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
CLARENCE BETTY ROSWELL CHARITTABLE
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1532
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PENNINGTON, NJ08534
A Employer identification number

37-6491284
B Telephone number (see instructions)

(212) 852-3049
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$740,209
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 15,756 15,521  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 79,248
b Gross sales price for all assets on line 6a 283,819
7 Capital gain net income (from Part IV, line 2)... 79,248
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 2,467    
12 Total. Add lines 1 through 11........ 97,471 94,769  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 11,061 4,425   6,637
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 8,264 194   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 133 41   92
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 19,458 4,660 0 6,729
25 Contributions, gifts, grants paid....... 45,808 45,808
26 Total expenses and disbursements. Add lines 24 and 25 65,266 4,660 0 52,537
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 32,205
b Net investment income (if negative, enter -0-) 90,109
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 118 157 157
2 Savings and temporary cash investments......... 43,367 36,193 36,193
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 399,973 Click to see attachment410,172 527,870
c Investments—corporate bonds (attach schedule)....... 134,233 Click to see attachment160,457 165,636
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 8,068 Click to see attachment10,298 10,353
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) 585,759 617,277 740,209
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........ 585,759 617,277
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)..... 585,759 617,277
30 Total liabilities and net assets/fund balances (see instructions). 585,759 617,277
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
585,759
2
Enter amount from Part I, line 27a .....................
2
32,205
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
617,964
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
687
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
617,277
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 18. APPLIED MATERIALS INC   2020-10-08 2021-01-19
b 1. FEDEX CORP   2019-06-27 2021-01-19
c 2. FEDEX CORP   2020-01-14 2021-01-19
d 4. FEDEX CORP   2020-01-13 2021-01-19
e 1. FEDEX CORP   2019-06-29 2021-01-19
4. FEDEX CORP   2019-06-27 2021-01-19
1. MOTOROLA SOLUTIONS INC   2018-05-10 2021-01-19
5. MOTOROLA SOLUTIONS INC   2013-10-03 2021-01-19
9. PPG INDUSTRIES INC   2020-12-15 2021-01-19
9. PFIZER INC   2020-02-19 2021-01-19
26. PFIZER INC   2014-10-08 2021-01-19
28. PFIZER INC   2011-11-14 2021-01-19
10. PFIZER INC   2020-04-08 2021-01-19
11. PFIZER INC   2016-03-02 2021-01-19
7. WILLIS TOWERS WATSON PLC   2019-02-11 2021-01-19
2. FEDEX CORP   2020-02-19 2021-01-20
3. MOTOROLA SOLUTIONS INC   2013-10-03 2021-01-20
1. MOTOROLA SOLUTIONS INC   2018-05-10 2021-01-20
3. WILLIS TOWERS WATSON PLC   2020-04-08 2021-01-20
1000. U.S. TREASURY NOTE   2019-04-12 2021-02-19
3000. U.S. TREASURY NOTE   2019-05-16 2021-02-19
12. CME GROUP INC   2020-04-16 2021-03-01
5. CME GROUP INC   2020-04-28 2021-03-01
1. CME GROUP INC   2020-04-17 2021-03-01
1. DOWDUPONT INC   2020-02-19 2021-03-01
26. DOWDUPONT INC   2019-06-20 2021-03-01
5. DOWDUPONT INC   2019-05-07 2021-03-01
171. KINDER MORGAN INC/DE   2020-03-09 2021-03-01
16. KONINKLIJKE PHILIPS NV   2019-11-20 2021-03-01
2. KONINKLIJKE PHILIPS NV   2019-11-19 2021-03-01
9. KONINKLIJKE PHILIPS NV   2017-05-08 2021-03-01
2. KONINKLIJKE PHILIPS NV   2017-05-05 2021-03-01
12. MICROSOFT CORP COM   2011-12-07 2021-03-01
10. SONY CORP ADR AMERN SH NEW   2019-07-30 2021-03-01
5. UNITEDHEALTH GROUP INC   2020-03-31 2021-03-01
15. MEDTRONIC PLC SHS   2019-03-01 2021-03-01
15. KINDER MORGAN INC/DE   2020-04-08 2021-03-02
1. KINDER MORGAN INC/DE   2020-03-10 2021-03-02
55. KINDER MORGAN INC/DE   2020-03-09 2021-03-02
4. KONINKLIJKE PHILIPS NV   2019-11-20 2021-03-02
2. KONINKLIJKE PHILIPS NV   2017-05-08 2021-03-02
1. KONINKLIJKE PHILIPS NV   2017-05-05 2021-03-02
4. SONY CORP ADR AMERN SH NEW   2020-02-19 2021-03-02
19. SONY CORP ADR AMERN SH NEW   2019-07-30 2021-03-02
1. SONY CORP ADR AMERN SH NEW   2020-02-19 2021-03-02
13. ALTRIA GROUP INC   2019-01-23 2021-03-15
6. ALTRIA GROUP INC   2018-07-17 2021-03-15
24. AMERICAN INTERNATIONAL GROUP INC   2019-01-23 2021-03-15
3. ANTHEM INC   2015-01-21 2021-03-15
17. BP P L C SPONS ADR   2019-01-23 2021-03-15
3. BERKSHIRE HATHAWAYINC   2020-03-02 2021-03-15
17. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2018-06-14 2021-03-15
17. COMCAST CORP   2011-11-14 2021-03-15
11. CONOCOPHILLIPS   2019-09-24 2021-03-15
8. EDISON INTERNATIONAL   2020-04-16 2021-03-15
3. EQUINOR ASA   2019-08-21 2021-03-15
16. EQUINOR ASA   2019-08-22 2021-03-15
2. EQUITABLE HOLDINGS INC   2018-12-10 2021-03-15
8. EQUITABLE HOLDINGS INC   2018-12-11 2021-03-15
39. GENERAL ELECTRIC CO   2019-11-18 2021-03-15
12. GENERAL MOTORS CO   2019-06-19 2021-03-15
2. GENERAL MOTORS CO   2019-06-20 2021-03-15
10. J P MORGAN CHASE & CO   2011-11-14 2021-03-15
4. MONDELEZ INTERNATIONAL INC   2018-08-02 2021-03-15
16. MORGAN STANLEY   2016-01-20 2021-03-15
8. PPL CORP   2020-06-17 2021-03-15
3. PIONEER NAT RES CO   2020-03-31 2021-03-15
16. PUBLIC SERVICE ENTERPRISE GROUP INC   2015-09-24 2021-03-15
3. PUBLIC SERVICE ENTERPRISE GROUP INC   2015-09-25 2021-03-15
15. CHARLES SCHWAB CORP/THE   2019-01-23 2021-03-15
11. TJX COS INC/THE   2020-06-17 2021-03-15
3. UNION PACIFIC CORP   2016-01-20 2021-03-15
1. UNITEDHEALTH GROUP INC   2020-03-17 2021-03-15
7. ALCON SA ACT NOM   2019-04-16 2021-03-15
3. NXP SEMICONDUCTORS N.V.   2019-08-14 2021-03-15
4000. U.S. TREASURY NOTE   2020-11-24 2021-03-30
17. ALTRIA GROUP INC   2019-01-23 2021-04-14
8. ALTRIA GROUP INC   2019-02-25 2021-04-14
3. ALTRIA GROUP INC   2020-02-19 2021-04-14
5. ALTRIA GROUP INC   2019-09-24 2021-04-14
8. ALTRIA GROUP INC   2019-03-01 2021-04-14
9. AMERICAN EXPRESS CO   2020-05-18 2021-04-14
5. AMERICAN EXPRESS CO   2020-06-17 2021-04-14
22. APPLIED MATERIALS INC   2020-06-17 2021-04-14
28. GENERAL MOTORS CO   2019-08-08 2021-04-14
17. J P MORGAN CHASE & CO   2016-01-20 2021-04-14
9. J P MORGAN CHASE & CO   2011-11-14 2021-04-14
11. J P MORGAN CHASE & CO   2016-02-12 2021-04-14
3. MARATHON PETROLEUM CORP   2020-02-19 2021-04-14
3. MARATHON PETROLEUM CORP   2015-05-20 2021-04-14
1. MARATHON PETROLEUM CORP   2015-05-20 2021-04-14
3. MARATHON PETROLEUM CORP   2019-03-15 2021-04-14
13. MARATHON PETROLEUM CORP   2019-05-20 2021-04-14
24. PPL CORP   2020-06-17 2021-04-14
16. PPL CORP   2020-06-18 2021-04-14
10. PIONEER NAT RES CO   2020-03-31 2021-04-14
13. CHARLES SCHWAB CORP/THE   2019-01-23 2021-04-14
14. CHARLES SCHWAB CORP/THE   2019-11-18 2021-04-14
5. CHARLES SCHWAB CORP/THE   2019-11-19 2021-04-14
5. CHARLES SCHWAB CORP/THE   2020-02-19 2021-04-14
30. ALTRIA GROUP INC   2019-01-23 2021-04-15
14. ALTRIA GROUP INC   2019-02-25 2021-04-15
14. ALTRIA GROUP INC   2019-03-01 2021-04-15
8. ALTRIA GROUP INC   2019-09-24 2021-04-15
4. ALTRIA GROUP INC   2020-02-19 2021-04-15
5. AMERICAN EXPRESS CO   2020-05-18 2021-04-15
2. AMERICAN EXPRESS CO   2020-06-17 2021-04-15
8. CRH PLC ADR   2019-01-23 2021-04-15
46. CRH PLC ADR   2019-01-23 2021-04-15
1. MARATHON PETROLEUM CORP   2020-02-19 2021-04-15
5. MARATHON PETROLEUM CORP   2019-05-20 2021-04-15
1. MARATHON PETROLEUM CORP   2019-03-15 2021-04-15
2. MARATHON PETROLEUM CORP   2015-05-20 2021-04-15
21. PPL CORP   2020-06-19 2021-04-15
16. PPL CORP   2020-06-18 2021-04-15
2. CHARLES SCHWAB CORP/THE   2019-01-23 2021-04-15
3. CHARLES SCHWAB CORP/THE   2019-11-18 2021-04-15
1. CHARLES SCHWAB CORP/THE   2019-11-19 2021-04-15
1. CHARLES SCHWAB CORP/THE   2020-02-19 2021-04-15
2. PIONEER NAT RES CO   2020-03-31 2021-05-14
3. PIONEER NAT RES CO   2020-03-31 2021-05-17
4. PIONEER NAT RES CO   2020-04-01 2021-05-17
6. PIONEER NAT RES CO   2020-04-01 2021-05-18
7. PIONEER NAT RES CO   2020-04-01 2021-05-19
1. PIONEER NAT RES CO   2020-04-16 2021-05-19
5. PIONEER NAT RES CO   2020-04-16 2021-05-20
9. PIONEER NAT RES CO   2020-08-31 2021-05-20
8. CDW CORP/DE   2021-04-14 2021-05-28
18. DOWDUPONT INC   2020-06-18 2021-05-28
6. DOWDUPONT INC   2020-04-08 2021-05-28
7. DOWDUPONT INC   2019-05-07 2021-05-28
5. MARATHON PETROLEUM CORP   2019-05-20 2021-05-28
10. MARATHON PETROLEUM CORP   2015-05-07 2021-05-28
14. MARATHON PETROLEUM CORP   2015-05-26 2021-05-28
4. MARATHON PETROLEUM CORP   2015-05-27 2021-05-28
2. MARATHON PETROLEUM CORP   2019-06-04 2021-05-28
5. TJX COS INC/THE   2020-06-18 2021-05-28
41. TJX COS INC/THE   2020-06-17 2021-05-28
8. CDW CORP/DE   2021-04-15 2021-06-01
2. DOWDUPONT INC   2020-04-08 2021-06-01
4. DOWDUPONT INC   2020-06-18 2021-06-01
2. DOWDUPONT INC   2019-05-07 2021-06-01
11. ALTRIA GROUP INC   2019-09-24 2021-06-16
13. ALTRIA GROUP INC   2020-04-08 2021-06-16
39. ALTRIA GROUP INC   2020-04-16 2021-06-16
19. ALTRIA GROUP INC   2020-04-24 2021-06-16
18. APPLIED MATERIALS INC   2020-06-17 2021-06-16
1. ARTHUR J GALLAGHER & CO   2020-02-19 2021-06-16
10. ARTHUR J GALLAGHER & CO   2019-02-06 2021-06-16
5. ARTHUR J GALLAGHER & CO   2020-04-08 2021-06-16
1. ARTHUR J GALLAGHER & CO   2019-02-07 2021-06-16
23. MARATHON PETROLEUM CORP   2019-06-04 2021-06-16
1. MOTOROLA SOLUTIONS INC   2020-04-08 2021-06-16
2. MOTOROLA SOLUTIONS INC   2015-05-07 2021-06-16
1. MOTOROLA SOLUTIONS INC   2013-10-03 2021-06-16
1. MOTOROLA SOLUTIONS INC   2013-10-03 2021-06-16
2. MOTOROLA SOLUTIONS INC   2013-10-02 2021-06-16
19. CHARLES SCHWAB CORP/THE   2019-08-20 2021-06-16
3. CHARLES SCHWAB CORP/THE   2019-11-18 2021-06-16
73. TJX COS INC/THE   2020-06-18 2021-06-16
65. WILLIAMS COS INC/THE   2019-01-23 2021-06-16
4. ALCON SA ACT NOM   2019-08-21 2021-06-16
4. ALCON SA ACT NOM   2019-08-22 2021-06-16
2. NXP SEMICONDUCTORS N.V.   2019-08-14 2021-06-16
9. NXP SEMICONDUCTORS N.V.   2019-08-16 2021-06-16
1. NXP SEMICONDUCTORS N.V.   2020-02-19 2021-06-16
8. ALTRIA GROUP INC   2020-04-24 2021-06-17
1. MOTOROLA SOLUTIONS INC   2015-05-07 2021-06-17
1. MOTOROLA SOLUTIONS INC   2013-10-03 2021-06-17
1. MOTOROLA SOLUTIONS INC   2013-10-02 2021-06-17
3. ALCON SA ACT NOM   2019-08-22 2021-06-17
3. ALCON SA ACT NOM   2019-08-21 2021-06-17
11. ALCON SA ACT NOM   2019-08-22 2021-06-18
13. ALCON SA ACT NOM   2019-08-21 2021-06-18
3. ALCON SA ACT NOM   2019-08-22 2021-06-21
3. ALCON SA ACT NOM   2019-08-21 2021-06-21
3000. U.S. TREASURY NOTE   2017-10-25 2021-06-29
13. BERKSHIRE HATHAWAYINC   2020-06-17 2021-07-02
2. BERKSHIRE HATHAWAYINC   2020-04-08 2021-07-02
11. BERKSHIRE HATHAWAYINC   2020-03-03 2021-07-02
6. BERKSHIRE HATHAWAYINC   2020-03-02 2021-07-02
1. ARTHUR J GALLAGHER & CO   2020-06-18 2021-07-02
9. ARTHUR J GALLAGHER & CO   2020-06-17 2021-07-02
20. MARATHON PETROLEUM CORP   2019-06-06 2021-07-02
1. MARATHON PETROLEUM CORP   2019-06-04 2021-07-02
1. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-02-19 2021-07-02
12. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-16 2021-07-02
2. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-17 2021-07-02
1. VERIZON COMMUNICATIONS INC   2015-05-07 2021-07-02
10. VERIZON COMMUNICATIONS INC   2015-06-15 2021-07-02
19. VERIZON COMMUNICATIONS INC   2017-11-08 2021-07-02
18. VERIZON COMMUNICATIONS INC   2015-07-14 2021-07-02
22. VERIZON COMMUNICATIONS INC   2017-09-18 2021-07-02
2. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-17 2021-07-06
10. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-04-16 2021-07-06
1. PUBLIC SERVICE ENTERPRISE GROUP INC   2020-02-19 2021-07-06
3. BLACKSTONE GROUP INC/THE   2021-04-15 2021-07-07
16. BLACKSTONE GROUP INC/THE   2021-04-14 2021-07-07
17. BLACKSTONE GROUP INC/THE   2021-04-15 2021-07-08
5. NXP SEMICONDUCTORS N.V.   2019-08-15 2021-07-13
2. NXP SEMICONDUCTORS N.V.   2019-08-14 2021-07-13
3000. WELLS FARGO & COMPANY   2016-07-26 2021-07-26
1000. WELLS FARGO & COMPANY   2021-03-16 2021-07-26
1. AMERICAN EXPRESS CO   2020-05-18 2021-07-28
7. AMERICAN EXPRESS CO   2020-04-28 2021-07-28
4. ARTHUR J GALLAGHER & CO   2019-02-07 2021-07-28
3. ARTHUR J GALLAGHER & CO   2019-01-18 2021-07-28
2. ARTHUR J GALLAGHER & CO   2019-01-17 2021-07-28
8. KONINKLIJKE PHILIPS NV   2020-04-08 2021-07-28
2. KONINKLIJKE PHILIPS NV   2017-05-08 2021-07-28
2. KONINKLIJKE PHILIPS NV   2017-05-09 2021-07-28
10. MORGAN STANLEY   2020-02-19 2021-07-28
9. MORGAN STANLEY   2019-11-18 2021-07-28
4. MOTOROLA SOLUTIONS INC   2020-07-22 2021-07-28
3. KONINKLIJKE PHILIPS NV   2017-05-08 2021-07-29
1. KONINKLIJKE PHILIPS NV   2017-05-04 2021-07-29
4. KONINKLIJKE PHILIPS NV   2017-05-09 2021-07-29
13. KONINKLIJKE PHILIPS NV   2020-04-08 2021-07-29
4. ALLSTATE CORP/THE   2020-04-16 2021-08-04
5. AMEREN CORP   2020-12-14 2021-08-04
2. AMERICAN ELECTRIC POWER CO INC   2021-04-14 2021-08-04
18. AMERICAN INTERNATIONAL GROUP INC   2019-01-23 2021-08-04
3. ANTHEM INC   2015-01-21 2021-08-04
8. ASTRAZENECA PLC SPONS ADR   2016-05-04 2021-08-04
1000. BAT CAPITAL CORP   2020-09-24 2021-08-04
6. BRITISH AMERICAN TOBACCO PLC   2021-04-15 2021-08-04
1. CIGNA CORP   2021-01-19 2021-08-04
4. CVS HEALTH CORP   2019-03-19 2021-08-04
4. CVS HEALTH CORP   2018-12-10 2021-08-04
1. CVS HEALTH CORP   2018-11-30 2021-08-04
1. CATERPILLAR INC   2021-07-02 2021-08-04
2. CISCO SYSTEMS INC   2019-09-05 2021-08-04
28. CISCO SYSTEMS INC   2019-08-21 2021-08-04
14. CITIGROUP INC   2015-05-07 2021-08-04
14. CITIGROUP INC   2015-04-01 2021-08-04
16. COCA-COLA CO/THE   2020-07-23 2021-08-04
2. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2018-12-10 2021-08-04
9. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2018-06-14 2021-08-04
15. COMCAST CORP   2011-11-14 2021-08-04
4. CONOCOPHILLIPS   2019-09-24 2021-08-04
4. CONSTELLATION BRANDS INC   2019-01-31 2021-08-04
4. DOWDUPONT INC   2020-06-18 2021-08-04
1. DUPONT DE NEMOURS INC   2020-01-13 2021-08-04
3. DUPONT DE NEMOURS INC   2019-05-07 2021-08-04
5. EDISON INTERNATIONAL   2020-04-16 2021-08-04
14. EQUINOR ASA   2019-08-22 2021-08-04
8. EQUITABLE HOLDINGS INC   2018-12-11 2021-08-04
6. EXELON CORP   2020-11-16 2021-08-04
6. FOX CORP   2019-11-19 2021-08-04
14. FOX CORP   2019-11-18 2021-08-04
2. ARTHUR J GALLAGHER & CO   2018-10-15 2021-08-04
.13 GENERAL ELEC CO REG SHS   2019-11-18 2021-08-04
3. GENERAL ELEC CO REG SHS   2019-11-18 2021-08-04
1000. HOME DEPOT INC   2019-01-11 2021-08-04
4. J P MORGAN CHASE & CO   2011-11-14 2021-08-04
4. KONINKLIJKE PHILIPS NV   2017-03-22 2021-08-04
1. LEAR CORP   2021-03-01 2021-08-04
2. LEIDOS HOLDINGS INC   2020-11-16 2021-08-04
1. LOWES COMPANIES INC COM   2020-02-19 2021-08-04
4. MARATHON PETROLEUM CORP   2011-11-14 2021-08-04
1. MCKESSON CORP   2019-01-23 2021-08-04
17. METLIFE INC   2016-01-20 2021-08-04
2. MICROSOFT CORP COM   2011-12-07 2021-08-04
12. MORGAN STANLEY   2016-01-20 2021-08-04
11. NEWELL BRANDS INC   2019-09-25 2021-08-04
12. NISOURCE INC   2020-10-08 2021-08-04
2. PPG INDUSTRIES INC   2020-08-31 2021-08-04
1. PEPSICO INC   2021-06-16 2021-08-04
4. PUBLIC SERVICE ENTERPRISE GROUP INC   2015-09-25 2021-08-04
5. RAYMOND JAMES FINANCIAL INC   2020-01-14 2021-08-04
10. RAYTHEON TECHNOLOGIES   2020-08-31 2021-08-04
7. ROGERS COMMUNICATIONS INC   2021-07-21 2021-08-04
3. ROSS STORES INC   2021-05-28 2021-08-04
4. SS&C TECHNOLOGIES HOLDINGS INC   2021-03-01 2021-08-04
5. SANOFI-SYNTHELABO   2019-09-25 2021-08-04
2. CHARLES SCHWAB CORP/THE   2019-08-20 2021-08-04
4. CHARLES SCHWAB CORP/THE   2019-02-07 2021-08-04
3. SEALED AIR CORP   2021-06-17 2021-08-04
2. STANLEY BLACK & DECKER INC   2020-10-08 2021-08-04
3. UNILEVER PLC AMER SHS ADR NEW   2018-05-10 2021-08-04
3. UNILEVER PLC AMER SHS ADR NEW   2018-03-13 2021-08-04
9. UNILEVER PLC AMER SHS ADR NEW   2018-03-12 2021-08-04
1. UNION PACIFIC CORP   2016-01-20 2021-08-04
1000. U.S. TREASURY BOND 3.125% FEB 15 2042   2012-02-24 2021-08-04
1000. U.S. TREASURY BOND   2018-03-01 2021-08-04
1000. U.S. TREASURY BOND   2019-06-25 2021-08-04
1000. U.S. TREASURY BOND   2021-03-30 2021-08-04
1000. U.S. TREASURY BOND   2021-02-19 2021-08-04
1000. U.S. TREASURY NOTE   2018-06-08 2021-08-04
1000. U.S. TREASURY NOTE   2017-03-09 2021-08-04
1000. U.S. TREASURY NOTE   2017-10-25 2021-08-04
1. UNITEDHEALTH GROUP INC   2020-03-17 2021-08-04
9. VERIZON COMMUNICATIONS INC   2017-11-08 2021-08-04
5. VISA INC   2020-03-24 2021-08-04
29. WELLS FARGO & CO NEW   2011-11-14 2021-08-04
6. WILLIAMS COS INC/THE   2019-01-23 2021-08-04
1. ZIMMER BIOMET HOLDINGS INC   2020-11-16 2021-08-04
1. MEDTRONIC PLC SHS   2017-10-27 2021-08-04
6. MEDTRONIC PLC SHS   2017-10-27 2021-08-04
3. ALCON SA ACT NOM   2019-04-16 2021-08-04
1. NXP SEMICONDUCTORS N.V.   2019-08-15 2021-08-04
1000. APPLE INC   2017-02-08 2021-08-05
1000. BB&T CORPORATION   2017-10-25 2021-08-05
1000. ORACLE CORP   2016-10-28 2021-08-05
21. VERIZON COMMUNICATIONS INC   2020-04-08 2021-08-06
12. VERIZON COMMUNICATIONS INC   2017-11-30 2021-08-06
16. VERIZON COMMUNICATIONS INC   2018-08-02 2021-08-06
17. AMERICAN EXPRESS CO   2020-04-28 2021-08-09
20. DUPONT DE NEMOURS INC   2020-01-14 2021-08-09
3. DUPONT DE NEMOURS INC   2020-01-13 2021-08-09
1. EQUINOR ASA   2021-05-20 2021-08-09
6. EQUINOR ASA   2021-05-18 2021-08-09
3. EQUINOR ASA   2021-05-19 2021-08-09
1. MCKESSON CORP   2020-02-19 2021-08-09
7. MCKESSON CORP   2020-04-24 2021-08-09
33. MONDELEZ INTERNATIONAL INC   2018-08-02 2021-08-09
14. MONDELEZ INTERNATIONAL INC   2018-08-03 2021-08-09
7. MONDELEZ INTERNATIONAL INC   2020-04-08 2021-08-09
9. MORGAN STANLEY   2019-01-07 2021-08-09
5. MORGAN STANLEY   2019-11-18 2021-08-09
2. MOTOROLA SOLUTIONS INC   2015-05-07 2021-08-09
5. MOTOROLA SOLUTIONS INC   2015-07-14 2021-08-09
2. PPG INDUSTRIES INC   2020-12-15 2021-08-09
2. PPG INDUSTRIES INC   2020-10-08 2021-08-09
6. PPG INDUSTRIES INC   2020-12-14 2021-08-09
20. EQUINOR ASA   2019-08-23 2021-08-12
55. EQUINOR ASA   2019-08-22 2021-08-12
5. MOTOROLA SOLUTIONS INC   2020-07-22 2021-08-12
1. MOTOROLA SOLUTIONS INC   2015-07-14 2021-08-12
3000. BANK OF NY MELLON CORP   2016-09-23 2021-08-23
2000. GLAXOSMITHKLINE CAPITAL   2021-03-15 2021-08-23
5000. GLAXOSMITHKLINE CAPITAL   2018-06-08 2021-08-23
4. MICROSOFT CORP COM   2020-04-08 2021-09-24
12. MORGAN STANLEY   2019-01-07 2021-09-24
3. FIRST AMERICAN FINANCIAL CORP   2020-11-16 2021-09-27
1. FIRST AMERICAN FINANCIAL CORP   2020-11-17 2021-09-27
.5 RAYMOND JAMES FINANCIAL INC   2020-01-14 2021-09-27
9. FIRST AMERICAN FINANCIAL CORP   2020-11-17 2021-09-28
9. FIRST AMERICAN FINANCIAL CORP   2020-11-17 2021-09-29
3. FIRST AMERICAN FINANCIAL CORP   2020-11-17 2021-09-30
1. CONOCOPHILLIPS   2020-02-19 2021-10-21
4. CONOCOPHILLIPS   2020-06-17 2021-10-21
17. CONOCOPHILLIPS   2019-09-25 2021-10-21
3. CONOCOPHILLIPS   2019-09-24 2021-10-21
3. ARTHUR J GALLAGHER & CO   2020-10-09 2021-10-21
1. ARTHUR J GALLAGHER & CO   2020-10-08 2021-10-21
1. ARTHUR J GALLAGHER & CO   2019-01-17 2021-10-21
7. LOWES COMPANIES INC COM   2020-04-16 2021-10-21
10. MARATHON PETROLEUM CORP   2016-01-20 2021-10-21
5. MARATHON PETROLEUM CORP   2019-06-06 2021-10-21
9. MARATHON PETROLEUM CORP   2020-06-17 2021-10-21
11. MORGAN STANLEY   2019-01-07 2021-10-21
18. MORGAN STANLEY   2020-04-08 2021-10-21
24. RAYTHEON TECHNOLOGIES   2020-08-31 2021-10-21
3. ARTHUR J GALLAGHER & CO   2020-10-09 2021-10-22
1. ARTHUR J GALLAGHER & CO   2019-01-17 2021-10-22
2. ARTHUR J GALLAGHER & CO   2020-10-08 2021-10-22
2000. U.S. TREASURY NOTE   2018-06-08 2021-10-27
1000. U.S. TREASURY NOTE   2021-03-15 2021-10-27
3. ANTHEM INC   2019-06-28 2021-11-16
18. J P MORGAN CHASE & CO   2011-11-14 2021-11-16
2. MICROSOFT CORP COM   2020-04-08 2021-11-16
1. MICROSOFT CORP COM   2011-12-07 2021-11-16
2. MICROSOFT CORP COM   2011-12-07 2021-11-16
10. VERIZON COMMUNICATIONS INC   2018-08-02 2021-11-16
19. VERIZON COMMUNICATIONS INC   2018-07-16 2021-11-16
38. WILLIAMS COS INC/THE   2019-01-23 2021-11-16
14. WILLIAMS COS INC/THE   2019-01-23 2021-11-17
2. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2018-12-11 2021-12-03
15. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2019-02-06 2021-12-03
16. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2019-02-25 2021-12-03
4. COGNIZANT TECHNOLOGY SOLUTIONS CORP   2020-02-19 2021-12-03
3. LOWES COMPANIES INC COM   2020-04-16 2021-12-03
6. MORGAN STANLEY   2020-04-08 2021-12-03
8. MORGAN STANLEY   2016-01-26 2021-12-03
4000. U.S. TREASURY NOTE   2021-02-19 2021-12-22
1000. U.S. TREASURY NOTE   2021-08-23 2021-12-22
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,944   1,122 822
b 250   163 87
c 500   322 178
d 1,000   637 363
e 250   169 81
1,000   666 334
172   109 63
860   303 557
1,311   1,294 17
331   310 21
955   723 232
1,028   527 501
367   321 46
404   313 91
1,460   1,176 284
502   322 180
517   182 335
172   109 63
629   559 70
1,154   1,041 113
3,461   3,153 308
2,505   2,241 264
1,044   924 120
209   189 20
46   32 14
1,207   700 507
232   131 101
2,582   2,657 -75
881   713 168
110   89 21
496   319 177
110   71 39
2,833   307 2,526
1,080   543 537
1,688   1,260 428
1,779   1,379 400
227   204 23
15   16 -1
832   855 -23
220   178 42
110   71 39
55   36 19
425   266 159
2,018   1,031 987
106   65 41
648   582 66
299   343 -44
1,152   1,025 127
1,024   419 605
453   681 -228
765   632 133
1,343   1,333 10
975   188 787
638   652 -14
477   479 -2
62   51 11
332   276 56
65   35 30
258   140 118
520   445 75
694   444 250
116   74 42
1,549   325 1,224
228   173 55
1,336   406 930
225   215 10
495   210 285
933   641 292
175   123 52
988   708 280
744   602 142
636   217 419
353   244 109
482   399 83
600   300 300
4,001   3,997 4
873   762 111
411   416 -5
154   136 18
257   204 53
411   421 -10
1,327   798 529
737   526 211
2,952   1,319 1,633
1,636   1,118 518
2,571   942 1,629
1,361   292 1,069
1,664   631 1,033
161   173 -12
161   156 5
54   52 2
161   182 -21
700   677 23
689   646 43
460   429 31
1,530   699 831
877   613 264
945   618 327
337   222 115
337   236 101
1,550   1,344 206
724   728 -4
724   736 -12
413   326 87
207   181 26
736   443 293
294   210 84
383   231 152
2,203   1,300 903
54   58 -4
268   260 8
54   61 -7
107   104 3
608   571 37
463   429 34
130   94 36
194   133 61
65   44 21
65   47 18
314   140 174
477   210 267
636   265 371
953   397 556
1,069   463 606
153   72 81
751   358 393
1,352   937 415
1,323   1,424 -101
820   494 326
273   150 123
319   183 136
309   260 49
618   515 103
865   711 154
247   202 45
124   97 27
338   268 70
2,773   2,244 529
1,313   1,439 -126
92   50 42
183   110 73
92   52 40
523   449 74
618   514 104
1,853   1,583 270
903   743 160
2,499   1,079 1,420
143   109 34
1,431   783 648
715   418 297
143   78 65
1,459   1,114 345
210   145 65
420   121 299
210   61 149
210   61 149
420   121 299
1,365   711 654
216   133 83
4,766   3,911 855
1,793   1,497 296
285   244 41
285   242 43
404   200 204
1,818   924 894
202   135 67
377   313 64
212   60 152
212   61 151
212   61 151
212   181 31
212   183 29
773   665 108
913   792 121
211   181 30
211   183 28
3,227   2,983 244
3,629   2,369 1,260
558   378 180
3,070   2,353 717
1,675   1,263 412
140   100 40
1,262   885 377
1,214   961 253
61   48 13
60   59 1
721   626 95
120   107 13
56   50 6
564   471 93
1,072   859 213
1,016   854 162
1,241   1,054 187
120   107 13
601   522 79
60   59 1
297   239 58
1,582   1,248 334
1,668   1,353 315
1,020   499 521
408   200 208
3,000   3,000  
1,000   1,000  
171   89 82
1,194   618 576
551   311 240
413   223 190
275   147 128
364   310 54
91   71 20
91   70 21
964   562 402
867   441 426
885   565 320
138   106 32
46   35 11
184   141 43
596   504 92
518   399 119
425   386 39
177   174 3
849   769 80
1,191   419 772
461   226 235
1,008   996 12
224   237 -13
231   221 10
326   229 97
326   293 33
82   81 1
205   217 -12
111   97 14
1,560   1,365 195
962   747 215
962   727 235
898   772 126
148   134 14
666   706 -40
869   166 703
220   237 -17
878   693 185
170   110 60
74   60 14
223   216 7
274   299 -25
278   241 37
244   140 104
281   259 22
209   216 -7
489   493 -4
275   142 133
13   11 2
308   274 34
1,171   1,024 147
608   130 478
177   124 53
168   170 -2
189   201 -12
191   124 67
218   73 145
206   125 81
972   633 339
574   51 523
1,157   304 853
275   199 76
302   268 34
328   241 87
154   148 6
253   164 89
643   470 173
861   611 250
357   361 -4
358   379 -21
306   268 38
250   234 16
136   75 61
272   183 89
174   172 2
391   347 44
172   170 2
172   163 9
517   494 23
218   72 146
1,243   1,002 241
1,248   975 273
1,228   1,070 158
905   816 89
1,023   987 36
1,091   1,000 91
1,071   976 95
1,091   994 97
422   244 178
498   407 91
1,184   772 412
1,349   728 621
149   138 11
148   150 -2
129   81 48
772   485 287
223   171 52
213   100 113
1,112   1,007 105
1,069   996 73
1,060   990 70
1,162   1,203 -41
664   609 55
885   831 54
2,893   1,502 1,391
1,519   1,207 312
228   181 47
20   21 -1
121   133 -12
61   65 -4
197   168 29
1,378   968 410
2,048   1,424 624
869   613 256
434   361 73
898   377 521
499   245 254
458   121 337
1,145   293 852
328   287 41
328   269 59
984   851 133
420   339 81
1,154   947 207
1,138   706 432
228   59 169
3,101   2,987 114
2,105   2,101 4
5,262   4,994 268
1,194   659 535
1,242   502 740
205   146 59
68   49 19
47   31 16
611   441 170
609   441 168
202   147 55
75   59 16
299   178 121
1,269   1,001 268
224   178 46
490   326 164
163   107 56
163   74 89
1,591   661 930
670   399 271
335   240 95
603   339 264
1,102   460 642
1,804   702 1,102
2,197   1,466 731
495   326 169
165   74 91
330   214 116
2,137   2,000 137
1,069   1,079 -10
1,296   836 460
2,980   585 2,395
680   330 350
340   26 314
680   51 629
522   519 3
991   981 10
1,074   864 210
398   318 80
157   136 21
1,175   1,110 65
1,254   1,161 93
313   275 38
745   283 462
587   234 353
783   205 578
3,995   4,001 -6
999   1,000 -1
      78
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      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
      78
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       822
b       87
c       178
d       363
e       81
      334
      63
      557
      17
      21
      232
      501
      46
      91
      284
      180
      335
      63
      70
      113
      308
      264
      120
      20
      14
      507
      101
      -75
      168
      21
      177
      39
      2,526
      537
      428
      400
      23
      -1
      -23
      42
      39
      19
      159
      987
      41
      66
      -44
      127
      605
      -228
      133
      10
      787
      -14
      -2
      11
      56
      30
      118
      75
      250
      42
      1,224
      55
      930
      10
      285
      292
      52
      280
      142
      419
      109
      83
      300
      4
      111
      -5
      18
      53
      -10
      529
      211
      1,633
      518
      1,629
      1,069
      1,033
      -12
      5
      2
      -21
      23
      43
      31
      831
      264
      327
      115
      101
      206
      -4
      -12
      87
      26
      293
      84
      152
      903
      -4
      8
      -7
      3
      37
      34
      36
      61
      21
      18
      174
      267
      371
      556
      606
      81
      393
      415
      -101
      326
      123
      136
      49
      103
      154
      45
      27
      70
      529
      -126
      42
      73
      40
      74
      104
      270
      160
      1,420
      34
      648
      297
      65
      345
      65
      299
      149
      149
      299
      654
      83
      855
      296
      41
      43
      204
      894
      67
      64
      152
      151
      151
      31
      29
      108
      121
      30
      28
      244
      1,260
      180
      717
      412
      40
      377
      253
      13
      1
      95
      13
      6
      93
      213
      162
      187
      13
      79
      1
      58
      334
      315
      521
      208
       
       
      82
      576
      240
      190
      128
      54
      20
      21
      402
      426
      320
      32
      11
      43
      92
      119
      39
      3
      80
      772
      235
      12
      -13
      10
      97
      33
      1
      -12
      14
      195
      215
      235
      126
      14
      -40
      703
      -17
      185
      60
      14
      7
      -25
      37
      104
      22
      -7
      -4
      133
      2
      34
      147
      478
      53
      -2
      -12
      67
      145
      81
      339
      523
      853
      76
      34
      87
      6
      89
      173
      250
      -4
      -21
      38
      16
      61
      89
      2
      44
      2
      9
      23
      146
      241
      273
      158
      89
      36
      91
      95
      97
      178
      91
      412
      621
      11
      -2
      48
      287
      52
      113
      105
      73
      70
      -41
      55
      54
      1,391
      312
      47
      -1
      -12
      -4
      29
      410
      624
      256
      73
      521
      254
      337
      852
      41
      59
      133
      81
      207
      432
      169
      114
      4
      268
      535
      740
      59
      19
      16
      170
      168
      55
      16
      121
      268
      46
      164
      56
      89
      930
      271
      95
      264
      642
      1,102
      731
      169
      91
      116
      137
      -10
      460
      2,395
      350
      314
      629
      3
      10
      210
      80
      21
      65
      93
      38
      462
      353
      578
      -6
      -1
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 79,248
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 1,253
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 1,253
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 1,276
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,276
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 23
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  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletLA
    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 ofbulletBANK OF AMERICA NA Telephone no.bullet (212) 852-3049

    Located atbullet114 W 47TH ST NY8-114-07-07NEW YORKNY ZIP+4bullet100361510
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    BANK OF AMERICA N A TRUSTEE
    2
    11,061    
    PO BOX 1532
    PENNINGTON,NJ08534
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    697,539
    b
    Average of monthly cash balances.......................
    1b
    34,031
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    731,570
    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
    731,570
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    10,974
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    720,596
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    36,030
    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
    36,030
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,253
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,253
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    34,777
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    34,777
    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
    34,777
    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 34,777
    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...... 16,149
    b From 2017...... 15,148
    c From 2018...... 16,056
    d From 2019...... 15,088
    e From 2020...... 17,441
    f Total of lines 3a through e ........ 79,882
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 52,537
    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..... 34,777
    e Remaining amount distributed out of corpus 17,760
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 97,642
    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 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    16,149
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    81,493
    10 Analysis of line 9:
    a Excess from 2017.... 15,148
    b Excess from 2018.... 16,056
    c Excess from 2019.... 15,088
    d Excess from 2020.... 17,441
    e Excess from 2021.... 17,760
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or 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
    PARON BAPTIST CHURCH
    676 HIGHWAY 2
    STERLINGTON,LA712803003
    NONE PC GENREAL OPERATING 45,808
    Total .................................bullet 3a 45,808
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 79,248  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND
        1 2,467  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   97,471  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    97,471
    (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 InvestmentsCorpBondsSchedule
    Name:
    CLARENCE BETTY ROSWELL CHARITTABLE
    EIN:
    37-6491284
    Name of Bond End of Year Book Value End of Year Fair Market Value
    SEE ATTACHED    
    06406FAD5 BANK OF NY MELLON CO    
    437076BW1 HOME DEPOT INC 6,355 6,762
    912810SA7 U.S. TREASURY BOND 7,028 7,352
    912828M56 U.S. TREASURY NOTE 12,428 12,504
    9128285M8 U.S. TREASURY NOTE 6,274 6,675
    037833CJ7 APPLE INC 6,208 6,516
    377372AL1 GLAXOSMITHKLINE CAPI    
    68389XBM6 ORACLE CORP 6,069 6,169
    912810QU5 U.S. TREASURY BOND 3 9,529 10,877
    912810SP4 U.S. TREASURY BOND 3,790 3,521
    912828YH7 U.S. TREASURY NOTE 7,946 8,128
    20030NDM0 COMCAST CORP 5,956 5,886
    035240AV2 ANHEUSER-BUSCH INBEV 4,260 4,389
    05526DBS3 BAT CAPITAL CORP 6,911 6,801
    912810SH2 U.S. TREASURY BOND 6,454 7,257
    91282CAR2 U.S. TREASURY NOTE 15,001 14,975
    9128284R8 U.S. TREASURY NOTE    
    05531FBB8 BB&T CORPORATION 6,089 6,271
    6174468Q5 MORGAN STANLEY 4,022 4,080
    025816CC1 AMERICAN EXPRESS CO 7,061 7,342
    46625HJX9 JPMORGAN CHASE & CO 6,050 6,350
    949746SA0 WELLS FARGO & COMPAN    
    912828X88 U.S. TREASURY NOTE 3,055 3,168
    172967FT3 CITIGROUP INC 3,001 3,004
    3135G0K36 FEDERAL NATL MTG ASS 6,999 7,261
    912810SR0 U.S. TREASURY BOND 3,264 3,517
    91282CCS8 U.S. TREASURY NOTE 3,883 3,916
    912810SW9 U.S. TREASURY BOND 6,857 6,951
    91282CDG3 U.S. TREASURY NOTE 5,967 5,964

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    CLARENCE BETTY ROSWELL CHARITTABLE
    EIN:
    37-6491284
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SEE ATTACHED    
    31847R102 FIRST AMERICAN FINAN    
    59156R108 METLIFE INC 6,626 9,686
    02209S103 ALTRIA GROUP INC    
    126650100 CVS HEALTH CORP 4,845 8,356
    172967424 CITIGROUP INC 15,264 17,090
    191216100 COCA-COLA CO/THE 6,944 8,289
    29446M102 EQUINOR ASA 4,577 6,898
    31620R303 FIDELITY NATIONAL FI 3,992 5,844
    37045V100 GENERAL MOTORS CO 6,069 11,140
    548661107 LOWES COMPANIES INC 1,779 3,102
    617446448 MORGAN STANLEY 2,664 10,798
    620076307 MOTOROLA SOLUTIONS I    
    651229106 NEWELL BRANDS INC 3,498 3,866
    744573106 PUBLIC SERVICE ENTER 4,158 5,739
    80105N105 SANOFI-SYNTHELABO 10,991 11,373
    907818108 UNION PACIFIC CORP 3,076 5,794
    H01301128 ALCON SA ACT NOM 2,983 4,443
    20030N101 COMCAST CORP 5,275 9,160
    20825C104 CONOCOPHILLIPS 6,882 10,538
    29452E101 EQUITABLE HOLDINGS I 2,248 4,230
    58155Q103 MCKESSON CORP 1,780 3,480
    75513E101 RAYTHEON TECHNOLOGIE 7,830 9,553
    969457100 WILLIAMS COS INC/THE 2,519 3,255
    G5960L103 MEDTRONIC PLC SHS 6,800 8,173
    026874784 AMERICAN INTERNATION 8,342 14,101
    17275R102 CISCO SYSTEMS INC 12,291 17,237
    35137L105 FOX CORP 6,501 6,753
    46625H100 J P MORGAN CHASE & C 2,568 7,284
    49456B101 KINDER MORGAN INC/DE    
    525327102 LEIDOS HOLDINGS INC 6,225 5,601
    65473P105 NISOURCE INC 2,025 2,457
    69351T106 PPL CORP    
    754730109 RAYMOND JAMES FINANC 3,487 5,823
    808513105 CHARLES SCHWAB CORP/ 3,717 9,083
    21036P108 CONSTELLATION BRANDS 4,658 7,529
    500472303 KONINKLIJKE PHILIPS 3,782 4,385
    872540109 TJX COS INC/THE    
    G96629103 WILLIS TOWERS WATSON 2,967 2,850
    023608102 AMEREN CORP 3,446 4,005
    22052L104 DOWDUPONT INC 2,858 4,964
    281020107 EDISON INTERNATIONAL 3,642 4,163
    363576109 ARTHUR J GALLAGHER & 2,308 5,429
    594918104 MICROSOFT CORP COM 408 3,363
    609207105 MONDELEZ INTERNATION    
    N6596X109 NXP SEMICONDUCTORS N 1,171 2,733
    025816109 AMERICAN EXPRESS CO    
    084670702 BERKSHIRE HATHAWAYIN    
    12626K203 CRH PLC ADR    
    369604103 GENERAL ELECTRIC CO    
    693506107 PPG INDUSTRIES INC 3,013 4,139
    835699307 SONY CORP ADR AMERN    
    854502101 STANLEY BLACK & DECK 3,230 3,395
    91324P102 UNITEDHEALTH GROUP I 5,035 8,536
    92826C839 VISA INC 5,715 6,935
    949746101 WELLS FARGO & CO NEW 21,811 23,654
    98956P102 ZIMMER BIOMET HOLDIN 9,132 7,622
    055622104 BP P L C SPONS ADR 12,732 10,545
    192446102 COGNIZANT TECHNOLOGY 6,574 10,114
    30161N101 EXELON CORP 2,206 2,946
    31428X106 FEDEX CORP    
    444859102 HUMANA INC 8,482 9,277
    56585A102 MARATHON PETROLEUM C 2,720 5,247
    717081103 PFIZER INC    
    723787107 PIONEER NAT RES CO    
    904767704 UNILEVER PLC AMER SH 12,529 12,533
    92343V104 VERIZON COMMUNICATIO 5,795 6,079
    020002101 ALLSTATE CORP/THE 2,870 3,412
    036752103 ANTHEM INC 7,710 16,224
    038222105 APPLIED MATERIALS IN    
    046353108 ASTRAZENECA PLC SPON 7,291 10,776
    12572Q105 CME GROUP INC    
    256677105 DOLLAR GENERAL CORP 6,659 8,254
    26614N102 DUPONT DE NEMOURS IN 2,888 4,201
    025537101 AMERICAN ELECTRIC PO 3,980 4,093
    14040H105 CAPITAL ONE FINANCIA 4,167 4,208
    31620M106 FIDELITY NATL INFO S 9,997 7,750
    125523100 CIGNA CORP 8,450 8,956
    15189T107 CENTERPOINT ENERGY I 2,822 3,182
    00507V109 ACTIVISION BLIZZARD 2,511 2,927
    032654105 ANALOG DEVICES INC 2,917 2,988
    03768E105 APOLLO GLOBAL MANAGE 5,041 5,939
    149123101 CATERPILLAR INC 5,467 5,375
    778296103 ROSS STORES INC 8,636 8,114
    539830109 LOCKHEED MARTIN CORP 4,487 4,265
    743315103 PROGRESSIVE CORP/THE 2,612 2,874
    713448108 PEPSICO INC 2,819 3,300
    775109200 ROGERS COMMUNICATION 7,804 7,383
    81211K100 SEALED AIR CORP 3,997 4,520
    446413106 HUNTINGTON INGALLS I 2,839 2,428
    45866F104 INTERCONTINENTAL EXC 2,731 3,146
    110448107 BRITISH AMERICAN TOB 6,709 6,322
    521865204 LEAR CORP 3,587 3,842
    78467J100 SS&C TECHNOLOGIES HO 6,344 7,378
    369604301 GENERAL ELEC CO REG 4,667 6,424

    TY 2021 InvestmentsOtherSchedule2
    Name:
    CLARENCE BETTY ROSWELL CHARITTABLE
    EIN:
    37-6491284
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BLACKROCK STRATEGIC      
    ISHARES RUSSELL 1000      
    09260B382 BLACKROCK STRATEGIC AT COST 10,298 10,353

    TY 2021 OtherDecreasesSchedule
    Name:
    CLARENCE BETTY ROSWELL CHARITTABLE
    EIN:
    37-6491284
    Description Amount
    PURCHASE OF ACC'D INTEREST 10
    COST BASIS ADJUSTMENT 677


    TY 2021 OtherExpensesSchedule
    Name:
    CLARENCE BETTY ROSWELL CHARITTABLE
    EIN:
    37-6491284
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER INVESTMENT EXPENSES 41 41   0
    STATE TAXES/FILING FEES 92 0   92


    TY 2021 OtherIncomeSchedule2
    Name:
    CLARENCE BETTY ROSWELL CHARITTABLE
    EIN:
    37-6491284
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 2,467 0  


    TY 2021 TaxesSchedule
    Name:
    CLARENCE BETTY ROSWELL CHARITTABLE
    EIN:
    37-6491284
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 194 194   0
    FEDERAL ESTIMATES - PRINCIPAL 8,070 0   0