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
MOON JACK SCHOLARSHIP TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

20-2403787
B Telephone number (see instructions)

(888) 730-4933
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$4,905,399J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 56,610 54,672  
5a Gross rents............ 72,194 72,194  
b Net rental income or (loss) 51,128
6a Net gain or (loss) from sale of assets not on line 10 83,082
b Gross sales price for all assets on line 6a 216,154
7 Capital gain net income (from Part IV, line 2)... 83,082
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 13,899 13,899  
12 Total. Add lines 1 through 11........ 225,785 223,847  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 37,843 28,382   9,461
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 6,980 0 0 6,980
b Accounting fees (attach schedule)....... Click to see attachment 977 0 0 977
c Other professional fees (attach schedule).... Click to see attachment 15,249     15,249
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,822 245   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)....... Click to see attachment 21,439 21,414   25
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 84,310 50,041 0 32,692
25 Contributions, gifts, grants paid....... 217,848 217,848
26 Total expenses and disbursements. Add lines 24 and 25 302,158 50,041 0 250,540
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -76,373
b Net investment income (if negative, enter -0-) 173,806
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............. 227    
2 Savings and temporary cash investments......... 104,656 154,178 154,178
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)      
b Investments—corporate stock (attach schedule)....... 116,174 Click to see attachment1,103,403 1,732,363
c Investments—corporate bonds (attach schedule)....... 303,010 Click to see attachment303,257 306,858
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,570,746 Click to see attachment634,500 2,712,000
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,094,813 2,195,338 4,905,399
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........ 2,094,813 2,195,338
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)..... 2,094,813 2,195,338
30 Total liabilities and net assets/fund balances (see instructions). 2,094,813 2,195,338
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
2,094,813
2
Enter amount from Part I, line 27a .....................
2
-76,373
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
177,906
4
Add lines 1, 2, and 3 ..........................
4
2,196,346
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,008
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,195,338
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 13. ACTIVISION BLIZZARD INC   2018-11-27 2021-01-28
b 25. TRIMBLE NAV LTD   2020-10-22 2021-01-28
c 5. ZENDESK INC   2020-10-22 2021-01-28
d 65.25 GNMA POOL 609040 6.000% 9/15/21   2006-09-27 2021-02-15
e 5. HOME DEPOT INC   2012-12-06 2021-03-04
11. PRA HEALTH SCIENCES INC   2021-01-28 2021-03-04
25000. FED HOME LN BK 1.750% 3/12/21   2017-02-16 2021-03-12
65.6 GNMA POOL 609040 6.000% 9/15/21   2006-09-27 2021-03-15
13. MORGAN STANLEY   2017-12-26 2021-04-14
30. PRA HEALTH SCIENCES INC     2021-04-14
5. TRACTOR SUPPLY CO COM   2007-11-15 2021-04-14
10. TRIMBLE NAV LTD     2021-04-14
65.96 GNMA POOL 609040 6.000% 9/15/21   2006-09-27 2021-04-15
66.31 GNMA POOL 609040 6.000% 9/15/21   2006-09-27 2021-05-15
66.67 GNMA POOL 609040 6.000% 9/15/21   2006-09-27 2021-06-15
2. ARISTA NETWORKS INC   2018-10-10 2021-06-16
8. ELI LILLY & CO COM   2020-07-13 2021-06-16
2. NVIDIA CORP   2019-10-30 2021-06-16
2. POOL CORPORATION   2021-03-04 2021-06-16
23. NORWEGIAN CRUISE LINE HOLDING     2021-06-16
68.61 GNMA POOL 609040 6.000% 9/15/21   2006-09-27 2021-07-15
3. DANAHER CORP   2017-01-19 2021-08-12
3. DEXCOM INC   2020-12-08 2021-08-12
4. ELI LILLY & CO COM   2020-07-13 2021-08-12
68.98 GNMA POOL 609040 6.000% 9/15/21   2006-09-27 2021-08-15
1. ALPHABET INC CL C   2017-01-19 2021-08-18
1. AMAZON COM INC COM   2017-01-19 2021-08-18
17. APPLE INC   2017-01-19 2021-08-18
1. ARISTA NETWORKS INC   2018-10-10 2021-08-18
12. BOSTON SCIENTIFIC CORP COM   2020-06-04 2021-08-18
1. BROADCOM INC   2018-02-09 2021-08-18
9. CENTENE CORP DEL   2019-12-26 2021-08-18
1. CONSTELLATION BRANDS INC   2019-03-25 2021-08-18
2. DANAHER CORP   2017-01-19 2021-08-18
1. DEXCOM INC   2020-12-08 2021-08-18
2. META PLATFORMS INC   2017-01-19 2021-08-18
2. FLEETCOR TECHNOLOGIES INC   2021-01-28 2021-08-18
3. FORTUNE BRANDS HOME & SECURITY   2021-03-04 2021-08-18
6. INTERCONTINENTAL EXCHANGE INC   2017-01-19 2021-08-18
1. ESTEE LAUDER COMPANIES INC   2020-06-04 2021-08-18
2. ELI LILLY & CO COM   2020-07-13 2021-08-18
473.037 MFS VALUE FUND-R6 4810   2018-03-21 2021-08-18
7. MICROSOFT CORP   2017-01-19 2021-08-18
7. MORGAN STANLEY   2017-12-26 2021-08-18
1. NETFLIX.COM INC   2017-06-05 2021-08-18
4. NVIDIA CORP   2019-10-30 2021-08-18
1. POOL CORPORATION   2018-05-09 2021-08-18
2. S&P GLOBAL INC     2021-08-18
2. SALESFORCE INC   2019-10-30 2021-08-18
1. SERVICENOW INC   2021-06-16 2021-08-18
2. TRACTOR SUPPLY CO COM   2007-11-15 2021-08-18
4. TRIMBLE NAV LTD   2020-06-04 2021-08-18
1. ULTA BEAUTY INC   2021-06-16 2021-08-18
2. VERTEX PHARMACEUTICALS INC COM   2018-04-04 2021-08-18
4. VISA INC-CLASS A SHRS   2020-03-09 2021-08-18
3. ZENDESK INC   2021-06-16 2021-08-18
2. ACCENTURE PLC   2020-03-11 2021-08-18
16. MORGAN STANLEY   2017-12-26 2021-09-02
10. NVIDIA CORP   2019-10-30 2021-09-02
4. PALO ALTO NETWORKS INC     2021-09-02
5. ACCENTURE PLC     2021-09-02
45.58 GNMA POOL 609040 6.000% 9/15/21   2006-09-27 2021-09-15
25000. ORACLE CORP 1.900% 9/15/21   2016-11-14 2021-09-15
12. HOME DEPOT INC   2012-12-06 2021-10-14
25000. PRAXAIR INC 2.450% 2/15/22   2017-02-16 2021-11-15
85. ISHARES RUSSELL 1000 GROWTH ETF     2021-12-08
1. ALPHABET INC CL C   2017-01-19 2021-12-21
13. ARISTA NETWORKS INC   2018-10-10 2021-12-21
6. NVIDIA CORP   2019-10-30 2021-12-21
4. POOL CORPORATION   2018-05-09 2021-12-21
4. ACCENTURE PLC     2021-12-21
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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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 1,183   657 526
b 1,709   1,275 434
c 714   544 170
d 65   67 -2
e 1,269   321 948
1,578   1,378 200
25,000   24,875 125
66   67 -1
1,063   680 383
4,684   2,733 1,951
897   50 847
815   477 338
66   67 -1
66   68 -2
67   68 -1
732   458 274
1,779   1,329 450
1,423   403 1,020
868   663 205
722   1,092 -370
69   70 -1
935   242 693
1,486   1,025 461
1,054   665 389
69   70 -1
2,755   804 1,951
3,228   809 2,419
2,524   509 2,015
364   229 135
535   451 84
473   232 241
582   569 13
214   168 46
637   161 476
510   342 168
714   255 459
523   511 12
299   253 46
701   343 358
319   202 117
544   332 212
25,000   19,043 5,957
2,054   437 1,617
720   366 354
522   165 357
773   201 572
480   147 333
872   243 629
510   315 195
584   513 71
388   20 368
357   171 186
362   331 31
393   323 70
933   699 234
363   420 -57
654   333 321
1,674   838 836
2,238   503 1,735
1,846   691 1,155
1,701   731 970
46   46  
25,000   24,653 347
4,121   771 3,350
25,000   25,006 -6
25,951   7,844 18,107
2,868   804 2,064
1,756   745 1,011
1,681   302 1,379
2,161   587 1,574
1,560   383 1,177
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
      20,648
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       526
b       434
c       170
d       -2
e       948
      200
      125
      -1
      383
      1,951
      847
      338
      -1
      -2
      -1
      274
      450
      1,020
      205
      -370
      -1
      693
      461
      389
      -1
      1,951
      2,419
      2,015
      135
      84
      241
      13
      46
      476
      168
      459
      12
      46
      358
      117
      212
      5,957
      1,617
      354
      357
      572
      333
      629
      195
      71
      368
      186
      31
      70
      234
      -57
      321
      836
      1,735
      1,155
      970
       
      347
      3,350
      -6
      18,107
      2,064
      1,011
      1,379
      1,574
      1,177
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 83,082
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 2,416
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,416
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,344
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 884
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,228
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 9 188
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 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
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    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)
    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)
     
    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
     
    No
    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
    Yes
     
    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)
    Yes
     
    (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
     
    No
    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
    WELLS FARGO BANK N A TRUSTEE
    1     		37,843    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    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
    NONE
    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
    4,596,643
    b
    Average of monthly cash balances.......................
    1b
    167,591
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,764,234
    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
    4,764,234
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    71,464
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    4,692,770
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    234,639
    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
    234,639
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    2,416
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,416
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    232,223
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    174,978
    5
    Add lines 3 and 4............................
    5
    407,201
    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
    407,201
    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 7 407,201
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 44,267
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 250,540
    a Applied to 2020, but not more than line 2a 44,267
    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..... 206,273
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........     		200,928
    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) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    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).)
    NONE
    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.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    CENTER FOR SCHOLARSHIP ADMINISTRATI
    4320 WADE HAMPTON BLVD G
    TAYLORS,SC29687
    (864) 268-3363
    bThe form in which applications should be submitted and information and materials they should include:
    SEE APPLICATION ON CSA WEBSITE
    cAny submission deadlines:
    MARCH 15
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE ELIGIBILITY REQUIREMENTS ON CSA WEBSITE
    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
    MILO AMUNDSEN CO WESTERN TECHNICAL
    COLLEGE
    400 7TH ST N
    LA CROSSE,WI54601     		NONE I SCHOLARSHIP 5,887
    ADRIEN BLASEY CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,887
    TALEEYA BROOKS CO ST CLOUD TECHNICAL
    AND COMMUNITY COLLEGE
    1540 NORTHWAY DR
    ST CLOUD,MN56303     		NONE I SCHOLARSHIP 5,887
    FAITH CALDWELL CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,887
    CADEN CHARTIER CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,887
    MIRANDA CHELSTROM CO FOND DU LAC TRIBAL
    AND COMMUNITY COLLEGE
    2101 14TH ST
    CLOQUET,MN55720     		NONE I SCHOLARSHIP 5,887
    GRACE CIESLA CO RIDGEWATER COLLEGE
    2101 5TH AVE NW
    WILLMAR,MN56201     		NONE I SCHOLARSHIP 5,887
    KATELYN CLARK CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,887
    DUSTIN DESANTO CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    JACOB DONAHUE CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    TYLER DONAHUE CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    MATTHEW DOSAN CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    MARCKANTONY FAIRBANKS CO LAKE SUPERIOR
    COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    IAN FINHOLM CO DAKOTA COUNTY TECHNICAL
    COLLEGE
    1300 EAST 145TH STREET
    ROSEMOUNT,MN55068     		NONE I SCHOLARSHIP 5,888
    HUNTER FLYNN CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    EMMA HAUGEN CO WISCONSIN INDIANHEAD
    TECHNICAL COLLEGE
    600 N 21ST ST
    SUPERIOR,WI54880     		NONE I SCHOLARSHIP 5,888
    DANE HEROLD CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    SULLIVAN KOSMAS CO MESABI RANGE
    COMMUNITY COLLEGE
    1100 INDUSTRIAL PARKWAY
    EVELETH,MN55734     		NONE I SCHOLARSHIP 5,888
    KAI LIN CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    JOE MCGEE CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    DAWSON MCISAAC REID CO LAKE SUPERIOR
    COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    JANAYA MILLER CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    MARICRIS MORGANDO CO WISCONSIN
    INDIANHEAD TECHNICAL COLLEGE
    600 N 21ST ST
    SUPERIOR,WI54880     		NONE I SCHOLARSHIP 5,888
    SYDNEY MYHRE CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    HUNTER ONNEN CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    MIKAYLA RAJANEN CO LAKE SUPERIOR COLLEG
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    MATTHEW RUKAVINA CO LAKE SUPERIOR
    COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    RYAN RUSNAK CO FOND DU LAC TRIBAL
    AND COMMUNITY COLLEGE
    2101 14TH STREET
    CLOQUET,MN55720     		NONE I SCHOLARSHIP 5,888
    HUNTER SCHOMMER CO LAKE SUPERIOR COLLEG
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    MIRANDA SHINN CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    ARIEL SHOGREN CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    THOMAS SOLA CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    ELIZABETH STENSTROM CO LAKE SUPERIOR
    COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    KEELY WARNYGORA CO LAKE SUPERIOR
    COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    AMAYA WAYNE CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    KAYCE WOSMEK CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    MIKAYLA ACHMAN CO LAKE SUPERIOR COLLEGE
    2101 TRINITY RD
    DULUTH,MN55811     		NONE I SCHOLARSHIP 5,888
    Total .................................bullet 3a 217,848
    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 ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 51,128  
    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 83,082  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPARTNERSHIP/S-CORP     		    1 13,899  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   204,719  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    204,719
    (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:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 977     977

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Name of Bond End of Year Book Value End of Year Fair Market Value
    313382K69 FED HOME LN BK    
    606822BA1 MITSUBISHI UFJ FIN 25,064 26,072
    86562MAQ3 SUMITOMO MITSUI FINL 25,471 25,308
    313381BR5 FED HOME LN BK 24,640 25,340
    91159HHX1 US BANCORP 25,250 25,829
    06366RJJ5 BANK OF MONTREAL 2.5 25,190 25,393
    693475AX3 PNC FINANCIAL SERVIC 25,312 26,212
    91324PDR0 UNITEDHEALTH GROUP 25,398 25,885
    3137EAEN5 FED HOME LN MTG CORP 26,193 25,784
    3130A4CH3 FED HOME LN BK 25,958 26,047
    74005PBA1 PRAXAIR INC 2.450% 2    
    68389XBK0 ORACLE CORP    
    458140BH2 INTEL CORP 25,754 25,861
    89236TJF3 TOYOTA MOTOR CREDIT 25,047 25,052
    166756AL0 CHEVRON USA INC 23,980 24,075

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Name of Stock End of Year Book Value End of Year Fair Market Value
    21036P108 CONSTELLATION BRANDS 3,186 5,019
    02079K107 ALPHABET INC CL C 2,363 23,149
    339041105 FLEETCOR TECHNOLOGIE 5,513 4,924
    34964C106 FORTUNE BRANDS HOME 2,339 5,880
    550021109 LULULEMON ATHLETICA 2,740 5,089
    00507V109 ACTIVISION BLIZZARD 2,342 2,861
    101137107 BOSTON SCIENTIFIC CO 2,532 5,183
    594918104 MICROSOFT CORP 3,796 30,605
    69354M108 PRA HEALTH SCIENCES    
    15135B101 CENTENE CORP DEL 2,792 5,686
    87918A105 TELADOC HEALTH INC 5,961 2,755
    252131107 DEXCOM INC 1,876 6,980
    697435105 PALO ALTO NETWORKS I 1,808 7,238
    G66721104 NORWEGIAN CRUISE LIN 3,850 2,634
    31620M106 FIDELITY NATL INFORM 4,807 5,894
    92826C839 VISA INC-CLASS A SHR 2,479 8,452
    45866F104 INTERCONTINENTAL EXC 840 5,744
    037833100 APPLE INC 922 32,673
    92532F100 VERTEX PHARMACEUTICA 2,261 3,074
    040413106 ARISTA NETWORKS INC 2,919 7,906
    78409V104 S&P GLOBAL INC 1,299 6,135
    79466L302 SALESFORCE COM INC 2,319 9,149
    893641100 TRANSDIGM GROUP INC 1,705 4,454
    73278L105 POOL CORPORATION 1,321 5,094
    892356106 TRACTOR SUPPLY CO CO 258 6,204
    11135F101 BROADCOM INC 3,309 10,647
    983793100 XPO LOGISTICS INC 1,264 2,865
    169656105 CHIPOTLE MEXICAN GRI 3,190 5,245
    90384S303 ULTA BEAUTY INC 3,995 6,597
    235851102 DANAHER CORP 522 5,922
    617446448 MORGAN STANLEY 2,886 5,693
    278865100 ECOLAB INC 676 3,050
    09857L108 BOOKING HOLDINGS INC 932 4,798
    G1151C101 ACCENTURE PLC 433 4,975
    67066G104 NVIDIA CORP 1,234 9,412
    016255101 ALIGN TECHNOLOGY INC 1,345 5,915
    64110L106 NETFLIX INC 1,320 4,820
    30303M102 META PLATFORMS INC 2,870 15,472
    023135106 AMAZON COM INC COM 4,693 23,340
    437076102 HOME DEPOT INC    
    896239100 TRIMBLE INC 2,098 4,272
    13645T100 CANADIAN PAC RY LTD 3,654 5,396
    81762P102 SERVICENOW INC 4,311 7,789
    518439104 ESTEE LAUDER COMPANI 1,365 6,664
    532457108 ELI LILLY & CO COM 3,364 6,077
    98936J101 ZENDESK INC 4,153 4,380
    81369Y506 AMEX ENERGY SELECT S 32,768 61,050
    89609H704 TRIBUTARY SMALL CO-I 100,000 119,420
    00143W859 INV OPP DEVELOP MRKT 60,000 67,327
    880208772 TEMPLETON GLOBAL BON 15,297 11,929
    90138F102 TWILIO INC 4,589 4,477
    64128R608 NEUBERGER BERMAN LON 25,000 26,812
    464287234 ISHARES MSCI EMERGIN 18,183 39,569
    464287481 ISHARES RUSSELL MID- 31,903 116,372
    72201F516 PIMCO E/M LCL CUR & 90,000 85,801
    25159L836 DWS ENH COMMOD STR-I 25,000 23,397
    16679L109 CHEWY INC 3,626 2,477
    74925K581 BOSTON P LNG/SHRT RE 19,809 20,462
    001084102 AGCO CORP COM 4,930 3,829
    464287473 ISHARES RUSSELL MID- 37,935 89,949
    464287614 ISHARES RUSSELL 1000 20,287 96,261
    256206103 DODGE & COX INTL STO 14,293 33,864
    36262G101 GXO LOGISTICS INC 876 3,361
    03875R205 ARBITRAGE FUND CLASS 20,464 20,572
    679295105 OKTA INC 4,752 4,708
    74440Y884 PGIM HIGH YIELD-Q 10 100,000 99,826
    46138B103 INVESCO DB COMMODITY 43,485 45,633
    00203H859 AQR MANAGED FUTURES 50,000 38,658
    55273H353 MFS VALUE FUND-R6 48 150,644 203,309
    PFX990006 PIMCO FLEXIBLE CREDI 31,612 29,963
    81369Y605 FINANCIAL SELECT SEC 36,675 62,480
    464287465 ISHARES MSCI EAFE ET 51,433 74,746

    TY 2021 InvestmentsOtherSchedule2
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    36202TS56 GNMA POOL 609040 6.0      
    464287234 ISHARES MSCI EMERGIN      
    55273H353 MFS VALUE FUND-R6 48      
    464287614 ISHARES RUSSELL 1000      
    03875R205 ARBITRAGE FUND CLASS      
    464287473 ISHARES RUSSELL MID-      
    REN052338 80 AC S1/2SE1/4 16 M AT COST 142,500 592,000
    74925K581 BOSTON P LNG/SHRT RE      
    464287465 ISHARES MSCI EAFE ET      
    464287481 ISHARES RUSSELL MID-      
    00203H859 AQR MANAGED FUTURES      
    REN052320 163 AC IN SEC 7 & 8 AT COST 290,500 1,266,000
    46138B103 INVESCO DB COMMODITY      
    256206103 DODGE & COX INTL STO      
    REC124527 77 ACRES IN EMMET CO AT COST 171,500 750,000
    REN052247 220 W SUPERIOR ST, D AT COST 30,000 104,000
    880208772 TEMPLETON GLOBAL BON      
    PFX990006 PIMCO FLEXIBLE CREDI      
    00143W859 INV OPP DEVELOP MRKT      
    89609H704 TRIBUTARY SMALL CO-I      
    72201F516 PIMCO E/M LCL CUR &      
    81369Y506 AMEX ENERGY SELECT S      
    25159L836 DWS ENH COMMOD STR-I      
    64128R608 NEUBERGER BERMAN LON      
    81369Y605 FINANCIAL SELECT SEC      
    74440Y884 PGIM HIGH YIELD-Q 10      

    TY 2021 LegalFeesSchedule
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - PRINCIPAL (ALLOCA 3,490     3,490
    LEGAL FEES - INCOME (ALLOCABLE 3,490     3,490


    TY 2021 OtherDecreasesSchedule
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Description Amount
    PY RETURN OF CAPITAL ADJ 758
    MUTUAL FUND TIMING ADJ 250


    TY 2021 OtherExpensesSchedule
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FILING FEE/STATE TAX 25 0   25
    INVESTMENT EXPENSES - ADR FEES 1 1   0
    FROM PARTNERSHIP/S-CORP 347 347   0
    Rent and Royalty Expense 21,066      


    TY 2021 OtherIncomeSchedule2
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FROM PARTNERSHIP/S-CORP 13,899 13,899  


    TY 2021 OtherIncreasesSchedule
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Description Amount
    RECOVERY OF GRANTS PAID 174,978
    COST BASIS ADJUSTMENT 2,928


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SCHOLARSHIP ADMIN FEES 412     412
    GRANT ADMIN FEE 14,837     14,837


    TY 2021 TaxesSchedule
    Name:
    MOON JACK SCHOLARSHIP TRUST
    EIN:
    20-2403787
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 170 170   0
    FEDERAL TAX PAYMENT - PRIOR YE 233 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,344 0   0
    FOREIGN TAXES ON NONQUALIFIED 75 75   0