342 IRON STREET
    BLOOMSBURG,PA17815     		    GENERAL-PURPOSE FUND 500
    DAILY BREAD COMMUNITY FOOD PANTRY
    PO BOX 131
    SCHWENKSVILLE,PA19473     		    GENERAL-PURPOSE FUND 500
    HELPING HARVEST
    117 MORGAN DRIVE
    READING,PA19608     		    GENERAL-PURPOSE FUND 500
    ALTOONA FOOD BANK
    2100 6TH AVENUE
    ALTOONA,PA16602     		    GENERAL-PURPOSE FUND 500
    GOODWILL HOSE COMPANY AMBULANCE
    ASSOCIATION
    126 HIGH STREET
    FLEMINGTON,PA17745     		    GENERAL-PURPOSE FUND 1,000
    WYALUSING VALLEY MUSEUM ASSOCIATION
    PO BOX 301
    WYALUSING,PA18853     		    GENERAL-PURPOSE FUND 1,000
    CHILD HUNGER OUTREADH PROGRAM
    2 ELIZABETH STREET
    TOWANDA,PA18848     		    GENERAL-PURPOSE FUND 1,000
    SALVATION ARMY OF SAYRE PA
    PO BOX 122
    SAYRE,PA18840     		    GENERAL-PURPOSE FUND 1,000
    LEUKEMIA & LYMPHOMA SOCIETY
    101 ERFORD ROAD STE 201
    CAMP HILL,PA17011     		    GENERAL-PURPOSE FUND 250
    NEW LIFE WORSHIP CENTER
    OHCH FOOD PANTRY
    14451 COUNTY ROAD C
    BRYAN,OH43506     		    GENERAL-PURPOSE FUND 1,000
    WYALUSING VALLEY VOLUNTEER FIRE CO
    PO BOX 86
    WYALUSING,PA18853     		    GENERAL-PURPOSE FUND 5,000
    GREATER WASHINGTON COUNTY FOOD
    BANK
    909 NATIONAL PIKE W
    BROWNSVILLE,PA15417     		    GENERAL-PURPOSE FUND 1,000
    ALERT HOOK & LADDER CO NO 2
    222 WILLOW AVE
    HONESDALE,PA18431     		    GENERAL-PURPOSE FUND 200
    EPHIPHANY SCHOOL
    627 STEVENSON STREET
    SAYRE,PA18840     		    GENERAL-PURPOSE FUND 1,000
    CHESMONT CHURCH OF CHRIST - FOR
    GOD'S KITCHEN
    699 N PLEASANT VIEW ROAD
    POTTSTOWN,PA19464     		    GENERAL-PURPOSE FUND 1,000
    LICKING COUNTY FAMILY YMCA
    470 WEST CHURCH STREET
    NEWARK,OH43055     		    GENERAL-PURPOSE FUND 1,000
    BRADFORD-SULLIVAN COUNTIES
    OUTSTANDING YOUNG WOMEN
    36 WHITE DEER LANE
    ROME,PA18837     		    GENERAL-PURPOSE FUND 250
    MIFFLINBURG CHURCH OF THE NAZARENE
    12 MARKET STREET
    MIFFLINBURG,PA17844     		    GENERAL-PURPOSE FUND 1,000
    BLESSED SACRAMENT CHURCH
    394 E MAIN STREET
    NEWARK,OH43055     		    GENERAL-PURPOSE FUND 100
    THE OPPORTUNITY HOUSE
    430 N 2ND STREET
    READING,PA19601     		    GENERAL-PURPOSE FUND 1,000
    PENNSYLVANIA WOUNDED WARRIORS INC
    1117 COUNTRY CLUB ROAD
    CAMP HILL,PA17011     		    GENERAL-PURPOSE FUND 100
    CHARTER OAK CHURCH
    449 FRYE FARM ROAD
    GREENSBURG,PA15601     		    GENERAL-PURPOSE FUND 100
    CHURCH KITCHEN FOOD PANTRY
    13255 BERWICK TURNPIKE
    GILLETT,PA16925     		    GENERAL-PURPOSE FUND 500
    CHURCH OF THE REDEEMER
    201 S WILBUR AVENUE
    SAYRE,PA18840     		    GENERAL-PURPOSE FUND 500
    THE BRIDGE OF PENN-YORK VALLEY
    CHURCHES
    PO BOX 202
    SAYRE,PA18840     		    GENERAL-PURPOSE FUND 500
    SOUTH CENTRAL COMMUNIT ACTION PROG
    533 S MAIN STREET
    CHAMBERSBURG,PA17201     		    GENERAL-PURPOSE FUND 1,000
    TREHAB
    PO BOX 366
    MONTROSE,PA18801     		    GENERAL-PURPOSE FUND 500
    FOREST CITY REGIONAL EDUCATION
    FOUNDATION FEED A FRIEND
    101 SUSQUEHANNA STREET
    FOREST CITY,PA18421     		    GENERAL-PURPOSE FUND 1,000
    WATER STREET MISSION
    210 S PRINCE STREET
    LANCASTER,PA17603     		    GENERAL-PURPOSE FUND 500
    COCOA PACKS INC
    PO BOX 613
    HERSHEY,PA17033     		    GENERAL-PURPOSE FUND 500
    DUBOIS AREA FOOD BANK
    PO BOX 157
    DUBOIS,PA15801     		    GENERAL-PURPOSE FUND 500
    CHRISTIAN FOOD BANK INC
    PO BOX 1033
    ST MARYS,PA15857     		    GENERAL-PURPOSE FUND 500
    KANE AREA FOOD PANTRY
    342 CHASE STREET
    KANE,PA16735     		    GENERAL-PURPOSE FUND 500
    NORTH EAST COMMUNITY FOOD PANTRY
    PO BOX 682
    NORTH EAST,PA16428     		    GENERAL-PURPOSE FUND 500
    UNITED CHURCHES OF ELIZABETHTOWN
    AREA FOOD BANK
    PO BOX 451
    ELIZABETHTOWN,PA17022     		    GENERAL-PURPOSE FUND 500
    TREMONT AREA FOOD PANTRY
    139 CLAY STREET
    TREMONT,PA17981     		    GENERAL-PURPOSE FUND 500
    OHGO
    3616 PLUMBROOK CIRCLE
    SANDUSKY,OH44870     		    GENERAL-PURPOSE FUND 1,000
    MIFFLIN-JUNIATA FOOD SERVICES
    249 WEST THIRD STREET
    LEWISTOWN,PA17044     		    GENERAL-PURPOSE FUND 500
    TIOGA COMMUNITY FOOD BANK
    15 SUMMIT STREET
    TIOGA,PA16946     		    GENERAL-PURPOSE FUND 500
    HONEY BROOK FOOD PANTRY INC
    5064 HORSESHOE PIKE ROOM
    HONEY BROOK,PA19344     		    GENERAL-PURPOSE FUND 500
    HEMPFIELD AREA FOOD PANTRY INC
    85 EAST BRANDT BLVD
    LANDISVILLE,PA17538     		    GENERAL-PURPOSE FUND 500
    EAST DONEGAL CONOY CHRISTIAN FOOD
    BANK
    PO BOX 296
    MAYTOWN,PA17550     		    GENERAL-PURPOSE FUND 500
    CENTRAL FOOD PANTRY OF ELIZABETH
    TOWNSHIP
    310 PINE STREET
    MCKEESPORT,PA15132     		    GENERAL-PURPOSE FUND 500
    RUTHS HARVEST GETTYSBURG
    PO BOX 4771
    GETTYSBURG,PA17325     		    GENERAL-PURPOSE FUND 500
    HEAVENS HELPING HANDS
    1184 PENNELL ROAD
    SAYLORSBURG,PA18353     		    GENERAL-PURPOSE FUND 500
    COVENTRY FOOD PANTRY
    845 SOUTH HANOVER STREET
    POTTSTOWN,PA19464     		    GENERAL-PURPOSE FUND 500
    NARBERTH COMMUNITY FOOD BANK
    201 SABINE AVENUE 2ND FL
    NARBERTH,PA19072     		    GENERAL-PURPOSE FUND 500
    JOHN BUCK MEMORIAL COMMUNITY FOOD
    BANK
    11 EVANS LANE
    ORANGEVILLE,PA17859     		    GENERAL-PURPOSE FUND 500
    ATHENS UNITED METHODIST CHURCH -
    FEED MY SHEEP PANTRY
    118 S MAIN STREET
    ATHENS,PA18810     		    GENERAL-PURPOSE FUND 500
    SHEPARD OF THE HILLS LUTHERAN CHURC
    DUSHORE FOOD PANTRY
    PO BOX 55
    DUSHORE,PA18614     		    GENERAL-PURPOSE FUND 500
    AREA ON AGING FOR COUNTIES BRAD
    SULL SUSQ TIOGA
    220 MAIN STREET
    TOWANDA,PA18848     		    GENERAL-PURPOSE FUND 500
    ENDLESS MOUNTAIN MISSION CENTER
    PO BOX 201
    TROY,PA16947     		    GENERAL-PURPOSE FUND 500
    CATHOLIC CHARITIES DIOCESE
    4800 UNION DEPOSIT ROAD
    HARRISBURG,PA17111     		    GENERAL-PURPOSE FUND 500
    MATERNAL & FAMILY HEALTH SERVICES
    15 PUBLIC SQUARE STE 600
    WILKESBARRE,PA18701     		    GENERAL-PURPOSE FUND 500
    INTERFAITH FRIENDS OF WYOMING COUNT
    PO BOX 535
    TUNKHANNOCK,PA18657     		    GENERAL-PURPOSE FUND 500
    SILVER SPRINGS MARTIN LUTHER SCHOOL
    512 W TOWNSHIP LINE ROAD
    PLYMOUTH MEETING,PA19462     		    GENERAL-PURPOSE FUND 1,000
    BOY SCOUTS OF AMERICA
    3300 CHANGERS ROAD
    SUITE5190
    HORSEHEADS,NY14845     		    GENERAL-PURPOSE FUND 185
    ST PAUL'S CHURCH
    131 HEADLEY AVENUE
    DUSHORE,PA18614     		    GENERAL-PURPOSE FUND 100
    SALVATION ARMY OF HARRISBURG
    506 S 29TH STREET
    HARRISBURG,PA17104     		    GENERAL-PURPOSE FUND 1,000
    UNITED WAY OF BRADFORD COUNTY
    24 MAIN STREET SUITE 1
    TOWANDA,PA18848     		    GENERAL-PURPOSE FUND 6,910
    NEW RISING SUN
    PO BOX 58005
    PITTSBURGH,PA15209     		    GENERAL-PURPOSE FUND 1,000
    THE CHILREN'S HOUSE
    PO BOX 335
    TOWANDA,PA18848     		    GENERAL-PURPOSE FUND 2,000
    CHEVY CHASE COMMUNITY CENTER
    640 N 5TH AVENUE
    INDIANA,PA15701     		    GENERAL-PURPOSE FUND 333
    HAND UP FOUNDATION
    262 WILLOW STREET
    MITLON,PA17847     		    GENERAL-PURPOSE FUND 333
    PITTSBURGH COMMUNITY FOOD BANK
    ONE LINDEN STREET
    DUQUESNE,PA15110     		    GENERAL-PURPOSE FUND 334
    POLARIS PROJECT
    PO BOX 392710
    PITTSBURGH,PA15251     		    GENERAL-PURPOSE FUND 1,000
    Total .................................bullet 3a 72,570
    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 ...........     		    14 4  
    4 Dividends and interest from securities....     14 44,398  
    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 ............     		        -13,206
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aRAFFLE     		        205
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   44,402 -13,001
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    31,401
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2020
    Name of the organization
    TUSCARORA WAYNE MUTUAL FOUNDATION
     
    Employer identification number

    22-2521649
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
    Name of organization
    TUSCARORA WAYNE MUTUAL FOUNDATION
          		Employer identification number
    22-2521649
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    TUSCARORA WAYNE MUTUAL GROUP
    41908 ROUTE 6
     
    WYALUSING, PA18853

    		$ 250,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 3
    Name of organization
    TUSCARORA WAYNE MUTUAL FOUNDATION
          		Employer identification number

    22-2521649
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 4
    Name of organization
    TUSCARORA WAYNE MUTUAL FOUNDATION
          		Employer identification number

    22-2521649
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Additional Data


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    TY 2020 GainLossSaleOtherAssetsSch
    Name:
    TUSCARORA WAYNE MUTUAL FOUNDATION
    EIN:
    22-2521649
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    INVESTMENTS   PURCHASE     144,112 157,318     -13,206  

    TY 2020 OtherIncomeSchedule2
    Name:
    TUSCARORA WAYNE MUTUAL FOUNDATION
    EIN:
    22-2521649
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RAFFLE 205    


    TY 2020 OtherIncreasesSchedule
    Name:
    TUSCARORA WAYNE MUTUAL FOUNDATION
    EIN:
    22-2521649
    Description Amount
    UNREALIZED GAIN ON ASSETS 9,841


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    TUSCARORA WAYNE MUTUAL FOUNDATION
    EIN:
    22-2521649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISOR FEES 9,217 9,217    


    TY 2020 SubstantialContributorsSch
    Name:
    TUSCARORA WAYNE MUTUAL FOUNDATION
    EIN:
    22-2521649
    Name Address
    TUSCARORA WAYNE MUTUAL GROUP
          		41908 ROUTE6
    WYALUSING,PA18853


    TY 2020 TaxesSchedule
    Name:
    TUSCARORA WAYNE MUTUAL FOUNDATION
    EIN:
    22-2521649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT TAXES/LICENSES 616