Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
The Mitchell Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 311
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
McLean, VA221010311
A Employer identification number

54-1852192
B Telephone number (see instructions)

(703) 759-4258
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$5,544,280
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) 0
2 Check bullet.............
3 Interest on savings and temporary cash investments 79 79  
4 Dividends and interest from securities... 206,437 206,437  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 223,574
b Gross sales price for all assets on line 6a 1,909,461
7 Capital gain net income (from Part IV, line 2)... 223,574
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 430,090 430,090  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 6,000 3,000   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 1,904 1,904   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 24,837 23,571   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 32,741 28,475   0
25 Contributions, gifts, grants paid....... 210,000 210,000
26 Total expenses and disbursements. Add lines 24 and 25 242,741 28,475   210,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 187,349
b Net investment income (if negative, enter -0-) 401,615
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets 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............. 53,346 23,305 23,305
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 5,144,088 Click to see attachment5,361,260 5,520,975
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,197,434 5,384,565 5,544,280
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment3,526 Click to see attachment3,308
23 Total liabilities (add lines 17 through 22)......... 3,526 3,308
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........... 5,193,908 5,381,257
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 5,193,908 5,381,257
30 Total liabilities and net assets/fund balances (see instructions). 5,197,434 5,384,565
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
5,193,908
2
Enter amount from Part I, line 27a .....................
2
187,349
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
5,381,257
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
5,381,257
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 0.50 shs GE      
b CALL C SEP 76 EXP 09/17/21 CUSIP: Symbol: C 09/17/21 C 76.000      
c CALL CVX DEC 121 EXP 12/17/21 CUSIP: Symbol: CVX 12/17/21 C 121.000      
d CALL BAC FEB 36 EXP 02/19/21 CUSIP: Symbol: BAC 02/19/21 C 36.000      
e CALL XOM FEB 53 EXP 02/19/21 CUSIP: Symbol: XOM 02/19/21 C 53.000      
CALL XOM APR 61 EXP 04/16/21 CUSIP: Symbol: XOM 04/16/21 C 61.000      
ALLSTATE CORP CUSIP: 020002101 Symbol: ALL      
ALTRIA GROUP INC CUSIP: 02209S103 Symbol: MO      
CALL PM FEB 87.5 EXP 02/19/21 CUSIP: Symbol: PM 02/19/21 C 87.500      
CALL RTX SEP 87.5 EXP 09/17/21 CUSIP: Symbol: RTX 09/17/21 C 87.500      
CALL PM SEP 107 EXP 09/17/21 CUSIP: Symbol: PM 09/17/21 C 107.000      
BK OF AMERICA CORP CUSIP: XXX-XX-XXXX Symbol: BAC      
BK OF AMERICA CORP CUSIP: XXX-XX-XXXX Symbol: BAC      
BK OF AMERICA CORP CUSIP: XXX-XX-XXXX Symbol: BAC      
CALL CAG OCT 35 EXP 10/15/21 CUSIP: Symbol: CAG 10/15/21 C 35.000      
CALL CSCO NOV 57.5 EXP 11/19/21 CUSIP: Symbol: CSCO 11/19/21 C 57.500      
CALL MS JUL 92 EXP 07/16/21 CUSIP: Symbol: MS 07/16/21 C 92.000      
CALL MS NOV 105 EXP 11/19/21 CUSIP: Symbol: MS 11/19/21 C 105.000      
CALL MS SEP 107 EXP 09/17/21 CUSIP: Symbol: MS 09/17/21 C 107.000      
CALL MS OCT 106 EXP 10/15/21 CUSIP: Symbol: MS 10/15/21 C 106.000      
CALL MS DEC 106 EXP 12/17/21 CUSIP: Symbol: MS 12/17/21 C 106.000      
CALL CSCO FEB 47 EXP 02/19/21 CUSIP: Symbol: CSCO 02/19/21 C 47.000      
CALL CSCO MAY 55 EXP 05/21/21 CUSIP: Symbol: CSCO 05/21/21 C 55.000      
CALL WBA JUN 57 EXP 06/18/21 CUSIP: Symbol: WBA 06/18/21 C 57.000      
CALL WBA SEP 50 EXP 09/17/21 CUSIP: Symbol: WBA 09/17/21 C 50.000      
CALL WBA OCT 52 EXP 10/15/21 CUSIP: Symbol: WBA 10/15/21 C 52.000      
CALL WBA DEC 51 EXP 12/17/21 CUSIP: Symbol: WBA 12/17/21 C 51.000      
CALL BAC APR 41 EXP 04/16/21 CUSIP: Symbol: BAC 04/16/21 C 41.000      
CALL BAC JUN 43 EXP 06/18/21 CUSIP: Symbol: BAC 06/18/21 C 43.000      
CALL BAC JUN 44 EXP 06/18/21 CUSIP: Symbol: BAC 06/18/21 C 44.000      
CALL MRK NOV 84 EXP 11/19/21 CUSIP: Symbol: MRK 11/19/21 C 84.000      
CALL PFE JUN 41 EXP 06/18/21 CUSIP: Symbol: PFE 06/18/21 C 41.000      
CALL PFE JAN 46 EXP 01/15/21 CUSIP: Symbol: PFE 01/15/21 C 46.000      
CALL BMY MAY 68 EXP 05/21/21 CUSIP: Symbol: BMY 05/21/21 C 68.000      
CALL BMY AUG 70 EXP 08/20/21 CUSIP: Symbol: BMY 08/20/21 C 70.000      
CALL BMY JUL 68 EXP 07/16/21 CUSIP: Symbol: BMY 07/16/21 C 68.000      
CALL INTC FEB 65 EXP 02/19/21 CUSIP: Symbol: INTC 02/19/21 C 65.000      
CHEVRON CORP NEW CUSIP: XXX-XX-XXXX Symbol: CVX      
CISCO SYS INC CUSIP: 17275R102 Symbol: CSCO      
CISCO SYS INC CUSIP: 17275R102 Symbol: CSCO      
CISCO SYS INC CUSIP: 17275R102 Symbol: CSCO (contd)      
CITIGROUP INC COM NEW CUSIP: XXX-XX-XXXX Symbol: C      
CITIGROUP INC COM NEW CUSIP: XXX-XX-XXXX Symbol: C      
CITIGROUP INC COM NEW CUSIP: XXX-XX-XXXX Symbol: C      
CITIGROUP INC COM NEW CUSIP: XXX-XX-XXXX Symbol: C      
CALL PFE SEP 48 EXP 09/17/21 CUSIP: Symbol: PFE 09/17/21 C 48.000      
CALL WBA APR 60 EXP 04/16/21 CUSIP: Symbol: WBA 04/16/21 C 60.000      
CALL WBA JUL 55 EXP 07/16/21 CUSIP: Symbol: WBA 07/16/21 C 55.000      
CALL MO AUG 49 EXP 08/20/21 CUSIP: Symbol: MO 08/20/21 C 49.000      
CALL MO NOV 50 EXP 11/19/21 CUSIP: Symbol: MO 11/19/21 C 50.000      
CONAGRA BRANDS INC CUSIP: XXX-XX-XXXX Symbol: CAG      
CONAGRA BRANDS INC CUSIP: XXX-XX-XXXX Symbol: CAG      
CONOCOPHILLIPS CUSIP: 20825C104 Symbol: COP      
CONOCOPHILLIPS CUSIP: 20825C104 Symbol: COP      
DOW INC CUSIP: XXX-XX-XXXX Symbol: DOW      
DUKE ENERGY CORP NEW COM NEW CUSIP: 26441C204 Symbol: DUK      
DUKE ENERGY CORP NEW COM NEW CUSIP: 26441C204 Symbol: DUK      
DUPONT DE NEMOURS INC CUSIP: 26614N102 Symbol: DD      
DUPONT DE NEMOURS INC CUSIP: 26614N102 Symbol: DD      
DUPONT DE NEMOURS INC CUSIP: 26614N102 Symbol: DD      
CALL C NOV 72.5 EXP 11/19/21 CUSIP: Symbol: C 11/19/21 C 72.500      
CALL DD MAR 77.5 EXP 03/19/21 CUSIP: Symbol: DD 03/19/21 C 77.500      
CALL DOW APR 70 EXP 04/16/21 CUSIP: Symbol: DOW 04/16/21 C 70.000      
CALL DOW JUL 65 EXP 07/16/21 CUSIP: Symbol: DOW 07/16/21 C 65.000      
CALL DOW JUN 73 EXP 06/18/21 CUSIP: Symbol: DOW 06/18/21 C 73.000      
CALL BAC JUL 43.5 EXP 07/16/21 CUSIP: Symbol: BAC 07/16/21 C 43.500      
CALL BAC DEC 47 EXP 12/17/21 CUSIP: Symbol: BAC 12/17/21 C 47.000      
CALL BAC SEP 42.5 EXP 09/17/21 CUSIP: Symbol: BAC 09/17/21 C 42.500      
GENERAL MLS INC CUSIP: XXX-XX-XXXX Symbol: GIS      
GENERAL MLS INC CUSIP: XXX-XX-XXXX Symbol: GIS      
GENUINE PARTS CO CUSIP: XXX-XX-XXXX Symbol: GPC      
GENUINE PARTS CO CUSIP: XXX-XX-XXXX Symbol: GPC (contd)      
GENUINE PARTS CO CUSIP: XXX-XX-XXXX Symbol: GPC (contd)      
CALL DOW AUG 63 EXP 08/20/21 CUSIP: Symbol: DOW 08/20/21 C 63.000      
CALL DOW OCT 61 EXP 10/15/21 CUSIP: Symbol: DOW 10/15/21 C 61.000      
CALL PEAK SEP 37 EXP 09/17/21 CUSIP: Symbol: PEAK 09/17/21 C 37.000      
CALL PEAK NOV 35 EXP 11/19/21 CUSIP: Symbol: PEAK 11/19/21 C 35.000      
CALL TFC MAR 62.5 EXP 03/19/21 CUSIP: Symbol: TFC 03/19/21 C 62.500      
CALL TFC APR 62.5 EXP 04/16/21 CUSIP: Symbol: TFC 04/16/21 C 62.500      
CALL TFC MAY 62.5 EXP 05/21/21 CUSIP: Symbol: TFC 05/21/21 C 62.500      
CALL TFC DEC 65 EXP 12/17/21 CUSIP: Symbol: TFC 12/17/21 C 65.000      
CALL TFC JUL 57.5 EXP 07/16/21 CUSIP: Symbol: TFC 07/16/21 C 57.500      
HEALTHPEAK PROPERTIES INC REIT CUSIP: 42250P103 Symbol: PEAK      
INTEL CORP CUSIP: XXX-XX-XXXX Symbol: INTC      
JPMORGAN CHASE & CO COM CUSIP: 46625H100 Symbol: JPM      
CALL RTX JUL 90 EXP 07/16/21 CUSIP: Symbol: RTX 07/16/21 C 90.000      
CALL RTX JUN 92 EXP 06/18/21 CUSIP: Symbol: RTX 06/18/21 C 92.000      
CALL COP SEP 60 EXP 09/17/21 CUSIP: Symbol: COP 09/17/21 C 60.000      
CALL COP AUG 62 EXP 08/20/21 CUSIP: Symbol: COP 08/20/21 C 62.000      
CALL COP DEC 79 EXP 12/17/21 CUSIP: Symbol: COP 12/17/21 C 79.000      
CALL JCI APR 62.5 EXP 04/16/21 CUSIP: Symbol: JCI 04/16/21 C 62.500      
CALL JCI MAY 66 EXP 05/21/21 CUSIP: Symbol: JCI 05/21/21 C 66.000      
LOWES COS INC CUSIP: XXX-XX-XXXX Symbol: LOW      
LOWES COS INC CUSIP: XXX-XX-XXXX Symbol: LOW      
MERCK & CO INC CUSIP: 58933Y105 Symbol: MRK (contd)      
MERCK & CO INC CUSIP: 58933Y105 Symbol: MRK (contd)      
CALL MS MAR 85 EXP 03/19/21 CUSIP: Symbol: MS 03/19/21 C 85.000      
CALL MS JUN 95 EXP 06/18/21 CUSIP: Symbol: MS 06/18/21 C 95.000      
CALL MS FEB 76 EXP 02/19/21 CUSIP: Symbol: MS 02/19/21 C 76.000      
CALL MS APR 83 EXP 04/16/21 CUSIP: Symbol: MS 04/16/21 C 83.000      
CALL INTC SEP 55 EXP 09/17/21 CUSIP: Symbol: INTC 09/17/21 C 55.000      
CALL INTC MAR 67.5 EXP 03/19/21 CUSIP: Symbol: INTC 03/19/21 C 67.500      
CALL INTC OCT 55 EXP 10/15/21 CUSIP: Symbol: INTC 10/15/21 C 55.000      
CALL INTC APR 68 EXP 04/16/21 CUSIP: Symbol: INTC 04/16/21 C 68.000      
CALL GPC FEB 110 EXP 02/19/21 CUSIP: Symbol: GPC 02/19/21 C 110.000      
MORGAN STANLEY COM NEW CUSIP: XXX-XX-XXXX Symbol: MS      
MORGAN STANLEY COM NEW CUSIP: XXX-XX-XXXX Symbol: MS      
MORGAN STANLEY COM NEW CUSIP: XXX-XX-XXXX Symbol: MS      
ORGANON & CO COMMON STOCK CUSIP: 68622V106 Symbol: OGN      
CALL PPL FEB 29 EXP 02/19/21 CUSIP: Symbol: PPL 02/19/21 C 29.000      
CALL NVS FEB 100 EXP 02/19/21 CUSIP: Symbol: NVS 02/19/21 C 100.000      
PFIZER INC CUSIP: XXX-XX-XXXX Symbol: PFE      
CALL COP APR 60 EXP 04/16/21 CUSIP: Symbol: COP 04/16/21 C 60.000      
CALL COP MAR 58 EXP 03/19/21 CUSIP: Symbol: COP 03/19/21 C 58.000      
CALL COP NOV 80 EXP 11/19/21 CUSIP: Symbol: COP 11/19/21 C 80.000      
CALL COP MAY 58 EXP 05/21/21 CUSIP: Symbol: COP 05/21/21 C 58.000      
CALL COP JUN 61.5 EXP 06/18/21 CUSIP: Symbol: COP 06/18/21 C 61.500      
CALL MO FEB 44 EXP 02/19/21 CUSIP: Symbol: MO 02/19/21 C 44.000      
CALL XOM JUN 63.5 EXP 06/18/21 CUSIP: Symbol: XOM 06/18/21 C 63.500      
CALL XOM JUL 67 EXP 07/16/21 CUSIP: Symbol: XOM 07/16/21 C 67.000      
CALL XOM AUG 61.5 EXP 08/20/21 CUSIP: Symbol: XOM 08/20/21 C 61.500      
CALL XOM DEC 66 EXP 12/17/21 CUSIP: Symbol: XOM 12/17/21 C 66.000      
CALL RIO SEP 79.72 EXP 09/17/21 CUSIP: Symbol: RIO 09/17/21 C 79.720      
CALL DOW JAN 57.5 EXP 01/15/21 CUSIP: Symbol: DOW 01/15/21 C 57.500      
CALL ALL DEC 115 EXP 12/17/21 CUSIP: Symbol: ALL 12/17/21 C 115.000      
CALL JCI OCT 77.5 EXP 10/15/21 CUSIP: Symbol: JCI 10/15/21 C 77.500      
CALL JCI DEC 79 EXP 12/17/21 CUSIP: Symbol: JCI 12/17/21 C 79.000      
CALL ALL FEB 115 EXP 02/19/21 CUSIP: Symbol: ALL 02/19/21 C 115.000      
CALL CVX JUN 115 EXP 06/18/21 CUSIP: Symbol: CVX 06/18/21 C 115.000      
CALL C MAR 75 EXP 03/19/21 CUSIP: Symbol: C 03/19/21 C 75.000      
WELLTOWER INC REIT CUSIP: 95040Q104 Symbol: WELL      
CALL INTC JUN 59.5 EXP 06/18/21 CUSIP: Symbol: INTC 06/18/21 C 59.500      
CALL INTC JUL 57 EXP 07/16/21 CUSIP: Symbol: INTC 07/16/21 C 57.000      
CALL INTC OCT 55.5 EXP 10/15/21 CUSIP: Symbol: INTC 10/15/21 C 55.500      
CALL C JUL 75 EXP 07/16/21 CUSIP: Symbol: C 07/16/21 C 75.000      
CALL C DEC 70 EXP 12/17/21 CUSIP: Symbol: C 12/17/21 C 70.000      
CALL C JUN 83 EXP 06/18/21 CUSIP: Symbol: C 06/18/21 C 83.000      
CALL CAG JAN 38 EXP 01/15/21 CUSIP: Symbol: CAG 01/15/21 C 38.000      
CALL CAG APR 40.5 EXP 04/16/21 CUSIP: Symbol: CAG 04/16/21 C 40.500      
CALL CAG JUL 37.5 EXP 07/16/21 CUSIP: Symbol: CAG 07/16/21 C 37.500      
CALL RTX JAN 75 EXP 01/15/21 CUSIP: Symbol: RTX 01/15/21 C 75.000      
EATON CORP PLC CUSIP: G29183103 Symbol: ETN      
EATON CORP PLC CUSIP: G29183103 Symbol: ETN      
EATON CORP PLC CUSIP: G29183103 Symbol: ETN      
JOHNSON CTLS INTL PLC CUSIP: G51502105 Symbol: JCI      
JOHNSON CTLS INTL PLC CUSIP: G51502105 Symbol: JCI      
JOHNSON CTLS INTL PLC CUSIP: G51502105 Symbol: JCI (contd)      
JOHNSON CTLS INTL PLC CUSIP: G51502105 Symbol: JCI (contd)      
JOHNSON CTLS INTL PLC CUSIP: G51502105 Symbol: JCI (contd)      
MEDTRONIC PLC CUSIP: G5960L103 Symbol: MDT      
CHUBB LIMITED CUSIP: H1467J104 Symbol: CB      
ALTRIA GROUP INC CUSIP: 02209S103 Symbol: MO      
BK OF AMERICA CORP CUSIP: XXX-XX-XXXX Symbol: BAC      
BK OF AMERICA CORP CUSIP: XXX-XX-XXXX Symbol: BAC      
CHEVRON CORP NEW CUSIP: XXX-XX-XXXX Symbol: CVX      
CISCO SYS INC CUSIP: 17275R102 Symbol: CSCO      
DUKE ENERGY CORP NEW COM NEW CUSIP: 26441C204 Symbol: DUK      
EXXON MOBIL CORP CUSIP: 30231G102 Symbol: XOM      
GENERAL MLS INC CUSIP: XXX-XX-XXXX Symbol: GIS      
HEALTHPEAK PROPERTIES INC REIT CUSIP: 42250P103 Symbol: PEAK      
MERCK & CO INC CUSIP: 58933Y105 Symbol: MRK      
PFIZER INC CUSIP: XXX-XX-XXXX Symbol: PFE      
PHILIP MORRIS INTL INC CUSIP: XXX-XX-XXXX Symbol: PM      
RAYTHEON TECHNOLOGIES CORP CUSIP: 75513E101 Symbol: RTX      
TRUIST FINL CORP CUSIP: 89832Q109 Symbol: TFC      
VERIZON COMMUNICATIONS INC CUSIP: 92343V104 Symbol: VZ      
WALGREENS BOOTS ALLIANCE INC CUSIP: XXX-XX-XXXX Symbol: WBA      
WELLTOWER INC REIT CUSIP: 95040Q104 Symbol: WELL      
CHUBB LIMITED CUSIP: H1467J104 Symbol: CB      
Capital Gains Dividends P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 51   97 -46
b 240     240
c 210     210
d 250     250
e 225     225
230     230
19,560   16,717 2,843
696   567 129
333     333
352     352
210     210
42   33 9
36,297   35,655 642
25,428   24,676 752
180     180
326     326
480     480
440     440
384     384
420     420
369     369
410     410
592     592
295     295
319     319
300     300
390     390
210     210
255     255
148     148
312     312
288     288
300     300
371     371
280     280
200     200
355     355
10,129   6,986 3,143
9,836   8,788 1,048
45,312   38,392 6,920
40,880   40,481 399
19,692   18,135 1,557
30,652   25,509 5,143
21,252   22,767 -1,515
21,597   21,898 -301
240     240
400     400
275     275
384     384
544     544
13,206   14,405 -1,199
29,480   29,994 -514
27,090   21,220 5,870
35,245   20,243 15,002
40,236   31,174 9,062
38,405   32,921 5,484
22,691   21,251 1,440
22,463   18,401 4,062
16,781   14,551 2,230
33,149   29,837 3,312
375     375
189     189
348     348
186     186
151     151
200     200
212     212
186     186
13,991   13,686 305
11,286   11,043 243
34,785   29,962 4,823
48,480   44,876 3,604
50,480   48,844 1,636
574     574
280     280
240     240
180     180
541     541
330     330
184     184
420     420
275     275
7,035   5,532 1,503
27,154   27,195 -41
29,421   19,702 9,719
340     340
232     232
220     220
283     283
400     400
272     272
330     330
3,821   2,735 1,086
31,286   25,130 6,156
34,343   35,340 -997
31,500   30,153 1,347
246     246
480     480
195     195
265     265
275     275
240     240
111     111
336     336
525     525
35,879   31,295 4,584
42,985   36,515 6,470
50,410   44,171 6,239
1,844   2,309 -465
213     213
380     380
50,930   50,217 713
240     240
190     190
512     512
200     200
210     210
274     274
205     205
325     325
310     310
304     304
165     165
334     334
120     120
425     425
400     400
300     300
390     390
225     225
21,079   14,875 6,204
312     312
248     248
275     275
240     240
440     440
156     156
450     450
360     360
264     264
220     220
37,229   34,502 2,727
51,239   49,492 1,747
69,899   52,174 17,725
29,009   22,655 6,354
38,464   31,976 6,488
41,477   33,490 7,987
36,490   33,121 3,369
37,975   36,385 1,590
36,908   32,642 4,266
44,379   41,155 3,224
22,509   22,872 -363
18,318   16,443 1,875
24,870   20,008 4,862
20,258   24,990 -4,732
14,154   15,830 -1,676
7,564   6,174 1,390
28,965   26,959 2,006
20,196   18,613 1,583
16,415   17,020 -605
13,027   13,972 -945
54,396   41,816 12,580
28,872   24,929 3,943
35,540   24,007 11,533
14,431   12,928 1,503
7,912   8,104 -192
22,214   36,303 -14,089
16,209   15,933 276
3,161   3,116 45
677     677
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       240
c       210
d       250
e       225
      230
      2,843
      129
      333
      352
      210
      9
      642
      752
      180
      326
      480
      440
      384
      420
      369
      410
      592
      295
      319
      300
      390
      210
      255
      148
      312
      288
      300
      371
      280
      200
      355
      3,143
      1,048
      6,920
      399
      1,557
      5,143
      -1,515
      -301
      240
      400
      275
      384
      544
      -1,199
      -514
      5,870
      15,002
      9,062
      5,484
      1,440
      4,062
      2,230
      3,312
      375
      189
      348
      186
      151
      200
      212
      186
      305
      243
      4,823
      3,604
      1,636
      574
      280
      240
      180
      541
      330
      184
      420
      275
      1,503
      -41
      9,719
      340
      232
      220
      283
      400
      272
      330
      1,086
      6,156
      -997
      1,347
      246
      480
      195
      265
      275
      240
      111
      336
      525
      4,584
      6,470
      6,239
      -465
      213
      380
      713
      240
      190
      512
      200
      210
      274
      205
      325
      310
      304
      165
      334
      120
      425
      400
      300
      390
      225
      6,204
      312
      248
      275
      240
      440
      156
      450
      360
      264
      220
      2,727
      1,747
      17,725
      6,354
      6,488
      7,987
      3,369
      1,590
      4,266
      3,224
      -363
      1,875
      4,862
      -4,732
      -1,676
      1,390
      2,006
      1,583
      -605
      -945
      12,580
      3,943
      11,533
      1,503
      -192
      -14,089
      276
      45
      677
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 2 223,574
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 5,582
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 5,582
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,564
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 8,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 9,564
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 6
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,976
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet3,976 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletVA
    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 ofbulletNorris E Mitchell Telephone no.bullet (703) 759-4258

    Located atbulletPO Box 311McLeanVA ZIP+4bullet221010311
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Norris E Mitchell Trustee
    0.00
    0 0 0
    749 Boehms Court
    Great Falls,VA22066
    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.........................bullet0
    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
    5,425,536
    b
    Average of monthly cash balances.......................
    1b
    140,403
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,565,939
    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
    5,565,939
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    83,489
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    5,482,450
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    274,123
    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
    274,123
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    5,582
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,582
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    268,541
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    268,541
    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
    268,541
    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 7 268,541
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 12,066
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020...... 38,450
    f Total of lines 3a through e ........ 50,516
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 210,000
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 210,000
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 50,516 50,516
    (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 ..........
    8,025
    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....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    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).)
    Norris E Mitchell
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    Flint Hill School
    3320 Jermantown Road
    Oakton,VA22124
    None Exempt Organization Educational 210,000
    Total .................................bullet 3a 210,000
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
        14 79  
    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 ............
        18 223,574  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 430,090 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    430,090
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    The Mitchell Foundation
    EIN:
    54-1852192
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting Fees 6,000 3,000   0

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    The Mitchell Foundation
    EIN:
    54-1852192
    Name of Stock End of Year Book Value End of Year Fair Market Value
    103,500 shs USBI 3,610,414 3,754,980
    54 Shs AT&T 1,755 1,328
    462 Shs GE 113,997 43,645
    1,680 Shs BCE 80,338 87,427
    19 Shs WAB 1,483 1,750
    230 Shs Annaly 1,957 1,799
    524 Shs Johnson Ctls 39,706 42,606
    461 Shs Medtronic Plc 52,442 47,690
    282 Shs Allstate Corp 31,428 33,177
    845 Shs Altria Group Inc. 36,946 40,045
    700 Shs BCE Inc. 29,719 36,428
    435 Shs Bank of America Corp 17,979 19,353
    977 Shs Bristol-Myers Squibb Co 60,722 60,916
    72 Shs Broadcom Inc. 23,998 47,910
    513 Shs Chevron Corp 50,255 60,201
    726 Shs Cysco Sys Inc. 43,276 46,007
    612 Shs Citigroup Inc. 43,459 36,959
    661 Shs Comcast Corp 31,761 33,268
    1,015 Shs Conagra Brands Inc. 37,573 34,662
    470 Shs Conoco Phillips 21,588 33,925
    718 Shs Dow Inc. 46,858 40,725
    580 Shs Duke Energy Corp 58,969 60,842
    758 Shs Exxon Mobil Corp 40,307 46,382
    377 Shs Genuine Parts Co. 49,578 52,855
    1,212 Shs Healthpeak Properties Inc. REIT 36,844 43,741
    1,061 Shs Intel Corp 56,586 54,642
    300 Shs JP Morgan Chase & Co. 39,714 47,505
    625 Shs Merck & Co Inc. 47,717 47,900
    485 Shs Morgan Stanley 48,960 47,608
    600 Shs Novartis AG 52,607 52,482
    1,705 Shs PPL Corp 48,547 51,252
    510 Shs Phillip Morris Intl Inc. 42,971 48,450
    732 Shs Raytheon Technologies Corp 58,350 62,996
    733 Shs Rio Tinto PLC 57,390 49,067
    316 Shs 3M Co. 57,822 56,131
    278 Shs Toyota Motor Corp 47,261 51,513
    1,035 Truist Finl Corp 56,071 60,599
    600 Shs Unilever PLC 33,050 32,274
    875 Shs Verizon Communications 51,327 45,465
    1,642 Shs Vici PPTYS Inc. 51,237 49,441
    1,055 Shs Walgreens Boots Alliance Inc. 48,298 55,029

    TY 2021 OtherExpensesSchedule
    Name:
    The Mitchell Foundation
    EIN:
    54-1852192
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Oppenheimer Investment Management Fees 23,571 23,571   0
    Misc Fees 1,266 0   0


    TY 2021 OtherLiabilitiesSchedule
    Name:
    The Mitchell Foundation
    EIN:
    54-1852192
    Description Beginning of Year - Book Value End of Year - Book Value
    Call Option - Pfizer Inc. (Exp. 1/15/21) 300 0
    Call Option - Dupont De Nemours (Exp. 1/15/21) 264 0
    Call Option - Johnson Controls (Exp. 1/15/21) 210 0
    Call Option - Morgan Stanley (Exp. 1/15/21) 380 0
    Call Option - Chubb Limited (Exp. 1/15/21) 1,050 0
    Call Option - Bank of America Corp (Exp. 1/15/21) 318 0
    Call Option - Dow Inc. (Exp. 1/15/21) 334 0
    Call Option - Conagra Brands Inc. (Exp. 1/15/21) 450 0
    Call Option - Raytheon Technologies (Exp. 1/15/21) 220 0
    Call Option - Merck Co. (Exp. 1/21/22) 0 272
    Call Option - Morgan Stanley (Exp. 1/21/22) 0 556
    Call Option - Chevron Corp (Exp. 1/21/22) 0 280
    Call Option - Raytheon Technologies (Exp. 1/21/22) 0 346
    Call Option - Phillip Morris (Exp. 1/21/22) 0 225
    Call Option - Health Peak Properties (Exp. 1/21/22) 0 360
    Call Option - Conocophillips (Exp. 1/21/22) 0 452
    Call Option - Johnson Controls (Exp. 1/21/22) 0 445
    Call Option - Walgreens Boots Alliance (Exp. 1/21/22) 0 372


    TY 2021 TaxesSchedule
    Name:
    The Mitchell Foundation
    EIN:
    54-1852192
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Foreign Taxes 1,904 1,904   0