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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
SHADY MAPLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)129 TODDY DR PO BOX 157
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
EAST EARL, PA17519
A Employer identification number

20-0903361
B Telephone number (see instructions)

(717) 354-4981
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$8,393,962
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 111,200
2 Check bullet.............
3 Interest on savings and temporary cash investments 91,197 91,197  
4 Dividends and interest from securities... 79,779 79,779  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 108,494
b Gross sales price for all assets on line 6a 616,701
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... -188,100 4,468  
12 Total. Add lines 1 through 11........ 202,570 175,444  
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).........        
b Accounting fees (attach schedule)....... 6,750      
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 2,015      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 34,368 34,368    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 43,133 34,368   0
25 Contributions, gifts, grants paid....... 446,000 446,000
26 Total expenses and disbursements. Add lines 24 and 25 489,133 34,368   446,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -286,563
b Net investment income (if negative, enter -0-) 141,076
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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......... 4,238,175 4,022,708 4,022,708
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 2,281,081 Click to see attachment2,384,860 3,397,378
c Investments—corporate bonds (attach schedule)....... 859,978 Click to see attachment871,535 866,604
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 295,338 Click to see attachment107,272 107,272
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) 7,674,572 7,386,375 8,393,962
Liabilities 17 Accounts payable and accrued expenses.......... 2,103  
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)   Click to see attachment469
23 Total liabilities (add lines 17 through 22)......... 2,103 469
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 7,672,469 7,385,906
29 Total net assets or fund balances (see instructions)..... 7,672,469 7,385,906
30 Total liabilities and net assets/fund balances (see instructions). 7,674,572 7,386,375
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
7,672,469
2
Enter amount from Part I, line 27a .....................
2
-286,563
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
7,385,906
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
7,385,906
Form 990-PF (2021)
Form 990-PF (2021)
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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  
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 1,961
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,961
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 3,228
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 3,228
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,267
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,267 RefundedBullet 11  
Part VI-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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 ofbulletMARVIN R WEAVER Telephone no.bullet (717) 354-4981

    Located atbullet129 TODDY DR PO BOX 157EAST EARLPA ZIP+4bullet17519
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
    Yes
     
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    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?
    7a
     
    No
    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? .........................
    8
     
    No
    Part VII
    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
    MARVIN R WEAVER PRESIDENT
    000.00
    0 0 0
    1137 MAIN ST PO BOX 72
    BLUE BALL,PA17506
    MIRIAM M WEAVER 2ND VP
    000.00
    0 0 0
    1137 MAIN ST PO BOX 72
    BLUE BALL,PA17506
    PHILIP E WEAVER 1ST VP
    000.00
    0 0 0
    419 MEETINGHOUSE RD
    GAP,PA17527
    CURTIS R WEAVER SECRETARY
    000.00
    0 0 0
    1854 AGAPE COURT
    EAST EARL,PA17519
    LINFORD L WEAVER TREASURER
    000.00
    0 0 0
    1852 AGAPE COURT
    EAST EARL,PA17519
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-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 VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    3,956,090
    b
    Average of monthly cash balances.......................
    1b
    4,369,083
    c
    Fair market value of all other assets (see instructions)................
    1c
    201,305
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,526,478
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    8,526,478
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    127,897
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    8,398,581
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    419,929
    Part X
    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 IX, line 6..................
    1
    419,929
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,961
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,961
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    417,968
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    417,968
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    417,968
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 417,968
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 4,203
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 446,000
    a Applied to 2020, but not more than line 2a 4,203
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount..... 417,968
    e Remaining amount distributed out of corpus 23,829
    5 Excess distributions carryover applied to 2021.    
    (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 23,829
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
     
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    23,829
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021.... 23,829
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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).)
    MARVIN R MIRIAM M WEAVER
    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:
    BETTY WEAVER
    1324 MAIN ST PO BOX 157
    EAST EARL,PA17519
    (717) 354-4981
    BWEAVER@SHADY-MAPLE.COM
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER DESCRIBING THEIR PROGRAM AND FINANCIAL NEEDS.
    cAny submission deadlines:
    NO DEADLINES REQUIRED
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONTRIBUTIONS LIMITED TO TAX EXEMPT NON-PROFIT ORGANIZATIONS, WHICH QUALIFY AS PUBLIC CHARITIES ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    AFRICA ASSOCIATION OF BIBLE SCHOOLS
    30 RUNWAY AVENUE PO BO
    NEW HOLLAND,PA17557
        EDUCATIONAL 5,000
    ALIGN LIFE MINISTRIES
    131 S 8TH STREET PO B
    LEBANON,PA17042
        CHARITABLE 5,000
    BETHANY CHRISTIAN SERVICES
    1681 CROWN AVENUE SUITE
    LANCASTER,PA17601
        CHARITABLE 5,000
    BLESSINGS OF HOPE
    PO BOX 567
    EPHRATA,PA17522
        CHARITABLE 5,000
    BLUE BALL MENNONITE CHURCH
    PO BOX 401
    BLUE BALL,PA17506
        CHARITABLE 5,000
    BREAKLOOSE INTERNATIONAL
    PO BOX 85230
    ROCHESTER,MI48308
        CHARITABLE 5,000
    BREATH OF LIFE MINISTRIES INTERNATI
    1865 LINCOLN HWY EAST
    LANCASTER,PA17602
        CHARITABLE 5,000
    CAMP ANDREWS
    1226 SILVER SPRING ROAD
    HOLTWOOD,PA17532
        CHARITABLE 10,000
    CAMP HEBRON
    957 CAMP HEBRON ROAD
    HALIFAX,PA17032
        CHARITABLE 5,000
    CENTER FOR PARENTYOUTH UNDERSTANDI
    PO BOX 414
    ELIZABETHTOWN,PA17022
        CHARITABLE 5,000
    CHAZAK RESCUE
    31 AMY DRIVE
    GAP,PA17527
        CHARITABLE 5,000
    CLINIC FOR SPECIAL CHILDREN
    535 BUNKER HILL ROAD PO
    STRASBURG,PA17579
        CHARITABLE 5,000
    CONESTOGA CHRISTIAN SCHOOL
    2760 MAIN STREET
    MORGANTOWN,PA19543
        EDUCATIONAL 20,000
    CROSSNET MINISTRIES
    123 W FRANKLIN STREET P
    NEW HOLLAND,PA17557
        CHARITABLE 10,000
    DYNAMIS WORLD MINISTRIES
    2384 NEW HOLLAND PIKE
    LANCASTER,PA17601
        CHARITABLE 5,000
    EASTGATE HOUSE OF PRAYER INC
    PO BOX 711
    TERRE HILL,PA17581
        CHARITABLE 10,000
    EPHRATA MENNONITE SCHOOL
    598 STEVENS ROAD
    EPHRATA,PA17522
        EDUCATIONAL 10,000
    FAIRMOUNT HOMES
    333 WHEAT RIDGE DRIVE
    EPHRATA TOWNSHIP,PA17522
        CHARITABLE 5,000
    FAIRVIEW CHRISTIAN SCHOOL
    410 S 14TH STREET
    READING,PA19602
        EDUCATIONAL 5,000
    FAITH BUILDERS EDUCATIONAL PROGRAMS
    28527 GUYS MILLS ROAD
    GUYS MILLS,PA16327
        EDUCATIONAL 5,000
    FAITH FRIENDSHIP MINISTRIES INC
    128 W MAIN STREET PO
    MOUNTVILLE,PA17554
        CHARITABLE 5,000
    FRIENDSHIP COMMUNITY
    1149 E OREGON ROAD
    LITITZ,PA17543
        CHARITABLE 5,000
    GOD'S UNIVERSAL SERVICES
    33 W MAIN STREET PO B
    LEOLA,PA17540
        CHARITABLE 5,000
    GOOD SAMARITAN SERVICES
    616 N LIME STREET
    LANCASTER,PA17602
        CHARITABLE 5,000
    GREEN MEADOW FARM
    1130 CREEK ROAD
    LEOLA,PA17540
        CHARITABLE 5,000
    HERALDS OF HOPE
    PO BOX 3
    BREEZEWOOD,PA15533
        CHARITABLE 5,000
    HOSPICE & COMMUNITY CARE
    685 GOOD DRIVE
    LANCASTER,PA17601
        CHARITABLE 5,000
    INSTITUTE FOR GLOBAL OPPURTUNITIES
    PO BOX 116
    EPHRATA,PA17522
        EDUCATIONAL 5,000
    JONI AND FRIENDS PA
    340 HIGHLAND DRIVE SUITE
    MOUNTVILLE,PA17554
        CHARITABLE 5,000
    CBM MINISTRIES OF S CENTRAL PA - J
    3741 JOY EL DRIVE
    GREENCASTLE,PA17225
        CHARITABLE 5,000
    JUBILEE MINISTRIES
    235 S 12TH STREET
    LEBANON,PA17042
        CHARITABLE 5,000
    LANCASTER BIBLE COLLEGE
    901 EDEN ROAD
    LANCASTER,PA17601
        EDUCATIONAL 5,000
    LEBANON RESCUE MISSION
    1223 BITTNER BLVD
    LABANON,PA17042
        CHARITABLE 5,000
    LIFE COUNSELING MINISTRIES
    250 MEADOW LANE
    CONESTOGA,PA17516
        CHARITABLE 5,000
    LIGHTHOUSE VOCATIONAL SERVICES
    144 ORLAN ROAD
    NEW HOLLAND,PA17557
        CHARITABLE 5,000
    LINVILLE HILL CHRISTIAN SCHOOL
    295 S KINZER ROAD
    PARADISE,PA17562
        EDUCATIONAL 15,000
    MOUNTAIN SPRING MENNONITE CHURCH
    338 BROAD STREET
    EAST EARL,PA17519
        CHARITABLE 5,000
    NORTH STAR INITIATIVE
    PO BOX 315
    LITITZ,PA17543
        CHARITABLE 10,000
    OPEN DOOR PROJECT
    72 S TULPEHOCKEN STREET
    PINE GROVE,PA17963
        CHARITABLE 5,000
    OPEN HANDS
    PO BOX 180
    WEST MILTON,PA17886
        CHARITABLE 5,000
    ORPHAN RESOURCES INTERNATIONAL
    152 HORSE HAPPY ROAD
    NEWMANSTOWN,PA17073
        CHARITABLE 5,000
    PETRA CHURCH
    565 AIRPORT ROAD
    NEW HOLLAND,PA17557
        CHARITABLE 10,000
    RESTART TRAINING CENTER MINISTRY
    PO BOX 153
    STRASBURG,PA17579
        CHARITABLE 5,000
    REVELATIONS OF FREEDOM MINISTRIES
    114 RANCK CHURCH ROAD
    NEW HOLLAND,PA17557
        CHARITABLE 26,000
    SHALOM MENNONITE SCHOOL
    1410 UNION GROVE ROAD
    TERRE HILL,PA17581
        EDUCATIONAL 5,000
    STILL WATERS COUNSELING MINISTRIES
    2779 MAIN STREET
    MORGANTOWN,PA19543
        CHARITABLE 5,000
    SUNNY CREST HOME INC
    2587 VALLEY VIEW ROAD P
    MORGANTOWN,PA19543
        CHARITABLE 5,000
    SUPPORT FOR PRISON MINISTRIES
    PO BOX 727
    BROWNSTOWN,PA17522
        CHARITABLE 5,000
    SUSTAINABLE AGRICULTURAL SOLUTIONS
    150 ALL NATIONS LANE
    STATE COLLEGE,PA16801
        CHARITABLE 5,000
    TEN MILLION FOR CHRIST
    655 WIDE HOLLOW ROAD
    EAST EARL,PA17519
        CHARITABLE 5,000
    TENFOLD
    308 E KING STREET PO
    LANCASTER,PA176081676
        CHARITABLE 5,000
    TERRE HILL MENNONITE SCHOOL
    1416 UNION GROVE ROAD
    TERRE HILL,PA17581
        EDUCATIONAL 15,000
    THE FACTORY MINISTRIES
    3293 LINCOLN HIGHWAY EAST
    PARADISE,PA17562
        CHARITABLE 5,000
    THE POTTER'S HOUSE MINISTRIES
    PO BOX 507
    BROWNSTOWN,PA17508
        CHARITABLE 5,000
    UNIVERSITY OF THE NATIONS - YWAM KO
    75-5851 KUAKINI HIGHWAY
    KAILUAKONA,HI967402136
        CHARITABLE 5,000
    UPWARD CALL COUNSELING SERVICES
    2394 NEW HOLLAND PIKE
    NEW HOLLAND,PA17601
        CHARITABLE 9,000
    VOICE OF THE MARTYRS
    1815 BISON ROAD
    BARTLESVILLE,OK74005
        CHARITABLE 5,000
    WATER STREET MINISTRIES
    210 S PRINCE STREET
    LANCASTER,PA17603
        CHARITABLE 5,000
    WAY OF JESUS ACADEMY
    880 HERSHEY AVENUE
    LANCASTER,PA17603
        EDUCATIONAL 5,000
    WE CARE PROGRAM
    3493 HIGHWAY 21
    ATMORE,AL365024669
        CHARITABLE 5,000
    WELSH MOUNTAIN HOME
    567 SPRINGVILLE ROAD
    NEW HOLLAND,PA17557
        CHARITABLE 20,000
    WHY NOT YOU MINISTRIES
    PO BOX 32
    BLOSSBURG,PA16912
        CHARITABLE 5,000
    YOUNG LIFE
    PO BOX 521
    LEWISBURG,PA17837
        CHARITABLE 5,000
    YWAM - LANCASTER
    1932 W MAIN STREET
    EPHRATA,PA17522
        CHARITABLE 5,000
    YWAM - MADISON
    PO BOX 8503
    MADISON,WI537088503
        CHARITABLE 5,000
    YWAM - ORLANDO
    15411 CR 455
    MONTVERDE,FL34756
        CHARITABLE 5,000
    ZOE INTERNATIONAL
    PO BOX 221510
    SANTA CLARITA,CA91322
        CHARITABLE 5,000
    TIDINGS OF PEACE CHRISTIAN SCHOOL
    220 N EBERTS LANE
    YORK,PA17403
        EDUCATIONAL 6,000
    Total .................................bullet 3a 446,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 ...........
            91,197
    4 Dividends and interest from securities ....          
    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 ............
            108,494
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aSAGE OAK ALF OF LOUISIANA L
    623000 -192,568      
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. -192,568   283,938
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    91,370
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    SHADY MAPLE FOUNDATION
     
    Employer identification number

    20-0903361
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    SHADY MAPLE FOUNDATION
     
    Employer identification number
    20-0903361
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    HEMLOCK RIDGE ESTATES I LP
    129 TODDY DR
    PO BOX 157
    EAST EARL, PA17519

    $ 111,200


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    SHADY MAPLE FOUNDATION
     
    Employer identification number

    20-0903361
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    SHADY MAPLE FOUNDATION
     
    Employer identification number

    20-0903361
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 6,750      

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

    TY 2021 GainLossSaleOtherAssetsSch
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    MORGAN STANLEY SALES 2021-01 PURCHASE 2021-12   109,485 98,519     10,966  
    MORGAN STANLEY SALES 2020-01 PURCHASE 2021-12   323,216 224,943     98,273  
    MORGAN STANLEY SALES 2019-03 PURCHASE 2021-11   184,000 184,745     -745  

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ISHARES TIPS BOND ETF (TIP) 196,022 193,800
    MSIF ULTRA-SHRT INCOME A ( MUAIX)    
    BOND FUND 675,513 672,804

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M COMPANY (MMM) 15,239 15,276
    ABBOT LABORATIRIES (ABT) 11,705 14,918
    ABBVIE INC (ABBV) 14,228 16,790
    ACCENTURE PLC IRELAND CL A (ACN) 8,207 16,582
    ACTIVISION BLIZZARD INC (ATVI) 3,468 3,992
    AIR PROD & CHEM INC (APD) 21,350 26,471
    ALCON INC (ALC) 3,838 6,011
    ALLSTATE CORP (ALL) 3,713 4,471
    ALPHABET INC CL C (COOG) 8,618 20,255
    AMER INTL GP INC NEW (AIG) 11,613 19,787
    AMEREN CORP (HOLDING CO) (AEE) 9,109 11,037
    AMERICAN ELEC PWR CO INC (AEP) 10,394 11,032
    AMERICAN EXPRESS CO (AXP)    
    AMERICAN TOWER REIT COM (AMT)    
    AMTEK INC NEW (AME) 4,463 9,558
    ANALOG DEVICES INC (ADI) 12,282 16,347
    ANSYS INC (ANSS)    
    ANTHEM INC COM (ANTM) 12,209 22,250
    APPLE INC 12,823 46,523
    APPLIED MATERIALS INC (AMAT)    
    ARTHUR J GALLAGHER    
    ASE TECH HLDG (ASX)    
    ASTRAZENECA PLC ADS 10,549 13,980
    AT&T INC (T) 23,091 16,999
    AUTODESK INC DELAWARE (ADSK) 3,533 6,749
    AUTOMATIC DATA PROCESSING INC (ADP) 7,707 12,329
    AVALONBAY COMM INC (AVB) 3,370 5,052
    AXA EQUITABLE HLDG (EQH)    
    BAE SYS PLC SPON ADR    
    BAKER HUGHES COMPANY CL A (BKR)    
    BANK OF AMERICA CORP (BAC) 26,461 45,780
    BAXTER INTL INC (BAX)    
    BCE INC (BCE) 14,572 19,671
    BECTON DICKINSON & CO (BDX) 6,901 6,790
    BERKSHIRE HATHA CL-B NEW 15,351 28,106
    BEST BUY CO (BBY) 3,594 3,454
    BLACKROCK INC (BLK) 20,705 44,862
    BNP PARIBAS SPADR REPSTG    
    BOC HONG KONG LTD ADR    
    BOEING (BA)    
    BP PLC ADS (BP) 15,191 12,995
    BRISTOL MYERS SQUIBB CO (BMY) 5,400 5,923
    BRITISH AMERTOB SPONADR(BTI) 8,775 8,043
    BROADCOM LTD SHS (AVGO) 26,094 52,567
    CAPITAL ONE (COF) 5,093 5,078
    CATERPILLAR INC (CAT) 6,947 6,822
    CDW CORP (CDW) 10,525 18,840
    CENTERPOINT ENERGY INC (CNP) 3,692 4,131
    CHARLES SCHWAB NEW (SCHW) 4,852 11,690
    CHECK POINT SOFTWARE TECH LTD (CHKP)    
    CHEVRON CORP (CVX) 42,021 55,037
    CHINA PETE&CHEM((SNP)    
    CHUBB LTD (CB) 23,213 35,376
    CIGNA CORP (CI) 11,212 11,711
    CINC FINA OHIO (CINF) 7,996 14,925
    CISCO SYS INC (CSCO) 56,401 91,063
    CITIGROUP IN NEW 36,987 39,555
    CITRIX SYS INC (CTXS)    
    CME GROUP INC (CME) 8,251 10,738
    CMS ENERGY CP (CMS) 3,985 4,423
    COCA COLA CO (KO) 18,707 22,973
    COGNIZANT TECH SOLUTIONS (CTSH) 8,450 13,574
    COMCAST CORP (NEW) CLASS A 40,290 48,669
    CONAGRA BRANDS INC (CAG)    
    CONOCOPHILLIPS (COP) 18,382 31,687
    COOPER CO INC NEW (COO) 4,404 6,284
    CORNING INC (GLW)    
    CORTEVA INC (CTVA) 6,400 6,430
    CREE RESEARCH INC (CREE)    
    CRH PLC ADR (CRH)    
    CROWN CASTLE INTL (CCI) 25,238 38,826
    CUMMINS INC (CMI) 6,636 7,417
    DANAHER CORPORATION (DHR) 3,878 9,212
    DEERE & CO (DE) 3,702 8,229
    DELTA AIRLINES INC NEW (DAL)    
    DENTSPLY SIRONA INC (XRAY)    
    DEUTSCHE TELEKOM AG 1 ORD 1ADS    
    DIGITAL REALTY TRUST INC (DLR) 8,037 9,905
    DOLLAR GEN CORP NEW COM 8,375 10,848
    DOMINION ENERGY INC (D) 23,866 25,218
    DOW INC (DOW) 11,014 14,180
    DTE ENERGY COMPANY (DTE) 2,555 3,347
    DUKE ENERGY CORPORATION (DUK) 15,439 19,197
    DUPONT DE NEMOURS INC (DD) 3,201 5,655
    EATON CORP PLC SHS (ETN) 4,460 8,814
    EBAY INC (EBAY) 7,015 9,310
    EDISON INTERNATIONAL (EIX) 5,039 5,665
    ELI LILLY & CO (LLY) 11,195 24,860
    EOG RESOURCES INC (EOG)    
    ENGIE SPONS ADR    
    ENTERGY CORP NEW (ETR) 4,349 4,281
    EOG RESOURCES INC (EOG) 4,496 7,462
    EQUINOR ASA (EQNR) 5,555 9,505
    EQUITABLE HLDGS INC (EQH) 3,302 6,001
    EVERSOURCE ENERGY COM (ES) 4,884 5,277
    EXELON CORP (EXC) 3,072 4,101
    EXTRA SPACE STORAGE INC (EXR) 3,332 8,162
    EXXON MOBIL CORP (XOM) 26,638 27,964
    FASTENAL CO (FAST) 9,602 20,435
    FEDEX CORP (FDX)    
    FIDELITY NATIONAL FINANCIAL IN (FNF) 5,834 8,192
    FIDELITY NATL INFORMATION SE (FIS) 13,141 10,369
    FIRST AMERICAN FINL CORP (FAF)    
    FIRSTENERGY CORP (FE)    
    FISERV INC WISCONSIN (FISV) 14,999 14,842
    FOX CORP CL A (FOXA) 8,178 9,077
    FRANKLIN RESOURSES INC (BEN) 8,095 9,344
    GALLAGHER ARTHUR J & CO (AJG) 3,226 7,296
    GARTNER INC (IT) 8,560 15,379
    GENERAL ELEC CO (GE) 6,277 8,313
    GENERAL MTRS CO (GM) 6,529 13,837
    GENERAL DYNAMICS CORP (GD) 11,528 15,427
    GENUINE PARTS CO (GPC) 12,687 21,170
    GILEAD SCIENCE (GILD)    
    GODADDY INC (GDDY) 10,943 10,947
    HEALTHPEAK PPTYS INC (PEAK) 11,231 15,410
    HERSHEY COMPANY (HSY) 3,402 5,030
    HOME DEPOT INC (HD) 16,464 27,391
    HONEYWELL INTL INC (HON) 10,489 15,013
    HSBC HOLDINGS PLC SPON ADR NEW    
    HUMANA INC (HUM) 10,206 11,133
    HUNTINGTON INGALLS INDUSTRIES (HII) 3,238 2,801
    IBERDROLA SA SPON ADR (IBDRY)    
    IMPERIAL BRANDS PLC SPD ADR    
    INTEL CORP (INTC) 29,564 34,145
    INTERCONTINENTAL EXCHANGE INC (ICE) 3,228 3,693
    INTL BUSINESS MACHINES CORP (IBM) 5,917 6,817
    JOHNSON & JOHNSON (JNJ) 66,219 81,087
    JOHNSON CTLS INTL PLC 8,453 25,043
    JPMORGAN CHASE & CO 37,308 64,448
    KELLOGG CO (K)    
    KIMBERLY CLARK CORP (KMB) 16,966 18,151
    KINDER MORGAN INC    
    KLA CORPORATION (KLAC) 6,752 15,054
    KONINKLIJKE PHIL EL SPADRNEW 5,235 5,528
    LAM RESEARCH CORPORATION (LRCX) 6,587 15,102
    LEAR CORP (LEA) 4,488 4,757
    LEIDOS HLDGS INC (LDOS) 8,527 7,645
    LINDE PLC (LIN) 8,005 10,027
    LLOYDS BANKING GRP PLC(LYG)    
    LOCKHEED MARTIN CORP (LMT) 13,105 13,506
    LOWES COMPANIES INC 18,232 57,383
    MANULIFE FINA CORP    
    MARATHON OIL CO (MRO)    
    MARATHON PETROL CORP (MPC) 3,751 7,103
    MARKEL CORP (HOLDING CO) (MKL) 12,066 13,574
    MARSH & MCLENNAN COS INC (MMC) 11,640 18,773
    MARTIN MARIETTA MATERIALS (MLM) 5,958 11,454
    MASTERCARD INC CL A (MA)    
    MCDONALDS CORP (MCD) 7,151 9,651
    MEDTRONIC PLC SHS (MDT) 35,399 39,414
    MERCK & CO INC NEW COM 39,862 47,517
    METLIFE INCORPORATED (MET) 8,328 13,123
    MICHELIN COMPAGNIE GENERALE DE    
    MICROSOFT CORP (MSFT) 12,045 68,609
    MMC NORILSK NICKL PISCSPSADR    
    MONDELEZ INTL INC COM 4,709 6,432
    MORGAN STANLEY (MS) 22,316 44,859
    MOTOROLA SOLUTIONS INC (MSI)    
    MUENCHENER RUECKUNSPONADR    
    NESTLE SPON ADRREP SHR 14,589 25,126
    NEWELL BRANDS INC (NWL) 4,429 5,263
    NEXTERA ENERGY INC COM 15,426 32,863
    NINTENDO CO LTD ADR NEW (NTDOY) 16,143 13,659
    NIPPON TELEGR&TELEPH ADS    
    NISOURCE INC (NI) 2,947 3,506
    NN GROUP NV ADR(NNGRY)    
    NORFOLK SOUTH CORPN (NSC) 10,801 30,069
    NORTHERN TRUST CORP (NTRS) 7,180 10,406
    NORTHROP GRUMMAN CP (HLDCO) 11,123 13,160
    NVIDIA CORPORATION (NVDA)    
    NXP SEMICONDUCTORS NV (NXPI) 1,597 3,872
    ORACLE CORP (ORCL)    
    O'REILLY AUTOMOTIVE INC NEW (ORLY) 7,292 14,125
    ONEOK INC (OKE)    
    ORKLA ADR A SHS    
    PACCAR INC (PCAR)    
    PACKAGING CORP AMER (PKG) 2,169 2,995
    PARKER HANNIFIN CORP (PH) 4,724 8,271
    PAYCHEX INC (PAYX) 9,464 23,478
    PENTAIR PLC (PNR)    
    PEPSICO INC NC (PEP) 12,989 16,676
    PHILIP MORRIS INTL INC 38,044 44,650
    PHILLIPS 66 COM (PSX)    
    PINNACLE WEST CAPITAL CORP (PNW)    
    PIONEER NATURAL RESOURCES CO (PXD)    
    PNC FINL SVCS GP (PNC) 7,864 14,437
    PPG INDUSTRIES INC (PPG) 8,706 10,346
    PPL CORPORATION (PPL)    
    PROCTER & GAMBLE (PG) 15,289 20,611
    PROGRESSIVE CORP OHIO (PGR) 24,662 26,381
    PUBLIC SERVICE ENTGP(PEG) 5,372 7,540
    QUALCOMM INC (QCOM) 5,324 5,303
    QUEST DIAGNOS INC (DGX)    
    RAYMOND JAMES FINCL INC (RJF) 4,633 8,132
    RAYTHEON CO (NEW) (RTN) 22,606 29,605
    ROGERS COMM INC CL B (BC)(RCI) 10,697 10,145
    ROCHE HLDGS ADR    
    ROSS STORES INC (ROST) 20,855 21,942
    ROYAL DUTCH SHELL PLC CL B    
    SAEGATE TECHNOLOGY PLC (STX)    
    SEALED AIR CP NEW (SEE) 5,421 6,005
    SHERWIN WILLIAMS COMPANY OHIO (SHW) 7,201 14,791
    SIEMENS AKTIENGESELLSCHAFT 7,596 16,021
    SINGAPORE TELECOMADR NEW    
    SMITHS GROUP PLC SPONADR    
    SMURFIT KAPPA GR PLC ADR    
    SONIC HEALTHCARE LTD ADR    
    SUNOCO PRODUCTS CO (SON)    
    SONY CORP ADR 1974 NEW (SNE)    
    SS&C TECHNOLOGIES HLDGS INC (SSNC) 8,236 9,592
    STANLEY BLACK & DECKER INC (SWK) 4,513 4,716
    STATE STREET CORP(SST)    
    STERIS PLC (STE) 7,752 12,657
    T ROWE PRICE GROUP INC (TROW) 6,718 10,422
    TARGET CORP (TGT) 24,789 64,803
    TE CONNECTIVITY LTD NEW (TEL) 5,004 8,551
    TELEFLEX INC (TFX) 11,810 11,168
    TELEFONICA BRASILSASPON ADR    
    TEXAS INSTRUMENTS(TXN) 29,519 49,379
    TJX COS INC NEW (TXJ) 20,945 30,064
    TOTAL S A SPON ADR    
    TOYOTA MOTOR CP ADR NEW "    
    TRANE TECHNOLOGIES PLC (TT) 7,476 16,768
    TRANSUNION (TRU) 7,820 9,961
    TRAVELERS COMPANIES INCCOM 7,517 9,855
    TRUIST FINL CORP (TFC) 13,879 18,443
    U S BANCORP COM NEW 17,502 24,996
    UBS GROUP AG SHS (UBS)    
    UNILEVER NV NY SH NEW 29,070 32,059
    UNION PACIFIC CORP (UNP) 19,772 30,735
    UNITED PARCEL SER INC CL-B 35,638 58,086
    UPM KYMMENE CORP ADR (UPMMY)    
    UTD OVERSEAS BK LTDSPON ADR    
    VALERO ENERGY CP DELA NEW (VLO) 3,912 3,906
    VERISK ANALYTICS INC COM (VRSK) 5,027 7,319
    VERIZON COMM (VZ) 33,190 32,423
    VICI PROPERTIES INC (VICI) 12,956 12,676
    VISA INC CL A (V) 15,341 19,287
    WST MGMT INC (DELA) (WM) 7,730 12,351
    WEC ENERGY GROUP INC COM (WEC) 5,625 6,212
    WELLS FARGO & CO NEW 20,804 31,235
    WELLTOWER INC (HCN) 8,626 14,838
    WHITE MOUNTAIN GRP BERMUDA (WTM) 20,755 21,292
    WILLIAMS CO INC (WMB) 2,468 4,479
    WILLIS TOWERS WATSON PUB LTD (WLTW) 3,964 3,800
    XCEL ENERGY INC (XEL) 5,636 5,822
    ZIMMER BIOMET HLDGS INC COM (ZBH) 12,115 10,292
    ZURICH INSURANCE GRPLTD ADR    
    AT&T INC (T) 72,325 61,500
    PPL CORPORATION (PPL) 74,526 75,150
    UGI CORPORATION NEW COM (UGI) 72,678 91,820

    TY 2021 InvestmentsOtherSchedule2
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SAGE OAK ALF OF LOUISIANA LLC      
    AN 8.276% INTEREST AT COST 107,272 107,272

    TY 2021 OtherExpensesSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    MORGAN STANLEY BROKERAGE FEES 34,368 34,368    
    MISCELLANEOUS        


    TY 2021 OtherIncomeSchedule2
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    MORGAN STANLEY A/C OTHER -34 -34  
    SAGE OAK ALF OF LOUISIANA LLC 4,502 4,502  
    SAGE OAK ALF OF LOUISIANA LLC -192,568    


    TY 2021 OtherLiabilitiesSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Description Beginning of Year - Book Value End of Year - Book Value
    UNSETTLED SECURITIES PURCHASE   469
    ADJUST STOCKS TO COST    


    TY 2021 TaxesSchedule
    Name:
    SHADY MAPLE FOUNDATION
    EIN:
    20-0903361
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PENNSYLVANIA FEE 15      
    FEDERAL EXCISE TAX 2,000