TY 2021 Form 990PF

- TIN:

Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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 Sam Mazza Foundation

Number and street (or P.O. box number if mail is not delivered to street address)PO Box 14700
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
San Francisco, CA94114

A Employer identification number

20-3644356

B Telephone number (see instructions)

(650) 355-0272

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$18,794,140J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	19
2	Check .............
3	Interest on savings and temporary cash investments	226		226
4	Dividends and interest from securities...	139,633		139,633
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		470,254
b	Gross sales price for all assets on line 6a 2,174,057
7	Capital gain net income (from Part IV, line 2)...			470,254
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).......		91,783	91,783
12	Total. Add lines 1 through 11........	701,915		701,896
13	Compensation of officers, directors, trustees, etc.	104,409			104,409
14	Other employee salaries and wages......	65,000			65,000
15	Pension plans, employee benefits.......	12,187			10,182
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		1,054		1,054
c	Other professional fees (attach schedule)....		97,589	88,789	8,800
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		47,668	2,998	17,614
19	Depreciation (attach schedule) and depletion...		90,883
20	Occupancy..............	4,131			4,131
21	Travel, conferences, and meetings.......	2,059			2,051
22	Printing and publications..........
23	Other expenses (attach schedule).......		925,384	60	669,314
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	1,350,364		91,847	882,555
25	Contributions, gifts, grants paid.......	407,530			407,530
26	Total expenses and disbursements. Add lines 24 and 25	1,757,894		91,847	1,290,085
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-1,055,979
b	Net investment income (if negative, enter -0-)			610,049
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2021)

Form 990-PF (2021)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	695,327	105,394	105,394
	2	Savings and temporary cash investments.........	465,501	440,406	440,406
	3	Accounts receivable 1,453
		Less: allowance for doubtful accounts	1,908	1,453	1,453
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........	2,668
	10a	Investments—U.S. and state government obligations (attach schedule)	107,221	136,827	136,827
	b	Investments—corporate stock (attach schedule).......	5,271,382	5,737,603	5,737,603
	c	Investments—corporate bonds (attach schedule).......	1,592,808	1,587,637	1,587,637
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	8,816,834	8,776,867	8,776,867
	14	Land, buildings, and equipment: basis 2,804,823
		Less: accumulated depreciation (attach schedule) 1,059,725	1,834,488	1,745,098	1,745,098
	15	Other assets (describe )	262,855	262,855	262,855
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	19,050,992	18,794,140	18,794,140
	17	Accounts payable and accrued expenses..........		255,175
	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 )
	23	Total liabilities (add lines 17 through 22).........		255,175
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	19,050,992	18,538,965
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	19,050,992	18,538,965
	30	Total liabilities and net assets/fund balances (see instructions).	19,050,992	18,794,140

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

19,050,992

Enter amount from Part I, line 27a .....................

-1,055,979

Other increases not included in line 2 (itemize) bullet

543,952

Add lines 1, 2, and 3 ..........................

18,538,965

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

18,538,965

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	Sales of Publicly Traded Securities	P	2021-12-12	2021-12-12
b	Capital Gains Distributions	P	2021-12-12	2021-12-12
c
d
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	2,152,018	1,703,803	448,215
b	22,039		22,039
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69			(l) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col.(h))
(i) F.M.V. as of 12/31/69	(j) Adjusted basis as of 12/31/69	(k) Excess of col. (i) over col. (j), if any
a			448,215
b			22,039
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	470,254
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 ...................		3	470,254

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 and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2...........................	3	8,480
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	8,480
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	15,000
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	15,000
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	85
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	6,435
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax6,435	Refunded	11

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

www.sammazzafoundation.org

The books are in care of bullet

Jeanette Cool Telephone no. bullet

(650) 355-0272

Located at bullet

PO Box 14700San FranciscoCA ZIP+4 bullet

94114

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

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

Yes

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

Yes

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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? .............

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)):

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?....................

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

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.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

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).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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 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
Jeanette Cool	Exec Dir 40.00	102,917	1,492
PO Box 14700 San Francisco,CA94114	Exec Dir 40.00	102,917	1,492
Anne Galjour	Director 3.88	0
PO Box 14700 San Francisco,CA94114	Director 3.88	0
Robert C Hood	Treasurer 3.88	0
PO Box 14700 San Francisco,CA94114	Treasurer 3.88	0

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
Dorian Jamal C Cool	Advisor 40.00	65,000	942
PO Box 14700 San Francisco,CA94114	Advisor 40.00	65,000	942








Total number of other employees paid over $50,000...................

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
RBC Wealth Management	Investment Management	88,789
345 California Street 29th Fl San Francisco,CA94104	Investment Management	88,789
Western Specialty Contractors	Construction & Repairs	777,352
15061 Wicks Blvd San Leandro,CA94577	Construction & Repairs	777,352

Total number of others receiving over $50,000 for professional services............. bullet

Part VIII-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2021)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

8,851,488

Average of monthly cash balances.......................

867,836

Fair market value of all other assets (see instructions)................

6,176,672

Total (add lines 1a, b, and c).........................

15,895,996

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

15,895,996

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

238,440

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

15,657,556

Minimum investment return. Enter 5% (0.05) of line 5................

782,878

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.)

Minimum investment return from Part IX, line 6..................

782,878

Tax on investment income for 2021 from Part V, line 5.......

8,480

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

8,480

Distributable amount before adjustments. Subtract line 2c from line 1............

774,398

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

774,398

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

774,398

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

Form 990-PF (2021)

Page 9

Part XII

Undistributed Income (see instructions)

		(a) Corpus	(d) 2021
1 Distributable amount for 2021 from Part X, line 7			774,398
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2021:
a From 2016......
b From 2017......	36,403
c From 2018......	538,466
d From 2019......	506,197
e From 2020......	74,406
f Total of lines 3a through e ........		1,155,472
4Qualifying distributions for 2021 from Part
XI, line 4: $ 1,290,085
a Applied to 2020, but not more than line 2a
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........		0
d Applied to 2021 distributable amount.....			774,398
e Remaining amount distributed out of corpus		515,687
5 Excess distributions carryover applied to 2021.
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		1,671,159
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........			0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		1,671,159
10 Analysis of line 9:
a Excess from 2017....	36,403
b Excess from 2018....	538,466
c Excess from 2019....	506,197
d Excess from 2020....	74,406
e Excess from 2021....	515,687

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 4942(j)(3) or4942(j)(5)

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	(e) Total

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).)

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

The Sam Mazza Foundation Attn Jeane
PO Box 14700
San Francisco,CA94114
(650) 355-0272
N/A

bThe form in which applications should be submitted and information and materials they should include:

The Foundation requires application for LOI from an online link at the website (www.sammazzafoundation.org) and an invitation to submit formal grant proposal upon approval of LOI. The information includes organizations information, mission and values, financial statements, budgets and relevant public relations and website information.

cAny submission deadlines:

Posted on the website for the Sam Mazza Foundation.

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

Few restrictions or limitations on awards presently, but Bay Area proposals are preferential. Funding focus areas are the arts and arts education, often with special emphases on youth.

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
Dance Brigade 3316 24th Street San Francisco,CA94110	N/A	PC	DIVA investment in the artsinstruction/performance, paid internships and job training.	30,000
Dimensions Dance Theater 1428 Alice Street 308 Oakland,CA94612	N/A	PC	Rites of Passage	15,000
Episcopal Community Services 165 8th Street San Francisco,CA94103	N/A	PC	Chefs Culinary Arts Training Program for Homeless & Low-Income adults and transition-aged youth in Tenderloin, San Francisco	9,000
ODC 3153 17th Street San Francisco,CA94110	N/A	PC	QBIPOC Artist Residency program	10,000
Pacifica Resource Center 9 Palmetto Avenue Pacifica,CA94044	N/A	PC	Sponsorship for community fundraising to support low-income/homeless in Pacifica, CA	2,500
Stagebridge 2501 Harrison Street Oakland,CA94612	N/A	PC	Storybridge Project	7,500
Pacifica Gardens 830 Rosita Road Pacifica,CA94044	N/A	PC	Upgrade & Extension	17,000
Pacifica Spindrift Players 1050 Crespi Dr Pacifica,CA94044	N/A	PC	LED There Be Light	10,000
Bright Stars of Bethlehem NFP PO Box 185 Mount Morris,IL61054	N/A	PC	Art Gallery	30,000
Kansas University Endowment 1891 Constant Avenue Lawrence,KS66044	N/A	PC	Lied Across Kansas - support to bring professional artists into rural environments for training and performance.	25,000
Youth Musical Theater Company PO Box 9207 Berkeley,CA94709	N/A	PC	Tuition Assistance Program for training of young musical theater artists.	10,000
Council on Foundation PO Box 75661 Baltimore,MD21275	N/A	PC	Council on Foundations	2,500
Comedy Celebration Day Inc 1036 Pacheco Street San Francisco,CA94116	N/A	PC	Comedy Celebrations Day	5,000
FoolsFURY Theater 901 Mission Street 306 San Francisco,CA94103	N/A	PC	Uprooted performance at BUILD	6,000
Opera Parallle 44 Page Street San Francisco,CA94102	N/A	PC	Harriets Spirit	15,000
Pacifica Historical Society 1850 Francisco Blvd Pacifica,CA94044	N/A	PC	Marvin Morganti Memorial	150
Ars Minerva 3983 Cesar Chavez San Francisco,CA94131	N/A	PC	Messalina	12,500
Crowded Fire Theater Company 1695 18th St C101 Annex San Francisco,CA94107	N/A	PC	The Displaced - Development & Premier	12,500
Deborah Slater Dance Theater 3435 Cesar Chavez 210 San Francisco,CA94110	N/A	PC	In the Presence of Absence working title	10,000
Destiny Arts Center 970 Grace Ave Oakland,CA94608	N/A	PC	General Support	25,000
San Francisco Girls Chorus 44 Page St Ste 200 San Francisco,CA94102	N/A	PC	Juditha Triumphans	12,500
SF International Arts Festival 870 Market St Ste 1256 San Francisco,CA94102	N/A	PC	The Alumni Project	16,000
The University Corporation 18111 Nordhoff St Northridge,CA91330	N/A	PC	Mazza Writer in Residence	10,000
Art Forces 2633 Telegraph Avenue Suite 405 Oakland,CA94612	N/A	PC	I Witness Silwan	15,000
Paul Dresher Ensemble 55 Taylor Street San Francisco,CA94102	N/A	PC	DEAR Artist Residency	10,000
Spindrift School of Performing Arts PO Box 891 Pacifica,CA94044	N/A	PC	Access & Sustainability	10,000
Theatre Bay Area 1119 Market Street San Francisco,CA94103	N/A	PC	Reopening Project	20,000
San Francisco Waldorf School 2938 Washington Street San Francisco,CA94115	N/A	PC	Eurythmy Touring Grant	15,000
San Jose State University Research 210 N 4th St Fl 4 San Jose,CA95112	N/A	PC	Maryam	12,000
Gelb Music 722 El Camino Real Redwood City,CA94063	N/A	PC	Local Musician Program	1,380
Latino Music Education Network 185 Seminary Dr Menlo Park,CA94025	N/A	PC	Capacity Building for equitable future	10,000
Look What SHE Did 137 N Larchmont Los Angeles,CA90004	N/A	PC	General Support	1,000
Near Arnold's School of Performing 508 W Perkins St Ukiah,CA95482	N/A	PC	SPACE deputy director	15,000
Playground 2020 Addison Street Berkeley,CA94704	N/A	PC	Mobius	5,000
Total ................................. 3a				407,530

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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	226
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	470,254
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aIncome from LLC's			16	91,783
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..				701,896

13Total. Add line 12, columns (b), (d), and (e)..................

701,896

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:	21013475
Software Version:	2021v4.0

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2021 AccountingFeesSchedule

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Accounting & Tax Preparation Fees	1,054	0	0	1,054

- TIN:

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

TY 2021 DepreciationSchedule

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense
900 Mirador Building	2002-06-14	900,000	386,589	SL	27.5000	32,727
900 Mirador Improvements	2007-07-01	144,718	60,350	SL	27.5000	5,262
900 Mirador Improvements	2008-07-01	439,626	172,351	SL	27.5000	15,986
900 Mirador Improvements	2009-07-01	126,427	46,402	SL	27.5000	4,597
900 Mirador Improvements	2010-07-01	317,860	108,726	SL	27.5000	11,559
900 Mirador Improvements	2011-07-01	395,903	125,516	SL	27.5000	14,396
900 Mirador Improvements	2012-07-01	34,855	10,176	SL	27.5000	1,267
900 Mirador Improvements	2013-07-01	110,576	29,574	SL	27.5000	4,021
Office Equipment	2017-01-01	5,239	4,560	200DB	5.0000	272
Office Equipment	2019-01-01	825	528	200DB	5.0000	119
Office Equipment	2020-01-01	331	132	200DB	5.0000	80
Office Equipment 2021	2021-01-01	1,493		200DB	5.0000	597

- TIN:

TY 2021 InvestmentsCorpBondsSchedule

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Name of Bond	End of Year Book Value	End of Year Fair Market Value
PAYPAL HLDGS INC 2.200%	23,384	23,384
MASSACHUSETTS HOUSING FINANCE 1.150%	5,005	5,005
TORONTO DOMINION BANK .750%	14,543	14,543
UNITED STATES TREASURY NOTE 2.125%	10,166	10,166
AMERICAN HONDA FINANCE 2.050%	9,965	9,965
BANK OF NOVA SCOTIA 1.950%	15,175	15,175
UNITED STATES TREASURY NOTE 0.250%	14,931	14,931
GENERAL MILLS INC 3.700%	10,465	10,465
UNITED STATES TREASURY NOTE 2.750%	20,758	20,758
BOSTON PPTYS LTD PARTNERSHIP 3.800%	5,230	5,230
MICROSOFT CORP 2.875%	15,615	15,615
NEW YORK ST URBAN DEV CORP 0.965%	24,982	24,982
GEISINGER AUTH PA HEALTH SYS 1.680%	14,928	14,928
AMERICAN EXPRESS CO 2.500%	10,333	10,333
SAN DIEGO CALIF PUB FACS FING 1.450%	15,086	15,086
MORGAN STANLEY 3.700%	10,652	10,652
ABBOTT LABORATORIES 2.950%	10,503	10,503
TARGET CORP 2.250%	10,310	10,310
ABBVIE 3.20%	10,702	10,702
UNITEDHEALTH GROUP INC 3.750%	16,271	16,271
INTEL CORP 3.700%	16,192	16,192
OHIO ST TAXABLE GO HIGHER ED 0.939%	14,829	14,829
SIMON PROPERTY GROUP INC 3.500%	10,662	10,662
COLLIN CNTY TEX TAXABLE LTD 1.218%	24,880	24,880
PRUDENTIAL FINANCIAL INC 1.500%	10,010	10,010
DOUGLAS CNTY NEB SCH DIST NO 1.462%	25,183	25,183
FEDERAL NATIONAL MTG ASSN 1.875%	20,556	20,556
UNIVERSITY N C CHAPEL HILL 2.529%	26,324	26,324
AMGEN 2.200%	10,242	10,242
VERIZON COMMUNICATIONS INC 4.125%	11,116	11,116
NIKE INC 2.750%	15,901	15,901
UNITED STATES TREASURY NOTE 2.250%	31,493	31,493
MERCK & CO INC 3.400%	16,332	16,332
HOME DEPOT INC 2.950%	15,994	15,994
CVS HEALTH CORP 3.250%	10,672	10,672
WALT DISNEY CO 2.000%	14,935	14,935
UNION PACIFIC CORP 3.70%	11,065	11,065
AT&T INC 4.300%	11,265	11,265
MASTERCARD 3.350%	11,011	11,011
ARROW ELECTRONICS INC 3.500%	18,036	18,036
CAPITAL ONE FINL CORP 3.200%	21,511	21,511
ZURICH REINS CENTRE 7.125%	22,069	22,069
WESTINGHOUSE 4.400%	23,273	23,273
EXPRESS SCRIPTS HLDG CO 3.500%	18,869	18,869
EXPEDIA INC DEL 4.500%	23,513	23,513
FEDERAL NATIONAL MTG ASSN 2.625%	22,600	22,600
HOSPITALITY PPTYS TR 4.350%	21,560	21,560
AMERICAN TOWER CORP NEW 3.125%	5,238	5,238
NASDAQ STK MKT INC 3.850%	22,908	22,908
TJX COS INC 2.250%	23,758	23,758
BROADCOM CORP 4.75%	22,785	22,785
JEFFERIES GROUP 4.850%	22,700	22,700
DISCOVER FINL SVCS 4.100%	22,775	22,775
MICRON TECHNOLOGY INC 4.185%	22,997	22,997
SEAGATE HDD CAYMAN 4.875%	22,890	22,890
FEDERAL FARM CREDIT BANK 0.900%	72,773	72,773
UNITED STATES TREASURY NOTE 0.125%	19,966	19,966
MITSUBISHI UFJ FINL GROUP 3.455%	15,448	15,448
UNITED STATES TREASURY NOTE 0.125%	19,909	19,909
UNITED STATES TREASURY NOTE 0.125%	9,871	9,871
ANTHEM INC 4.101%	11,096	11,096
ANHEUSERBUSCH 4.75%	5,824	5,824
LOWES COMPANIES INC 3.65%	10,972	10,972
PROLOGIS L P 1.25%	9,310	9,310
ALEXANDRIA REAL ESTATE EQUITIE 4.900%	6,012	6,012
KEURIG DR PEPPER INC 2.25%	9,865	9,865
SALESFORCE COM INC 1.95%	9,918	9,918
ACCRUED INTEREST ON BONDS	11,275	11,275
FREDDIE MAC 0.25%	64,393	64,393
SOUTHWEST AIRLS CO 5.25%	22,223	22,223
FREDDIE MAC 0.5%	32,129	32,129
KEYCORP 4.15%	22,978	22,978
AMERICAN TOWER CORP 4.40%	22,928	22,928
HCA INC 4.50%	22,044	22,044
APPLE INC 3.20%	22,662	22,662
EBAY INC 3.60%	4,352	4,352
VMWARE INC 3.90%	22,878	22,878
MPT OPERATING PARTNERSHIP 5.00%	23,018	23,018
UNITED RENTALS NORTH AMER INC 3.875%	22,796	22,796
SILGAN HOLDINGS INC 4.25%	22,468	22,468
BANK NEW YORK MELLON CORP 3.44%	23,618	23,618
DXC TECHNOLOGY CO 2.375%	22,503	22,503
CDW LLC/CDW FIN CORP 3.25%	23,205	23,205
UNITED STATES TREASURY NOTE 0.125%	68,805	68,805
JPMORGAN CHASE FINL CO 3.625%	17,250	17,250

- TIN:

TY 2021 InvestmentsCorpStockSchedule

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Name of Stock	End of Year Book Value	End of Year Fair Market Value
COCA COLA COMPANY 75 sh	45,888	45,888
COMMERCE BANCSHARES INC 453 sh	31,139	31,139
CULLEN FROST BANKERS 258 sh	32,526	32,526
EAST WEST BANCORP INC 265 sh	20,850	20,850
ELANCO ANIMAL HEALTH 908 sh	25,769	25,769
LENNAR CORP 492 sh	57,151	57,151
MARTIN MARIETTA MATERIALS 111 sh	48,898	48,898
MICROCHIP TECHNOLOGY 592 sh	51,540	51,540
MICROSOFT 254 sh	85,425	85,425
PARKER HANNIFIN 144 sh	45,809	45,809
PAYPAL HOLDINGS 41 sh	7,732	7,732
PNC FINANCIAL SVCS GROUP 311 sh	50,932	50,932
PROCTER & GAMBLE 296 sh	48,420	48,420
RPM INTERNATIONAL 452 sh	45,652	45,652
TWITTER 591 sh	25,543	25,543
WALGREEN BOOTS ALLIANCE 411 sh	21,438	21,438
XYLEM 371 sh	44,490	44,490
ADOBE INC 92 sh	52,170	52,170
AMERIPRISE 142 sh	42,836	42,836
AMGEN 197 sh	44,319	44,319
ANSYS 52 sh	20,858	20,858
CAPITAL ONE FINANCIAL 38 sh	49,040	49,040
CINCINNATI FINANCIAL CORP 308 sh	35,090	35,090
DANAHER CORPORATION 222 sh	73,040	73,040
ALCON 367 sh	31,973	31,973
CHUBB 165 sh	31,896	31,896
JOHNSON CONTROLS 644 sh	52,364	52,364
MEDTRONIC 255 sh	26,380	26,380
SONY CORPORATION 438 sh	55,363	55,363
EQUITY LIFESTYLE PROPERTIES 283 sh	24,808	24,808
SUN COMMUNITIES 125 sh	26,246	26,246
ADOBE INC 92 sh	52,170	52,170
ALPHABET 8 sh	23,176	23,176
AMAZON 7 sh	23,340	23,340
ANALOG 216 sh	37,966	37,966
AUTODESK 61 sh	45,272	45,272
BIORAD LABORATORIES 52 sh	39,290	39,290
CADENCE DESIGN SYSTEMS 313 sh	58,328	58,328
DANAHER CORPORATION 217 sh	71,395	71,395
DYNATRACE 717 sh	43,271	43,271
ECOLAB 108 sh	25,336	25,336
EDWARDS LIFESCIENCES 341 sh	44,177	44,177
ETSY 143 sh	31,308	31,308
HOME DEPOT INC 101 sh	41,916	41,916
IDEXX LABORATORIES 104 sh	59,920	59,920
INTUIT 111 sh	71,397	71,397
MICROSOFT 249 sh	83,744	83,744
MONOLITHIC 91 sh	44,893	44,893
NIKE 256 sh	42,668	42,668
NORDSON 44 sh	11,232	11,232
SERVICENOW 78 sh	50,631	50,631
STARBUCKS 290 sh	33,921	33,921
THERMO FISHER SCIENTIFIC 96 sh	64,055	64,055
TYLER TECHNOLOGIES 51 sh	27,435	27,435
UNITEDHEALTH GROUP 141 sh	70,802	70,802
VERISK ANALYTICS 270 sh	61,757	61,757
VISA INC 288 sh	62,412	62,412
WEST PHARMACEUTICAL SVCS 67 sh	31,424	31,424
MARVELL TECHNOLOGY 667 sh	58,356	58,356
AMERICAN TOWER CORPORATION 228 sh	66,690	66,690
AIA GROUP LTD 609 sh	24,559	24,559
ALIBABA GROUP HOLDING 123 sh	14,611	14,611
ASML HOLDING, 24 sh	19,107	19,107
ASTRAZENECA 439 sh	25,572	25,572
CANADIAN PACIFIC RAILWAY 248 sh	17,841	17,841
CREDIT SUISSE GROUP 1,920 sh	18,509	18,509
CYBERARK SOFTWARE LTD 61 sh	10,570	10,570
ERICSSON 1,370 sh	14,892	14,892
ESSILORLUXOTTICA 125 sh	13,308	13,308
GENMAB 228 sh	9,020	9,020
GRIFOLS 1,007 sh	11,309	11,309
HDFC BK LTD 258 sh	16,788	16,788
INFINEON TECHNOLOGIES AG 572 sh	26,513	26,513
KERRY GROUP PLC 84 sh	10,818	10,818
KION GROUP AG 508 sh	13,934	13,934
LONDON STK EXCHANGE GROUP 604 sh	14,173	14,173
MACQUARIE 94 sh	14,038	14,038
NIDEC CORPORATION 543 sh	15,938	15,938
NXP SEMICONDUCTORS N V 96 sh	21,867	21,867
PAGSEGURO DIGITAL LTD 307 sh	8,050	8,050
PING AN INSURANCE GROUP 1,296 sh	18,668	18,668
PRUDENTIAL PLC SPONS 572 sh	19,694	19,694
SAP 80 sh	11,209	11,209
SEVEN & I HOLDINGS CO 714 sh	15,674	15,674
SHISEIDO CO LTD 213 sh	11,864	11,864
SONY CORPORATION 182 sh	23,005	23,005
SYMRISE 342 sh	12,669	12,669
TAIWAN SEMICONDUCTOR MFG CO 226 sh	27,190	27,190
TENCENT HOLDINGS LIMITED 388 sh	22,734	22,734
TORAY INDUSTRIES INC 1,364 sh	16,151	16,151
TOYOTA MOTOR CORPORATION 98 sh	18,159	18,159
TREASURY WINE ESTATES LTD 2,779 sh	25,014	25,014
MANULIFE FINANCIAL 1,022sh	19,490	19,490
ADIDAS AG 88 sh	12,669	12,669
ADYEN N V 1,026 sh	26,970	26,970
AIA GROUP LTD 400 sh	12,179	12,179
ALCON 140 sh	12,197	12,197
ALFA LAVAL AB 328 sh	13,201	13,201
ALIBABA GROUP HOLDING LTD 4 sh	475	475
ALLIANZ SE 1,158 sh	27,345	27,345
ATLAS COPCO ABSPONSORED 445 sh	30,758	30,758
BANCO BILBAO VIZCAYA 1,919 sh	11,265	11,265
CANADIAN NATIONAL RAILWAY 111 sh	13,637	13,637
CHECK POINT SOFTWARE 155 sh	18,067	18,067
CHUGAI PHARMACEUTICAL LTD 706	11,449	11,449
DASSAULT SYSTEMS S A 399 sh	23,735	23,735
DBS GROUP HOLDINGS LTD 160 sh	15,504	15,504
FANUC CORPORATION 368 sh	7,791	7,791
FOMENTO ECONOMICO MEXICANO 227 sh	17,640	17,640
FUCHS PETROLUB SE 538 sh	6,106	6,106
HDFC BK LTD 133 sh	8,654	8,654
ICICI BANK LTD 770 sh	15,238	15,238
ITAU UNIBANCO BANCO HOLDING 1,942 sh	7,286	7,286
KUBOTA CORPORATION 146 sh	16,187	16,187
L OREAL COADR 349 sh	33,096	33,096
LONZA GROUP AG ZUERICH 229 sh	19,141	19,141
NITORI HOLDINGS CO 591 sh	8,840	8,840
NOVOZYMES 138 sh	11,335	11,335
PING AN INSURANCE GROUP 765 sh	11,019	11,019
ROCHE HOLDING 515 sh	26,785	26,785
SAP 169 sh	23,679	23,679
SCHNEIDER ELECTRIC SE 629 sh	24,672	24,672
SGS 350 sh	11,704	11,704
SHIONOGI 682 sh	12,030	12,030
SONOVA HOLDING AG 135 sh	10,603	10,603
SYMRISE 427 sh	15,818	15,818
SYSMEX CORPORATION 242 sh	16,339	16,339
TAIWAN SEMICONDUCTOR 124 sh	14,918	14,918
TENCENT HOLDINGS LIMITED 346 sh	20,273	20,273
UNICHARM 2,064 sh	17,920	17,920
UNILEVER 250 sh	13,448	13,448
YANDEX 123 sh	7,442	7,442
AMAZON 8 sh	60,018	60,018
AMEDISYS 107 sh	17,321	17,321
ANALOG DEVICES 106 sh	18,632	18,632
ANSYS 141 sh	56,558	56,558
BLACKLINE 147 sh	15,220	15,220
COSTAR 335 sh	26,475	26,475
DANAHER CORPORATION 75 sh	24,676	24,676
ECOLAB 52 sh	12,199	12,199
FASTENAL 348 sh	22,293	22,293
FIVE BELOW 98 sh	20,275	20,275
GRAND CANYON EDUCATION 206 sh	17,656	17,656
GUIDEWIRE 67 sh	7,607	7,607
HENRY JACK & ASSOCIATES INC 62 sh	10,353	10,353
IDEXX LABORATORIES CORP 32 sh	21,071	21,071
MICROSOFT 147 sh	49,439	49,439
NEOGEN 152 sh	6,902	6,902
NETFLIX 18 sh	10,844	10,844
NVIDIA 72 sh	21,176	21,176
PAYCOM 56 sh	23,251	23,251
ROLLINS 448 sh	15,326	15,326
SALESFORCE 91 sh	23,126	23,126
SERVICENOW 25 sh	16,228	16,228
STARBUCKS 162 sh	18,949	18,949
TELADOC 59 sh	5,417	5,417
UNITEDHEALTH 38 sh	19,081	19,081
VEEVA SYSTEMS 78 sh	19,927	19,927
VERISK ANALYTICS 90 sh	20,586	20,586
VISA 50 sh	10,836	10,836
WEST PHARMACEUTICAL 129 sh	60,502	60,502
2U INC 250 sh	5,018	5,018
GLOBANT S A 114 sh	35,806	35,806
IHS MARKIT LTD 165 sh	21,932	21,932
RITCHIE BROS AUCTIONEERS 319 sh	19,526	19,526
ROCHE HOLDING LTD 59 sh	3,069	3,069
A O SMITH CORPORATION 144 sh	12,362	12,362
AKAMAI TECHNOLOGIES 126 sh	14,747	14,747
AMERICAN FINANCIAL GROUP 92 sh	11,535	11,535
APPLIED INDUSTRIAL 128 sh	13,146	13,146
APTARGROUP 90 sh	11,023	11,023
ASPEN TECHNOLOGY INC 127 sh	19,329	19,329
AVERY DENNISON 61 sh	13,211	13,211
BROADRIDGE FINANCIAL SOLUTIONS 53 sh	9,689	9,689
BROWN & BROWN INC 218 sh	15,321	15,321
C H ROBINSON WORLDWIDE 80 sh	8,610	8,610
CARTERS 91 sh	9,211	9,211
CBOE GLOBAL MARKETS 70 sh	9,128	9,128
CHEMED CORPORATION 32 sh	16,929	16,929
CHOICE HOTELS INTERNATIONAL 96 sh	14,975	14,975
CITRIX SYSTEMS 95 sh	9,175	9,175
COHEN & STEERS 90 sh	8,326	8,326
COLUMBIA SPORTSWEAR 91 sh	8,867	8,867
COOPER COMPANIES INC 35 sh	14,663	14,663
DOLBY LABORATORIES 119 sh	5,523	5,523
DONALDSON 240 sh	14,222	14,222
DORMAN PRODUCTS 91 sh	10,284	10,284
EAST WEST BANCORP 152 sh	11,959	11,959
EXPEDITORS INTERNATIONAL 120 sh	16,115	16,115
FACTSET RESEARCH 29 sh	14,094	14,094
FLOWERS FOODS 365 sh	10,027	10,027
F5 NETWORKS 53 sh	12,970	12,970
HENRY SCHEIN 130 sh	10,079	10,079
HUBBELL 72 sh	14,995	14,995
INTERPUBLIC 347 sh	12,995	12,995
IPG PHOTONICS 40 sh	6,886	6,886
JONES LANG LASALLE 66 sh	17,776	17,776
M & T BANK CORP 95 sh	14,590	14,590
PROGRESS SOFTWARE CORPORATION 198 sh	9,557	9,557
RPM INTERNATIONAL 163 sh	16,463	16,463
SEI INVESTMENTS 225 sh	13,712	13,712
SIGNATURE BANK 54 sh	17,467	17,467
SMUCKER J M 63 sh	8,557	8,557
TEXAS ROADHOUSE 81 sh	7,232	7,232
TOPBUILD CORP 71 sh	19,590	19,590
TRACTOR SUPPLY CO 79 sh	9,783	9,783
UMB FINANCIAL CORP 108 sh	11,460	11,460
UNIFIRST CORPMASS 33 sh	6,943	6,943
WATERS CORP 50 sh	18,630	18,630
WILLIAMS SONOMA 78 sh	13,192	13,192
AMDOCS LIMITED 95 sh	7,110	7,110
STERIS PLC 64 sh	15,578	15,578
CUBESMART 130 sh	7,398	7,398
LAMAR ADVERTISING 104 sh	12,615	12,615
STAG INDUSTRIAL 171 sh	8,201	8,201
HENRY JACK & ASSOCIATES 61 sh	10,186	10,186
CAVCO INDS 34 sh	10,800	10,800
CHURCH & DWIGHT CO 114 sh	11,685	11,685
HAEMONETICS CORPMASS 89 sh	4,721	4,721
ROBERT HALF INTERNATIONAL 86 sh	9,591	9,591
TORO CO 98 sh	9,791	9,791
PHYSICIANS REALTY TRUST 329 sh	6,195	6,195
AVALARA INC 82 sh	10,587	10,587
CERTARA INC 337 sh	9,578	9,578
ENSIGN GROUP INC 89 sh	7,472	7,472
IAC INTERACTIVECORP 76 sh	9,934	9,934
ILLUMINA INC 27 sh	10,272	10,272
OAK STREET HEALTH INC 207 sh	6,860	6,860
TWILIO INC 28 sh	7,374	7,374
VIMEO INC 123 sh	2,209	2,209
FIVERR INTERNATIONAL LTD 54 sh	6,140	6,140
DEUTSCHE TELEKOM AG 467 sh	8,656	8,656
FERRARI NV 49 sh	12,682	12,682
INFOSYS LIMITED 603 sh	15,262	15,262
MURATA MANUFACTURING CO 750 sh	14,910	14,910
RYANAIR HLDGS 134 sh	13,712	13,712
SIKA AG 350 sh	14,605	14,605
WORLDLINE SA 337 sh	9,391	9,391
XP INC 271 sh	7,789	7,789
CONSTELLATION BRANDS 23 sh	5,772	5,772
QUALCOMM INC 308 sh	56,324	56,324
MICHELIN COMPAGNIE GENERALE 1,184 sh	38,819	38,819
MITSUBISHI UFJ FINL GROUP 4,355 sh	23,778	23,778
CSPC PHARMACEUTICALS GROUP 1,969 sh	8,557	8,557
DBS GROUP HOLDINGS 263 sh	25,485	25,485
HAIER SMART HOME CO 472 sh	7,980	7,980
ITAU UNIBANCO BANCO HOLDING 1,993 sh	7,474	7,474
P T TELEKOMUNIKASI 435 sh	12,611	12,611
XP INC 46 sh	1,322	1,322
BLOCK INC 163 sh	26,326	26,326
ECOLAB INC 142 sh	33,312	33,312
ENPHASE ENERGY INC 94 sh	17,196	17,196
MSCI INC 75 sh	45,952	45,952
NVIDIA 199 sh	58,528	58,528

- TIN:

TY 2021 InvestmentsGovtObligationsSch

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

US Government Securities - End of Year Book Value:

136,827

US Government Securities - End of Year Fair Market Value:

136,827

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

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

- TIN:

TY 2021 InvestmentsOtherSchedule2

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
Land Investments	FMV	1,250,000	1,250,000
160 Liberty, LLC	FMV	1,262,219	1,262,219
299 Cole, LLC	FMV	1,587,257	1,587,257
2255 Market, LLC	FMV	3,097,479	3,097,479
NEW ALTERNATIVES FUND 1,906 sh	FMV	167,348	167,348
PAX GLOBAL 10,210.593 sh	FMV	259,349	259,349
COMMUNITY CAPITAL FUNDS 74,613.255 sh	FMV	784,931	784,931
ALPHABET INC 25 sh	FMV	72,426	72,426
LAMB WESTON HOLDINGS 97 sh	FMV	6,148	6,148
LINCOLN ELEC HOLDINGS 93 sh	FMV	12,971	12,971
MANHATTAN ASSOCIATES 97 sh	FMV	12,284	12,284
MASCO CORP 162 sh	FMV	11,376	11,376
MEDPACE HOLDINGS 99 sh	FMV	21,546	21,546
MIDDLEBY CORP 42 sh	FMV	8,264	8,264
NETAPP 125 sh	FMV	11,499	11,499
OMNICOM 205 sh	FMV	15,020	15,020
PACKAGING CORP 57 sh	FMV	7,761	7,761
PERKINELMER 102 sh	FMV	20,508	20,508
ALKEON INNOVATION OFFSHORE 68,167 sh	FMV	68,167	68,167
ALKEON INNOVATION OFFSHORE 46,250 sh	FMV	46,250	46,250
CROWN CASTLE INTERNATIONAL 259 sh	FMV	54,064	54,064

- TIN:

TY 2021 LandEtcSchedule2

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
Furniture and Fixtures	12,101	11,300	801	785
Machinery and Equipment	22,107	18,926	3,181	3,197
Buildings	900,650	419,316	481,334	481,334
Improvements	1,569,965	610,183	959,782	959,782
Land	300,000		300,000	300,000

- TIN:

TY 2021 OtherAssetsSchedule

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
Art Collection	262,855	262,855	262,855

- TIN:

TY 2021 OtherExpensesSchedule

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Description	Revenue and Expenses per Books	Net Investment Income	Disbursements for Charitable Purposes
Bank Charges	60	60
Board Expenses	850		93
Cleaning	500		500
Decor	4,366		4,333
Dues & Subscriptions	3,011		3,006
Fees	210		210
Gardening	150		150
Hauling	1,989		1,200
Insurance	44,561		44,561
Interest Expense	124		124
Marketing	215		215
Music Salon Expenses	1,165		1,165
Office Supplies	1,310		1,310
Permits	2,580		2,580
Pest Management	915		915
Postage and Delivery	819		666
Repairs & Maintenance	854,650		600,893
Research & Development	1,311		1,311
Security	360		360
Staff Support	2,065		1,928
Supplies	430		109
Telephone	2,351		2,293
Website	1,392		1,392

- TIN:

TY 2021 OtherIncomeSchedule2

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
Income from LLC's	91,783	91,783

- TIN:

TY 2021 OtherProfessionalFeesSchedule

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Investment Management Fees	88,789	88,789	0	0
Professional Services	8,800	0	0	8,800

- TIN:

TY 2021 TaxesSchedule

Name:

The Sam Mazza Foundation

EIN:

20-3644356

Software ID:

21013475

Software Version:

2021v4.0

Category	Amount	Net Investment Income	Disbursements for Charitable Purposes
Excise Taxes on Investments	27,056
Foreign Taxes Paid on Investments	2,998	2,998
Other Taxes	17,614		17,614