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
E D GREEN CHARITABLE TRUST A
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

87-6121930
B Telephone number (see instructions)

(888) 730-4933
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$0J 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... 1,042 1,042  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 35,839
b Gross sales price for all assets on line 6a 147,608
7 Capital gain net income (from Part IV, line 2)... 35,839
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 71 71  
12 Total. Add lines 1 through 11........ 36,952 36,952  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 523 392   131
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)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 776     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).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,299 392 0 131
25 Contributions, gifts, grants paid....... 124,191 124,191
26 Total expenses and disbursements. Add lines 24 and 25 125,490 392 0 124,322
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -88,538
b Net investment income (if negative, enter -0-) 36,560
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......... 3,414    
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).......... 85,033   0
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) 88,447 0 0
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........ 88,447 0
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)..... 88,447 0
30 Total liabilities and net assets/fund balances (see instructions). 88,447 0
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
88,447
2
Enter amount from Part I, line 27a .....................
2
-88,538
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
91
4
Add lines 1, 2, and 3 ..........................
4
 
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
 
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 4.654 T ROWE PRICE LARGE/CAP GRW-I 139   2019-12-18 2020-01-17
b 1.202 T ROWE PRICE LARGE/CAP GRW-I 139     2020-01-17
c .279 VANGUARD 500 INDEX FD- ADM #540   2019-12-20 2020-01-17
d .309 VANGUARD 500 INDEX FD- ADM #540   2012-09-28 2020-01-17
e 7.4 VOYA LARGE-CAP GROWTH FND-I     2020-01-17
3.552 WF GROWTH FUND - I 3105   2012-09-28 2020-01-17
3.053 VANGUARD 500 INDEX FD- ADM #540   2012-09-28 2020-02-10
4.29268 DODGE & COX INCOME FD COM #147   2014-12-16 2020-03-17
61.03832 DODGE & COX INCOME FD COM #147   2014-12-16 2020-03-17
45.172 DODGE & COX INCOME FD COM #147     2020-03-17
3.46148 FEDERATED TOTAL RET BD-IS 328     2020-03-17
141.35452 FEDERATED TOTAL RET BD-IS 328     2020-03-17
53.639 MET WEST TOTAL RETURN BOND CL I #512     2020-03-17
92.83606 MET WEST TOTAL RETURN BOND CL I #512     2020-03-17
1.32994 MET WEST TOTAL RETURN BOND CL I #512     2020-03-17
.174 WF CORE BD FD-I 944     2020-03-17
76.602 WF CORE BD FD-I 944     2020-03-17
.72696 WF CORE BD FD-I 944   2019-08-30 2020-03-17
49.04804 WF CORE BD FD-I 944     2020-03-17
1.57924 INVESCO SMALL CAP GROWTH FD-R5 4764   2019-12-13 2020-04-17
.415 INVESCO SMALL CAP GROWTH FD-R5 4764   2014-12-12 2020-04-17
.76676 INVESCO SMALL CAP GROWTH FD-R5 4764   2019-12-13 2020-04-17
.31707 DODGE & COX STOCK FUND #145   2017-12-15 2020-04-17
.06593 DODGE & COX STOCK FUND #145   2017-12-15 2020-04-17
.15 AMER FNDS EUROPAC GROW-F3716   2018-03-16 2020-04-17
5.061 T ROWE PRICE LARGE/CAP GRW-I 139   2012-03-16 2020-04-17
7.541 T ROWE PRICE LARGE/CAP GRW-I 139   2020-03-17 2020-04-17
8.944 NORTHERN MID CAP INDEX #629   2020-02-10 2020-04-17
3.095 VANGUARD 500 INDEX FD- ADM #540     2020-04-17
4.262 VOYA LARGE-CAP GROWTH FND-I   2017-06-07 2020-04-17
4.917 VOYA LARGE-CAP GROWTH FND-I     2020-04-17
6.123 WF GROWTH FUND - I 3105   2012-09-28 2020-04-17
3.118 INVESCO SMALL CAP GROWTH FD-R5 4764     2020-05-19
.767 INVESCO SMALL CAP GROWTH FD-R5 4764   2020-01-08 2020-05-19
2.973 AMER FNDS EUROPAC GROW-F3716   2018-03-16 2020-05-19
3.959 T ROWE PRICE LARGE/CAP GRW-I 139   2012-03-16 2020-05-19
1.912 JPMORGAN SMALL CAP EQTY-I 367     2020-05-19
1.334 JPMORGAN SMALL CAP EQTY-I 367   2014-12-16 2020-05-19
21.136 NORTHERN MID CAP INDEX #629     2020-05-19
18.188 NORTHERN MID CAP INDEX #629     2020-05-19
.446 VANGUARD 500 INDEX FD- ADM #540   2020-03-17 2020-05-19
4.05 WF GROWTH FUND - I 3105   2012-09-28 2020-05-19
29.897 CAUSEWAY INTL VALUE FD-I 1271   2014-07-17 2020-06-16
.07397 DODGE & COX STOCK FUND #145   2017-12-15 2020-06-16
.61303 DODGE & COX STOCK FUND #145   2017-12-15 2020-06-16
2.936 AMER FNDS EUROPAC GROW-F3716   2018-03-16 2020-06-16
4.82 LAZARD INTL EQTY PORT-INSTL 632   2019-12-20 2020-06-16
6.507 LAZARD INTL EQTY PORT-INSTL 632   2014-09-17 2020-06-16
13.006 NORTHERN MID CAP INDEX #629   2018-12-20 2020-06-16
2.33 INV OPP DEVELOP MRKTS-R6 7038     2020-07-17
2.688 AMER FNDS EUROPAC GROW-F3716   2018-03-16 2020-07-17
2.834 T ROWE PRICE LARGE/CAP GRW-I 139   2012-03-16 2020-07-17
.467 VANGUARD 500 INDEX FD- ADM #540     2020-07-17
1.759 VOYA LARGE-CAP GROWTH FND-I   2017-06-07 2020-07-17
2.893 JPMORGAN SMALL CAP EQTY-I 367     2020-08-18
14.031 NORTHERN MID CAP INDEX #629     2020-08-18
.895 VANGUARD 500 INDEX FD- ADM #540   2020-03-17 2020-08-18
2.876 VOYA LARGE-CAP GROWTH FND-I   2017-06-07 2020-08-18
2.704 WF GROWTH FUND - I 3105   2012-09-28 2020-08-18
18.759 DODGE & COX INCOME FD COM #147     2020-09-17
3.251 AMER FNDS EUROPAC GROW-F3716   2018-03-16 2020-09-17
21.79 FEDERATED TOTAL RET BD-IS 328     2020-09-17
1.424 FEDERATED TOTAL RET BD-IS 328   2020-07-31 2020-09-17
1.975 FEDERATED TOTAL RET BD-IS 328     2020-09-17
1.224 LAZARD INTL EQTY PORT-INSTL 632   2020-08-20 2020-09-17
9.745 LAZARD INTL EQTY PORT-INSTL 632   2014-09-17 2020-09-17
22.47 MET WEST TOTAL RETURN BOND CL I #512     2020-09-17
.879 MET WEST TOTAL RETURN BOND CL I #512   2020-07-31 2020-09-17
18.939 WF CORE BD FD-I 944   2020-08-18 2020-09-17
.803 WF CORE BD FD-I 944   2020-07-31 2020-09-17
.007 WF CORE BD FD-I 944   2012-09-09 2020-09-17
3.122 INVESCO SMALL CAP GROWTH FD-R5 4764   2020-09-17 2020-10-16
5.182 T ROWE PRICE LARGE/CAP GRW-I 139   2012-03-16 2020-10-16
2.172 JPMORGAN SMALL CAP EQTY-I 367   2020-09-17 2020-10-16
17.082 NORTHERN MID CAP INDEX #629   2020-09-17 2020-10-16
6.455 NORTHERN MID CAP INDEX #629   2012-09-28 2020-10-16
.272 VANGUARD 500 INDEX FD- ADM #540   2012-09-28 2020-10-16
.589 VANGUARD 500 INDEX FD- ADM #540     2020-10-16
3.262 WF GROWTH FUND - I 3105   2012-09-28 2020-10-16
191.766 CAUSEWAY INTL VALUE FD-I 1271     2020-11-17
37.061 AMER FNDS EUROPAC GROW-F3716   2018-03-16 2020-11-17
.203 GOLDMAN SACHS SMALL CAP VALUE I 651   2019-12-18 2020-11-17
3.04 GOLDMAN SACHS SMALL CAP VALUE I 651     2020-11-17
2.457 JPMORGAN SMALL CAP EQTY-I 367   2020-09-17 2020-11-17
11.779 LAZARD INTL EQTY PORT-INSTL 632   2020-10-16 2020-11-17
123.416 LAZARD INTL EQTY PORT-INSTL 632   2014-09-17 2020-11-17
15.809 NORTHERN MID CAP INDEX #629   2012-09-28 2020-11-17
7.607 T ROWE PRICE EQUITY INCOME #71   2019-12-12 2020-11-17
26.813 INVESCO SMALL CAP GROWTH FD-R5 4764     2020-11-23
5.041 INVESCO SMALL CAP GROWTH FD-R5 4764     2020-11-23
42.954 INV OPP DEVELOP MRKTS-R6 7038     2020-11-23
2.55 INV OPP DEVELOP MRKTS-R6 7038   2020-04-17 2020-11-23
97.104 ACADIAN EMG MRKTS PORT-I #1960     2020-11-23
9.813 ACADIAN EMG MRKTS PORT-I #1960     2020-11-23
96.6 CAUSEWAY INTL VALUE FD-I 1271     2020-11-23
132.15 CAUSEWAY INTL VALUE FD-I 1271     2020-11-23
115.37 DODGE & COX INCOME FD COM #147     2020-11-23
452.341 DODGE & COX INCOME FD COM #147     2020-11-23
3.427 DODGE & COX STOCK FUND #145     2020-11-23
11.721 DODGE & COX STOCK FUND #145     2020-11-23
43.378 AMER FNDS EUROPAC GROW-F3716     2020-11-23
11.066 AMER FNDS EUROPAC GROW-F3716     2020-11-23
193.59 FEDERATED TOTAL RET BD-IS 328     2020-11-23
529.069 FEDERATED TOTAL RET BD-IS 328     2020-11-23
158.861 FIDELITY INTL INDX-INST PRM #2363   2020-11-17 2020-11-23
12.598 GOLDMAN SACHS SMALL CAP VALUE I 651     2020-11-23
21.092 GOLDMAN SACHS SMALL CAP VALUE I 651     2020-11-23
94.282 T ROWE PRICE LARGE/CAP GRW-I 139   2012-03-16 2020-11-23
14.053 JPMORGAN SMALL CAP EQTY-I 367     2020-11-23
38.442 JPMORGAN SMALL CAP EQTY-I 367     2020-11-23
41.005 LAZARD INTL EQTY PORT-INSTL 632   2020-03-17 2020-11-23
143.203 LAZARD INTL EQTY PORT-INSTL 632     2020-11-23
112.91 MFS VALUE FUND-R6 4810     2020-11-23
14.269 MFS VALUE FUND-R6 4810     2020-11-23
163.477 MET WEST TOTAL RETURN BOND CL I #512     2020-11-23
560.423 MET WEST TOTAL RETURN BOND CL I #512     2020-11-23
484.353 NORTHERN MID CAP INDEX #629   2012-09-28 2020-11-23
112.555 NORTHERN MID CAP INDEX #629   2020-03-17 2020-11-23
148.494 T ROWE PRICE EQUITY INCOME #71     2020-11-23
35.616 T ROWE PRICE EQUITY INCOME #71     2020-11-23
54.329 VANGUARD 500 INDEX FD- ADM #540   2012-09-28 2020-11-23
92.863 VOYA LARGE-CAP GROWTH FND-I     2020-11-23
468.004 WF CORE BD FD-I 944     2020-11-23
132.908 WF CORE BD FD-I 944     2020-11-23
10.917 WF GROWTH FUND - I 3105     2020-11-23
34.387 WF GROWTH FUND - I 3105     2020-11-23
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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 216   203 13
b 56   27 29
c 86   83 3
d 95   41 54
e 373   351 22
163   157 6
946   406 540
59   60 -1
838   848 -10
620   639 -19
37   40 -3
1,524   1,612 -88
588   593 -5
1,018   1,017 1
15   15  
2   2  
1,009   984 25
10   10  
646   654 -8
56   64 -8
15   16 -1
27   31 -4
47   66 -19
10   14 -4
7   9 -2
216   96 120
322   266 56
132   173 -41
822   727 95
198   167 31
229   200 29
253   270 -17
121   117 4
30   32 -2
142   173 -31
180   75 105
94   113 -19
65   62 3
330   328 2
284   343 -59
121   104 17
184   179 5
390   485 -95
12   16 -4
102   129 -27
154   171 -17
80   89 -9
108   115 -7
224   202 22
102   95 7
149   156 -7
145   54 91
139   122 17
94   69 25
169   133 36
257   201 56
280   209 71
163   113 50
147   119 28
278   277 1
191   189 2
255   254 1
17   17  
23   24 -1
22   22  
176   172 4
262   262  
10   10  
266   266  
11   11  
       
163   145 18
292   98 194
132   124 8
324   306 18
122   85 37
88   36 52
190   155 35
191   144 47
2,946   3,109 -163
2,362   2,154 208
11   11  
158   169 -11
164   140 24
223   210 13
2,340   2,176 164
324   209 115
230   240 -10
1,519   915 604
286   157 129
2,180   1,416 764
129   95 34
2,084   1,729 355
211   170 41
1,492   1,385 107
2,042   1,555 487
1,719   1,671 48
6,740   6,242 498
659   501 158
2,255   2,392 -137
2,786   2,441 345
711   495 216
2,267   2,203 64
6,195   5,791 404
6,990   6,985 5
659   486 173
1,103   704 399
5,440   1,788 3,652
941   674 267
2,575   1,051 1,524
781   543 238
2,727   2,468 259
4,960   2,082 2,878
627   507 120
1,908   1,876 32
6,540   5,999 541
10,041   6,393 3,648
2,333   1,486 847
4,522   3,806 716
1,085   823 262
17,978   7,216 10,762
5,413   3,636 1,777
6,585   5,853 732
1,870   1,843 27
655   419 236
2,065   1,366 699
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
      83
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       13
b       29
c       3
d       54
e       22
      6
      540
      -1
      -10
      -19
      -3
      -88
      -5
      1
       
       
      25
       
      -8
      -8
      -1
      -4
      -19
      -4
      -2
      120
      56
      -41
      95
      31
      29
      -17
      4
      -2
      -31
      105
      -19
      3
      2
      -59
      17
      5
      -95
      -4
      -27
      -17
      -9
      -7
      22
      7
      -7
      91
      17
      25
      36
      56
      71
      50
      28
      1
      2
      1
       
      -1
       
      4
       
       
       
       
       
      18
      194
      8
      18
      37
      52
      35
      47
      -163
      208
       
      -11
      24
      13
      164
      115
      -10
      604
      129
      764
      34
      355
      41
      107
      487
      48
      498
      158
      -137
      345
      216
      64
      404
      5
      173
      399
      3,652
      267
      1,524
      238
      259
      2,878
      120
      32
      541
      3,648
      847
      716
      262
      10,762
      1,777
      732
      27
      236
      699
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 35,839
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................................ 1 508
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........................... 3 508
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- ..... 5 508
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 794
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.............. 7 794
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 10 286
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet0 RefundedBullet 11 286
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
Yes
 
If "Yes," attach the statement required by General Instruction T.Click to see attachment
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)
    bulletUT
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1     		523    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    93,192
    b
    Average of monthly cash balances.......................
    1b
    13,174
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    106,366
    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
    106,366
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,595
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    104,771
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    5,239
    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
    5,239
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    508
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    508
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    4,731
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    4,731
    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
    4,731
    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
    124,322
    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
    124,322
    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
    124,322
    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 4,731
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 2,389
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 0
    b From 2016...... 0
    c From 2017...... 0
    d From 2018...... 0
    e From 2019...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 124,322
    a Applied to 2019, but not more than line 2a 2,389
    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..... 4,731
    e Remaining amount distributed out of corpus 117,202
    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 5 117,202
    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) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		117,202
    10 Analysis of line 9:
    a Excess from 2016.... 0
    b Excess from 2017.... 0
    c Excess from 2018.... 0
    d Excess from 2019.... 0
    e Excess from 2020.... 117,202
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    MCKAY DEE HOSPITAL FOUNDATION
    4401 HARRISON BLVD 1460
    OGDEN,UT84403     		NONE PC GENERAL OPERATING 124,191
    Total .................................bullet 3a 124,191
    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 1,042  
    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 35,839  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INCOME     		    1 71  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   36,952  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    36,952
    (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 InvestmentsOtherSchedule2
    Name:
    E D GREEN CHARITABLE TRUST A
    EIN:
    87-6121930
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    55273H353 MFS VALUE FUND-R5      
    779547108 T ROWE PRICE EQUITY      
    00141M622 INVESCO SMALL CAP GR      
    94975J581 WELLS FARGO ADV TOT      
    45775L408 T. ROWE PRICE INSTL      
    665130100 NORTHERN MID CAP IND      
    592905509 MET WEST TOTAL RETUR      
    922908710 VANGUARD 500 INDEX F      
    00769G188 ACADIAN EMG MRKTS PO      
    52106N400 LAZARD FDS INC INTL      
    256219106 DODGE & COX STOCK FU      
    4812A1373 JP MORGAN SMALL CAP      
    92913K504 VOYA LARGE-CAP GROWT      
    256210105 DODGE & COX INCOME F      
    31428Q101 FEDERATED TOTAL RET      
    14949P208 CAUSEWAY INTL VALUE      
    949915714 WF ADV GROWTH FUND -      
    38142V209 GOLDMAN SACHS SMALL      
    298706110 AMER FNDS EUROPAC GR      
    00143W859 INV OPP DEVELOP MRKT      

    TY 2020 LiquidationExplanationStmt
    Name:
    E D GREEN CHARITABLE TRUST A
    EIN:
    87-6121930
    Statement:
    THE E D GREEN CHARITABLE TRUST A PRIVATE FOUNDATION IS TERMINATING IN FULL LIQUIDATING TO ITS NAMED CHARTIABLE RECIPIENT.


    TY 2020 OtherIncomeSchedule2
    Name:
    E D GREEN CHARITABLE TRUST A
    EIN:
    87-6121930
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 71 71  


    TY 2020 OtherIncreasesSchedule
    Name:
    E D GREEN CHARITABLE TRUST A
    EIN:
    87-6121930
    Description Amount
    MUTUAL FUND TIMING ADJ 86
    ROUNDING 5


    TY 2020 TaxesSchedule
    Name:
    E D GREEN CHARITABLE TRUST A
    EIN:
    87-6121930
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL ESTIMATES - PRINCIPAL 776 0   0