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
TRIPLE T FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 800
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHARDON, OH44024
A Employer identification number

34-1811968
B Telephone number (see instructions)

(216) 689-4480
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$40,447,459J 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) 235,718
2 Check bullet.............
3 Interest on savings and temporary cash investments 356 356  
4 Dividends and interest from securities... 574,577 566,321  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 63,953
b Gross sales price for all assets on line 6a 71,975
7 Capital gain net income (from Part IV, line 2)... 63,953
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 611 0  
12 Total. Add lines 1 through 11........ 875,215 630,630  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,500 0   3,500
c Other professional fees (attach schedule).... Click to see attachment 99,392 99,392   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 9,110 4,173   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 204 4   200
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 112,206 103,569   3,700
25 Contributions, gifts, grants paid....... 1,454,241 1,454,241
26 Total expenses and disbursements. Add lines 24 and 25 1,566,447 103,569   1,457,941
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -691,232
b Net investment income (if negative, enter -0-) 527,061
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 28,526 39,847 39,847
2 Savings and temporary cash investments.........   1,388,245 1,388,245
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 18,005,294 Click to see attachment15,972,149 39,019,367
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) 18,033,820 17,400,241 40,447,459
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 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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 18,033,820 17,400,241
29 Total net assets or fund balances (see instructions)..... 18,033,820 17,400,241
30 Total liabilities and net assets/fund balances (see instructions). 18,033,820 17,400,241
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
18,033,820
2
Enter amount from Part I, line 27a .....................
2
-691,232
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
57,653
4
Add lines 1, 2, and 3 ..........................
4
17,400,241
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
17,400,241
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 MAIN      
b K-1 WHC VENTURES 2009-1, L.P.      
c K-1 WHC VENTURES 2009-1, L.P.-1202      
d K-1 WHC VENTURES 2013, L.P.      
e K-1 WHC VENTURES 2013, L.P.-1202      
K-1 LEGACY VENTURE X LLC      
CAPITAL GAINS DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 20,809   8,022 12,787
b 11,938     11,938
c 1,388     1,388
d 18,267     18,267
e 14     14
3,061     3,061
16,498     16,498
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       12,787
b       11,938
c       1,388
d       18,267
e       14
      3,061
      16,498
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 63,953
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 7,326
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 7,326
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 7,819
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 2,400
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 10,219
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,893
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet2,893 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletOH
    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 ofbulletREA ASSOCIATES Telephone no.bullet (216) 573-2330

    Located atbullet6300 ROCKSIDE ROAD SUITE 100INDEPENDENCEOH ZIP+4bullet44130
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    ALISON JONES CO-TRUSTEE
    1.00     		0 0 0
    PO BOX 800
    CHARDON,OH44024
    WARREN JONES CO-TRUSTEE
    1.00     		0 0 0
    PO BOX 800
    CHARDON,OH44024
    EDITH BASTIAN CO-TRUSTEE
    1.00     		0 0 0
    PO BOX 800
    CHARDON,OH44024
    ELLEN NORDELL CO-TRUSTEE
    1.00     		0 0 0
    PO BOX 800
    CHARDON,OH44024
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    34,001,955
    b
    Average of monthly cash balances.......................
    1b
    3,824,815
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    37,826,770
    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
    37,826,770
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    567,402
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    37,259,368
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    1,862,968
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    1,862,968
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    7,326
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,326
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,855,642
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,855,642
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    1,855,642
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 1,855,642
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 1,374,822
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,457,941
    a Applied to 2020, but not more than line 2a 1,374,822
    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..... 83,119
    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 ..........     		1,772,523
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    4 PAWS FOR ABILITY
    207 DAYTON AVENUE
    XENIA,OH45385     		N/A 501(C)(3) GENERAL PURPOSES 100
    ADVANTAGECLE TENNIS AND EDUCATION INC
    PO BOX 43063
    CLEVELAND,OH44143     		N/A 501(C)(3) GENERAL PURPOSES 250
    AFRICAN WILDLIFE FOUNDATION
    1100 NEW JERSEY AVENUE SUITE 900
    WASHINGTON,DC20003     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    AKRON CHILDREN'S HOSPITAL
    1 PERKINS SQUARE
    AKRON,OH44308     		N/A 501(C)(3) GENERAL PURPOSES 500
    ALL SAINTS PARISH
    1773 BEACON STREET
    BROOKLINE,MA02445     		N/A 501(C)(3) GENERAL PURPOSES 250
    ALZHEIMER'S ASSOCIATION
    225 N MICHIGAN AVE SUITE 1700
    CHICAGO,IL60601     		N/A 501(C)(3) GENERAL PURPOSES 100
    AMERICAN CANCER SOCIETY
    10501 EUCLID AVENUE
    CLEVELAND,OH44106     		N/A 501(C)(3) GENERAL PURPOSES 1,500
    AMERICAN CIVIL LIBERTIES UNION FOUNDATION
    125 BROAD STREET 18TH FL
    NEW YORK,NY10004     		N/A 501(C)(3) GENERAL PURPOSES 550
    AMERICAN DIABETES ASSOCIATION
    2451 CRYSTAL DRIVE SUITE 900
    ARLINGTON,VA222024804     		N/A 501(C)(3) GENERAL PURPOSES 500
    AMERICAN FORREST
    1220 L STREET NW SUITE 750
    WASHINGTON,DC20005     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    AMERICAN HEART ASSOCIATION
    7272 GREENVILLE AVENUE
    DALLAS,TX75231     		N/A 501(C)(3) GENERAL PURPOSES 500
    AMERICAN KIDNEY FUND INC
    11921 ROCKVILLE PIKE SUITE 300
    ROCKVILLE,MD20852     		N/A 501(C)(3) GENERAL PURPOSES 500
    AMERICAN RED CROSS
    PO BOX 37839
    BOONE,IA500370839     		N/A 501(C)(3) GENERAL PURPOSES 1,500
    ANIMAL LEGAL DEFENSE FUND
    525 EAST COLATI AVENUE
    COTATI,CA94931     		N/A 501(C)(3) GENERAL PURPOSES 500
    AOPA FOUNDATION
    421 AVIATION WAY
    FREDERICK,MD217014756     		N/A 501(C)(3) GENERAL PURPOSES 250
    APPALACHIAN MOUNTAIN CLUB
    10 CITY SQUARE
    BOSTON,MA02125     		N/A 501(C)(3) GENERAL PURPOSES 500
    ARTHRITIS FOUNDATION
    1355 PEACHTREE AVENUE SUITE 600
    ALANTA,GA30309     		N/A 501(C)(3) GENERAL PURPOSES 500
    ASA COX FOUNDATION
    1505 MADISON AVENUE
    PAINESVILLE,OH44077     		N/A 501(C)(3) GENERAL PURPOSES 500
    ASHLAND UNIVERSITY
    401 COLLEGE AVENUE
    ASHLAND,OH44805     		N/A 501(C)(3) GENERAL PURPOSES 8,000
    ASHTABULA COUNTY HUMANE SOCIETY
    PO BOX 422
    JEFFERSON,OH44047     		N/A 501(C)(3) GENERAL PURPOSES 3,000
    ASPCA
    PO BOX 96929
    WASHINGTON,DC200906929     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    AUTISM SPEAKS
    1 E 33RD STREET 4TH FLOOR
    NEW YORK,NY10016     		N/A 501(C)(3) GENERAL PURPOSES 500
    BETA THETA PI FOUNDATION
    5124 BONHAM ROAD
    OXFORD,OH45056     		N/A 501(C)(3) GENERAL PURPOSES 160
    BISHOPACCOUNTABILITY ORG INC
    PO BOX 541375
    WALTHAM,MA024541375     		N/A 501(C)(3) GENERAL PURPOSES 500
    BRIGHTFOCUS FOUNDATION
    22512 GATEWAY CENTER DRIVE
    CLARKSBURG,MD20811     		N/A 501(C)(3) GENERAL PURPOSES 500
    BROOKWOOD SCHOOL
    1 BROOKWOOD ROAD
    MANCHESTER,NH01944     		N/A 501(C)(3) GENERAL PURPOSES 900
    CALVARY HOSPITAL
    1740 EACHESTER ROAD
    THE BRONX,NY10461     		N/A 501(C)(3) GENERAL PURPOSES 500
    CASE ALUMNI FOUNDATION
    10900 EUCLID AVENUE 109
    CLEVELAND,OH441061712     		N/A 501(C)(3) GENERAL PURPOSES 250
    CASE WESTERN RESERVE UNIVERSITY
    10950 EUCLID AVENUE ROOM 212
    CLEVELAND,OH441061712     		N/A 501(C)(3) GENERAL PURPOSES 10,250
    CELEBRITY SERIES OF BOSTON INC
    20 PARK PLACE SUITE 1032
    BOSTON,MA02116     		N/A 501(C)(3) GENERAL PURPOSES 500
    CENTER FOR REGENERATIVE AGRICULTURE
    PO BOX 973
    OJAI,IL60601     		N/A 501(C)(3) GENERAL PURPOSES 100
    CENTER FOR TECHNOLOGY AND CIVIC LIFE
    233 N MICHIGAN AVE STE 1800
    CHICAGO,IL60601     		N/A 501(C)(3) GENERAL PURPOSES 500
    CHARDON SCHOOLS FOUNDATION
    PO BOX 838
    CHARDON,OH44024     		N/A 501(C)(3) GENERAL PURPOSES 500
    CHARDON VOLUNTEER FIRE DEPARTMENT
    111 WATER STREET
    CHARDON,OH440241201     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    CHARLES RIVER SCHOOL
    56 CENTER STREET
    DOVER,MA02030     		N/A 501(C)(3) GENERAL PURPOSES 5,550
    CHARLES RIVER WATERSHED ASSOCIATION
    190 PARK ROAD
    WESTON,MA02493     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    CHILDREN'S CENTER FOR COMMUNICATION
    6 ECHO AVENUE
    BEVERLY,MA01915     		N/A 501(C)(3) GENERAL PURPOSES 100
    CITY OF CHARDON
    111 WATER STREET
    CLEVELAND,OH440241201     		N/A 501(C)(3) PUBLIC BENEFIT 1,000
    CITY OF GENEVA
    44 N FORREST STREET
    GENEVA,OH44041     		N/A 501(C)(3) PUBLIC BENEFIT 2,000
    CLEVELAND BOTANICAL GARDEN
    11030 EAST BLVD
    CLEVELAND,OH441061706     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    CLEVELAND CLINIC FOUNDATION
    9500 EUCLID AVENUE
    CLEVELAND,OH44195     		N/A 501(C)(3) GENERAL PURPOSES 3,500
    CLEVELAND FOUNDRY
    1831 COLUMBUS ROAD
    CLEVELAND,OH44113     		N/A 501(C)(3) GENERAL PURPOSES 500
    CLEVELAND HEARING AND SPEECH CENTER
    11206 EUCLID AVENUE
    CLEVELAND,OH44106     		N/A 501(C)(3) GENERAL PURPOSES 2,500
    CLEVELAND METROPARKS
    4101 FULTON PARKWAY
    CLEVELAND,OH44144     		N/A 501(C)(3) PUBLIC BENEFIT 500
    CLEVELAND MUSEUM OF ART
    11150 EAST BOULEVARD
    CLEVELAND,OH44106     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    CLEVELAND MUSEUM OF NATURAL HISTORY
    1 WADE OVAL DRIVE
    CLEVELAND,OH44106     		N/A 501(C)(3) GENERAL PURPOSES 2,500
    CLEVELAND ROWING FOUNDATION
    1003 BRITISH STREET
    CLEVELAND,OH44113     		N/A 501(C)(3) GENERAL PURPOSES 500
    CLEVELAND ZOOLOGICAL FOUNDATION
    3900 WILDLIFE WAY
    CLEVELAND,OH44109     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    COAST GUARD FOUNDATION INC
    394 TAUGWONK RD
    STONINGTON,CT06378     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    COLLEGE OF ST SCHOLASTICA
    1200 KENWOOD AVENUE
    BDULUTH,MN55811     		N/A 501(C)(3) GENERAL PURPOSES 250
    COMMUNITY ROWING INC
    20 NONANTUM ROAD
    BRIGHTON,MA021352448     		N/A 501(C)(3) GENERAL PURPOSES 500
    COUNTRY MUSIC FOUNDATION INC
    222 FIFTH AVENUE SOUTH
    NASHVILLE,TN37203     		N/A 501(C)(3) GENERAL PURPOSES 10,000
    CRADLE BEACH
    8308 OLD LAKESHORE ROAD
    ANGOLA,NY14006     		N/A 501(C)(3) GENERAL PURPOSES 100
    CURE ALZHEIMER'S FUND
    34 WASHINGTON STREET
    WELLESLEY HILLS,MA02481     		N/A 501(C)(3) GENERAL PURPOSES 15,500
    DC CENTRAL KITCHEN
    PO BOX 417406
    BOSTON,MA022417406     		N/A 501(C)(3) GENERAL PURPOSES 100
    DANA-FERBER CANCER INSTITUTE
    10 BROOKLINE PLACE WEST
    BROOKLINE,MA024457226     		N/A 501(C)(3) GENERAL PURPOSES 2,100
    DEFENDERS OF WILDLIFE
    1130 17H STREET NW
    WAHINGTON,DC20036     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    DIVERS ALERT NETWORK
    6 WEST COLONY PLACE
    DURHAM,NC277055588     		N/A 501(C)(3) GENERAL PURPOSES 150
    DOVER HISTORICAL SOCIETY INC
    PO BOX 534
    DOVER,MA020300534     		N/A 501(C)(3) GENERAL PURPOSES 500
    DOVER LAND CONSERVATION TRUST
    PO BOX 562
    DOVER,MA02030     		N/A 501(C)(3) GENERAL PURPOSES 5,000
    DUCKS UNLIMITED
    1 WATERTOWN WAY
    MEMPHIS,TN381202350     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    ELECTRONIC FRONTIER FOUNDATION
    815 EDDY STREET
    SAN FRANCISCO,CA94109     		N/A 501(C)(3) GENERAL PURPOSES 250
    EQUINE LAND CONSERVATION RESOURCE
    4037 IRON WORK PARKWAY SUITE 120
    LEXINGTON,KY405118462     		N/A 501(C)(3) GENERAL PURPOSES 250
    ESSELSTYN FAMILY FOUNDATION
    3 PEPPER RIDGE ROAD
    CLEVELAND,OH441244904     		N/A 501(C)(3) GENERAL PURPOSES 500
    FIELDSTONE FARM THERAPEUTIC RIDING CENTER
    16497 SNYDER ROAD
    CHARGIN FALLS,OH44023     		N/A 501(C)(3) GENERAL PURPOSES 51,500
    FINE ARTS ASSOCIATION
    38660 MENTOR AVENUE
    WAILLOUGHBY,OH44094     		N/A 501(C)(3) GENERAL PURPOSES 7,000
    FOOD EMPOWERMENT PROJECT
    PO BOX 24183
    SAN JOSE,CA95154     		N/A 501(C)(3) GENERAL PURPOSES 400
    FOOD TANK THE THINK TANK FOR FOOD
    1915 BANK STREET
    BALTIMORE,MD21231     		N/A 501(C)(3) GENERAL PURPOSES 100
    FOOTPATH FOUNDATION
    2839 WATERFALL WAY
    WESTLAKE,OH441456866     		N/A 501(C)(3) GENERAL PURPOSES 500
    FREEDOM FROM RELIGION FOUNDATION
    PO BOX 750
    MADISON,WI53701     		N/A 501(C)(3) GENERAL PURPOSES 100
    FRIENDS OF DOVER LIABRARY
    PO BOX 669
    DOVER,MA02030     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    FRIENDS OF THE CORNELL LAB OF OMITHOLOGY
    289 GREENWICH AVENUE
    GREENWICH,CT06830     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    GALAPAGOS CONSERVANCY
    11150 FAIRFAX BLVD SUITE 408
    FAIRFAX,VA22030     		N/A 501(C)(3) GENERAL PURPOSES 3,000
    GATES MILLS HISTORICAL SOCIETY
    PO BOX 191
    GATES MILLS,OH44040     		N/A 501(C)(3) GENERAL PURPOSES 100
    GATES MILLS IMPROVEMENT SOCIETY
    PO BOX 191
    GATES MILLS,OH440400354     		N/A 501(C)(3) GENERAL PURPOSES 100
    GATES MILLS LAND CONSERVANCY
    PO BOX 13
    GATES MILLS,OH44040     		N/A 501(C)(3) GENERAL PURPOSES 150
    GEAUGA COUNTY 4-H
    PO BOX 387
    BURTON,OH44021     		N/A 501(C)(3) GENERAL PURPOSES 100
    GEAUGA COUNTY VETERN FOOD PANTRY
    13211 AQUILLA ROAD SUITE B
    CHARDON,OH44024     		N/A 501(C)(3) GENERAL PURPOSES 2,880
    GEAUGA HUAMANE SOCIETY
    15463 CHILLICOTHE ROAD
    NOVELTY,OH440729646     		N/A 501(C)(3) GENERAL PURPOSES 3,700
    GEAUGA LIBRARY FOUNDATION
    12701 RAVENWOOD DRIVE
    CHARDON,OH44024     		N/A 501(C)(3) GENERAL PURPOSES 2,710
    GRAND RIVER ACADEMY
    PO BOX 222
    AUSTINBURG,OH44010     		N/A 501(C)(3) GENERAL PURPOSES 500
    GREAT LAKES SCIENCE CENTER
    601 ERIESIDE AVENUE
    CLEVELAND,OH44114     		N/A 501(C)(3) GENERAL PURPOSES 6,000
    GREATER CLEVELAND AQUARIUM EDUCATION FUND
    2000 SYCAMORE STREET
    CLEVELAND,OH44113     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    GUIDING EYES FOR THE BLIND
    611 GRANITE SPRINGS ROAD
    YORKTOWN HEIGHTS,NY10598     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    HALE RESERVATION INC
    80 CARBY STREET
    WESTWOOD,MA02090     		N/A 501(C)(3) GENERAL PURPOSES 5,000
    HARWARD UNIVERSITY
    124 MT AUBURN STREET
    CAMBRIDGE,MA02138     		N/A 501(C)(3) GENERAL PURPOSES 20,000
    HATHAWAY BROWN SCHOOL
    19600 NORTHPARK BLVD
    SHAKER HEIGHTS,OH44122     		N/A 501(C)(3) GENERAL PURPOSES 9,000
    HIRAM HOUSE
    33775 HIRAM TRAIL
    CHARGIN FALLS,OH44022     		N/A 501(C)(3) GENERAL PURPOSES 2,500
    HOLDEN FORESTS AND GARDENS
    9500 SPERRY ROAD
    KIRTLAND,OH44094     		N/A 501(C)(3) GENERAL PURPOSES 13,500
    HOMEBOY INDUSTRIES
    130 WEST BRUNO STREET
    LOS ANGELES,CA90012     		N/A 501(C)(3) GENERAL PURPOSES 100
    HOPEWELL INN INC
    PO BOX 193
    MESPOTAMIA,OH44439     		N/A 501(C)(3) GENERAL PURPOSES 4,000
    HORSES AND HUAMNS RESEARCH FOUNATION TRUST
    PO BOX 480
    CHARGIN FALLS,OH44022     		N/A 501(C)(3) GENERAL PURPOSES 2,500
    INTERNATIONAL DARK-SKY ASSOCIATION INC
    5049 E BROADWAY BLVD STE 105
    TUCSON,AZ85711     		N/A 501(C)(3) GENERAL PURPOSES 100
    JULIE BILLART SCHOOL
    4982 CLUBSIDE ROAD
    LYNDHURST,OH44124     		N/A 501(C)(3) GENERAL PURPOSES 8,000
    KHAN ACADEMY
    PO BOX 1630
    MOUNTAIN VIEW,CA94042     		N/A 501(C)(3) GENERAL PURPOSES 100
    KIDS HOPE USE
    201 W WASHINGTON AVENUE SUITE 20
    ZEELAND,MI494641086     		N/A 501(C)(3) GENERAL PURPOSES 2,930
    KISS THE GROUND
    PO BOX 515381 PMB 63508
    LOS ANGLEES,CA900516681     		N/A 501(C)(3) GENERAL PURPOSES 500
    LAKE COUNTRY HUMANE SOCIETY
    7564 TYLER BLVD BLDG E
    MENTOR,OH44060     		N/A 501(C)(3) GENERAL PURPOSES 3,000
    LAKE ERIE COLLEGE
    391 W WASHINGTON STREET
    PAINESVILLE,OH44077     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    LAKEVIEW CEMETERY FOUNDATION
    12316 EUCLID AVENUE
    CLEVELAND,OH44106     		N/A 501(C)(3) GENERAL PURPOSES 1,100
    LAST HOPE K9 RESCUE
    71 COMMERICAL ST 184
    BOSTON,MA02109     		N/A 501(C)(3) GENERAL PURPOSES 370
    LEWA WILDLIFE CONSERVANCY
    PO BOX 4449
    NEW YORK,NY10163     		N/A 501(C)(3) GENERAL PURPOSES 300
    LUCY BURNS INSTITUE
    8383 GREENWAY BLVD SUITE 600
    MIDDLETON,WI53562     		N/A 501(C)(3) GENERAL PURPOSES 100
    MADERIA SCHOOL
    8328 GEORGETOWN PIKE
    MCLEAN,VA22102     		N/A 501(C)(3) GENERAL PURPOSES 500
    MADISON FIRE DISTRICT
    33 NORTH LAKE STREET BOX 338
    MADISON,OH44057     		N/A 501(C)(3) PUBLIC BENEFIT 1,000
    MADISON HISTORICAL SOCIETY
    PO BOX 515
    MADISON,OH440570515     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    MARCH OF DIMES
    PO BOX 18819
    ALANTA,GA31126     		N/A 501(C)(3) PUBLIC BENEFIT 1,500
    MARINE CORPS HERITAGE FOUNDATION
    18900 JEFFERSON DAVIS HWY
    TRIANGLE,VA221721938     		N/A 501(C)(3) PUBLIC BENEFIT 1,000
    MASSACHUSETTS AUDUBON SOCIETY
    208 SOUTH GREAT ROAD
    LINCOLN,MA01773     		N/A 501(C)(3) GENERAL PURPOSES 500
    MASSACHUSETTS EYE AND EAR INFIRMARY
    243 CHARLES STREET
    BOSTON,MA02114     		N/A 501(C)(3) GENERAL PURPOSES 5,000
    MASSARO COMMUNITY FARM
    41 FORD ROAD
    WOODRIDGE,CT065251727     		N/A 501(C)(3) GENERAL PURPOSES 100
    METROHEALTH FOUNDATION
    2500 METROHEALTH DRIVE 125A
    CLEVELAND,OH44109     		N/A 501(C)(3) GENERAL PURPOSES 8,500
    MILTON ACADEMY
    170 CENTRE STREET
    MILTON,MA02186     		N/A 501(C)(3) GENERAL PURPOSES 5,500
    MSPCA-ANGELL
    350 SOUTH HUNTINGTON AVENUE
    BOSTON,MA02130     		N/A 501(C)(3) GENERAL PURPOSES 1,150
    MUSEUM OF FINE ARTS
    465 HUNGTINGTON AVENUE
    BOSOTN,MA02115     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    MUSEUM OF SCIENCE
    1 SCIENCE PARK
    BOSTON,MA02114     		N/A 501(C)(3) GENERAL PURPOSES 1,150
    NATIONAL AUDUBON SOCIETY
    225 VARICK STREET 7TH FL
    NEW YORK,NY10014     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    NATIONAL GEOGRAPHIC SOCIETY
    1145 17TH STREET NW
    WASHINGTON,DC20036     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    NATIONAL OUTDOOR LEADERSHIP SCHOOL
    284 LINCOLN STREET
    LANDER,WY825202848     		N/A 501(C)(3) GENERAL PURPOSES 4,500
    NATIONAL PARK FOUNDATION
    111 VERNMONT AVENUE NW SUITE 200
    WAHINGTON,DC20005     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    NATIONAL PARKS CONSERVATION ASSOCIATION
    777 6 TH STREET NW SUITE 700
    WASHINGTON,DC20001     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    NATIONAL ROWING FOUNDATION INC
    67 MYSTIC ROAD
    STONINGTON,CT06359     		N/A 501(C)(3) GENERAL PURPOSES 400
    NATIONAL WILDLIFE FOUNDATION
    11100 WILDLIFE CENTER DRIVE
    RESOTN,VA20190     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    NEADS
    PO BOX 1100
    PRINCETON,MA01541     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    NEW ENGLAND AQUARIUM
    1 CENTRAL WHARF
    BOSTON,MA02110     		N/A 501(C)(3) GENERAL PURPOSES 1,150
    NORTE DAME SCHOOL
    13000 AUBURN ROAD
    CHARDON,OH44024     		N/A 501(C)(3) GENERAL PURPOSES 250
    OCEAN CONSERVANCY
    1300 19TH STREET NW 8TH GL
    WASHINGTON,DC20036     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    PAN MASS CHALLENGE
    77 4TH AVENUE
    NEEDHAM,MA02494     		N/A 501(C)(3) GENERAL PURPOSES 3,620
    PARKINSON'S FOUNDATION INC
    1359 BROADWAY SUITE 509
    NEW YORK,NY10018     		N/A 501(C)(3) GENERAL PURPOSES 500
    PARKSIDE CHURCH
    7100 PETTIBONE ROAD
    CHARGIN FALLS,OH44023     		N/A 501(C)(3) GENERAL PURPOSES 100
    PERKINS SCHOOL FOR THE BLIND
    175 NORTH BEACON STREET
    WATERTOWN,MA024722751     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    PIANA INTERNATIONAL ASSN OF NORTHERN OHIO
    20600 CHARGIN BLVD SUITE 1110
    SHAKER HEIGHTS,OH441225342     		N/A 501(C)(3) GENERAL PURPOSES 500
    PINE HARBOR CHRISTIAN ACADEMY
    11125 WEST POINT DOUGLAS ROAD
    HASTINGS,MN02118     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    PINE STREET INN
    444 HARRISON AVENUE
    BOSTON,MA02118     		N/A 501(C)(3) GENERAL PURPOSES 100
    PLANTPURE COMMUNITES
    101 EAST CLAY STREET
    MEBANE,NC27302     		N/A 501(C)(3) GENERAL PURPOSES 100
    PLAYHOUSE SQUARE FOUNDATION
    1501 EUCLID AVENUE SUITE 200
    CLEVELAND,OH44115     		N/A 501(C)(3) GENERAL PURPOSES 500
    PRIDEROCK WILDLIFE REFUGE
    PO BOX 1594
    TERRELL,TX10013     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    PRO PUBLICA INC
    155 AVENUE OF AMERICANS 13TH FL
    NEW YORK,NY10013     		N/A 501(C)(3) GENERAL PURPOSES 100
    PROVIDENCE HOUSE INC
    2050 W 32ND STREET
    CLEVELAND,OH44113     		N/A 501(C)(3) GENERAL PURPOSES 300
    RED OAK CMAP
    9057 KIRTLAND-CHARDON ROAD
    CHARDON,OH44024     		N/A 501(C)(3) GENERAL PURPOSES 1,033,390
    REGENERATIVE AGRICULTURE FOUNDATION
    PO BOX 7276
    MINNEAPOLIS,MN554079998     		N/A 501(C)(3) GENERAL PURPOSES 100
    RID-ALL FOUNDATION INC
    3751 PROSPECT AVENUE E
    CLEVELAND,OH441142700     		N/A 501(C)(3) GENERAL PURPOSES 500
    ROCK AND ROLL HALL OF FAME AND MUSEUM
    1100 ROCK AND ROLL BLVD
    CLEVELAND,OH44114     		N/A 501(C)(3) GENERAL PURPOSES 6,000
    ROSIE'S PLACE
    889 HARRISON AVENUE
    BOSTON,MA02118     		N/A 501(C)(3) GENERAL PURPOSES 100
    SAINT ANN'S SCHOOL
    129 PIERREPONT STREET
    BROOKLYN HEIGHTS,NY11201     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    SALVATION ARMY
    2507 EAST 22ND STREET
    CLEVELAND,OH44115     		N/A 501(C)(3) GENERAL PURPOSES 1,500
    SHINERS HOSPITALS FOR CHILDREN
    2900 ROCKY POINT DR
    TAMPA,FL33607     		N/A 501(C)(3) GENERAL PURPOSES 500
    SHOES AND CLOTHES FOR KIDS
    3500 LORAIN AVENUE SUITE 301
    CLEVELAND,OH44113     		N/A 501(C)(3) GENERAL PURPOSES 300
    SIERRA CLUB FOUNDATION
    2101 WEBSTER STREET SUITE 1250
    OAKLAND,CA94612     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    SMITH COLLEGE
    7 COLLEGE LANE
    NORTHAMPTON,MA01063     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    SOUL FIRE FARM INSTITUTE
    1972 NY HWY 2
    PETERSBURRG,NY12138     		N/A 501(C)(3) GENERAL PURPOSES 100
    SOUTHERN POVERTY LAW CENTER
    400 WASHINGTON AVENUE
    MONTGOMERY,AL36104     		N/A 501(C)(3) GENERAL PURPOSES 100
    ST HUBERT'S CHAPEL
    8870 BALDWIN ROAD
    KIRTLAND,OH44094     		N/A 501(C)(3) GENERAL PURPOSES 2,100
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN38105     		N/A 501(C)(3) GENERAL PURPOSES 500
    SUMMER ON THE CUYAHOGA
    PO BOX 110662
    CLEVELAND,OH441110662     		N/A 501(C)(3) GENERAL PURPOSES 2,100
    SUSAN G KOMAN BREAST CANCER FOUNDATION
    5005 LBJ FREEWAY SUITE 526
    DALLAS,TX752246169     		N/A 501(C)(3) GENERAL PURPOSES 500
    THE ELEPHANT SANCTUARY
    PO BOX 393
    HOHENWALD,TN38462     		N/A 501(C)(3) GENERAL PURPOSES 300
    THE HERTIGAGE FOUNDATION
    214 MASSACHUSETTS AVENUE NE
    WASHINGTON,DC20002     		N/A 501(C)(3) GENERAL PURPOSES 200
    THE HUMANE SOCIETY OF THE UNITED STATES
    1255 23RD STREET NW SUITE 450
    WASHINGTON,DC20037     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    THE JAPAN SOCIETY OF BOSTON
    50 MILK STREET 18TH FL
    BOSTON,MA021095003     		N/A 501(C)(3) GENERAL PURPOSES 500
    THE LAUKEMIA & LYMPHOMA SOCIETY
    3 INTERNATIONAL DRIVE SUITE 200
    RAY BRROK,NY10573     		N/A 501(C)(3) GENERAL PURPOSES 500
    THE MARINE MAMMAL CENTER
    2000 BUNKER ROAD
    SAUSOLITO,CA949652619     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    THE MONASTERY OF CHRIST IN THE DESERT
    PO BOX 270
    ABIQUIU,NM87510     		N/A 501(C)(3) GENERAL PURPOSES 100
    THE NATURE CONSERVANCY INC OHIO CHAPTER
    6375 RIVERSIDE DRIVE SUITE 100
    DUBLIN,OH43017     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    THE SARARA FOUNDATION
    1031 33RD ST
    DENVER,CO80205     		N/A 501(C)(3) GENERAL PURPOSES 250
    THE WILDERNESS SOCIETY
    1615 M STREET NW
    WASHINGTON,DC20036     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    THE WINSOR SCHOOL
    103 PILGRIM ROAD
    BOSTON,OH02215     		N/A 501(C)(3) GENERAL PURPOSES 5,300
    TIGER HAVEN
    237 HARVEY ROAD
    KINGSTON,TN37763     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    TOWNSHIP OF MADISON
    2065 HUBBARD ROAD
    MADISON,OH44057     		N/A 501(C)(3) PUBLIC BENEFIT 1,000
    TRUSTEES OF BOSTON UNIVERISTY
    881 COMMONWEALTH AVENUE 4TH FL
    BOSTON,MA022151390     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    TRUSTEES OF RESERVATIONS
    572 ESSEX STREET
    BOSTON,MA01915     		N/A 501(C)(3) GENERAL PURPOSES 7,750
    TRUSTEES OF UNIVERSITY OF PENNSYLVANIA
    2929 WALNUT STREET SUITE 300
    PHILIDELPHIA,PA191045099     		N/A 501(C)(3) GENERAL PURPOSES 6,100
    US EQUESTRIAN TEAM FOUNDATION
    PO BOX 355
    GLADSTONE,NJ079349955     		N/A 501(C)(3) GENERAL PURPOSES 3,000
    US SKI AND SNOWBOARD TEAM FOUNDATION
    PO BOX 100
    PARK CITY,UT84060     		N/A 501(C)(3) GENERAL PURPOSES 1,500
    UNITED WAY OF ASTABULA COUNTY
    2801 C COURT
    ASHTABULA,OH44004     		N/A 501(C)(3) GENERAL PURPOSES 500
    UNITED WAY OF LAKE COUNTY
    9285 PROGRESS PARKWAY
    MENTOR,OH440601854     		N/A 501(C)(3) GENERAL PURPOSES 500
    UNITED WAY SERVICES OF GEAUGA COUNTY INC
    209 CENTER STREET UNIT H
    CHARDON,OH44024     		N/A 501(C)(3) GENERAL PURPOSES 500
    UNIVERSITY HOSPITALS
    PO BOX 94554
    CLEVELAND,OH441014554     		N/A 501(C)(3) GENERAL PURPOSES 5,500
    UNIVERSITY SCHOOL
    2785 SOM CENTER ROAD
    HUNTING VALLEY,OH44022     		N/A 501(C)(3) GENERAL PURPOSES 7,921
    VILLAGE OF WAITE HILL
    7215 EAGLE ROAD
    WAITE HILL,OH44094     		N/A 501(C)(3) PUBLIC BENEFIT 1,000
    WASHINGTON UNIVERSITY
    CAMPUS BOX 1082 ONE BROOKINGS DRIVE
    ST LIOUS,MO63130     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    WESTERN RESERVE HISTORICAL SOCIETY
    10825 EAST BOULEVARD
    CLEVELAND,OH441061788     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    WESTERN RESERVE LAND CONSERVACY
    3850 CHARGIN RIVER ROAD
    MORELAND HILLS,OH44022     		N/A 501(C)(3) GENERAL PURPOSES 21,890
    WGBH EDUCATIONAL FOUNDATION
    ONE GUEST STREET
    BOSTON,MA02135     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    WIKIMEDIA EDUCATIONAL FOUNDATION
    PO BOX 98204
    WAHINGTON,DC200908204     		N/A 501(C)(3) GENERAL PURPOSES 250
    WILLIAMS COLLEGE
    75 PARK STREET
    WILLIAMSTOWN,MA01267     		N/A 501(C)(3) GENERAL PURPOSES 5,000
    WOODS HOLE OCEANGRAPHIC INSTITUTION
    183 OYSTER POND ROAD MS 40
    WOODS HOLE,MA02543     		N/A 501(C)(3) GENERAL PURPOSES 2,000
    WORLD WILDLIFE FUND
    1250 24TH STREET NW
    WASHINGTON,DC20037     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    YALE UNIVERSITY
    PO BOX 2038
    NEW HAVEN,CT065212038     		N/A 501(C)(3) GENERAL PURPOSES 5,920
    YELLOWSTONE PARK FOUNDATION
    222 EAST MAIN STREET SUITE 301
    BOZEMAN,MT59715     		N/A 501(C)(3) GENERAL PURPOSES 500
    YOSEMITE CONSERVANCY
    101 MONTGOMERY STREET SUITE 1700
    SAN FRANCISCO,CA94104     		N/A 501(C)(3) GENERAL PURPOSES 1,000
    Total .................................bullet 3a 1,454,241
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 356  
    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 63,953  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPARTNERSHIP INCOME     		  611      
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 611 638,886 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    639,497
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

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

    34-1811968
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    TRIPLE T FOUNDATION
          		Employer identification number
    34-1811968
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    ALISON C JONES 1999 CLUT
    C/O KEYBANK NA
     
    BROOKLYN, OH44144

    		$ 95,447


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    ALISON AND THEODORE JONES 1997 CLUT
    C/O KEYBANK NA
     
    BROOKLYN, OH44144

    		$ 104,161


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    EDITH J BASTIAN 2001 CLUT
    C/O KEYBANK NA
     
    BROOKLYN, OH44144

    		$ 18,057


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    ELLEN W JONES NORDELL 2001 CLUT
    C/O KEYBANK NA
     
    BROOKLYN, OH44144

    		$ 18,053


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

    		$  


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

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    TRIPLE T FOUNDATION
          		Employer identification number

    34-1811968
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    TRIPLE T FOUNDATION
          		Employer identification number

    34-1811968
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    TRIPLE T FOUNDATION
    EIN:
    34-1811968
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE 3,500 0   3,500

    TY 2021 InvestmentsOtherSchedule2
    Name:
    TRIPLE T FOUNDATION
    EIN:
    34-1811968
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SEE ATTACHED 2152409 AT COST 86,012 118,601
    SEE ATTACHED 2152411 AT COST 15,886,137 38,900,766

    TY 2021 OtherExpensesSchedule
    Name:
    TRIPLE T FOUNDATION
    EIN:
    34-1811968
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE FILING/ TAXES PAID 200 0   200
    FOREIGN TAXEX-K-1 4 4   0


    TY 2021 OtherIncomeSchedule2
    Name:
    TRIPLE T FOUNDATION
    EIN:
    34-1811968
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PARTNERSHIP INCOME 611 0 611


    TY 2021 OtherIncreasesSchedule
    Name:
    TRIPLE T FOUNDATION
    EIN:
    34-1811968
    Description Amount
    PARTNERSHIP BASIS ADJ 17,288
    RETURN OF CAPITAL ADJ 31,650
    PRIOR PERIOD ADJ 8,715


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    TRIPLE T FOUNDATION
    EIN:
    34-1811968
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MGMT FEES 17,160 17,160   0
    PROCESSING FEES 986 986   0
    WHC VENTURES 2009-1 L.P. 6,961 6,961   0
    WHC VENTURES 2013 L.P. 9,590 9,590   0
    LEGACY VENTURE X LLC 64,695 64,695   0


    TY 2021 TaxesSchedule
    Name:
    TRIPLE T FOUNDATION
    EIN:
    34-1811968
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 4,173 4,173   0
    FEDERAL TAX PAYMENT 4,937 0   0