Form990-PF
Click to see list of attachments

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
THOMAS AND SANDRA USHER CAMP
 
Number and street (or P.O. box number if mail is not delivered to street address)421 WEAVER MILL ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RECTOR, PA15677
A Employer identification number

30-0337978
B Telephone number (see instructions)

(814) 629-9744
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$16,032,875
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) 776,505
2 Check bullet.............
3 Interest on savings and temporary cash investments 146 146 146
4 Dividends and interest from securities... 18,632 18,632 18,632
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 168,240
b Gross sales price for all assets on line 6a 572,497
7 Capital gain net income (from Part IV, line 2)... 168,240
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances 279
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 279 279
11 Other income (attach schedule)....... 3,959   3,959
12 Total. Add lines 1 through 11........ 967,761 187,018 23,016
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 237,721     237,721
15 Pension plans, employee benefits....... 106,635     87,936
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 8,505     8,505
c Other professional fees (attach schedule).... 22,924 6,422 20,422 2,500
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 2,678     168
19 Depreciation (attach schedule) and depletion... 886,762    
20 Occupancy.............. 80,043     73,914
21 Travel, conferences, and meetings....... 964     961
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 102,366   7,523 354,588
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,448,598 6,422 27,945 766,293
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 1,448,598 6,422 27,945 766,293
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -480,837
b Net investment income (if negative, enter -0-) 180,596
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 280,660 377,490 377,490
2 Savings and temporary cash investments......... 12,665 37,065 37,065
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet649
Less: allowance for doubtful accounts bullet   15,958 649 649
8 Inventories for sale or use.............. 9,253 9,253 9,253
9 Prepaid expenses and deferred charges.......... 15,303 10,011 10,011
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).......... 1,061,299 1,030,434 1,030,434
14 Land, buildings, and equipment: basis bullet25,763,107
Less: accumulated depreciation (attach schedule) bullet11,195,434 15,227,064 Click to see attachment14,567,673 14,567,673
15 Other assets (describe bullet) Click to see attachment300 Click to see attachment300 Click to see attachment300
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 16,622,502 16,032,875 16,032,875
Liabilities 17 Accounts payable and accrued expenses.......... 58,876 18,735
18 Grants payable.................    
19 Deferred revenue................. 21,912 24,102
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)......... 80,788 42,837
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........... 16,541,714  
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 16,541,714 15,990,038
30 Total liabilities and net assets/fund balances (see instructions). 16,622,502 16,032,875
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
16,541,714
2
Enter amount from Part I, line 27a .....................
2
-480,837
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
16,077
4
Add lines 1, 2, and 3 ..........................
4
16,076,954
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
86,916
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
15,990,038
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 4.138 AQR LONG-SHORT EQUITY-I P 2019-01-01 2020-02-06
b 342.234 AQR LONG-SHORT EQUITY-I P 2019-01-01 2020-05-27
c 144.933 AQR MANAGED FUTURESW STRATEGY FUND CLASS P 2019-01-01 2020-06-11
d 690.038 AQR MANAGED FUTURESW STRATEGY FUND CLASS P 2019-01-01 2020-07-29
e 67.360 SEMPER MBS TOTAL RETURN FUND P 2020-05-27 2020-06-11
5.819 SEMPER MBS TOTAL RETURN FUND P 2020-05-27 2020-07-29
217.645 SEMPER MBS TOTAL RETURN FUND P 2020-05-27 2020-11-24
198.8 ANGEL OAK MULTI-STRATEGY INCOME P 2019-01-01 2020-06-11
1.351 ANGEL OAK MULTI-STRATEGY INCOME P 2019-01-01 2020-07-29
305.717 BLACKROCK EVENT DRIVEN EQ-IS P 2020-05-27 2020-06-11
18.689 BLACKROCK EVENT DRIVEN EQ-IS P 2020-03-27 2020-11-24
2413.061 BLACKROCK STRATEGIC INCOME OPP P 2019-01-01 2020-03-03
1058.512 BLACKROCK STRATEGIC INCOME OPP P 2019-01-01 2020-06-11
4361.523 BLACKROCK LOW DURATION BOND PORTFOLIO P 2019-01-01 2020-03-03
1309.937 BLACKROCK LOW DURATION BOND PORTFOLIO P 2019-01-01 2020-04-26
2125.352 BLACKROCK LOW DURATION BOND PORTFOLIO P 2019-01-01 2020-06-11
17.843 EATON VANCE GLOBAL MACRO ABSOLSUTE RETUR P 2019-01-01 2020-02-06
281.458 EATON VANCE GLOBAL MACRO ABSOLSUTE RETUR P 2019-01-01 2020-06-11
12.777 EATON VANCE GLOBAL MACRO ABSOLSUTE RETUR P 2019-01-01 2020-11-24
2.027 GOTHAM ABSOLUTE RETURN-INS P 2019-01-01 2020-02-06
247.863 GOTHAM ABSOLUTE RETURN-INS P 2019-01-01 2020-05-27
716.889 HARBOR SMALL CAP VALUE INS P 2020-03-03 2020-08-28
3.731 361 GLOBAL LNG/SHRT EQ - Y P 2019-01-01 2020-02-06
338.879 361 GLOBAL LNG/SHRT EQ - Y P 2019-01-01 2020-05-27
530 ISHARES RUSSELL 1000 P 2019-01-01 2020-03-03
330 ISHARES RUSSELL 1000 P 2019-01-01 2020-06-11
290 ISHARES RUSSELL 1000 P 2019-01-01 2020-08-28
350 ISHARES CORE S & P SMALL CAP P 2019-01-01 2020-03-03
150 ISHARES CORE MSCI EAFE ETF P 2019-01-01 2020-06-11
.197 BRANDYWINE GLOBAL ALTERNATIVE CREDIT FUN P 2019-01-01 2020-02-06
478.719 BRANDYWINE GLOBAL ALTERNATIVE CREDIT FUN P 2019-01-01 2020-05-27
320.650 PGIM QMA LONG/SHORT EQTY Q P 2019-01-01 2020-05-27
40 SPDR S&P 500 ETF TRUST P 2019-01-01 2020-03-03
115 SPDR S&P 500 ETF TRUST P 2019-01-01 2020-06-11
65 SPDR MIDCAP TRUST SERIES 1 P 2019-01-01 2020-03-03
465 SCHWAB US REIT P 2020-03-03 2020-04-29
410 VANGUARD TOTAL BOND MARKET ETF P 2019-01-01 2020-03-03
222 VANGUARD TOTAL BOND MARKET ETF P 2019-01-01 2020-04-29
60 VANGUARD TOTAL BOND MARKET ETF P 2019-01-01 2020-08-28
100 VANGUARD REAL ESTATE ETF P 2019-01-01 2020-03-03
Capital Gain Dividends      
(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 46   56 -10
b 3,176   4,651 -1,475
c 1,197   1,304 -107
d 5,782   6,074 -292
e 573   548 25
51   47 4
1,966   1,769 197
2,000   2,201 -201
14   15 -1
2,956   2,972 -16
185   182 3
24,203   24,376 -173
10,384   10,322 62
42,394   41,724 670
12,392   12,518 -126
20,446   20,096 350
190   181 9
2,919   2,888 31
138   132 6
31   30 1
3,433   3,621 -188
22,940   22,030 910
42   41 1
3,487   3,745 -258
91,084   36,635 54,449
56,560   22,811 33,749
56,453   20,046 36,407
26,144   15,679 10,465
8,664   8,965 -301
2   2  
4,304   4,955 -651
3,380   3,990 -610
12,380   11,007 1,373
35,557   23,767 11,790
22,254   11,588 10,666
16,726   20,432 -3,706
35,481   33,831 1,650
19,431   18,290 1,141
5,288   4,943 345
9,116   5,793 3,323
      8,728
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       -10
b       -1,475
c       -107
d       -292
e       25
      4
      197
      -201
      -1
      -16
      3
      -173
      62
      670
      -126
      350
      9
      31
      6
      1
      -188
      910
      1
      -258
      54,449
      33,749
      36,407
      10,465
      -301
       
      -651
      -610
      1,373
      11,790
      10,666
      -3,706
      1,650
      1,141
      345
      3,323
       
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 2 168,240
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 -2,583
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 2,510
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 2,510
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,510
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 669
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 669
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,841
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 taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
    Yes
     
    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 ofbulletKENT A BIERY Telephone no.bullet (814) 629-9744

    Located atbullet111 LAKE GLORIA ROADBOSWELLPA ZIP+4bullet15531
    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
    REV JAMES S WELCH President
    20.00
    0    
    111 LAKE GLORIA ROAD
    BOSWELL,PA15531
    ARTHUR E PRACK III Secretary
    1.00
    0    
    501 BEAR TREE CREEK
    CHAPEL HILL,NC27517
    KENT A BIERY Treasurer
    5.00
    0    
    111 LAKE GLORIA ROAD
    BOSWELL,PA15531
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 FULL TIME PERSONNEL, PART TIME PERSONNEL AND SEASONAL COUNSELORS USED THE FACILITIES, INCLUDING 10 CABINS, SPORTS PAVILION, POOL, LAKE, ARTS & CRAFTS PAVILION, AND DINING HALL TO SERVE DISADVANTAGED KIDS FROM THE INNER CITY OF PITTSBURGH AND SURROUNDING AREAS DURING 8 WEEKLY CAMP SESSIONS DURING THE SUMMER MONTHS. DUE TO COVID-19 THE 2020 CAMPING SEASON WAS CANCELED. 0
    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
    1,009,603
    b
    Average of monthly cash balances.......................
    1b
    175,909
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,185,512
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,185,512
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    17,783
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,167,729
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    58,386
    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
     
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
     
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
     
    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
    766,293
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    766,293
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    766,293
    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  
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016......  
    c From 2017......  
    d From 2018......  
    e From 2019......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$  
    a Applied to 2019, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2020 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2020.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
     
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2016....  
    b Excess from 2017....  
    c Excess from 2018....  
    d Excess from 2019....  
    e Excess from 2020....  
    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
    0       0
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
    766,293 663,469 660,853 589,522 2,680,137
    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 ....
    766,293 663,469 660,853 589,522 2,680,137
    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...
    38,924 46,703 43,239 39,929 168,795
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or 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
    Total .................................bullet 3a  
    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
    aPROGRAM FEES         1,574
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
        14 146  
    4 Dividends and interest from securities....     14 18,632  
    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 ............
        18 168,240  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory     1 279  
    11 Other revenue:
    aOTHER INCOME
        1 200  
    bREIMBURSEMENT     1 2,185  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   189,682 1,574
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    191,256
    (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.)
    1a Program fees are tuition for campers and leaders which is used to help defray the cost of the 8 weekly summer camps for disadvantaged inner city kids. Providing the weekly summer camps accomplishes the religious and educational purpose of the Foundation.
    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: 20011551
    Software Version: 2020v4.0


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2020
    Name of the organization
    THOMAS AND SANDRA USHER CAMP
     
    Employer identification number

    30-0337978
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
    Name of organization
    THOMAS AND SANDRA USHER CAMP
     
    Employer identification number
    30-0337978
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    CHRISTIAN CAMPS OF PITTSBURGH
    111 LAKE GLORIA ROAD
     
    BOSWELL, PA15531

    $ 505,012


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
    BENJAMIN PRICE
    1651 NW PROFESSIONAL PLAZA
     
    COLUMBUS, OH43220

    $ 50,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
    KYLE WELCH
    36 RIVER STONE TRAIL
     
    ASHEVILLE, NC28805

    $ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    4
    ROY LEUKHARDT
    271 HECLA ROAD
     
    MT PLEASANT, PA15666

    $ 15,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    5
    JOHN HENNE
    5501 WALNUT ST
     
    PITTSBURGH, PA15232

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    6
    KRIS LIGHTCAP
    120 SKYMARK LANE
     
    SEWICKLEY, PA15143

    $ 6,406


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    THOMAS AND SANDRA USHER CAMP
     
    Employer identification number
    30-0337978
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    7
    ALLISON ROBINSON
    605 CEADARWOOD LANE
     
    CROWNSVILLE, MD21032

    $ 7,761


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    8
    BRENT BIGGER
    812 SOUTH WOODLYN DR
     
    TAMPA, FL33609

    $ 10,000


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

    $  


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

    $  


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

    $  


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

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 3
    Name of organization
    THOMAS AND SANDRA USHER CAMP
     
    Employer identification number

    30-0337978
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 4
    Name of organization
    THOMAS AND SANDRA USHER CAMP
     
    Employer identification number

    30-0337978
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Additional Data


    Software ID: 20011551
    Software Version: 2020v4.0

    TY 2020 AccountingFeesSchedule
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING & AUDITING FEE 8,369 0 0 8,369
    PAYROLL PREPARATION FEES 136 0 0 136

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2020 DepreciationSchedule
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    SOUND SYSTEM MIXER RACK 2010-05-01 3,490 3,141 SL 5.0000 349      
    PLOW FOR BACKHOE 2011-10-01 2,052 1,641 SL 5.0000 411      
    EXTENDED WARR FOR FORD 2010-08-01 2,889 2,601 SL 5.0000 288      
    STONE LODGE 2006-01-01 124,121 86,884 SL 20.0000 6,206      
    STONE LODGE 2007-01-01 146 93 SL 20.0000 7      
    STONE LODGE 2009-01-01 14,862 8,173 SL 20.0000 743      
    CHESTNUT LODGE 2006-01-01 159,793 111,858 SL 20.0000 7,990      
    CHESTNUT LODGE 2007-01-01 176 116 SL 20.0000 9      
    CEDAR LODGE 2006-01-01 107,009 74,903 SL 20.0000 5,350      
    CEDAR LODGE 2007-01-01 9,108 5,917 SL 20.0000 455      
    MAINTENANCE BLDG 381 2006-01-01 124,956 87,471 SL 20.0000 6,248      
    MAINTENANCE BLDG 381 2007-01-01 29,423 19,124 SL 20.0000 1,471      
    2376 HOUSE 2006-01-01 125,349 87,741 SL 20.0000 6,267      
    2376 HOUSE 2007-01-01 115,168 74,856 SL 20.0000 5,758      
    2376 HOUSE 2008-01-01 20,980 12,588 SL 20.0000 1,049      
    2376 HOUSE 2009-01-01 11,450 6,301 SL 20.0000 573      
    509 WEAVER MILL 2007-01-01 178,784 116,208 SL 20.0000 8,939      
    509 WEAVER MILL 2009-01-01 36,108 19,857 SL 20.0000 1,805      
    509 WEAVER MILL 2011-01-01 16,524 7,434 SL 20.0000 826      
    DINING HALL 2007-01-01 8,495 5,524 SL 20.0000 425      
    DINING HALL 2008-01-01 1,661,208 996,722 SL 20.0000 83,060      
    DINING HALL 2009-01-01 739,676 406,823 SL 20.0000 36,984      
    CABINS 2007-01-01 16,320 10,608 SL 20.0000 816      
    CABINS 2008-01-01 823,290 493,978 SL 20.0000 41,165      
    CABINS 2009-01-01 506,790 278,738 SL 20.0000 25,340      
    UNIT DIRECTOR'S CABIN 2007-01-01 4,772 3,105 SL 20.0000 239      
    STORE 2007-01-01 13,030 8,473 SL 20.0000 652      
    SPORTS PAVILION 2007-01-01 49,602 32,241 SL 20.0000 2,480      
    SPORTS PAVILION 2008-01-01 1,460,928 876,554 SL 20.0000 73,046      
    SPORTS PAVILION 2009-01-01 2,059,433 1,132,691 SL 20.0000 102,972      
    POOL 2007-01-01 5,209 3,383 SL 20.0000 260      
    POOL 2008-01-01 348,910 209,349 SL 20.0000 17,446      
    POOL 2009-01-01 531,588 292,371 SL 20.0000 26,579      
    POOL LOCKER ROOM 2007-01-01 5,361 3,484 SL 20.0000 268      
    POOL LOCKER ROOM 2008-01-01 46,464 27,877 SL 20.0000 2,323      
    POOL LOCKER ROOM 2009-01-01 8,152 4,486 SL 20.0000 408      
    WATER TREATMENT FACILITY 2008-01-01 46,559 27,936 SL 20.0000 2,328      
    WATER TREATMENT FACILITY 2009-01-01 7,251 3,991 SL 20.0000 363      
    FIRE PUMP HOUSE 2008-01-01 103,577 62,147 SL 20.0000 5,179      
    FIRE PUMP HOUSE 2009-01-01 7,612 4,189 SL 20.0000 381      
    421 WEAVER MILL HOUSE 2008-01-01 235,083 141,049 SL 20.0000 11,754      
    421 WEAVER MILL HOUSE 2009-01-01 197,564 108,659 SL 20.0000 9,878      
    421 WEAVER MILL HOUSE 2010-01-01 461,205 230,601 SL 20.0000 23,060      
    421 WEAVER MILL HOUSE 2011-01-01 4,130 1,862 SL 20.0000 207      
    OPEN PAVILION 2009-01-01 15,286 8,405 SL 20.0000 764      
    BUILDING IMPROV. MGMT. 2007-01-01 513,279 333,632 SL 20.0000 25,664      
    BUILDING IMPROV. MGMT. 2008-01-01 822,227 493,334 SL 20.0000 41,111      
    BUILDING IMPROV. MGMT. 2009-01-01 417,163 229,439 SL 20.0000 20,858      
    BUILDING: A&E 2007-01-01 372,620 242,203 SL 20.0000 18,631      
    BUILDING :A&E 2008-01-01 160,255 96,155 SL 20.0000 8,013      
    BUILDING:A&E 2009-01-01 71,153 39,137 SL 20.0000 3,558      
    BUILDING:A&E 2010-01-01 11,241 5,620 SL 20.0000 562      
    2006 IMPROVEMENTS 2006-01-01 230,198 64,456 SL 50.0000 4,604      
    SITE-WELL 2007-01-01 15,249 3,995 SL 50.0000 305      
    SITE-WELL 2009-01-01 8,494 1,870 SL 50.0000 170      
    SITE-MASTER PLAN 2007-01-01 203,053 52,793 SL 50.0000 4,061      
    SITE-MASTER PLAN 2008-01-01 991,587 237,983 SL 50.0000 19,832      
    SITE-MASTER PLAN 2009-01-01 712,983 156,859 SL 50.0000 14,260      
    SITE-WATER 2007-01-01 8,475 2,207 SL 50.0000 170      
    SITE-WATER 2008-01-01 643,525 154,450 SL 50.0000 12,871      
    SITE-SEWAGE 2007-01-01 24,276 6,315 SL 50.0000 486      
    SITE-SEWAGE 2008-01-01 1,222,518 293,402 SL 50.0000 24,450      
    SITE-SEWAGE 2009-01-01 5,143 1,132 SL 50.0000 103      
    SITE-ELECTRIC & PHONE 2007-01-01 3,343 870 SL 50.0000 67      
    SITE-ELECTRIC & PHONE 2008-01-01 1,853,883 444,934 SL 50.0000 37,078      
    SITE-ELECTRIC & PHONE 2009-01-01 440,750 96,965 SL 50.0000 8,815      
    SITE-GRADING/ROADS 2007-01-01 4,746 1,234 SL 50.0000 95      
    SITE-GRADING/ROADS 2008-01-01 1,004,695 241,127 SL 50.0000 20,094      
    SITE-GRADING/ROADS 2009-01-01 79,038 17,390 SL 50.0000 1,581      
    SITE-E&S 2007-01-01 16,007 4,161 SL 50.0000 320      
    SITE-E&S 2008-01-01 172,794 41,471 SL 50.0000 3,456      
    POND & BRIDGE #1 2007-01-01 377,417 98,126 SL 50.0000 7,548      
    POND & BRIDGE #1 2008-01-01 108,484 26,038 SL 50.0000 2,170      
    POND & BRIDGE #1 2009-01-01 506 110 SL 50.0000 10      
    BRIDGE #2 2007-01-01 2,247 585 SL 50.0000 45      
    BRIDGE #2 2008-01-01 25,087 6,023 SL 50.0000 502      
    BRIDGE #2 2009-01-01 192,412 42,329 SL 50.0000 3,848      
    LANDSCAPING 2007-01-01 3,530 921 SL 50.0000 71      
    LANDSCAPING 2008-01-01 2,072 494 SL 50.0000 41      
    LANDSCAPING 2009-01-01 42,719 9,396 SL 50.0000 854      
    ENTRY ROAD RELOCATION 2007-01-01 146 38 SL 50.0000 3      
    FIRE PROTECTION 2007-01-01 2,210 573 SL 50.0000 44      
    SITE-DEMOLITION 2007-01-01 31,104 8,086 SL 50.0000 622      
    SITE-DEMOLITION 2008-01-01 99,471 23,870 SL 50.0000 1,989      
    LAND IMPROVEMENT MGMT. 2007-01-01 518,685 134,860 SL 50.0000 10,374      
    LAND IMPROVEMENT MGMT. 2008-01-01 296,166 71,078 SL 50.0000 5,923      
    LAND IMPROVEMENT MGMT. 2009-01-01 178,784 39,335 SL 50.0000 3,576      
    RESIDENCES-WASHER & DRYER 2013-12-16 2,960 2,538 SL 7.0000 422      
    BRUSH HOG MOWER 2013-10-10 100 88 SL 7.0000 12      
    SPORTS EQUIPMENT 2013-05-21 3,297 3,101 SL 7.0000 196      
    WATER TREATMENT EQUIP 2013-07-20 627 577 SL 7.0000 50      
    PROPANE TANK 2013-02-12 100 97 SL 7.0000 3      
    ROAD/GRADING 2013-05-31 23,565 7,755 SL 20.0000 1,178      
    TRACK 2013-06-19 72,503 23,563 SL 20.0000 3,625      
    ROPE COURSE 2013-07-17 1,625 520 SL 20.0000 81      
    WATER LINES 2013-04-18 1,172 393 SL 20.0000 59      
    RESIDENCES - APPLIANCE 2014-01-27 1,201 710 SL 10.0000 120      
    SPORTS EQUIPMENT 2014-07-17 629 487 SL 7.0000 90      
    ROAD PAVING 2014-05-19 8,071 3,004 SL 15.0000 538      
    ARENA SOCCER FIELD 2014-07-30 140,719 38,112 SL 20.0000 7,036      
    FOOTBALL FIELD 2014-08-08 85,497 23,156 SL 20.0000 4,275      
    IMPROV - 509 WEAVER MILL 2014-06-13 5,531 1,546 SL 20.0000 277      
    RESIDENCES - CITIKIDZ 2015-12-14 2,898 1,691 SL 7.0000 414      
    EQUIPMENT & TOOLS 2015-10-22 1,593 950 SL 7.0000 228      
    2009 CABIN IMPROVEMENTS 2015-07-13 46,985 10,571 SL 20.0000 2,349      
    TELEPHONE SYSTEM 2015-10-06 4,050 2,461 SL 7.0000 579      
    ROADS - STONE 2016-07-05 1,284 641 SL 7.0000 183      
    ARENA SOCCER 2016-08-08 2,519 861 SL 10.0000 252      
    RESIDENCES -STAFF (2) 2016-08-01 629,559 71,699 SL 30.0000 20,985      
    CAMERA EQUIPMENT 2016-11-21 1,000 617 SL 5.0000 200      
    BICYCLES 2017-06-05 4,495 1,659 SL 7.0000 642      
    RESIDENCES-IMPROV 2017-09-01 27,944 3,260 SL 20.0000 1,397      
    2008 PONTIAC G6 2017-05-09 2,750 1,467 SL 5.0000 550      
    BLEACHERS 2018-04-23 3,326 277 SL 20.0000 166      
    WRESTLING MATS 2018-05-29 8,962 1,419 SL 10.0000 896      
    ARCHERY & OTHER 2018-07-24 2,761 391 SL 10.0000 276      
    TRACK IMPROVEMENTS 2018-06-16 4,722 354 SL 20.0000 236      
    IMPROV - RESIDENCE 2018-04-25 1,458 122 SL 20.0000 73      
    IMPROV - RESIDENCE 2019-08-01 56,663 1,180 SL 20.0000 2,833      
    AUDIO EQUIPMENT 2019-04-23 1,452 194 SL 5.0000 290      
    WEIGHT TRAINING EQUIP 2019-04-30 2,645 176 SL 10.0000 265      
    COMPUTER 2019-08-22 2,268 151 SL 5.0000 454      
    RESIDENCE - FLOORING 2020-05-28 500   SL 10.0000 29      
    RESIDENCE - HEAT PUMP 2020-08-08 2,473   SL 10.0000 103      
    WORKOUT EQUIPMENT 2020-02-20 541   SL 10.0000 45      
    KALEO CHAPEL CHAIRS 2020-10-16 7,760   SL 10.0000 129      
    2012 FORD F-250 SUPER DUTY 2019-11-21 16,350 273 SL 5.0000 3,270      

    TY 2020 LandEtcSchedule2
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Auto./Transportation Equip. 36,691 23,151 13,540 13,540
    Furniture and Fixtures 318,969 284,581 34,388 34,388
    Buildings 14,237,103 8,295,965 5,941,138 5,941,138
    Improvements 9,863,472 2,591,737 7,271,735 7,271,735
    Land 1,306,872   1,306,872 1,306,872


    TY 2020 OtherAssetsSchedule
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    SECURITY DEPOSIT 300 300 300


    TY 2020 OtherExpensesSchedule
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATION 1,358     1,451
    CASUAL LABOR 50   50  
    COMMUNITY & PUBLIC RELATIONS 530     530
    FIXED ASSETS PURCHASED       8,301
    FOOD COSTS 1,525   1,525  
    INSURANCE 57,365     58,905
    MAINTENANCE & REPAIRS 16,693     16,260
    OFFICE EXPENSE 7,776     6,790
    OTHER EXPENSES 2,581     2,581
    PROPERTY IMPROVEMENTS       250,747
    STAFF DEVELOPMENT & RECRUITMENT 5,202   1,149 3,259
    SUPPLIES - CAMP PROGRAMS 1,671   1,671 78
    SUPPLIES - KITCHEN 3,128   3,128  
    VEHICLE EXPENSE 4,487     5,686


    TY 2020 OtherIncomeSchedule2
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 200   200
    PROGRAM FEES 1,574   1,574
    REIMBURSEMENT 2,185   2,185


    TY 2020 OtherIncreasesSchedule
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Description Amount
    PRIOR YEAR ADJUSTMENT 16,077


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER CONTRACTED SERVICES 2,502 0 0 2,500
    PNC (HAWTHORN) ADVISORY FEES 6,422 6,422 6,422 0
    PROGRAM EVALUATION SERVICES 14,000 0 14,000 0


    TY 2020 SalesOfInventoryList 
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0

    Category Gross Sales Cost of Goods Sold Net (Gross Sales Minus
    Cost of Goods Sold)
    CAMP STORE 279   279

    TY 2020 TaxesSchedule
    Name:
    THOMAS AND SANDRA USHER CAMP
    EIN:
    30-0337978
    Software ID:
    20011551
    Software Version:
    2020v4.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 2,510      
    OTHER TAXES 168     168