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
LOOMIS FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)5454 W 110TH STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OVERLAND PARK, KS66211
A Employer identification number

56-1849009
B Telephone number (see instructions)

(913) 742-2727
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$40,929,003
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 100,197
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 1,112,580 935,331  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -862,308
b Gross sales price for all assets on line 6a 8,758,727
7 Capital gain net income (from Part IV, line 2)... 0
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)....... -43,445 121  
12 Total. Add lines 1 through 11........ 307,024 935,452  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 87,000 0   87,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 167,088 150,379   16,709
17 Interest............... 173 173   0
18 Taxes (attach schedule) (see instructions)... 50,949 25,725   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 8 0   8
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 305,218 176,277   103,717
25 Contributions, gifts, grants paid....... 1,734,167 1,734,167
26 Total expenses and disbursements. Add lines 24 and 25 2,039,385 176,277   1,837,884
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,732,361
b Net investment income (if negative, enter -0-) 759,175
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......... 247,654 185,814 185,814
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) 50,290 0 0
b Investments—corporate stock (attach schedule)....... 9,981,024 Click to see attachment10,553,745 20,113,907
c Investments—corporate bonds (attach schedule)....... 1,695,694 0 0
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 16,541,200 Click to see attachment16,155,169 20,626,770
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment550 Click to see attachment2,512 Click to see attachment2,512
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 28,516,412 26,897,240 40,929,003
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 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........ 28,516,412 28,516,412
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 -1,619,172
29 Total net assets or fund balances (see instructions)..... 28,516,412 26,897,240
30 Total liabilities and net assets/fund balances (see instructions). 28,516,412 26,897,240
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
28,516,412
2
Enter amount from Part I, line 27a .....................
2
-1,732,361
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
210,728
4
Add lines 1, 2, and 3 ..........................
4
26,994,779
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
97,539
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
26,897,240
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 TD AMERITRADE INSTITUTIONAL P   2020-12-31
b TD AMERITRADE INSTITUTIONAL P   2020-12-31
c TD AMERITRADE INSTITUTIONAL P   2020-12-31
d MLP BASIS ADJUSTMENT P   2020-12-31
e 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 3,169,902   3,125,963 43,939
b 5,117,406   5,936,831 -819,425
c 470,000   470,000 0
d     81,685 -81,685
e 1,419     1,419
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       43,939
b       -819,425
c       0
d       -81,685
e       1,419
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 -855,752
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 10,553
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 10,553
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 10,553
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 16,160
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 16,160
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 5,607
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet5,607 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 changesClick to see attachment....
3
Yes
 
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)
    bulletNC
    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. Click to see attachment...............................
    10
    Yes
     
    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 ofbulletCHARLTON BURNS Telephone no.bullet (252) 354-9901

    Located atbullet402 SANDFIDDLER COURTMOREHEAD CITYNC ZIP+4bullet28557
    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
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    CHARLTON BURNS TREASURER
    10.00
    29,000 0 0
    402 SANDFIDDLER COURT
    MOREHEAD CITY,NC28557
    JOSEPH BURNS PRESIDENT
    3.00
    29,000 0 0
    5 LAKE FOREST COURT
    GREENSBORO,NC27408
    WILLIAM BURNS SECRETARY
    3.00
    29,000 0 0
    2451 CUMBERLAND PKWY SUITE 3611
    ATLANTA,GA30339
    KAREN BURNS ASSOCIATE
    1.00
    0 0 0
    2451 CUMBERLAND PKWY SUITE 3611
    ATLANTA,GA30339
    WILLIAM BURNS IV ASSOCIATE
    1.00
    0 0 0
    613 ESTES ROAD
    NASHVILLE,TN37215
    SALLY BURNS ASSOCIATE
    1.00
    0 0 0
    2451 CUMBERLAND PKWY SUITE 3611
    ATLANTA,GA30339
    MOLLY BURNS ASSOCIATE
    1.00
    0 0 0
    5 LAKE FOREST COURT
    GREENSBORO,NC27408
    MAGGIE BURNS ASSOCIATE
    1.00
    0 0 0
    5 LAKE FOREST COURT
    GREENSBORO,NC27408
    BEAU BURNS ASSOCIATE
    1.00
    0 0 0
    5 LAKE FOREST COURT
    GREENSBORO,NC27408
    JAKE BURNS ASSOCIATE
    1.00
    0 0 0
    5 LAKE FOREST COURT
    GREENSBORO,NC27408
    PEGGY BURNS ASSOCIATE
    1.00
    0 0 0
    402 SANDFIDDLER COURT
    MOREHEAD CITY,NC28557
    ANDREW R JETT ASSOCIATE
    1.00
    0 0 0
    4601 LONGWOOD DRIVE
    CHARLOTTE,NC28209
    ZACHARY M JETT ASSOCIATE
    1.00
    0 0 0
    9624 SWEET CEDAR LANE
    CHARLOTTE,NC28210
    JACKSON BURNS ASSOCIATE
    1.00
    0 0 0
    6716 ROHNERVILLE RD
    HYDESVILLE,CA95547
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................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
    36,678,239
    b
    Average of monthly cash balances.......................
    1b
    47,323
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    36,725,562
    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
    36,725,562
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    550,883
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    36,174,679
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,808,734
    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
    1,808,734
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    10,553
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    10,553
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,798,181
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    4,750
    5
    Add lines 3 and 4............................
    5
    1,802,931
    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
    1,802,931
    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
    1,837,884
    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
     
    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
    1,837,884
    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
    1,837,884
    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 1,802,931
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 1,795,955
    b Total for prior years:20, 20, 20 0
    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........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 1,837,884
    a Applied to 2019, but not more than line 2a 1,795,955
    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..... 41,929
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    1,761,002
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2016....  
    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).)
    WILLIAM BURNS
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    10 KARAT HEART OF GOLD SCHOLARSHIP ENDOWMENT
    301 MAIN ST STE 2-5
    DANBURY,CT06810
    NONE PC GENERAL CHARITABLE PURPOSE 25,000
    A SPECIAL BLEND
    POBOX 4083
    GREENSBORO,NC27404
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    ABE'S GARDEN
    115 WOODMONT BLVD
    NASHVILLE,TN37205
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    AIR1
    POBOX 2118
    OMAHA,NE68103
    NONE PC GENERAL CHARITABLE PURPOSE 2,000
    ALEXANDRIA PRESBYTERIAN CHURCH
    2405 RUSSEL RD
    ALEXANDRIA,VA22301
    NONE PC GENERAL CHARITABLE PURPOSE 12,000
    ALL SAINTS CHURCH
    4124 FARRINGTON RD
    DURHAM,NC27707
    NONE PC GENERAL CHARITABLE PURPOSE 4,000
    ALZHEIMERS ASSOCIATION
    225 N MICHIGAN AVE FLOOR 17
    CHICAGO,IL60601
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    AMERICAN RED CROSS
    431 18TH ST NW
    WASHINGTON,DC20006
    NONE PC GENERAL CHARITABLE PURPOSE 7,000
    ANDREW JACKSON FOUNDATIONTHE HERMITAGE
    4580 RACHELS LANE
    NASHVILLE,TN37076
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    ASHBROOK CENTER
    401 COLLEGE AVE
    ASHLAND,OH44805
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    ATLANTA FOOD BANK
    3400 N DESERT DR
    EAST POINT,GA30344
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    BEACON CENTER
    POBOX 781
    WATERTOWN,SD57201
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    BOY SCOUTS OF ATLANTA
    1800 CIRCLE 75 PKWY
    ATLANTA,GA30339
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    BRENTWOOD ROTARY CLUB CHARITABLE FOUNDATION
    POBOX 382
    BRENTWOOD,TN37024
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    BRIDGEVILLE VOLUNTEER
    PO BOX 4
    BRIDGEVILLE,CA95526
    NONE PC GENERAL CHARITABLE PURPOSE 13,000
    BROAD STREET CLINIC
    534 N 35TH STREET STE K
    MOREHEAD CITY,NC28557
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    BROOK HOLLOW BAPTIST CHURCH
    678 BROOK HOLLOW RD
    NASHVILLE,TN37205
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    BUCKHEAD CHRISTIAN MINISTRIES
    2847 PIEDMONT RD NE
    ATLANTA,GA30305
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    CALIFORNIA FIRE FUND
    PO BOX 944246
    SACRAMENTO,CA94244
    NONE PC GENERAL CHARITABLE PURPOSE 9,000
    CAMP ALBEMARLE
    156 ALBEMARLE DR
    NEWPORT,NC28570
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    CANINE CELLMATES
    901 RICE STREET NW
    ATLANTA,GA30318
    NONE PC GENERAL CHARITABLE PURPOSE 8,000
    CAPERNAUM MINISTRIES
    3500 CANAL RD
    LAKE WALES,FL33898
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    CAROLINA EAST FOUNDATION
    233 MIDDLE ST
    NEW BERN,NC28560
    NONE PC GENERAL CHARITABLE PURPOSE 7,000
    CAUCASIAN OVCHARKA RESCUE
    LITTLE MOUNTAIN
    CHARDON,OH44024
    NONE PC GENERAL CHARITABLE PURPOSE 6,000
    CCC FOUNDATION
    1102 W ST STE 4800
    SACRAMENTO,CA95811
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    CDC FOUNDATION
    600 PEACHTREE ST NE 1000
    ATLANTA,GA30308
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    CENTERSTONE FOUNDATION INC
    44 VANTAGE WAY STE 400
    NASHVILLE,TN37228
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    CHATTAHOOCHEE RIVER KEEPER
    916 JOSEPH E LOWERY BLVD NW
    ATLANTA,GA30318
    NONE PC GENERAL CHARITABLE PURPOSE 9,000
    CHEEKWOOD BOTANICAL GARDEN & MUSEUM OF ART
    1200 FORREST PARK DR
    NASHVILLE,TN37205
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    CHRISTIAN SURFERS USA
    PO BOX 9
    ST AUGUSTINE,FL32085
    NONE PC GENERAL CHARITABLE PURPOSE 12,000
    COLLEGE OF VETERINARY MEDICINE
    501 DW BROOKS DRIVE
    ATHENS,GA30602
    NONE PC GENERAL CHARITABLE PURPOSE 20,000
    COLORADO COLLEGE
    14 E CACHE LA POUDRE ST
    COLORADO SPRINGS,CO80903
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    COMMUNITY BIBLE STUDY
    790 STOUT ROAD
    COLORADO SPRINGS,CO80921
    NONE PC GENERAL CHARITABLE PURPOSE 18,000
    COMMUNITY FOOD BANK
    3801 TOPPING AVENUE
    KANSAS CITY,MO64129
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    CORE SOUND WATERFOWL MUSEUM
    1785 ISLAND ROAD
    HARKERS ISLAND,NC28531
    NONE PC GENERAL CHARITABLE PURPOSE 3,000
    CRIMSON TIDE FOUNDATION
    920 PAUL W BRYANT DR
    TUSCALOOSA,AL35401
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    CROSS EXAMINE
    PO BOX 78956
    CHARLOTTE,NC28271
    NONE PC GENERAL CHARITABLE PURPOSE 2,000
    CROSSNORE SCHOOL
    POBOX 249
    CROSSNORE,NC286160249
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    CRU
    100 LAKE HART DRIVE
    ORLANDO,FL32832
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    CRYSTAL COAST AUTISM CENTER
    5242 US-70
    MOREHEAD CITY,NC28557
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    CRYSTAL COAST TEEN CBS
    614 W CORBETT AVENUE
    SWANSBORO,NC28584
    NONE PC GENERAL CHARITABLE PURPOSE 3,000
    DARIEN METHODIST CHURCH
    201 FRANKLIN ST VERNON SQUARE
    DARIEN,GA31305
    NONE PC GENERAL CHARITABLE PURPOSE 1,000
    DILLARD SCHOLARSHIP
    2601 GENTILLY BOULEVARD
    NEW ORLEANS,LA70122
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    DOLLYWOOD FOUNDATION
    2700 DOLLYWOOD PARKS BLVD
    PIGEON FORGE,TN37863
    NONE PC GENERAL CHARITABLE PURPOSE 9,500
    DYLANS HEARTS
    3508A GASTON RD
    GREENSBORO,NC27407
    NONE PC GENERAL CHARITABLE PURPOSE 4,370
    ED CHOICE
    111 MONUMENT CIRCLE STE 2650
    INDIANAPOLIS,IN46204
    NONE PC GENERAL CHARITABLE PURPOSE 2,000
    EMERALD COAST CHILDREN'S ADVOCACY CENTER
    401 MCEWEN DR
    NICEVILLE,FL32578
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    ENGINEERING MINISTRIES INTERNATIONAL
    130 E KIOWA ST 200
    COLORADO SPRINGS,CO80903
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    EPISCOPAL HIGH SCHOOL
    1200 N QUAKER LANE
    GREENBORO,NC22302
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    FAMILY SERVICE OF GREENSBORO
    315 E WASHINGTON ST
    GREENSBORO,NC27401
    NONE PC GENERAL CHARITABLE PURPOSE 7,000
    FEED MY LAMBS INC
    560 FAIRGROUND ST NE
    MARIETTA,GA30060
    NONE PC GENERAL CHARITABLE PURPOSE 15,000
    FELLOWSHIP CHRISTIAN ATHLETES
    8701 LEEDS RD
    KANSAS CITY,MO64129
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    FELLOWSHIP HALL
    3911 PROSPECT AVE
    KANSAS CITY,MO64130
    NONE PC GENERAL CHARITABLE PURPOSE 25,000
    FIRST STEP TO FREEDOM MINISTRIES
    11434 HIGHWAY 27
    SUMMERVILLE,GA30747
    NONE PC GENERAL CHARITABLE PURPOSE 22,000
    FRIENDS OF SO WALTON SEA TURTHLES
    174 WATERCOLOR WAY STE 103
    SANTA ROSA BEACH,FL32459
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    FRIENDS OF SPOONERS CREEK ASSOICATION
    408 SANDFIDDLER CT
    MOREHEAD CITY,NC285572530
    NONE PC GENERAL CHARITABLE PURPOSE 500
    FRIENDS OF THE FORLORN PITBULLS
    PO BOX 2316
    DALLAS,GA30132
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    GDS ANNUAL FUND
    5401 LAWNDALE DRIVE
    GREENSBORO,NC27455
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    GLOBAL EFFECT MINISTRIES INC
    PO BOX 611635
    ROSEMARY BEACH,FL32461
    NONE PC GENERAL CHARITABLE PURPOSE 7,500
    GNN RADIO
    PO BOX 510
    APPLING,GA30802
    NONE PC GENERAL CHARITABLE PURPOSE 2,000
    GRACE EPISCOPAL CHURCH
    520 RTE 291
    LIBERTY,MO64068
    NONE PC GENERAL CHARITABLE PURPOSE 2,000
    GREENHILL CENTER FOR NORTH CAROLINA ART
    200 N DAVIE ST
    GREENSBORO,NC27401
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    GREENSBORO DOWNTOWN GREENWAY
    122 NORTH ELM ST STE 110
    GREENSBORO,NC27401
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    GREENSBORO FELLOWS
    5574 GARDEN VILLAGE WAY
    GREENSBORO,NC27410
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    GREENSBORO URBAN MINISTRY
    305 W GATE CITY BLVD
    GREENSBORO,NC27406
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    GSGA FOUNDATION
    121 VILLAGE PARKWAY BLDG 3
    MARIETTA,GA30067
    NONE PC GENERAL CHARITABLE PURPOSE 50,000
    HERITAGE FOUNDATOIN OF FRANKLIN & WILLIAM
    112 BRIDGE ST
    FRANKLIN,TN37064
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    HIGH MOUNTAIN INSTITUTE
    531 COUNTY RD 5A
    LEADVILLE,CO80461
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    HILLSDALE COLLEGE
    33 E COLLEGE ST
    HILLSDALE,MI49242
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    HOLY SPIRIT
    3910 YANCEYVILLE ST
    GREENSBORO,NC27405
    NONE PC GENERAL CHARITABLE PURPOSE 9,000
    HOPE ACADEMY
    7655 BRUTON SMITH BLVD
    CONCORD,NC28027
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    HOPE MISSION OF CARTERET COUNTY
    1410 BRIDGES STREET
    MOREHEAD CITY,NC28557
    NONE PC GENERAL CHARITABLE PURPOSE 328,200
    JAMES 123 INC
    402 SANDFIDDLER COURT
    MOREHEAD CITY,NC28557
    NONE PC GENERAL CHARITABLE PURPOSE 47,350
    JULIETS HOUSE ANIMAL RESCUE
    111 MONTICELLO ST
    GREENSBORO,NC27410
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    LIFELINE ANIMAL PROJECT
    PO BOX 15466
    ATLANTA,GA30333
    NONE PC GENERAL CHARITABLE PURPOSE 10,667
    MARC FOUNDATION
    2701 S LINDBERGH
    ST LOUIS,MS63131
    NONE PC GENERAL CHARITABLE PURPOSE 13,000
    MCINTOCH COUNTY ART ASSOCIATION
    404 NORTH WAY
    DARIEN,GA31305
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    MEHARRY MEDICAL COLLEGE
    1005 DR DB TODD JR BLVD
    NASHVILLE,TN37208
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    MERCY HEALTH CENTER
    1000 N VILLAGE AVE
    ROCKVILLE CENTRE,NY11570
    NONE PC GENERAL CHARITABLE PURPOSE 9,000
    MISSION JGSO
    PO BOX 19736
    PORTLAND,OR97280
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    MOREHEAD CITY COMMUNITY BIBLE STUDY
    4621 COUNTRY CLUB ROAD
    MOREHEAD CITY,NC28557
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    MOUNTAIN TOP BOYS HOME
    65 MOUNTAIN TOP WAY
    SUGAR VALLEY,GA30746
    NONE PC GENERAL CHARITABLE PURPOSE 9,000
    MUSIC ACADEMY OF NC
    1327 BEAMAN PL
    GREENSBORO,NC27408
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    NATIONAL MS SOCIETY
    3 CENTERVIEW DRIVE STE 101
    GREENBORO,NC27407
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    NC AQUARIUM SOCIETY
    3125 POPLARWOOD COURT STE 160
    RALEIGH,NC27604
    NONE PC GENERAL CHARITABLE PURPOSE 30,000
    NC COMMUNITY FOUNDATION
    3737 GLENWOOD AVE 460
    RALEIGH,NC27612
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    NO LONGER BOUND INC
    2725 PINE GROVE ROAD
    CUMMING,GA30041
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    NOLS ANNUAL FUND
    284 LINCOLN ST
    LANDER,WY82520
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    NORTH SIDE UNITED METHODIST CHURCH
    2799 NORTHSIDE DRIVE NW
    ATLANTA,GA30305
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    OFFICE OF DEVELOPMENT -COLLEGE OF VET MED UGA
    501 DW BROOKS DRIVE
    ATHENS,GA30602
    NONE PC GENERAL CHARITABLE PURPOSE 60,000
    ONE HARBOR CHURCH
    1605 FISHER ST
    MOREHEAD CITY,NC28557
    NONE PC GENERAL CHARITABLE PURPOSE 12,000
    PEACHTREE ROAD UMC
    3180 PEACHTREE ROAD
    ATLANTA,GA30305
    NONE PC GENERAL CHARITABLE PURPOSE 15,000
    RAILS TO TRAILS
    2121 WARD COURT NW 5TH FLOOR
    WASHINGTON,DC20037
    NONE PC GENERAL CHARITABLE PURPOSE 25,000
    RED DOG FARM ANIMAL RESCUE
    8653 NC-65
    STOKESDALE,NC27357
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    ROLLINS COLLEGE
    1000 HOLT AVENUE
    WINTER PARK,FL32789
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    SADDLE UP
    1549 OLD HILLSBORO RD
    FRANKLIN,TN37069
    NONE PC GENERAL CHARITABLE PURPOSE 9,000
    SALVATION ARMY OF GREENSBORO
    1001 FREEMAN MILL RD
    GREENSBORO,NC27406
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    SANCTUARY HOUSE OF GREENSBORO
    518 N ELM ST
    GREENSBORO,NC27401
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    SAVE THE HORSES
    PO BOX 1123
    BALL GROUND,GA30107
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    SEWANEE THE UNIVERSITY OF THE SOUTH
    735 UNIVERSITY AVE
    SEWANEE,TN37383
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    SOUTH WALTON TURTLE WATCH GROUP INC
    775 GULF SHORE DR UNIT 1093
    DESTIN,FL32542
    NONE PC GENERAL CHARITABLE PURPOSE 7,500
    SOUTHERN TRINITY VOLUNTEER FIRE
    PO BOX 16
    MAD RIVER,CA95552
    NONE PC GENERAL CHARITABLE PURPOSE 9,000
    SPARTAN OPEN FOOD PANTRY
    211 S 9TH ST
    SAN JOSE,CA95112
    NONE PC GENERAL CHARITABLE PURPOSE 1,500
    ST GEORGES EPISCOPAL CHURCH
    4715 HARDING ROAD
    NASHVILLE,TN37205
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    THE MCCALLIE SCHOOL
    500 DODDS AVE
    CHATTANOOGA,TN37404
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    THE SALVATION ARMY
    501 ARCHDALE DR
    CHARLOTTE,NC28217
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    THE TYLER PERRY FOUNDATION
    541 10TH ST STE 140
    ATLANTA,GA30318
    NONE PC GENERAL CHARITABLE PURPOSE 66,200
    THE WAKE FOREST FUND
    1834 WAKE FOREST RD
    WINSTONSALEM,NC27106
    NONE PC GENERAL CHARITABLE PURPOSE 15,000
    TJS CHURCH
    100 MAGNOLIA LN
    HUBERT,NC28539
    NONE PC GENERAL CHARITABLE PURPOSE 19,150
    UNCG
    PO BOX 26170
    GREENSBORO,NC27402
    NONE PC CHANCELLORS NEED FUND, LIBRARY, SAFE FUND, SPARTAN CLUB 18,500
    UNITED WAY OF COASTAL CAROLINA
    601 BROAD STREET
    NEW BERN,NC28563
    NONE PC GENERAL CHARITABLE PURPOSE 2,000
    UNIVERSITY OF TN CHATTANOOGA
    615 MCCALLIE AVE
    CHATTANOOGA,TN37403
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    VA EPISCOPAL CHURCH
    815 SECOND AVE
    NEW YORK,NY10017
    NONE PC GENERAL CHARITABLE PURPOSE 9,000
    VIRGINIA EPISCOPAL DEVELOPMENT
    400 VES RD
    LYNCHBURG,VA24503
    NONE PC GENERAL CHARITABLE PURPOSE 8,500
    WAKE FOREST UNIVERSITY
    PO BOX 7227
    WINSTONSALEM,NC27109
    NONE PC GENERAL CHARITABLE PURPOSE 28,559
    WESTCHESTER COUNTRY DAY SCHOOL
    2045 N OLD GREENSBORO RD
    HIGH POINT,NC27265
    NONE PC GENERAL CHARITABLE PURPOSE 145,000
    WESTOVER CHURCH
    505 MUIRS CHAPEL RD
    GREENSBORO,NC27410
    NONE PC GENERAL CHARITABLE PURPOSE 40,000
    WESTSIDE COMMUNITY IMPROVEMENT
    PO BOX 5315
    EUREKA,CA95502
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    WILCOX ACADEMY
    340 ASHLEY ST
    CAMDEN,AL36726
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    WILD AT HEART
    PO BOX 51065
    COLORADO SPRINGS,CO80949
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    WILD SOULS RANCH
    PO BOX 396
    EUREKA,CA95502
    NONE PC GENERAL CHARITABLE PURPOSE 10,000
    WOODWARD ACADEMY
    1662 W RUGBY AVE
    COLLEGE PARK,GA30337
    NONE PC GENERAL CHARITABLE PURPOSE 5,000
    WORLD NEWS GROUP
    PO BOX 20002
    ASHEVILLE,NC28802
    NONE PC GENERAL CHARITABLE PURPOSE, WORLD MOVERS FUND 16,671
    YMCA OF GREENSBORO
    620 GREEN VALLEY RD 210
    GREENSBORO,NC27408
    NONE PC GENERAL CHARITABLE PURPOSE 7,500
    YOUNG LIFE GREENSBORO
    4713 KINGSWOOD DR
    GREENSBORO,NC27410
    NONE PC GENERAL CHARITABLE PURPOSE 12,500
    YOUNG LIFE INTERNATIONAL
    POBOX 520
    COLORADO SPRINGS,CO80901
    NONE PC GENERAL CHARITABLE PURPOSE 2,500
    Total .................................bullet 3a 1,734,167
    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 ...........
             
    4 Dividends and interest from securities....     14 1,112,580  
    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.....     01 121  
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 -862,308  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aNET PASSTHROUGH ACTIVITY
      -180,116      
    bORDINARY GAIN ON SALE OF ENTERPRISE PRODUCTS PARTNERS   65,475      
    cORDINARY GAIN ON SALE OF ENERGY TRANSFER PARTNERS   29,875      
    dORDINARY GAIN ON SALE OF MAGELLAN MIDSTREAM PARTNERS   36,450      
    eRECOVERY OF AMOUNT TREATED AS QUALIFYING DISTRIBUTION     01 4,750  
    12 Subtotal. Add columns (b), (d), and (e).. -48,316 255,143 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    206,827
    (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
    LOOMIS FOUNDATION INC
     
    Employer identification number

    56-1849009
    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
    LOOMIS FOUNDATION INC
     
    Employer identification number
    56-1849009
    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
    DOROTHY DILLARD BURNS ESTATE
     
    402 SANDFIDDLER CT
     
    MOREHEAD CITY, NC28557

    $ 100,000


    (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
    LOOMIS FOUNDATION INC
     
    Employer identification number

    56-1849009
    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
    LOOMIS FOUNDATION INC
     
    Employer identification number

    56-1849009
    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:  

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

    TY 2020 GainLossSaleOtherAssetsSch
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    ENTERPRISE PRODUCTS PARTNERS - 1231 LOSS   PURCHASED 2020-12     1,757 COST 0 -1,757  
    ENERGY TRANSFER PARTNERS - 1231 LOSS   PURCHASED 2020-12     1,100 COST 0 -1,100  
    MAGELLAN MIDSTREAM PARTNERS - 1231 LOSSES   PURCHASED 2020-12     3,699 COST 0 -3,699  

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCKS 10,553,745 20,113,907

    TY 2020 InvestmentsOtherSchedule2
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    EXCHANGE TRADED FUNDS AT COST 16,155,169 20,626,770

    TY 2020 OtherAssetsSchedule
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DIVIDENDS RECEIVABLE 550 2,512 2,512


    TY 2020 OtherDecreasesSchedule
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Description Amount
    BOOK TO TAX DIFFERENCE ON PASSTHROUGHS 76,524
    NONDIVIDEND DISITRIBUTION ADJUSTMENTS 21,015


    TY 2020 OtherExpensesSchedule
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CHARITABLE CONTRIBUTIONS FROM PASSTHROUGH ENTITIES 8 0   8


    TY 2020 OtherIncomeSchedule2
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    LITIGATION PROCEEDS 121 121 121
    NET PASSTHROUGH ACTIVITY -180,116   -180,116
    ORDINARY GAIN ON SALE OF ENTERPRISE PRODUCTS PARTNERS 65,475   65,475
    ORDINARY GAIN ON SALE OF ENERGY TRANSFER PARTNERS 29,875   29,875
    ORDINARY GAIN ON SALE OF MAGELLAN MIDSTREAM PARTNERS 36,450   36,450
    RECOVERY OF AMOUNT TREATED AS QUALIFYING DISTRIBUTION 4,750   4,750


    TY 2020 OtherIncreasesSchedule
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Description Amount
    469(J) BASIS ADJUSTMENT 208,802
    MARKET DISCOUNT ADJUSTMENT 1,613
    COST BASIS ADJUSTMENT 313


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT & ADVISORY FEES 167,088 150,379   16,709


    TY 2020 SubstantialContributorsSch
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Name Address
    DOROTHY DILLARD BURNS ESTATE
     
    402 SANDFIDDLER CT
    MOREHEAD CITY,NC28557


    TY 2020 TaxesSchedule
    Name:
    LOOMIS FOUNDATION INC
    EIN:
    56-1849009
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 25,725 25,725   0
    FEDERAL TAXES 25,224 0   0