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
LARRY R COFFEY CHARITABLE TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)504 BEDFORDSHIRE ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LOUISVILLE, KY40222
A Employer identification number

61-6168546
B Telephone number (see instructions)

(502) 426-2751
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$13,042,840
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) 142,635
2 Check bullet.............
3 Interest on savings and temporary cash investments 709 709  
4 Dividends and interest from securities... 257,734 257,734  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,515,227
b Gross sales price for all assets on line 6a 4,938,003
7 Capital gain net income (from Part IV, line 2)... 1,515,227
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)....... 63,232    
12 Total. Add lines 1 through 11........ 1,979,537 1,773,670  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 6,730     6,730
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 27,096      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 30,392      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 64,218 0   6,730
25 Contributions, gifts, grants paid....... 423,000 423,000
26 Total expenses and disbursements. Add lines 24 and 25 487,218 0   429,730
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,492,319
b Net investment income (if negative, enter -0-) 1,773,670
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.............      
2 Savings and temporary cash investments......... 408,275 450,145 450,145
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).......      
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).......... 8,705,490 Click to see attachment10,155,939 12,592,695
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) 9,113,765 10,606,084 13,042,840
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 9,113,765 10,606,084
29 Total net assets or fund balances (see instructions)..... 9,113,765 10,606,084
30 Total liabilities and net assets/fund balances (see instructions). 9,113,765 10,606,084
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
9,113,765
2
Enter amount from Part I, line 27a .....................
2
1,492,319
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
10,606,084
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
10,606,084
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 APPLIED FINANCE SELECT FUND P 2021-07-01 2021-09-14
b DOUBLELINE TOTAL RETURN BOND FUND P 2017-02-14 2021-10-21
c L3HARRIS TECHNOLOGIES INC P 2020-03-18 2021-04-09
d VANGUARD TOTAL BOND MKT INDEX P 2018-10-22 2021-10-21
e COMMONWEALTH BANK TRUST CO LIQUID AL P 2016-02-12 2021-09-30
DOUBLELINE TOTAL RETURN BOND FUND P 2018-02-22 2021-10-21
ORGANON & COMPANY COMMON ST P 2017-11-30 2021-10-21
VANGUARD TOTAL BOND MKT INDEX P 2021-09-30 2021-10-21
COMMONWEALTH BANK TRUST CO LIQUID AL P 2016-01-29 2021-09-30
DOUBLELINE TOTAL RETURN BOND FUND P 2018-10-22 2021-10-21
PGIM JENNISON GLOBAL EQUITY P 2010-07-09 2021-10-21
VANGUARD TOTAL BOND MKT INDEX P 2021-04-01 2021-10-21
COMMONWEALTH BANK TRUST CO LIQUID AL P 2016-01-14 2021-09-30
DOUBLELINE TOTAL RETURN BOND FUND P 2020-09-08 2021-10-21
PRICE T ROWE GROWTH STOCK P 2019-12-16 2021-04-05
VANGUARD TOTAL BOND MKT INDEX P 2019-07-18 2021-10-21
COMMONWEALTH BANK TRUST CO LIQUID AL P 2016-03-09 2021-09-30
FPA NEW INCOME FUND P 2018-03-22 2021-10-21
PRICE T ROWE GROWTH STOCK P 2009-03-25 2021-04-05
VANGUARD TOTAL BOND MKT INDEX P 2020-09-08 2021-10-21
COMMONWEALTH BANK TRUST CO LIQUID AL P 2018-12-26 2021-09-30
FPA NEW INCOME FUND P 2021-09-28 2021-10-21
PRICE T ROWE GROWTH STOCK P 2009-03-25 2021-04-05
VANGAURD INTERMEDIATE TERM BOND P 2019-07-18 2021-10-21
COMMONWEALTH BANK TRUST CO STRATEGIC P 2009-03-01 2021-09-15
GLENMEDE QUANT US LRG CP P 2020-12-16 2021-10-21
PRIMECAP ODYSSEY AGGRESSIVE GROWTH P 2020-12-15 2021-10-21
VANGAURD INTERMEDIATE TERM BOND P 2020-09-08 2021-10-21
COMMONWEALTH BANK TRUST CO STRATEGIC P 2009-08-01 2021-09-15
GLENMEDE QUANT US LRG CP P 2018-12-26 2021-10-21
PRIMECAP ODYSSEY AGGRESSIVE GROWTH P 2020-03-26 2021-10-21
COMMON TRUST FUND P 2021-01-01 2021-09-15
COMMONWEALTH TRUST FOCUSED EQ FD P 2009-03-01 2021-09-30
GLENMEDE QUANT US LRG CP P 2021-10-05 2021-10-21
ROYCE INTERNATIONAL PREMIER INST P 2020-09-08 2021-09-14
COMMONWEALTH TRUST FUND P 2020-01-01 2021-09-15
COMMONWEALTH TRUST FOCUSED EQ FD P 2010-06-01 2021-09-30
GLENMEDE QUANT US LRG CP P 2019-12-16 2021-10-21
SPDR S&P 500 ETF P 2017-11-15 2021-04-09
COMMONWEALTH TRUST FOCUSED EQ FD P 2009-03-01 2021-09-30
GQG PARTNERS EMERGING MKTS P 2020-03-26 2021-10-21
VANGAURD INTERMEDIATE TERM BOND P 2020-12-23 2021-10-21
COMMONWEALTH TRUST FOCUSED EQ FD P 2010-07-16 2021-09-30
GQG PARTNERS EMERGING MKTS P 2020-09-08 2021-10-21
VANGAURD INTERMEDIATE TERM BOND P 2021-09-30 2021-10-21
COMMONWEALTH TRUST FOCUSED EQ FD P 2009-01-21 2021-09-30
HOMESTEAD S/T BOND P 2020-05-29 2021-09-14
VANGAURD INTERMEDIATE TERM BOND P 2021-04-01 2021-10-21
DOUBLELINE TOTAL RETURN BOND FUND P 2016-08-03 2021-10-21
HOMESTEAD S/T BOND P 2021-06-30 2021-09-14
VANGUARD EQUITY INCOME FD P 2019-12-18 2021-07-01
DOUBLELINE TOTAL RETURN BOND FUND P 2021-09-29 2021-10-21
HOMESTEAD S/T BOND P 2020-12-17 2021-09-14
VANGUARD TOTAL BOND MKT INDEX P 2020-12-23 2021-10-21
(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 101,379   100,000 1,379
b 122,881   125,000 -2,119
c 4,156   3,298 858
d 48,624   44,619 4,005
e 59,503   61,119 -1,616
49,952   50,000 -48
986   736 250
153   154 -1
90,424   91,656 -1,232
45,225   44,619 606
40,000   34,339 5,661
211   210 1
238,735   243,488 -4,753
238,337   245,185 -6,848
14,443   10,065 4,378
98,198   96,000 2,198
55,466   55,727 -261
191,847   191,273 574
1,557   295 1,262
188,515   196,785 -8,270
30,869   30,275 594
138   138  
120,000   20,794 99,206
102,393   100,000 2,393
240,118   136,695 103,423
30,997   24,226 6,771
11,470   10,142 1,328
227,952   241,271 -13,319
50,064   33,128 16,936
181,549   116,933 64,616
144,888   86,610 58,278
2,883     2,883
334,654   109,939 224,715
43   41 2
92,405   69,292 23,113
23,771     23,771
221,333   91,795 129,538
25,082   19,122 5,960
45,081   28,207 16,874
435,586   144,728 290,858
73,378   45,000 28,378
2,312   2,424 -112
87,326   36,473 50,853
48,741   40,770 7,971
150   152 -2
178,045   74,378 103,667
261,728   266,685 -4,957
1,168   1,166 2
82,269   86,209 -3,940
50   50  
10,000   8,608 1,392
1,345   1,353 -8
1,030   1,036 -6
546   568 -22
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       1,379
b       -2,119
c       858
d       4,005
e       -1,616
      -48
      250
      -1
      -1,232
      606
      5,661
      1
      -4,753
      -6,848
      4,378
      2,198
      -261
      574
      1,262
      -8,270
      594
       
      99,206
      2,393
      103,423
      6,771
      1,328
      -13,319
      16,936
      64,616
      58,278
      2,883
      224,715
      2
      23,113
      23,771
      129,538
      5,960
      16,874
      290,858
      28,378
      -112
      50,853
      7,971
      -2
      103,667
      -4,957
      2
      -3,940
       
      1,392
      -8
      -6
      -22
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 1,515,227
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 12,215
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  
3 Add lines 1 and 2........................... 3 24,654
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 24,654
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 18,176
b Exempt foreign organizations—tax withheld at source...... 6b 569
c Tax paid with application for extension of time to file (Form 8868)... 6c 6,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 24,745
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
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 91
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet91 RefundedBullet 11  
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)
    bulletKY
    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 ofbulletLARRY R COFFEY Telephone no.bullet (502) 426-2751

    Located atbullet504 BEDFORDSHIRE RDLOUISVILLEKY ZIP+4bullet40222
    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
     
     
    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
    LARRY R COFFEY TRUSTEE
    10.00
    0 0 0
    504 BEDFORDSHIRE RD
    LOUISVILLE,KY40222
    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  
    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.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    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
    11,784,001
    b
    Average of monthly cash balances.......................
    1b
    450,205
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    12,234,206
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    12,234,206
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    183,513
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    12,050,693
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    602,535
    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
    602,535
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    24,654
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    24,654
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    577,881
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    577,881
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    577,881
    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 7 577,881
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 65,474
    b From 2017......  
    c From 2018......  
    d From 2019...... 9,182
    e From 2020...... 29,930
    f Total of lines 3a through e ........ 104,586
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 429,730
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount..... 429,730
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2021. 104,586 104,586
    (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  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    43,565
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
     
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
     
    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).)
    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
    BARREN HEIGHTS
    11420 WATTERSON CT 800
    LOUISVILLE,KY40299
      PUBLIC EVANGELISM 5,000
    BRONX BILINGUAL CHURCH OF CHRIST
    508 W 139TH ST BASEMENT
    NEW YORK,NY10031
      PUBLIC EVANGELISM 28,800
    CHESTER CHURCH OF CHRIST
    12100 WINFREE STREET
    CHESTER,VA23831
      PUBLIC EVANGELISM 6,000
    COLUMBUS STREET CHURCH OF CHRIST
    512 COLUMBUS STREET
    BEDFORD,OH44146
      PUBLIC EVANGELISM 12,000
    DOUGLAS HILLS CHURCH OF CHRIST
    300 BURNSDALE ROAD
    MIDDLETOWN,KY40423
      PUBLIC EVANGELISM 18,000
    EASTSIDE CHURCH OF CHRIST
    4415 OLD WILLIAM PENN HWY
    MONROEVILLE,PA15146
      PUBLIC EVANGELISM 21,600
    FLORIDA GATEWAY MINISTRIES INC
    276 SW WILSHIRE DRIVE
    LAKE CITY,FL32024
      PUBLIC EVANGELISM 21,000
    FM 1878 CHURCH OF CHRIST
    3517 COLONIAL DR
    NACOGDOCHES,TX75965
      PUBLIC EVANGELISM 6,000
    FULTONDALE CHURCH OF CHRIST
    2005 ELKWOOD DR
    FULTONDALE,AL35068
      PUBLIC EVANGELISM 6,900
    GLEN SPRINGS RD CHURCH OF CHRIST
    2214 NW 31 AVE
    GAINESVILLE,FL32605
      PUBLIC EVANGELISM 3,600
    HELENA CHURCH OF CHRIST
    2499 HIGHWAY 58
    HELENA,AL35080
      PUBLIC EVANGELISM 6,000
    INDIAN CHRISTIAN EVANGELIZATION
    FUND INC
    PO BOX 3397
    PONTE VEDRA,FL32004
      PUBLIC EVANGELISM 21,000
    INGLESIA DE CRISTO
    1065 N CENTRAL AVE
    BROWNSVILLE,TX78521
      PUBLIC EVANGELISM 3,200
    LAS VEGAS CHURCH OF CHRIST
    709 DORA CELESTE DR
    LAS VEGAS,NM87701
      PUBLIC EVANGELISM 6,000
    LOOP 287 CHURCH OF CHRIST
    PO BOX 493
    LUFKIN,TX75902
      PUBLIC EVANGELISM 6,000
    MORAL LIGHTS
    7357 DESERT LN
    LAVEEN,AZ85339
      PUBLIC EVANGELISM 12,000
    NEW BEGINNINGS OF JACKSONVILLE
    2200 BAYVIEW RD
    JACKSONVILLE,FL32210
      PUBLIC GENERAL FUND 3,000
    NEW SALISBURY CHURCH OF CHRIST
    PO BOX 273
    NEW SALISBURY ECKERTY,IN47116
      PUBLIC EVANGELISM 2,400
    NORTH TERRACE CHURCH OF CHRIST
    12904 N 56TH STREET
    TMEPLE TERRACE,FL33617
      PUBLIC EVANGELISM 53,400
    NORTHERN MICHIGAN CHURCH OF CHRIST
    414 S MAIN STREET
    ROSSCOMMON,MI49680
      PUBLIC EVANGELISM 12,000
    OFF THE CHAIN MINISTRIES INC
    PO BOX 588
    MIDDLEBURG,FL32050
      PUBLIC GENERAL FUND 9,000
    RED CROSS
    510 E CHESTNUT ST
    LOUISVILLE,KY40202
      PUBLIC GENERAL FUND 37,500
    ROSELL CHURCH OF CHRIST
    11670 KING ROAD
    ROSWELL,GA30075
      PUBLIC EVANGELISM 3,600
    SACRED SELECTIONS
    1608 MANASCO CIRCLE
    FOLSOM,CA95630
      PUBLIC GENERAL FUND 20,000
    SCHOOL OF GOOD WORKS
    1310 WEST CHURCH ST
    ELMIRA,NY14905
      PUBLIC GENERAL FUND 12,000
    SLOVER LIBRARY FOUNDATION
    PO BOX 3990
    NORFOLK,VA23414
      PUBLIC GENERAL FUND 1,000
    SMALL TRACTS CHURCH OF CHRIST
    5185 CHENA SMALL TRACTS R
    FAIRBANKS,AK99709
      PUBLIC EVANGELISM 12,000
    SOUTH END CHURCH OF CHRIST
    4001 TAYLOR BLVD
    LOUISVILLE,KY40215
      PUBLIC EVANGELISM 12,000
    TAYLORSVILLE CHURCH OF CHRIST
    849 TAYLORSVILLE ROAD
    TAYLORSVILLE,KY40071
      PUBLIC EVANGELISM 12,000
    UNIVERSITY CHURCH OF CHRIST
    105 WESTPARK DR
    ATHENS,GA30606
      PUBLIC EVANGELISM 3,000
    WEST END CHURCH OF CHRIST
    987 WEST MAIN STREET
    NEWARK,OH43055
      PUBLIC EVANGELISM 12,000
    WESTSIDE CHURCH OF CHRIST
    4677 HWY 151
    CLARENCE,MO63437
      PUBLIC EVANGELISM 6,000
    WILSONVILLE CHURCH OF CHRIST
    PO BOX 373
    WILSONVILLE,AL35186
      PUBLIC EVANGELISM 12,000
    WOODLAND HILLS CHURCH OF CHRIST
    15421 OLD HICKORY BLVD
    NASHVILLE,TN37211
      PUBLIC EVANGELISM 6,000
    WORKWELL INDUSTRIES
    3401 JEWELL AVE
    LOUISVILLE,KY40212
      PUBLIC GENERAL FUND 1,000
    YMCA OF GRATER LOUISVILLE
    545 S SECOND ST
    LOUISVILLE,KY40202
      PUBLIC GENERAL FUND 10,000
    Total .................................bullet 3a 423,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
        14 709  
    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 ............
        14 1,515,227  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aCOMMONWEALTH BANK FUND
            63,232
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   1,773,670 63,232
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,836,902
    (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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    LARRY R COFFEY CHARITABLE TRUST
     
    Employer identification number

    61-6168546
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    LARRY R COFFEY CHARITABLE TRUST
     
    Employer identification number
    61-6168546
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    LARRY R COFFEY
    504 BEDFORDSHIRE ROAD
     
    LOUISVILLE, KY40222

    $ 142,635


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    LARRY R COFFEY CHARITABLE TRUST
     
    Employer identification number

    61-6168546
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    1
    COMMONWEALTH TRUST FUND STOCL $ 142,635 2021-09-13
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    LARRY R COFFEY CHARITABLE TRUST
     
    Employer identification number

    61-6168546
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    LARRY R COFFEY CHARITABLE TRUST
    EIN:
    61-6168546
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX RETURN PREPARATION 6,500     6,500
    CB&T TAX PREP 230     230

    TY 2021 InvestmentsOtherSchedule2
    Name:
    LARRY R COFFEY CHARITABLE TRUST
    EIN:
    61-6168546
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    INVESTMENTS   10,155,939 12,592,695

    TY 2021 OtherExpensesSchedule
    Name:
    LARRY R COFFEY CHARITABLE TRUST
    EIN:
    61-6168546
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    INVESTMENT MANAGEMENT FEES 14,210      
    SAFE DEPOSIT BOX 60      
    OFFICE EXPENSE 294      
    BANK SERVICE FEES 66      
    TRUSTEE & EXECUTOR FEES 11,026      
    INVESTMENT MANAGEMENT FEES 4,736      


    TY 2021 OtherIncomeSchedule2
    Name:
    LARRY R COFFEY CHARITABLE TRUST
    EIN:
    61-6168546
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    COMMONWEALTH BANK FUND 63,232    


    TY 2021 TaxesSchedule
    Name:
    LARRY R COFFEY CHARITABLE TRUST
    EIN:
    61-6168546
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 27,096