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
CAIN CLEMENT CHARITABLE FDN
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

93-6270973
B Telephone number (see instructions)

(888) 730-4933
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$891,785J 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... 19,603 19,580  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 42,264
b Gross sales price for all assets on line 6a 430,769
7 Capital gain net income (from Part IV, line 2)... 42,264
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........ 61,867 61,844  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 12,680 11,412   1,268
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 950 0 0 950
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 700 365   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 126 4   122
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 14,456 11,781 0 2,340
25 Contributions, gifts, grants paid....... 37,200 37,200
26 Total expenses and disbursements. Add lines 24 and 25 51,656 11,781 0 39,540
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 10,211
b Net investment income (if negative, enter -0-) 50,063
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............. 1,095 1,238 1,238
2 Savings and temporary cash investments......... 41,153 29,753 29,753
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).......   Click to see attachment115,460 205,902
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 682,219 Click to see attachment587,924 654,892
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) 724,467 734,375 891,785
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........ 724,467 734,375
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)..... 724,467 734,375
30 Total liabilities and net assets/fund balances (see instructions). 724,467 734,375
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
724,467
2
Enter amount from Part I, line 27a .....................
2
10,211
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
734,678
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
303
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
734,375
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 6. ZOETIS INC   2019-08-16 2020-02-03
b 11. ZOETIS INC   2017-04-25 2020-02-03
c 3. APPLE INC   2019-08-16 2020-02-13
d 1. BLACKROCK INC   2018-12-24 2020-02-13
e 2. CVS HEALTH CORPORATION   2019-09-26 2020-02-13
8. CVS HEALTH CORPORATION   2014-10-31 2020-02-13
5. CELANESE CORP   2019-08-16 2020-02-13
11. ISHARES CORE U.S. AGGREGATE ETF   2019-08-16 2020-02-13
89. ISHARES S&P MID-CAP 400 GROWTH     2020-02-13
8. ISHARES RUSSELL 2000 ETF   2018-01-25 2020-02-13
126. ISHARES S&P MID-CAP 400 VALUE   2010-02-04 2020-02-13
1. JPMORGAN CHASE & CO   2018-11-15 2020-02-13
3. JPMORGAN CHASE & CO   2019-10-17 2020-02-13
6. MICROSOFT CORP   2019-08-16 2020-02-13
8. MONDELEZ INTERNATIONAL INC   2019-08-16 2020-02-13
265.573 T ROWE PR REAL ESTATE-I #432   2016-01-22 2020-02-13
200. SPDR DJ WILSHIRE INTERNATIONAL R ETF     2020-02-13
2. UNITEDHEALTH GROUP INC   2019-08-16 2020-02-13
179. VANGUARD INTERMEDIATE TERM B     2020-02-13
244. VANGUARD SHORT TERM BOND ETF   2008-07-18 2020-02-13
26. VANGUARD FTSE DEVELOPED ETF   2019-02-22 2020-02-13
2. VANGUARD FTSE DEVELOPED ETF   2018-08-02 2020-02-13
6. TE CONNECTIVITY LTD   2019-08-16 2020-02-13
3. HOME DEPOT INC   2019-08-16 2020-03-04
9. HOME DEPOT INC   2017-03-31 2020-03-04
1. THERMO FISHER SCIENTIFIC INC   2019-08-16 2020-03-04
3. EATON CORP PLC     2020-03-04
11. EATON CORP PLC   2019-08-16 2020-03-04
7. CVS HEALTH CORPORATION   2019-09-26 2020-03-17
3. ELI LILLY & CO COM   2019-08-16 2020-03-17
5. MONDELEZ INTERNATIONAL INC   2019-08-16 2020-03-17
2. UNION PACIFIC CORP   2019-08-16 2020-03-17
21. EATON CORP PLC     2020-03-17
49.461 EATON VANCE GLOB MACRO ADV-I 208   2017-10-20 2020-04-03
183. ISHARES MBS ETF   2020-02-13 2020-04-03
284. ISHARES CORE MSCI EMERGING ETF   2018-09-25 2020-04-03
16. PNC FINANCIAL SERVICES GROUP     2020-04-03
3. PNC FINANCIAL SERVICES GROUP   2019-08-16 2020-04-03
637. VANGUARD INTERMEDIATE TERM B     2020-04-03
498. VANGUARD FTSE DEVELOPED ETF     2020-04-03
16. VANGUARD FTSE DEVELOPED ETF   2019-08-16 2020-04-03
16. EOG RESOURCES, INC     2020-04-27
19. EOG RESOURCES, INC     2020-04-27
1. ELECTRONIC ARTS INC   2019-02-15 2020-04-27
4. ELECTRONIC ARTS INC   2020-04-03 2020-04-27
1. THERMO FISHER SCIENTIFIC INC   2020-04-03 2020-04-27
.018 RAYTHEON TECHNOLOGIES CORP   2019-09-26 2020-04-29
11. AT & T INC   2019-10-17 2020-05-12
3. APPLE INC   2020-04-03 2020-05-12
1. BLACKROCK INC   2020-04-03 2020-05-12
1. BROADCOM INC   2019-07-03 2020-05-12
1. CME GROUP INC   2020-04-03 2020-05-12
19. CVS HEALTH CORPORATION     2020-05-12
2. CELANESE CORP   2019-08-16 2020-05-12
8. CISCO SYSTEMS INC   2019-08-16 2020-05-12
6. CITIGROUP INC.   2019-07-31 2020-05-12
4. COGNIZANT TECH SOLUTIONS CRP COM   2019-08-16 2020-05-12
1. DIAGEO PLC - ADR   2019-08-16 2020-05-12
2. ELECTRONIC ARTS INC   2020-04-03 2020-05-12
1. FIDELITY NATL INFORMATION SVCS INC   2020-03-04 2020-05-12
2. GILEAD SCIENCES INC   2020-04-03 2020-05-12
6. GILEAD SCIENCES INC   2014-10-31 2020-05-12
6. HAIN CELESTIAL GROUP INC   2015-12-17 2020-05-12
121. ISHARES RUSSELL 2000 ETF     2020-05-12
146. ISHARES RUSSELL 2000 ETF   2018-01-25 2020-05-12
15. ISHARES CORE MSCI EMERGING ETF   2018-09-25 2020-05-12
3. JPMORGAN CHASE & CO   2019-05-08 2020-05-12
1. JPMORGAN CHASE & CO   2019-10-17 2020-05-12
5. LAS VEGAS SANDS CORP     2020-05-12
1. ELI LILLY & CO COM   2020-04-03 2020-05-12
20. MANULIFE FINANCIAL CORP   2019-10-17 2020-05-12
2. MERCK & CO INC NEW   2019-08-16 2020-05-12
5. MICROSOFT CORP   2020-04-03 2020-05-12
16. MONDELEZ INTERNATIONAL INC     2020-05-12
3. NIKE INC CL B   2019-08-16 2020-05-12
77.341 JAMES ALPHA GL REAL EST-I   2020-02-14 2020-05-12
10. SUNCOR ENERGY INC NEW F   2018-11-26 2020-05-12
1. THERMO FISHER SCIENTIFIC INC   2019-08-16 2020-05-12
5. TORONTO DOMINION BK ONT COM NEW   2019-07-31 2020-05-12
6. TOTAL S.A. - ADR     2020-05-12
3. UNILEVER N.V. - ADR   2020-02-04 2020-05-12
2. UNION PACIFIC CORP   2019-09-02 2020-05-12
2. UNITED PARCEL SERVICE-CL B   2019-08-16 2020-05-12
1. UNITEDHEALTH GROUP INC   2019-08-16 2020-05-12
17. VANGUARD FTSE DEVELOPED ETF   2013-02-13 2020-05-12
1. WASTE MANAGEMENT INC   2020-03-04 2020-05-12
2. TE CONNECTIVITY LTD   2019-08-16 2020-05-12
20. FLEXTRONICS INTL LTD   2018-03-08 2020-05-12
12. HAIN CELESTIAL GROUP INC   2015-12-17 2020-05-19
9. TJX COMPANIES INC     2020-05-19
4. ELECTRONIC ARTS INC     2020-05-29
22. TJX COMPANIES INC   2011-06-30 2020-05-29
17. TJX COMPANIES INC     2020-05-29
1036.211 JAMES ALPHA GL REAL EST-I     2020-06-17
8. CVS HEALTH CORPORATION   2019-08-14 2020-07-20
8. COGNIZANT TECH SOLUTIONS CRP COM   2019-08-16 2020-07-20
1. APPLE INC   2020-04-03 2020-08-25
1. HAIN CELESTIAL GROUP INC   2020-04-03 2020-08-25
18. HAIN CELESTIAL GROUP INC   2015-12-17 2020-08-25
12. TORONTO DOMINION BK ONT COM NEW   2019-07-31 2020-08-25
3. UNITED PARCEL SERVICE-CL B   2019-08-16 2020-08-25
12. APPLE INC   2020-04-03 2020-09-14
4. NIKE INC CL B   2019-08-16 2020-09-14
3. UNITED PARCEL SERVICE-CL B     2020-09-14
6. TE CONNECTIVITY LTD     2020-09-14
9. APPLE INC   2020-04-03 2020-09-25
1. BLACKROCK INC   2020-04-03 2020-09-25
33.794 FIDELITY NEW MRKTS INC-Z #3323   2015-11-20 2020-09-25
166. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-09-25
36. ISHARES CORE MSCI EMERGING ETF   2018-09-25 2020-09-25
4. MICROSOFT CORP   2020-04-03 2020-09-25
226.977 TCW EMRG MKTS INCM-I 4721   2019-08-19 2020-09-25
505. VANGUARD INTERMEDIATE TERM B     2020-09-25
73. VANGUARD INTERMEDIATE TERM B   2020-05-12 2020-09-25
27. VANGUARD FTSE DEVELOPED ETF   2013-02-13 2020-09-25
7. APPLE INC   2020-04-03 2020-10-21
20. AT & T INC     2020-11-02
1. CME GROUP INC   2020-04-03 2020-11-02
10. CME GROUP INC     2020-11-02
2. NIKE INC CL B   2019-08-16 2020-11-02
3. NIKE INC CL B   2020-04-03 2020-11-02
108. FLEXTRONICS INTL LTD     2020-11-02
33. FLEXTRONICS INTL LTD   2020-07-20 2020-11-02
13. AT & T INC   2018-02-13 2020-11-03
6. SPIRIT AEROSYTSEMS HOLD-CL A   2020-04-03 2020-11-03
30. SPIRIT AEROSYTSEMS HOLD-CL A     2020-11-03
1. THERMO FISHER SCIENTIFIC INC   2019-08-16 2020-11-03
2. UNITED PARCEL SERVICE-CL B   2015-08-28 2020-11-03
1. UNITED PARCEL SERVICE-CL B   2020-03-04 2020-11-03
2. BROADCOM INC   2019-07-03 2020-11-19
3. TARGET CORP   2019-09-26 2020-11-30
20. AT & T INC     2020-12-09
1. ALPHABET INC CL C   2019-08-16 2020-12-09
2. AMGEN INC   2020-09-14 2020-12-09
12. APPLE INC   2019-08-16 2020-12-09
1. BLACKROCK INC   2019-08-16 2020-12-09
8. BLACKSTONE GROUP INC/THE     2020-12-09
3. BOEING CO     2020-12-09
2. BROADCOM INC   2019-07-03 2020-12-09
8. CVS HEALTH CORPORATION   2019-08-14 2020-12-09
3. CELANESE CORP   2020-04-03 2020-12-09
2. CELANESE CORP   2019-08-16 2020-12-09
16. CISCO SYSTEMS INC   2019-08-16 2020-12-09
15. CITIGROUP INC.     2020-12-09
7. COGNIZANT TECH SOLUTIONS CRP COM     2020-12-09
4. DIAGEO PLC - ADR   2019-08-16 2020-12-09
4. WALT DISNEY CO   2019-08-16 2020-12-09
687.804 EV GL MACR ABS RTRN ADV-R6 #1072   2017-10-20 2020-12-09
4. ELECTRONIC ARTS INC   2019-11-06 2020-12-09
2. FIDELITY NATL INFORMATION SVCS INC   2020-03-04 2020-12-09
1. FIDELITY NATL INFORMATION SVCS INC   2019-08-16 2020-12-09
595. INVESCO OPTIMUM YIELD DIVERS   2020-04-03 2020-12-09
7. JPMORGAN CHASE & CO     2020-12-09
1. LAM RESEARCH CORP COM   2020-05-12 2020-12-09
11. LAS VEGAS SANDS CORP     2020-12-09
3. ELI LILLY & CO COM     2020-12-09
48. MANULIFE FINANCIAL CORP     2020-12-09
7. MERCK & CO INC NEW   2019-08-16 2020-12-09
6. MICROSOFT CORP   2020-04-03 2020-12-09
1. MICROSOFT CORP   2019-08-16 2020-12-09
9. MONDELEZ INTERNATIONAL INC   2020-04-03 2020-12-09
2. MONDELEZ INTERNATIONAL INC   2019-08-16 2020-12-09
6. NIKE INC CL B   2020-04-03 2020-12-09
4.0004 RAYTHEON TECHNOLOGIES CORP   2019-09-26 2020-12-09
5.9996 RAYTHEON TECHNOLOGIES CORP     2020-12-09
6. SYSCO CORP   2020-08-25 2020-12-09
2. TARGET CORP   2019-09-26 2020-12-09
2. TARGET CORP   2020-04-03 2020-12-09
1. THERMO FISHER SCIENTIFIC INC   2019-08-16 2020-12-09
1. TORONTO DOMINION BK ONT COM NEW   2019-10-17 2020-12-09
9. TORONTO DOMINION BK ONT COM NEW   2019-07-31 2020-12-09
12. TOTAL S.A. - ADR     2020-12-09
8. UNILEVER PLC - ADR   2020-02-04 2020-12-09
3. UNION PACIFIC CORP   2019-08-16 2020-12-09
5. UNITED PARCEL SERVICE-CL B     2020-12-09
2. UNITEDHEALTH GROUP INC   2019-08-16 2020-12-09
1. UNITEDHEALTH GROUP INC   2020-07-20 2020-12-09
35. VANGUARD INTERMEDIATE TERM B     2020-12-09
24. VANGUARD FTSE DEVELOPED ETF   2013-02-13 2020-12-09
52. VANGUARD MIDCAP VIPER   2020-02-13 2020-12-09
4. WASTE MANAGEMENT INC   2020-03-04 2020-12-09
4. EATON CORP PLC   2020-11-30 2020-12-09
5. MEDTRONIC PLC   2019-08-16 2020-12-09
4. TE CONNECTIVITY LTD   2016-11-09 2020-12-09
23. GILEAD SCIENCES INC     2020-12-10
2. GILEAD SCIENCES INC   2020-04-03 2020-12-10
2. LAM RESEARCH CORP COM     2020-12-10
3. NIKE INC CL B   2017-11-01 2020-12-10
13. SUNCOR ENERGY INC NEW F     2020-12-10
6. TOTAL S.A. - ADR   2015-10-27 2020-12-10
1. UNION PACIFIC CORP   2019-08-16 2020-12-10
2. UNION PACIFIC CORP   2020-04-03 2020-12-10
35. FLEXTRONICS INTL LTD     2020-12-21
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN 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 813   751 62
b 1,491   606 885
c 974   619 355
d 569   366 203
e 147   125 22
589   695 -106
553   552 1
1,255   1,250 5
21,875   8,118 13,757
1,339   1,270 69
21,472   8,207 13,265
137   108 29
412   362 50
1,105   815 290
470   436 34
7,120   6,963 157
7,842   5,335 2,507
604   490 114
15,891   15,465 426
19,764   18,822 942
1,142   1,062 80
88   87 1
568   539 29
713   610 103
2,139   1,323 816
324   276 48
292   201 91
1,071   845 226
411   439 -28
417   331 86
247   273 -26
256   333 -77
1,559   775 784
472   531 -59
20,170   19,925 245
11,189   14,706 -3,517
1,435   1,434 1
269   380 -111
56,732   54,417 2,315
15,820   18,310 -2,490
508   631 -123
715   1,701 -986
849   1,229 -380
116   107 9
464   411 53
342   283 59
1   2 -1
325   416 -91
955   728 227
466   428 38
276   285 -9
182   167 15
1,210   1,130 80
161   221 -60
350   377 -27
264   427 -163
219   246 -27
142   168 -26
233   206 27
129   149 -20
160   154 6
479   696 -217
183   246 -63
15,715   15,444 271
18,962   23,186 -4,224
660   777 -117
269   339 -70
90   121 -31
238   311 -73
159   141 18
246   369 -123
156   170 -14
933   775 158
815   877 -62
274   241 33
1,097   1,538 -441
172   324 -152
337   276 61
206   292 -86
210   326 -116
148   176 -28
313   358 -45
189   230 -41
292   245 47
610   623 -13
101   120 -19
149   180 -31
195   372 -177
349   492 -143
454   538 -84
479   399 80
1,164   292 872
899   810 89
16,797   18,605 -1,808
511   472 39
490   491 -1
496   243 253
30   27 3
547   738 -191
583   700 -117
475   345 130
1,367   728 639
474   321 153
478   309 169
597   441 156
976   546 430
533   428 105
482   509 -27
2,251   1,975 276
1,830   1,864 -34
814   620 194
1,809   1,886 -77
47,136   42,486 4,650
6,814   6,638 176
1,078   989 89
825   425 400
548   735 -187
152   167 -15
1,521   541 980
245   161 84
367   238 129
1,485   1,636 -151
454   357 97
358   477 -119
118   115 3
588   1,805 -1,217
492   276 216
322   198 124
161   96 65
755   569 186
537   321 216
621   708 -87
1,819   1,180 639
459   492 -33
1,494   619 875
711   421 290
500   445 55
716   1,004 -288
840   569 271
594   472 122
395   209 186
263   221 42
711   754 -43
885   1,082 -197
562   422 140
631   670 -39
623   541 82
7,511   7,394 117
525   395 130
301   298 3
150   138 12
8,671   7,078 1,593
859   758 101
509   265 244
645   646 -1
464   474 -10
866   868 -2
584   594 -10
1,291   930 361
215   136 79
522   452 70
116   109 7
843   476 367
298   339 -41
447   488 -41
460   348 112
346   214 132
346   187 159
475   276 199
56   57 -1
506   525 -19
543   611 -68
465   470 -5
611   499 112
836   478 358
698   490 208
349   304 45
3,254   2,930 324
1,117   879 238
10,603   9,636 967
466   480 -14
474   484 -10
558   514 44
476   261 215
1,392   763 629
121   154 -33
980   528 452
414   165 249
244   370 -126
274   289 -15
202   166 36
404   282 122
619   355 264
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
      441
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       62
b       885
c       355
d       203
e       22
      -106
      1
      5
      13,757
      69
      13,265
      29
      50
      290
      34
      157
      2,507
      114
      426
      942
      80
      1
      29
      103
      816
      48
      91
      226
      -28
      86
      -26
      -77
      784
      -59
      245
      -3,517
      1
      -111
      2,315
      -2,490
      -123
      -986
      -380
      9
      53
      59
      -1
      -91
      227
      38
      -9
      15
      80
      -60
      -27
      -163
      -27
      -26
      27
      -20
      6
      -217
      -63
      271
      -4,224
      -117
      -70
      -31
      -73
      18
      -123
      -14
      158
      -62
      33
      -441
      -152
      61
      -86
      -116
      -28
      -45
      -41
      47
      -13
      -19
      -31
      -177
      -143
      -84
      80
      872
      89
      -1,808
      39
      -1
      253
      3
      -191
      -117
      130
      639
      153
      169
      156
      430
      105
      -27
      276
      -34
      194
      -77
      4,650
      176
      89
      400
      -187
      -15
      980
      84
      129
      -151
      97
      -119
      3
      -1,217
      216
      124
      65
      186
      216
      -87
      639
      -33
      875
      290
      55
      -288
      271
      122
      186
      42
      -43
      -197
      140
      -39
      82
      117
      130
      3
      12
      1,593
      101
      244
      -1
      -10
      -2
      -10
      361
      79
      70
      7
      367
      -41
      -41
      112
      132
      159
      199
      -1
      -19
      -68
      -5
      112
      358
      208
      45
      324
      238
      967
      -14
      -10
      44
      215
      629
      -33
      452
      249
      -126
      -15
      36
      122
      264
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 42,264
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................................ 1 696
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........................... 3 696
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- ..... 5 696
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 564
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  
7 Total credits and payments. Add lines 6a through 6d.............. 7 564
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 9 132
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet0 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)
    bulletOR
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1     		12,680    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    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
    786,582
    b
    Average of monthly cash balances.......................
    1b
    31,949
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    818,531
    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
    818,531
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    12,278
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    806,253
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    40,313
    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
    40,313
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    696
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    696
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    39,617
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    39,617
    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
    39,617
    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
    39,540
    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
    39,540
    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
    39,540
    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 39,617
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 37,079
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 0
    b From 2016...... 0
    c From 2017...... 0
    d From 2018...... 0
    e From 2019...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 39,540
    a Applied to 2019, but not more than line 2a 37,079
    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..... 2,461
    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 ..........     		37,156
    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.... 0
    b Excess from 2017.... 0
    c Excess from 2018.... 0
    d Excess from 2019.... 0
    e Excess from 2020.... 0
    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 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
    OHSU FOUNDATION
    OFFICE OF PLANNED GIVING
    PORTLAND,OR97205     		NONE PC GENERAL OPERATION 18,600
    SHRINERS HOSPITALS FOR CHILDREN
    PO BOX 31356
    TAMPA,FL336313356     		NONE PC GENERAL OPERATING 18,600
    Total .................................bullet 3a 37,200
    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 19,603  
    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 42,264  
    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)..   61,867  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    61,867
    (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:
    CAIN CLEMENT CHARITABLE FDN
    EIN:
    93-6270973
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 950     950

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    CAIN CLEMENT CHARITABLE FDN
    EIN:
    93-6270973
    Name of Stock End of Year Book Value End of Year Fair Market Value
    517834107 LAS VEGAS SANDS CORP 3,225 3,934
    31620M106 FIDELITY NATL INFORM 2,358 2,688
    285512109 ELECTRONIC ARTS INC 2,023 3,590
    891160509 TORONTO DOMINION BK 3,635 3,893
    037833100 APPLE INC 1,349 16,454
    H84989104 TE CONNECTIVITY LTD 1,459 2,785
    02079K107 ALPHABET INC CL C 4,321 10,511
    097023105 BOEING CO 2,739 3,425
    00206R102 AT & T INC 3,519 3,279
    56501R106 MANULIFE FINANCIAL C 4,279 5,417
    405217100 HAIN CELESTIAL GROUP 1,398 2,690
    867224107 SUNCOR ENERGY INC NE 3,284 2,181
    150870103 CELANESE CORP 1,505 3,898
    512807108 LAM RESEARCH CORP CO 1,722 4,250
    Y2573F102 FLEX LTD 1,377 2,661
    031162100 AMGEN INC 2,184 2,069
    594918104 MICROSOFT CORP 3,683 14,902
    92826C839 VISA INC-CLASS A SHR 2,546 3,500
    09857L108 BOOKING HOLDINGS INC 1,725 2,227
    09247X101 BLACKROCK INC 2,147 4,329
    883556102 THERMO FISHER SCIENT 228 2,795
    94106L109 WASTE MANAGEMENT INC 3,191 3,420
    654106103 NIKE INC CL B 1,652 4,244
    25243Q205 DIAGEO PLC - ADR 2,318 3,970
    126650100 CVS HEALTH CORPORATI 1,301 3,005
    89151E109 TOTAL S.A. - ADR 3,073 2,892
    G5960L103 MEDTRONIC PLC 2,597 3,163
    172967424 CITIGROUP INC. 4,849 6,043
    532457108 ELI LILLY & CO COM 1,868 3,377
    G29183103 EATON CORP PLC 2,217 2,403
    09260D107 BLACKSTONE GROUP INC 2,410 2,916
    254687106 WALT DISNEY CO 1,728 4,711
    46625H100 JPMORGAN CHASE & CO 3,199 6,862
    H2906T109 GARMIN LTD 2,752 3,590
    75513E101 RAYTHEON TECHNOLOGIE 3,236 3,432
    911312106 UNITED PARCEL SERVIC 1,814 4,042
    907818108 UNION PACIFIC CORP 607 3,540
    192446102 COGNIZANT TECH SOLUT 2,375 3,688
    87612E106 TARGET CORP 734 3,531
    609207105 MONDELEZ INTERNATION 2,804 3,742
    11135F101 BROADCOM INC 3,257 5,254
    91324P102 UNITEDHEALTH GROUP I 2,045 7,014
    58933Y105 MERCK & CO INC NEW 2,327 3,108
    17275R102 CISCO SYSTEMS INC 2,690 4,386
    00287Y109 ABBVIE INC 2,152 2,143
    460690100 INTERPUBLIC GROUP CO 2,667 3,175
    871829107 SYSCO CORP 2,364 3,936
    904767704 UNILEVER PLC - ADR 2,527 2,837

    TY 2020 InvestmentsOtherSchedule2
    Name:
    CAIN CLEMENT CHARITABLE FDN
    EIN:
    93-6270973
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    172967424 CITIGROUP INC      
    277923264 EATON VANCE GLOB MAC      
    98978V103 ZOETIS INC      
    097023105 BOEING COMPANY      
    693475105 PNC FINANCIAL SERVIC      
    779919307 T ROWE PR REAL ESTAT      
    517834107 LAS VEGAS SANDS CORP      
    921937827 VANGUARD BD INDEX FD      
    285512109 ELECTRONIC ARTS INC      
    512807108 LAM RESEARCH CORP CO      
    46090F100 INVESCO OPTIMUM YIEL AT COST 14,301 18,388
    848574109 SPIRIT AEROSYTSEMS H      
    12572Q105 CME GROUP INC      
    192446102 COGNIZANT TECH SOLUT      
    150870103 CELANESE CORP      
    G29183103 EATON CORP PLC      
    532457108 ELI LILLY & CO COM      
    89151E109 TOTAL FINA ELF S.A.      
    26875P101 EOG RESOURCES, INC      
    56501R106 MANULIFE FINANCIAL C      
    91324P102 UNITEDHEALTH GROUP I      
    58933Y105 MERCK & CO INC NEW      
    H84989104 TE CONNECTIVITY LTD      
    609207105 MONDELEZ INTERNATION      
    46434G103 ISHARES CORE MSCI EM AT COST 31,712 35,673
    037833100 APPLE COMPUTER INC C      
    405217100 HAIN CELESTIAL GROUP      
    464287705 ISHARES S&P MIDCAP 4      
    464287606 ISHARES S&P MIDCAP 4      
    87234N765 TCW EMRG MKTS INCM-I AT COST 24,768 26,573
    00206R102 AT & T INC      
    254687106 WALT DISNEY CO      
    907818108 UNION PACIFIC CORP      
    09247X101 BLACKROCK INC      
    78463X863 SPDR DJ WILSHIRE INT      
    126650100 CVS/CAREMARK CORPORA      
    17275R102 CISCO SYSTEMS INC      
    25243Q205 DIAGEO PLC - ADR      
    594918104 MICROSOFT CORP      
    654106103 NIKE INC CL B      
    872540109 TJX COS INC NEW      
    911312106 UNITED PARCEL SERVIC      
    87612E106 TARGET CORP      
    867224107 SUNCOR ENERGY INC NE      
    02079K107 ALPHABET INC/CA      
    921937819 VANGUARD INTERMEDIAT AT COST 53,362 61,281
    921943858 VANGUARD FTSE DEVELO AT COST 13,766 17,893
    Y2573F102 FLEXTRONICS INTL LTD      
    375558103 GILEAD SCIENCES INC      
    883556102 THERMO FISHER SCIENT      
    46625H100 JPMORGAN CHASE & CO      
    437076102 HOME DEPOT INC      
    464287655 ISHARES RUSSELL 2000 AT COST 28,057 36,663
    755111507 RAYTHEON CO      
    11135F101 BROADCOM INC      
    922908629 VANGUARD MIDCAP VIPE AT COST 76,919 97,802
    891160509 TORONTO DOMINION BK      
    G5960L103 MEDTRONIC PLC      
    464287226 ISHARES CORE U.S. AG AT COST 201,003 211,560
    31641Q755 FIDELITY NEW MRKTS I AT COST 17,391 17,818
    74256W626 PRINCIPAL HIGH YIELD AT COST 40,011 43,003
    31620M106 FIDELITY NATL INFORM      
    693390841 PIMCO HIGH YIELD FD- AT COST 17,343 18,090
    464288588 ISHARES MBS ETF AT COST 26,201 26,431
    74440Y884 PGIM HIGH YIELD-Q 10 AT COST 26,058 27,063
    27830W108 EV GL MACR ABS RTRN AT COST 17,032 16,654

    TY 2020 OtherDecreasesSchedule
    Name:
    CAIN CLEMENT CHARITABLE FDN
    EIN:
    93-6270973
    Description Amount
    MUTUAL FUND TIMING ADJ 232
    TAX LOT BASIS ADJ 71


    TY 2020 OtherExpensesSchedule
    Name:
    CAIN CLEMENT CHARITABLE FDN
    EIN:
    93-6270973
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FILING FEE/STATE TAX 122 0   122
    INVESTMENT EXPENSES - ADR FEES 4 4   0


    TY 2020 TaxesSchedule
    Name:
    CAIN CLEMENT CHARITABLE FDN
    EIN:
    93-6270973
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 280 280   0
    FEDERAL ESTIMATES - PRINCIPAL 335 0   0
    FOREIGN TAXES ON QUALIFIED FOR 30 30   0
    FOREIGN TAXES ON NONQUALIFIED 55 55   0