Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
ALLEN E & MARIE A NICKLESS
MEMORIAL FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)5300 BAY ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SAGINAW, MI48604
A Employer identification number

23-7011258
B Telephone number (see instructions)

(989) 793-9830
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$7,072,434J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 106,748 106,748  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 75,129
b Gross sales price for all assets on line 6a 3,215,911
7 Capital gain net income (from Part IV, line 2)... 75,129
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).......      
12 Total. Add lines 1 through 11........ 181,877 181,877  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 4,500      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 8,742 8,742    
c Other professional fees (attach schedule).... Click to see attachment 25,556 8,946   16,610
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 29,430 27,941    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 68,228 45,629   16,610
25 Contributions, gifts, grants paid....... 242,800 242,800
26 Total expenses and disbursements. Add lines 24 and 25 311,028 45,629   259,410
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -129,151
b Net investment income (if negative, enter -0-) 136,248
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............. 113,960 180,801 180,801
2 Savings and temporary cash investments......... 42,359 342,723 342,723
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)      
b Investments—corporate stock (attach schedule)....... 4,310,654 Click to see attachment4,176,012 5,192,687
c Investments—corporate bonds (attach schedule)....... 1,660,407 Click to see attachment1,298,693 1,356,223
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 6,127,380 5,998,229 7,072,434
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 6,127,380 5,998,229
29 Total net assets or fund balances (see instructions)..... 6,127,380 5,998,229
30 Total liabilities and net assets/fund balances (see instructions). 6,127,380 5,998,229
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
6,127,380
2
Enter amount from Part I, line 27a .....................
2
-129,151
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
5,998,229
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
5,998,229
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 AQR LARGE CAP DEFENSIVE STYLE P    
b NATIONWIDE INTERNATIONAL SMALL CAP P    
c AQR LONG SHORT EQUITY FUND P    
d PGIM GLOBAL REAL ESTATE P    
e BOSTON PARTNERS SMALL CAP VALUE P    
PGIM HIGH YIELD CL R P    
CS FLOATING RATE HIGH INC INSTL SHS P    
PGIM TOTAL RETURN BOND CL P    
DIAMOND HILL LONG/SHORT FUND CL P    
TRANSAMERICA EMERGING MARKETS P    
FEDERATED TOTAL RETURN BOND P    
TRANSAMERICA INTL EQUITY CL I P    
FIDELITY 500 INDEX PREMIUM P    
VANGUARD INTL GROWTH ADMIRAL P    
FIDELITY INTL TREASURY BOND INDEX FU P    
FIDELITY MID CAP INDEX PREMIUM CLASS P    
GOLDMAN SACHS SMALL CAP VALUE P    
INVESCO OPPERNHEIMER DEV MARKETS P    
JP MORGAN STRATEGIC INCOME OPPS P    
LOOMIS SAYLES SMALL CAP GROWTH P    
MERGER FUND CL I P    
MERIDIAN SMALL CAP GROWTH 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 36,336   34,032 2,304
b 62,976   53,569 9,407
c 155,999   193,119 -37,120
d 186,175   203,356 -17,181
e 184,877   208,126 -23,249
138,748   129,769 8,979
113,244   130,994 -17,750
447,909   436,645 11,264
144,729   178,014 -33,285
5,448   5,896 -448
55,822   52,723 3,099
46,976   50,914 -3,938
145,000   131,302 13,698
101,964   72,216 29,748
646,396   584,670 61,726
64,790   61,362 3,428
30,000   24,382 5,618
59,976   53,002 6,974
147,100   149,396 -2,296
30,000   25,275 4,725
153,750   150,225 3,525
219,951   211,795 8,156
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       2,304
b       9,407
c       -37,120
d       -17,181
e       -23,249
      8,979
      -17,750
      11,264
      -33,285
      -448
      3,099
      -3,938
      13,698
      29,748
      61,726
      3,428
      5,618
      6,974
      -2,296
      4,725
      3,525
      8,156
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 75,129
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 37,384
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,894
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 1,894
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 1,894
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 3,667
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 3,667
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,773
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet1,773 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)
    bulletMI
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletSUZANNE LOZANO Telephone no.bullet (989) 793-9830

    Located atbullet5300 BAY ROADSAGINAWMI ZIP+4bullet48604
    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
     
     
    ........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
     
     
    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
    CHARLES NICKLESS PRESIDENT
    1.00     		1,250 0 0
    655 WILLOW LANE
    FRANKENMUTH,MI48734
    DARCY NICKLESS VICE PRESIDE
    1.00     		1,500 0 0
    366 FRANK ROAD
    FRANKENMUTH,MI48734
    JOHN HUMPHREYS SECRETARY
    0.50     		0 0 0
    5090 STATE ST BLDG A SUITE 1
    SAGINAW,MI48603
    SUZANNE LOZANO TREASURER
    1.00     		0 0 0
    5300 BAY ROAD
    SAGINAW,MI48604
    GREG RUMMEL TRUSTEE
    0.50     		750 0 0
    522 S MAIN ST
    FRANKENMUTH,MI48734
    RANDY WIERDA TRUSTEE
    0.50     		1,000 0 0
    18 SAWMILL CREEK
    SAGINAW,MI48603
    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  
    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  
    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
    6,036,289
    b
    Average of monthly cash balances.......................
    1b
    202,324
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,238,613
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    6,238,613
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    93,579
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,145,034
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    307,252
    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
    307,252
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,894
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,894
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    305,358
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    305,358
    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
    305,358
    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
    259,410
    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
    259,410
    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
    259,410
    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 7 305,358
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 27,663
    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$ 259,410
    a Applied to 2019, but not more than line 2a 27,663
    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..... 231,747
    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 ..........     		73,611
    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
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    JOHN HUMPHREYS
    ONE TUSCOLA STREET
    SUITE 301
    SAGINAW,MI48607
    (989) 401-2115
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER FORM
    cAny submission deadlines:
    ONGOING
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    PENDING BOARD APPROVAL
    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
    BLESSED TRINITY
    958 E TUSCOLA ST
    FRANKENMUTH,MI48734     		NONE CHURCH FELLOWSHIP 2,000
    BOY SCOUTS OF AMERICA
    5001 11 MILE RD
    AUBURN,MI48611     		NONE NON-PROFIT SAGINAW OUTREACH PROGRAM 5,000
    CHILD AND FAMILY SERVICES
    2806 DAVENPORT AVE
    SAGINAW,MI48602     		NONE NON-PROFIT COMPUTER WORK STATIONS 4,800
    CITY RESCUE MISSION
    1021 BURT STREET
    SAGINAW,MI48607     		NONE NON-PROFIT SUPPORT COMMUNITES 10,000
    COVENANT - MARY FREE BED
    1447 N HARRISON
    SAGINAW,MI48602     		NONE HOSPITAL NEW FACILITY 20,000
    DELTA COLLEGE SCHOLARSHIP FOUNDATIO
    1963 DELTA RD
    SAGINAW,MI48710     		NONE UNIVERSITY SCHOLARSHIP OPPORTUNITIES AT 12,000
    EAST SIDE SOUP KITCHEN
    940 E GENESEE AVE
    SAGINAW,MI48607     		NONE NON-PROFIT PROVIDE FUNDING FOR MEALS 7,500
    EASTERN MICHIGAN FOOD BANK
    2300 LAPEER RD
    FLINT,MI48503     		NONE NON-PROFIT PROVIDE FUNDING FOR MEALS 2,500
    EMMAUS HOUSE
    733 S 14TH STREET
    SAGINAW,MI48601     		NONE NON-PROFIT GENERAL FUND 3,500
    FIRST WARD COMMUNITY CENTER
    1410 N 12TH STREET
    SAGINAW,MI48601     		NONE NON-PROFIT YOUTH DEVELOPMENT AND COMMUNITY SERV 10,000
    FRANKENMUTH CITY BEAUTIFICATION
    240 W GENESEE STREET
    FRANKENMUTH,MI48734     		NONE NON-PROFIT AESTHETIC ENHANCEMENTS 3,500
    FRANKENMUTH COMMUNITY EDUCATION
    CONCERTS IN THE PARK
    525 E GENESEE
    FRANKENMUTH,MI48734     		NONE NON-PROFIT WOMENS CLUB PARK CONCERTS 2,500
    GIRL SCOUTS
    5470 DAVIS ROAD
    SAGINAW,MI48604     		NONE NON-PROFIT DELIVERS LEADERSHIP EXPERIENCE 5,000
    GREAT LAKES BAY HEALTH CENTER
    501 LAPEER AVENUE
    SAGINAW,MI48607     		NONE HEALTH CENTE PROVIDE ACCESS TO QUALITY HEALTH CAR 10,000
    MAJOR CHORDS FOR MINORS
    403 S JEFFERSON AVE
    SAGINAW,MI48607     		NONE NON-PROFIT PROVIDE YOUTH WITH ACCESS TO MUSIC 7,500
    MUSTARD SEED
    1325 CHERRY ST
    SAGINAW,MI48601     		NONE NON-PROFIT PROVIDE ASSISTANCE TO SHELTER 13,000
    PARISHIONERS ON PATROL
    2316 WEBBER ST
    SAGINAW,MI48601     		NONE NON-PROFIT FEED INDIGENT PEOPLE 2,500
    PARTNERSHIP CENTER
    PO BOX 3476
    SAGINAW,MI48605     		NONE NON-PROFIT SUPPORT GENERAL FUND 2,500
    READ ASSOCIATION
    100 S JEFFERSON
    STE 40
    SAGINAW,MI48607     		NONE NON-PROFIT PROMOTE CHILDHOOD READING 5,000
    SAGINAW BAY SYMPHONY ORCHESTRA
    201 N WASHINTON AVE
    SAGINAW,MI48607     		NONE NON-PROFIT CHILDREN CONCERT -3,000
    SAGINAW COMMUNITY FOUNDATION
    STAND UP FOR CHILDREN
    1 TUSCOLA ST
    STE 100
    SAGINAW,MI48607     		NONE NON-PROFIT STAND UP FOR CHILDREN PROJECT 3,000
    SAGINAW COMMUNITY FOUNDATION
    WHITE DEER
    1 TUSCOLA ST
    STE 100
    SAGINAW,MI48607     		NONE NON-PROFIT PARTNERS IN PHILANTHROPY FUND 1,000
    SAGINAW PROMISE
    1 TUSCOLA ST
    STE100B
    SAGINAW,MI48607     		NONE NON-PROFIT SCHOLARSHIP ASSISTANCE 17,500
    SAGINAW RECOVERY HOUSE
    1506 MACKINAW ST
    SAGINAW,MI48602     		NONE NON-PROFIT ASSIST THOSE WHO SUFFER SUBST ABUSE 1,000
    SAMARITAS
    915 FEDERAL AVE
    SAGINAW,MI48607     		NONE NON-PROFIT FOSTER CARE ASSISTANCE 12,500
    SPECIAL OLYMPICS
    6624 TIMBER RIDGE
    BLOOMFIELD,MI48301     		NONE NON-PROFIT GENERAL FUND ASSISTANCE 3,000
    ST LORENZ CHURCH
    140 CHURCHGROVE ROAD
    FRANKENMUTH,MI48734     		NONE CHURCH CHURCH SUPPORT 2,000
    SVSU - COLLEGE OF BUSINESS
    7400 BAY ROAD
    SAGINAW,MI48710     		NONE SCHOOL PROVIDE FUNDING FOR NEW CONSTRUCTION 30,000
    SVSU FOUNDATION
    7400 BAY ROAD
    398 WICKES HALL
    UNIVERSITY CENTER,MI48710     		NONE SCHOOL STUDENT SCHOLARSHIPS 10,000
    WESTERN MICHIGAN UNIVERSITY
    PO BOX 5337
    KALAMAZOO,MI49008     		NONE SCHOOL STUDENT SCHOLARSHIPS 5,000
    WICKSON MEMORIAL LIBRARY
    359 S FRANKLIN ST
    1598
    FRANKENMUTH,MI48734     		NONE LIBRARY PROVIDE COMMUNITY WITH BOOKS 1,000
    WOMEN OF COLORS INC
    PO BOX 5525
    SAGINAW,MI48603     		NONE NON-PROFIT TO SHARE IDEAS TO IMPROVE SAGINAW 1,000
    YMCA
    1915 FORDNEY ST
    SAGINAW,MI48601     		NONE NON-PROFIT GENERAL OPERATIONS 25,000
    YOUTH PROTECTION COUNCIL
    1226 N MICHIGAN AVE
    SAGINAW,MI48602     		NONE NON-PROFIT PROVIDE SAFE HAVEN FOR SAGINAW YOUTH 5,000
    Total .................................bullet 3a 242,800
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 106,748  
    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 75,129  
    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)..   181,877  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    181,877
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
     
    MEMORIAL FOUNDATION
    EIN:
    23-7011258
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 8,742 8,742    

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
     
    MEMORIAL FOUNDATION
    EIN:
    23-7011258
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CS FLOATING RATE HIGH INC INSTL SHS    
    FEDERATED TOTAL RETURN BOND IS 716,048 745,907
    FIDELITY SHORT TERM BOND INDEX PREM    
    JP MORGAN STRATEGIC INCOME OPPS 216,828 219,830
    LORD ABBET SHORT DURATION 187,894 189,694
    PGIM TOTAL RETURN BOND CL 177,923 200,792

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
     
    MEMORIAL FOUNDATION
    EIN:
    23-7011258
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AQR LARGE CAP DEFENSIVE STYLE R6 355,143 421,410
    AQR LONG SHORT EQUITY FUND CL    
    BOSTON PARTNERS SMALL CAP VALUE    
    DIAMOND HILL LONG/SHORT CL I    
    FIDELITY 500 INDEX PREMIUM CLASS 1,407,156 1,776,540
    FIDELITY MIDCAP INDEX PREMIUM CLASS 253,254 336,144
    GMO BENCHMARK FREE ALLOCATION SERIES 203,798 201,022
    GOLDMAN SACHS SMALL CAP VALUE INSIGH 164,285 207,244
    INVESCO OPPENHEIMER DEVELOPING MARKE 384,424 494,100
    LOOMIS SAYLES SMALL CAP GROWTH 165,782 205,031
    MERIDIAN SMALL CAP GROWTH INSTITUTIO    
    NATIONWIDE INTERNATIONAL SMALL CAP R 207,842 274,565
    PGIM GLOBAL REAL ESTATE CL Z    
    THE MERGER FUND CL I 217,569 225,587
    TRANSAMERICA EMERGING MARKETS DEBT 188,461 203,992
    TRANSAMERICA INTL EQUITY CL 371,599 402,643
    VANGAURD INTERNATIONAL GROWN ADMIRAL 256,699 444,409

    TY 2020 OtherExpensesSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
     
    MEMORIAL FOUNDATION
    EIN:
    23-7011258
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    INVESTMENT EXPENSES 27,941 27,941    
    INSURANCE 1,489      


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    ALLEN E & MARIE A NICKLESS
     
    MEMORIAL FOUNDATION
    EIN:
    23-7011258
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATIVE FEES 25,556 8,946   16,610