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
CLARENCE L ROBEY CHARITABLE TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 2907 - MC 100-01-02-50
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WILSON, NC278942907
A Employer identification number

54-6138649
B Telephone number (see instructions)

(252) 246-4633
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,569,020
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 29,065 28,931  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 60,654
b Gross sales price for all assets on line 6a 1,108,336
7 Capital gain net income (from Part IV, line 2)... 60,654
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 89,719 89,585  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 3,187 894   2,294
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 248 0 0 248
b Accounting fees (attach schedule)....... 650 0 0 650
c Other professional fees (attach schedule).... 1,150     1,150
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 891 298   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications.......... 58 0 0 58
23 Other expenses (attach schedule)....... 290 4   286
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 6,474 1,196 0 4,686
25 Contributions, gifts, grants paid....... 66,915 66,915
26 Total expenses and disbursements. Add lines 24 and 25 73,389 1,196 0 71,601
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 16,330
b Net investment income (if negative, enter -0-) 88,389
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 13,816 19,548 19,548
2 Savings and temporary cash investments......... 42,866 38,646 38,646
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 615,374 Click to see attachment137,881 221,635
c Investments—corporate bonds (attach schedule)....... 655,699 Click to see attachment277,707 282,722
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   Click to see attachment870,683 1,006,469
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) 1,327,755 1,344,465 1,569,020
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........ 1,327,755 1,344,465
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,327,755 1,344,465
30 Total liabilities and net assets/fund balances (see instructions). 1,327,755 1,344,465
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
1,327,755
2
Enter amount from Part I, line 27a .....................
2
16,330
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,000
4
Add lines 1, 2, and 3 ..........................
4
1,345,085
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
620
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,344,465
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 8. ABBVIE INC     2020-01-16
b 2. ALIBABA GROUP HLDG LTD   2017-10-05 2020-01-16
c 1. ALPHABET INC CL C   2013-07-16 2020-01-16
d 1. ALPHABET INC CL A   2017-04-17 2020-01-16
e 1. AMAZON INC COMMON   2017-10-05 2020-01-16
9. AMERICAN EXPRESS COMPANY   2017-10-05 2020-01-16
2. AUTODESK, INC. COMMON   2017-10-05 2020-01-16
8. CVS CORP COMMON   2017-04-17 2020-01-16
29. CARNIVAL CORP PAIRED CTF 1 COM   2019-02-11 2020-01-16
217.12 CAUSEWAY INTL VALUE-INST   2018-05-15 2020-01-16
30. DANONE SPONS ADR   2017-10-05 2020-01-16
7. ENBRIDGE INC   2015-09-02 2020-01-16
3. FACEBOOK INC CL A   2017-10-05 2020-01-16
1. FACTSET RESH SYS INC   2017-10-05 2020-01-16
108.969 FEDERATED HERMES MDT SM CAP GR   2019-02-12 2020-01-16
230.285 HARDING LOEVNER INTL EQ-INST   2018-09-12 2020-01-16
71. ISHARES TR MSCI SMALL CAP ETF   2019-02-11 2020-01-16
114.676 METROPOLITAN WEST T/R BD-PLN   2013-03-19 2020-01-16
3. MICROSOFT CORPORATION   2013-03-19 2020-01-16
133.541 MSIF GLOBAL OPPORTUNITY-IS   2019-02-12 2020-01-16
84.922 NEUBERGER BERMAN STRAT INC-I   2017-04-19 2020-01-16
7. ORACLE SYSTEM CORPORATION   2017-10-05 2020-01-16
40. PFIZER INCORPORATED   2012-02-07 2020-01-16
5. PROCTOR AND GAMBLE COMPANY   2017-10-05 2020-01-16
7. QUALCOMM INC COMMON   2015-09-02 2020-01-16
503.165 TOUCHSTONE MID CAP GROW-INST   2018-09-12 2020-01-16
213.028 VANGUARD DEVELOPED MKTS INDEX -127   2018-05-15 2020-01-16
5. VARIAN MED SYS INC   2017-10-05 2020-01-16
7. VERIZON COMMUNICATIONS INC   2014-02-24 2020-01-16
3. VISA INC   2014-02-04 2020-01-16
337.271 VIRTUS KAR SMALL CAP VALUE I   2019-02-12 2020-01-16
12. WELLS FARGO & CO NEW     2020-01-16
2. ACCENTURE PLC IRELAND SHS     2020-01-16
3. ALCON INC   2012-04-19 2020-01-16
8. OCCIDENTAL PETE CORP   2020-01-16 2020-03-12
27. OCCIDENTAL PETE CORP   2017-10-05 2020-03-12
1. AMGEN INCORPORATED   2017-10-05 2020-03-18
5. CARNIVAL CORP PAIRED CTF 1 COM   2019-06-12 2020-03-18
3. CARNIVAL CORP PAIRED CTF 1 COM   2019-02-11 2020-03-18
3. CISCO SYSTEMS   2017-10-05 2020-03-18
3. CROWN CASTLE INTL CORP REIT   2017-04-17 2020-03-18
1421.928 DOUBLELINE TOTL RET BND-I     2020-03-18
502.136 FIDELITY S/T TRSRY BND-INS PR   2020-01-16 2020-03-18
1197.024 METROPOLITAN WEST T/R BD-PLN   2013-03-19 2020-03-18
73.175 PIMCO FDS PAC INVT MGMT REAL RETURN BD FD INSTL CL   2020-01-16 2020-03-18
678.303 PGIM INVESTMENTS TTL RETURN BOND R6   2020-01-16 2020-03-18
619.304 STERLING CAPITAL TOTAL RETURN BOND FUND   2020-01-16 2020-03-18
1020.506 STERLING CAPITAL TOTAL RETURN BOND FUND   2017-04-19 2020-03-18
33. WELLS FARGO & CO NEW     2020-03-18
8. ROYAL CARIBBEAN CRUISES LTD   2020-01-16 2020-03-20
25000. SHELL INTERNATIONAL FIN DTD 03/25/2010 4   2014-04-29 2020-03-25
1. ALIBABA GROUP HLDG LTD   2017-10-05 2020-07-06
7. AMGEN INCORPORATED   2017-10-05 2020-07-06
3. AUTODESK, INC. COMMON   2017-10-05 2020-07-06
1. AUTOMATIC DATA PROCESSING INC   2017-10-05 2020-07-06
42. CABOT OIL AND GAS   2020-01-16 2020-07-06
3157.143 CAUSEWAY INTL VALUE-INST     2020-07-06
9. COCA COLA COMPANY   2017-10-05 2020-07-06
1. CROWN CASTLE INTL CORP REIT   2017-04-17 2020-07-06
116. DANONE SPONS ADR   2017-10-05 2020-07-06
28. DELTA AIR LINES INC     2020-07-06
28. DELTA AIR LINES INC     2020-07-06
2346.755 DOUBLELINE TOTL RET BND-I     2020-07-06
51. ENBRIDGE INC     2020-07-06
6. ENBRIDGE INC   2020-03-26 2020-07-06
878.2 FEDERATED HERMES MDT SM CAP GR     2020-07-06
346.224 FEDERATED HERMES MDT SM CAP GR   2020-03-18 2020-07-06
3072.122 FIDELITY S/T TRSRY BND-INS PR   2019-06-12 2020-07-06
254.268 FIDELITY S/T TRSRY BND-INS PR   2020-01-16 2020-07-06
25. GENERAL MOTORS CO   2020-03-18 2020-07-06
59. GENERAL MOTORS CO   2016-08-04 2020-07-06
348. ISHARES TR MSCI SMALL CAP ETF   2019-02-11 2020-07-06
199.338 LAZARD EMERGING MARKETS FD INSTL CL   2020-01-16 2020-07-06
1367.264 LAZARD EMERGING MARKETS FD INSTL CL     2020-07-06
5. MERCK & CO INC   2016-01-06 2020-07-06
5. MONSTER BEVERAGE CORP   2017-10-05 2020-07-06
14. MORGAN STANLEY DEAN WITTER DIS CO   2020-03-18 2020-07-06
41. MORGAN STANLEY DEAN WITTER DIS CO   2019-02-11 2020-07-06
5553.269 NEUBERGER BERMAN STRAT INC-I   2017-04-19 2020-07-06
405.207 NEUBERGER BERMAN STRAT INC-I   2020-03-26 2020-07-06
30. NOVO-NORDISK A S ADR   2017-10-05 2020-07-06
1. NVIDIA CORP COMMON   2019-06-12 2020-07-06
19. PROCTOR AND GAMBLE COMPANY   2017-10-05 2020-07-06
11. QUALCOMM INC COMMON   2015-09-02 2020-07-06
2. STARBUCKS CORPORATIONS COMMON   2019-06-12 2020-07-06
14840.339 STERLING CAP TTL RTRN BND-R6     2020-07-06
598.361 TOUCHSTONE MID CAP GROW-INST     2020-07-06
1464.112 TOUCHSTONE MID CAP VALUE-INS     2020-07-06
691.06 TOUCHSTONE MID CAP VALUE-INS   2020-01-16 2020-07-06
1857.977 VANGUARD DEVELOPED MKTS INDEX -127     2020-07-06
2. VISA INC   2014-02-04 2020-07-06
781.289 VIRTUS KAR SMALL CAP VALUE I   2019-02-12 2020-07-06
5. YUM CHINA HOLDINGS INC   2017-10-05 2020-07-06
71. BROOKFIELD PROPERTY CL A REIT     2020-09-08
229.758 INVESCO DEVELOPING MARKETS FUND     2020-10-22
2. ABBOTT LABORATORIES   2016-01-06 2020-10-22
58.271 CAUSEWAY INTL VALUE-INST   2019-02-12 2020-10-22
3434.177 DOUBLELINE TOTL RET BND-I     2020-10-22
1. FACEBOOK INC CL A   2017-10-05 2020-10-22
2.495 HARDING LOEVNER INTL EQ-INST   2020-03-18 2020-10-22
1269.292 HARDING LOEVNER INTL EQ-INST     2020-10-22
1. HOME DEPOT INCORPORATED   2019-06-12 2020-10-22
1. HONEYWELL INTERNATIONAL INC   2015-09-02 2020-10-22
50.259 LAZARD EMERGING MARKETS FD INSTL CL   2009-01-20 2020-10-22
31. MAXIM INTEGRATED PRODUCTS INC COMON     2020-10-22
8. MAXIM INTEGRATED PRODUCTS INC COMON     2020-10-22
9706.8 METROPOLITAN WEST T/R BD-PLN     2020-10-22
1. MICROSOFT CORPORATION   2013-03-19 2020-10-22
1084.173 MSIF GLOBAL OPPORTUNITY-IS   2019-02-12 2020-10-22
3. ORACLE SYSTEM CORPORATION   2017-10-05 2020-10-22
8053.983 PGIM INVESTMENTS TTL RETURN BOND R6     2020-10-22
89.301 PGIM INVESTMENTS TTL RETURN BOND R6   2020-01-16 2020-10-22
3. STARBUCKS CORPORATIONS COMMON   2019-06-12 2020-10-22
457.279 TOUCHSTONE MID CAP GROW-INST   2019-02-12 2020-10-22
1591.362 TOUCHSTONE MID CAP VALUE-INS   2019-02-12 2020-10-22
3. UNITED PARCEL SERVICES B   2015-03-30 2020-10-22
31.133 VANGUARD DEVELOPED MKTS INDEX -127   2019-02-12 2020-10-22
5. VARIAN MED SYS INC   2017-10-05 2020-10-22
1. VISA INC   2014-02-04 2020-10-22
668.231 VIRTUS KAR SMALL CAP VALUE I   2019-02-12 2020-10-22
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(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 713   463 250
b 446   357 89
c 1,445   460 985
d 1,444   852 592
e 1,871   974 897
1,170   824 346
384   232 152
606   627 -21
1,477   1,651 -174
3,398   3,737 -339
490   482 8
283   199 84
664   507 157
274   181 93
2,804   2,562 242
5,584   5,179 405
4,420   3,899 521
1,186   1,179 7
496   84 412
4,118   3,252 866
945   938 7
387   342 45
1,615   842 773
630   461 169
640   389 251
17,807   16,328 1,479
3,044   3,097 -53
741   510 231
416   337 79
603   160 443
6,624   5,835 789
588   639 -51
417   188 229
183   101 82
99   375 -276
333   1,737 -1,404
201   185 16
43   267 -224
26   171 -145
108   101 7
410   287 123
15,044   16,109 -1,065
5,408   5,293 115
12,066   12,303 -237
772   828 -56
9,191   9,848 -657
6,503   6,738 -235
10,715   10,797 -82
903   1,605 -702
196   1,070 -874
25,000   25,000  
238   179 59
1,784   1,295 489
732   347 385
150   113 37
754   735 19
41,990   53,433 -11,443
405   411 -6
174   95 79
1,607   1,864 -257
794   951 -157
794   1,448 -654
25,157   26,418 -1,261
1,548   1,376 172
182   181 1
21,191   20,639 552
8,354   5,221 3,133
33,455   32,196 1,259
2,769   2,680 89
643   416 227
1,517   1,793 -276
19,115   19,109 6
3,068   3,712 -644
21,042   21,876 -834
397   262 135
354   278 76
685   391 294
2,006   1,658 348
60,475   61,308 -833
4,413   3,862 551
1,972   1,464 508
390   147 243
2,300   1,753 547
1,017   611 406
151   166 -15
167,993   156,870 11,123
20,440   18,694 1,746
24,202   25,630 -1,428
11,423   13,635 -2,212
23,875   26,929 -3,054
393   107 286
15,032   13,516 1,516
251   200 51
798   698 100
10,794   7,978 2,816
218   85 133
775   849 -74
36,746   37,976 -1,230
277   169 108
63   43 20
31,897   27,389 4,508
283   199 84
175   93 82
775   482 293
2,256   879 1,377
582   407 175
105,707   98,077 7,630
213   28 185
45,210   26,404 18,806
177   147 30
119,038   116,406 2,632
1,320   1,296 24
265   249 16
17,340   13,458 3,882
28,740   27,005 1,735
519   292 227
415   399 16
859   510 349
197   53 144
14,240   11,560 2,680
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
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      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
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      8,294
      8,294
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      8,294
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      8,294
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      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
      8,294
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       250
b       89
c       985
d       592
e       897
      346
      152
      -21
      -174
      -339
      8
      84
      157
      93
      242
      405
      521
      7
      412
      866
      7
      45
      773
      169
      251
      1,479
      -53
      231
      79
      443
      789
      -51
      229
      82
      -276
      -1,404
      16
      -224
      -145
      7
      123
      -1,065
      115
      -237
      -56
      -657
      -235
      -82
      -702
      -874
       
      59
      489
      385
      37
      19
      -11,443
      -6
      79
      -257
      -157
      -654
      -1,261
      172
      1
      552
      3,133
      1,259
      89
      227
      -276
      6
      -644
      -834
      135
      76
      294
      348
      -833
      551
      508
      243
      547
      406
      -15
      11,123
      1,746
      -1,428
      -2,212
      -3,054
      286
      1,516
      51
      100
      2,816
      133
      -74
      -1,230
      108
      20
      4,508
      84
      82
      293
      1,377
      175
      7,630
      185
      18,806
      30
      2,632
      24
      16
      3,882
      1,735
      227
      16
      349
      144
      2,680
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 60,654
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,229
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,229
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,229
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 968
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 856
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,824
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 10 595
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet595 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletVA
    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 addressbullet  
    14
    The books are in care ofbulletBRANCH BANKING & TRUST COMPANY Telephone no.bullet (252) 246-4633

    Located atbullet223 NASH ST W FL 2WILSONNC ZIP+4bullet278933801
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
    No
    .........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
    BRANCH BANKING & TRUST COMPANY TRUSTEE
    12
    1,787    
    223 W NASH ST
    WILSON,NC27893
    TERESA MCCONNELL DIRECTOR
    1
    200    
    17451 ALDERSHOT PL
    PURCELLVILLE,VA201323117
    BRIAN MCDONALD DIRECTOR
    1
    200    
    34889 VINTAGE PL
    ROUND HILL,VA20141
    ANDREW MICHAEL PEERY DIRECTOR
    1
    200    
    PO BOX 181
    PURCELLVILLE,VA20134
    MARGARET W VAUGHAN DIRECTOR
    1
    200    
    PO BOX 581
    PURCELLVILLE,VA20132
    DORIS L WHITMAN DIRECTOR
    1
    200    
    300 W I ST
    PURCELLVILLE,VA20132
    ALLEN CURTIS COLBY DIRECTOR
    1
    200    
    321 E LOUDOUN VALLEY DR
    PURCELLVILLE,VA20132
    WILLIAM L WHITMORE JR DIRECTOR
    1
    200    
    19360 MAGNOLIA GROVE SQ 117
    LEESBURG,VA20176
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,380,886
    b
    Average of monthly cash balances.......................
    1b
    45,115
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,426,001
    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
    1,426,001
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    21,390
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,404,611
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    70,231
    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
    70,231
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,229
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,229
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    69,002
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    1,000
    5
    Add lines 3 and 4............................
    5
    70,002
    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
    70,002
    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
    71,601
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    71,601
    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
    71,601
    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 70,002
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 953
    b From 2016...... 4,312
    c From 2017...... 3,774
    d From 2018...... 1,372
    e From 2019...... 5,410
    fTotal of lines 3a through e........ 15,821
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 71,601
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2020 distributable amount..... 70,002
    e Remaining amount distributed out of corpus 1,599
    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 17,420
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...
    953
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    16,467
    10 Analysis of line 9:
    a Excess from 2016.... 4,312
    b Excess from 2017.... 3,774
    c Excess from 2018.... 1,372
    d Excess from 2019.... 5,410
    e Excess from 2020.... 1,599
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    BOARD OF DIRECTORS CLARENCE ROBEY
    PO BOX 181
    PURCELLVILLE,VA22132
    (540) 338-6621
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN EXPLANATION OF WHAT THE DONATION WILL BE USED FOR AND A BRIEF DESCRIPTION OF THE CHARITABLE ORGANIZATION REQUESTING THE FUNDS
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    KYLIE LYNN BUDD
    FBO VA TECH
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    LOUDOUN LYRIC OPERA
    ATTN PAMELA BUTLER
    525K E MARKET ST 226
    LEESBURG,VA20176
    NONE PC GENERAL 1,000
    TREE OF LIFE MINISTRIES
    210 N 21ST ST UNIT D
    PURCELLVILLE,VA20132
    NONE PC GENERAL 3,500
    LOUDOUN HERITAGE FARM MUSEUM
    ATTN LORI KIMBELL
    21668 HERITAGE FARM LN
    STERLING,VA20164
    NONE PC GENERAL 915
    PURCELLVILLE LIBRARY
    PO BOX 613
    PURCELLVILLE,VA22132
    NONE PC GENERAL 4,000
    HARMONY MIDDLE SCHOOL
    38174 W COLONIAL HWY
    HAMILTON,VA20158
    NONE PC GENERAL 12,000
    ST FRANCIS DE SALES CATHOLIC CHURCH
    37730 ST FRANCIS CT
    PURCELLVILLE,VA20132
    NONE PC GENERAL 1,500
    KAITLYN BURNS
    FBO GMU
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    ABIGAIL TAYLOR
    FBO VA TECH
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    REAGAN BRILL
    FBO UVA
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    MEGAN AUDRIE STEVENSON
    FBO BRIGHAM YOUNG UNIV
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    JAYLEN RENEE WASHINGTON
    FBO HOWARD UNIV
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    CATHERINE SLUPE
    FBO VA TECH
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    NAZANEEN ANWARI
    FBO VA COMM UNIV
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    MORGAN FREIBERG
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    PURCELLVILLE PUBLIC SAFETY
    500 N MAPLE AVE
    PURCELLVILLE,VA20132
    NONE PC GENERAL 4,500
    PURCELLVILLE BAPTIST CHURCH
    601 YAXLEY DR
    PURCELLVILLE,VA20132
    NONE PC GENERAL 1,500
    FRIENDS OF FRANKLIN PARK ARTS CENTER
    PO BOX 2127
    PURCELLVILLE,VA20134
    NONE PC GENERAL 2,000
    AGAPE UNITED METHODIST CHURCH
    PO BOX 188
    PURCELLVILLE,VA20134
    NONE PC GENERAL 1,500
    ST ANDREWS PRESBYTERIAN CHURCH
    711 W MAIN ST
    PURCELLVILLE,VA20132
    NONE PC GENERAL 1,500
    BETHANY UNITED METHODIST CHURCH
    PO BOX 487
    PURCELLVILLE,VA20134
    NONE PC GENERAL 1,500
    SAINT PETERS EPISCOPAL CHURCH
    PO BOX 546
    PURCELLVILLE,VA20134
    NONE PC GENERAL 1,500
    CALEN AUBERTIN
    FBO CWRU
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    REBECCA JENNINGS
    FBO U OF S CAROLINA
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    COURTNEY FIRETTI FRYE
    FBO UNIV OF VA
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    NOAH GALLAGHER
    FBO VA TECH
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 1,000
    KATHERINE ORLOWSKY
    FBO VA TECH
    223 NASH ST W FL 2
    WILSON,NC278933801
    NONE I SCHOLARSHIP 2,000
    CHURCH OF CHRIST
    604 YAXLEY DR
    PURCELLVILLE,VA20132
    NONE PC GENERAL 1,500
    KETOCTIN BAPTIST CHURCH
    22 E LOUDOUN ST
    ROUND HILL,VA20141
    NONE PC GENERAL 1,500
    Total .................................bullet 3a 66,915
    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 29,065  
    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 60,654  
    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)..   89,719  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    89,719
    (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:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 650     650

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Name of Bond End of Year Book Value End of Year Fair Market Value
    258620103 DOUBLELINE TOTAL RET 59,834 58,824
    64128K868 NEUBERGER BERMAN HIG 29,276 31,509
    722005816 PIMCO INVESTMENT GRA 102,417 105,172
    693391104 PIMCO REAL RETURN FU 12,625 13,684
    92206C755 VANGUARD MORTGAGE BA 50,225 49,902
    25264S866 DIAMOND HILL CORP CR 23,330 23,631

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Name of Stock End of Year Book Value End of Year Fair Market Value
    002824100 ABBOTT LABORATORIES 1,999 4,489
    00287Y109 ABBVIE INC COMMON 1,829 3,107
    02079K107 ALPHABET INC -CL C C 919 3,504
    02079K305 ALPHABET INC -CL A C 1,314 3,505
    023135106 AMAZON.COM INC COMMO 2,923 9,771
    032654105 ANALOG DEVICES INC. 2,916 4,580
    036752103 ANTHEM INC COMMON 1,875 3,853
    052769106 AUTODESK INC COMMON 2,601 6,717
    053015103 AUTOMATIC DATA PROCE 564 881
    097023105 THE BOEING COMPANY C 3,202 3,639
    126650100 CVS COMMON 3,233 3,142
    156782104 CERNER CORP COMMON 1,928 2,119
    17275R102 CISCO SYSTEMS INC CO 2,974 3,714
    172967424 CITIGROUP INC COMMON 1,984 2,466
    191216100 THE COCA-COLA CO COM 1,554 1,865
    194162103 COLGATE PALMOLIVE CO 1,529 1,881
    219350105 CORNING INC COMMON 2,529 3,312
    22822V101 CROWN CASTLE INTL CO 1,443 2,388
    244199105 DEERE & COMPANY COMM 2,382 4,843
    254687106 THE WALT DISNEY COMP 1,822 2,899
    254709108 DISCOVER FINANCIAL S 2,350 4,889
    26875P101 EOG RESOURCES INC CO 1,108 1,546
    29261A100 ENCOMPASS HEALTH COR 932 1,158
    302130109 EXPEDITORS INTL WASH 1,920 3,044
    30303M102 FACEBOOK INC-A COMMO 4,340 7,102
    303075105 FACTSET RESEARCH SYS 1,088 1,995
    38141G104 GOLDMAN SACHS COMMON 2,143 2,901
    437076102 HOME DEPOT INC COMMO 3,338 4,250
    438516106 HONEYWELL INTERNATIO 1,846 3,829
    452327109 ILLUMINA INC COM 1,511 1,480
    46120E602 INTUITIVE SURGICAL I 1,163 1,636
    478160104 JOHNSON & JOHNSON CO 2,127 3,148
    502431109 L3HARRIS TECHNOLOGIE 1,707 1,890
    58933Y105 MERCK & CO INC COMMO 2,240 3,436
    594918104 MICROSOFT CORP COMMO 2,301 9,564
    61174X109 MONSTER BEVERAGE COR 2,756 4,624
    620076307 MOTOROLA SOLUTIONS I 817 1,020
    631103108 NASDAQ INC COMMON 2,205 3,319
    665859104 NORTHERN TRUST GROUP 1,792 2,329
    67066G104 NVIDIA CORP COMMON 2,217 5,744
    68389X105 ORACLE CORP COMMON 3,675 4,916
    713448108 PEPSICO INC COMMON 2,183 3,559
    718546104 PHILLIPS 66 COMMON 2,496 2,168
    747525103 QUALCOMM INC COMMON 1,270 3,656
    75886F107 REGENERON PHARMACUET 3,310 3,382
    784117103 SEI INVESTMENTS COMP 2,135 1,954
    79466L302 SALESFORCE.COM INC I 3,955 4,451
    855244109 STARBUCKS CORP COMMO 3,206 5,242
    902494103 TYSON FOODS INC INC. 1,601 2,191
    911312106 UNITED PARCEL SERVIC 2,167 3,705
    92220P105 VARIAN MED SYS INC C 204 350
    92343V104 VERIZON COMMUNICATIO 2,485 2,996
    92826C839 VISA INC CLASS A SHA 2,126 7,218
    98138H101 WORKDAY INC COMMON 1,341 1,677
    988498101 YUM! BRANDS INC COMM 1,198 1,737
    98850P109 YUM CHINA HOLDINGS I 840 1,199
    01609W102 ALIBABA GROUP HOLDIN 4,462 5,818
    66987V109 NOVARTIS A G ADR 1,223 2,077
    670100205 NOVO-NORDISK A S ADR 830 1,187
    76131D103 RESTAURANT BRANDS IN 1,990 2,444
    771195104 ROCHE HOLDING LTD AD 2,958 3,277
    806857108 SCHLUMBERGER LTD COM 1,737 873
    G02602103 AMDOCS LTD SC COMMON 1,571 1,915
    G1151C101 ACCENTURE PLC IRELAN 1,988 4,702
    G5960L103 MEDTRONIC PLC COMMON 2,451 3,514
    H1467J104 CHUBB LIMITED PROSPE 3,058 3,848

    TY 2020 InvestmentsOtherSchedule2
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    04314H857 ARTISAN INTL VALUE F AT COST 15,950 19,428
    277902235 EATON VANCE -ATLANTA AT COST 46,228 50,228
    61760X786 MORGAN STANLEY GLOBA AT COST 2,703 5,105
    87283A102 T ROWE PRICE QM US S AT COST 19,504 24,294
    89154X526 TOUCHSTONE MID CAP G AT COST 4,189 6,242
    89155H389 TOUCHSTONE MID CAP V AT COST 7,960 12,036
    921075438 VAN ECK EMERGING MAR AT COST 16,600 18,416
    922908710 VANGUARD 500 INDEX F AT COST 298,049 366,104
    92828N668 VIRTUS KAR SMALL CAP AT COST 3,489 6,431
    00143W859 INVESCO OPPENHEIMER AT COST 38,696 55,467
    00770G847 JOHCM INTERNATIONAL AT COST 51,355 58,715
    14949P208 CAUSEWAY INTERNATL V AT COST 10,640 18,420
    412295107 HARDING LOEVNER INTE AT COST 5,491 9,158
    52106N889 LAZARD EMERGING MKTS AT COST 4,881 7,266
    921943809 VANGUARD DEVELOPED M AT COST 4,833 7,789
    464288273 ISHARES MSCI EAFE SM AT COST 4,716 8,407
    464288620 ISHARES BROAD USD IN AT COST 68,412 69,964
    464288646 ISHARES SHORT-TERM C AT COST 37,715 38,012
    46429B267 ISHARES CORE US TREA AT COST 187,108 182,835
    464285105 ISHARES COMEX GOLD T AT COST 42,164 42,152

    TY 2020 LegalFeesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NON-ALLOCABLE LEGAL FEES 248     248


    TY 2020 OtherDecreasesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Description Amount
    2020 TRANSACTION POSTED IN 2021 611
    COST BASIS ADJUSTMENT 9


    TY 2020 OtherExpensesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSE (NON-DEDUCTIBLE 4 4   0
    OTHER ALLOCABLE EXPENSE-PRINCI 286 0   286


    TY 2020 OtherIncreasesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Description Amount
    RECOVERY OF GRANTS 1,000


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 575     575
    OTHER NON-ALLOCABLE EXPENSE - 575     575


    TY 2020 TaxesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 50 50   0
    FEDERAL ESTIMATES - PRINCIPAL 593 0   0
    FOREIGN TAXES ON QUALIFIED FOR 241 241   0
    FOREIGN TAXES ON NONQUALIFIED 7 7   0