Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 11-01-2020 , and ending 10-31-2021
Name of foundation
HARRY & THELMA SURRENA MEMORIAL
 
Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 603
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SHERIDAN, WY82801
A Employer identification number

23-7435554
B Telephone number (see instructions)

(307) 672-6494
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$6,957,264J 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 630 630  
4 Dividends and interest from securities... 124,894 124,894  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 563,989
b Gross sales price for all assets on line 6a 2,170,922
7 Capital gain net income (from Part IV, line 2)... 563,989
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)....... Click to see attachment 1,439    
12 Total. Add lines 1 through 11........ 690,952 689,513  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 38,982 19,491   19,491
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 2,200 1,650   550
c Other professional fees (attach schedule).... Click to see attachment 38,606 38,606    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 3,007 1,491   1,491
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 82,795 61,238   21,532
25 Contributions, gifts, grants paid....... 302,000 302,000
26 Total expenses and disbursements. Add lines 24 and 25 384,795 61,238   323,532
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 306,157
b Net investment income (if negative, enter -0-) 628,275
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 117,031 201,191 201,195
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) 59,474    
b Investments—corporate stock (attach schedule)....... 3,571,644 Click to see attachment3,382,396 4,769,958
c Investments—corporate bonds (attach schedule)....... 1,465,930 Click to see attachment1,934,926 1,963,129
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment22,982 Click to see attachment22,982 Click to see attachment22,982
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,237,061 5,541,495 6,957,264
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment8,481 Click to see attachment6,758
23 Total liabilities (add lines 17 through 22)......... 8,481 6,758
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........ 2,443,594 2,443,594
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 2,784,986 3,091,143
29 Total net assets or fund balances (see instructions)..... 5,228,580 5,534,737
30 Total liabilities and net assets/fund balances (see instructions). 5,237,061 5,541,495
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
5,228,580
2
Enter amount from Part I, line 27a .....................
2
306,157
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
5,534,737
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
5,534,737
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 42-ALEXION PHARMACEUTICALS INC P 2020-02-21 2021-03-08
b 13-WALT DISNEY CO/THE P 2015-09-04 2021-03-08
c 24-MCDONALD'S CORP P 2020-04-22 2021-10-22
d 109-ENERGY SELECT SECTOR SPDR FUND P 2020-01-07 2021-10-22
e 413-UBER TECHNOLOGIES INC P 2019-08-12 2020-11-09
151.418-INVESCO DEVELOPING MARKETS F P 2013-04-11 2021-02-03
1863.313-VANGUARD EMERGING MARKETS S P 2017-06-05 2021-04-21
96-ALEXION PHARMACEUTICALS INC P 2020-02-21 2021-03-24
18-META PLATFORMS INC P 2018-03-27 2021-10-22
45-MICROSOFT CORP P 2013-08-15 2021-10-22
180-FINANCIAL SELECT SECTOR SPDR FUN P 2018-10-31 2021-03-08
372-UBER TECHNOLOGIES INC P 2019-10-16 2020-11-09
1268.115-INVESCO DEVELOPING MARKETS P 2013-04-11 2021-07-12
1347.708-VANGUARD EMERGING MARKETS S P 2017-11-03 2021-04-21
96-ALEXION PHARMACEUTICALS INC P 2020-02-21 2021-03-24
27-FEDEX CORP P 2015-12-14 2021-10-22
130-MONDELEZ INTERNATIONAL INC P 2012-11-02 2021-10-22
190-FINANCIAL SELECT SECTOR SPDR FUN P 2018-10-31 2021-06-09
46-UNION PACIFIC CORP P 2013-11-20 2021-01-13
673.963-INVESCO DEVELOPING MARKETS F P 2013-10-03 2021-07-12
550.698-VANGUARD EMERGING MARKETS ST P 2019-01-28 2021-04-21
3-ALPHABET INC P 2017-07-26 2021-03-08
100000-GENERAL MTRS CORP NOTE 7.125% P 2020-11-27 2021-03-30
49-NIKE INC P 2016-10-12 2021-03-08
150-INDUSTRIAL SELECT SECTOR SPDR FU P 2020-03-20 2021-03-08
23-UNION PACIFIC CORP P 2013-11-20 2021-03-08
388.534-INVESCO DEVELOPING MARKETS F P 2017-11-03 2021-07-12
297.995-VANGUARD 500 INDEX FUND P 2019-04-05 2021-01-29
3-ALPHABET INC P 2017-07-26 2021-10-22
27-GOLDMAN SACHS GROUP INC/THE P 2018-10-31 2021-03-08
38-NIKE INC P 2016-10-12 2021-10-22
21-INDUSTRIAL SELECT SECTOR SPDR FUN P 2020-04-03 2021-03-08
15-UNITEDHEALTH GROUP INC P 2012-09-27 2021-03-08
196.922-EUROPACIFIC GROWTH FUND P 2015-04-01 2021-03-08
167.293-VANGUARD 500 INDEX FUND P 2019-04-08 2021-01-29
2-AMAZON.COM INC P 2019-02-15 2021-03-08
36-GOLDMAN SACHS GROUP INC/THE P 2018-10-31 2021-03-19
12-PALO ALTO NETWORKS INC P 2020-07-07 2021-10-22
143-INDUSTRIAL SELECT SECTOR SPDR FU P 2020-04-03 2021-06-08
1505-VANGUARD INTERMEDIATE-TERM CORP P 2020-06-05 2021-02-22
193.413-EUROPACIFIC GROWTH FUND P 2017-11-03 2021-03-08
289.512-VANGUARD 500 INDEX FUND P 2019-04-08 2021-04-21
2-AMAZON.COM INC P 2019-02-15 2021-10-22
348-ISHARES CORE S&P 500 ETF P 2020-03-09 2021-04-23
256-MATERIALS SELECT SECTOR SPDR FUN P 2019-02-08 2021-03-08
103-TECHNOLOGY SELECT SECTOR SPDR FU P 2018-08-10 2021-02-08
608-VANGUARD INTERMEDIATE-TERM CORPO P 2020-06-05 2021-07-07
488.166-FIDELITY INTERNATIONAL INDEX P 2018-01-17 2021-02-02
61.366-VANGUARD 500 INDEX FUND P 2019-04-08 2021-10-22
39-AMERICAN EXPRESS CO P 2016-03-11 2021-03-08
71-ISHARES CORE S&P 500 ETF P 2020-03-09 2021-10-22
145-HEALTH CARE SELECT SECTOR SPDR F P 2018-08-10 2021-03-08
106-TECHNOLOGY SELECT SECTOR SPDR FU P 2018-08-10 2021-02-08
14-WALMART INC P 2016-01-25 2021-10-22
2203.289-GOLDMAN SACHS INTERNATIONAL P 2013-08-27 2021-02-03
82-APPLE INC P 2016-04-28 2021-10-22
50-ISHARES CORE S&P MID-CAP ETF P 2020-02-28 2021-10-22
113-HEALTH CARE SELECT SECTOR SPDR F P 2018-08-10 2021-10-22
19-TECHNOLOGY SELECT SECTOR SPDR FUN P 2018-08-10 2021-03-10
40-WALMART INC P 2017-06-29 2021-10-22
1370.196-EATON VANCE FLOATING-RATE A P 2017-11-03 2020-11-19
17-BERKSHIRE HATHAWAY INC P 2010-02-17 2021-03-08
940-ISHARES CORE S&P SMALL-CAP ETF P 2020-04-02 2021-01-29
10-CONSUMER STAPLES SELECT SECTOR SP P 2018-05-16 2021-03-08
421-TECHNOLOGY SELECT SECTOR SPDR FU P 2019-02-08 2021-03-10
50000-WELLS FARGO & CO 2.5% 04 MAR 2 P 2016-05-26 2021-03-04
4146.098-EATON VANCE FLOATING-RATE A P 2018-05-24 2020-11-19
1-BERKSHIRE HATHAWAY INC P 2010-03-17 2021-03-08
201-ISHARES CORE S&P SMALL-CAP ETF P 2020-04-02 2021-03-08
28-CONSUMER STAPLES SELECT SECTOR SP P 2020-01-07 2021-03-08
14-TECHNOLOGY SELECT SECTOR SPDR FUN P 2019-05-10 2021-03-10
39-XILINX INC P 2020-01-13 2020-11-02
15908.701-EATON VANCE FLOATING-RATE P 2019-11-21 2020-11-19
107-BRISTOL-MYERS SQUIBB CO P 2013-02-05 2021-10-22
52-JPMORGAN CHASE & CO P 2012-05-25 2021-03-08
7-CONSUMER DISCRETIONARY SELECT SECT P 2020-09-17 2021-03-08
119-TECHNOLOGY SELECT SECTOR SPDR FU P 2019-05-10 2021-10-22
40-XILINX INC P 2020-01-13 2020-11-02
484.733-EATON VANCE FLOATING-RATE AD P 2020-01-07 2020-11-19
118-CISCO SYSTEMS INC P 2011-10-25 2021-03-08
58-JPMORGAN CHASE & CO P 2012-05-25 2021-03-19
113-ENERGY SELECT SECTOR SPDR FUND P 2018-10-31 2021-03-08
105-COMMUNICATION SERVICES SELECT SE P 2018-08-10 2021-03-08
39-XILINX INC P 2020-01-13 2020-11-04
4523.63-VANGUARD INTERMEDIATE-TERM T P 2019-09-05 2021-02-22
129-COMCAST CORP P 2020-01-10 2021-10-22
87-KLA CORP P 2020-04-03 2021-02-01
44-ENERGY SELECT SECTOR SPDR FUND P 2019-09-24 2021-03-08
176-REAL ESTATE SELECT SECTOR SPDR F P 2019-03-28 2021-03-08
40-XILINX INC P 2020-01-13 2020-11-04
642.395-VANGUARD INTERMEDIATE-TERM T P 2020-01-07 2021-02-22
32-WALT DISNEY CO/THE P 2012-05-09 2021-03-08
66-LOWE'S COS INC P 2016-10-19 2021-03-08
12-ENERGY SELECT SECTOR SPDR FUND P 2020-01-07 2021-03-08
62-UTILITIES SELECT SECTOR SPDR FUND P 2020-02-07 2021-03-08
464.519-INVESCO DEVELOPING MARKETS F P 2012-12-03 2021-02-03
1063.23-VANGUARD EMERGING MARKETS ST P 2017-06-05 2021-02-02
(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 6,315   4,296 2,019
b 2,596   1,310 1,286
c 5,741   4,469 1,272
d 6,268   6,584 -316
e 20,073   15,606 4,467
8,470   5,333 3,137
81,539   63,669 17,870
14,558   9,819 4,739
5,837   2,725 3,112
13,916   1,429 12,487
6,153   4,755 1,398
18,080   11,922 6,158
69,797   44,667 25,130
58,976   50,000 8,976
14,562   9,819 4,743
6,314   3,838 2,476
7,849   3,409 4,440
7,198   5,019 2,179
9,918   3,655 6,263
37,095   25,000 12,095
24,099   18,514 5,585
6,082   2,895 3,187
14     14
6,624   2,578 4,046
14,234   8,029 6,205
4,870   1,828 3,042
21,385   16,474 4,911
102,230   79,571 22,659
8,280   2,895 5,385
9,020   6,115 2,905
6,211   1,999 4,212
1,993   1,185 808
5,272   845 4,427
13,349   9,892 3,457
57,392   44,717 12,675
5,978   3,223 2,755
12,399   8,154 4,245
6,075   2,854 3,221
15,005   8,068 6,937
143,366   141,256 2,110
13,111   11,083 2,028
111,590   77,387 34,203
6,750   3,223 3,527
145,742   96,022 49,720
19,643   13,426 6,217
14,016   7,544 6,472
58,085   57,065 1,020
22,436   22,133 303
25,762   16,403 9,359
5,872   2,323 3,549
32,322   19,591 12,731
16,468   13,021 3,447
14,430   7,763 6,667
2,086   892 1,194
28,533   20,777 7,756
12,251   1,966 10,285
13,982   9,025 4,957
14,831   10,147 4,684
2,472   1,392 1,080
5,961   3,026 2,935
14,072   14,935 -863
4,385   1,292 3,093
91,576   49,277 42,299
654   497 157
54,767   28,306 26,461
50,000   50,711 -711
42,580   45,358 -2,778
258   82 176
21,928   10,537 11,391
1,830   1,744 86
1,821   1,058 763
4,580   3,915 665
163,382   168,155 -4,773
6,183   3,954 2,229
7,940   1,749 6,191
1,106   1,017 89
18,909   8,990 9,919
4,699   4,016 683
4,978   5,206 -228
5,677   2,087 3,590
8,852   1,951 6,901
5,998   7,667 -1,669
7,650   5,180 2,470
4,885   3,915 970
52,203   52,157 46
6,962   5,848 1,114
24,962   11,192 13,770
2,336   2,690 -354
6,562   6,345 217
5,106   4,016 1,090
7,413   7,317 96
6,391   1,445 4,946
10,827   4,587 6,240
637   725 -88
3,765   4,275 -510
25,985   15,781 10,204
47,473   36,331 11,142
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       2,019
b       1,286
c       1,272
d       -316
e       4,467
      3,137
      17,870
      4,739
      3,112
      12,487
      1,398
      6,158
      25,130
      8,976
      4,743
      2,476
      4,440
      2,179
      6,263
      12,095
      5,585
      3,187
      14
      4,046
      6,205
      3,042
      4,911
      22,659
      5,385
      2,905
      4,212
      808
      4,427
      3,457
      12,675
      2,755
      4,245
      3,221
      6,937
      2,110
      2,028
      34,203
      3,527
      49,720
      6,217
      6,472
      1,020
      303
      9,359
      3,549
      12,731
      3,447
      6,667
      1,194
      7,756
      10,285
      4,957
      4,684
      1,080
      2,935
      -863
      3,093
      42,299
      157
      26,461
      -711
      -2,778
      176
      11,391
      86
      763
      665
      -4,773
      2,229
      6,191
      89
      9,919
      683
      -228
      3,590
      6,901
      -1,669
      2,470
      970
      46
      1,114
      13,770
      -354
      217
      1,090
      96
      4,946
      6,240
      -88
      -510
      10,204
      11,142
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 2 563,989
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 75,093
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 8,733
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  
3 Add lines 1 and 2........................... 3 8,733
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 8,733
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 2,000
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 2,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 25
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 6,758
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet   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)
    bulletWY
    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 ofbulletMOHATT JOHNSON & GODWIN LLP Telephone no.bullet (307) 672-6494

    Located atbulletPO BOX 603SHERIDANWY ZIP+4bullet82801
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    JOHN PRADERE TRUSTEE
    6.00     		19,491 0 0
    PO BOX 603
    SHERIDAN,WY82801
    ROBERT WYATT TRUSTEE
    6.00     		19,491 0 0
    PO BOX 603
    SHERIDAN,WY82081
    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 (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.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    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
    6,497,940
    b
    Average of monthly cash balances.......................
    1b
    269,609
    c
    Fair market value of all other assets (see instructions)................
    1c
    22,982
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,790,531
    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
    6,790,531
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    101,858
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,688,673
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    334,434
    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
    334,434
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    8,733
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,733
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    325,701
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    325,701
    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
    325,701
    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
    323,532
    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
    323,532
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    323,532
    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 7 325,701
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 37
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016......  
    c From 2017......  
    d From 2018......  
    e From 2019......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 323,532
    a Applied to 2019, but not more than line 2a 37
    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 2020 distributable amount..... 323,495
    e Remaining amount distributed out of corpus  
    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  
    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 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		2,206
    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) ...     		 
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2016....  
    b Excess from 2017....  
    c Excess from 2018....  
    d Excess from 2019....  
    e Excess from 2020....  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    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:
    SURRENA MEMORIAL FUND
    PO BOX 603
    SHERIDAN,WY82801
    (307) 752-6855
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN APPLICATION
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CHARITABLE, RELIGIOUS, SCIENTIFIC, & EDUCATIONAL PURPOSES IN THE U.S.
    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
    BREAD OF LIFE
    PO BOX 909
    BUFFALO,WY82834     		NONE EXEMPT ORG. GENERAL OPERATIONS 10,000
    BUFFALO SENIOR CENTER
    PO BOX 941
    BUFFALO,WY82834     		NONE EXEMPT ORG. GENERAL OPERATIONS 7,500
    CHILDREN'S CENTER
    863 HIGHLAND AVE
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 30,000
    CHILDREN'S CENTER - BUFFALO
    151 KLONDIKE
    BUFFALO,WY82834     		NONE EXEMPT ORG. GENERAL OPERATIONS 45,000
    CLEARMONT COMMUNITY LIBRARY
    PO BOX 26
    CLEARMONT,WY82835     		NONE EXEMPT ORG. GENERAL OPERATIONS 5,000
    GENESIS FOUNDATION
    444 CRESCENT DR
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 25,000
    JOHNSON COUNTY LIBRARY
    FOUNDATION
    171 N ADAMS
    BUFFALO,WY82834     		NONE EXEMPT ORG. GENERAL OPERATIONS 5,000
    HABITAT FOR HUMANITY
    OF THE EASTERN BIGHORNS
    PO BOX 6196
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 6,000
    JOHNSON COUNTY YMCA
    101 SOUTH KLONDIKE
    BUFFALO,WY82834     		NONE EXEMPT ORG. GENERAL OPERATIONS 20,000
    LUNCH TOGETHER SOUP KITCHEN
    102 S CONNER ST
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 10,000
    METHODIST CHURCH
    OF BUFFALO WYOMING
    132 N ADAMS AVE
    BUFFALO,WY82834     		NONE EXEMPT ORG. GENERAL OPERATIONS 2,500
    METHODIST CHURCH
    OF SHERIDAN WYOMING
    215 W WORKS
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 5,000
    SENIOR CITIZENS COUNCIL
    211 SMITH STREET
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 10,000
    SHERIDAN COLLEGE
    FOUNDATION
    3059 COFFEEN AVE
    SHERIDAN,WY82801     		NONE EXEMPT ORG. SCHOLARSHIPS 10,000
    SHERIDAN COUNTY LIBRARY
    FOUNDATION INC
    335 W ALGER
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 10,000
    SHERIDAN COUNTY YMCA
    417 NORTH JEFFERSON
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 20,000
    STORY BRANCH LIBRARY
    PO BOX 188
    STORY,WY82842     		NONE EXEMPT ORG. GENERAL OPERATIONS 10,000
    STORY COMMUNITY CHURCH
    PO BOX 415
    STORY,WY82842     		NONE EXEMPT ORG. GENERAL OPERATIONS 5,000
    THE FOOD GROUP
    51 COFFEEN AVE-SUITE 101
    SHERIDAN,WY82801     		NONE EXEMPT ORG. GENERAL OPERATIONS 10,000
    TONGUE RIVER BRANCH
    LIBRARY
    PO BOX 909
    RANCHESTER,WY82839     		NONE EXEMPT ORG. GENERAL OPERATIONS 5,000
    TONGUE RIVER CHILD'S
    PLACE
    PO BOX 232
    RANCHESTER,WY82839     		NONE EXEMPT ORG. GENERAL OPERATIONS 30,000
    VOLUNTEERS OF AMERICA OF
    WYOMING AND MONTANA
    1876 S SHERIDAN AVE
    SHERIDAN,WY82801     		NONE EXEMPT ORG. HOMELESS SHELTER 5,000
    COMPASS-CENTER FOR FAMILIES
    PO BOX 6022
    SHERIDAN,WY82801     		NONE EXEMPT ORG. CASA PROGRAM 5,000
    MOUNTAIN PLAINS HERITAGE PARK
    PO BOX 1034
    BUFFALO,WY82834     		NONE EXEMPT ORG. GENERAL OPERATIONS 1,000
    CHILDHOOD LANGUAGE CLINIC
    NORTHERN WYOMING SCOTTISH RITE
    109 S GOULD STREET
    SHERIDAN,WY82801     		NONE EXPEMPT ORG. GENERAL OPERATIONS 10,000
    Total .................................bullet 3a 302,000
    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 ...........     		    14 630  
    4 Dividends and interest from securities....     14 124,894  
    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 ............     		    18 563,989  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aEXCISE TAX     		    1 1,439  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   690,952  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    690,952
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    HARRY & THELMA SURRENA MEMORIAL
    EIN:
    23-7435554
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,200 1,650   550

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    HARRY & THELMA SURRENA MEMORIAL
    EIN:
    23-7435554
    Name of Bond End of Year Book Value End of Year Fair Market Value
    EATON VANCE FLOATING RATE FUND 260,347 266,088
    VANGUARD HIGH YIELD CORPORATE FUND 420,742 428,431
    NORTHERN ULTRA-SHORT FIXED INCOME FU 143,277 142,873
    VANGUARD INTERMEDIATE-TERM CORPORATE 418,331 419,031
    VANGUARD SHORT-TERM CORPORATE BIND 393,505 388,521
    WELLS FARGO & CO 2.5%    
    ISHARES PREFERRED & INCOME SECURITIE 239,594 259,724
    ISHARES JP MORGAN USD EMERGING 59,130 58,461

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    HARRY & THELMA SURRENA MEMORIAL
    EIN:
    23-7435554
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABORATORIES 11,437 18,754
    ACTIVISION BLIZZARD INC 22,096 17,826
    ALEXION PHARMACEUTICALS INC    
    ALPHABET INC CAP STK CL A 16,407 50,336
    AMAZON.COM INC 26,668 53,959
    AMERICAN EUROPACIFIC GROWTH FUND    
    AMERICAN EXPRESS 8,041 23,518
    APPLE COMPUTER INC 9,445 59,021
    BERKSHIRE HATHAWAY INC - CL B 8,161 28,414
    BRISTOL MYERS SQUIBB 10,533 16,836
    CISCO SYSTEMS 9,427 29,832
    CITIGROUP INC 20,969 19,926
    COMCAST CORP 18,154 20,881
    COMMUNICATION SERVICES SEL SPDR 26,309 43,362
    CONSUMER DISCRETIONARY SEL SPDR 6,100 8,448
    CONSUMER STAPLES SEL SECTOR SPDR 20,171 22,871
    COSTCO WHOLESALE CORP 14,276 20,678
    DFA EMERGING MARKETS SMALL CAP 149,083 182,048
    DFA GLOBAL REAL ESTATE SECURITIES 431,616 537,295
    EMERSON ELECTRIC CO 5,885 18,238
    ENERGY SELECT SECTOR SPDR 34,565 50,803
    EXELON CORPORATION 5,814 9,255
    FACEBOOK INC    
    FEDEX CORP 9,666 16,016
    FIDELITY INTERNATIONAL INDEX FUND 267,147 333,152
    FINANCIAL SELECT SECTOR SPDR 26,345 47,265
    GOLDMAN SACHS GROUP INC 14,042 25,628
    GOLDMAN SACHS INTERNATIONAL SMALL CA 141,143 178,429
    HEALTH CARE SELEC SECTOR SPDR 91,698 128,735
    HONEYWELL INTERNATIONAL INC 13,168 19,894
    INDUSTRIAL SELECT SECTOR SPDR 41,882 52,976
    INTERCONTINENTAL EXCHANGE INC 12,284 18,277
    ISHARES CORE S&P 500 ETF 129,457 207,906
    J.P. MORGAN CHASE & CO 4,641 23,583
    KLS CORP    
    LOWE'S COS INC 21,031 64,755
    MASCO CORP 14,725 16,781
    MATERIALS SELECT SECTOR SPDR 19,461 28,430
    MCDONALD'S CORP 13,779 18,171
    META PLATFORMS INC 9,082 19,414
    MICROSOFT CORPORATION 14,448 80,584
    MONDELEZ INTERNATIONAL INC 19,152 23,506
    NIKE INC 14,469 46,005
    PALO ALTO NETWORKS INC 10,227 21,891
    PEPSICO 3,628 19,069
    QUALCOMM INC 14,099 12,772
    REAL ESTATE SELECT SECTOR SPDR 25,438 32,805
    SALESFORCE.COM INC 25,083 32,966
    SKYWORKS SOLUTIONS INC 3,974 26,407
    SPDR S&P SEMICONDUCTOR ETF 59,220 73,918
    TECHNOLOGY SELECT SECTOR SPDR 39,734 82,219
    UBER TECHNOLOGIES INC    
    UNION PACIFIC 8,582 26,071
    UNITEDHEALTH GROUP INC 4,114 33,614
    UTILITIES SELECT SECTOR SPDR FUND 13,474 13,783
    VANGUARD 500 INDEX FUND 115,697 202,657
    VANUGARD EMERGING MARKETS STOCK INDE 158,611 193,286
    WAL-MART STORES INC 15,887 31,378
    WALT DISNEY 13,907 23,332
    XILINX INC    
    ISHARES CORE S&P MID-CAP ETF 169,137 236,574
    ISHARES COR S&P SMALL-CAP ETF 111,870 241,270
    INVESCO DEVELOPING MARKETS FUND 178,526 218,891
    EUROPACIFIC GROWTH FUND 122,590 164,260
    ISHARES CORE MSCI EUROPE ETF 147,102 152,087
    ISHARES MSCI CHINA ETF 408,719 348,900

    TY 2020 OtherAssetsSchedule
    Name:
    HARRY & THELMA SURRENA MEMORIAL
    EIN:
    23-7435554
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    MINERAL RIGHTS 22,982 22,982 22,982


    TY 2020 OtherIncomeSchedule2
    Name:
    HARRY & THELMA SURRENA MEMORIAL
    EIN:
    23-7435554
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    EXCISE TAX 1,439    


    TY 2020 OtherLiabilitiesSchedule
    Name:
    HARRY & THELMA SURRENA MEMORIAL
    EIN:
    23-7435554
    Description Beginning of Year - Book Value End of Year - Book Value
    FEDERAL TAXES PAYABLE 8,481 6,758


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    HARRY & THELMA SURRENA MEMORIAL
    EIN:
    23-7435554
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 38,606 38,606    


    TY 2020 TaxesSchedule
    Name:
    HARRY & THELMA SURRENA MEMORIAL
    EIN:
    23-7435554
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES        
    PAYROLL TAXES 2,982 1,491   1,491
    PENALTY 25