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
PRIME HEALTH FOUNDATION 100264
 
Number and street (or P.O. box number if mail is not delivered to street address)UMB BANK NA P O BOX 415044 M/S
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
KANSAS CITY, MO641416692
A Employer identification number

43-1057862
B Telephone number (see instructions)

(816) 860-1933
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$4,719,407J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 67,221 67,210  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 91,466
b Gross sales price for all assets on line 6a 1,788,852
7 Capital gain net income (from Part IV, line 2)... 91,466
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........ 158,687 158,676  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 97,543 48,772   48,772
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 7,402 1,851 0 5,552
b Accounting fees (attach schedule)....... Click to see attachment 800 0 0 800
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 351 351   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 3,493 3,493    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 109,589 54,467 0 55,124
25 Contributions, gifts, grants paid....... 195,897 195,897
26 Total expenses and disbursements. Add lines 24 and 25 305,486 54,467 0 251,021
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -146,799
b Net investment income (if negative, enter -0-) 104,209
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 108,394 198,851 198,851
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 3,745,425 3,530,664 4,520,556
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) 3,853,819 3,729,515 4,719,407
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 3,853,819 3,729,515
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)..... 3,853,819 3,729,515
30 Total liabilities and net assets/fund balances (see instructions). 3,853,819 3,729,515
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
3,853,819
2
Enter amount from Part I, line 27a .....................
2
-146,799
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
22,495
4
Add lines 1, 2, and 3 ..........................
4
3,729,515
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,729,515
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 82.972 OAKMARK INTERNATIONAL FUND INSTITUTIONAL   2013-09-27 2020-01-07
b 947.743 IVY INTERNATIONAL CORE EQUITY I   2016-04-07 2020-01-07
c 4172.967 TIAA-CREF GROWTH & INCOME FD - INSTL   2018-01-04 2020-01-07
d 3795.865 TOUCHSTONE VALUE FUND CLASS - I   2017-02-07 2020-01-07
e 469.751 DEVELOPED MARKETS INDEX FUND ADMIRAL CL   2015-07-21 2020-01-07
80. APPLE COMPUTER INC   2018-12-13 2020-01-09
100. CONSTELLATION BRANDS INC CLASS A   2017-08-10 2020-01-09
25000. FORD MOTOR CREDIT CO LLC DTD 1/9/2017 2.681% 1/9/2020   2017-08-18 2020-01-09
160. SOUTHWEST AIRLINES CO   2018-06-14 2020-01-09
9538.572 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-01-15
8000.9048 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/2   2013-05-16 2020-01-15
22.645 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/202   2012-09-17 2020-01-15
25000. GOVERNMENT NATIONAL MORGAGE ASSN DTD 5/1/2012 1.7230% 4/15/2044   2012-05-29 2020-01-16
7348.5943 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/   2012-07-24 2020-01-16
25000. AUTONATION INC DTD 2/1/2012 5.500% 2/1/2020   2014-07-21 2020-02-03
1224.865 CARILLON EAGLE SMALL CAP GROWTH FUND I   2014-12-23 2020-02-06
27602.835 TOUCHSTONE VALUE FUND CLASS - I   2017-02-07 2020-02-06
195.576 VANGUARD INSTITUTIONAL INDEX   2018-01-04 2020-02-06
9415.4508 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-02-18
7832.7043 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/2   2013-05-16 2020-02-18
18.554 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/202   2012-09-17 2020-02-18
7324.4738 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/   2012-07-24 2020-02-18
35000. BANK AMERICA FUNDING CORP DTD 4/19/2016 2.625% SER GMTN 4/19/20   2016-08-23 2020-02-20
45000. GOLDMAN SACHS GROUP INC DTD 1/22/2013 3.625% 1/22/2023   2015-02-24 2020-02-20
575. BANK OF AMERICA CORP   2018-03-15 2020-03-12
200. COMCAST CORP NEW   2019-09-13 2020-03-12
180. EOG RESOURCES INC   2015-08-13 2020-03-12
70. EOG RESOURCES INC   2020-01-09 2020-03-12
120. RAYTHEON CO   2020-01-09 2020-03-12
9118.068 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-03-16
7656.647 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/20   2013-05-16 2020-03-16
14.832 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/202   2012-09-17 2020-03-16
7007.5605 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/   2012-07-24 2020-03-16
270. SOUTHWEST AIRLINES CO   2018-06-14 2020-03-25
102. UNITED RENTALS INC   2019-04-11 2020-03-25
706.733 BLACKROCK EQUITY DIVIDEND FUND K   2020-02-06 2020-03-26
466. ISHARES INTERMEDIATE-TERM CORP BOND ETF   2019-07-26 2020-03-26
1094.652 TIAA-CREF GROWTH & INCOME FD - INSTL   2018-01-04 2020-03-26
79.991 VANGUARD INSTITUTIONAL INDEX   2018-01-04 2020-03-26
8956.6208 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-04-15
7467.2475 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/2   2013-05-16 2020-04-15
11.8785 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/20   2012-09-17 2020-04-15
5709.7 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/205   2012-07-24 2020-04-16
3708.106 WILLIAM BLAIR SMALL CAP VALUE FUND CL I   2014-12-23 2020-04-29
1263.988 WILLIAM BLAIR SMALL CAP VALUE FUND CL I   2020-02-06 2020-04-29
897.344 DRIEHAUS SMALL CAP GROWTH FUND INSTL.   2020-02-06 2020-04-29
130. ABBOTT LABORATORIES   2018-09-13 2020-05-14
455. COMCAST CORP NEW   2019-11-13 2020-05-14
140. HONEYWELL INTERNATIONAL INC   2016-03-10 2020-05-14
8795.5868 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-05-15
7249.4848 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/2   2013-05-16 2020-05-15
9.2645 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/202   2012-09-17 2020-05-15
4938.4128 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/   2012-07-24 2020-05-18
4950.263 TIAA-CREF GROWTH & INCOME FD - INSTL   2018-01-04 2020-05-18
40. BROADCOM INC   2020-01-09 2020-06-11
430. CISCO SYSTEMS INC   2020-01-09 2020-06-11
345. KELLOGG CO   2019-10-10 2020-06-11
8663.6456 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-06-15
7033.1158 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/2   2013-05-16 2020-06-15
6.751 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/2024   2012-09-17 2020-06-15
4917.5605 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/   2012-07-24 2020-06-16
25000. GLENDALE ARIZONA MUN PPTY CORP DTD 12/27/2012 3.125% SER D 7/1/   2012-12-14 2020-07-01
32. DOCUSIGN INC.   2020-06-11 2020-07-09
40. FACEBOOK INC - A SHS   2014-12-22 2020-07-09
8222.3432 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-07-15
6871.202 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/20   2013-05-16 2020-07-15
4.7255 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/202   2012-09-17 2020-07-15
3193.651 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/2   2012-07-24 2020-07-16
158. ACTIVISION BLIZZARD INC   2019-09-13 2020-08-13
4. AMAZON COM INC   2016-06-08 2020-08-13
28. APPLE COMPUTER INC   2016-02-11 2020-08-13
8080.1524 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-08-17
6731.845 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/20   2013-05-16 2020-08-17
3.1375 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/202   2012-09-17 2020-08-17
3163.0223 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/   2012-07-24 2020-08-17
644. INVESCO OPPENHEIMER ALTER. FUND R 6   2018-09-18 2020-08-21
1768. BLACKROCK FUNDS   2019-07-09 2020-08-21
1154. DRIEHAUS SMALL CAP GROWTH FUND INSTL.   2020-02-06 2020-08-21
1126. GOTHAM ABSOLUTE RETURN FUND   2013-07-11 2020-08-21
1132. IVY INTERNATIONAL CORE EQUITY I   2016-04-07 2020-08-21
1229. DEVELOPED MARKETS INDEX FUND ADMIRAL CL   2015-07-21 2020-08-21
7659.756 IVY INTERNATIONAL CORE EQUITY I   2016-04-07 2020-08-25
190. FISERV INC   2018-09-13 2020-09-10
1584.272 INVESCO OPPENHEIMER ALTER. FUND R 6   2019-07-09 2020-09-15
7855.934 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-09-15
6594.945 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/20   2013-05-16 2020-09-15
2.102 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/2024   2012-09-17 2020-09-15
2561.86 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/20   2012-07-24 2020-09-16
30000. CONSTELLATION ENERGY GROUP I DTD 12/14/2010 5.150% 12/1/2020   2014-10-10 2020-10-02
65. BECTON DICKINSON & CO   2018-01-11 2020-10-15
7746.004 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-10-15
6460.4613 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/2   2013-05-16 2020-10-15
1.4855 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/202   2012-09-17 2020-10-15
56. LOCKHEED MARTIN CORP   2020-06-11 2020-10-15
2168.6458 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/   2012-07-24 2020-10-16
25000. UNITED STATES TREASURY NOTES DTD 10/31/2018 2.875% 10/31/2020   2020-02-07 2020-11-02
105. CME GROUP INC   2018-11-19 2020-11-13
43. SALESFORCE.COM INC   2018-08-08 2020-11-13
14. VISA INC   2016-10-13 2020-11-13
7533.1196 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-11-16
6328.3538 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/2   2013-05-16 2020-11-16
1.099 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/2024   2012-09-17 2020-11-16
1615.0668 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/   2012-07-24 2020-11-16
15000. REPUBLIC SERVICES INC DTD 5/21/2012 3.550% 6/1/2022   2016-09-27 2020-12-09
45. DANAHER CORP   2008-11-10 2020-12-10
67. MICROSOFT CORP   2018-04-12 2020-12-10
106. NIKE INC CLASS B   2018-08-08 2020-12-10
205. WASTE MANAGEMENT INC DEL   2018-11-19 2020-12-10
7422.1296 FREDDIE MAC DTD 9/1/2012 1.5000% 9/15/2027   2012-09-26 2020-12-15
6198.5833 FEDERAL NATIONAL MORTGAGE ASSN DTD 12/1/2012 1.7500% 12/15/2   2013-05-16 2020-12-15
.8235 FEDERAL HOME LOAN MORTGAGE ASSN DTD 12/1/2009 4.0000% 12/15/2024   2012-09-17 2020-12-15
438. BAILLIE GIFFORD INTL ALPHA - INSTL   2020-08-25 2020-12-16
1599.26 GOVERNMENT NATIONAL MORGAGE ASSN DTD 7/1/2012 1.66736% 5/16/20   2012-07-24 2020-12-16
875. OAKMARK INTERNATIONAL FUND INSTITUTIONAL   2013-09-27 2020-12-16
3728. DEVELOPED MARKETS INDEX FUND ADMIRAL CL   2015-07-21 2020-12-16
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(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 2,064   2,172 -108
b 16,927   14,823 2,104
c 61,969   60,967 1,002
d 36,896   36,630 266
e 6,638   6,121 517
24,704   11,729 12,975
19,345   19,518 -173
25,000   25,000  
8,697   8,334 363
225   226 -1
203   203  
5   5  
555   561 -6
24   24  
25,000   25,000  
67,882   67,049 833
265,539   266,367 -828
58,866   48,524 10,342
123   124 -1
168   168  
4   4  
24   24  
35,351   35,225 126
47,258   45,715 1,543
11,857   15,201 -3,344
7,062   9,393 -2,331
5,771   14,369 -8,598
2,244   6,178 -3,934
17,423   25,088 -7,665
297   298 -1
176   176  
4   4  
317   317  
10,779   14,056 -3,277
9,786   12,733 -2,947
11,378   14,856 -3,478
25,341   26,557 -1,216
12,851   15,993 -3,142
18,759   19,847 -1,088
161   162 -1
189   189  
3   3  
1,298   1,298  
40,048   67,488 -27,440
13,651   22,474 -8,823
12,922   14,483 -1,561
11,915   8,897 3,018
16,176   20,988 -4,812
17,612   13,450 4,162
161   162 -1
218   218  
3   3  
771   771  
66,136   72,323 -6,187
11,793   12,217 -424
18,854   19,913 -1,059
22,040   21,551 489
132   132  
216   216  
3   3  
21   21  
25,000   25,000  
6,732   2,939 3,793
9,739   3,262 6,477
441   443 -2
162   162  
2   2  
1,724   1,724  
12,878   8,829 4,049
12,703   2,893 9,810
12,907   2,615 10,292
142   143 -1
139   139  
2   2  
31   31  
17,819   18,095 -276
17,008   17,273 -265
22,053   18,626 3,427
16,372   13,670 2,702
19,108   17,704 1,404
16,358   16,014 344
131,135   119,799 11,336
18,019   15,406 2,613
43,964   44,213 -249
224   225 -1
137   137  
1   1  
601   601  
30,000   30,000  
15,271   14,461 810
110   110  
134   134  
1   1  
21,584   17,759 3,825
393   393  
25,000   25,000  
17,439   18,687 -1,248
10,731   6,250 4,481
2,951   1,148 1,803
213   214 -1
132   132  
       
554   554  
15,688   15,278 410
10,048   966 9,082
14,154   6,297 7,857
14,600   8,558 6,042
23,557   16,579 6,978
111   111  
130   130  
       
7,407   6,636 771
16   16  
22,628   22,907 -279
56,516   48,576 7,940
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
      42,248
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       -108
b       2,104
c       1,002
d       266
e       517
      12,975
      -173
       
      363
      -1
       
       
      -6
       
       
      833
      -828
      10,342
      -1
       
       
       
      126
      1,543
      -3,344
      -2,331
      -8,598
      -3,934
      -7,665
      -1
       
       
       
      -3,277
      -2,947
      -3,478
      -1,216
      -3,142
      -1,088
      -1
       
       
       
      -27,440
      -8,823
      -1,561
      3,018
      -4,812
      4,162
      -1
       
       
       
      -6,187
      -424
      -1,059
      489
       
       
       
       
       
      3,793
      6,477
      -2
       
       
       
      4,049
      9,810
      10,292
      -1
       
       
       
      -276
      -265
      3,427
      2,702
      1,404
      344
      11,336
      2,613
      -249
      -1
       
       
       
       
      810
       
       
       
      3,825
       
       
      -1,248
      4,481
      1,803
      -1
       
       
       
      410
      9,082
      7,857
      6,042
      6,978
       
       
       
      771
       
      -279
      7,940
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 91,466
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,449
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 1,449
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 1,449
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 2,140
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 2,140
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 691
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet691 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMO
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletUMB BANK NA Telephone no.bullet (816) 860-1933

    Located atbullet1010 GRANDKANSAS CITYMO ZIP+4bullet64106
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    UMB BANK N A CO-TRUSTEE
    1     		37,543    
    1010 GRAND
    KANSAS CITY,MO64106
    EDNA RINDNER CO-TRUSTEE
    1     		60,000    
    2915 W 93RD TERRACE
    LEAWOOD,KS66206
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    4,127,797
    b
    Average of monthly cash balances.......................
    1b
    120,704
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,248,501
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    4,248,501
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    63,728
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,184,773
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    209,239
    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
    209,239
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,449
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,449
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    207,790
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    207,790
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    207,790
    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
    251,021
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    251,021
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    251,021
    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 7 207,790
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 102,556
    b From 2016...... 572,353
    c From 2017...... 133,540
    d From 2018...... 126,983
    e From 2019...... 100,574
    fTotal of lines 3a through e........ 1,036,006
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 251,021
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 207,790
    e Remaining amount distributed out of corpus 43,231
    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 1,079,237
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		102,556
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		976,681
    10 Analysis of line 9:
    a Excess from 2016.... 572,353
    b Excess from 2017.... 133,540
    c Excess from 2018.... 126,983
    d Excess from 2019.... 100,574
    e Excess from 2020.... 43,231
    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).)
    NA
    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.
    NA
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    EL CENTRO INC
    650 MINNESOTA AVE
    KANSAS CITY,KS66101     		NONE PC SUPPORT OF CHARITABLE 15,000
    COMMUNITY LINC INC
    4012 TROOST AVE
    KANSAS CITY,KS64110     		NONE PC SUPPORT OF CHARITABLE 5,750
    CASS COMMUNITY HEALTH FOUNDATION
    2316 E MEYER BLVD
    KANSAS CITY,MO64132     		NONE PC HEALTH PROGRAM/EVENT 15,000
    ADHOC GROUP AGAINST CRIME
    3116 PROSPECT AVE
    KANSAS CITY,MO64128     		NONE PC HEALTH PROGRAM/EVENT 19,000
    UNIVERSITY OF KANSAS ALZHEIMER'S
    DISEASE CENTER
    4350 SHAWNEE MISSION PKWY
    FAIRWAY,KS66205     		NONE PC SUPPORT OF CHARITABLE 7,000
    MATTIE RHODES CENTER
    1740 JEFFERSON ST
    KANSAS CITY,MO64108     		NONE PC SUPPORT OF CHARITABLE 9,500
    ARTS TECH
    1522 HOLMES ST
    KANSAS CITY,MO641081536     		NONE PC HEALTH PROGRAM/EVENT 19,000
    TOTAL MAN CDC
    1600 CLIFTON ROAD
    ATLANTA,GA303294027     		NONE PC HEALTH PROGRAM/EVENT 10,000
    KANSAS CITY PUBLIC SCHOOL
    2901 TROOST AVE
    KANSAS CITY,MO64109     		NONE PC SUPPORT OF CHARITABLE 10,000
    AFTER THE HARVEST
    6320 BROOKSIDE PLAZA STE 504
    KANSAS CITY,MO64113     		NONE PC HEALTH PROGRAM/EVENT 10,350
    YMCA OF GREATER KANSAS CITY
    3100 BROADWAY STREET SUITE 1020
    KANSAS CITY,MO64111     		NONE PC HEALTH PROGRAM/EVENT 7,500
    CORNERSTONES OF CARE
    300 E 36TH ST
    KANSAS CITY,MO64111     		NONE PC HEALTH PROGRAM/EVENT 20,000
    UNITED INNER CITY SERVICES
    2008 E 12TH ST
    KANSAS CITY,MO64127     		NONE PC HEALTH PROGRAM/EVENT 15,000
    KS CARE HEALTH CENTER
    3515 BROADWAY
    KANSAS CITY,MO64111     		NONE PC HEALTH PROGRAM/EVENT 6,797
    TRI-COUNTY MENTAL HEALTH SERVICES INC
    3100 NE 83RD STREET
    KANSAS CITY,MO64116     		NONE PC HEALTH PROGRAM/EVENT 10,000
    ROSE BROOKS CENTER INC
    PO BOX 320599
    KANSAS CITY,MO64132     		NONE PC HEALTH PROGRAM/EVENT 10,000
    SAVING KIDSIGHT
    10560 N AMBASSADOR DR STE 210
    KANSAS CITY,MO64153     		NONE PC HEALTH PROGRAM/EVENT 5,000
    LET ME RUN KC
    14585 S SUMMIT
    OLATHE,KS66062     		NONE PC HEALTH PROGRAM/EVENT 1,000
    Total .................................bullet 3a 195,897
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 67,221  
    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 91,466  
    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)..   158,687  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    158,687
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    PRIME HEALTH FOUNDATION 100264
    EIN:
    43-1057862
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 800     800

    TY 2020 LegalFeesSchedule
    Name:
    PRIME HEALTH FOUNDATION 100264
    EIN:
    43-1057862
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - PRINCIPAL (ALLOCA 7,402 1,851   5,552


    TY 2020 OtherExpensesSchedule
    Name:
    PRIME HEALTH FOUNDATION 100264
    EIN:
    43-1057862
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ALLOCABLE EXPENSE-PRINCI 3,493 3,493   0


    TY 2020 OtherIncreasesSchedule
    Name:
    PRIME HEALTH FOUNDATION 100264
    EIN:
    43-1057862
    Description Amount
    COST BASIS ADJUSTMENT - CUSIP 44107TAT3 1,466
    ROUNDING 4
    REFUND OF 2019 GRANTS NOT USED 21,025


    TY 2020 TaxesSchedule
    Name:
    PRIME HEALTH FOUNDATION 100264
    EIN:
    43-1057862
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES ON QUALIFIED FOR 292 292   0
    FOREIGN TAXES ON NONQUALIFIED 59 59   0