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
CHAMBERS TOM & GERT IRREV S4
 
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

38-6729601
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$1,039,313
J 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... 24,667 24,640  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 63,479
b Gross sales price for all assets on line 6a 544,731
7 Capital gain net income (from Part IV, line 2)... 63,479
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)....... 971    
12 Total. Add lines 1 through 11........ 89,117 88,119  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 14,128 12,715   1,413
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)....... 959 0 0 959
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 747 747   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)....... 8 8    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 15,842 13,470 0 2,372
25 Contributions, gifts, grants paid....... 42,999 42,999
26 Total expenses and disbursements. Add lines 24 and 25 58,841 13,470 0 45,371
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 30,276
b Net investment income (if negative, enter -0-) 74,649
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............. 1,300 1,844 1,844
2 Savings and temporary cash investments......... 30,135 43,766 43,766
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).......   Click to see attachment194,226 311,797
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).......... 760,916 Click to see attachment583,784 681,906
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) 792,351 823,620 1,039,313
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........ 792,351 823,620
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)..... 792,351 823,620
30 Total liabilities and net assets/fund balances (see instructions). 792,351 823,620
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
792,351
2
Enter amount from Part I, line 27a .....................
2
30,276
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,515
4
Add lines 1, 2, and 3 ..........................
4
824,142
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
522
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
823,620
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 38. ISHARES S&P MID-CAP 400 GROWTH   2015-02-26 2020-02-14
b 5. ISHARES S&P MID-CAP 400 GROWTH   2019-10-21 2020-02-14
c 5. ISHARES RUSSELL 2000 ETF   2018-02-02 2020-02-14
d 51. ISHARES S&P MID-CAP 400 VALUE     2020-02-14
e 8. ISHARES S&P MID-CAP 400 VALUE   2019-10-21 2020-02-14
307.9 T ROWE PR REAL ESTATE-I #432     2020-02-14
230. SPDR DJ WILSHIRE INTERNATIONAL R ETF     2020-02-14
172. VANGUARD SHORT TERM BOND ETF   2008-11-04 2020-02-14
3. APPLE INC   2019-08-09 2020-02-18
2. APPLE INC   2018-11-19 2020-02-18
2. BLACKROCK INC   2018-11-19 2020-02-18
4. BROADCOM INC   2019-12-30 2020-02-18
14. CVS HEALTH CORPORATION   2018-02-02 2020-02-18
17. CISCO SYSTEMS INC   2019-08-09 2020-02-18
7. JPMORGAN CHASE & CO   2019-10-22 2020-02-18
3. LAM RESEARCH CORP COM     2020-02-18
13. LAS VEGAS SANDS CORP   2018-10-03 2020-02-18
8. ELI LILLY & CO COM   2018-02-02 2020-02-18
18. ELI LILLY & CO COM     2020-02-18
8. MERCK & CO INC NEW   2019-08-09 2020-02-18
11. MICROSOFT CORP   2019-08-09 2020-02-18
6. PNC FINANCIAL SERVICES GROUP     2020-02-18
19. SUNCOR ENERGY INC NEW F   2019-09-27 2020-02-18
21. SUNCOR ENERGY INC NEW F   2018-11-28 2020-02-18
4. TARGET CORP   2016-04-01 2020-02-18
7. TARGET CORP   2019-09-27 2020-02-18
12. TOTAL S.A. - ADR     2020-02-18
1. UNITED PARCEL SERVICE-CL B   2019-09-27 2020-02-18
10. UNITED PARCEL SERVICE-CL B     2020-02-18
3. UNITEDHEALTH GROUP INC     2020-02-18
4. UNITEDHEALTH GROUP INC     2020-02-18
13. ZOETIS INC   2017-04-25 2020-02-18
7. EATON CORP PLC     2020-02-18
1. ALPHABET INC CL C   2012-01-25 2020-03-05
4. DIAGEO PLC - ADR   2019-08-09 2020-03-05
15. HOME DEPOT INC     2020-03-05
15. HOME DEPOT INC   2017-04-03 2020-03-05
7. MERCK & CO INC NEW   2016-02-17 2020-03-05
13. MONDELEZ INTERNATIONAL INC   2019-08-09 2020-03-05
7. EATON CORP PLC   2018-11-19 2020-03-05
9. EATON CORP PLC   2019-08-09 2020-03-05
15. GILEAD SCIENCES INC     2020-03-17
4. ELI LILLY & CO COM   2018-02-02 2020-03-17
2. MONDELEZ INTERNATIONAL INC   2018-11-28 2020-03-17
4.99963 MONDELEZ INTERNATIONAL INC   2019-08-09 2020-03-17
15.00037 MONDELEZ INTERNATIONAL INC   2019-08-09 2020-03-17
13. TORONTO DOMINION BK ONT COM NEW   2019-09-27 2020-03-17
10. UNION PACIFIC CORP     2020-03-17
13. EATON CORP PLC   2019-08-09 2020-03-17
66. EATON CORP PLC     2020-03-17
208.857 EATON VANCE GLOB MACRO ADV-I 208   2017-10-26 2020-04-03
258. ISHARES CORE U.S. AGGREGATE ETF     2020-04-03
57. ISHARES CORE MSCI EMERGING ETF   2018-10-05 2020-04-03
62. ISHARES CORE MSCI EMERGING ETF     2020-04-03
189.729 PRINCIPAL HIGH YIELD-R6 #4264   2020-02-20 2020-04-03
270. VANGUARD INTERMEDIATE TERM B     2020-04-03
48. VANGUARD INTERMEDIATE TERM B     2020-04-03
557. VANGUARD FTSE DEVELOPED ETF     2020-04-03
29. VANGUARD FTSE DEVELOPED ETF   2019-10-21 2020-04-03
458. VANGUARD FTSE EMERGING MARKETS ETF     2020-04-03
.348 RAYTHEON TECHNOLOGIES CORP   2019-08-14 2020-04-29
14. ISHARES S&P MID-CAP 400 GROWTH   2020-04-03 2020-05-15
103. ISHARES S&P MID-CAP 400 GROWTH     2020-05-15
159. ISHARES RUSSELL 2000 ETF   2018-02-02 2020-05-15
46. ISHARES S&P MID-CAP 400 VALUE   2020-04-03 2020-05-15
147. ISHARES S&P MID-CAP 400 VALUE   2010-02-04 2020-05-15
38. ISHARES CORE MSCI EMERGING ETF   2018-10-05 2020-05-15
3880.13 PRINCIPAL HIGH YIELD-R6 #4264     2020-05-15
23. VANGUARD FTSE DEVELOPED ETF   2013-02-13 2020-05-15
2. BLACKROCK INC     2020-05-20
6. BLACKROCK INC     2020-05-20
34. CVS HEALTH CORPORATION     2020-05-20
15. CVS HEALTH CORPORATION   2019-09-27 2020-05-20
9. EOG RESOURCES, INC   2019-12-30 2020-05-20
9. EOG RESOURCES, INC   2018-07-18 2020-05-20
56. LAS VEGAS SANDS CORP     2020-05-20
11.9995 LAS VEGAS SANDS CORP   2015-02-27 2020-05-20
62.0005 LAS VEGAS SANDS CORP     2020-05-20
23. MONDELEZ INTERNATIONAL INC     2020-05-20
15. MONDELEZ INTERNATIONAL INC   2019-08-29 2020-05-20
16. PNC FINANCIAL SERVICES GROUP   2019-08-09 2020-05-20
32. PNC FINANCIAL SERVICES GROUP     2020-05-20
5. TE CONNECTIVITY LTD   2018-11-19 2020-05-20
11. TE CONNECTIVITY LTD   2019-08-09 2020-05-20
1. TE CONNECTIVITY LTD   2018-08-03 2020-05-20
35. AT & T INC     2020-05-21
1. ALPHABET INC CL C   2012-01-25 2020-05-21
6. APPLE INC   2020-04-06 2020-05-21
12. BOEING CO     2020-05-21
4. BROADCOM INC     2020-05-21
9. CVS HEALTH CORPORATION   2019-09-27 2020-05-21
13. CISCO SYSTEMS INC   2019-08-09 2020-05-21
10. COGNIZANT TECH SOLUTIONS CRP COM   2016-08-24 2020-05-21
3. DIAGEO PLC - ADR   2015-02-27 2020-05-21
4. DIAGEO PLC - ADR   2020-04-06 2020-05-21
1. WALT DISNEY CO   2018-04-10 2020-05-21
4. WALT DISNEY CO   2019-08-09 2020-05-21
47.292 EATON VANCE GLOB MACRO ADV-I 208   2017-10-26 2020-05-21
5. ELECTRONIC ARTS INC   2019-01-15 2020-05-21
2.02317 FIDELITY NEW MRKTS INC-Z #3323   2015-11-20 2020-05-21
31.115 FIDELITY NEW MRKTS INC-Z #3323   2020-02-20 2020-05-21
18.01883 FIDELITY NEW MRKTS INC-Z #3323   2015-11-20 2020-05-21
185. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-05-21
24. ISHARES CORE U.S. AGGREGATE ETF   2020-05-15 2020-05-21
13. ISHARES RUSSELL 2000 ETF   2018-02-02 2020-05-21
43. ISHARES CORE MSCI EMERGING ETF   2018-10-05 2020-05-21
12. JPMORGAN CHASE & CO     2020-05-21
6. LAM RESEARCH CORP COM     2020-05-21
11. LAS VEGAS SANDS CORP   2015-09-01 2020-05-21
7. MICROSOFT CORP   2020-04-06 2020-05-21
11. MONDELEZ INTERNATIONAL INC   2018-07-18 2020-05-21
6. NIKE INC CL B   2018-11-19 2020-05-21
234.086 PGIM HIGH YIELD-Q 1067   2020-05-18 2020-05-21
82.073 JAMES ALPHA GL REAL EST-I   2020-02-20 2020-05-21
12. SPIRIT AEROSYTSEMS HOLD-CL A   2020-03-17 2020-05-21
15. SPIRIT AEROSYTSEMS HOLD-CL A     2020-05-21
22. SUNCOR ENERGY INC NEW F   2015-07-07 2020-05-21
44.35353 TCW EMRG MKTS INCM-I 4721   2018-07-18 2020-05-21
17.01647 TCW EMRG MKTS INCM-I 4721   2018-07-18 2020-05-21
172.898 TCW EMRG MKTS INCM-I 4721     2020-05-21
5. TARGET CORP   2016-04-01 2020-05-21
15. TOTAL S.A. - ADR     2020-05-21
10. UNITED PARCEL SERVICE-CL B     2020-05-21
10. VANGUARD INTERMEDIATE TERM B   2020-05-15 2020-05-21
49. VANGUARD FTSE DEVELOPED ETF   2013-02-13 2020-05-21
55. VANGUARD MIDCAP VIPER   2020-02-14 2020-05-21
3. VISA INC-CLASS A SHRS   2020-04-06 2020-05-21
6. MEDTRONIC PLC   2019-08-09 2020-05-21
7. TE CONNECTIVITY LTD   2016-11-09 2020-05-21
4. APPLE INC   2020-04-06 2020-06-01
8. BOEING CO     2020-06-01
6. DIAGEO PLC - ADR   2020-04-06 2020-06-01
3. DIAGEO PLC - ADR   2016-04-25 2020-06-01
11.99979 GILEAD SCIENCES INC     2020-06-01
4.00021 GILEAD SCIENCES INC   2017-10-23 2020-06-01
5. ELI LILLY & CO COM   2020-05-20 2020-06-01
9.99938 MERCK & CO INC NEW   2019-08-09 2020-06-01
5.00062 MERCK & CO INC NEW   2019-08-09 2020-06-01
33. TJX COMPANIES INC     2020-06-01
31. TJX COMPANIES INC   2020-05-20 2020-06-01
1163.699 JAMES ALPHA GL REAL EST-I     2020-06-17
4. ELI LILLY & CO COM   2020-04-06 2020-08-27
13. MICROSOFT CORP   2019-08-09 2020-08-27
16. UNITED PARCEL SERVICE-CL B     2020-08-27
36. APPLE INC     2020-09-15
5. MICROSOFT CORP   2020-04-06 2020-09-15
10. TARGET CORP   2019-08-09 2020-09-15
62. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-09-25
112. ISHARES CORE U.S. AGGREGATE ETF     2020-09-25
66. ISHARES CORE MSCI EMERGING ETF   2018-10-05 2020-09-25
16. VANGUARD INTERMEDIATE TERM B   2020-05-15 2020-09-25
492. VANGUARD INTERMEDIATE TERM B     2020-09-25
28. VANGUARD FTSE DEVELOPED ETF   2013-02-13 2020-09-25
16. APPLE INC     2020-10-30
1. BLACKROCK INC   2014-06-10 2020-10-30
10. CME GROUP INC   2020-09-15 2020-10-30
7. CME GROUP INC   2012-08-17 2020-10-30
7. LAM RESEARCH CORP COM   2019-08-09 2020-10-30
1. ELI LILLY & CO COM   2020-04-06 2020-10-30
5. ELI LILLY & CO COM   2016-10-04 2020-10-30
7. NIKE INC CL B     2020-10-30
6. VISA INC-CLASS A SHRS   2020-04-06 2020-10-30
3. BLACKROCK INC   2014-06-10 2020-11-20
4. BROADCOM INC   2019-07-08 2020-11-20
10. DIAGEO PLC - ADR   2020-09-15 2020-11-20
6. DIAGEO PLC - ADR   2016-04-25 2020-11-20
6. WALT DISNEY CO     2020-11-20
35. HAIN CELESTIAL GROUP INC     2020-11-20
15. SPIRIT AEROSYTSEMS HOLD-CL A     2020-11-20
27. SPIRIT AEROSYTSEMS HOLD-CL A     2020-11-20
11. TARGET CORP     2020-11-20
5. UNITED PARCEL SERVICE-CL B     2020-11-20
16.99975 AT & T INC   2018-02-13 2020-12-09
28.00025 AT & T INC   2018-02-13 2020-12-09
13. APPLE INC   2008-11-24 2020-12-09
7. APPLE INC   2020-11-20 2020-12-09
10. BROADCOM INC     2020-12-09
35. CVS HEALTH CORPORATION     2020-12-09
15. CISCO SYSTEMS INC   2019-12-30 2020-12-09
10. CISCO SYSTEMS INC   2019-08-09 2020-12-09
10. CITIGROUP INC.   2019-10-22 2020-12-09
719.82 EV GL MACR ABS RTRN ADV-R6 #1072   2017-10-26 2020-12-09
630. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-12-09
5. JPMORGAN CHASE & CO   2019-08-09 2020-12-09
5. LAM RESEARCH CORP COM     2020-12-09
70. MANULIFE FINANCIAL CORP     2020-12-09
10. MERCK & CO INC NEW     2020-12-09
115. SUNCOR ENERGY INC NEW F     2020-12-09
10. SYSCO CORP   2020-11-20 2020-12-09
12. TORONTO DOMINION BK ONT COM NEW   2019-09-27 2020-12-09
13. TORONTO DOMINION BK ONT COM NEW   2019-10-17 2020-12-09
45. TOTAL S.A. - ADR     2020-12-09
20. UNILEVER PLC - ADR   2020-03-05 2020-12-09
14. UNITED PARCEL SERVICE-CL B     2020-12-09
32. VANGUARD FTSE DEVELOPED ETF   2013-02-13 2020-12-09
64. VANGUARD MIDCAP VIPER   2020-02-14 2020-12-09
5. WASTE MANAGEMENT INC   2020-03-05 2020-12-09
14. TE CONNECTIVITY LTD   2020-11-20 2020-12-09
16. TE CONNECTIVITY LTD     2020-12-09
3. AMGEN INC   2020-09-15 2020-12-11
9. BLACKSTONE GROUP INC/THE   2020-11-20 2020-12-11
6. CELANESE CORP   2019-08-09 2020-12-11
6. CITIGROUP INC.   2019-10-22 2020-12-11
10.00085 FIDELITY NATL INFORMATION SVCS INC     2020-12-11
3.99915 FIDELITY NATL INFORMATION SVCS INC   2020-08-27 2020-12-11
81. GILEAD SCIENCES INC     2020-12-11
8. LAS VEGAS SANDS CORP   2015-03-11 2020-12-11
4. ELI LILLY & CO COM   2016-10-04 2020-12-11
5. SYSCO CORP   2020-05-20 2020-12-11
12. TARGET CORP     2020-12-11
2. VISA INC-CLASS A SHRS     2020-12-11
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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    
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 9,359   6,406 2,953
b 1,231   1,129 102
c 843   773 70
d 8,688   3,387 5,301
e 1,363   1,291 72
8,344   7,963 381
9,071   6,514 2,557
13,941   12,996 945
951   601 350
634   375 259
1,126   820 306
1,240   1,253 -13
995   1,064 -69
788   893 -105
948   866 82
989   442 547
876   795 81
1,128   650 478
2,537   2,030 507
659   681 -22
2,056   1,513 543
905   814 91
571   600 -29
631   682 -51
470   331 139
823   741 82
581   661 -80
106   119 -13
1,061   1,172 -111
903   91 812
1,204   893 311
1,857   714 1,143
726   511 215
1,306   283 1,023
573   655 -82
3,510   3,164 346
3,510   2,197 1,313
569   354 215
736   714 22
657   498 159
844   697 147
1,116   1,220 -104
558   325 233
96   89 7
241   275 -34
722   824 -102
532   753 -221
1,276   366 910
925   1,007 -82
4,694   2,942 1,752
1,995   2,231 -236
29,628   29,326 302
2,246   2,811 -565
2,443   3,154 -711
1,157   1,364 -207
24,046   22,537 1,509
4,275   4,198 77
17,694   21,310 -3,616
921   1,219 -298
14,988   12,497 2,491
23   27 -4
2,796   2,375 421
20,570   8,999 11,571
19,730   24,581 -4,851
5,319   4,742 577
16,999   9,575 7,424
1,633   1,874 -241
24,988   27,550 -2,562
800   842 -42
1,015   686 329
3,046   2,671 375
2,171   2,478 -307
958   928 30
479   746 -267
479   1,108 -629
2,765   3,063 -298
593   682 -89
3,062   3,432 -370
1,149   1,012 137
750   886 -136
1,675   2,093 -418
3,350   3,065 285
395   378 17
870   985 -115
79   91 -12
1,038   1,303 -265
1,402   283 1,119
1,900   1,524 376
1,666   2,254 -588
1,102   1,182 -80
570   557 13
585   683 -98
520   576 -56
417   357 60
556   509 47
117   101 16
468   550 -82
483   505 -22
587   446 141
28   30 -2
429   477 -48
249   271 -22
2,247   2,201 46
2,818   2,809 9
1,754   2,010 -256
1,910   2,121 -211
1,083   1,469 -386
1,569   1,447 122
538   499 39
1,291   1,130 161
545   465 80
556   437 119
1,173   1,156 17
1,193   1,627 -434
252   290 -38
314   908 -594
388   605 -217
331   356 -25
127   136 -9
1,290   1,482 -192
592   414 178
535   743 -208
973   1,151 -178
918   914 4
1,771   1,795 -24
8,500   10,213 -1,713
572   493 79
574   612 -38
537   457 80
1,287   1,016 271
1,208   995 213
858   764 94
429   330 99
911   991 -80
304   342 -38
767   774 -7
798   852 -54
399   426 -27
1,750   677 1,073
1,644   1,579 65
18,864   21,226 -2,362
598   568 30
2,964   1,788 1,176
2,565   1,806 759
4,106   1,714 2,392
1,037   807 230
1,493   832 661
841   738 103
13,225   12,828 397
3,355   3,255 100
1,493   1,462 31
45,923   37,894 8,029
1,118   1,025 93
1,736   569 1,167
590   313 277
1,487   1,678 -191
1,041   378 663
2,402   1,370 1,032
130   142 -12
651   405 246
839   536 303
1,082   985 97
2,022   940 1,082
1,552   1,104 448
1,569   1,371 198
941   659 282
849   760 89
1,287   790 497
486   949 -463
876   685 191
1,904   891 1,013
822   549 273
532   624 -92
876   1,027 -151
1,578   40 1,538
850   825 25
4,166   2,758 1,408
2,558   2,091 467
669   713 -44
446   525 -79
589   721 -132
7,860   7,702 158
9,181   7,495 1,686
604   543 61
2,489   960 1,529
1,258   1,225 33
834   835 -1
2,053   3,440 -1,387
761   702 59
677   695 -18
734   753 -19
2,008   2,437 -429
1,174   1,129 45
2,353   1,492 861
1,490   1,172 318
13,050   11,885 1,165
582   588 -6
1,662   1,554 108
1,899   1,442 457
682   747 -65
573   530 43
782   650 132
355   433 -78
1,468   1,463 5
587   602 -15
4,912   5,248 -336
453   450 3
644   324 320
382   265 117
2,057   861 1,196
412   318 94
      14
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      14
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      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
      14
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      14
      14
      14
      14
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       2,953
b       102
c       70
d       5,301
e       72
      381
      2,557
      945
      350
      259
      306
      -13
      -69
      -105
      82
      547
      81
      478
      507
      -22
      543
      91
      -29
      -51
      139
      82
      -80
      -13
      -111
      812
      311
      1,143
      215
      1,023
      -82
      346
      1,313
      215
      22
      159
      147
      -104
      233
      7
      -34
      -102
      -221
      910
      -82
      1,752
      -236
      302
      -565
      -711
      -207
      1,509
      77
      -3,616
      -298
      2,491
      -4
      421
      11,571
      -4,851
      577
      7,424
      -241
      -2,562
      -42
      329
      375
      -307
      30
      -267
      -629
      -298
      -89
      -370
      137
      -136
      -418
      285
      17
      -115
      -12
      -265
      1,119
      376
      -588
      -80
      13
      -98
      -56
      60
      47
      16
      -82
      -22
      141
      -2
      -48
      -22
      46
      9
      -256
      -211
      -386
      122
      39
      161
      80
      119
      17
      -434
      -38
      -594
      -217
      -25
      -9
      -192
      178
      -208
      -178
      4
      -24
      -1,713
      79
      -38
      80
      271
      213
      94
      99
      -80
      -38
      -7
      -54
      -27
      1,073
      65
      -2,362
      30
      1,176
      759
      2,392
      230
      661
      103
      397
      100
      31
      8,029
      93
      1,167
      277
      -191
      663
      1,032
      -12
      246
      303
      97
      1,082
      448
      198
      282
      89
      497
      -463
      191
      1,013
      273
      -92
      -151
      1,538
      25
      1,408
      467
      -44
      -79
      -132
      158
      1,686
      61
      1,529
      33
      -1
      -1,387
      59
      -18
      -19
      -429
      45
      861
      318
      1,165
      -6
      108
      457
      -65
      43
      132
      -78
      5
      -15
      -336
      3
      320
      117
      1,196
      94
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 63,479
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,038
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,038
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,038
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 216
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.............. 7 216
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 9 822
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)
    bulletMI
    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
    14,128    
    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
    891,495
    b
    Average of monthly cash balances.......................
    1b
    30,865
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    922,360
    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
    922,360
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    13,835
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    908,525
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    45,426
    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
    45,426
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,038
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,038
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    44,388
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    44,388
    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
    44,388
    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
    45,371
    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
    45,371
    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
    45,371
    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 44,388
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 42,469
    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$ 45,371
    a Applied to 2019, but not more than line 2a 42,469
    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..... 2,902
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    41,486
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2016.... 0
    b Excess from 2017.... 0
    c Excess from 2018.... 0
    d Excess from 2019.... 0
    e Excess from 2020.... 0
    Form 990-PF (2020)
    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
    PICKFORD PUBLIC SCHOOLS
    ATTN ANGELA NETTLETON
    PICKFORD,MI49774
    NONE PC GENERAL OPERATING 14,333
    MENOMINEE AREA PUBLIC SCHOOLS
    ATTN BUSINESS OFFICE CLERK
    MENOMINEE,MI49858
    NONE PC GENERAL OPERATING 14,333
    APPLETON CITY R2 SCHOOL DISTRICT
    408 W 4TH ST
    APPLETON CITY,MO64724
    NONE PC GENERAL OPERATING 14,333
    Total .................................bullet 3a 42,999
    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 24,667  
    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 63,479  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND
        1 971  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   89,117  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    89,117
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    CHAMBERS TOM & GERT IRREV S4
    EIN:
    38-6729601
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 959     959

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    CHAMBERS TOM & GERT IRREV S4
    EIN:
    38-6729601
    Name of Stock End of Year Book Value End of Year Fair Market Value
    512807108 LAM RESEARCH CORP CO 2,959 7,556
    517834107 LAS VEGAS SANDS CORP 2,157 2,980
    58933Y105 MERCK & CO INC NEW 5,046 7,280
    75513E101 RAYTHEON TECHNOLOGIE 7,011 7,223
    94106L109 WASTE MANAGEMENT INC 4,182 4,481
    56501R106 MANULIFE FINANCIAL C 9,354 12,278
    594918104 MICROSOFT CORP 4,939 22,020
    G29183103 EATON CORP PLC 3,032 3,124
    867224107 SUNCOR ENERGY INC NE 5,171 3,205
    11135F101 BROADCOM INC 7,123 10,946
    097023105 BOEING CO 2,068 4,067
    654106103 NIKE INC CL B 1,485 3,537
    H2906T109 GARMIN LTD 6,945 8,616
    192446102 COGNIZANT TECH SOLUT 3,614 4,589
    891160509 TORONTO DOMINION BK 8,615 9,309
    G5960L103 MEDTRONIC PLC 2,730 3,163
    126650100 CVS HEALTH CORPORATI 4,313 6,693
    871829107 SYSCO CORP 5,159 8,169
    037833100 APPLE INC 473 20,567
    031162100 AMGEN INC 4,699 4,598
    91324P102 UNITEDHEALTH GROUP I 3,818 9,118
    02079K107 ALPHABET INC CL C 8,000 12,263
    285512109 ELECTRONIC ARTS INC 1,270 2,010
    150870103 CELANESE CORP 2,733 5,328
    Y2573F102 FLEX LTD 1,584 2,068
    17275R102 CISCO SYSTEMS INC 5,816 9,800
    883556102 THERMO FISHER SCIENT 190 2,329
    460690100 INTERPUBLIC GROUP CO 4,754 6,162
    532457108 ELI LILLY & CO COM 2,086 4,390
    46625H100 JPMORGAN CHASE & CO 4,111 10,039
    31620M106 FIDELITY NATL INFORM 5,000 5,517
    09857L108 BOOKING HOLDINGS INC 1,651 2,227
    00287Y109 ABBVIE INC 3,828 3,857
    911312106 UNITED PARCEL SERVIC 4,407 8,420
    904767704 UNILEVER PLC - ADR 6,188 7,062
    H84989104 TE CONNECTIVITY LTD 3,621 5,448
    00206R102 AT & T INC 10,551 9,203
    87612E106 TARGET CORP 2,451 7,238
    405217100 HAIN CELESTIAL GROUP 1,118 1,767
    25243Q205 DIAGEO PLC - ADR 2,810 5,241
    254687106 WALT DISNEY CO 1,015 3,261
    09247X101 BLACKROCK INC 2,864 5,051
    172967424 CITIGROUP INC. 6,816 8,262
    609207105 MONDELEZ INTERNATION 3,084 4,151
    907818108 UNION PACIFIC CORP 536 3,123
    89151E109 TOTAL S.A. - ADR 5,969 5,239
    92826C839 VISA INC-CLASS A SHR 2,922 4,156
    09260D107 BLACKSTONE GROUP INC 3,958 4,666

    TY 2020 InvestmentsOtherSchedule2
    Name:
    CHAMBERS TOM & GERT IRREV S4
    EIN:
    38-6729601
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    02079K107 ALPHABET INC/CA      
    277923264 EATON VANCE GLOB MAC      
    98978V103 ZOETIS INC      
    09247X101 BLACKROCK INC      
    87234N765 TCW EMRG MKTS INCM-I AT COST 37,976 40,636
    517834107 LAS VEGAS SANDS CORP      
    46434G103 ISHARES CORE MSCI EM AT COST 69,682 81,893
    921937827 VANGUARD BD INDEX FD      
    921937819 VANGUARD INTERMEDIAT      
    126650100 CVS/CAREMARK CORPORA      
    00206R102 AT & T INC      
    609207105 MONDELEZ INTERNATION      
    921943858 VANGUARD FTSE DEVELO AT COST 31,825 41,025
    Y2573F102 FLEXTRONICS INTL LTD      
    56501R106 MANULIFE FINANCIAL C      
    405217100 HAIN CELESTIAL GROUP      
    26875P101 EOG RESOURCES, INC      
    911312106 UNITED PARCEL SERVIC      
    464287705 ISHARES S&P MIDCAP 4      
    192446102 COGNIZANT TECH SOLUT      
    848574109 SPIRIT AEROSYTSEMS H      
    78463X863 SPDR DJ WILSHIRE INT      
    097023105 BOEING COMPANY      
    17275R102 CISCO SYSTEMS INC      
    25243Q205 DIAGEO PLC - ADR      
    375558103 GILEAD SCIENCES INC      
    654106103 NIKE INC CL B      
    693475105 PNC FINANCIAL SERVIC      
    872540109 TJX COS INC NEW      
    87612E106 TARGET CORP      
    464287655 ISHARES RUSSELL 2000 AT COST 30,714 41,957
    46625H100 JPMORGAN CHASE & CO      
    46090F100 INVESCO OPTIMUM YIEL AT COST 16,417 21,089
    922042858 VANGUARD EMERGING MA      
    172967424 CITIGROUP INC      
    254687106 WALT DISNEY CO      
    532457108 ELI LILLY & CO COM      
    883556102 THERMO FISHER SCIENT      
    89151E109 TOTAL FINA ELF S.A.      
    H84989104 TE CONNECTIVITY LTD      
    037833100 APPLE COMPUTER INC C      
    437076102 HOME DEPOT INC      
    594918104 MICROSOFT CORP      
    91324P102 UNITEDHEALTH GROUP I      
    58933Y105 MERCK & CO INC NEW      
    779919307 T ROWE PR REAL ESTAT      
    G29183103 EATON CORP PLC      
    907818108 UNION PACIFIC CORP      
    867224107 SUNCOR ENERGY INC NE      
    464287606 ISHARES S&P MIDCAP 4      
    150870103 CELANESE CORP      
    12572Q105 CME GROUP INC      
    512807108 LAM RESEARCH CORP CO      
    31620M106 FIDELITY NATL INFORM      
    464287226 ISHARES CORE U.S. AG AT COST 133,260 141,592
    285512109 ELECTRONIC ARTS INC      
    31641Q755 FIDELITY NEW MRKTS I AT COST 20,061 20,429
    891160509 TORONTO DOMINION BK      
    11135F101 BROADCOM INC      
    G5960L103 MEDTRONIC PLC      
    755111507 RAYTHEON CO      
    922908629 VANGUARD MIDCAP VIPE AT COST 121,332 163,142
    74256W626 PRINCIPAL HIGH YIELD      
    27830W108 EV GL MACR ABS RTRN AT COST 19,378 19,104
    74440Y884 PGIM HIGH YIELD-Q 10 AT COST 103,139 111,039

    TY 2020 OtherDecreasesSchedule
    Name:
    CHAMBERS TOM & GERT IRREV S4
    EIN:
    38-6729601
    Description Amount
    MUTUAL FUND TIMING ADJ 268
    COST BASIS ADJUSTMENT 12
    FIXNG COST ADJUSTMENT 242


    TY 2020 OtherExpensesSchedule
    Name:
    CHAMBERS TOM & GERT IRREV S4
    EIN:
    38-6729601
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES - ADR FEES 8 8   0


    TY 2020 OtherIncomeSchedule2
    Name:
    CHAMBERS TOM & GERT IRREV S4
    EIN:
    38-6729601
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 971 0  


    TY 2020 OtherIncreasesSchedule
    Name:
    CHAMBERS TOM & GERT IRREV S4
    EIN:
    38-6729601
    Description Amount
    PY PENDING SALES ADJ 1,515


    TY 2020 TaxesSchedule
    Name:
    CHAMBERS TOM & GERT IRREV S4
    EIN:
    38-6729601
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 570 570   0
    FOREIGN TAXES ON QUALIFIED FOR 64 64   0
    FOREIGN TAXES ON NONQUALIFIED 113 113   0