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
CY MILLER FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1620 DODGE ST - STOP 8145
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OMAHA, NE681978145
A Employer identification number

36-3818158
B Telephone number (see instructions)

(815) 754-8018
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$469,350J Accounting method:
MODIFIED ACCRUAL
(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... 7,739 7,739  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 23,140
b Gross sales price for all assets on line 6a 77,314
7 Capital gain net income (from Part IV, line 2)... 23,140
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........ 30,879 30,879  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 900 810   90
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 6,537 5,884   654
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 364 74   8
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 1,800 1,620   180
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 9,601 8,388 0 932
25 Contributions, gifts, grants paid....... 26,700 26,700
26 Total expenses and disbursements. Add lines 24 and 25 36,301 8,388 0 27,632
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -5,422
b Net investment income (if negative, enter -0-) 22,491
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......... 18,552 15,836 15,836
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)....... 175,110 Click to see attachment159,890 263,975
c Investments—corporate bonds (attach schedule)....... 147,162 Click to see attachment136,994 141,515
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 21,002 Click to see attachment43,774 47,678
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment442 Click to see attachment346 Click to see attachment346
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 362,268 356,840 469,350
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) Click to see attachment20 Click to see attachment14
23 Total liabilities (add lines 17 through 22)......... 20 14
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........ 362,248 356,826
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)..... 362,248 356,826
30 Total liabilities and net assets/fund balances (see instructions). 362,268 356,840
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
362,248
2
Enter amount from Part I, line 27a .....................
2
-5,422
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
356,826
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
356,826
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a 5. AMN HEALTHCARE SERVICES INC COM   2016-06-21 2020-02-28
b 3. AMN HEALTHCARE SERVICES INC COM   2016-06-21 2020-10-12
c 3. AMN HEALTHCARE SERVICES INC COM   2016-06-21 2020-12-04
d 4. ACTIVISION BLIZZARD INC COM   2017-11-29 2020-10-12
e 4. ACTIVISION BLIZZARD INC COM   2017-11-29 2020-12-04
1. ADOBE SYS INC COM   2014-01-31 2020-10-12
1. ADOBE SYS INC COM   2014-01-31 2020-12-04
2. AMERICAN TOWER CORPORATION   2014-04-30 2020-02-13
2. AMERICAN TOWER CORPORATION   2014-04-30 2020-05-07
1. AMERICAN TOWER CORPORATION   2014-04-30 2020-10-12
2. AMERICAN TOWER CORPORATION   2014-04-30 2020-10-30
1. AMERICAN TOWER CORPORATION   2014-01-31 2020-12-04
2. AMETEK INC NEW COM   2019-11-21 2020-10-12
3. AMETEK INC NEW COM   2019-11-21 2020-12-04
1. APPLE COMPUTER INCORPORATED   2014-07-28 2020-06-25
2. APPLE COMPUTER INCORPORATED   2014-07-28 2020-08-27
12. APPLE COMPUTER INCORPORATED   2014-07-28 2020-10-12
13. APPLE COMPUTER INCORPORATED   2014-07-28 2020-12-04
4. ATMOS ENERGY CORP   2019-11-21 2020-08-27
4. ATMOS ENERGY CORP   2019-05-23 2020-08-27
2. ATMOS ENERGY CORP   2018-06-14 2020-10-12
2. ATMOS ENERGY CORP   2018-06-14 2020-12-04
2. BAXTER INTL INC   2017-01-26 2020-10-12
3. BAXTER INTL INC   2017-01-26 2020-12-04
2. BERRY GLOBAL GROUP INC.   2019-07-18 2020-10-12
3. BERRY GLOBAL GROUP INC.   2016-09-23 2020-12-04
1. BIOGEN, INC.   2014-01-31 2020-10-12
5. BOSTON SCIENTIFIC CORP COM   2016-05-31 2020-10-12
6. BOSTON SCIENTIFIC CORP COM   2020-05-21 2020-12-04
1. BROADCOM INC COM   2015-03-31 2020-10-12
1. BROADCOM INC COM   2015-03-31 2020-12-04
2. CDW CORP COM   2015-03-02 2020-10-12
2. CDW CORP COM   2015-03-02 2020-12-04
5. CIGNA CORP NEW COM   2018-04-26 2020-03-04
8. CIGNA CORP NEW COM   2018-05-10 2020-03-10
2. CMC MATERIALS INC COM   2019-04-25 2020-10-12
1. CMC MATERIALS INC COM   2019-11-21 2020-12-04
2. CME GROUP INC COM   2016-09-23 2020-02-27
1. CME GROUP INC COM   2016-09-23 2020-10-12
1. CME GROUP INC COM   2016-09-23 2020-12-04
4. CSX CORP   2020-02-20 2020-10-12
4. CSX CORP   2020-02-20 2020-12-04
4. CHURCH & DWIGHT CO   2014-01-31 2020-09-03
3. CHURCH & DWIGHT CO   2014-01-31 2020-10-12
5. CHURCH & DWIGHT CO   2014-01-31 2020-10-28
3. CHURCH & DWIGHT CO   2014-01-31 2020-12-04
7. CISCO SYS INC   2015-06-15 2020-10-12
7. CISCO SYS INC   2015-06-15 2020-12-04
4. CITRIX SYS INC   2018-10-11 2020-03-27
1. CITRIX SYS INC   2018-10-11 2020-10-12
1. CITRIX SYS INC   2018-10-11 2020-12-04
7. COMCAST CORP CL A   2015-01-21 2020-10-12
19. COMCAST CORP CL A   2015-01-21 2020-11-19
6. COMCAST CORP CL A   2014-01-31 2020-12-04
1. CONSTELLATION BRANDS INC CLASS A   2019-07-18 2020-10-12
1. CONSTELLATION BRANDS INC CLASS A   2015-07-27 2020-12-04
2. CONSTELLATION BRANDS INC CLASS A   2015-07-27 2020-12-10
1. COSTCO WHSL CORP NEW   2014-01-31 2020-10-12
1. COSTCO WHSL CORP NEW   2014-01-31 2020-12-04
1. DIAMONDBACK ENERGY INC COM   2019-11-07 2020-10-12
1. DIAMONDBACK ENERGY INC COM   2019-03-14 2020-12-04
1. EOG RES INC   2014-04-30 2020-10-12
1. EOG RES INC   2014-04-30 2020-12-04
2. EDWARDS LIFESCIENCES CORP COM   2015-01-23 2020-10-12
3. EDWARDS LIFESCIENCES CORP COM   2015-01-23 2020-12-04
6. EQUITABLE HLDGS INC COM   2020-07-23 2020-10-12
6. EQUITABLE HLDGS INC COM   2020-07-23 2020-12-04
17. EXXON MOBIL CORP COM   2019-09-12 2020-02-04
4. EXXON MOBIL CORP COM   2016-07-22 2020-10-12
4. EXXON MOBIL CORP COM   2016-03-18 2020-12-04
2. FMC CORP COM NEW   2016-12-02 2020-10-12
2. FMC CORP COM NEW   2016-12-02 2020-12-04
1. FACEBOOK INC CL A   2015-08-10 2020-03-09
3. FACEBOOK INC CL A   2019-12-05 2020-03-09
2. FACEBOOK INC CL A   2015-08-10 2020-10-12
2. FACEBOOK INC CL A   2015-08-10 2020-12-04
23.908 FEDERATED HERMES INSTITUTIONAL HIGH YIELD BOND FUND   2014-06-16 2020-12-04
9. FIRST AMERN FINL CORP COM   2016-09-09 2020-05-21
3. FIRST AMERN FINL CORP COM   2016-07-07 2020-10-12
3. FIRST AMERN FINL CORP COM   2016-07-07 2020-12-04
14. FIRST INDL RLTY TR INC COM   2019-06-13 2020-08-27
4. FIRST INDL RLTY TR INC COM   2019-06-13 2020-10-12
4. FIRST INDL RLTY TR INC COM   2018-08-28 2020-12-04
1. FLEETCOR TECHNOLOGIES INC COM   2014-10-20 2020-10-12
1. FLEETCOR TECHNOLOGIES INC COM   2014-10-20 2020-12-04
2. HOME DEPOT INC   2014-03-03 2020-04-16
1. HOME DEPOT INC   2014-03-03 2020-10-12
1. HOME DEPOT INC   2014-01-31 2020-12-04
1. HUMANA INC COM   2019-02-20 2020-06-11
1. HUMANA INC COM   2019-02-20 2020-10-12
77. HUNTINGTON BANCSHARES INC   2017-09-21 2020-03-24
3. IAA INC COM   2015-11-02 2020-10-12
3. IAA INC COM   2015-11-02 2020-12-03
3. IAA INC COM   2015-11-02 2020-12-04
11.229 PALMER SQUARE INCOME PLUS FUND #857   2019-10-01 2020-12-04
3. J P MORGAN CHASE & CO   2014-01-31 2020-10-12
5. KEYCORP COM   2016-11-04 2020-10-12
6. KEYCORP COM   2016-11-04 2020-12-04
2. LHC GROUP INC COM   2018-09-06 2020-07-23
3. LHC GROUP INC COM   2018-09-06 2020-09-10
1. LHC GROUP INC COM   2018-09-06 2020-10-12
1. LHC GROUP INC COM   2018-07-19 2020-12-04
1. LABORATORY CORP AMER HLDGS   2016-07-15 2020-10-12
1. LABORATORY CORP AMER HLDGS   2016-07-15 2020-12-04
2. LABORATORY CORP AMER HLDGS   2016-07-15 2020-12-18
5. LAMB WESTON HLDGS INC COM   2017-02-24 2020-01-02
3. LAMB WESTON HLDGS INC COM   2020-03-09 2020-12-04
1. LAMB WESTON HLDGS INC COM   2017-02-24 2020-12-04
4. LILLY ELI & CO COM   2015-11-02 2020-06-11
2. LILLY ELI & CO COM   2015-11-02 2020-10-12
2. LILLY ELI & CO COM   2015-11-02 2020-12-04
419.791 LORD ABBETT INVESTMENT TRUST - LORD ABBETT FLOATING RATE FD CL   2018-01-17 2020-03-20
69.348 LORD ABBETT INVESTMENT TRUST - LORD ABBETT FLOATING RATE FD CL   2019-10-01 2020-03-20
154. MANNING & NAPIER RAINIER INTERNATIONAL DISCOVERY SERIES CL Z   2018-08-14 2020-10-12
11. MANULIFE FINANCIAL CORP COM   2018-02-01 2020-10-12
12. MANULIFE FINANCIAL CORP COM   2017-09-14 2020-12-04
3. MARTIN MARIETTA MATERIALS COM   2016-08-02 2020-08-06
3. MARTIN MARIETTA MATERIALS COM   2016-05-19 2020-08-21
2. MARTIN MARIETTA MATERIALS COM   2016-10-11 2020-09-03
14. MASTEC INC COM   2020-02-13 2020-03-19
4. MASTEC INC COM   2019-06-20 2020-10-12
4. MASTEC INC COM   2017-03-09 2020-12-04
2. MASTERCARD INC CL A   2015-03-02 2020-04-27
1. MASTERCARD INC CL A   2020-08-27 2020-10-12
1. MASTERCARD INC CL A   2020-08-27 2020-12-04
2. MICROSOFT CORP   2016-03-01 2020-02-13
6. MICROSOFT CORP   2016-03-01 2020-10-12
6. MICROSOFT CORP   2016-03-01 2020-12-04
2. MICROCHIP TECHNOLOGY INC   2015-03-02 2020-10-12
3. MICROCHIP TECHNOLOGY INC   2015-03-02 2020-12-04
1. MICROCHIP TECHNOLOGY INC   2015-01-06 2020-12-10
2. NEXTERA ENERGY INC COM   2016-01-25 2020-07-23
1. NEXTERA ENERGY INC COM   2016-01-25 2020-10-12
9. NEXTERA ENERGY INC COM   2016-01-25 2020-11-12
3. NEXTERA ENERGY INC COM   2016-01-25 2020-12-04
2. NIKE INC   2015-03-12 2020-10-12
3. NIKE INC   2015-03-12 2020-12-04
2. NORTHERN TRUST CORPORATION COM   2015-06-05 2020-10-12
3. NORTHERN TRUST CORPORATION COM   2015-06-05 2020-12-04
1. PAYCOM SOFTWARE INC COM   2019-04-18 2020-10-12
1. PAYCOM SOFTWARE INC COM   2019-04-18 2020-12-10
1. PHILLIPS 66 COM   2015-10-05 2020-10-12
1. PHILLIPS 66 COM   2015-10-05 2020-12-04
.352 RAYTHEON TECHNOLOGIES CORP COM   2018-03-07 2020-05-11
3. RAYTHEON TECHNOLOGIES CORP COM   2018-03-07 2020-10-12
1. ROPER TECHNOLOGIES INC COM   2017-08-03 2020-10-12
3. SCHLUMBERGER LTD. COM   2014-02-18 2020-10-12
.604 SOUTH ST CORP COM   2018-07-31 2020-07-20
1. SOUTH ST CORP COM   2018-07-31 2020-10-12
12. SOUTHWEST AIRLINES   2015-02-02 2020-02-20
26. SOUTHWEST AIRLINES   2016-10-21 2020-03-06
3. SOUTHWEST GAS CORP   2020-07-23 2020-10-12
3. SOUTHWEST GAS CORP   2020-07-23 2020-12-04
2. SOUTHWEST GAS CORP   2020-07-23 2020-12-17
3. SOUTHWEST GAS CORP   2019-05-23 2020-12-17
1. SUN CMNTYS INC COM   2018-11-08 2020-10-12
4. SUN CMNTYS INC COM   2018-10-18 2020-12-03
1. SUN CMNTYS INC COM   2018-10-11 2020-12-04
1. THERMO ELECTRON CORP COM   2014-01-31 2020-10-12
1. THERMO ELECTRON CORP COM   2014-01-31 2020-12-04
4. TIMKEN CO.   2017-05-03 2020-10-12
4. TIMKEN CO.   2017-05-26 2020-12-04
5. TIMKEN CO.   2017-06-02 2020-12-18
265.363 TRIBUTARY SHORT/INTERMEDIATE BOND FUND IP #1704   2014-06-16 2020-12-04
262.347 TRIBUTARY INCOME FUND INS PL #1707   2019-10-01 2020-12-04
3. U.S. BANCORP COM   2015-01-21 2020-10-12
3. U.S. BANCORP COM   2014-01-31 2020-12-04
1. ULTA BEAUTY, INC   2015-01-21 2020-10-12
5. VERIZON COMMUNICATIONS COM   2018-11-08 2020-10-12
9. VERIZON COMMUNICATIONS COM   2018-11-08 2020-11-19
4. VERIZON COMMUNICATIONS COM   2018-10-26 2020-12-04
6. WAL MART STORES INC   2019-07-18 2020-09-03
2. WAL MART STORES INC   2019-07-11 2020-10-12
3. WAL MART STORES INC   2019-07-11 2020-12-03
3. WAL MART STORES INC   2019-07-11 2020-12-04
2. WASTE MANAGEMENT INC COM   2018-02-07 2020-10-12
3. WASTE MANAGEMENT INC COM   2018-02-07 2020-12-04
4. WELLS FARGO & COMPANY (NEW) COM   2017-12-06 2020-10-12
4. WELLS FARGO & COMPANY (NEW) COM   2017-12-06 2020-12-04
2. ZOETIS INC CL A   2016-09-02 2020-10-12
5. ZOETIS INC CL A   2016-09-02 2020-11-04
1. ZOETIS INC CL A   2016-09-02 2020-12-04
3. HORIZON THERAPEUTICS PUB LTD SHS   2020-06-03 2020-10-12
10. HORIZON THERAPEUTICS PUB LTD SHS   2020-06-04 2020-11-24
3. HORIZON THERAPEUTICS PUB LTD SHS   2020-06-04 2020-12-04
1. LINDE PLC COM   2020-09-03 2020-10-12
1. LINDE PLC COM   2020-09-03 2020-12-04
1. CHUBB LIMITED COM   2014-01-31 2020-10-12
1. CHUBB LIMITED COM   2014-01-31 2020-12-04
2. ROYAL CARIBBEAN CRUISES LTD   2020-02-04 2020-10-12
2. ROYAL CARIBBEAN CRUISES LTD   2020-02-04 2020-12-04
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 366   197 169
b 196   118 78
c 197   118 79
d 326   251 75
e 323   251 72
513   59 454
487   59 428
513   167 346
473   167 306
247   83 164
455   165 290
227   81 146
214   196 18
351   293 58
361   99 262
997   198 799
1,489   296 1,193
1,587   260 1,327
395   432 -37
395   377 18
194   171 23
193   171 22
160   92 68
234   139 95
98   100 -2
164   137 27
290   289 1
210   113 97
206   209 -3
383   128 255
412   128 284
261   76 185
267   76 191
1,034   861 173
1,523   1,376 147
318   232 86
152   129 23
430   215 215
170   107 63
184   107 77
319   322 -3
367   322 45
377   129 248
281   97 184
442   161 281
258   97 161
282   199 83
310   199 111
551   416 135
146   104 42
130   104 26
321   195 126
936   521 415
310   164 146
188   203 -15
213   116 97
414   233 181
378   113 265
373   113 260
31   75 -44
47   106 -59
38   98 -60
52   98 -46
170   43 127
256   65 191
128   124 4
162   124 38
1,020   1,241 -221
138   356 -218
166   337 -171
217   99 118
242   99 143
172   94 78
517   598 -81
556   188 368
561   188 373
237   249 -12
443   371 72
161   122 39
149   122 27
602   515 87
177   139 38
168   130 38
252   133 119
268   133 135
401   164 237
286   82 204
263   77 186
376   309 67
431   309 122
565   977 -412
173   70 103
179   70 109
178   70 108
113   111 2
308   167 141
66   71 -5
96   85 11
377   200 177
619   301 318
226   100 126
200   87 113
193   136 57
196   136 60
404   273 131
420   197 223
227   230 -3
76   39 37
592   326 266
310   163 147
297   163 134
2,968   3,876 -908
490   612 -122
4,320   3,376 944
162   226 -64
217   240 -23
644   596 48
628   553 75
424   354 70
367   755 -388
194   195 -1
250   155 95
526   183 343
353   357 -4
343   357 -14
370   105 265
1,334   314 1,020
1,281   314 967
228   104 124
431   147 284
140   43 97
564   213 351
306   107 199
689   240 449
217   80 137
259   97 162
411   145 266
173   150 23
284   226 58
364   189 175
421   189 232
53   82 -29
69   82 -13
20   32 -12
181   271 -90
424   235 189
48   272 -224
28   56 -28
56   93 -37
684   530 154
1,194   1,038 156
204   215 -11
195   215 -20
127   143 -16
191   252 -61
149   102 47
576   375 201
147   97 50
467   115 352
472   115 357
240   190 50
299   210 89
387   246 141
2,534   2,524 10
2,873   2,789 84
120   124 -4
135   120 15
239   128 111
298   291 7
539   506 33
246   221 25
864   682 182
289   227 62
446   340 106
444   340 104
233   165 68
352   246 106
102   235 -133
117   235 -118
337   103 234
876   256 620
157   51 106
244   148 96
688   484 204
218   142 76
240   251 -11
250   251 -1
123   94 29
154   94 60
139   235 -96
164   235 -71
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
      283
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       169
b       78
c       79
d       75
e       72
      454
      428
      346
      306
      164
      290
      146
      18
      58
      262
      799
      1,193
      1,327
      -37
      18
      23
      22
      68
      95
      -2
      27
      1
      97
      -3
      255
      284
      185
      191
      173
      147
      86
      23
      215
      63
      77
      -3
      45
      248
      184
      281
      161
      83
      111
      135
      42
      26
      126
      415
      146
      -15
      97
      181
      265
      260
      -44
      -59
      -60
      -46
      127
      191
      4
      38
      -221
      -218
      -171
      118
      143
      78
      -81
      368
      373
      -12
      72
      39
      27
      87
      38
      38
      119
      135
      237
      204
      186
      67
      122
      -412
      103
      109
      108
      2
      141
      -5
      11
      177
      318
      126
      113
      57
      60
      131
      223
      -3
      37
      266
      147
      134
      -908
      -122
      944
      -64
      -23
      48
      75
      70
      -388
      -1
      95
      343
      -4
      -14
      265
      1,020
      967
      124
      284
      97
      351
      199
      449
      137
      162
      266
      23
      58
      175
      232
      -29
      -13
      -12
      -90
      189
      -224
      -28
      -37
      154
      156
      -11
      -20
      -16
      -61
      47
      201
      50
      352
      357
      50
      89
      141
      10
      84
      -4
      15
      111
      7
      33
      25
      182
      62
      106
      104
      68
      106
      -133
      -118
      234
      620
      106
      96
      204
      76
      -11
      -1
      29
      60
      -96
      -71
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 23,140
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................................ 1 313
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........................... 3 313
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- ..... 5 313
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 208
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.............. 7 208
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 9 105
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet0 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletFIRST NATIONAL BANK OF OMAHA Telephone no.bullet (815) 754-8040

    Located atbullet121 W LINCOLN HWYDEKALBIL ZIP+4bullet60115
    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
    FIRST NATIONAL BANK OF OMAHA TRUSTEE
    1     		900    
    121 W LINCOLN HWY
    DEKALB,IL60115
    VINCENT A BOONE DIRECTOR
    1     		0    
    128 N THIRD
    DEKALB,IL60115
    KEITH FOSTER DIRECTOR
    1     		0    
    2040 ABERDEEN CT
    DEKALB,IL60115
    BRIAN ROSENOW DIRECTOR
    1     		0    
    1325 SYCAMORE RD
    DEKALB,IL60115
    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
    380,795
    b
    Average of monthly cash balances.......................
    1b
    19,869
    c
    Fair market value of all other assets (see instructions)................
    1c
    27,357
    d
    Total (add lines 1a, b, and c).........................
    1d
    428,021
    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
    428,021
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    6,420
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    421,601
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    21,080
    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
    21,080
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    313
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    313
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    20,767
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    20,767
    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
    20,767
    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
    27,632
    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
    27,632
    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
    27,632
    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 20,767
    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...... 2,061
    b From 2016...... 1,952
    c From 2017...... 3,684
    d From 2018...... 3,779
    e From 2019...... 5,719
    fTotal of lines 3a through e........ 17,195
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 27,632
    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..... 20,767
    e Remaining amount distributed out of corpus 6,865
    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 24,060
    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) ...     		2,061
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		21,999
    10 Analysis of line 9:
    a Excess from 2016.... 1,952
    b Excess from 2017.... 3,684
    c Excess from 2018.... 3,779
    d Excess from 2019.... 5,719
    e Excess from 2020.... 6,865
    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:
    FIRST NATIONAL BANK OF OMAHA
    121 W LINCOLN HWY
    DEKALB,IL60115
    (630) 553-6128
    bThe form in which applications should be submitted and information and materials they should include:
    COMPLETION OF APPLICATION PROVIDED BY FOUNDATION
    cAny submission deadlines:
    DECEMBER 15TH
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS ONLY PROVIDED TO 501(C)3 ORGANIZATIONS LOCATED IN DEKALB OR SYCAMORE, ILLINOIS
    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
    BOY SCOUTS OF AMERICA
    THREE FIRES COUNCIL
    415 NORTH SECOND STREET
    ST CHARLES,IL601741254     		NONE PC UNRESTRICTED GRANT 2,500
    ELLWOOD HOUSE ASSOCIATION
    509 N FIRST STREET
    DEKALB,IL60115     		NONE PC UNRESTRICTED GRANT 1,700
    ADVENTURE WORKS Of DEKALB
    COUNTY
    1211 SYCAMORE RD
    Dekalb,IL60115     		NONE PC CHARITABLE CONTRIBUTION 2,000
    KISHWAUKEE FAMILY YMCA
    2500 W BETHANY ROAD
    SYCAMORE,IL60178     		NONE PC UNRESTRICTED GRANT 3,000
    CHILDRENS LEARNING CENTER
    PO BOX 531
    DEKALB,IL60115     		NONE PC UNRESTRICTED GRANT 5,000
    THE GROWING PLACE
    909 S FOURTH ST
    DEKALB,IL60115     		NONE PC UNRESTRICTED GRANT 6,000
    DEKALB COUNTY YOUTH SVCS BUREAU INC
    330 GROVE ST
    DEKALB,IL60115     		NONE PC CHARITABLE CONTRIBUTION 4,000
    CONSUMER ADVOCACY COUNCIL OF DEKALB CO
    PO BOX 886
    DEKALB,IL60115     		NONE PC UNRESTRICTED GRANT 500
    TAILS HUMANE SOCIETY
    2250 BARBER GREENE RD
    DEKALB,IL60115     		NONE PC UNRESTRICTED GRANT 1,000
    COR CONTIAMO
    C/O DR E A JOHNSON PRESIDENT
    8801 RYAN CT
    KINGSTON,IL60145     		NONE PC UNRESTRICTED GRANT 1,000
    Total .................................bullet 3a 26,700
    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 7,739  
    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 23,140  
    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)..   30,879  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    30,879
    (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 InvestmentsCorpBondsSchedule
    Name:
    CY MILLER FOUNDATION
    EIN:
    36-3818158
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FEDERATED INSTITUTIONAL HIGH Y 5,921 5,853
    PALMER SQUARE INCOME PLUS FUND 2,695 2,768
    LORD ABBETT FLOATING RATE FD C    
    TRIBUTARY SHORT/INTERMEDIATE B 61,332 62,162
    TRIBUTARY INCOME FUND INS PL 67,046 70,732

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    CY MILLER FOUNDATION
    EIN:
    36-3818158
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CHUBB LIMITED COM 1,223 2,001
    ROYAL CARIBBEAN CRUISES LTD 1,216 1,195
    AMN HEALTHCARE SERVICES INC CO 1,248 1,911
    ACTIVISION BLIZZARD INC COM 2,005 3,157
    ADOBE INC. 355 3,001
    ALPHABET INC CAP STK CL C 3,280 8,759
    AMAZON.COM INC COM 4,983 9,771
    AMERICAN TOWER CORPORATION 649 1,796
    AMETEK INC NEW COM 1,907 2,419
    APPLE INC COM 1,835 14,198
    ATMOS ENERGY CORP COM 1,267 1,431
    BAXTER INTL INC COM 1,157 1,846
    BERRY GLOBAL GROUP INC 1,026 1,292
    BIOGEN, INC. 1,731 1,469
    BLACKROCK INC COM 1,211 2,886
    BOOKING HLDGS INC COM 2,294 4,455
    BOSTON SCIENTIFIC CORP COM 1,126 1,726
    BROADCOM INC COM 746 2,627
    CDW CORP COM 969 2,109
    CIGNA CORP NEW COM    
    CME GROUP INC COM 954 1,638
    CABOT MICROELECTRONICS CORP CO    
    CENTERSTATE BK CORP COM    
    CHURCH & DWIGHT INC COM 911 1,745
    CISCO SYS INC COM 1,888 2,775
    CITRIX SYS INC COM 1,432 1,821
    COMCAST CORP CL A 1,309 2,515
    CONSTELLATION BRANDS INC CL A 1,717 2,629
    COSTCO WHSL CORP NEW COM 790 2,637
    DIAMONDBACK ENERGY INC COM 1,144 678
    EOG RES INC COM 1,523 1,047
    EDWARDS LIFESCIENCES CORP COM 466 2,007
    EXXON MOBIL CORP COM 2,489 1,360
    FMC CORP COM NEW 881 2,069
    FACEBOOK INC CL A 1,619 4,917
    FIRST AMERN FINL CORP COM 930 1,187
    FIRST INDL RLTY TR INC COM 1,316 1,727
    FLEETCOR TECHNOLOGIES INC COM 1,018 1,910
    HOME DEPOT INC COM 846 2,922
    HUMANA INC COM 1,747 2,462
    HUNTINGTON BANCSHARES INC COM    
    IAA INC COM 640 1,884
    INTEGER HLDGS CORP COM 1,902 2,111
    JPMORGAN CHASE & CO COM 1,832 4,066
    KEYCORP NEW COM 707 821
    LHC GROUP INC COM 609 1,493
    LABORATORY CORP AMER HLDGS COM 1,349 1,832
    LAMB WESTON HLDGS INC COM 1,408 2,520
    LILLY ELI & CO COM 1,179 2,533
    MANULIFE FINL CORP COM 1,663 1,764
    MARTIN MARIETTA MATERIALS COM    
    MASTEC INC COM 1,720 2,795
    MASTERCARD INC CL A 835 3,926
    MICROSOFT CORP COM 2,619 11,121
    MICROCHIP TECHNOLOGY INC COM 1,091 2,624
    NEXTERA ENERGY INC COM 658 2,160
    NIKE INC CL B 1,017 2,971
    NORTHERN TR CORP COM 1,376 1,770
    O REILLY AUTOMOTIVE INC NEW CO 686 1,810
    PAYCOM SOFTWARE INC COM 920 2,261
    PHILLIPS 66 COM 983 839
    RAYTHEON CO COM NEW 3,675 3,218
    ROPER TECHNOLOGIES, INC. 817 2,587
    SCHLUMBERGER LTD COM 3,015 1,179
    SOUTHWEST AIRLS CO COM    
    SOUTHWEST GAS HOLDINGS, INC 1,149 1,094
    SUN CMNTYS INC COM 782 1,216
    THERMO FISHER CORP COM 691 2,795
    TIMKEN CO COM 1,570 2,630
    US BANCORP DEL COM NEW 1,078 1,258
    ULTA BEAUTY, INC 471 1,436
    VERIZON COMMUNICATIONS INC COM 2,015 2,468
    WALMART INC. 2,143 2,739
    WASTE MANAGEMENT INC COM 1,620 2,359
    WELLS FARGO & CO NEW COM 1,980 1,117
    ZOETIS INC CL A 667 2,152
    INVESCO OPPENHEIMER DEVELOPING 6,653 10,041
    LAZARD INTERNATIONAL EQUITY IN 24,042 27,782
    MFS GLOBAL REAL ESTATE FUND R5 5,988 5,988
    MANNING & NAPIER RAINIER INTER 8,843 15,575
    HORIZON THERAPEUTICS PUB LTD S 1,015 1,682
    LINDE PLC COM 1,982 2,108
    CMC MATERIALS INC COM 1,554 2,118
    CSX CORP COM 2,354 2,995
    EQUITABLE HLDGS INC COM 1,020 1,407
    MORGAN STANLEY COM NEW 2,035 2,193
    NVIDIA CORP COM 3,108 3,133
    POOL CORPORATION COM 1,599 1,863
    SOUTH ST CORP COM 1,622 1,446

    TY 2020 InvestmentsOtherSchedule2
    Name:
    CY MILLER FOUNDATION
    EIN:
    36-3818158
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    JPMORGAN HEDGED EQUITY FUND - AT COST 34,271 38,305
    ISHARES GOLD TR AT COST 9,503 9,373

    TY 2020 OtherAssetsSchedule
    Name:
    CY MILLER FOUNDATION
    EIN:
    36-3818158
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    PENDING RIC INCOME 407 295 295
    PENDING WASH SALES 35 45 45
    MUTUAL FUND EARNINGS   6 6


    TY 2020 OtherExpensesSchedule
    Name:
    CY MILLER FOUNDATION
    EIN:
    36-3818158
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 1,800 1,620   180
    OTHER EXPENSE (NON-DEDUCTIBLE   0   0


    TY 2020 OtherLiabilitiesSchedule
    Name:
    CY MILLER FOUNDATION
    EIN:
    36-3818158
    Description Beginning of Year - Book Value End of Year - Book Value
    PENDING RETURN OF CAPITAL ADJUSTMENTS 20 14


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    CY MILLER FOUNDATION
    EIN:
    36-3818158
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ALLOCABLE EXPENSE-PRINCI 15 14   2
    TAX PREPARATION FEE (NON-ALLOC 1,250 1,125   125
    INVESTMNT MNGMNT FEES (NON-DED 5,272 4,745   527


    TY 2020 TaxesSchedule
    Name:
    CY MILLER FOUNDATION
    EIN:
    36-3818158
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 18 17   0
    FEDERAL TAX PAYMENT - PRIOR YE 75 0   8
    FEDERAL ESTIMATES - PRINCIPAL 208 0   0
    FOREIGN TAXES ON QUALIFIED FOR 58 52   0
    FOREIGN TAXES ON NONQUALIFIED 5 5   0