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 07-01-2020 , and ending 06-30-2021
Name of foundation
MAX AND HELEN GUERNSEY
CHARITABLE FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1172
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WATERLOO, IA507041172
A Employer identification number

42-1460664
B Telephone number (see instructions)

(319) 226-3434
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$48,641,315J 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) 5,000
2 Check bullet.............
3 Interest on savings and temporary cash investments 107,288 104,463  
4 Dividends and interest from securities... 605,402 604,110  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,487,674
b Gross sales price for all assets on line 6a 9,410,656
7 Capital gain net income (from Part IV, line 2)... 1,487,674
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 1,036,359 0  
12 Total. Add lines 1 through 11........ 3,241,723 2,196,247  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 39,000 4,000   35,000
14 Other employee salaries and wages...... 62,092 0   62,092
15 Pension plans, employee benefits....... 2,400 0   2,400
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 20,552 8,221   7,882
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 182,047 3,139   4,750
19 Depreciation (attach schedule) and depletion... Click to see attachment 5,612 0  
20 Occupancy.............. 16,758 0   16,758
21 Travel, conferences, and meetings....... 84 0   84
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 258,051 101,294   26,030
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 586,596 116,654   154,996
25 Contributions, gifts, grants paid....... 1,592,500 1,592,500
26 Total expenses and disbursements. Add lines 24 and 25 2,179,096 116,654   1,747,496
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,062,627
b Net investment income (if negative, enter -0-) 2,079,593
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.............      
2 Savings and temporary cash investments......... 1,915,805 926,785 926,785
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) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 11,060,064 Click to see attachment14,650,834 14,650,834
b Investments—corporate stock (attach schedule)....... 19,955,753 Click to see attachment25,274,359 25,274,359
c Investments—corporate bonds (attach schedule)....... 2,243,566 Click to see attachment2,757,816 2,757,816
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,902,821 Click to see attachment4,903,270 4,903,270
14 Land, buildings, and equipment: basis bullet42,251
Less: accumulated depreciation (attach schedule) bullet29,778 5,566 Click to see attachment12,473 12,473
15 Other assets (describe bullet) Click to see attachment96,074 Click to see attachment115,778 Click to see attachment115,778
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 40,179,649 48,641,315 48,641,315
Liabilities 17 Accounts payable and accrued expenses.......... 10,186 11,266
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment0 Click to see attachment7,746
23 Total liabilities (add lines 17 through 22)......... 10,186 19,012
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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 40,169,463 48,622,303
29 Total net assets or fund balances (see instructions)..... 40,169,463 48,622,303
30 Total liabilities and net assets/fund balances (see instructions). 40,179,649 48,641,315
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
40,169,463
2
Enter amount from Part I, line 27a .....................
2
1,062,627
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
8,300,062
4
Add lines 1, 2, and 3 ..........................
4
49,532,152
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
909,849
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
48,622,303
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 50000 SHS APPLE INC P   2020-09-18
b 30000 SHS AT&T INC P   2020-08-12
c 25000 BANK OF MONTREAL P   2021-01-14
d 1 SH BERKSHIRE HATHAWAY P   2020-07-17
e 795 SHS CARRIER GLOBAL CORP P   2020-07-17
50000 SHS CONAGRA BRANDS INC P   2020-10-19
300 SHS EATON CORP P   2020-08-24
400 SHS FORTIVE CORP P   2020-08-24
30 SHS HSBC HOLDING PLC P   2020-11-03
27000 SHS HUNTINGTON BANCSHARE P   2020-11-04
23000 SHS HUNTINGTON BANCSHARE P   2020-12-17
3769.401 SHS INV OPP DEVELOP MRKTS-R6 P   2020-08-20
1110 SHS ISHARES IBOXX P   2021-05-18
2875 SHS ISHARES INTERNATIONAL DEVELOPMENT P   2021-02-03
110 SHS ISHARES MBS ETF P   2020-10-22
75 SHS ISHARES MBS ETF P   2021-01-14
10 SHS ISHARES MBS ETF P   2021-01-27
1491 SHS ISHARES MBS ETF P   2021-02-19
3200 SHS ISHARES MSCI EAFE ETF P   2020-08-21
4000 SHS ISHARES MSCI EAFE ETF P   2021-02-03
5000 SHS ISHARES RUSSELL MID-CAP ETF P   2020-08-21
25000 SHS KEYCORP P   2020-09-28
25000 SHS MORGAN STANLEY P   2021-01-25
250 SHS NESTLE S.A. REGISTERED P   2020-08-24
525 SHS PNC FINANCIAL SERVICES GROUP P   2020-07-17
300 SHS PROCTER & GAMBLE CO P   2020-08-24
25000 SHS SUMITOMO MITSUI FINL P   2020-11-05
1480 SHS TJX COMPANIES INC P   2020-07-17
1850 SHS VANGUARD REAL ESTATE ETF P   2021-02-03
6675 SHS VANGUARD REAL ESTATE ETF P   2021-02-16
.800 SHS VONTIER CORP P   2020-11-12
60000 SHS WALGREENS BOOTS P   2021-04-26
40000 SHS FFCB P   2020-07-29
160 SHS AMERICAN TOWER CORP P   2020-08-21
565 SHS LOWES COS INC P   2020-08-21
155 SHS KLA CORPORATION P   2020-08-21
295 SHS UNITED PARCEL SERVICE-CL B P   2020-08-21
1015 SHS MEDTRONIC PLC P   2020-08-21
138.628 SHS VANGUARD 500 INDEX ADMIRAL P   2020-08-31
1996.008 SHS TWEEDY BROWNE GLOBAL VALUE FUND P   2020-08-31
380.865 SHS VANGUARD S&P MID-CAP 400 P   2020-08-31
1940 SHS CITIGROUP INC P   2020-09-21
335 SHS KLA CORPORATION P   2020-09-23
720 SHS QUALCOMM INC P   2020-09-23
705 SHS STARBUCKS CORP P   2020-09-23
200 SHS KLA CORPORATION P   2020-09-30
250 SHS PAYPAL HOLDINGS INC P   2020-09-30
200 SHS QUALCOMM INC P   2020-09-30
25000 SHS WALMART P   2020-10-26
INSTL INSURED MONEY MARKET P   2020-10-01
INSTL INSURED MONEY MARKET P   2020-10-08
INSTL INSURED MONEY MARKET P   2020-07-08
INSTL INSURED MONEY MARKET P   2020-08-14
INSTL INSURED MONEY MARKET P   2019-10-18
INSTL INSURED MONEY MARKET P   2020-09-08
INSTL INSURED MONEY MARKET P   2020-09-28
47223.21 SHS TEMPLETON GLOBAL BOND FUND P   2020-11-10
251.957 SHS VANGUARD S&P MID-CAP 400 P   2020-11-30
706.514 SHS VANGUARD TAX-MANAGED SMALL CAP P   2020-11-30
594.212 SHS VANGUARD 500 INDEX ADMIRAL P   2020-11-30
INSTL INSURED MONEY MARKET P   2020-11-30
100000 SHS FFCB P   2020-12-28
26832.023 SHS OAKMARK INTL FUND P   2020-12-03
443 SHS VIATRIS INC P   2020-12-09
INSTL INSURED MONEY MARKET P   2020-12-10
INSTL INSURED MONEY MARKET P   2020-12-18
632.13 SHS VANGUARD 500 INDEX ADMIRAL P   2020-12-23
800 SHS VANGUARD REAL ESTATE ETF P   2020-12-24
INSTL INSURED MONEY MARKET P   2021-01-08
INSTL INSURED MONEY MARKET P   2021-01-29
INSTL INSURED MONEY MARKET P   2021-02-08
6957.9734 SHS ARTISAN INTL FUND ADVISOR P   2021-02-10
INSTL INSURED MONEY MARKET P   2021-02-10
100000 SHS FHLB P   2021-02-22
50000 SHS STATE STREET CORP P   2021-03-08
1500 SHS XILINX INC P   2021-03-24
INSTL INSURED MONEY MARKET P   2021-04-01
INSTL INSURED MONEY MARKET P   2021-04-07
INSTL INSURED MONEY MARKET P   2021-04-26
INSTL INSURED MONEY MARKET P   2021-05-11
INSTL INSURED MONEY MARKET P   2021-05-28
INSTL INSURED MONEY MARKET P   2021-05-31
WELLS FARGO LITIGATION PAYMENT P   2021-02-08
CAPITAL GAINS 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 52,010   50,882 1,128
b 33,566   29,268 4,298
c 25,998   24,621 1,377
d 285,980   119,917 166,063
e 20,641   16,365 4,276
51,770   51,760 10
29,848   15,572 14,276
28,451   21,340 7,111
31,490   31,138 352
27,605   27,272 333
23,443   22,771 672
170,000   109,299 60,701
145,203   148,399 -3,196
77,089   82,422 -5,333
12,115   12,169 -54
8,253   8,293 -40
1,101   1,106 -5
163,590   162,598 992
209,592   157,440 52,152
292,654   196,800 95,854
291,216   200,947 90,269
25,568   26,119 -551
25,000   27,289 -2,289
30,219   9,358 20,861
53,791   44,462 9,329
40,837   25,062 15,775
25,227   24,697 530
76,505   56,416 20,089
159,219   140,822 18,397
597,459   399,723 197,736
23   16 7
65,959   66,340 -381
40,000   47,876 -7,876
39,354   21,283 18,071
89,727   45,408 44,319
32,686   16,867 15,819
47,357   35,103 12,254
103,016   76,576 26,440
45,000   25,846 19,154
50,000   56,926 -6,926
100,000   98,487 1,513
87,812   101,574 -13,762
60,549   36,387 24,162
80,473   41,658 38,815
59,015   40,618 18,397
38,517   20,864 17,653
47,941   19,862 28,079
23,632   11,444 12,188
25,000   27,260 -2,260
92,181   92,181 0
4,670   4,670 0
4,412   4,412 0
2,326   2,326 0
549,011   549,011 0
2,647   2,647 0
296,536   296,536 0
460,899   538,959 -78,060
75,000   62,513 12,487
50,000   44,821 5,179
200,000   110,785 89,215
50,000   50,000 0
100,000   116,091 -16,091
680,997   545,616 135,381
7,782   6,316 1,466
47,588   47,588 0
473,703   473,703 0
215,000   117,854 97,146
67,847   63,580 4,267
4,238   4,238 0
298,909   298,909 0
4,024   4,024 0
250,000   232,953 17,047
275,000   275,000 0
100,000   100,000 0
50,000   58,969 -8,969
189,292   137,266 52,026
88,069   88,069 0
4,400   4,400 0
300,000   300,000 0
5,408   5,408 0
211,375   211,375 0
38,040   38,040 0
645     645
159,156     159,156
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       1,128
b       4,298
c       1,377
d       166,063
e       4,276
      10
      14,276
      7,111
      352
      333
      672
      60,701
      -3,196
      -5,333
      -54
      -40
      -5
      992
      52,152
      95,854
      90,269
      -551
      -2,289
      20,861
      9,329
      15,775
      530
      20,089
      18,397
      197,736
      7
      -381
      -7,876
      18,071
      44,319
      15,819
      12,254
      26,440
      19,154
      -6,926
      1,513
      -13,762
      24,162
      38,815
      18,397
      17,653
      28,079
      12,188
      -2,260
      0
      0
      0
      0
      0
      0
      0
      -78,060
      12,487
      5,179
      89,215
      0
      -16,091
      135,381
      1,466
      0
      0
      97,146
      4,267
      0
      0
      0
      17,047
      0
      0
      -8,969
      52,026
      0
      0
      0
      0
      0
      0
      645
      159,156
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 1,487,674
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 28,906
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 28,906
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 28,906
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 21,320
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 14,816
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 36,136
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 7,230
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet7,230 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletIA
    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
    Yes
     
    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 addressbulletWWW.GUERNSEYFOUNDATION.COM
    14
    The books are in care ofbulletBERGANKDV LTD Telephone no.bullet (319) 234-6885

    Located atbullet100 E PARK AVENUE STE 300WATERLOOIA ZIP+4bullet50704
    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
     
    No
    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
    THOMAS R PAULSEN FINANCE COMMITTEE CHAIR
    1.00     		8,000 0 0
    PO BOX 1172
    WATERLOO,IA50704
    GARY NELSON TRUSTEE CHAIR
    1.00     		8,000 0 0
    PO BOX 1172
    WATERLOO,IA50704
    HAROLD B STREVER JR ADMIN COMMITTEE CHAIR
    1.00     		8,000 0 0
    PO BOX 1172
    WATERLOO,IA50704
    LOIS M JOHNSON SECRETARY
    1.00     		7,500 0 0
    PO BOX 1172
    WATERLOO,IA50704
    SOO GREIMAN TRUSTEE
    1.00     		7,500 0 0
    PO BOX 1172
    WATERLOO,IA50704
    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
    CASEY J REINTS EXECUTIVE DIRECTOR
    40.00     		55,252 0 0
    32254 250TH ST
    SHELL ROCK,IA50670
    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 N/A 0
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
    38,127,188
    b
    Average of monthly cash balances.......................
    1b
    1,501,358
    c
    Fair market value of all other assets (see instructions)................
    1c
    5,166,505
    d
    Total (add lines 1a, b, and c).........................
    1d
    44,795,051
    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
    44,795,051
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    671,926
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    44,123,125
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    2,206,156
    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
    2,206,156
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    28,906
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
    171,077
    c
    Add lines 2a and 2b............................
    2c
    199,983
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,006,173
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,006,173
    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
    2,006,173
    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
    1,747,496
    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
    12,519
    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
    1,760,015
    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
    1,760,015
    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 2,006,173
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 443,401
    b From 2016...... 327,934
    c From 2017...... 271,579
    d From 2018......  
    e From 2019...... 28,759
    fTotal of lines 3a through e........ 1,071,673
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 1,760,015
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 1,760,015
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 246,158 246,158
    (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 5 825,515
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		197,243
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		628,272
    10 Analysis of line 9:
    a Excess from 2016.... 327,934
    b Excess from 2017.... 271,579
    c Excess from 2018....  
    d Excess from 2019.... 28,759
    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
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    GARY NELSON
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    MAX HELEN GUERNSEY CHARITABLE FOUND
    PO BOX 1172
    WATERLOO,IA507041172
    (319) 226-3434
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATIONS SHOULD BE SUBMITTED IN WRITING IDENTIFYING THE PURPOSE AND AMOUNT REQUESTED. THE APPLICATION SHOULD BE ACCOMPANIED BY FINANCIAL STATEMENTS AND PROOF OF 501(C)(3) ORGANIZATION STATUS OR VERIFICATION THAT THE ORGANIZATION WILL USE THE FUNDS EXCLUSIVELY FOR PUBLIC PURPOSES OR AS OTHERWISE DESCRIBED IN IRC SECTION 170(C)(1).
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ALL AWARDS MUST BE TO CHARITABLE, SCIENTIFIC, LITERARY, OR EDUCATIONAL ORGANIZATIONS WITHIN THE MEANING OF IRC SECTION 501(C)(3) OR EXCLUSIVELY FOR PUBLIC PURPOSES OR AS OTHERWISE DESCRIBED IN IRC SECTION 170(C)(1).
    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
    ALLEN MEMORIAL HOSPITAL CORPORATION
    1825 LOGAN AVE
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY K9 PROGRAM 10,000
    AMANI COMMUNITY SERVICES
    2315 FALLS AVE STE 1
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY EMPOWERING MEN PROGRAM 30,000
    AMERICANS FOR INDEPENDENT LIVING
    310 UPLAND DR
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY FURNITURE FOR VETERANS PROGRAM 20,000
    BARTELS LUTHERAN HOME
    1922 5TH AVE NW
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY CAPITAL - VAN WITH LIFT 6,500
    BLACK HAWK COUNTY 4H & FFA FAIR
    3420 UNIVERSITY AVE STE B
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY FAIR INTERN & GENERAL OPERATING SUPPORT 10,000
    BLACK HAWK COUNTY SHERIFF'S DEPARTMENT
    225 E 6TH ST
    WATERLOO,IA50703     		N/A EXCLUSIVELY FOR PUBL K9 PROGRAM 1,800
    BOYS & GIRLS CLUB OF THE CEDAR VALLEY
    515 LIME ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY CAPITAL - BUILDING PROGRAM PLEDGE 100,000
    BREMER COUNTY HISTORICAL SOCIETY
    402 W BREMER AVE
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY CAPITAL - WALL RESTORATION 3,000
    BREMER COUNTY SHERIFF'S DEPARTMENT
    111 4TH ST NE
    WAVERLY,IA50677     		N/A EXCLUSIVELY FOR PUBL K9 PROGRAM 2,500
    BUCHANAN COUNTY ANIMAL SHELTER
    400 N MAIN ST
    HAZLETON,IA50641     		N/A OTHER PUBLIC CHARITY DBA OTTER CREEK ANIMAL SHELTER - CAPITAL FOR VAN PURCHASE 5,000
    CEDAR BEND HUMANE SOCIETY
    1166 W AIRLINE HWY
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY SPAY & NEUTER PROGRAM 30,000
    CEDAR FALLS SCHOOLS FOUNDATION
    602 MAIN ST
    CEDAR FALLS,IA50613     		N/A OTHER PUBLIC CHARITY CAPITAL - COMMUNITY POOL 35,000
    CEDAR VALLEY ARBORETUM & BOTANIC GARDENS
    1927 E ORANGE RD
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 30,000
    CEDAR VALLEY BICYCLE COLLECTIVE
    219 W 4TH ST
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 5,500
    CEDAR VALLEY CATHOLIC SCHOOLS
    3231 W 9TH ST
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY ENGLISH AS SECOND LANGUAGE PROGRAM 20,000
    CEDAR VALLEY CRIMESTOPPERS
    715 MULBERRY ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY POLICE REWARD PROGRAM 7,500
    CEDAR VALLEY FRIENDS OF THE FAMILY
    3835 W 9TH ST
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY VIOLENCE PREVENTION EDUCATION PROGRAM 30,000
    CEDAR VALLEY FRIENDS OF THE FAMILY
    3835 W 9TH ST
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY EMERGENCY HOUSING SUPPORT 12,000
    CEDAR VALLEY GEARHEADS MINISTRIES INC
    3606 SKYLINE AVE
    CEDAR FALLS,IA50613     		N/A OTHER PUBLIC CHARITY TRANSPORTATION PROGRAM 17,500
    CEDAR VALLEY HOSPICE INC
    PO BOX 2880
    WATERLOO,IA50704     		N/A OTHER PUBLIC CHARITY PALLIATIVE CARE PROGRAM 30,000
    CEDAR VALLEY HOSPICE INC
    PO BOX 2880
    WATERLOO,IA50704     		N/A OTHER PUBLIC CHARITY CAPITAL - HOSPICE SUPPORT CENTER BUILDING 30,000
    CEDAR VALLEY PRESCHOOL & CHILDCARE CENTER
    724 LANTZ AVE
    CEDAR FALLS,IA50613     		N/A OTHER PUBLIC CHARITY TRUSTEE OPTION - SCHOLARSHIP PROGRAM 5,000
    CEDAR VALLEY PRESCHOOL & CHILDCARE CENTER
    724 LANTZ AVE
    CEDAR FALLS,IA50613     		N/A OTHER PUBLIC CHARITY SUMMER PROGRAM & TUITION SUPPORT 30,000
    CEDAR VALLEY UNITED WAY
    425 CEDAR ST STE 300
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY BOOKS FOR BABIES PROGRAM 5,000
    CEDAR VALLEY UNITED WAY
    425 CEDAR ST STE 300
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 2,500
    CHRISTIAN COMMUNITY DEVELOPMENT DBA HOUSE OF HOPE
    845 W 4TH ST
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 30,000
    CHRISTIAN COMMUNITY DEVELOPMENT DBA HOUSE OF HOPE
    845 W 4TH ST
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY TRUSTEE OPTION - OPERATING SUPPORT 5,000
    CITY OF ACKLEY
    208 STATE ST
    ACKLEY,IA50601     		N/A EXCLUSIVELY FOR PUBL CAPITAL - SPLASH PAD/POOL PROJECT 25,000
    CITY OF CEDAR FALLS FBO CEDAR FALLS PUBLIC LIBRARY
    524 MAIN ST
    CEDAR FALLS,IA50613     		N/A EXCLUSIVELY FOR PUBL YOUTH READS PROGRAM 5,000
    CITY OF GILBERTVILLE
    1321 W 5TH ST
    GILBERTVILLE,IA50634     		N/A EXCLUSIVELY FOR PUBL CAPITAL - SPLASH PAD 30,000
    CITY OF GREENE
    202 W SOUTH ST
    GREENE,IA50636     		N/A EXCLUSIVELY FOR PUBL CAPITAL - AQUATIC CENTER BATH HOUSE RENOVATION 20,000
    CITY OF HAZLETON
    111 3RD ST NORTH
    HAZLETON,IA50641     		N/A EXCLUSIVELY FOR PUBL CAPITAL - SKATE PARK 20,000
    CITY OF HUDSON
    525 JEFFERSON ST
    HUDSON,IA50643     		N/A EXCLUSIVELY FOR PUBL CAPITAL - BASEBALL DUGOUTS 11,000
    CITY OF LAPORTE CITY IOWA
    202 MAIN ST
    LA PORTE CITY,IA50651     		N/A EXCLUSIVELY FOR PUBL COMPUTER & EQUIPMENT - AG MUSEUM 3,000
    CITY OF SHELL ROCK
    PO BOX 522
    SHELL ROCK,IA50670     		N/A EXCLUSIVELY FOR PUBL CAPITAL - AQUATIC CENTER EQUIPMENT 25,000
    CITY OF TRIPOLI
    303 MAIN ST
    TRIPOLI,IA50676     		N/A EXCLUSIVELY FOR PUBL CAPITAL - POCKET PARK COMPLETION 3,000
    CITY OF WATERLOO - W'LOO CENTER FOR THE ARTS
    225 COMMERCIAL ST
    WATERLOO,IA50701     		N/A EXCLUSIVELY FOR PUBL TRANSPORTATION COSTS - WATERLOO CENTER FOR THE ARTS 10,000
    CITY OF WATERLOO POLICE DEPARTMENT
    715 MULBERRY ST
    WATERLOO,IA50703     		N/A EXCLUSIVELY FOR PUBL K9 PROGRAM 9,500
    CITY OF WAUCOMA
    BOX 15
    WAUCOMA,IA52171     		N/A EXCLUSIVELY FOR PUBL CAPITAL - FIRE DEPARTMENT EQUIPMENT 25,000
    FAMILY & CHILDREN'S COUNCIL OF BLACK HAWK COUNTY
    316 W 5TH ST
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY SEXUAL ABUSE PREVENTION PROGRAM 30,000
    FAYETTE COUNTY FOOD SHELF
    PO BOX 711
    FAYETTE,IA52142     		N/A OTHER PUBLIC CHARITY BATHROOM, SIDEWALK, DRESSING ROOM IMPROVEMENTS 10,000
    FRIENDS OF THE GILBERTVILLE DEPOT
    930 2ND AVE
    EVANSDALE,IA50707     		N/A OTHER PUBLIC CHARITY LOBBY RESTORATION 8,500
    GIRL SCOUTS OF EASTERN IOWA & WESTERN ILLINOIS
    510 MULBERRY ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY LEADERSHIP PROGRAM 30,000
    GIRLS ON THE RUN OF EASTERN IOWA
    26 E MARKET ST
    IOWA CITY,IA52245     		N/A OTHER PUBLIC CHARITY PROGRAMMING 15,500
    GRIN & GROW LTD
    608 W 4TH ST
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY GAP FUNDING FOR LOW INCOME FAMILIES 30,000
    GROUT MUSEUM INC
    503 SOUTH ST
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY SCIENCE OUTREACH PROGRAM 30,000
    HAWKEYE COMMUNITY COLLEGE
    1501 E ORANGE RD
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY SHIRLEY KREGER SCHOLARSHIP FUND 5,000
    INCLUSION CONNECTION INC
    1024 7TH AVE NW
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 8,000
    INDEPENDENCE POLICE DEPARTMENT
    2349 JAMESTOWN AVE STE 3
    INDEPENDENCE,IA50644     		N/A OTHER PUBLIC CHARITY K9 PROGRAM 2,500
    IOWA HEARTLAND HABITAT FOR HUMANITY
    803 W 5TH ST
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY AFFORDABLE HOME OWNERSHIP & CRITICAL REPAIRS PROGRAM 30,000
    IOWA JOBS FOR AMERICAN GRADUATES
    1111 9TH ST STE 268
    DES MOINES,IA50314     		N/A OTHER PUBLIC CHARITY INCLUSIVE CAREER PATHWAYS FOR UNDERSERVED YOUTH PROGRAM 10,000
    IOWA LEGAL AID
    607 SYCAMORE STE 304
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT - WATERLOO SCHOOLS LEGAL CLINIC 25,000
    JANESVILLE CONSOLIDATED SCHOOLS
    505 BARRICK ROAD
    JANESVILLE,IA50647     		N/A OTHER PUBLIC CHARITY BASEBALL/SOFTBALL FIELDS RENOVATION 10,000
    JESSE COSBY NEIGHBORHOOD CENTER
    1112 MOBILE ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY TRUSTEE OPTION - EMERGENCY HOUSING PROGRAM 5,000
    JESSE COSBY NEIGHBORHOOD CENTER
    1112 MOBILE ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY COVID COMMUNITY RESTORATION PROGRAM 30,000
    JUNIOR ACHIEVEMENT OF EASTERN IOWA
    425 CEDAR ST STE 320
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY PERSONAL FINANCE & STEM PROGRAMS 30,000
    LITTLE KNIGHTS LEARNING CENTER
    PO BOX 672
    DYSART,IA52224     		N/A OTHER PUBLIC CHARITY CAPITAL - DAYCARE BUILDING 30,000
    LOVE INC
    2603 RAINBOW DR
    CEDAR FALLS,IA50613     		N/A OTHER PUBLIC CHARITY WORK DYNAMICS EMPLOYMENT PROGRAM 2,500
    METROPOLITAN CHORALE
    PO BOX 1616
    WATERLOO,IA50704     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 5,000
    NAMI OF BLACK HAWK COUNTY
    C/O ALLEN HOSP 1825 LOGAN AVE
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY SERVICES - PERSONS AFFECTED BY MENTAL ILLNESS 6,500
    NORTHEAST IOWA FOOD BANK
    PO BOX 2397
    WATERLOO,IA50704     		N/A OTHER PUBLIC CHARITY KIDS' CAF, SUMMER FEEDING, VOLUNTEER PROGRAMS 30,000
    PEACE COMMUNITY MEALS
    1800 11TH ST SE
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY COMMUNITY MEAL PROGRAM 8,000
    RIVERVIEW CENTER INC
    100 E PARK AVE 250
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY CAPITAL FOR PHONE SYSTEM 10,000
    SALVATION ARMY
    89 FRANKLIN ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY OPERATING COSTS 30,000
    SENIOR CITIZENS GROUP OF WAVERLY INC
    506 E BREMER AVE
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY OPERATING COSTS 4,500
    SENIOR CITIZENS GROUP OF WAVERLY INC
    506 E BREMER AVE
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY CAPITAL FOR BATHROOM RENOVATION 3,000
    SOCIAL ACTION INC
    227 MOBILE ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY MARCHING AGAINST THE DARKNESS DRILL TEAM SUPPORT 18,500
    ST VINCENT DE PAUL
    320 BROADWAY ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 700
    SUCCESSLINK INC
    229 E PARK AVE
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY TOGETHER FOR YOUTH PROGRAMS 30,000
    SUNRISE EXCHANGE CLUG
    250 ANSBOUROUGH AVE
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY SUNRISE PETTING ZOO OPERATING SUPPORT 1,000
    THE JOB FOUNDATION
    4600 UNIVERSITY AVE STE 1
    CEDAR FALLS,IA50613     		N/A OTHER PUBLIC CHARITY FINANCIAL STEWARDSHIP MENTORING PROGRAM 30,000
    THE LARRABEE CENTER INC
    117 11TH ST NW
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY EMPLOYMENT SUPPORT SERVICES 25,000
    TRANSFORMATIONS BY CEDAR VALLEY ANGELS
    PO BOX 11
    CEDAR FALLS,IA50613     		N/A OTHER PUBLIC CHARITY FOSTER FAMILY SUPPORT PROGRAMS 30,000
    UNI FOUNDATION
    204 COMMONS
    CEDAR FALLS,IA50614     		N/A OTHER PUBLIC CHARITY KALEIDOSCOPE PROGRAM FOR YOUTH 30,000
    UNI FOUNDATION
    204 COMMONS
    CEDAR FALLS,IA50614     		N/A OTHER PUBLIC CHARITY CAPITAL - GALLAGHER BLUEDORN RENOVATION 30,000
    UPDOWNTOWNERS OF WATERLOO
    212 E 4TH ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY WATERLOO URBAN FARMERS MARKET PROGRAM 5,000
    VISION TO LEARN
    900 JACKSON ST LL5-2C
    DUBUQUE,IA52001     		N/A OTHER PUBLIC CHARITY VISION CARE PROGRAM FOR WATERLOO SCHOOL STUDENTS 30,000
    VOLUNTEER CENTER OF THE CEDAR VALLEY
    360 WESTFIELD AVE STE 201
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 10,000
    WARTBURG COMMUNITY SYMPHONY ASS'N INC
    PO BOX 3
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 6,500
    WATERLOO CEDAR FALLS SYMPHONY
    8201 DAKOTA ST GALLAGHER PAC
    CEDAR FALLS,IA50614     		N/A OTHER PUBLIC CHARITY OPERATING SUPPORT 15,000
    WATERLOO COMMUNITY FOUNDATION
    PO BOX 1253
    WATERLOO,IA50704     		N/A OTHER PUBLIC CHARITY KOATS 4 KIDS PROGRAM 13,500
    WATERLOO COMMUNITY FOUNDATION
    PO BOX 1253
    WATERLOO,IA50704     		N/A OTHER PUBLIC CHARITY TRUSTEE OPTION - KOATS 4 KIDS PROGRAM 15,000
    WATERLOO COMMUNITY FOUNDATION
    PO BOX 1253
    WATERLOO,IA50704     		N/A OTHER PUBLIC CHARITY WATERLOO POLICE DEPT. RACIAL EQUALITY TRAINING 30,000
    WATERLOO COMMUNITY MEALS INC
    1207 KIMBALL AVE
    WATERLOO,IA50702     		N/A OTHER PUBLIC CHARITY COMMUNITY MEALS PROGRAM 2,000
    WATERLOO COMMUNITY SCHOOLS FOUNDATION
    201 TOWER PARK STE 106
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY COVID-19 RESPONSE ASSISTANCE TO WATERLOO SCHOOLS 25,000
    WATERLOO COMMUNITY SCHOOLS FOUNDATION
    201 TOWER PARK STE 106
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY CAMP INVENTION PROGRAM 5,000
    WATERLOO VISITING NURSING ASSOCIATION
    2530 UNIVERSITY AVE STE 3
    WATERLOO,IA50701     		N/A OTHER PUBLIC CHARITY CAPITAL - TECHNOLOGY UPGRADES 15,000
    WAVERLY SHELL ROCK UNITED WAY
    805 W BREMER AVE 4
    WAVERLY,IA50677     		N/A OTHER PUBLIC CHARITY OPERATING COSTS 2,500
    WILDWOOD HILLS INC DBA WILDWOOD HILLS RANCH
    2552 UNION LANE
    ST CHARLES,IA50240     		N/A OTHER PUBLIC CHARITY NEXT STEPS PROGRAM SCHOLARSHIPS 20,000
    YOUTH ART TEAM
    212 E 4TH ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY "HOME IN" PROGRAMMING 30,000
    YWCA OF BLACK HAWK COUNTY
    425 LAFAYETTE ST
    WATERLOO,IA50703     		N/A OTHER PUBLIC CHARITY PASS & LARS PROGRAMMING 30,000
    CITY OF LAPORTE CITY IOWA
    202 MAIN ST
    LA PORTE CITY,IA50651     		N/A OTHER PUBLIC CHARITY HISTORIC PRESERVATION PROJECT 3,500
    Total .................................bullet 3a 1,592,500
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ...........     		522100 2,825 14 104,463  
    4 Dividends and interest from securities.... 522100 1,292 14 604,110  
    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..... 522100 1,036,359      
    8 Gain or (loss) from sales of assets other than
    inventory ............     		531390   18 1,487,674  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 1,040,476 2,196,247 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    3,236,723
    (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
    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
    MAX AND HELEN GUERNSEY
    CHARITABLE FOUNDATION
    Employer identification number

    42-1460664
    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
    MAX AND HELEN GUERNSEY
    CHARITABLE FOUNDATION         		Employer identification number
    42-1460664
    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
    BPC PROPERTIES
     
    100 EAST PARK AVE
     
    WATERLOO, IA50703

    		$ 5,000


    (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.)
    (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
    MAX AND HELEN GUERNSEY
    CHARITABLE FOUNDATION         		Employer identification number

    42-1460664
    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
    MAX AND HELEN GUERNSEY
    CHARITABLE FOUNDATION         		Employer identification number

    42-1460664
    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:  
    Software Version:  

    TY 2020 AccountingFeesSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL AND ACCOUNTING FEES 20,552 8,221   7,882

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

    TY 2020 DepreciationSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    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
    DESK/WORKSTATION 2000-09-01 310 310 200DB 7.000000000000 0 0    
    DESK CHAIR 2000-09-01 139 139 200DB 7.000000000000 0 0    
    OFFICE FURNITURE 2000-09-01 379 379 200DB 7.000000000000 0 0    
    REFRIGERATOR 2008-07-16 268 268 200DB 7.000000000000 0 0    
    CREDENZA, CONFERENCE TABLE 2008-07-30 882 882 200DB 7.000000000000 0 0    
    OFFICE FURNITURE 2008-08-26 6,925 6,925 200DB 7.000000000000 0 0    
    8 CHAIRS 2008-10-29 2,350 2,350 200DB 7.000000000000 0 0    
    OFFICE CONCEPTS - SIGNAGE 2008-11-05 1,394 1,394 200DB 7.000000000000 0 0    
    PHONE SYSTEM 2008-12-18 2,289 2,289 200DB 5.000000000000 0 0    
    COMPUTER NETWORK 2009-03-03 2,411 2,411 200DB 5.000000000000 0 0    
    COPY & FAX MACHINE 2010-03-04 1,605 1,605 200DB 5.000000000000 0 0    
    DELL COMPUTER 2011-02-07 979 979 200DB 5.000000000000 0 0    
    DELL OPTIPLEX 3046 2016-12-30 984 814 200DB 5.000000000000 113 0    
    DELL OPTIPLEX 3046 2016-12-30 984 814 200DB 5.000000000000 113 0    
    DELL 22" LED LCD MONITOR 2016-12-30 209 173 200DB 5.000000000000 24 0    
    COPIER 2018-02-27 2,087 1,486 200DB 5.000000000000 240 0    
    SAGE SOFTWARE COLLECTION 2019-07-24 2,371 790 SL 3.000000000000 790 0    
    DELL LATITUDE 15" 5000 2020-04-17 2,217 111 200DB 5.000000000000 842 0    
    RUCKUS R310 ACCESS POINT 2020-06-29 948 47 200DB 5.000000000000 360 0    
    FOUNDANT TECH - GRANT PROCESSING SOFTWARE 2020-10-12 12,519   SL 3.000000000000 3,130 0    

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 2,757,816 2,757,816

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK-COMMON 25,274,359 25,274,359

    TY 2020 InvestmentsGovtObligationsSch
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    US Government Securities - End of Year Book Value:

    14,650,834
    US Government Securities - End of Year Fair Market Value:

    14,650,834
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2020 InvestmentsOtherSchedule2
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    CLOSELY HELD STOCK AT COST 4,903,270 4,903,270

    TY 2020 LandEtcSchedule2
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    DESK/WORKSTATION 310 310 0  
    DESK CHAIR 139 139 0  
    OFFICE FURNITURE 379 379 0  
    REFRIGERATOR 268 268 0  
    CREDENZA, CONFERENCE TABLE 882 882 0  
    OFFICE FURNITURE 6,925 6,925 0  
    8 CHAIRS 2,350 2,350 0  
    OFFICE CONCEPTS - SIGNAGE 1,394 1,394 0  
    PHONE SYSTEM 2,289 2,289 0  
    COMPUTER NETWORK 2,411 2,411 0  
    COPY & FAX MACHINE 1,605 1,605 0  
    DELL COMPUTER 979 979 0  
    DELL OPTIPLEX 3046 984 927 57  
    DELL OPTIPLEX 3046 984 927 57  
    DELL 22" LED LCD MONITOR 209 197 12  
    COPIER 2,087 1,726 361  
    SAGE SOFTWARE COLLECTION 2,371 1,580 791  
    DELL LATITUDE 15" 5000 2,217 953 1,264  
    RUCKUS R310 ACCESS POINT 948 407 541  
    FOUNDANT TECH - GRANT PROCESSING SOFTWARE 12,519 3,130 9,389  


    TY 2020 OtherAssetsSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INCOME 44,269 76,350 76,350
    PREPAID EXCISE INCOME TAX 1,249 0 0
    PREPAID UBTI INCOME TAX 31,686 13,603 13,603
    AMENDED EXCISE TAX RECEIVABLE 18,870 25,825 25,825


    TY 2020 OtherDecreasesSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Description Amount
    EVANS BANCSHARES - K-1 9,082
    WAVERLY PLASTICS COMPANY, INC - K-1 62,190
    RADA MANUFACTURING COMPANY, INC - K-1 838,577


    TY 2020 OtherExpensesSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 101,294 101,294   0
    DUES AND NOTICES 2,880 0   2,880
    OFFICE EXPENSE 1,414 0   1,414
    MISCELLANEOUS 227 0   227
    INSURANCE 4,987 0   4,987
    UTILITIES 778 0   778
    REPAIRS AND MAINTENANCE 12,516 0   12,516
    TECHNOLOGY EXPENSE 3,228 0   3,228
    MISCELLANEOUS K-1 DEDUCTIONS 130,727 0   0


    TY 2020 OtherIncomeSchedule2
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    EVANS BANCSHARES, INC K-1 9,093 0 9,093
    CEDAR VALLEY VENTURE FUND NO.1, LC K-1 -101 0 -101
    WAVERLY PLASTICS COMPANY, INC K-1 -32,076 0 -32,076
    WAVERLY PLASTICS COMPANY, INC K-1 91,943 0 91,943
    RADA MANUFACTURING COMPANY, INC K-1 967,500 0 967,500


    TY 2020 OtherIncreasesSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Description Amount
    UNREALIZED INVESTMENT GAIN 7,483,869
    EVANS BANCSHARES - DISTRIBUTIONS 4,351
    WAVERLY PLASTICS COMPANY, INC - DISTRIBUTIONS 108,802
    RADA MANUFACTURING COMPANY, INC - DISTRIBUTIONS 702,940
    CEDAR VALLEY VENTURE FUND - K-1 100


    TY 2020 OtherLiabilitiesSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Description Beginning of Year - Book Value End of Year - Book Value
    EXCISE TAX PAYABLE 0 7,586
    CREDIT CARD PAYABLE 0 160


    TY 2020 TaxesSchedule
    Name:
    MAX AND HELEN GUERNSEY
     
    CHARITABLE FOUNDATION
    EIN:
    42-1460664
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX ON INVESTMENT INCOME 3,081 0   0
    PAYROLL TAXES 4,750 0   4,750
    FOREIGN TAXES WITHHELD 3,139 3,139   0
    NET UNRELATED BUSINESS TAX 171,077 0   0