Form990-PF
Click to see attachment

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
BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
 
Number and street (or P.O. box number if mail is not delivered to street address)17 PACIFIC STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST AUGUSTINE, FL32084
A Employer identification number

59-6137514
B Telephone number (see instructions)

(904) 819-1799
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$5,497,852J 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 4  
4 Dividends and interest from securities... 179,590 179,590  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment -6,823
b Gross sales price for all assets on line 6a 528,956
7 Capital gain net income (from Part IV, line 2)... 0
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)..... 0  
11 Other income (attach schedule)....... Click to see attachment 872 872  
12 Total. Add lines 1 through 11........ 173,643 180,466 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0      
b Accounting fees (attach schedule)....... Click to see attachment 23,500 11,750 0 11,750
c Other professional fees (attach schedule).... 0      
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 3,009 888 0 71
19 Depreciation (attach schedule) and depletion... 0    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 20,733 20,333 0 400
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 47,242 32,971 0 12,221
25 Contributions, gifts, grants paid....... 308,000 308,000
26 Total expenses and disbursements. Add lines 24 and 25 355,242 32,971 0 320,221
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -181,599
b Net investment income (if negative, enter -0-) 147,495
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.............      
2 Savings and temporary cash investments......... 30,620 17,206 17,206
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....   0  
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet     0  
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)....... 1,258,425 Click to see attachment1,464,872 3,853,225
c Investments—corporate bonds (attach schedule)....... 1,320,418 Click to see attachment1,066,692 1,113,691
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 630,267 Click to see attachment508,524 508,524
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
15 Other assets (describe bullet) Click to see attachment4,359 Click to see attachment5,206 Click to see attachment5,206
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,244,089 3,062,500 5,497,852
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe bullet) Click to see attachment0 Click to see attachment10
23 Total liabilities (add lines 17 through 22)......... 0 10
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 3,244,089 3,062,490
29 Total net assets or fund balances (see instructions)..... 3,244,089 3,062,490
30 Total liabilities and net assets/fund balances (see instructions). 3,244,089 3,062,500
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
3,244,089
2
Enter amount from Part I, line 27a .....................
2
-181,599
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
3,062,490
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,062,490
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 CAPITAL GAIN DISTRIBUTIONS P 2019-01-01 2020-12-31
b 4 SH-WALT DISNEY P 2019-04-30 2020-02-04
c 13.67 SH-DOW INC P 2019-04-30 2020-04-02
d 35 SH-DOW INC P 2019-05-14 2020-04-02
e 11 SH-M&T BANK CORP P 2019-06-25 2020-03-18
40 SH-SUNCOR ENERGY INC P 2020-01-21 2020-03-20
7 SH-SUNCOR ENERGY INC P 2020-01-22 2020-03-23
17 SH-TJX COS INC P 2019-05-14 2020-04-06
3 SH-3M CO P 2019-06-25 2020-03-03
32 SH-TRUIST FINL CORP P 2019-11-12 2020-04-07
37 SH-TRUIST FINL CORP P 2020-01-21 2020-04-07
6 SH-UPS INC P 2019-10-29 2020-06-23
13 SH-VALERO ENERGY CORP P 2020-01-21 2020-12-08
13 SH-VALERO ENERY CORP P 2020-01-21 2020-12-22
11 SH-WAL MART INC P 2020-04-06 2020-12-22
28 SH-WELLS FARGO CO P 2019-06-25 2020-05-13
37 SH-WELLS FARGO CO P 2020-03-17 2020-05-13
22 SH-WELLS FARGO CO P 2020-04-07 2020-05-13
50000 SH-HONDA FIN CORP P 2016-01-06 2020-09-24
9 SH-APPLE INC P 2014-02-06 2020-02-04
50 SH-APPLE INC P 2014-02-06 2020-09-15
11 SH-APPLE INC P 2014-02-06 2020-11-24
14 SH-APPLE INC P 2014-02-06 2020-12-23
6 SH-CISCO INC P 2013-07-29 2020-09-29
22 SH-CISCO INC P 2018-04-12 2020-09-29
100000 SH-COMCAST CORP P 2019-03-22 2020-09-10
40 SH-CONOCOPHILLIPS P 2018-05-15 2020-12-08
19 SH-CONOCOPHILLIPS P 2018-07-25 2020-12-08
18 SH-CONOCOPHILLIPS P 2018-08-21 2020-12-08
3 SH-WALT DISNEY CO P 2019-01-09 2020-02-04
20 SH-WALT DISNEY CO P 2017-07-11 2020-04-28
24 SH-WALT DISNEY CO P 2017-08-22 2020-04-28
6 SH-WALT DISNEY CO P 2019-01-09 2020-04-28
29 SH-DOMINION ENERGY INC P 2013-07-29 2020-12-22
15 SH-DOMINION ENERGY INC P 2019-08-20 2020-12-22
21.33 SH-DOW INC P 2016-02-12 2020-04-02
3.33 SH-DOW INC P 2016-03-18 2020-04-02
4.67 SH-DOW INC P 2016-10-18 2020-04-02
21.47 SH-INGERSOLL RAND INC P 2016-11-15 2020-03-17
3.53 SH-INGERSOLL RAND INC P 2019-01-09 2020-03-17
16.47 SH-INGERSOLL RAND INC P 2016-11-15 2020-03-18
13.53 SH-INGERSOLL RAND INC P 2016-11-16 2020-03-18
0.59 SH-INGERSOLL RAND INC P 2016-11-16 2020-04-13
18 SH-INTEL CORP P 2013-07-29 2020-01-21
10 SH-INTEL CORP P 2018-08-21 2020-01-21
150 SH-INTEL CORP P 2013-07-29 2020-07-30
72 SH-INTEL CORP P 2013-07-29 2020-08-18
50000 SH-INTEL CORP P 2016-03-04 2020-07-29
50000 SH-JP MORGAN CHASE CO P 2016-12-07 2020-09-29
1 SH-KLA TENCOR CORP P 2017-10-10 2020-12-22
4 SH-KLA TENCOR CORP P 2019-02-19 2020-12-22
4 SH-LAM RESH CORP P 2019-04-30 2020-12-22
8 SH-M&T BANK CORP P 2019-01-22 2020-03-17
10 SH-M&T BANK CORP P 2019-01-22 2020-03-18
3 SH-MCDONALDS CORP P 2013-07-29 2020-02-04
10 SH-MICROSOFT CORP P 2013-07-29 2020-02-04
3 SH-MICROSOFT CORP P 2013-07-29 2020-06-23
7 SH-MICROSOFT CORP P 2013-07-29 2020-11-24
8 SH-MICROSOFT CORP P 2013-07-29 2020-12-22
16 SH-MONDELEZ INTL INC P 2019-01-29 2020-04-02
5 SH-PEPSICO INC P 2015-03-26 2020-07-21
139 SH-PFIZER INC P 2013-07-29 2020-03-20
39 SH-PFIZER INC P 2013-07-29 2020-03-23
15 SH-PRINCIPAL FINANCIAL GROUP CO P 2018-08-21 2020-03-17
21 SH-PRINCIPAL FINANCIAL GROUP CO P 2018-08-21 2020-03-18
27 SH-PRINCIPAL FINANCIAL GROUP CO P 2018-08-22 2020-03-18
7 SH-PRINCIPAL FINANCIAL GROUP CO P 2018-09-04 2020-03-18
18 SH-SUNCOR ENERGY INC P 2016-12-13 2020-03-20
59 SH-SUNCOR ENERGY INC P 2016-12-13 2020-03-23
53 SH-SUNCOR ENERGY INC P 2016-12-14 2020-03-23
4 SH-SUNCOR ENERGY INC P 2018-03-02 2020-03-23
58 SH-TJX COS INC P 2015-08-14 2020-04-06
30 SH-3M CO P 2016-09-26 2020-03-03
5 SH-3M CO P 2016-11-15 2020-03-03
50000 SH-TOYOTA MTR CR CORP P 2016-12-07 2020-03-12
25 SH-TRUIST FINL CORP P 2016-11-01 2020-04-07
1 SH-TRUIST FINL CORP P 2018-04-12 2020-04-07
19 SH-TRUIST FINL CORP P 2018-06-26 2020-04-07
25 SH-TRUIST FINL CORP P 2016-10-11 2020-04-08
87 SH-TRUIST FINL CORP P 2016-11-01 2020-04-08
1 SH-TRUIST FINL CORP P 2018-03-22 2020-04-08
1800 SH-ETRACS ALERIAN MLP P 2016-05-09 2020-03-02
1 SH-UPS INC P 2019-03-26 2020-06-23
14 SH-VALERO CORP P 2015-11-20 2020-12-22
39 SH-VALERO CORP P 2015-11-20 2020-12-23
50000 SH-VISA INC P 2016-01-27 2020-12-14
3 SH-WALMART INC P 2016-08-18 2020-12-22
20 SH-WELLS FARGO CO P 2018-04-17 2020-01-07
134 SH-WELLS FARGO CO P 2011-12-21 2020-05-13
42 SH WELLS FARGO CO P 2011-12-22 2020-05-13
13 SH-WELLS FARGO CO P 2018-04-17 2020-05-13
50000 SH-WELLS FARGO CO NEW P 2016-12-07 2020-07-22
(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 217 0 0 217
b 576 0 549 27
c 382 0 775 -393
d 978 0 1,849 -871
e 1,154 0 1,826 -672
445 0 1,335 -890
75 0 232 -157
783 0 893 -110
445 0 516 -71
988 0 1,740 -752
1,142 0 2,087 -945
656 0 705 -49
763 0 1,174 -411
702 0 1,174 -472
1,581 0 1,366 215
622 0 1,296 -674
822 0 1,074 -252
489 0 644 -155
50,000 0 50,000 0
2,869 0 659 2,210
5,784 0 916 4,868
1,267 0 201 1,066
1,848 0 256 1,592
235 0 152 83
863 0 983 -120
105,716 0 100,011 5,705
1,696 0 2,804 -1,108
806 0 1,349 -543
763 0 1,282 -519
432 0 336 96
2,146 0 2,080 66
2,575 0 2,457 118
644 0 673 -29
2,133 0 1,728 405
1,103 0 1,160 -57
596 0 983 -387
93 0 174 -81
130 0 252 -122
457 0 414 43
75 0 84 -9
326 0 318 8
268 0 259 9
15 0 11 4
1,092 0 417 675
607 0 478 129
7,172 0 3,478 3,694
3,510 0 1,669 1,841
50,000 0 50,000 0
50,000 0 50,005 -5
258 0 104 154
1,031 0 436 595
1,907 0 830 1,077
871 0 1,329 -458
1,049 0 1,661 -612
645 0 293 352
1,802 0 315 1,487
608 0 95 513
1,494 0 221 1,273
1,786 0 252 1,534
796 0 695 101
678 0 478 200
4,046 0 4,133 -87
1,117 0 1,160 -43
430 0 849 -419
554 0 1,188 -634
712 0 1,520 -808
185 0 389 -204
200 0 600 -400
632 0 1,966 -1,334
568 0 1,765 -1,197
43 0 126 -83
2,674 0 2,045 629
4,453 0 5,283 -830
742 0 865 -123
50,000 0 50,000 0
772 0 772 0
31 0 31 0
586 0 974 -388
791 0 924 -133
2,751 0 3,380 -629
32 0 49 -17
27,980 0 45,674 -17,694
109 0 108 1
757 0 1,007 -250
2,143 0 2,804 -661
50,000 0 50,000 0
431 0 222 209
1,051 0 1,018 33
2,977 0 3,585 -608
933 0 1,146 -213
289 0 662 -373
50,000 0 50,000 0
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 0 0 0 217
b 0 0 0 27
c 0 0 0 -393
d 0 0 0 -871
e 0 0 0 -672
0 0 0 -890
0 0 0 -157
0 0 0 -110
0 0 0 -71
0 0 0 -752
0 0 0 -945
0 0 0 -49
0 0 0 -411
0 0 0 -472
0 0 0 215
0 0 0 -674
0 0 0 -252
0 0 0 -155
0 0 0 0
0 0 0 2,210
0 0 0 4,868
0 0 0 1,066
0 0 0 1,592
0 0 0 83
0 0 0 -120
0 0 0 5,705
0 0 0 -1,108
0 0 0 -543
0 0 0 -519
0 0 0 96
0 0 0 66
0 0 0 118
0 0 0 -29
0 0 0 405
0 0 0 -57
0 0 0 -387
0 0 0 -81
0 0 0 -122
0 0 0 43
0 0 0 -9
0 0 0 8
0 0 0 9
0 0 0 4
0 0 0 675
0 0 0 129
0 0 0 3,694
0 0 0 1,841
0 0 0 0
0 0 0 -5
0 0 0 154
0 0 0 595
0 0 0 1,077
0 0 0 -458
0 0 0 -612
0 0 0 352
0 0 0 1,487
0 0 0 513
0 0 0 1,273
0 0 0 1,534
0 0 0 101
0 0 0 200
0 0 0 -87
0 0 0 -43
0 0 0 -419
0 0 0 -634
0 0 0 -808
0 0 0 -204
0 0 0 -400
0 0 0 -1,334
0 0 0 -1,197
0 0 0 -83
0 0 0 629
0 0 0 -830
0 0 0 -123
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 -388
0 0 0 -133
0 0 0 -629
0 0 0 -17
0 0 0 -17,694
0 0 0 1
0 0 0 -250
0 0 0 -661
0 0 0 0
0 0 0 209
0 0 0 33
0 0 0 -608
0 0 0 -213
0 0 0 -373
0 0 0 0
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 -6,823
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 -6,632
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 2,050
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 2,050
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 2,050
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 4,797
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c 2,200
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Original Return Overpayment: -6997 7 6,997
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 4,947
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet4,947 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletFL
    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 ofbulletBRADLEY K DAVIS CPA-DAVIS & DAVIS-CPAs PA Telephone no.bullet (904) 819-1799

    Located atbullet17 PACIFIC STSUITE AST AUGUSTINEFL ZIP+4bullet32084
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
    No
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Darrell Poli Trustee
    0.40     		0 0 0
    150 Riberia Street
    St Augustine,FL32084
    Bradley K Davis Sec/Treas-Trustee
    168.00     		23,500 0 0
    34 Bay View Drive
    St Augustine,FL32084
    Joseph Boles Jr Vice President-Trustee
    0.40     		0 0 0
    19 Riberia Street
    St Augustine,FL32084
    Michael Sanders Pres-VP-Trustee
    0.50     		0 0 0
    946 Deer Hammock Circle
    Saint Augustine,FL32080
    John D Bailey Jr Trustee
    0.40     		0 0 0
    350 Fiddlers Ct
    St Augustine,FL32080
    Todd Batenhorst Trustee
    0.40     		0 0 0
    PO Box 4514
    Saint Augustine,FL320854514
    Otis Mason Trustee
    0.05     		0 0 0
    13 Christopher Street
    Saint Augustine,FL32084
    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 ST. JOHNS COUNTY WELFARE FEDERATION ASSISTED LIVING FACILITY, NURSING HOME AND MEDICAL CARE FOR INDIGENT AFRICAN-AMERICANS IN ST. JOHNS COUNTY, FL 73,000
    2 ST. JOHNS HOUSING PARTNERSHIP, INC. ASSIST WITH REPAIRS TO HOUSING USED BY INDIGENT AFRICAN-AMERICANS LIVING IN ST. JOHNS COUNTY, FL 53,423
    3 YOUNG LIFE ST. AUGUSTINE ASSIST WITH TUTORING, COUNSELING, AND MENTORING SERVICES FOR INDIGENT AFRICAN-AMERICANS LIVING IN ST. JOHNS COUNTY, FL 46,500
    4 ST. JOHNS COUNTY COUNCIL ON AGING PROVIDE MEALS AND RELATED SENIOR SERVICE CARE FOR INDIGENT AFRICAN-AMERICANS LIVING IN ST. JOHNS COUNTY, FL 35,500
    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
    5,084,849
    b
    Average of monthly cash balances.......................
    1b
    22,609
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,107,458
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    5,107,458
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    76,612
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,030,846
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    251,542
    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
    251,542
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    2,050
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,050
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    249,492
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    249,492
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    249,492
    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
    320,221
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    320,221
    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
    320,221
    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 7 249,492
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 21,400
    b From 2016...... 146,514
    c From 2017...... 41,999
    d From 2018...... 401,902
    e From 2019...... 331,972
    fTotal of lines 3a through e........ 943,787
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 320,221
    a Applied to 2019, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount.....  
    e Remaining amount distributed out of corpus 320,221
    5 Excess distributions carryover applied to 2020.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,264,008
    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......     		 
    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 ..........     		249,492
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		21,400
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		1,242,608
    10 Analysis of line 9:
    a Excess from 2016.... 146,514
    b Excess from 2017.... 41,999
    c Excess from 2018.... 401,902
    d Excess from 2019.... 331,972
    e Excess from 2020.... 320,221
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    BRADLEY K DAVIS
    17 PACIFIC STREET SUITE A
    SAINT AUGUSTINE,FL32084
    (904) 819-1799
    bThe form in which applications should be submitted and information and materials they should include:
    DESCRIBE BENEFITS TO INDIGENT AFRICAN-AMERICAN RESIDENTS OF ST. JOHNS COUNTY, FL.
    cAny submission deadlines:
    SEPTEMBER 15th FOR FOLLOWING CALENDAR YEAR.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    MUST BENEFIT INDIGENT AFRICAN-AMERICANS RESIDING IN ST JOHNS COUNTY, FL.
    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
    St Johns Housing Partnership Inc
    PO Box 1086
    St Augustine,FL32085     		  501(c)(3) Repairs tohousing units 53,423
    St Joseph Academy
    155 SR 207
    St Augustine,FL32086     		  501(c)(3) Scholarships foryouth 6,977
    Flagler College Inc
    74 King St
    St Augustine,FL32084     		  501(c)(3) Scholarships for youth 10,000
    St Johns County Welfare Federation
    161-B Marine St
    St Augustine,FL32084     		  501(c)(3) Assisted livingfacility, nursing homemedical assistance 73,000
    Flagler Health Care Foundation Inc
    400 Health Park Blvd
    St Augustine,FL32086     		  501(c)(3) Health care forindigent patients 28,000
    St Johns County Council on Aging
    180 Marine St
    St Augustine,FL32084     		  501 (c)(3) Meals on Wheels-for indigents 35,500
    Safety Shelter of St Johns County Inc
    PO Box 3319
    St Augustine,FL32085     		  501 (c)(3) Assistance for victims of domestic violence 14,000
    Young Life St Augustine
    PO Box 9012
    St Augustine,FL32085     		  501 (c)(3) Provide tutoring, mentoring, etc. to indigent youth 46,500
    Good Samaritan Health Centers Inc
    39 Lovett St PO Box 1005
    St Augustine,FL32080     		  501 (c)(3) Provide medical and dentalservices 33,000
    Pie In The Sky Community Alliance Inc
    PO Box 600887
    St Johns,FL32260     		  501 (c)(3) Provide foodassistance to indigent individuals. 2,000
    St Johns County Education Foundation
    40 Orange Street
    St Augustine,FL32084     		  501 (c)(3) Provide educationalassistance to indigent youth. 3,300
    Boys & Girls Club of Northeast Florida
    555 West King Street
    St Augustine,FL32084     		  501(c)(3) Provide educational andlearning assistance to low income youth 2,300
    Total .................................bullet 3a 308,000
    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 ...........     		    14 4  
    4 Dividends and interest from securities....     14 179,590  
    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 -6,823  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aMISCELLANEOUS     		    14 872  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   173,643  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    173,643
    (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:  
    Part VI Line 7 -Original Return Overpayment: -6,997


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DAVIS & DAVIS-CERTIFIED PUBLIC ACCTS, PA COMPILATION/BOOKKEEPING/TAX PREPARATION,ETC. 23,500 11,750 0 11,750

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

    TY 2020 GainLossSaleOtherAssetsSch
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    SALES OF INVESTMENTS   Purchased    
    US TRUST-BANK OF AMERICA     		528,738 535,779     -7,041  
    CAPITAL GAIN DISTRIBUTIONS   Purchased    
    US TRUST-BANK OF AMERICA-CAPITAL GAIN DISTRIBUTIONS     		218 0     218  

    TY 2020 GeneralExplanationAttachment
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Identifier Return Reference Explanation
      OBJECT AND PURPOSE INTERPRETATION CHANGE- BUCKINGHAM SMITH BENEVOLENT ASSOCATION FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM FROM HISTORICAL RESEARCH CONCLUDED IN 2016, THE BOARD OF TRUSTEES FOR THE BUCKINGHAM

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Apple Inc-50,000 SH 50,001 50,060
    Bank New York Mellon Corp-50,000 SH 50,577 51,185
    Bank Nova Scotia BC SR-50,000 SH 49,743 50,429
    BP Cap Mkts Amer Inc-50,000 SH 50,444 51,990
    Cohen & Steers-15,350.611 SH 207,629 221,202
    Deere John Cap Corp-50,000 SH 49,848 51,146
    Ishares IBoxx High Yield Corp Bd Fund-1,500 SH 114,021 130,950
    Oracle Corp-50,000 SH 52,082 51,971
    Pepsico Inc SR-50,000 SH 50,354 50,920
    Phillip Morris Intl Inc-50,000 SH 48,965 51,593
    Pimco Income Fund-13,441.238 SH 157,048 162,773
    PNC Bk NA Pittsburgh PA-50,000 SH 51,058 50,979
    Simon PPTY Group LP-50,000 SH 50,860 52,151
    SPDR Barclays High Yield Bond-333 SH 33,899 36,277
    Wells Fargo & Co Medium Term SR-50,000 50,163 50,065

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Name of Stock End of Year Book Value End of Year Fair Market Value
    Abbott Labs-42 SH 3,463 4,598
    Accenture PLC-40 SH 6,112 10,448
    Allstate Corp-107 SH 11,020 11,763
    Ameren Corp-68 SH 3,878 5,308
    American Electric Power-73 SH 3,421 6,079
    Analog Devices, Inc.-68 SH 7,941 10,046
    Apple Inc-157 SH 2,876 20,832
    AT&T Inc.-173 SH 5,885 4,975
    AT&T Inc.-1725 SH 64,910 49,611
    Automatic Data Processing Inc-45 SH 2,837 7,929
    Avalonbay Cmntys Inc-17 SH 3,869 2,727
    Avery Dennison Corp-26 SH 3,299 4,033
    Baxter Intl-57 SH 3,777 4,574
    Best Buy Inc-30 SH 3,127 2,994
    Blackrock Inc-13 SH 3,675 9,380
    Bristol Myers Squibb-167 SH 9,306 10,359
    Broadcom LTD-43 SH 10,337 18,827
    Chevron-7,125 SH 22,767 601,706
    Chubb Corp-81 SH 7,689 12,467
    Cisco System Inc-372 SH 9,379 16,647
    Citrix Sys Inc-29 SH 3,858 3,773
    CME Group Inc-45 SH 4,256 8,192
    CMS Energy Corp-70 SH 1,986 4,271
    Comcast Corp-374 SH 10,176 19,597
    Conocophillips-92 SH 6,058 3,679
    Crown Castle Intl-30 SH 2,439 4,776
    Cummins Inc-26 SH 4,166 5,905
    Deere & Co-24 SH 4,022 6,457
    Digital Realty Corp-60 SH 6,283 8,371
    DTE Energy Co-31 SH 2,728 3,764
    Duke Energy-22 SH 1,975 2,014
    Ebay Inc-159 SH 7,214 7,990
    Eaton Corp PLC-54 SH 5,127 6,487
    EOG Res Inc-76 SH 3,959 3,790
    Eversource Energy-61 SH 3,022 5,277
    Extra Space Storage Inc-36 SH 3,391 4,171
    Exxon Mobil-13,965 SH 121,461 575,637
    Fidelity Natl Information Svcs-36 SH 4,847 5,092
    Gilead Sciences Inc-52 SH 3,816 3,029
    Hersey Co-27 SH 2,811 4,113
    Home Depot-69 SH 3,651 18,328
    Honeywell Intl Inc-78 SH 6,172 16,590
    International Business Machs-113 SH 16,109 14,224
    Invesco QQQ Trust-500 SH 27,742 156,870
    Ishares Select Div Index-2,500 SH 126,327 240,450
    Ishares Russell 2000 Index Fund-2,000 SH 92,889 392,120
    JP Morgan Chase & Co-237 SH 14,394 30,116
    Johnson & Johnson-166 SH 15,843 26,125
    Kimberly Clark Corp-53 SH 5,568 7,146
    KLA-Tencor Corp-48 SH 4,857 12,428
    LAM Research Corp-33 SH 4,778 15,585
    Lilly Eli & Co-66 SH 5,715 11,143
    Lockheed Martin Corp-46 SH 10,161 16,329
    Marsh & Mclennan Cos Inc-103 SH 4,301 12,051
    McDonalds Corp-31 SH 3,313 6,652
    Medtronic PLC-95 SH 8,174 11,128
    Merck & Co Inc-240 SH 12,199 19,632
    Microsoft Corp-122 SH 3,844 27,135
    Mondelez Intl Inc-76 SH 3,302 4,444
    Nextera Energy Inc-96 SH 2,051 7,407
    Northern Tr Corp-90 SH 8,295 8,383
    Northern Grumman Corp-16 SH 5,522 4,876
    Packaging Corp Amer-24 SH 2,592 3,310
    Parker Hannifin Corp-28 SH 3,141 7,627
    Pepsico Inc-73 SH 6,984 10,826
    Phillips 66-52 SH 3,533 3,637
    Philip Morris Intl-93 SH 7,579 7,700
    Pinnacle West Cap Corp-25 SH 1,953 1,999
    PNC Financial Services Group-105 SH 9,155 15,645
    Price T Rowe Group-56 SH 5,131 8,478
    Procter & Gamble Co-114 SH 10,009 15,862
    Sonoco Products Co-69 SH 3,350 4,088
    SPDR S&P Midcap 400-1,300 SH 112,880 545,896
    Target Corp-105 SH 11,130 18,536
    TE Connectivity LTD-40 SH 3,481 4,843
    Texas Instruments Inc-111 SH 4,094 18,219
    Trane Tech Pub-88 SH 5,861 12,774
    Union Pac Corp-103 SH 11,310 21,447
    United Parcel Svc Inc-44 SH 4,735 7,410
    Unitedhealth Group Inc-33 SH 6,111 11,572
    US Bancorp-294 SH 11,669 13,697
    Vanguard FTSE Developed Markets-4,800 SH 186,904 226,608
    Vanguard FTSE Emerging Markets-4,500 SH 183,400 225,495
    Verizon Communication Inc.-173 SH 10,354 10,164
    Verizon Communication Inc.-1,121 SH 65,882 65,859
    Walmart Stores Inc-65 SH 4,747 9,370
    Waste Management-76 SH 3,188 8,963
    WEC Energy Group-69 SH 2,995 6,350
    Xcel Energy Inc-90 SH 4,334 6,000

    TY 2020 InvestmentsOtherSchedule2
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Bank of America - Money Market Funds   508,524 508,524

    TY 2020 OtherAssetsSchedule
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    FEDERAL INCOME TAX DEPOSIT 297 2,747 2,747
    DUE FROM US TRUST 3,620 2,459 2,459
    DUE FROM ST. JOSEPH ACADEMY 442 0 0


    TY 2020 OtherExpensesSchedule
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK CHARGES 17,340 17,340 0 0
    D & O INSURANCE 768 384 0 384
    INVESTMENT FEES 2,593 2,593 0 0
    OFFICE EXPENSE 32 16 0 16


    TY 2020 OtherIncomeSchedule2
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    MISCELLANEOUS 872 872  


    TY 2020 OtherLiabilitiesSchedule
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Description Beginning of Year - Book Value End of Year - Book Value
    DUE TO DAVIS&DAVIS CPAS REIMBURSMENT (SOLICITATION REPORT ANNUAL FEES) 0 10


    TY 2020 TaxesSchedule
    Name:
    BUCKINGHAM SMITH BENEVOLENT ASSOCIATION
    EIN:
    59-6137514
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LICENSES & TAXES 3,009 888 0 71