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
ADAMS MASTROVICH FAM FDN
 
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

41-6014092
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$29,865,659
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 1,037,093 974,338  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,644,773
b Gross sales price for all assets on line 6a 7,374,437
7 Capital gain net income (from Part IV, line 2)... 1,644,773
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)....... 56,729 56,729  
12 Total. Add lines 1 through 11........ 2,738,595 2,675,840  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 190,248 127,686   62,562
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 2,032 0 0 2,032
c Other professional fees (attach schedule).... 34,602 5,519   29,083
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 19,161 4,827   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)....... 4,437 4,412   25
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 250,480 142,444 0 93,702
25 Contributions, gifts, grants paid....... 1,325,488 1,325,488
26 Total expenses and disbursements. Add lines 24 and 25 1,575,968 142,444 0 1,419,190
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,162,627
b Net investment income (if negative, enter -0-) 2,533,396
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............. 22,250    
2 Savings and temporary cash investments......... 812,820 824,306 824,306
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)....... 4,458,469 Click to see attachment17,978,178 25,566,528
c Investments—corporate bonds (attach schedule)....... 3,346,760 Click to see attachment3,406,244 3,474,825
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 12,356,437   0
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) 20,996,736 22,208,728 29,865,659
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........ 20,996,736 22,208,728
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)..... 20,996,736 22,208,728
30 Total liabilities and net assets/fund balances (see instructions). 20,996,736 22,208,728
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
20,996,736
2
Enter amount from Part I, line 27a .....................
2
1,162,627
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
155,114
4
Add lines 1, 2, and 3 ..........................
4
22,314,477
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
105,749
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
22,208,728
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 .58 LIBERTY BROADBAND CORP   2018-06-07 2021-01-05
b 132. TIFFANY & CO NEW   2017-09-29 2021-01-07
c 78. MTS SYS CORP   2019-03-22 2021-01-11
d 18. MTS SYS CORP   2020-09-22 2021-01-11
e 57. ABBVIE INC   2019-10-22 2021-01-20
117. ADVANCED MICRO DEVICES INC   2019-06-12 2021-01-20
13. ALIGN TECHNOLOGY INC   2015-08-03 2021-01-20
65. AMERICAN WATER WORKS CO INC/NE   2019-03-25 2021-01-20
156. AMPHENOL CORP CL A   2018-08-02 2021-01-20
241. APPLE INC   2019-12-03 2021-01-20
82. ARMSTRONG WORLD INDUSTRIES INC   2017-06-07 2021-01-20
114. BALL CORP   2018-08-02 2021-01-20
34. BROADCOM INC   2018-04-04 2021-01-20
45. CINTAS CORP   2016-05-24 2021-01-20
49. ECOLAB INC   2012-11-08 2021-01-20
146. FORTIVE CORP     2021-01-20
57. HOME DEPOT INC   2012-12-07 2021-01-20
63. ESTEE LAUDER COMPANIES INC   2011-12-23 2021-01-20
112. MONSTER BEVERAGE CORP   2013-03-27 2021-01-20
166. NEWMONT MINING CORP   2019-06-12 2021-01-20
79. PRA HEALTH SCIENCES INC   2018-01-31 2021-01-20
29. PALO ALTO NETWORKS INC   2017-11-30 2021-01-20
132. TRACTOR SUPPLY CO COM   2012-11-08 2021-01-20
48. AMPHENOL CORP CL A   2020-05-26 2021-01-21
17. CINTAS CORP   2020-05-26 2021-01-21
196. HMS HLDGS CORP     2021-01-21
1025. ISHARES CORE S&P MIDCAP ETF     2021-01-22
2918. ISHARES MSCI USA QUALITY FAC ETF   2020-03-05 2021-01-22
847.76 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-01-25
2406.47 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-01-25
2917.01 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-01-25
9. LITTELFUSE INC COM   2019-08-26 2021-01-25
6. LITTELFUSE INC COM   2019-08-26 2021-01-29
.239 PIONEER NAT RES CO COM   2020-09-11 2021-01-29
13. TETRA TECH INC NEW   2019-03-22 2021-01-29
14. TETRA TECH INC NEW   2019-03-22 2021-02-05
55. ASPEN TECHNOLOGY INC COM   2018-06-07 2021-02-23
4. BOOKING HOLDINGS INC   2010-06-24 2021-02-23
30. CHARLES RIVER LABORATORIES   2018-06-07 2021-02-23
73. COPART INC COM   2016-05-24 2021-02-23
26. LOCKHEED MARTIN CORP   2019-03-25 2021-02-23
40. OLD DOMINION FREIGHT LINES INC     2021-02-23
65. PELOTON INTERACTIVE INC   2021-01-20 2021-02-23
112. PINNACLE WEST CAP CORP   2020-10-06 2021-02-23
26. S&P GLOBAL INC   2014-12-29 2021-02-23
35. SALESFORCE INC     2021-02-23
45. SKYWORKS SOLUTIONS INC   2018-12-13 2021-02-23
75. TRACTOR SUPPLY CO COM   2012-11-08 2021-02-23
53. JAZZ PHARMACEUTICALS PLC   2013-06-12 2021-02-23
787.66 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-02-25
1885.44 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-02-25
88.83 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-02-25
1657.18 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-02-25
47. AMPHENOL CORP CL A   2020-05-26 2021-03-02
409. FOX CORP   2020-05-26 2021-03-02
407. AXALTA COATING SYSTEMS LTD   2020-05-26 2021-03-02
100000. US TREASURY NOTE 3.125% 5/15/21     2021-03-03
36. STANDARD MTR PRODS INC   2019-06-12 2021-03-04
45. TETRA TECH INC NEW   2019-03-22 2021-03-04
23. LITTELFUSE INC COM     2021-03-15
54.838 PIONEER NAT RES CO COM   2020-03-17 2021-03-18
16.162 PIONEER NAT RES CO COM   2020-09-11 2021-03-18
93636.364 PGIM HIGH YIELD-Q 1067   2020-12-11 2021-03-24
94209.328 TCW EMRG MKTS INCM-I 4721     2021-03-24
1294.69 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-03-25
1956.53 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-03-25
86.59 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-03-25
1609.36 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-03-25
18. NEXSTAR BROADCASTING GROUP INC     2021-03-26
4. NEXSTAR BROADCASTING GROUP INC   2019-06-12 2021-03-26
40. STIFEL FINANCIAL CORP   2019-03-22 2021-03-26
7. UMB FINL CORP COM   2019-03-22 2021-03-26
18. ILLUMINA INC   2021-02-23 2021-03-30
99. PINTEREST INC   2021-02-23 2021-03-30
26. ROKU INC   2021-01-20 2021-03-30
149. STANDARD MTR PRODS INC     2021-03-30
10. TRADE DESK INC/THE   2021-02-23 2021-03-30
118. TWITTER INC   2021-02-23 2021-03-30
33. SPOTIFY TECHNOLOGY SA   2021-01-20 2021-03-30
54. STIFEL FINANCIAL CORP   2019-03-22 2021-04-22
1246.12 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-04-25
2031.76 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-04-25
3628.31 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-04-25
1663.1 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-04-25
14. AMN HEALTHCARE SERVICES INC     2021-05-11
193. PARAMOUNT GLOBAL   2021-03-30 2021-05-11
50.0195 VIATRIS INC     2021-05-11
69.9805 VIATRIS INC     2021-05-11
190000. US TREASURY NOTE 3.125% 5/15/21     2021-05-15
60. ADOBE SYS INC   2019-06-12 2021-05-24
80. ALEXION PHARMACEUTICALS INC   2012-11-15 2021-05-24
13. AMAZON COM INC COM     2021-05-24
274. AMPHENOL CORP CL A     2021-05-24
130. APPLE INC     2021-05-24
81. BALL CORP     2021-05-24
166. BOSTON SCIENTIFIC CORP COM   2015-06-30 2021-05-24
32. CASEYS GEN STORES INC     2021-05-24
95. CENTENE CORP DEL   2016-11-17 2021-05-24
237. COLFAX CORPORATION   2020-05-05 2021-05-24
57. DAVITA HEALTHCARE PARTNERS INC   2019-06-12 2021-05-24
129. DOLLAR TREE INC     2021-05-24
133. DOMINION RES INC VA   2019-09-13 2021-05-24
77. META PLATFORMS INC     2021-05-24
459. FLOWERS FOODS INC   2021-01-20 2021-05-24
98. FORTIVE CORP   2016-08-12 2021-05-24
65. KIMBERLY CLARK CORP COM   2021-02-23 2021-05-24
60. ESTEE LAUDER COMPANIES INC   2011-12-23 2021-05-24
136. LOCKHEED MARTIN CORP   2019-03-25 2021-05-24
19. MASTERCARD INC   2019-06-12 2021-05-24
830. MURPHY OIL CORP   2020-04-01 2021-05-24
21. NETFLIX.COM INC     2021-05-24
24. NVIDIA CORP   2018-11-21 2021-05-24
27. OLD DOMINION FREIGHT LINES INC   2016-05-24 2021-05-24
25. POOL CORPORATION   2018-05-09 2021-05-24
133. POST HOLDINGS INC     2021-05-24
37. T ROWE PRICE GROUP INC   2017-02-27 2021-05-24
128. REPUBLIC SERVICES INC CL A COMM   2019-03-25 2021-05-24
32. SYNOPSYS INC COM   2021-02-23 2021-05-24
57. TRACTOR SUPPLY CO COM   2012-11-08 2021-05-24
239. VERIZON COMMUNICATIONS   2020-08-18 2021-05-24
127. WELLTOWER INC   2021-03-30 2021-05-24
39. JAZZ PHARMACEUTICALS PLC   2013-06-12 2021-05-24
72. APTIV PLC   2021-01-20 2021-05-24
242. PERRIGO CO PLC   2019-03-07 2021-05-24
1105.93 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-05-25
1629.97 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-05-25
2057.63 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-05-25
1662.83 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-05-25
2. CACI INTL INC FORMERLY CACI INC TO   2019-03-22 2021-06-04
5. CACI INTL INC FORMERLY CACI INC TO   2020-10-30 2021-06-04
5. FORWARD AIR CORP   2019-06-12 2021-06-04
30. K.FORCE, INC.   2021-01-28 2021-06-04
71. STIFEL FINANCIAL CORP   2019-03-22 2021-06-04
16. BOOT BARN HOLDINGS INC     2021-06-15
161. SYKES ENTERPRISES INC COM     2021-06-18
169. OLD NATL BANCORP   2021-03-30 2021-06-23
316. OLD NATL BANCORP     2021-06-23
1056.2 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-06-25
1244.19 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-06-25
1977.43 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-06-25
1603.34 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-06-25
.2 ORGANON & CO   2019-03-25 2021-06-28
7. ALLISON TRANSMISSION HOLDINGS   2020-05-26 2021-06-29
2. AMPHENOL CORP CL A   2020-05-26 2021-06-29
1. APTARGROUP INC COM   2021-04-30 2021-06-29
6. ARMSTRONG WORLD INDUSTRIES INC   2020-05-26 2021-06-29
2. BALL CORP   2020-05-26 2021-06-29
6. BLACK KNIGHT INC   2020-05-26 2021-06-29
2. BROWN FORMAN CORP CL B   2020-05-26 2021-06-29
5. CDK GLOBAL INC   2020-05-26 2021-06-29
5. CARMAX INC   2020-05-26 2021-06-29
1. CINTAS CORP   2020-05-26 2021-06-29
5. COPART INC COM   2020-05-26 2021-06-29
4. DOLLAR TREE INC   2020-05-26 2021-06-29
4. HAEMONETICS CORP MASS   2021-01-21 2021-06-29
3. HASBRO INC   2020-05-26 2021-06-29
3. M & T BANK CORPORATION COM   2020-05-26 2021-06-29
5. MOELIS & CO   2020-01-06 2021-06-29
2. OLD DOMINION FREIGHT LINES INC   2020-05-26 2021-06-29
4. SKYWORKS SOLUTIONS INC   2020-05-26 2021-06-29
12. STORE CAPITAL CORP   2020-05-26 2021-06-29
4. VULCAN MATERIALS COMPANY   2020-05-26 2021-06-29
6. SENSATA TECHNOLOGIES HOLDING   2020-05-26 2021-06-29
8. PERRIGO CO PLC   2020-05-26 2021-06-29
89. PRA HEALTH SCIENCES INC   2018-01-31 2021-07-01
57. ALEXION PHARMACEUTICALS INC   2012-11-15 2021-07-21
1073.84 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-07-25
1182.41 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-07-25
74.52 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-07-25
1375.98 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-07-25
61. AMN HEALTHCARE SERVICES INC   2019-03-22 2021-07-27
72. BOOT BARN HOLDINGS INC     2021-07-27
23. OMNICELL INC     2021-07-27
1076.41 OAKMARK FUND-INST #2876   2012-06-11 2021-08-03
199. ISHARES MSCI USA QUALITY FAC ETF   2020-03-05 2021-08-03
161. SOUTHWEST AIRLINES CO   2021-02-23 2021-08-03
25. STIFEL FINANCIAL CORP   2019-03-22 2021-08-16
.75 GENERAL ELEC CO   2020-08-18 2021-08-18
30. SILICON MOTION TECHNOL-ADR   2019-06-12 2021-08-18
1189.45 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-08-25
1066.36 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-08-25
4929.71 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-08-25
938.7 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-08-25
.085 ASTRAZENECA PLC ADR   2012-11-15 2021-08-26
28. STIFEL FINANCIAL CORP   2019-03-22 2021-08-27
39. CINTAS CORP   2020-05-26 2021-08-30
38. SKYWORKS SOLUTIONS INC   2020-05-26 2021-08-30
.713 ICON PLC   2021-07-01 2021-08-30
375. OLD NATL BANCORP     2021-08-31
190. CDK GLOBAL INC   2020-05-26 2021-09-02
19. SILICON MOTION TECHNOL-ADR   2020-09-22 2021-09-03
53. GLOBAL PMTS INC W/I   2020-11-13 2021-09-08
13. MOVADO GROUP INC COM   2019-06-12 2021-09-08
17. ROKU INC   2021-06-29 2021-09-08
6459.948 TOUCHSTONE SANDS EM GR-INST #565     2021-09-14
3. SILICON MOTION TECHNOL-ADR   2020-09-22 2021-09-17
109. SILICON MOTION TECHNOL-ADR   2019-08-26 2021-09-17
125000. WALMART INC 3.700% 6/26/28   2018-06-25 2021-09-21
23. AMBARELLA INC     2021-09-24
730.08 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-09-25
1033.32 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-09-25
2849.99 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-09-25
836.29 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-09-25
229. HORMEL FOODS CORP COM   2021-01-20 2021-09-28
125. PINNACLE WEST CAP CORP   2020-10-06 2021-09-28
10312.556 PGIM HIGH YIELD-Q 1067   2020-08-31 2021-09-28
60909.091 PGIM HIGH YIELD-Q 1067   2020-12-11 2021-09-28
28147.39 T ROWE PRICE INST FLOAT RATE 170   2021-09-28 2021-10-14
93023.256 WF ULTR SHORT-TRMINCOME-I#3104   2021-08-03 2021-10-14
20. EXLSERVICE HOLDINGS INC   2019-03-22 2021-10-19
8. MEDPACE HOLDINGS INC   2019-06-26 2021-10-19
10. OMNICELL INC   2019-08-26 2021-10-19
22. BOOT BARN HOLDINGS INC   2019-12-18 2021-10-21
678.63 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-10-25
936.82 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-10-25
4075.86 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-10-25
957.36 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-10-25
10235.415 T ROWE PRICE INST FLOAT RATE 170   2021-09-28 2021-10-25
2075. GOLDMAN ACTIVEBETA US LC ETF   2020-05-12 2021-10-26
1823.882 OAKMARK FUND-INST #2876   2012-06-11 2021-10-26
1313. ISHARES MSCI USA QUALITY FAC ETF   2020-03-05 2021-10-26
17. MEDPACE HOLDINGS INC   2019-06-26 2021-10-26
10. OMNICELL INC   2019-08-26 2021-10-26
106. TWITTER INC   2021-08-03 2021-11-02
40. MARCUS & MILLICHAP INC   2021-08-18 2021-11-03
100000. BLACKROCK INC 3.375% 6/01/22     2021-11-05
75000. CENTERPOINT ENER HOU 2.250% 8/01/22   2012-08-07 2021-11-05
7. MEDPACE HOLDINGS INC   2019-06-26 2021-11-12
48. MOVADO GROUP INC COM     2021-11-12
5. OMNICELL INC   2019-08-26 2021-11-12
65000. US TREASURY NOTE 2.000% 11/15/21   2019-04-22 2021-11-15
18. MEDPACE HOLDINGS INC   2019-06-26 2021-11-19
10. OMNICELL INC   2019-08-26 2021-11-19
115000. BURLINGTN NORTH SANT 3.400% 9/01/24   2021-05-21 2021-11-22
20000.16075 US TREASURY NOTE 2.750% 2/15/28   2019-08-27 2021-11-22
54999.83925 US TREASURY NOTE 2.750% 2/15/28   2019-08-27 2021-11-22
27. AMN HEALTHCARE SERVICES INC   2019-03-22 2021-11-24
16. ALPHABET INC CL C   2011-07-15 2021-11-24
207. APPLE INC   2019-09-13 2021-11-24
121. ASTRAZENECA PLC ADR   2012-11-15 2021-11-24
120. CMS ENERGY CORP   2019-03-25 2021-11-24
84. DANAHER CORP   2011-08-08 2021-11-24
446. DEVON ENERGY CORPORATION   2020-10-06 2021-11-24
56. INTERCONTINENTAL EXCHANGE INC   2012-07-26 2021-11-24
45. JPMORGAN CHASE & CO   2019-03-25 2021-11-24
.6 KYNDRYL HOLDINGS INC   2020-12-16 2021-11-24
937. MARATHON OIL CORP   2020-10-06 2021-11-24
220. MICROSOFT CORP     2021-11-24
427. MURPHY OIL CORP   2020-04-01 2021-11-24
23. NVIDIA CORP   2018-11-21 2021-11-24
367. OCCIDENTAL PETE CORP   2020-10-06 2021-11-24
21. PALO ALTO NETWORKS INC   2017-11-30 2021-11-24
59. PAYCHEX INC     2021-11-24
14. POOL CORPORATION   2018-05-09 2021-11-24
50. PROCTER & GAMBLE CO   2020-05-05 2021-11-24
12. REGENERON PHARMACEUTICALS INC   2019-09-13 2021-11-24
71. S&P GLOBAL INC   2014-12-29 2021-11-24
196. SEI INVESTMENT COMPANY   2019-06-12 2021-11-24
22. TESLA INC   2020-10-06 2021-11-24
12. THERMO FISHER SCIENTIFIC INC   2020-04-01 2021-11-24
81. TRACTOR SUPPLY CO COM   2012-11-08 2021-11-24
17. UNITEDHEALTH GROUP INC   2020-02-27 2021-11-24
57. VISA INC-CLASS A SHRS   2013-06-27 2021-11-24
14. AMBARELLA INC   2019-06-12 2021-11-24
41. ACCENTURE PLC   2012-11-08 2021-11-24
36. ICON PLC   2021-07-01 2021-11-24
108. LINDE PLC   2020-07-14 2021-11-24
1009.82 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-11-25
880.54 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-11-25
56.55 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-11-25
1202.88 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-11-25
27. K.FORCE, INC.   2019-08-26 2021-11-29
23. KORN FERRY   2021-01-13 2021-11-29
11. OMNICELL INC   2019-08-26 2021-12-01
12. BOOT BARN HOLDINGS INC   2019-12-18 2021-12-15
24. MOVADO GROUP INC COM   2019-08-26 2021-12-15
9. AMBARELLA INC   2019-06-12 2021-12-15
1370. AT & T INC   2020-10-06 2021-12-16
179. ACTIVISION BLIZZARD INC   2020-06-09 2021-12-16
257. DELTA AIR LINES INC   2021-01-20 2021-12-16
144. VERIZON COMMUNICATIONS     2021-12-16
96. ENTEGRIS INC   2020-05-26 2021-12-20
2. ENTEGRIS INC   2021-06-29 2021-12-20
38. OLD DOMINION FREIGHT LINES INC   2020-05-26 2021-12-20
19. FORWARD AIR CORP     2021-12-22
40. ONTO INNOVATION INC   2019-09-23 2021-12-22
918.53 FHLMC POOL #ZT0000 3.000% 1/01/47   2019-07-01 2021-12-25
754.58 FHLMC POOL #ZT1476 3.500% 2/01/48   2019-12-19 2021-12-25
56.72 FHLMC POOL #QA4354 3.000% 11/01/49   2019-11-22 2021-12-25
917.8 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-12-25
22. BOOT BARN HOLDINGS INC     2021-12-29
2. COCA-COLA CONSOLIDATED INC   2021-03-15 2021-12-29
28. MOVADO GROUP INC COM   2019-08-26 2021-12-29
20. ONTO INNOVATION INC   2019-09-23 2021-12-29
761.05 FNMA POOL #AL8387 4.000% 4/01/46   2018-01-09 2021-12-31
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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    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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(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 89   43 46
b 17,358   12,143 5,215
c 4,601   4,210 391
d 1,062   355 707
e 6,418   11,559 -5,141
10,421   3,756 6,665
7,320   813 6,507
10,490   6,965 3,525
20,805   14,616 6,189
31,643   15,561 16,082
6,537   3,598 2,939
10,351   4,599 5,752
15,702   8,019 7,683
14,685   4,204 10,481
10,613   3,452 7,161
10,263   6,766 3,497
15,749   3,675 12,074
15,777   3,562 12,215
10,056   1,791 8,265
10,360   5,908 4,452
10,557   7,195 3,362
10,710   4,233 6,477
20,535   6,089 14,446
6,406   4,526 1,880
5,643   4,320 1,323
7,201   6,123 1,078
250,197   99,167 151,030
341,398   272,783 68,615
848   861 -13
2,406   2,494 -88
2,917   2,975 -58
2,453   1,391 1,062
1,476   927 549
29   18 11
1,602   767 835
1,876   826 1,050
8,442   5,201 3,241
9,403   740 8,663
8,399   3,350 5,049
8,030   1,600 6,430
8,824   7,640 1,184
8,404   2,039 6,365
8,022   9,970 -1,948
8,360   9,081 -721
8,472   2,344 6,128
8,331   1,890 6,441
8,176   3,155 5,021
12,256   3,459 8,797
8,512   3,580 4,932
788   800 -12
1,885   1,954 -69
89   91 -2
1,657   1,731 -74
6,074   4,432 1,642
14,991   11,788 3,203
11,698   9,182 2,516
100,613   106,729 -6,116
1,562   1,607 -45
5,645   2,654 2,991
6,219   2,985 3,234
9,035   2,141 6,894
2,663   1,209 1,454
515,000   515,000  
762,153   779,538 -17,385
1,295   1,315 -20
1,957   2,028 -71
87   88 -1
1,609   1,681 -72
2,535   1,951 584
563   394 169
2,573   1,394 1,179
652   438 214
7,110   8,269 -1,159
6,969   7,838 -869
8,072   11,137 -3,065
6,341   6,589 -248
6,124   7,871 -1,747
7,466   8,275 -809
8,501   10,915 -2,414
3,605   1,881 1,724
1,246   1,266 -20
2,032   2,106 -74
3,628   3,701 -73
1,663   1,737 -74
1,293   686 607
7,386   9,153 -1,767
756   805 -49
1,057   1,083 -26
190,000   200,163 -10,163
29,917   16,582 13,335
14,263   7,024 7,239
42,283   27,948 14,335
18,389   10,091 8,298
16,612   7,468 9,144
7,101   3,254 3,847
7,115   2,946 4,169
7,092   3,682 3,410
7,022   2,709 4,313
10,517   5,853 4,664
6,963   2,715 4,248
13,889   11,226 2,663
10,325   10,411 -86
25,086   3,836 21,250
11,022   10,144 878
7,082   4,394 2,688
8,620   8,607 13
18,208   3,392 14,816
52,834   39,964 12,870
7,091   4,990 2,101
18,078   4,556 13,522
10,548   3,638 6,910
15,104   3,482 11,622
7,145   1,152 5,993
10,785   3,670 7,115
15,375   10,974 4,401
6,979   2,672 4,307
14,017   10,163 3,854
7,966   8,017 -51
10,382   2,629 7,753
13,650   14,155 -505
9,528   9,289 239
6,995   2,634 4,361
10,211   10,349 -138
11,019   11,285 -266
1,106   1,123 -17
1,630   1,690 -60
2,058   2,099 -41
1,663   1,737 -74
515   367 148
1,287   1,036 251
469   295 174
1,859   1,326 533
4,744   2,474 2,270
1,179   770 409
8,609   4,316 4,293
3,024   3,358 -334
5,654   5,068 586
1,056   1,073 -17
1,244   1,290 -46
1,977   2,017 -40
1,603   1,675 -72
6   8 -2
277   266 11
138   94 44
140   150 -10
650   441 209
164   132 32
468   453 15
151   129 22
249   201 48
651   432 219
383   254 129
667   445 222
398   339 59
266   477 -211
283   214 69
437   326 111
285   164 121
511   329 182
762   477 285
416   240 176
695   416 279
345   220 125
369   443 -74
14,709   8,106 6,603
8,425   5,005 3,420
1,074   1,091 -17
1,182   1,226 -44
75   76 -1
1,376   1,437 -61
6,028   2,983 3,045
5,982   3,263 2,719
3,444   1,734 1,710
123,776   47,473 76,303
27,321   18,603 8,718
8,063   9,058 -995
1,707   871 836
76   39 37
2,150   1,186 964
1,189   1,208 -19
1,066   1,105 -39
4,930   5,028 -98
939   981 -42
5   4 1
1,964   976 988
15,334   9,911 5,423
7,026   4,534 2,492
182   147 35
6,237   5,868 369
7,814   7,650 164
1,426   719 707
8,818   9,983 -1,165
415   332 83
5,735   7,493 -1,758
150,000   137,933 12,067
221   113 108
8,037   3,498 4,539
143,908   125,451 18,457
3,744   982 2,762
730   742 -12
1,033   1,071 -38
2,850   2,907 -57
836   874 -38
9,416   10,257 -841
8,995   10,135 -1,140
57,544   55,275 2,269
339,873   335,000 4,873
275,000   275,000  
800,000   800,000  
2,504   1,190 1,314
1,506   500 1,006
1,650   719 931
2,192   956 1,236
679   689 -10
937   971 -34
4,076   4,157 -81
957   1,000 -43
100,000   100,000  
189,446   121,265 68,181
225,286   80,438 144,848
184,725   122,743 61,982
3,603   1,063 2,540
1,710   719 991
5,753   7,267 -1,514
1,829   1,555 274
101,723   108,247 -6,524
75,674   74,801 873
1,552   438 1,114
1,739   1,212 527
887   359 528
65,000   64,444 556
4,143   1,125 3,018
1,832   719 1,113
121,800   125,005 -3,205
21,554   22,052 -498
59,273   60,642 -1,369
3,075   1,320 1,755
46,610   4,730 41,880
33,308   11,347 21,961
6,823   5,001 1,822
7,319   6,667 652
26,228   2,680 23,548
20,263   4,578 15,685
7,363   1,489 5,874
7,550   4,463 3,087
10   16 -6
15,835   4,019 11,816
73,715   39,640 34,075
12,685   2,344 10,341
7,380   834 6,546
11,818   3,889 7,929
11,281   3,065 8,216
7,368   3,518 3,850
7,908   2,055 5,853
7,403   5,835 1,568
7,802   3,381 4,421
32,671   6,401 26,270
12,469   10,648 1,821
24,405   9,208 15,197
7,558   3,304 4,254
18,199   3,736 14,463
7,648   4,374 3,274
11,485   2,634 8,851
2,523   587 1,936
14,766   2,730 12,036
9,786   7,442 2,344
35,291   24,766 10,525
1,010   1,026 -16
881   913 -32
57   58 -1
1,203   1,257 -54
2,128   876 1,252
1,729   1,116 613
1,993   791 1,202
1,413   521 892
914   606 308
1,764   377 1,387
32,202   39,609 -7,407
10,890   12,718 -1,828
9,396   10,544 -1,148
7,448   8,222 -774
12,508   5,743 6,765
261   248 13
12,486   6,246 6,240
2,173   1,116 1,057
3,826   1,313 2,513
919   933 -14
755   782 -27
57   58 -1
918   959 -41
2,743   851 1,892
1,204   604 600
1,182   707 475
2,000   657 1,343
761   795 -34
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
      267,562
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       46
b       5,215
c       391
d       707
e       -5,141
      6,665
      6,507
      3,525
      6,189
      16,082
      2,939
      5,752
      7,683
      10,481
      7,161
      3,497
      12,074
      12,215
      8,265
      4,452
      3,362
      6,477
      14,446
      1,880
      1,323
      1,078
      151,030
      68,615
      -13
      -88
      -58
      1,062
      549
      11
      835
      1,050
      3,241
      8,663
      5,049
      6,430
      1,184
      6,365
      -1,948
      -721
      6,128
      6,441
      5,021
      8,797
      4,932
      -12
      -69
      -2
      -74
      1,642
      3,203
      2,516
      -6,116
      -45
      2,991
      3,234
      6,894
      1,454
       
      -17,385
      -20
      -71
      -1
      -72
      584
      169
      1,179
      214
      -1,159
      -869
      -3,065
      -248
      -1,747
      -809
      -2,414
      1,724
      -20
      -74
      -73
      -74
      607
      -1,767
      -49
      -26
      -10,163
      13,335
      7,239
      14,335
      8,298
      9,144
      3,847
      4,169
      3,410
      4,313
      4,664
      4,248
      2,663
      -86
      21,250
      878
      2,688
      13
      14,816
      12,870
      2,101
      13,522
      6,910
      11,622
      5,993
      7,115
      4,401
      4,307
      3,854
      -51
      7,753
      -505
      239
      4,361
      -138
      -266
      -17
      -60
      -41
      -74
      148
      251
      174
      533
      2,270
      409
      4,293
      -334
      586
      -17
      -46
      -40
      -72
      -2
      11
      44
      -10
      209
      32
      15
      22
      48
      219
      129
      222
      59
      -211
      69
      111
      121
      182
      285
      176
      279
      125
      -74
      6,603
      3,420
      -17
      -44
      -1
      -61
      3,045
      2,719
      1,710
      76,303
      8,718
      -995
      836
      37
      964
      -19
      -39
      -98
      -42
      1
      988
      5,423
      2,492
      35
      369
      164
      707
      -1,165
      83
      -1,758
      12,067
      108
      4,539
      18,457
      2,762
      -12
      -38
      -57
      -38
      -841
      -1,140
      2,269
      4,873
       
       
      1,314
      1,006
      931
      1,236
      -10
      -34
      -81
      -43
       
      68,181
      144,848
      61,982
      2,540
      991
      -1,514
      274
      -6,524
      873
      1,114
      527
      528
      556
      3,018
      1,113
      -3,205
      -498
      -1,369
      1,755
      41,880
      21,961
      1,822
      652
      23,548
      15,685
      5,874
      3,087
      -6
      11,816
      34,075
      10,341
      6,546
      7,929
      8,216
      3,850
      5,853
      1,568
      4,421
      26,270
      1,821
      15,197
      4,254
      14,463
      3,274
      8,851
      1,936
      12,036
      2,344
      10,525
      -16
      -32
      -1
      -54
      1,252
      613
      1,202
      892
      308
      1,387
      -7,407
      -1,828
      -1,148
      -774
      6,765
      13
      6,240
      1,057
      2,513
      -14
      -27
      -1
      -41
      1,892
      600
      475
      1,343
      -34
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 1,644,773
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 35,214
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 35,214
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 12,388
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 21,950
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 34,338
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 9 876
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
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1
    170,248    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    SANDRA ANDERSON COMMITTEE MEMBERS
    0
    4,000    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    RON ISLAND COMMITTEE MEMBERS
    0
    4,000    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    ROBERT A ENGEBRETSEN COMMITTEE MEMBERS
    0
    4,000    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    BARRY A KELNER COMMITTEE MEMBERS
    0
    4,000    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    THOMAS M MORIN COMMITTEE MEMBERS
    0
    4,000    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,MN27101
    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
    28,276,901
    b
    Average of monthly cash balances.......................
    1b
    951,791
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    29,228,692
    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
    29,228,692
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    438,430
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    28,790,262
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,439,513
    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
    1,439,513
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    35,214
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    35,214
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,404,299
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,404,299
    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
    1,404,299
    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 1,404,299
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 420,941
    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$ 1,419,190
    a Applied to 2020, but not more than line 2a 420,941
    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..... 998,249
    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 ..........
    406,050
    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:
    WELLS FARGO BANK N A
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    (888) 730-4933
    bThe form in which applications should be submitted and information and materials they should include:
    THE APPLICATION MAY BE COMPLETED ONLINE AT WELLSFARGO.COM/PRIVATEFOUND
    cAny submission deadlines:
    AUGUST 1ST ANNUALLY
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    THE RECIPIENT ORGANIZATION MUST BE LOCATED IN LOS ANGELES COUTY, CA AND SOUTH DAKOTA
    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
    ANGELICA CENTER FOR ARTS & MUSIC
    1345 S BURLINGTON AVE
    LOS ANGELES,CA90006
    NONE PC GENERAL OPERATING 5,000
    FERNANDO PULLUM COMMUNITY ART CENTER
    3351 W 43RD ST
    LOS ANGELES,CA90008
    NONE PC GENERAL OPERATING 5,000
    FOOD FINDERS
    3744 INDUSTRY AVE 401
    LAKEWOOD,CA90712
    NONE PC GENERAL OPERATING 15,000
    GOOD SHEPHERD SHELTER
    2561 W VENICE BLVD
    LOS ANGELES,CA90019
    NONE PC GENERAL OPERATING 50,000
    HAMBURGER HOME INC
    7120 FRANKLIN AVE
    LOS ANGELES,CA90046
    NONE PC GENERAL OPERATING 25,000
    HEART OF LOS ANGELES (HOLA)
    2701 WILSHIRE BLVD 100
    LOS ANGELES,CA90057
    NONE PC GENERAL OPERATING 20,000
    HOUSE OF BLUES MUSIC FORWARD FOUNDATION
    7060 HOLLYWOOD BLVD
    LOS ANGELES,CA90028
    NONE PC GENERAL OPERATING 15,000
    SAINT ANDREW'S ABBEY
    31001 N VALYERMO RD
    VALYERMO,CA93563
    NONE PC GENERAL OPERATING 30,000
    SANTA TERESITA
    819 BUENA VISTA STREET
    DUARTE,CA91010
    NONE PC GENERAL OPERATING 25,000
    VENICE FAMILY CLINIC
    604 ROSE AVENUE
    VENICE,CA90291
    NONE PC GENERAL OPERATING 15,000
    CHILDREN'S HOME SOCIETY
    PO BOX 1749
    SIOUX FALLS,SD571011749
    NONE PC GENERAL OPERATING 7,500
    SIOUX SPIRITUAL CENTER
    20100 CENTER ROAD
    HOWES,SD57748
    NONE PC GENERAL OPERATING 10,000
    ST AMBROSE CATHOLIC CHURCH
    760 MAIN ST
    DEADWOOD,SD57732
    NONE PC GENERAL OPERATING 5,000
    ST PATRICK CHURCH
    3585 30TH ST
    SAN DIEGO,CA92104
    NONE PC GENERAL OPERATING 5,000
    WOLAKOTAWALDORF SOCIETY
    3 MILE CREEK RD
    KYLE,SD57752
    NONE PC GENERAL OPERATING 20,000
    LOYOLA MARYMOUNT UNIVERSITY
    1 LMU DRIVE
    LOS ANGELES,CA90045
    NONE PC GENERAL OPERATING 175,488
    HABITAT FOR HUMANITY OF GREATER SIOUX FA
    721 E AMIDON ST
    SIOUX FALLS,SD57104
    NONE PC GENERAL OPERATING 7,500
    DEADWOOD HISTORY INC
    150 SHERMAN ST
    DEADWOOD,SD57732
    NONE PC GENERAL OPERATING 250,000
    RED CLOUD INDIAN SCHOOL
    100 MISSION DRIVE
    PINE RIDGE,SD57770
    NONE PC GENERAL OPERATING 50,000
    CATHOLIC CHARITIES OF LOS ANGELES
    1531 JAMES M WOOD BOULEVARD
    LOS ANGELES,CA90015
    NONE PC GENERAL OPERATING 35,000
    DOWNTOWN WOMENS CENTER
    442 SAN PEDRO ST
    LOS ANGELES,CA90013
    NONE PC GENERAL OPERATING 25,000
    FOOD FORWARD INC
    7412 FULTON AVE 3
    HOLLYWOOD,CA91605
    NONE PC GENERAL OPERATING 20,000
    DIOCESE OF RAPID CITY
    2101 CITY SPRINGS RD STE 300
    RAPID CITY,SD57702
    NONE PC GENERAL OPERATING 5,000
    CATHOLIC SOCIAL SERVICES
    529 KANSAS CITY ST SUITE 100
    RAPID CITY,FL57701
    NONE PC GENERAL OPERATING 10,000
    COVENANT HOUSE CALIFORNIA
    1325 NORTH WESTERN AVENUE
    HOLLYWOOD,CA90027
    NONE PC GENERAL OPERATING 15,000
    NEIGHBORHOOD HOUSING SERVICES
    795 MAIN ST
    DEADWOOD,SD57732
    NONE PC GENERAL OPERATING 7,500
    HISTORIC HOMESTAKE OPERA HOUSE
    PO BOX 412
    LEAD,SD57754
    NONE PC GENERAL OPERATING 50,000
    HISTORIC DEADWOOD LEAD ARTS COUNCIL
    PO BOX 595
    LEAD,SD57754
    NONE PC GENERAL OPERATING 15,000
    BOYS & GIRLS CLUB OF CARSON
    1950 E 220TH ST STE 207
    LONG BEACH,CA908101651
    NONE PC GENERAL SUPPORT 10,000
    NORTHERN HILLS ALLIANCE FOR CHILDREN
    753 MAIN ST
    DEADWOOD,SD57732
    NONE PC GENERAL OPERATING 40,000
    ST JOSEPHS INDIAN SCHOOL
    1301 N MAIN ST
    CHAMBERLAIN,SD57325
    NONE PC GENERAL OPERATING 10,000
    RAPID CITY CATHOLIC SCHOOL SYSTEM
    242 FAIRMONT BLVD
    RAPID CITY,SD57701
    NONE PC GENERAL OPERATING 5,000
    NORTHERN BLACK HILLS SOCIETY FOR PRESER
    PO BOX 431
    DEADWOOD,SD57732
    NONE PC GENERAL OPERATING 2,500
    CHILDRENS CARE HOSPITAL & SCHOOL
    2501 W 26TH ST
    SIOUX FALLS,SD571052498
    NONE PC GENERAL SUPPORT 7,500
    MCCROSSAN BOYS RANCH
    47135 260TH ST
    SIOUX FALLS,SD571076428
    NONE PC GENERAL OPERATING 7,500
    BOYS & GIRLS CLUBS OF THE BLACK HILLS
    PO BOX 677
    HILL CITY,SD577450677
    NONE PC GENERAL SUPPORT 10,000
    MAMMOTH SITE OF HOT SPRINGS SOUTH DAKOTA
    PO BOX 692
    HOT SPRINGS,SD577470692
    NONE PC GENERAL SUPPORT 5,000
    ARTEMIS HOUSE
    PO BOX 486
    SPEARFISH,SD57783
    NONE PC GENERAL SUPPORT 5,000
    NORTHERN HILLS AREA CASA PROGRAM
    741 N 5TH ST
    SPEARFISH,SD577832048
    NONE PC GENERAL SUPPORT 5,000
    TEEN COURT
    PO BOX 227
    DEADWOOD,SD577320227
    NONE PC GENERAL OPERATING 5,000
    NEW VILLAGE CHARTER SCHOOL INC
    147 N OCCIDENTAL BLVD
    LOS ANGELES,CA900264601
    NONE PC GENERAL OPERATING 15,000
    HOMESTAKE VISITOR CENTER INC
    160 W MAIN ST
    LEAD,SD577541362
    NONE PC GENERAL OPERATING 5,000
    ROMAN ARCHBISHOP OF LOS ANGELES A CORP
    3424 WILSHIRE BLVD
    LOS ANGELES,CA900102263
    NONE PC GENERAL OPERATING 20,000
    CANTWELL-SACRED HEART OF MARY HIGH
    SCHOOL
    329 NORTH GARFIELD AVE
    MONTEBELLO,CA90640
    NONE PC GENERAL SUPPORT 10,000
    YWCA OF GLENDALE CALIFORNIA
    735 E LEXINGTON DR
    GLENDALE,CA912063752
    NONE PC GENERAL OPERATING 10,000
    VISTA DEL MAR CHILD AND FAMILY SERVICES
    3200 MOTOR AVENUE
    LOS ANGELES,CA90034
    NONE PC GENERAL SUPPORT 10,000
    YWCA OF THE HARBOR AREA
    437 W 9TH ST
    SAN PEDRO,CA90731
    NONE PC GENERAL SUPPORT 10,000
    MARYCREST MANOR
    10664 SAINT JAMES DR
    CULVER CITY,CA902305461
    NONE PC GENERAL SUPPORT 30,000
    BOYS AND GIRLS CLUB OF HOLLYWOOD
    850 NORTH CAHUENGA BOULEVARD
    LOS ANGELES,CA90038
    NONE PC GENERAL SUPPORT 10,000
    YOUNG MUSICIANS FOUNDATION
    1844 CYPRESS AVE
    LOS ANGELES,CA900651222
    NONE PC GENERAL SUPPORT 20,000
    THE COLBURN SCHOOL
    200 S GRAND AVE
    LOS ANGELES,CA900123007
    NONE PC GENERAL SUPPORT 15,000
    CROSSROADS INC
    PO BOX 15
    CLAREMONT,CA91711
    NONE PC GENERAL SUPPORT 25,000
    HOUSE OF RUTH INC
    PO BOX 459
    CLAREMONT,CA917110459
    NONE PC GENERAL SUPPORT 10,000
    LACER AFTERSCHOOL PROGRAMS
    1277 N WILCOX AVE STE 2
    LOS ANGELES,CA900381435
    NONE PC GENERAL SUPPORT 10,000
    PASADENA CONSERVATORY OF MUSIC
    100 NORTH HILL AVENUE
    PASADENA,CA91106
    NONE PC GENERAL OPERATING 10,000
    PROJECT ANGEL FOOD
    922 VINE STREET
    LOS ANGELES,CA90038
    NONE PC GENERAL OPERATING 20,000
    MARYMOUNT HIGH SCHOOL
    10643 W SUNSET BLVD
    LOS ANGELES,CA900773623
    NONE PC GENERAL OPERATING 10,000
    LOS ANGELES CHILDREN'S CHORUS
    585 E COLORADO BLVD
    PASADENA,CA911012036
    NONE PC GENERAL SUPPORT 10,000
    HOMEBOY INDUSTRIES
    130 WEST BRUNO STREET
    LOS ANGELES,CA90012
    NONE PC GENERAL SUPPORT 25,000
    LOS ANGELES MUSIC AND ART SCHOOL
    3630 E 3RD ST
    LOS ANGELES,CA900632409
    NONE PC GENERAL OPERATING 20,000
    Total .................................bullet 3a 1,325,488
    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.....          
    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 1,644,773  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPARTNERSHIP/S-CORP
        1 18,259  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   2,738,595  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,738,595
    (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:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 2,032     2,032

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Name of Bond End of Year Book Value End of Year Fair Market Value
    912828QN3 US TREASURY NOTE 3.1    
    89153VAT6 TOTAL CAPITAL INTL 102,873 104,707
    501044DE8 KROGER CO 99,447 103,908
    61945CAC7 MOSAIC CO 4.250% 11/ 108,035 105,181
    912828Z94 US TREASURY NOTE 214,987 211,084
    912828XG0 US TREASURY NOTE 243,329 242,232
    00206RCT7 AT&T INC 149,901 163,613
    71884AH44 PHOENIX AZ CIVIC IMP 35,000 34,363
    92826CAM4 VISA INC 106,066 101,290
    053807AR4 AVNET INC 4.875% 12/ 49,894 51,782
    912828VB3 US TREASURY NOTE 1.7 216,623 223,626
    15189XAL2 CENTERPOINT ENER HOU    
    86562MCA6 SUMITOMO MITSUI FINL 76,607 74,607
    09247XAJ0 BLACKROCK INC 3.375%    
    907818DM7 UNION PACIFIC CORP 2 49,972 50,871
    49456BAP6 KINDER MORGAN INC 126,735 138,900
    80282KAE6 SANTANDER HOLDINGS 65,331 70,365
    912828X88 US TREASURY NOTE 2.3 109,195 116,093
    912828RR3 US TREASURY NOTE 2.0    
    58506YAH5 MEDSTAR HEALTH INC 2 40,000 41,140
    84247PHX2 STHRN CA PUBLIC PWR 50,000 50,709
    92857WBJ8 VODAFONE GROUP PLC 113,802 108,045
    9128283W8 US TREASURY NOTE 152,426 162,117
    001055BJ0 AFLAC INC 87,890 82,673
    037833BY5 APPLE INC 122,906 133,619
    91324PCP5 UNITEDHEALTH GROUP 156,762 162,639
    912828M56 US TREASURY NOTE 39,195 41,662
    931142EE9 WALMART INC    
    912828K74 US TREASURY NOTE 2.0 497,057 510,508
    06051GJL4 VR BANK OF AMERICA 72,284 71,810
    912828G38 US TREASURY NOTE 2.2 103,867 103,672
    91282CCB5 US TREASURY NOTE 30,333 30,380
    665859AV6 NORTHERN TRUST CORP 75,593 74,260
    6174468P7 VR MORGAN STANLEY 110,134 108,969

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Name of Stock End of Year Book Value End of Year Fair Market Value
    244199105 DEERE & CO 9,444 20,573
    548661107 LOWES COS INC 16,313 38,255
    743315103 PROGRESSIVE CORP OHI 11,371 13,037
    01973R101 ALLISON TRANSMISSION 12,849 12,286
    418056107 HASBRO INC 9,613 13,740
    68389X105 ORACLE CORPORATION 22,348 37,151
    101137107 BOSTON SCIENTIFIC CO 7,453 17,842
    680033107 OLD NATL BANCORP    
    871829107 SYSCO CORP 9,452 11,468
    G5960L103 MEDTRONIC PLC 28,116 28,552
    422806109 HEICO CORP 6,790 12,980
    015351109 ALEXION PHARMACEUTIC    
    09247X101 BLACKROCK INC 16,780 27,467
    110122157 BRISTOL-MYERS SQUIBB    
    00287Y109 ABBVIE INC 22,074 41,162
    109194100 BRIGHT HORIZONS FAMI 4,788 8,686
    38141G104 GOLDMAN SACHS GROUP 9,674 17,980
    92826C839 VISA INC-CLASS A SHR 16,037 75,198
    872590104 T-MOBILE US INC 11,724 12,874
    457985208 INTEGRA LIFESCIENCES 12,743 16,948
    587376104 MERCANTILE BANK CORP 6,213 7,531
    651587107 NEWMARKET CORP 18,644 14,737
    084670702 BERKSHIRE HATHAWAY I 75,226 111,826
    902788108 UMB FINL CORP COM 4,384 7,534
    30303M102 META PLATFORMS INC 22,449 154,721
    27616P103 EASTERLY GOVERNMENT 7,221 9,581
    92556V106 VIATRIS INC    
    036752103 ANTHEM INC 11,956 21,786
    45866F104 INTERCONTINENTAL EXC 9,823 50,742
    126501105 CTS CORP 6,722 9,033
    683344105 ONTO INNOVATION INC 5,024 16,298
    001744101 AMN HEALTHCARE SERVI 5,281 13,212
    40425J101 HMS HLDGS CORP    
    58506Q109 MEDPACE HOLDINGS INC 2,063 7,182
    14808P109 CASS INFORMATION SYS 5,488 5,937
    025816109 AMERICAN EXPRESS CO 13,461 22,577
    037833100 APPLE INC 21,347 497,551
    29364G103 ENTERGY CORP NEW COM 9,974 11,716
    369604103 GENERAL ELECTRIC CO    
    461202103 INTUIT COM 13,095 32,804
    512807108 LAM RESEARCH CORP CO 8,977 25,889
    580135101 MCDONALDS CORP 24,606 42,087
    655844108 NORFOLK SOUTHERN COR 9,736 15,183
    723484101 PINNACLE WEST CAP CO    
    808513105 SCHWAB CHARLES CORP 9,811 18,250
    883556102 THERMO FISHER SCIENT 19,276 46,707
    886547108 TIFFANY & CO NEW    
    165303108 CHESAPEAKE UTILS COR 5,572 8,749
    032095101 AMPHENOL CORP CL A 15,783 36,383
    674599105 OCCIDENTAL PETE CORP 5,998 16,408
    90353T100 UBER TECHNOLOGIES IN 8,844 11,908
    902973304 US BANCORP 8,238 13,312
    148806102 CATALENT INC 5,042 17,028
    595112103 MICRON TECHNOLOGY IN 11,627 24,498
    75513E101 RAYTHEON TECHNOLOGIE 18,779 27,195
    G1151C101 ACCENTURE PLC 11,653 72,546
    26614N102 DUPONT DE NEMOURS IN 9,931 13,086
    81762P102 SERVICENOW INC 11,577 27,912
    12572Q105 CME GROUP INC 12,622 17,363
    349853101 FORWARD AIR CORP 7,436 15,378
    913259107 UNITIL CORP 6,549 5,887
    681116109 OLLIE'S BARGAIN OUTL 8,239 7,986
    82706C108 SILICON MOTION TECHN    
    50187A107 LHC GROUP INC 15,288 16,056
    058498106 BALL CORP 27,765 48,713
    G0750C108 AXALTA COATING SYSTE    
    G8473T100 STERIS PLC 16,059 23,124
    001055102 AFLAC INC 8,227 13,196
    097023105 BOEING CO 13,294 20,736
    651639106 NEWMONT CORP 11,282 19,660
    194014106 COLFAX CORPORATION 7,038 13,101
    02079K305 ALPHABET INC CL A 69,361 153,543
    892356106 TRACTOR SUPPLY CO CO 3,875 20,042
    94106L109 WASTE MANAGEMENT INC 9,830 16,022
    67066G104 NVIDIA CORP 15,995 129,703
    73278L105 POOL CORPORATION 4,403 16,980
    115637209 BROWN FORMAN CORP CL 17,945 24,772
    539830109 LOCKHEED MARTIN CORP 16,456 19,903
    038222105 APPLIED MATERIALS IN 11,743 31,944
    260557103 DOW INC 9,617 11,004
    G5494J103 LINDE PLC    
    451107106 IDACORP INC 11,735 13,257
    258278100 DORMAN PRODUCTS INC 10,449 16,273
    04911A107 ATLANTIC UNION BANKS 11,855 13,760
    29362U104 ENTEGRIS INC 16,034 37,139
    35137L105 FOX CORP    
    87612E106 TARGET CORP 12,881 26,384
    28176E108 EDWARDS LIFESCIENCES 11,211 23,708
    98389B100 XCEL ENERGY INC 8,982 10,629
    69354M108 PRA HEALTH SCIENCES    
    29670G102 ESSENTIAL UTILITIES 9,036 12,993
    88160R101 TESLA INC 8,761 137,381
    90138F102 TWILIO INC 9,436 8,427
    172967424 CITIGROUP INC. 16,912 20,955
    98986T108 ZYNGA INC 8,502 13,696
    00507V109 ACTIVISION BLIZZARD    
    199908104 COMFORT SYS USA INC 6,591 16,622
    466032109 J & J SNACK FOODS CO 6,901 8,056
    860630102 STIFEL FINANCIAL COR 3,414 6,901
    G8060N102 SENSATA TECHNOLOGIES 8,653 14,559
    12508E101 CDK GLOBAL INC    
    09215C105 BLACK KNIGHT INC 18,870 20,723
    075887109 BECTON DICKINSON & C 13,026 13,328
    17275R102 CISCO SYSTEMS INC 32,301 49,619
    370334104 GENERAL MILLS INC 9,075 9,972
    617446448 MORGAN STANLEY 11,210 22,086
    693475105 PNC FINANCIAL SERVIC 9,776 16,042
    75886F107 REGENERON PHARMACEUT 8,172 18,314
    784117103 SEI INVESTMENT COMPA 6,139 6,886
    863667101 STRYKER CORP 13,962 20,859
    553777103 MTS SYS CORP    
    428291108 HEXCEL CORP NEW COM 3,037 6,734
    911312106 UNITED PARCEL SERVIC 16,871 31,508
    159864107 CHARLES RIVER LABORA 4,019 13,564
    44925C103 ICF INTERNATIONAL IN 11,860 16,203
    02209S103 ALTRIA GROUP INC 15,950 18,435
    00724F101 ADOBE INC 22,938 47,066
    852234103 SQUARE INC 8,656 11,952
    031162100 AMGEN INC 30,498 33,521
    459200101 INTERNATIONAL BUSINE 20,072 22,455
    824348106 SHERWIN WILLIAMS CO 11,475 17,960
    007903107 ADVANCED MICRO DEVIC 7,351 32,953
    H1467J104 CHUBB LTD 10,755 17,398
    46120E602 INTUITIVE SURGICAL I 11,524 24,792
    893641100 TRANSDIGM GROUP INC 4,466 15,271
    959802109 WESTERN UNION CO/THE 8,946 8,759
    98978V103 ZOETIS INC 14,044 24,647
    718172109 PHILIP MORRIS INTERN 24,779 30,780
    29275Y102 ENERSYS 7,506 10,752
    302081104 EXLSERVICE HOLDINGS 5,891 14,332
    172908105 CINTAS CORP 4,297 20,386
    217204106 COPART INC COM 23,808 56,554
    032654105 ANALOG DEVICES INC 10,001 12,304
    053015103 AUTOMATIC DATA PROCE 12,699 22,439
    437076102 HOME DEPOT INC 13,992 90,057
    713448108 PEPSICO INC 28,292 38,216
    928881101 VONTIER CORP 2,646 5,531
    64110L106 NETFLIX INC 16,667 60,846
    83088M102 SKYWORKS SOLUTIONS I 24,453 38,320
    G3922B107 GENPACT LTD 9,198 16,136
    513272104 LAMB WESTON HOLDINGS 21,284 22,563
    256677105 DOLLAR GENERAL CORP 9,486 12,735
    126402106 CSW INDUSTRIALS INC 4,677 8,702
    566324109 MARCUS & MILLICHAP I 10,252 15,953
    194162103 COLGATE PALMOLIVE CO 12,326 15,105
    458140100 INTEL CORP 40,575 41,097
    438516106 HONEYWELL INTERNATIO 24,436 29,608
    15135B101 CENTENE CORP DEL 6,559 18,952
    G97822103 PERRIGO CO PLC 17,495 12,292
    493267108 KEYCORP NEW 7,288 15,243
    679580100 OLD DOMINION FREIGHT 14,328 56,982
    143130102 CARMAX INC 23,281 40,111
    31428X106 FEDEX CORPORATION 11,879 21,726
    46625H100 JPMORGAN CHASE & CO 62,476 99,761
    125523100 CIGNA CORP 11,755 16,763
    78409V104 S&P GLOBAL INC 3,606 18,877
    737446104 POST HOLDINGS INC 32,043 42,048
    26441C204 DUKE ENERGY HOLDING 12,951 14,686
    537008104 LITTELFUSE INC COM    
    701877102 PARSLEY ENERGY INC-C    
    009158106 AIR PRODS & CHEMS IN 8,825 11,866
    023135106 AMAZON COM INC COM 8,582 270,082
    235851102 DANAHER CORP 5,260 54,287
    278865100 ECOLAB INC 8,172 27,212
    478160104 JOHNSON & JOHNSON 67,274 83,995
    518439104 ESTEE LAUDER COMPANI 4,410 28,876
    760759100 REPUBLIC SERVICES IN 7,940 13,945
    882508104 TEXAS INSTRUMENTS IN 22,593 37,882
    907818108 UNION PACIFIC CORP 22,630 36,278
    980745103 WOODWARD INC. 10,022 10,727
    20030N101 COMCAST CORP CLASS A 37,971 47,864
    92532F100 VERTEX PHARMACEUTICA 18,369 23,058
    14040H105 CAPITAL ONE FINANCIA 9,397 20,748
    58933Y105 MERCK & CO INC NEW 37,339 37,707
    88579Y101 3M CO 12,750 14,210
    002824100 ABBOTT LABS 32,721 51,229
    931142103 WALMART INC 34,331 44,854
    57636Q104 MASTERCARD INC 45,891 70,427
    09062X103 BIOGEN INC 9,246 10,077
    70450Y103 PAYPAL HOLDINGS INC 30,528 46,391
    89832Q109 TRUIST FINANCIAL COR 12,719 20,551
    017175100 ALLEGHANY CORP DEL N 24,650 31,377
    34964C106 FORTUNE BRANDS HOME 4,209 13,897
    40171V100 GUIDEWIRE SOFTWARE I 10,822 18,732
    98980L101 ZOOM VIDEO COMMUNICA 8,774 6,437
    G0403H108 AON PLC 9,785 15,028
    60770K107 MODERNA INC 9,023 16,509
    22160K105 COSTCO WHOLESALE COR 28,850 53,932
    37940X102 GLOBAL PMTS INC W/I    
    31620M106 FIDELITY NATL INFORM 14,740 27,833
    04247X102 ARMSTRONG WORLD INDU 23,126 42,500
    08160H101 BENCHMARK ELECTRS IN 10,622 11,707
    860372101 STEWART INFORMATION 6,409 12,916
    871237103 SYKES ENTERPRISES IN    
    65336K103 NEXSTAR BROADCASTING 10,338 16,608
    052769106 AUTODESK INC 11,750 13,497
    126408103 CSX CORP 11,618 17,710
    303250104 FAIR ISSAC, INC 6,156 13,877
    452308109 ILLINOIS TOOL WORKS 12,020 16,782
    571903202 MARRIOTT INTERNATION 9,802 17,185
    594918104 MICROSOFT CORP 70,649 467,485
    37045V100 GENERAL MOTORS CO 9,434 17,765
    79466L302 SALESFORCE COM INC 10,015 47,522
    96208T104 WEX INC 270 281
    030420103 AMERICAN WATER WORKS 14,572 25,685
    254687106 WALT DISNEY CO 34,684 56,845
    09857L108 BOOKING HOLDINGS INC 2,589 33,589
    191216100 COCA COLA CO 32,165 42,217
    256746108 DOLLAR TREE INC 27,285 46,793
    65339F101 NEXTERA ENERGY INC 21,488 36,971
    747525103 QUALCOMM INC 16,296 49,192
    624580106 MOVADO GROUP INC COM 5,736 12,884
    00206R102 AT & T INC    
    88162G103 TETRA TECH INC NEW    
    500643200 KORN FERRY 7,116 13,026
    92343V104 VERIZON COMMUNICATIO 26,037 25,149
    483007704 KAISER ALUMINUM CORP 10,469 11,085
    695127100 PACIRA BIOSCIENCES I 6,700 7,040
    026874784 AMERICAN INTERNATION 9,681 18,536
    16119P108 CHARTER COMMUNICATIO 9,924 17,603
    25746U109 DOMINION ENERGY INC 19,091 19,719
    91324P102 UNITEDHEALTH GROUP I 43,451 88,377
    21036P108 CONSTELLATION BRANDS 9,229 12,549
    74144T108 T ROWE PRICE GROUP I 7,221 19,664
    530307305 LIBERTY BROADBAND CO 6,415 14,016
    565849106 MARATHON OIL CORP 5,568 21,313
    02079K107 ALPHABET INC CL C 16,852 164,935
    127190304 CACI INTL INC FORMER 4,948 7,269
    909907107 UNITED BANKSHARES IN 8,047 9,759
    254543101 DIODES INC 6,057 12,409
    840441109 SOUTHSTATE CORP 12,706 15,702
    172062101 CINCINNATI FINANCIAL 15,955 26,546
    177376100 CITRIX SYS INC COM 31,308 27,999
    55261F104 M & T BANK CORPORATI 14,022 19,812
    045327103 ASPEN TECHNOLOGY INC 5,592 9,132
    126650100 CVS HEALTH CORPORATI 18,930 30,432
    149123101 CATERPILLAR INC 13,665 20,881
    337738108 FISERV INC 12,118 12,351
    532457108 ELI LILLY & CO COM 25,413 44,471
    654106103 NIKE INC CL B 19,714 32,667
    872540109 TJX COMPANIES INC 13,397 18,069
    25179M103 DEVON ENERGY CORPORA 5,266 22,598
    444859102 HUMANA INC 11,480 21,801
    166764100 CHEVRON CORP 34,704 66,537
    626717102 MURPHY OIL CORP    
    853666105 STANDARD MTR PRODS I    
    110122108 BRISTOL MYERS SQUIBB 26,375 30,302
    060505104 BANK OF AMERICA CORP 36,801 65,400
    191098102 COCA-COLA CONSOLIDAT 10,492 24,148
    375558103 GILEAD SCIENCES INC 9,395 10,819
    571748102 MARSH & MCLENNAN COS 11,210 19,815
    816300107 SELECTIVE INS GROUP 15,456 19,829
    099406100 BOOT BARN HOLDINGS I 3,179 13,043
    G50871105 JAZZ PHARMACEUTICALS 4,323 8,154
    23918K108 DAVITA INC 5,287 12,627
    11135F101 BROADCOM INC 24,536 71,199
    016255101 ALIGN TECHNOLOGY INC 1,438 15,115
    61174X109 MONSTER BEVERAGE COR 5,102 30,637
    34959J108 FORTIVE CORP 4,302 15,868
    697435105 PALO ALTO NETWORKS I 4,910 18,930
    609207105 MONDELEZ INTERNATION 16,068 20,225
    030506109 AMERICAN WOODMARK CO 10,234 8,802
    057665200 BALCHEM CORP CLASS B 8,335 15,848
    067806109 BARNES GROUP INC COM 10,225 10,529
    353514102 FRANKLIN ELEC INC CO 6,828 14,562
    505336107 LA-Z-BOY INC 5,757 9,985
    60786M105 MOELIS & CO 17,476 35,568
    493732101 K.FORCE, INC. 5,282 12,487
    78463M107 SPS COMMERCE INC 2,898 6,690
    929160109 VULCAN MATERIALS COM 15,478 30,929
    125896100 CMS ENERGY CORP 6,722 7,871
    147528103 CASEYS GEN STORES IN 8,168 15,788
    45167R104 IDEX CORP 13,815 22,923
    704326107 PAYCHEX INC 9,755 25,116
    717081103 PFIZER INC 34,707 57,574
    742718109 PROCTER & GAMBLE CO 51,949 77,537
    842587107 SOUTHERN CO 9,638 12,687
    855244109 STARBUCKS CORP COM 18,639 27,722
    36237H101 G-III APPAREL GROUP 9,471 11,222
    G037AX101 AMBARELLA INC 1,508 7,304
    589509207 MERGER FUND-INST #30 203,230 224,482
    922908751 VANGUARD SMALL CAP V 1,351,220 1,446,464
    89154M702 TOUCHSTONE SANDS EM 639,689 646,298
    482480100 KLA CORP 10,474 14,624
    960413102 WESTLAKE CHEM CORP 7,274 7,576
    22822V101 CROWN CASTLE INTL CO 11,338 15,656
    369604301 GENERAL ELEC CO 11,554 21,067
    316773100 FIFTH THIRD BANCORP 9,273 10,539
    101388106 BOTTOMLINE TECHNOLOG 11,241 13,327
    68213N109 OMNICELL INC 2,928 7,398
    GTC996442 CORBIN MULTI STRATEG 466,078 446,975
    56585A102 MARATHON PETROLEUM C 8,877 10,302
    09260C703 BLACKROCK GL L/S CRE 350,000 362,031
    98138H101 WORKDAY INC 10,645 12,839
    256163106 DOCUSIGN INC 7,115 3,808
    000843201 ACAP STRATEGIC FUND- 475,000 596,878
    PFX990006 PIMCO FLEXIBLE CREDI 425,000 405,383
    169905106 CHOICE HOTELS INTL I 10,195 15,131
    639050103 NATUS MEDICAL INC 10,068 9,017
    BIT990000 BLACKSTONE REAL ESTA 500,000 643,822
    413838780 OAKMARK FUND-INST #2 181,686 490,727
    59156R108 METLIFE INC 10,407 12,560
    46429B366 ISHARES CMBS ETF 200,796 198,863
    45168D104 IDEXX CORP 8,295 10,535
    22788C105 CROWDSTRIKE HOLDINGS 7,467 5,733
    29444U700 EQUINIX INC 13,463 25,375
    31326SAV2 FHLMC POOL #ZT0000 44,316 46,203
    00143W859 INV OPP DEVELOP MRKT 326,838 451,091
    46432F339 ISHARES MSCI USA QUA 338,034 526,345
    816851109 SEMPRA ENERGY 8,532 9,127
    45826H109 INTEGER HOLDINGS COR 12,173 11,041
    22544R305 CREDIT SUISSE COMM R 724,740 824,339
    125269100 CF INDS HLDGS INC 7,657 8,281
    IHD995233 ICAPITAL HARBOURVEST 365,922 365,922
    405024100 HAEMONETICS CORP MAS 12,287 5,463
    862121100 STORE CAPITAL CORP 9,792 16,718
    038336103 APTARGROUP INC COM 21,176 17,882
    03027X100 AMERICAN TOWER CORP 19,600 24,863
    09227Q100 BLACKBAUD INC 10,012 10,978
    497266106 KIRBY CORP 11,044 11,230
    3132ADT99 FHLMC POOL #ZT1476 17,675 18,062
    171484108 CHURCHILL DOWNS INC 19,143 20,236
    464287507 ISHARES CORE S&P MID 620,683 1,852,192
    35671D857 FREEPORT-MCMORAN INC 10,701 14,105
    G17766109 CAMBIUM NETWORKS COR 12,818 10,201
    88339J105 TRADE DESK INC/THE 7,365 7,606
    025537101 AMERICAN ELECTRIC PO 10,243 11,388
    501044101 KROGER CO 10,038 13,804
    74340W103 PROLOGIS INC 16,770 27,274
    143658300 CARNIVAL CORP 7,179 8,068
    7HF990326 HIG BAYSIDE LOAN OPP 170,135 170,135
    SWR990003 STARWOOD REIT 500,000 516,667
    77958B402 T ROWE PRICE INST FL 175,000 174,642
    30231G102 EXXON MOBIL CORPORAT 8,834 9,974
    40412C101 HCA HOLDINGS INC 10,216 15,672
    381430503 GOLDMAN ACTIVEBETA U 325,809 530,406
    848574109 SPIRIT AEROSYTSEMS H 7,548 8,187
    00769G188 ACADIAN EMG MRKTS PO 363,873 508,186
    31339UZT0 FHLMC POOL #QA4354 30,226 30,795
    291011104 EMERSON ELECTRIC CO 10,425 11,528
    670346105 NUCOR CORP 7,062 7,077
    50187T106 LGI HOMES INC 6,926 8,805
    858119100 STEEL DYNAMICS INC C 7,424 7,076
    NBP993844 NB CROSSROADS PRIV M 341,298 341,298
    744320102 PRUDENTIAL FINL INC 9,311 10,932
    NUV990007 NUVEEN GLOBAL CITIES 566,230 650,859
    IMU999WHE ICAP MILLENIUM USA A 50,000 50,000
    872365713 TCW EMRG MRKTS INC-P 510,000 492,766
    811707801 SEACOAST BANKING COR 8,121 8,635
    04314H402 ARTISAN INTERNATIONA 888,191 1,209,879
    30161N101 EXELON CORPORATION 8,388 11,899
    008492100 AGREE RLTY CORP COM 8,277 8,920
    12653C108 CNX RESOURCES CORP 16,537 16,225
    224399105 CRANE CO 10,425 12,920
    N00985106 AERCAP HOLDINGS NV 19,973 22,570
    69608A108 PALANTIR TECHNOLOGIE 6,740 4,771
    374297109 GETTY RLTY CORP COM 5,154 7,252
    868459108 SUPERNUS PHARMACEUTI 5,974 6,328
    NCM996061 NB CROSSROADS PM FD 358,962 358,962
    345370860 FORD MOTOR COMPANY 10,983 21,663
    902494103 TYSON FOODS INC CL A 10,430 13,858
    68622V106 ORGANON & CO 1,862 1,492
    IOA996783 ICAP OAKTREE OPP XI 224,135 224,135
    20825C104 CONOCOPHILLIPS 9,046 12,704
    904708104 UNIFIRST CORP MASS 20,045 18,936
    867892101 SUNSTONE HOTEL INVS 8,211 8,410
    68902V107 OTIS WORLDWIDE CORP 19,261 25,860
    74440Y884 PGIM HIGH YIELD-Q 10 1,269,725 1,349,239
    G29183103 EATON CORP PLC 8,695 11,579
    19248X604 COHEN & STEERS PR SE 594,143 584,265
    05350V106 AVANOS MEDICAL INC 12,173 11,996
    833445109 SNOWFLAKE INC 7,202 8,130
    50155Q100 KYNDRYL HOLDINGS INC 864 597
    3138ETJ98 FNMA POOL #AL8387 23,743 24,776
    703343103 PATRICK INDUSTRIES I 8,617 8,472
    778296103 ROSS STORES INC 10,233 10,057
    828806109 SIMON PROPERTY GROUP 10,332 17,575

    TY 2021 InvestmentsOtherSchedule2
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    87234N765 TCW EMRG MKTS INCM-I      
    04314H402 ARTISAN INTERNATIONA      
    09260C703 BLACKROCK GL L/S CRE      
    3138ETJ98 FNMA POOL #AL8387      
    000843201 ACAP STRATEGIC FUND-      
    589509207 MERGER FUND-INST #30      
    464287507 ISHARES CORE S&P MID      
    413838780 OAKMARK FUND-INST #2      
    29444U700 EQUINIX INC      
    74340W103 PROLOGIS INC      
    NBP993844 NB CROSSROADS PRIV M      
    862121100 STORE CAPITAL CORP      
    03027X100 AMERICAN TOWER CORP      
    31339UZT0 FHLMC POOL #QA4354      
    00769G188 ACADIAN EMG MRKTS PO      
    008492100 AGREE RLTY CORP COM      
    68213N109 OMNICELL INC      
    00143W859 INV OPP DEVELOP MRKT      
    NUV990007 NUVEEN GLOBAL CITIES      
    31326SAV2 FHLMC POOL #ZT0000      
    PFX990006 PIMCO FLEXIBLE CREDI      
    BIT990000 BLACKSTONE REAL ESTA      
    374297109 GETTY RLTY CORP COM      
    GTC996442 CORBIN MULTI STRATEG      
    22544R305 CREDIT SUISSE COMM R      
    22822V101 CROWN CASTLE INTL CO      
    IHD991018 ICAPITAL HARBOURVEST      
    3132ADT99 FHLMC POOL #ZT1476      
    19248X604 COHEN & STEERS PR SE      
    46432F339 ISHARES EDGE MSCI US      
    74440Y884 PGIM HIGH YIELD-Q 10      
    NCM996061 NB CROSSROADS PM FD      
    89154Q562 TOUCHSTONE SANDS EM      
    381430503 GOLDMAN ACTIVEBETA U      
    ICAPITAL-HARBOURVEST DOVER STR      
    H.I.G. BAYSIDE LOAN OPPORTUNIT      

    TY 2021 OtherDecreasesSchedule
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Description Amount
    PY RETURN OF CAPITAL ADJ 9,981
    PARTNERSHIP INCOME ADJ 53,017
    PURCHASE OF ACCRUED INTEREST 1,192
    MUTUAL FUND TIMING ADJ 35,221
    COST BASIS ADJ 6,338


    TY 2021 OtherExpensesSchedule
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    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 700 700   0
    FROM PARTNERSHIP/S-CORP 3,712 3,712   0


    TY 2021 OtherIncomeSchedule2
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FROM PARTNERSHIP/S-CORP 56,729 56,729  


    TY 2021 OtherIncreasesSchedule
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Description Amount
    CY PENDING SALES ADJ 34
    ICAPITAL ADJ 155,080


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    GRANT ADMIN FEE 29,083     29,083
    INVESTMNT MNGMNT FEES (NON-DED 5,519 5,519    


    TY 2021 TaxesSchedule
    Name:
    ADAMS MASTROVICH FAM FDN
    EIN:
    41-6014092
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 3,518 3,518   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,975 0   0
    FEDERAL ESTIMATES - PRINCIPAL 12,359 0   0
    FOREIGN TAXES ON NONQUALIFIED 1,309 1,309   0