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
THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
 
Number and street (or P.O. box number if mail is not delivered to street address)45 SCHOOL ST 5TH FLOOR
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BOSTON, MA021083204
A Employer identification number

22-2999430
B Telephone number (see instructions)

(617) 345-4655
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$11,700,493J 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 6,322 6,322  
4 Dividends and interest from securities... 154,611 137,368  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 326,047
b Gross sales price for all assets on line 6a 989,854
7 Capital gain net income (from Part IV, line 2)... 312,448
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 69,047 69,047  
12 Total. Add lines 1 through 11........ 556,027 525,185  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 13,064 13,064    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 790 790 0 0
b Accounting fees (attach schedule)....... Click to see attachment 2,400 2,400 0 0
c Other professional fees (attach schedule).... Click to see attachment 54,504 54,504   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)...       0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 70,758 70,758 0 0
25 Contributions, gifts, grants paid....... 440,000 440,000
26 Total expenses and disbursements. Add lines 24 and 25 510,758 70,758 0 440,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 45,269
b Net investment income (if negative, enter -0-) 454,427
c Adjusted net income (if negative, enter -0-)... 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............. 5,458 6,657 6,657
2 Savings and temporary cash investments......... 919,412 402,409 402,409
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 100,328 Click to see attachment100,328 104,199
b Investments—corporate stock (attach schedule)....... 4,357,770 Click to see attachment4,462,180 10,278,618
c Investments—corporate bonds (attach schedule)....... 199,466 Click to see attachment680,281 666,258
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment112,934 Click to see attachment88,782 Click to see attachment242,352
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,695,368 5,740,637 11,700,493
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 5,695,368 5,740,637
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 5,695,368 5,740,637
30 Total liabilities and net assets/fund balances (see instructions). 5,695,368 5,740,637
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
5,695,368
2
Enter amount from Part I, line 27a .....................
2
45,269
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
5,740,637
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
5,740,637
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.)
1 a 250. AMERIPRISE FINANCIAL INC   2019-03-15 2021-04-19
b 50000. APPLE INC SR GLBL NT DTD 05/06/2014 2.85   2018-11-16 2021-05-06
c 100000. CAPITAL ONE NATL ASSN VA SR NT DTD 07/24/2014 2.95% 07/23/2021   2015-11-30 2021-06-23
d 500. CARMAX INC   2014-02-07 2021-04-19
e 525. CONSTELLATION BRANDS INC CLASS A   2019-03-15 2021-04-19
100. DANAHER CORPORATION   2015-12-10 2021-04-19
2000. FIRST TRUST NORTH AMERICAN ENERGY INFRAS   2016-09-22 2021-04-19
100. FISERV INC WISC   2012-11-14 2021-04-19
1500. MERCK & CO INC   2019-03-15 2021-04-19
750. NOVARTIS AG BEARER   2012-11-14 2021-04-19
150. NVIDIA CORP   2015-12-10 2021-04-19
600. PEPSICO INC   2012-11-14 2021-04-19
50. RESMED INC COM   2012-11-14 2021-04-19
325. STARBUCKS CORP   2020-03-12 2021-04-19
1150. VALERO ENERGY CORP (NEW)   2018-11-16 2021-04-19
250. VERIZON COMMUNICATIONS INC   2020-09-01 2021-04-19
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 61,667   28,553 33,114
b 50,000   49,729 271
c 100,000   99,637 363
d 64,723   23,619 41,104
e 124,971   110,627 14,344
24,089   6,871 17,218
46,981   47,286 -305
12,483   1,841 10,642
115,931   72,352 43,579
66,242   39,458 26,784
92,090   4,930 87,160
86,638   41,237 45,401
10,284   1,984 8,300
38,135   20,556 17,579
80,824   113,997 -33,173
14,535   14,729 -194
      261
      261
      261
      261
      261
      261
      261
      261
      261
      261
      261
      261
      261
      261
      261
      261
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       33,114
b       271
c       363
d       41,104
e       14,344
      17,218
      -305
      10,642
      43,579
      26,784
      87,160
      45,401
      8,300
      17,579
      -33,173
      -194
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 312,448
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 0
3 Add lines 1 and 2........................... 3 6,317
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 6,317
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 5,721
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 7,400
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 13,121
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 6,804
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet6,804 RefundedBullet 11 0
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
Yes
 
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletMA
    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 addressbullet  
    14
    The books are in care ofbulletWELCH FORBES LLC Telephone no.bullet (617) 523-1635

    Located atbullet45 SCHOOL STREET 5TH FLBOSTONMA ZIP+4bullet02108
    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
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 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
     
    No
    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
     
     
    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
    DANIEL AMORY TRUSTEE
    1     		0    
    ONE FEDERAL ST FL 29
    BOSTON,MA02110
    DAVID L SILVIAN TRUSTEE
    1     		13,064    
    ONE FEDERAL ST FL 29
    BOSTON,MA02110
    CHRISTOPHER AMORY TRUSTEE
    1     		0    
    ONE FEDERAL ST FL 29
    BOSTON,MA02110
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (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
    WELCH FORBES LLC INVESTMENT MANAGEMEN 54,504
    45 SCHOOL STREET 5TH FL
    BOSTON,MA02108
    WELCH FORBES LLC TAX PREPARATION 2,400
    45 SCHOOL STREET 5TH FL
    BOSTON,MA02108
    DAVID SILVIAN TRUSTEE SERVICES 13,064
    ONE FEDERAL ST FL 29
    BOSTON,MA02110
    Total number of others receiving over $50,000 for professional services.............bullet0
    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  
    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
    7,424,531
    b
    Average of monthly cash balances.......................
    1b
    1,246,014
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,670,545
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    8,670,545
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    130,058
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    8,540,487
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    427,024
    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
    427,024
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    6,317
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    6,317
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    420,707
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    420,707
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    420,707
    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 7 420,707
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 185,374
    b From 2017...... 47,287
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 232,661
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 440,000
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 420,707
    e Remaining amount distributed out of corpus 19,293
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 251,954
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 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) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		185,374
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		66,580
    10 Analysis of line 9:
    a Excess from 2017.... 47,287
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 19,293
    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).)
    NA
    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.
    NA
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (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
    BREAKWATER SCHOOL
    856 BRIGHTON AVE
    PORTLAND,ME04102     		NONE SECTION 501 (C) (3) SUPPORT OPTIMAL LEARNING 500
    MAINE COLLEGE OF ART
    522 CONGRESS ST
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 15,000
    PORTLAND STAGE COMPANY
    25 FOREST AVE
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 15,000
    MAINE CONSERVATION
    ALLIANCE
    295 WATER STREET SUITE 9
    AUGUSTA,ME04330     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,250
    LANESVILLE COMMUNITY CENTER
    P O BOX 7044
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    CONSERVATION LAW
    FOUNDATION
    62 SUMMER ST
    BOSTON,MA02110     		NONE SECTION 501 (C) (3) HELP PRESERVE NATURAL 17,500
    ACTION INC
    180 MAIN ST
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) FUND ENERGY CONSERVATION 5,000
    GRACE CENTER INC
    10 CHURCH ST
    GLOCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    AMALGAMATED BANK OF NEW YORK
    275 7TH AVENUE
    NEW YORK,NY10003     		NONE SECTION 501 (C) (3) PA ALLIANCE FOUNDATION GEN 10,000
    CAPE ANN MUSEUM
    27 PLEASANT ST
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) FUND VARIOUS EXHIBITIONS 14,000
    DOCTORS WITHOUT BORDERS
    333 7TH AVENUE 2ND FLOOR
    NEW YORK,NY10001     		NONE SECTION 501 (C) (3) FUND EMERGENCY MEDICAL CARE 10,000
    ESSEX COUNTY GREEN BELT
    ASSOCIATION INC
    82 EASTERN AVENUE
    ESSEX,MA01929     		NONE SECTION 501 (C) (3) GIFT TO GENERAL FUND 5,000
    GLOUCESTER COUNCIL ON AGING
    6 MANUEL F LEWIS ST
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    OCEAN ALLIANCE
    32 HORTON STREET
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    GLOUCESTER WRITERS CENTER
    126 E MAIN STREET
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    OPEN DOOR CAPE ANN
    FOOD PANTRY
    28 EMERSON AVE
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    OXFAM AMERICA
    226 CAUSEWAY ST 5
    BOSTON,MA02114     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    PEABODY ESSEX MUSEUM
    161 ESSEX STREET
    SALEM,MA01970     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    PERKINS SCHOOL FOR THE
    BLIND
    175 NORTH BEACON STREET
    WATERTOWN,MA02472     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 2,000
    PLANNED PARENTHOOD LEAGUE
    OF MASSACHUSETTS
    1055 COMMONWEALTH AVE
    BOSTON,MA02215     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,250
    GOOD SHEPHERD FOOD BANK OF MAINE
    3121 HOTEL ROAD
    AUBURN,ME04211     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 15,000
    SAWYER FREE LIBRARY
    2 DALE AVE
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    TRUSTEES OF RESERVATIONS
    572 ESSEX STREET
    BEVERLY,MA01915     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 2,000
    VNA CARE
    199 ROSEWOOD DR 180
    DANVERS,MA01923     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    WBUR
    890 COMMONWEALTH AVE 3RD
    BOSTON,MA02215     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 2,000
    WELLSPRING HOUSE INC
    302 ESSEX AVE
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    YOUTH & FAMILY OUTREACH
    331 CUMBERLAND AVE
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    WGBH TV
    ONE GUEST STREET
    BOSTON,MA02135     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    BOSTON MODERN ORCHESTRA
    PROJECT
    376 WASHINGTON ST
    MALDEN,MA02148     		NONE SECTION 501 (C) (3) SUPPORT LISTENERS & 10,000
    CAPE ANN ANIMAL AID
    4 PAWS LANE
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    MAINE PUBLIC
    1450 LISBON STREET
    LEWISTON,ME04240     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    SCHOONER ADVENTURE
    P O BOX 1306
    GLOUCESTER,MA01931     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 2,500
    OUTLIERS ROBOTICS ASSOCIATION
    777 HALLOWELL ROAD
    DURHAM,ME04222     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,000
    WATERMANS COMMUNITY
    CENTER
    12 MAINE STREET
    NORTH HAVEN,ME04853     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    NORTH HAVEN ARTS &
    ENRICHMENT
    10 MAIN STREET
    NORTH HAVEN,ME04853     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,000
    NORTH HAVEN SUSTAINABLE
    HOUSING
    148 CRABTREE POINT RD
    NORTH HAVEN,ME04853     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 6,200
    THE CARROLL CTR FOR THE BLIND
    770 CENTRE STREET
    NEWTON,MA02458     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 2,500
    CATHOLIC CHARITIES MAINE
    307 CONGRESS STREET
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) GIFT TO GENERAL FUND 5,000
    EXPRESS YOURSELF INC
    100 CUMMINGS CENTER 165E
    BEVERLY,MA01915     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    FOLK ARTS RAJASTHAN
    314 EAST 84TH ST 11
    NEW YORK,NY10028     		NONE SECTION 501 (C) (3) FUND CHILDREN'S MUSICAL 2,500
    HARVARD COLLEGE
    1350 MASSACHUSETTS AVE
    CAMBRIDGE,MA02138     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,000
    MOUNT HOLYOKE COLLEGE
    50 COLLEGE ST
    SOUTH HADLEY,MA01075     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    GLOUCESTER MEETINGHOUSE
    FOUNDATION
    10 CHURCH STREET
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    ANIMAL RESCUE LEAGUE
    OF BOSTON
    10 CHANDLER ST
    BOSTON,MA02116     		NONE SECTION 501 (C) (3) FUND ANIMAL SHELTERS 1,250
    BAXTER ACADEMIES OF MAINE
    54 YORK STREET
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) FUND VARIOUS STUDENT 10,000
    JEWISH COMMUNITY ALLIANCE
    OF SOUTHERN MAINE
    1342 CONGRESS ST
    PORTLAND,ME04102     		NONE SECTION 501 (C) (3) GIFT TO GENERAL FUND 5,000
    GLOUCESTER EDUCATION
    FOUNDATION
    185 MAIN ST
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) FUND GLOUCESTER SCHOOL 10,000
    GLOUCESTER MARINE
    GENOMICS INSTITUTE
    417 MAIN STREET
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 2,000
    HURRICANE ISLAND
    FOUNDATION
    PO BOX 1280
    ROCKLAND,ME04841     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 100
    IMMIGRANT LEGAL ADVOCACY
    PROJECT
    309 CUMBERLAND AVE
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 2,500
    ISLAND INSTITUTE
    386 MAIN STREET
    ROCKLAND,ME04841     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 50
    MANSHIP ARTISTS RESIDENCY
    & STUDIOS
    PO BOX 7071
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    MAINE INSIDE OUT
    P O BOX 15168
    PORTLAND,ME04112     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 500
    NORTH HAVEN BAPTIST
    CHURCH
    PO BOX 435
    NORTH HAVEN,ME04853     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,000
    ADDISON GILBERT HOSPITAL
    298 WASHINGTON STREET
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    NORTHFIELD MOUNT HERMON
    SCHOOL
    1 LAMPLIGHTER WAY
    GILL,MA01354     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,000
    PLANNED PARENTHOOD OF
    NORTHERN NEW ENGLAND
    443 CONGRESS ST 3RD FL
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 7,500
    ROCKY NECK ART COLONY
    6 WONSON STREET
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO CULTURAL 10,000
    ROCKPORT MUSIC INC
    16 MAIN STREET
    ROCKPORT,MA01966     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    OPPORTUNITY ALLIANCE
    50 MONUMENT SQUARE
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 12,500
    ST JUDE'S HOSPITAL FOR CHILDREN
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    WAYNFLETE SCHOOL
    360 SPRING ST
    PORTLAND,ME04102     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,250
    WAYSIDE FOOD PROGRAMS
    135 WALTON ST
    PORTLAND,ME04103     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 15,000
    LANDING SCHOOL
    286 RIVER ROAD
    ARUNDEL,ME04046     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 500
    PREBLE STREET
    38 PREBLE STREET
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 13,000
    ENGINEERS WITHOUT BORDERS
    USA
    1031 33RD STREET STE 210
    DENVER,CO80205     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 500
    BACKYARD GROWERS
    103R MAPLEWOOD AVE
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    PATHWAYS FOR CHILDREN
    29 EMERSON AVE
    GLOUCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 10,000
    FRIENDS OF KOTZSCHMAR
    ORGAN
    P O BOX 7455
    PORTLAND,ME04112     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 50
    MAINE IMMIGRANTS RIGHTS COALITION
    1 MARGINAL WAY 2ND FL
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    ST MARY'S SCHOOL
    56 SEWALL ST
    AUGUSTA,ME04330     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 300
    CULTIVATING COMMUNITY
    52 MAYO STREET
    PORTLAND,ME04104     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,000
    PORTLAND OVATIONS
    P O BOX 17573
    PORTLAND,ME04112     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 500
    FRIENDS OF THE PCFC
    39 FOREST AVENUE
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 2,500
    GATEWAY COMMUNITY SERVICES
    501 FOREST AVE
    PORTLAND,ME04103     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 1,000
    AMERICAN RED CROSS
    381 PLANTATION ST
    WORCESTER,MA01605     		NONE SECTION 501 (C) (3) GIFT TO GENERAL FUND 4,000
    FIRST R FOUNDATION
    74 LANGSFORD ST
    GLOCESTER,MA01930     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 5,000
    NORTH HAVEN FOUNDATION
    P O BOX 664
    ROCKLAND,ME04841     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 600
    MAYO STREET ARTS
    10 MAYO STREET
    PORTLAND,ME04101     		NONE SECTION 501 (C) (3) CONTRIBUTION TO GENERAL 200
    Total .................................bullet 3a 440,000
    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 ...........     		    14 6,322  
    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 ............     		    18 326,047  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   556,027  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    556,027
    (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

    TY 2021 AccountingFeesSchedule
    Name:
    THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
    EIN:
    22-2999430
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE 2,400 2,400    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
    EIN:
    22-2999430
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CAPITAL ONE 7/23/21 2.95%    
    VISA INC SR GLBL 12/14/2022 2. 50,100 50,925
    APPLE INC SR GLBL NT 5/6/21 2.    
    ABBVIE INC SR NT 5/12/16 2.85% 104,580 102,225
    GENERAL DYNAMICS 2.375% 11/15/ 105,895 103,769
    GENERAL MTRS FNL 3.55% 7/8/22 104,273 101,452
    MCDONALDS CORP 3.35% 4/1/23 105,477 102,950
    ORACLE CORP 2.5% 4/1/25 105,092 102,384
    ROPER INDS 2.35% 9/15/24 104,864 102,553

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
    EIN:
    22-2999430
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ALPHABET INC CL C 58,460 361,699
    AMERIPRISE FINL 54,083 226,245
    APPLE INC 51,930 568,224
    BANK OF AMERICA 69,907 235,797
    CARMAX INC 57,186 195,345
    CHEVRON CORP 252,684 293,375
    CISCO SYSTEMS 78,702 190,110
    DANAHER CORP 49,672 329,010
    ECOLAB INC 54,596 140,754
    FISERV INC 27,608 155,685
    JP MORGAN CHASE 61,664 229,608
    JOHNSON & JOHNSON 65,905 171,070
    MCDONALDS CORP 60,844 187,649
    NOVARTIS AG    
    NVIDIA CORP 13,264 470,576
    OMNICOM GROUP 122,078 117,232
    PEPSICO INC    
    PROCTER & GAMBLE 33,265 81,790
    RESMED INC 33,732 221,408
    ROPER TECH 70,513 216,418
    STRYKER CORP 66,092 213,936
    VANGUARD INFLATION- PROT SEC 101,734 110,817
    VERIZON COMM 91,396 129,900
    MERK & CO INC    
    MICROSOFT CORP 26,093 336,320
    RAYTHEON TECH 137,536 223,756
    CHUBB LIMITED 115,500 193,310
    STARBUCKS CORP 90,451 175,455
    META PLATFORMS INC CL A 113,491 235,445
    FIRST TRUST N A ENERGY    
    HOME DEPOT INC 102,858 280,132
    STANLEY BLACK & DECKER INC 110,712 183,905
    VISA INC CL A 83,973 216,710
    MEDTRONIC PLC 106,934 129,312
    ABBOTT LABORATORIES 98,938 225,184
    ADOBE SYSTEMS INC 123,398 283,530
    AMAZON COM INC 163,996 250,075
    BOOKING HLDGS 102,559 179,942
    CONSTELLATION BRANDS INC CL. A    
    COSTCO WHOLESALE CORP NEW 81,722 227,080
    TJX COS INC NEW 85,540 151,840
    THERMO FISHER SCIENTIFIC INC 95,070 300,258
    VALERO ENERGY CORP NEW    
    BALL CORP 74,951 110,711
    BERKSHIRE HATHAWAY 125,703 194,350
    CARLISLE COS INC 131,479 248,120
    GALLAGHER ARTHUR 126,400 203,604
    ISHARES US PREF 105,518 118,290
    SMITH A O CORP 149,892 257,550
    VMWARE INC 128,415 120,515
    WATSCO INC 78,485 156,440
    VANGUARD S/T BOND ETF 100,815 99,017
    FACEBOOK INC    
    APTIV PLS SHS COM 76,436 82,475
    FEDERATED HERBES ULT BD 250,000 248,644

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
    EIN:
    22-2999430
    US Government Securities - End of Year Book Value:

    100,328
    US Government Securities - End of Year Fair Market Value:

     
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2021 LegalFeesSchedule
    Name:
    THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
    EIN:
    22-2999430
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - INCOME (ALLOCABLE 790 790    


    TY 2021 OtherAssetsSchedule
    Name:
    THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
    EIN:
    22-2999430
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    CAMDEN PRIVATE CAPITAL III 112,934 88,782 242,352


    TY 2021 OtherIncomeSchedule2
    Name:
    THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
    EIN:
    22-2999430
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    CAMDEN PRIVATE CAPITAL III, LLC 69,047 69,047  


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE JEBEDIAH FOUNDATION 7563-XXXXXX00129
    EIN:
    22-2999430
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 54,504 54,504