TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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
BETHLEHEM FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)4201 CHEROKEE ROAD
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
RESCUE, CA95672

A Employer identification number

46-4009968

B Telephone number (see instructions)

(916) 853-8010

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$20,533,060J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	366,987		363,232
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		647,553
b	Gross sales price for all assets on line 6a 2,943,155
7	Capital gain net income (from Part IV, line 2)...			647,553
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).......		147,598	147,598
12	Total. Add lines 1 through 11........	1,162,138		1,158,383
13	Compensation of officers, directors, trustees, etc.	21,000		0		21,000
14	Other employee salaries and wages......			0	0	0
15	Pension plans, employee benefits.......			0	0
16a	Legal fees (attach schedule).........		91	0	0	91
b	Accounting fees (attach schedule).......
c	Other professional fees (attach schedule)....		104,762	86,247		18,515
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		19,135	7,982		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).......		16,653	683		15,970
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	161,641		94,912	0	55,576
25	Contributions, gifts, grants paid.......	749,573				749,573
26	Total expenses and disbursements. Add lines 24 and 25	911,214		94,912	0	805,149
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	250,924
b	Net investment income (if negative, enter -0-)			1,063,471
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	16,900	8,986	8,986
	2	Savings and temporary cash investments.........	566,496	367,370	367,370
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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) 1,500,000
		Less: allowance for doubtful accounts 0	1,500,000	1,500,000	1,100,000
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)	1,374,334
	b	Investments—corporate stock (attach schedule).......	8,039,948
	c	Investments—corporate bonds (attach schedule).......	3,141,381
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........		12,998,995	19,056,704
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	14,639,059	14,875,351	20,533,060
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		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
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	14,639,059	14,875,351
	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).....	14,639,059	14,875,351
	30	Total liabilities and net assets/fund balances (see instructions).	14,639,059	14,875,351

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

14,639,059

Enter amount from Part I, line 27a .....................

250,924

Other increases not included in line 2 (itemize) bullet

440

Add lines 1, 2, and 3 ..........................

14,890,423

Decreases not included in line 2 (itemize) bullet

15,072

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

14,875,351

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	.76 LIBERTY BROADBAND CORP		2019-07-08	2021-01-05
b	108. BROOKFIELD PROPERTY REIT INC		2019-09-26	2021-01-06
c	4. LIBERTY BROADBAND CORP		2019-07-08	2021-01-06
d	112. REALPAGE INC			2021-01-06
e	38. TAIWAN SEMICONDUCTOR MANUFACTU - ADR		2017-06-20	2021-01-13
	3. EQUINIX INC		2017-12-19	2021-01-14
	16. SIMON PROPERTY GROUP INC		2017-12-19	2021-01-14
	69. BROOKFIELD PROPERTY REIT INC			2021-01-15
	18. BROOKFIELD PROPERTY REIT INC		2019-09-26	2021-01-15
	16. FNF GROUP		2019-07-08	2021-01-15
	3. MARTIN MARIETTA MATLS INC COM		2019-07-08	2021-01-15
	44. REALPAGE INC		2019-08-22	2021-01-15
	13. REALPAGE INC		2020-05-26	2021-01-15
	1. VULCAN MATERIALS COMPANY		2019-07-08	2021-01-15
	129. INFINEON TECHNOLOGIES AG - ADR		2018-12-14	2021-01-22
	25000. US TREASURY NOTE 2.125% 1/31/21		2018-10-10	2021-01-31
	22. TAIWAN SEMICONDUCTOR MANUFACTU - ADR		2017-06-20	2021-02-08
	17. LINDE PLC		2018-11-15	2021-02-09
	79. LIBERTY SIRIUSXM GROUP			2021-02-10
	90. REALPAGE INC			2021-02-10
	125. SLACK TECHNOLOGIES INC			2021-02-10
	24. VORNADO REALTY TRUST			2021-02-10
	12. BROWN FORMAN CORP CL B		2019-07-08	2021-02-17
	21. LIBERTY SIRIUSXM GROUP		2019-08-22	2021-02-17
	4. LIBERTY SIRIUSXM GROUP		2020-05-26	2021-02-17
	7. RESTAURANT BRANDS INTERN		2019-07-08	2021-02-17
	40. SLACK TECHNOLOGIES INC			2021-02-17
	30. SLACK TECHNOLOGIES INC		2020-05-26	2021-02-17
	8. VORNADO REALTY TRUST		2019-08-22	2021-02-17
	32. VORNADO REALTY TRUST			2021-02-17
	13. EQUINIX INC			2021-02-26
	11. EQUINIX INC			2021-02-26
	18. LIBERTY SIRIUSXM GROUP		2020-05-26	2021-02-26
	61. VORNADO REALTY TRUST			2021-02-26
	77. ADIDAS-AG ADR			2021-03-01
	20. TAIWAN SEMICONDUCTOR MANUFACTU - ADR			2021-03-01
	17. LIBERTY SIRIUSXM GROUP		2019-07-08	2021-03-09
	19. LIBERTY SIRIUSXM GROUP		2020-05-26	2021-03-09
	75. SLACK TECHNOLOGIES INC			2021-03-09
	100. BROADCOM INC		2019-07-18	2021-03-16
	1000. GILEAD SCIENCES INC			2021-03-16
	200. LAM RESEARCH CORP COM		2019-01-18	2021-03-16
	200. TARGET CORP		2013-06-27	2021-03-16
	470. AGNC INVESTMENT CORP		2019-08-29	2021-03-22
	132. AIA GROUP LTD-SP ADR		2017-06-20	2021-03-22
	200. AT & T INC		2018-03-27	2021-03-22
	171. ADYEN NV-UNSPON ADR		2020-03-19	2021-03-22
	60. AIR LIQUIDE - ADR		2017-12-11	2021-03-22
	61. ALEXANDRIA REAL ESTATE EQUITIES			2021-03-22
	76. ALFA LAVAL AB-UNSPON ADR		2017-05-12	2021-03-22
	15. ALIBABA GROUP HOLDING LTD ADR		2020-05-12	2021-03-22
	190. ALLIANZ SE - UNSP ADR			2021-03-22
	737. AMBEV SA-SPN ADR			2021-03-22
	280. AMERICAN HOMES 4 RENT		2020-03-09	2021-03-22
	60. AMERICAN TOWER CORP			2021-03-22
	127. ATLAS COPCO AB ADR			2021-03-22
	459. BANCO BILBAO VIZCAYA ARGENT- ADR		2017-05-12	2021-03-22
	85. BHP BILLITON LIMITED - ADR		2021-03-01	2021-03-22
	50. BLACKROCK INC		2014-10-29	2021-03-22
	28764.714 BLACKROCK GL L/S CREDIT-K #1940			2021-03-22
	144. CAMDEN PPTY TR SH BEN INT			2021-03-22
	16. CANADIAN NATL RR CO COM		2017-06-20	2021-03-22
	325. CELANESE CORP		2017-07-06	2021-03-22
	136. CHUGAI PHARMACEUTIC-UNSP ADR		2019-02-07	2021-03-22
	43. CORESITE REALTY CORP		2017-12-22	2021-03-22
	66. DBS GROUP HOLDINGS LIMITED - ADR			2021-03-22
	33. DASSAULT SYSTEMES S.A. - ADR		2017-12-11	2021-03-22
	17. DIAGEO PLC - ADR		2019-02-08	2021-03-22
	166. EPIROC AB-UNSP ADR			2021-03-22
	25. EQUINIX INC			2021-03-22
	70. FANUC CORPORATION ADR		2017-06-20	2021-03-22
	46. FEDERAL RLTY INVT TR SH BEN INT		2020-06-11	2021-03-22
	35. FOMENTO ECONOMICO MEX-SP ADR		2018-11-26	2021-03-22
	331. FOUR CORNERS PROPERTY TRUST		2018-03-16	2021-03-22
	31. HDFC BANK LTD. - ADR		2017-06-22	2021-03-22
	190. HEALTHCARE RLTY TR COM			2021-03-22
	570. HOST HOTELS & RESORTS, INC.		2018-03-21	2021-03-22
	169. ICICI BANK LTD. - ADR		2017-05-12	2021-03-22
	241. INFINEON TECHNOLOGIES AG - ADR			2021-03-22
	321. INVITATION HOMES INC			2021-03-22
	402. ITAU UNIBANCO H-SPON PRF ADR		2020-06-04	2021-03-22
	116. ITAU UNIBANCO H-SPON PRF ADR			2021-03-22
	88. KOMATSU LIMITED - ADR		2018-10-29	2021-03-22
	26. KUBOTA LIMITED - ADR			2021-03-22
	77. L'OREAL - ADR			2021-03-22
	25. LAM RESEARCH CORP COM		2019-01-18	2021-03-22
	84. LONZA GROUP AG ADR		2018-05-15	2021-03-22
	8705.746 MERGER FUND-INST #301		2020-07-14	2021-03-22
	225. MICROSOFT CORP		2017-07-06	2021-03-22
	118. MID AMERICA APARTMENT COM		2019-08-29	2021-03-22
	38. NESTLE S.A. REGISTERED SHARES - ADR		2017-06-20	2021-03-22
	84. NITORI HLDGS CO LTD-UNSP ADR		2020-03-02	2021-03-22
	30. NOVOZYMES A/S UNSPONS ADR		2018-03-22	2021-03-22
	42. LUKOIL PJSC-SPON ADR		2019-03-11	2021-03-22
	115. PING AN INSURANCE-ADR		2019-03-11	2021-03-22
	184. PROLOGIS INC			2021-03-22
	55. RIO TINTO PLC - ADR		2019-04-08	2021-03-22
	130. ROCHE HOLDINGS LTD - ADR			2021-03-22
	62. ROYAL DUTCH SHELL PLC ADR			2021-03-22
	18. SBA COMMUNICATIONS CORP			2021-03-22
	55. SAP SE			2021-03-22
	161. SCHNEIDER ELECTRIC SE - ADR		2019-11-12	2021-03-22
	62. SGS SA ADR		2019-04-01	2021-03-22
	115. SHIONOGI & CO LTD-UNSPON ADR		2020-02-07	2021-03-22
	36. SIMON PROPERTY GROUP INC			2021-03-22
	54. SONOVA HOLDIN-UNSPON ADR		2017-05-12	2021-03-22
	222. STAG INDUSTRIAL INC		2019-12-19	2021-03-22
	83. SUN CMNTYS INC COM		2018-03-16	2021-03-22
	101. SYMRISE AG ADR			2021-03-22
	58. SYSMEX CORP-UNSPON ADR		2017-06-20	2021-03-22
	73. TAIWAN SEMICONDUCTOR MANUFACTU - ADR		2017-12-11	2021-03-22
	90. TENCENT HOLDINGS LTD-UNS ADR		2019-01-25	2021-03-22
	100. THERMO FISHER SCIENTIFIC INC		2013-06-21	2021-03-22
	469. UNI CHARM CORPORATION ADR		2019-02-07	2021-03-22
	51. UNILEVER PLC - ADR		2017-06-20	2021-03-22
	466. VICI PROPERTIES INC		2019-08-29	2021-03-22
	72. WELLTOWER INC		2020-06-11	2021-03-22
	8. LINDE PLC		2018-11-15	2021-03-22
	40. ALCON INC		2020-06-05	2021-03-22
	41. CHECK POINT SOFTWARE TECH COM			2021-03-22
	25. YANDEX NV-A		2018-10-22	2021-03-22
	42. CBRE GROUP INC		2019-07-08	2021-03-23
	5. MARTIN MARIETTA MATLS INC COM		2019-07-08	2021-03-23
	61. RESTAURANT BRANDS INTERN		2019-07-08	2021-03-23
	100000. FED HOME LN MTG CORP 2.000% 3/29/21		2017-06-07	2021-03-29
	10. DASSAULT SYSTEMES S.A. - ADR		2017-12-11	2021-03-30
	19. DIAGEO PLC - ADR		2019-02-08	2021-03-30
	54. LONZA GROUP AG ADR		2018-05-15	2021-03-30
	47. SAP SE			2021-03-30
	25000. US TREASURY NOTE 2.250% 3/31/21		2018-12-21	2021-03-31
	11. M & T BANK CORPORATION COM		2019-07-08	2021-04-06
	10. MOTOROLA SOLUTIONS, INC.		2019-07-08	2021-04-06
	10. FEDERAL RLTY INVT TR SH BEN INT		2020-06-11	2021-04-12
	15. GARTNER INC		2019-07-08	2021-04-12
	23. MOTOROLA SOLUTIONS, INC.			2021-04-12
	25. MOTOROLA SOLUTIONS, INC.			2021-04-19
	12. MOTOROLA SOLUTIONS, INC.		2020-05-26	2021-04-19
	32. LIBERTY SIRIUSXM GROUP			2021-05-04
	41. LIBERTY SIRIUSXM GROUP			2021-05-04
	16. M & T BANK CORPORATION COM			2021-05-04
	14. M & T BANK CORPORATION COM			2021-05-04
	25. MOTOROLA SOLUTIONS, INC.			2021-05-04
	50000. APPLE INC 2.850% 5/06/21		2017-03-29	2021-05-06
	9. LIBERTY SIRIUSXM GROUP		2019-08-22	2021-05-11
	32. LIBERTY SIRIUSXM GROUP			2021-05-11
	65. IHS MARKIT LTD			2021-05-11
	671. BANCO BILBAO VIZCAYA ARGENT- ADR			2021-05-17
	448.833 INV OPP DEVELOP MRKTS-R6 7038		2016-04-18	2021-05-18
	225. ISHARES CORE S&P SMALL-CAP E		2013-10-11	2021-05-18
	110. VANGUARD MIDCAP VIPER		2021-03-22	2021-05-18
	236. AGNC INVESTMENT CORP		2020-06-19	2021-05-19
	340. AGNC INVESTMENT CORP		2019-08-29	2021-05-19
	3335. AT & T INC			2021-05-19
	1000. AT & T INC		2020-07-14	2021-05-19
	63. CBRE GROUP INC		2019-07-08	2021-05-19
	150. CVS HEALTH CORPORATION		2018-07-18	2021-05-19
	500. CISCO SYSTEMS INC		2015-08-13	2021-05-19
	4. CREDIT ACCEPTANCE CORPMICHIGAN		2019-10-14	2021-05-19
	17. GARTNER INC		2019-07-08	2021-05-19
	50. LAM RESEARCH CORP COM		2019-01-18	2021-05-19
	59. LIBERTY SIRIUSXM GROUP			2021-05-19
	11. ROSS STORES INC			2021-05-19
	1000. SUNCOR ENERGY INC NEW F		2015-08-13	2021-05-19
	22. FNF GROUP		2019-07-08	2021-05-28
	26. GARTNER INC		2019-07-08	2021-05-28
	78. IHS MARKIT LTD			2021-05-28
	50. CBRE GROUP INC		2019-07-08	2021-06-11
	6. FIRST REPUBLIC BANK/SAN FRANCI		2019-08-22	2021-06-11
	16. GARTNER INC			2021-06-11
	10. HOWARD HUGHES CORP/THE		2019-07-08	2021-06-11
	43. KENNEDY-WILSON HOLDINGS INC		2019-07-08	2021-06-11
	4. MARTIN MARIETTA MATLS INC COM			2021-06-11
	6. MICROCHIP TECHNOLOGY INC COM		2019-07-08	2021-06-11
	12. IHS MARKIT LTD		2020-05-26	2021-06-11
	50000. US TREASURY NOTE 2.625% 6/15/21		2018-10-10	2021-06-15
	113. FNF GROUP		2019-07-08	2021-06-21
	6. GARTNER INC		2019-07-29	2021-06-21
	1. IDEXX CORP		2019-07-08	2021-06-21
	15. RESTAURANT BRANDS INTERN		2019-07-08	2021-06-21
	10. AON PLC		2019-07-08	2021-06-21
	66. INVITATION HOMES INC		2017-12-22	2021-06-28
	67. PROLOGIS INC		2017-12-19	2021-06-28
	526. STAG INDUSTRIAL INC			2021-06-28
	40. CBRE GROUP INC			2021-07-12
	124. FNF GROUP			2021-07-12
	8. GARTNER INC			2021-07-12
	4. MSCI INC		2019-07-08	2021-07-12
	.4828 BROOKFIELD ASSET MANAGEMENT RE		2021-06-28	2021-07-12
	11. BROOKFIELD ASSET MANAGEMENT RE			2021-07-12
	154. INFINEON TECHNOLOGIES AG - ADR		2019-07-09	2021-07-28
	19. BROWN FORMAN CORP CL B			2021-07-29
	34. CANNAE HOLDINGS INC			2021-07-29
	31. COLFAX CORPORATION			2021-07-29
	56. FNF GROUP		2019-08-22	2021-07-29
	73. RESTAURANT BRANDS INTERN			2021-07-29
	2. TRANSDIGM GROUP INC		2019-07-29	2021-07-29
	74. CANNAE HOLDINGS INC			2021-08-11
	28. FNF GROUP			2021-08-11
	3. GARTNER INC		2019-08-15	2021-08-11
	48. KKR & CO INC -A		2019-07-08	2021-08-11
	90. RESTAURANT BRANDS INTERN		2019-08-22	2021-08-11
	4. FIRST REPUBLIC BANK/SAN FRANCI		2019-08-22	2021-08-20
	3. IDEXX CORP		2019-07-08	2021-08-20
	4. MOODYS CORP		2019-07-08	2021-08-20
	20. RESTAURANT BRANDS INTERN			2021-08-20
	3. SBA COMMUNICATIONS CORP		2019-07-08	2021-08-20
	3. AON PLC		2019-07-08	2021-08-20
	275. ADYEN NV-UNSPON ADR		2020-03-19	2021-08-30
	4. CREDIT ACCEPTANCE CORPMICHIGAN		2019-10-14	2021-09-03
	39. FNF GROUP		2020-05-26	2021-09-03
	7. GARTNER INC		2019-08-15	2021-09-03
	11. HYATT HOTELS CORP		2019-07-08	2021-09-03
	2. IDEXX CORP		2019-07-08	2021-09-03
	22. RESTAURANT BRANDS INTERN		2020-05-26	2021-09-03
	5. SBA COMMUNICATIONS CORP		2019-07-08	2021-09-03
	119. ARCH CAPITAL GROUP LTD		2019-07-08	2021-09-03
	59. SONOVA HOLDIN-UNSPON ADR			2021-09-10
	6. CREDIT ACCEPTANCE CORPMICHIGAN			2021-09-15
	23. FNF GROUP		2020-05-26	2021-09-15
	4. GARTNER INC		2019-08-15	2021-09-15
	9. LIBERTY BROADBAND CORP		2019-07-08	2021-09-15
	7. SBA COMMUNICATIONS CORP		2019-07-08	2021-09-15
	35. ARCH CAPITAL GROUP LTD		2019-07-08	2021-09-15
	5. CREDIT ACCEPTANCE CORPMICHIGAN			2021-09-30
	30. RESTAURANT BRANDS INTERN		2020-05-26	2021-09-30
	5. SBA COMMUNICATIONS CORP		2019-07-08	2021-09-30
	6. VERISIGN INC COM		2019-07-29	2021-09-30
	6. VERISK ANALYTICS INC		2019-07-08	2021-09-30
	34. ARCH CAPITAL GROUP LTD		2019-07-08	2021-09-30
	71. DASSAULT SYSTEMES S.A. - ADR			2021-10-04
	11. BROOKFIELD ASSET MANAGE-CL A		2019-07-08	2021-10-06
	3. CREDIT ACCEPTANCE CORPMICHIGAN			2021-10-06
	6. FIRST REPUBLIC BANK/SAN FRANCI		2019-08-22	2021-10-06
	8. IHS MARKIT LTD		2020-05-26	2021-10-06
	225. AMGEN INC		2020-09-23	2021-10-14
	75. AMGEN INC		2020-12-08	2021-10-14
	225. APPLE INC		2013-08-06	2021-10-14
	50. UNITEDHEALTH GROUP INC		2013-06-27	2021-10-14
	200. TE CONNECTIVITY LTD		2017-03-02	2021-10-14
	20. AMERICAN HOMES 4 RENT		2020-03-09	2021-10-19
	10. WELLTOWER INC		2020-06-11	2021-10-19
	21. BROOKFIELD ASSET MANAGE-CL A		2019-07-08	2021-10-22
	1. CREDIT ACCEPTANCE CORPMICHIGAN		2020-02-18	2021-10-22
	22. FNF GROUP		2020-05-26	2021-10-22
	5. GARTNER INC		2019-08-15	2021-10-22
	3. MOODYS CORP		2019-07-08	2021-10-22
	48. RESTAURANT BRANDS INTERN		2020-05-26	2021-10-22
	4. VAIL RESORTS INC COM		2019-07-08	2021-10-22
	36. ARCH CAPITAL GROUP LTD			2021-10-22
	50000. KROGER CO/THE 2.950% 11/01/21		2017-03-29	2021-11-01
	35. KKR & CO INC -A		2019-07-08	2021-11-11
	52. KENNEDY-WILSON HOLDINGS INC		2019-07-08	2021-11-11
	65. RESTAURANT BRANDS INTERN		2020-05-26	2021-11-11
	22. ARCH CAPITAL GROUP LTD		2019-08-22	2021-11-11
	30. IHS MARKIT LTD		2020-05-26	2021-11-11
	2. IDEXX CORP		2019-07-08	2021-11-12
	4. CREDIT ACCEPTANCE CORPMICHIGAN			2021-11-29
	5. S&P GLOBAL INC			2021-11-29
	22. S&P GLOBAL INC			2021-11-29
	30. IHS MARKIT LTD		2020-05-26	2021-11-29
	159. CORESITE REALTY CORP			2021-12-01
	15. CORESITE REALTY CORP		2021-10-19	2021-12-01
	38. ALIBABA GROUP HOLDING LTD ADR		2020-05-12	2021-12-08
	7. ALIBABA GROUP HOLDING LTD ADR		2021-02-08	2021-12-08
	24184.118 TCW EMRG MRKTS INC-PLAN #5721		2019-11-26	2021-12-09
	2409.856 TCW EMRG MRKTS INC-PLAN #5721		2020-12-15	2021-12-09
	75. FUCHS PETROLUB SE-PREF ADR		2017-06-20	2021-12-14
	78. FUCHS PETROLUB SE-PREF ADR			2021-12-15
	1719. ITAU UNIBANCO H-SPON PRF ADR			2021-12-16
	25000. SUNTRUST BANKS INC 2.700% 1/27/22		2017-08-15	2021-12-27
	3. ANSYS INC		2019-07-08	2021-12-30
	33. BROOKFIELD INFRASTRUCTURE-A		2020-04-07	2021-12-30
	3. CREDIT ACCEPTANCE CORPMICHIGAN		2020-03-31	2021-12-30
	42. KENNEDY-WILSON HOLDINGS INC			2021-12-30
	5. AON PLC		2019-07-08	2021-12-30
	23. IHS MARKIT LTD			2021-12-30
	8. IHS MARKIT LTD		2021-02-17	2021-12-30
	100000. US TREASURY NOTE 2.125% 12/31/21		2017-06-29	2021-12-31
	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
	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
	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
	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
	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
	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

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	117	81	36
b	1,873	2,033	-160
c	608	424	184
d	9,703	6,918	2,785
e	4,557	1,382	3,175
	2,073	1,338	735
	1,519	2,689	-1,170
	1,184	670	514
	309	339	-30
	628	659	-31
	906	688	218
	3,826	2,806	1,020
	1,130	854	276
	160	139	21
	5,434	2,562	2,872
	25,000	24,548	452
	2,915	800	2,115
	4,358	2,648	1,710
	3,392	3,154	238
	7,810	5,843	1,967
	5,376	4,191	1,185
	928	1,550	-622
	914	683	231
	899	859	40
	171	135	36
	413	490	-77
	1,727	1,094	633
	1,296	985	311
	295	480	-185
	1,182	1,217	-35
	8,436	7,000	1,436
	7,138	7,652	-514
	801	609	192
	2,608	2,285	323
	13,615	9,018	4,597
	2,573	739	1,834
	761	667	94
	852	643	209
	3,045	2,449	596
	47,873	28,455	19,418
	63,724	51,303	12,421
	109,061	29,852	79,209
	36,030	13,855	22,175
	7,800	6,808	992
	6,623	3,886	2,737
	5,953	7,025	-1,072
	7,826	2,568	5,258
	1,961	1,385	576
	10,101	7,961	2,140
	2,427	1,517	910
	3,558	3,062	496
	4,812	3,660	1,152
	2,099	3,617	-1,518
	9,171	7,818	1,353
	13,545	8,502	5,043
	7,481	3,785	3,696
	2,368	3,729	-1,361
	5,891	6,668	-777
	36,657	16,524	20,133
	291,099	295,051	-3,952
	15,559	12,199	3,360
	1,822	1,287	535
	47,461	31,028	16,433
	2,799	1,429	1,370
	5,053	4,745	308
	5,622	3,888	1,734
	7,131	3,470	3,661
	2,833	2,625	208
	3,691	1,572	2,119
	16,609	11,150	5,459
	1,678	1,364	314
	4,609	3,990	619
	2,643	3,010	-367
	9,020	7,245	1,775
	2,436	1,363	1,073
	5,734	6,321	-587
	10,009	10,967	-958
	2,702	1,430	1,272
	10,143	4,365	5,778
	10,016	7,616	2,400
	2,041	2,093	-52
	589	1,061	-472
	2,760	2,097	663
	2,944	2,304	640
	5,898	3,223	2,675
	13,921	3,732	10,189
	5,006	2,224	2,782
	152,438	150,000	2,438
	52,985	15,440	37,545
	16,815	14,961	1,854
	4,227	3,267	960
	1,621	1,167	454
	1,937	1,555	382
	3,432	3,547	-115
	2,802	2,386	416
	18,906	12,023	6,883
	4,188	3,420	768
	5,527	4,108	1,419
	2,425	3,525	-1,100
	4,922	2,872	2,050
	6,796	5,776	1,020
	4,918	3,115	1,803
	1,816	1,549	267
	1,555	1,760	-205
	4,149	6,018	-1,869
	2,840	1,652	1,188
	7,380	6,891	489
	12,449	7,227	5,222
	3,047	1,784	1,263
	3,078	1,779	1,299
	8,608	2,872	5,736
	7,422	3,896	3,526
	45,433	8,331	37,102
	3,929	2,995	934
	2,843	2,774	69
	13,150	10,179	2,971
	5,108	3,743	1,365
	2,172	1,246	926
	2,757	2,527	230
	4,825	4,557	268
	1,637	698	939
	3,183	2,205	978
	1,578	1,147	431
	3,968	4,267	-299
	100,000	100,445	-445
	2,120	1,052	1,068
	3,162	2,934	228
	3,046	1,430	1,616
	5,709	4,982	727
	25,000	24,798	202
	1,670	1,910	-240
	1,890	1,698	192
	1,050	867	183
	2,830	2,520	310
	4,331	4,007	324
	4,692	4,247	445
	2,252	1,666	586
	1,393	1,271	122
	1,794	1,286	508
	2,542	2,514	28
	2,224	1,491	733
	4,668	3,593	1,075
	50,000	51,241	-1,241
	374	364	10
	1,330	1,092	238
	6,793	4,207	2,586
	4,042	5,491	-1,449
	25,000	14,058	10,942
	25,060	11,348	13,712
	25,238	24,603	635
	4,323	3,014	1,309
	6,228	4,843	1,385
	96,921	108,887	-11,966
	29,062	29,975	-913
	5,334	3,308	2,026
	13,200	10,167	3,033
	26,082	14,495	11,587
	1,716	1,864	-148
	3,813	2,857	956
	29,013	7,463	21,550
	2,377	1,985	392
	1,371	1,138	233
	22,962	28,060	-5,098
	1,028	906	122
	6,028	4,369	1,659
	8,271	5,072	3,199
	4,423	2,626	1,797
	1,144	549	595
	3,724	2,743	981
	1,048	1,301	-253
	886	835	51
	1,406	942	464
	922	533	389
	1,294	824	470
	50,000	49,564	436
	5,029	4,654	375
	1,420	1,035	385
	607	276	331
	1,003	1,049	-46
	2,340	1,975	365
	2,476	1,538	938
	8,143	4,277	3,866
	19,847	16,087	3,760
	3,426	2,086	1,340
	5,517	5,404	113
	2,052	1,258	794
	2,232	940	1,292
	25	25
	568	569	-1
	5,756	2,722	3,034
	1,360	1,088	272
	1,129	1,231	-102
	1,455	955	500
	2,529	2,487	42
	4,747	5,210	-463
	1,315	916	399
	2,473	2,797	-324
	1,365	962	403
	882	396	486
	3,164	1,242	1,922
	5,838	6,818	-980
	771	366	405
	2,031	828	1,203
	1,508	794	714
	1,251	1,412	-161
	1,088	702	386
	835	592	243
	8,862	2,065	6,797
	2,663	1,864	799
	1,875	1,155	720
	2,194	924	1,270
	788	851	-63
	1,375	552	823
	1,419	1,212	207
	1,831	1,170	661
	4,688	4,508	180
	4,662	1,898	2,764
	3,615	2,685	930
	1,068	681	387
	1,267	528	739
	1,600	954	646
	2,490	1,637	853
	1,379	1,326	53
	2,949	2,175	774
	1,845	1,652	193
	1,653	1,170	483
	1,230	1,297	-67
	1,209	893	316
	1,312	1,288	24
	3,642	1,854	1,788
	594	356	238
	1,812	1,358	454
	1,193	549	644
	936	550	386
	46,587	54,797	-8,210
	15,529	17,122	-1,593
	32,107	3,737	28,370
	21,215	3,297	17,918
	28,966	15,099	13,867
	791	558	233
	840	519	321
	1,278	679	599
	618	436	182
	1,091	652	439
	1,617	660	957
	1,143	596	547
	2,961	2,643	318
	1,413	890	523
	1,556	1,375	181
	50,000	50,547	-547
	2,731	906	1,825
	1,236	987	249
	3,708	3,580	128
	913	874	39
	3,719	2,061	1,658
	1,240	552	688
	2,583	1,307	1,276
	2,311	1,907	404
	10,169	6,199	3,970
	3,887	2,061	1,826
	27,031	17,348	9,683
	2,550	2,118	432
	4,695	7,757	-3,062
	865	1,839	-974
	187,669	199,721	-12,052
	18,700	20,383	-1,683
	818	1,063	-245
	849	1,089	-240
	6,508	8,906	-2,398
	25,000	25,234	-234
	1,223	626	597
	2,200	1,222	978
	2,003	799	1,204
	995	618	377
	1,503	987	516
	3,048	1,624	1,424
	1,060	745	315
	100,000	101,465	-1,465
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478
			98,478

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			36
b			-160
c			184
d			2,785
e			3,175
			735
			-1,170
			514
			-30
			-31
			218
			1,020
			276
			21
			2,872
			452
			2,115
			1,710
			238
			1,967
			1,185
			-622
			231
			40
			36
			-77
			633
			311
			-185
			-35
			1,436
			-514
			192
			323
			4,597
			1,834
			94
			209
			596
			19,418
			12,421
			79,209
			22,175
			992
			2,737
			-1,072
			5,258
			576
			2,140
			910
			496
			1,152
			-1,518
			1,353
			5,043
			3,696
			-1,361
			-777
			20,133
			-3,952
			3,360
			535
			16,433
			1,370
			308
			1,734
			3,661
			208
			2,119
			5,459
			314
			619
			-367
			1,775
			1,073
			-587
			-958
			1,272
			5,778
			2,400
			-52
			-472
			663
			640
			2,675
			10,189
			2,782
			2,438
			37,545
			1,854
			960
			454
			382
			-115
			416
			6,883
			768
			1,419
			-1,100
			2,050
			1,020
			1,803
			267
			-205
			-1,869
			1,188
			489
			5,222
			1,263
			1,299
			5,736
			3,526
			37,102
			934
			69
			2,971
			1,365
			926
			230
			268
			939
			978
			431
			-299
			-445
			1,068
			228
			1,616
			727
			202
			-240
			192
			183
			310
			324
			445
			586
			122
			508
			28
			733
			1,075
			-1,241
			10
			238
			2,586
			-1,449
			10,942
			13,712
			635
			1,309
			1,385
			-11,966
			-913
			2,026
			3,033
			11,587
			-148
			956
			21,550
			392
			233
			-5,098
			122
			1,659
			3,199
			1,797
			595
			981
			-253
			51
			464
			389
			470
			436
			375
			385
			331
			-46
			365
			938
			3,866
			3,760
			1,340
			113
			794
			1,292

			-1
			3,034
			272
			-102
			500
			42
			-463
			399
			-324
			403
			486
			1,922
			-980
			405
			1,203
			714
			-161
			386
			243
			6,797
			799
			720
			1,270
			-63
			823
			207
			661
			180
			2,764
			930
			387
			739
			646
			853
			53
			774
			193
			483
			-67
			316
			24
			1,788
			238
			454
			644
			386
			-8,210
			-1,593
			28,370
			17,918
			13,867
			233
			321
			599
			182
			439
			957
			547
			318
			523
			181
			-547
			1,825
			249
			128
			39
			1,658
			688
			1,276
			404
			3,970
			1,826
			9,683
			432
			-3,062
			-974
			-12,052
			-1,683
			-245
			-240
			-2,398
			-234
			597
			978
			1,204
			377
			516
			1,424
			315
			-1,465

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	647,553
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 ...................		3

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 and enter “N/A" on line 1.
	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	14,782
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	14,782
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	9,240
b	Exempt foreign organizations—tax withheld at source......	6b	0
c	Tax paid with application for extension of time to file (Form 8868)...	6c	12,920
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	22,160
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	7,378
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax7,378	Refunded	11	0

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

The books are in care of bullet

WELLS FARGO BANK NA Telephone no. bullet

(855) 241-6645

Located at bullet

100 N MAIN ST D4001-065WINSTONSALEMNC ZIP+4 bullet

27101

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

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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? .............

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)):

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?....................

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

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.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

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? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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? .........................

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-)
MARK JERPBAK	PRESIDENT 5	4,500
4201 CHEROKEE ROAD RESCUE,CA95672	PRESIDENT 5	4,500
DUANE JENSEN	SECRETARY 5	3,000
4201 CHEROKEE ROAD RESCUE,CA95672	SECRETARY 5	3,000
TOM TORGERSON	BOARD MEMBER 5	4,500
4201 CHEROKEE ROAD RESCUE,CA95672	BOARD MEMBER 5	4,500
RICHARD VOGEL	BOARD MEMBER 5	4,500
4201 CHEROKEE ROAD RESCUE,CA95672	BOARD MEMBER 5	4,500
JAMES JERPBAK	BOARD MEMBER 5	4,500
4201 CHEROKEE ROAD RESCUE,CA95672	BOARD MEMBER 5	4,500

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...................				0

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
WELLS FARGO BANK NA	INVESTMENT MGMT/GRAN	104,762
100 N MAIN ST WINSTONSALEM,NC27101	INVESTMENT MGMT/GRAN	104,762

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


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2021)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

19,147,123

Average of monthly cash balances.......................

584,992

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

19,732,115

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

19,732,115

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

295,982

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

19,436,133

Minimum investment return. Enter 5% (0.05) of line 5................

971,807

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.)

Minimum investment return from Part IX, line 6..................

971,807

Tax on investment income for 2021 from Part V, line 5.......

14,782

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

14,782

Distributable amount before adjustments. Subtract line 2c from line 1............

957,025

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

957,025

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

957,025

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

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					957,025
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				737,156
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2021:
a From 2016......	0
b From 2017......	0
c From 2018......	0
d From 2019......	0
e From 2020......	0
f Total of lines 3a through e ........		0
4Qualifying distributions for 2021 from Part
XI, line 4: $ 805,149
a Applied to 2020, but not more than line 2a				737,156
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.....					67,993
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2021.		0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		0
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........					889,032
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		0
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...		0
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		0
10 Analysis of line 9:
a Excess from 2017....	0
b Excess from 2018....	0
c Excess from 2019....	0
d Excess from 2020....	0
e Excess from 2021....	0

Form 990-PF (2021)

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 4942(j)(3) or4942(j)(5)

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	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

WELLS FARGO PHILANTHROPIC SERVICES
1 W 4TH STREET
WINSTONSALEM,NC27101
(855) 241-6645
GRANTADMINISTRATION@WELLSFARGO.COM

bThe form in which applications should be submitted and information and materials they should include:

APPLY ONLINE AT WWW.WELLSFARGO.COM/PRIVATEFOUNDATIONGRANTS/BETHLEHEM

cAny submission deadlines:

FEBRUARY 28 AND AUGUST 31

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

SEE FOOTNOTE

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
CANINE COMPANIONS FOR INDEPENDENCE 2965 DUTTON AVE SANTA ROSA,CA95402	NONE	PC	GENERAL SUPPORT	50,000
BETHLEHEM LUTHERAN CHURCH 1300 ST FRANCIS RD SANTA ROSA,CA95409	NONE	PC	GENERAL SUPPORT	50,000
COMMITTEE ON THE SHELTERLESS PO BOX 2744 PETALUMA,CA94953	NONE	PC	GENERAL SUPPORT	20,000
FOOD FOR THOUGHT 6550 RAILROAD AVE FORESTVILLE,CA95436	NONE	PC	GENERAL SUPPORT	20,000
PETALUMA ECUMENICAL PROPERTIES 951 PETALUMA BLVD PETALUMA,CA94952	NONE	PC	GENERAL SUPPORT	100,000
REDWOOD EMPIRE FOOD BANK 3990 BRICKWAY BLVD SANTA ROSA,CA95403	NONE	PC	GENERAL SUPPORT	60,000
SEBASTOPOL AREA SENIOR CENTER 167 N HIGH ST SEBASTOOPOL,CA95472	NONE	PC	GENERAL SUPPORT	32,000
VINTAGE HOUSE SENIOR MULTI-PURPOSE CENTER OF SONOMA VALLEY 264 1ST E SONOMA,CA95476	NONE	PC	GENERAL SUPPORT	50,000
COMMUNITIES ADVOCATING FOR RESIDENT EMPOWERMENT INC 531 ENCINITAS BLVD ENCINITAS,CA92024	NONE	PC	GENERAL SUPPORT	106,318
BURBANK ORCHARDS 7777 BODEGA AVE SEBASTOPOL,CA95472	NONE	PC	GENERAL SUPPORT	8,594
CERES COMMUNITY PROJECT 7351 BODEGA AVE SEBASTOPOL,CA95472	NONE	PC	GENERAL SUPPORT	10,000
CIRCUIT RIDER COMMUNITY SERVICES 401 COLLEGE AVENUE SANTA ROSA,CA95401	NONE	PC	GENERAL SUPPORT	10,000
FISH OF THE SANTA ROSA AREA PO BOX 4291 SANTA ROSA,CA95402	NONE	PC	GENERAL SUPPORT	15,000
GIANT STEPS THERAPEUTIC EQUESTRIAN CENTER 1320 COMMERCE STREET STE A PETALUMA,CA94954	NONE	PC	GENERAL SUPPORT	10,800
HABITAT FOR HUMANITY OF SONOMA COUNTY 1201 PINER RD 500 SANTA ROSA,CA95403	NONE	PC	GENERAL SUPPORT	20,000
LIONS BLIND CENTER OF DIABLO VALLEY 175 ALVARADO AVE PITTSBURG,CA94565	NONE	PC	GENERAL SUPPORT	7,500
SEBASTOPOL AREA HOUSING CORPORATION 7777 BODEGA AVE SEBASTOPOL,CA95472	NONE	PC	GENERAL SUPPORT	54,361
ST JOSEPH HEALTH NORTHERN CALIFORNIA 439 COLLEGE AVE SANTA ROSA,CA95401	NONE	PC	GENERAL SUPPORT	125,000
Total ................................. 3a				749,573

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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	647,553
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aOTHER INCOME			1	147,598
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..				1,162,138

13Total. Add line 12, columns (b), (d), and (e)..................

1,162,138

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

Description	Amount
MUTUAL FUND TIMING ADJ	5,558
PY RETURN OF CAPITAL ADJ	2,954
TAX LOT BASIS ADJ	601
CY PENDING SALES ADJ	5,411
PURCHASE OF ACCRUED INTEREST CARRYOVER	548

Description	Revenue and Expenses per Books	Net Investment Income	Disbursements for Charitable Purposes
FILING FEE/STATE TAX	95	0	95
ADR FEES	683	683	0
INSURANCE EXPENSE	5,048	0	5,048
EXPONENT PHILANTHROPY FEE	1,560	0	1,560
REIMBURSEMENT OF TRAVEL EXPENS	9,267	0	9,267

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
WELLS FARGO INVESTMENT MGMT FE	86,247	86,247
WF GRANT ADMIN FEES	18,515			18,515

Category	Amount	Net Investment Income
FOREIGN TAXES	7,979	7,979
FEDERAL TAX PAYMENT - PRIOR YE	1,913	0
FEDERAL ESTIMATES - PRINCIPAL	9,240	0
FOREIGN TAXES ON NONQUALIFIED	3	3