Form990-PF
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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
PHILO & SARAH BLAISDELL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)2 MAIN ST SUITE 410
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BRADFORD, PA16701
A Employer identification number

25-6035748
B Telephone number (see instructions)

(814) 362-6340
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$13,942,681J 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) 1,700
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 221,273 221,273  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 847,416
b Gross sales price for all assets on line 6a 2,624,098
7 Capital gain net income (from Part IV, line 2)... 847,416
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,070,389 1,068,689  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 50,250 16,750   33,500
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 4,017     4,017
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 5,752 5,177   575
c Other professional fees (attach schedule).... Click to see attachment 98,930 98,886   44
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 8,759 251    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 5,393 1,798   3,595
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 27,280     27,280
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 200,381 122,862   69,011
25 Contributions, gifts, grants paid....... 506,090 506,090
26 Total expenses and disbursements. Add lines 24 and 25 706,471 122,862   575,101
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 363,918
b Net investment income (if negative, enter -0-) 945,827
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............. 25,901 32,807 32,807
2 Savings and temporary cash investments......... 509,356 256,834 256,834
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)   Click to see attachment587,315 586,718
b Investments—corporate stock (attach schedule)....... 4,428,314 Click to see attachment4,589,010 8,765,657
c Investments—corporate bonds (attach schedule)....... 4,383,424 Click to see attachment4,247,486 4,300,665
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 9,346,995 9,713,452 13,942,681
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment15,028 Click to see attachment17,567
23 Total liabilities (add lines 17 through 22)......... 15,028 17,567
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........... 9,331,967 9,695,885
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 9,331,967 9,695,885
30 Total liabilities and net assets/fund balances (see instructions). 9,346,995 9,713,452
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
9,331,967
2
Enter amount from Part I, line 27a .....................
2
363,918
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
9,695,885
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
9,695,885
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 PUBLICLY TRADED SECURITIES P    
b
c
d
e
(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 2,624,098   1,776,682 847,416
b
c
d
e
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       847,416
b
c
d
e
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 2 847,416
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  
3 Add lines 1 and 2........................... 3 13,147
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 13,147
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 15,272
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 15,272
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,125
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet2,125 RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    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 ofbulletRONALD L ORRIS Telephone no.bullet (814) 362-6340

    Located atbullet410 SENECA BUILDINGBRADFORDPA ZIP+4bullet16701
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    RICHARD E MCDOWELL TRUSTEE
    2.00     		0 0 0
    19 SCHOOL STREET
    BRADFORD,PA16701
    GRANT DUKE TRUSTEE
    1.00     		0 0 0
    138 KENNEDY ST
    BRADFORD,PA16701
    GEORGE B DUKE CHAIRMAN
    2.00     		0 0 0
    580 EAST MAIN STREET
    BRADFORD,PA16701
    HARRIETT B WICK TRUSTEE
    1.00     		0 0 0
    232 INTERSTATE PARKWAY
    BRADFORD,PA16701
    RONALD L ORRIS EXECUTIVE DI
    15.00     		50,250 0 0
    410 SENECA BUILDING
    BRADFORD,PA16701
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    12,964,339
    b
    Average of monthly cash balances.......................
    1b
    29,354
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    12,993,693
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    12,993,693
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    194,905
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    12,798,788
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    639,939
    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
    639,939
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    13,147
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    13,147
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    626,792
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    626,792
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    626,792
    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 7 626,792
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 131,462
    b From 2017...... 87,914
    c From 2018...... 5,699
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 225,075
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 575,101
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2021 distributable amount..... 575,101
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2021. 51,691 51,691
    (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 5 173,384
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		79,771
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		93,613
    10 Analysis of line 9:
    a Excess from 2017.... 87,914
    b Excess from 2018.... 5,699
    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 e-mail address of the person to whom applications should be addressed:
    PHILO SARAH BLAISDELL FOUNDATION
    2 MAIN ST SUITE 410
    BRADFORD,PA16701
    (814) 362-6340
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    ALS ASSOCIATION
    1300 WILSON BOULEVARD
    SUITE 600
    ARLINGTON,VA22209     		  PC ALS WALK 200
    AMERICAN CANCER SOCIETY
    95 MAIN STREET
    BRADFORD,PA16701     		  PC RELAY FOR LIFE 1,600
    BOY SCOUTS OF AMERICA
    1161 E MAIN STREET
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 250
    BRADFORD AMERICAN LEGION
    22 PINE ST
    BRADFORD,PA16701     		  PC ANNUAL APPEAL / BASEBALL 400
    BRADFORD AREA ALLIANCE
    80 E CORYDON ST
    BRADFORD,PA16701     		  PC BUSINESS CONTEST 12,500
    BRADFORD AREA CHAMBER OF COMMERCE
    121 MAIN ST
    BRADFORD,PA16701     		  PC CHAMBER EVENTS 3,462
    BRADFORD CHRISTIAN ACADEMY
    36 MAIN STREET
    16 MAIN STEET
    BRADFORD,PA16701     		  PC APPEAL 5,000
    BRADFORD CREATIVE AND PERFORMING AR
    10 MAIN STREET
    BRADFORD,PA16701     		  PC APPEAL 11,700
    BRADFORD ECUMENICAL HOME
    100 ST FRANCIS DR
    BRADFORD,PA16701     		  PC APPEAL 2,000
    BRADFORD EDUCATIONAL FOUNDATION
    300 CAMPUS DRIVE
    BRADFORD,PA16701     		  PC SCHOLARSHIPS 30,000
    BRADFORD HOSPITAL FOUNDATION
    116 INTERSTATE PKWY
    BRADFORD,PA16701     		  PC MEALS ON WHEELS AND ANNUAL PLEDGE 77,500
    BRADFORD LIBRARY
    67 WEST WASHINGTON ST
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 10,000
    BRADFORD ROTARY CLUB
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION / COATS FOR KIDS 2,000
    BRADFORD YOUTH BASKETBALL
    PO BOX 1081
    BRADFORD,PA16701     		  PC DONATION 300
    BRIGHT ALTERNATIVES
    90 BOYLSTON ST
    BRADFORD,PA16701     		  PC APPEAL 3,000
    CARE FOR CHILDREN
    PO BOX 616
    20 RUSSELL BOULEVARD
    BRADFORD,PA16701     		  PC APPEAL & TOURNAMENT & KIDS SAFETY 10,000
    CASA OF MCKEAN COUNTY
    17137 ROUTE 6
    SMETHPORT,PA16749     		  PC LEGAL & HERO RUN 3,000
    CITY OF BRADFORD
    20 RUSSELL BLVD
    BRADFORD,PA16701     		  GOV VAIROUS DONATIONS 3,291
    DEFENDERS OF FREEDOM
    320 HWY 121 SUITE 208
    COPPELL,TX75019     		  PC FUNDRAISER 500
    DESTINATIONS BRADFORD
    1 MAIN STREET
    BRADFORD,PA16701     		  PC SEMI-ANNUAL APPEAL 10,000
    DOWNTOWN BUSINESS DISTRICT COUNCIL
    UNAVAILABLE
    BRADFORD,PA16701     		  PC FLOWERS FOR DOWNTOWN AND CHRISTMAS 2,500
    ELF FUND
    PO BOX 287
    BRADFORD,PA16701     		  PC APPEAL 5,000
    EVERGREEN ELM INC
    71 MAIN ST
    BRADFORD,PA16701     		  PC APPEAL 10,000
    FRIENDSHIP TABLE
    UNAVAILABLE
    BRADFORD,PA16701     		  PC APPEAL& WASHER AND DRYER 16,000
    FUTURES (BRAD CENTER)
    1 FUTURES WAY
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 16,000
    KIDS & CANCER
    PO BOX 1299
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 8,000
    KINZUA OUTDOORS
    3389 W WASHINGTON ST
    BRADFORD,PA16701     		  PC KIDS FISHING DERBY 500
    KINZUA VALLEY TRAIL
    31 CCC ROAD
    WESTLINE,PA16751     		  PC FUNDRAISER 250
    KIWANIS CLUB
    UNAVAILABLE
    BRADFORD,PA16701     		  PC MOVIES FOR KIDS 500
    LEEK
    UNAVAILABLE
    BRADFORD,PA16701     		  PC WOUNDED WARRIORS 2,500
    MAIN ST FOUNDATION
    UNAVAILABLE
    BRADFORD,PA16701     		  PF VARIOUS EVENTS 2,128
    OAK HILL CEMETARY
    212 E MAIN ST
    BRADFORD,PA16701     		  PC DONATION FOR REPAIRS 1,000
    OFFICE OF ECONOMIC DEVELOPMENT
    20 RUSSELL BLVD
    BRADFORD,PA16701     		  NC GOLF PARK 6,202
    POTTER COUNTY EDUCATION COUNCIL
    5 WATER ST
    COUDERSPORT,PA16915     		  PC EMT PROGRAM 5,000
    RISE
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 1,000
    SALVATION ARMY
    111 JACKSON AVE
    PO BOX 314
    BRADFORD,PA16701     		  PC APPEAL 3,500
    SPCA
    80 GLENWOOD AVE
    BRADFORD,PA16701     		  PC APPEAL 7,500
    STEPPIN UP FOR KIDS
    UNAVAILABLE
    BRADFORD,PA16701     		  PF SNEAKERS FOR KIDS 4,250
    ST JUDE'S CHILDREN'S HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105     		  PC DONATION 200
    SWNY-NWPA GOLF TOURNAMENT
    UNAVAILABLE
    BRADFORD,PA16701     		  PC HOSPICES FOUNDATION 500
    THE PITTSBURGH FOUNDATION
    5 PPG PI STE 250
    PITTSBURGH,PA15222     		  PC DONATION 500
    UNITED WAY OF BRADFORD
    161 MAIN STREET
    BRADFORD,PA16701     		  PC APPEAL & RED FEATHER AWARD BREAKFAST 10,600
    YMCA OF BRADFORD
    59 BOYLSTON ST
    BRADFORD,PA16701     		  PC APPEAL & CAPITAL CAMPAIGN 63,000
    YWCA OF BRADFORD
    24 W CORYDON ST
    BRADFORD,PA16701     		  PC APPEAL 10,000
    AIMEE VENCISE
    UNAVAILABLE
    BRADFORD,PA16701     		  I ASSISTANCE 500
    BIG 30 COMMITTEE
    PO BOX 82
    BRADFORD,PA16701     		  PC DONATION 1,620
    BIG BROTHER BIG SISTERS
    994 BEAVER DRIVE
    DUBOIS,PA15801     		  PC ANNUAL APPEAL 1,000
    BRADFORD AREA HIGH SCHOOL BASKETBAL
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 300
    BRADFORD AREA HIGH SCHOOL GOLF
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 300
    BRADFORD AREA HIGH SCHOOL SWIM
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 300
    BRADFORD AREA HS BASEBALL BOOSTERS
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 300
    BRADFORD AREA SCHOOL DISTRICT
    72 GLENWOOD AVENUE
    BRADFORD,PA16701     		  PC DONATION FOR TEACHERS 65
    BRADFORD FIRE DEPARTMENT
    411 E MAIN STREET
    BRADFORD,PA16701     		  PC DONATION FOR TRUCK 50,000
    BRADFORD LITTLE LEAGUE
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 300
    BRADFORD MANOR
    50 LANGMAID LN
    BRADFORD,PA16701     		  PC DONATION 500
    BRADFORD MINISTERIAL ASSOCIATION
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 500
    BRADFORD OWLS BASKETBALL
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 9,000
    BRADFORD OWLS CROSS CROUNTY
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 300
    BRADFORD CITY POLICE
    18 KENNEDY ST
    BRADFORD,PA16701     		  PC DONATION 500
    BRADFORD PUMPKIN FESTIVAL
    UNAVAILABLE
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 3,000
    BRADFORD SENIOR CENTER
    60 CAMPUS
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 2,000
    BRADFORD TOWNSHIP LIONS CLUB
    IRVING LANE
    BRADFORD,PA16701     		  PC DONATION 500
    CARLA HERVATIN
    UNAVAILABLE
    BRADFORD,PA16701     		  I CANCER TREAMENT 2,000
    CHALLENGER LEARNING CENTER
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 1,500
    ELDRED WORLD WAR II MUSEUM
    201 MAIN STREET
    ELDRED,PA16731     		  PC ANNUAL APPEAL 1,500
    FIRST NIGHT BRADFORD
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 4,000
    FLOYD FRETZ MIDDLE SCHOOL
    140 LORANA AVE
    BRADFORD,PA16701     		  PC DONATION 1,000
    FOOTE REST TOURNAMENT
    299 BIG SHANTY RD
    LEWIS RUN,PA16738     		  PC ANNUAL APPEAL 200
    GRETCHEN HENNEMAN
    UNAVAILABLE
    BRADFORD,PA16701     		  I DONATION 300
    HERSHEY MEDICAL CENTER
    500 UNIVERSITY DRIVE
    HERSHEY,PA17033     		  PC DONATION 500
    HOLIDAY VALLEY SKI PATROL
    UNAVAILABLE
    ELLICOTTVILLE,NY14731     		  PC DONATION 500
    JCC FOUNDATION
    525 FALCONER STREET
    JAMESTOWN,NY14702     		  PC DONATION 500
    JOURNEY HEALTH SYSTEM
    800 EAST MAIN STREET
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 10,000
    JUSTIN WILLOUGHBY
    UNAVAILABLE
    BRADFORD,PA16701     		  I SURGERY 1,000
    KINGDOM CHANNEL
    121 CO RD 616
    ATHENS,TN37303     		  PC DONATION 147
    LAFAYETTE TOWNSHIP FIRE DEPARTMENT
    6975 PA-59
    LEWIS RUN,PA16738     		  PC DONATION 500
    LANDMARK SOCIETY
    45 E CORYDON ST
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 4,200
    LEADERSHIP MCKEAN COUNTY
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 3,500
    BRADFORD LEARNING CENTER
    90 JACKSON AVE
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 5,000
    MARILYN HORNE MUSEUM
    2 MARILYN HORNE WAY
    BRADFORD,PA16701     		  PC DONATION 1,000
    MARLA KEARNS
    UNAVAILABLE
    BRADFORD,PA16701     		  I HOUSE FIRE 600
    MARRIETT JUMET
    UNAVAILABLE
    BRADFORD,PA16701     		  I FUNERAL 500
    MARTING CAUSER
    UNAVAILABLE
    BRADFORD,PA16701     		  I SENIOR EXPO 300
    MASCHO FUNERAL HOME
    75 KENNEDY STREET
    BRADFORD,PA16701     		  PC BURIAL 500
    MATRESSES ACROSS MCKEAN COUNTY
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 1,000
    MCKEAN COUNTY FAIR
    UNAVAILABLE
    EAST SMETHPORT,PA16730     		  PC DONATION 500
    MCKEAN COUNTY SPECIAL OLYMPICS
    UNAVAILABLE
    BRADFORD,PA16701     		  PC ANNUAL APPEAL 1,000
    MUSIC OWL BOOSTERS
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 300
    NETWORK FOR GOOD
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 100
    NO FELINE LEFT BEHIND
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 1,000
    OVER THE EDGE SPECIAL OLYMPICS
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 200
    PATRICK MCCORMICK
    UNAVAILABLE
    BRADFORD,PA16701     		  I CANCER 2,000
    PAULA LOUK
    UNAVAILABLE
    BRADFORD,PA16701     		  I MEDICAL EXPENSES 3,200
    PENN BRAD OIL MUSEUM
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 5,100
    PINE ACRES GOLF COURSE
    PINE ACRES GOLF COURSE
    BRADFORD,PA16701     		  PC DONATION 1,500
    ROBERT AND BRANDI SHUGARS
    UNAVAILABLE
    BRADFORD,PA16701     		  I DONATION 200
    SCHOOL ST ELEMENTARY SCHOOL
    76 SCHOOL STREET
    BRADFORD,PA16701     		  PC DONATION 1,250
    SONS OF LEGION POST 108
    UNVAILABLE
    BRADFORD,PA16701     		  PC DONATION 400
    STREET DREAM CAR CLUB
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 1,000
    TUNA VALLEY TRAIL ASSOCIATION
    PO BOX 1003
    BRADFORD,PA16701     		  PC DONATION 1,500
    UNIVERSITY OF PITTSBURGH BRADFORD
    300 CAMPUS DRIVE
    BRADFORD,PA16701     		  PC DONATION 5,300
    WESB
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 500
    WILLIAMS INSURANCE
    UNAVAILABLE
    BRADFORD,PA16701     		  PC HIGHSCHOOL GRADUATE PARADE 475
    WOUNDED WARRIORS
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATIONS 1,500
    ZIPPO
    UNAVAILABLE
    BRADFORD,PA16701     		  PC GOLF TOURNAMENT 3,000
    ZONTA CLUB
    UNAVAILABLE
    BRADFORD,PA16701     		  PC DONATION 500
    VFW
    94 BARBOUR ST
    BRADFORD,PA16701     		  PC DONATION 500
    LIBERTY TAVERN
    501 E MAIN STREET
    BRADFORD,PA16701     		  PC FOOD FOR FRONLINE EMPLOYEES 500
    Total .................................bullet 3a 506,090
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 847,416  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   1,068,689  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,068,689
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    PHILO & SARAH BLAISDELL FOUNDATION
    EIN:
    25-6035748
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 5,752 5,177   575

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    PHILO & SARAH BLAISDELL FOUNDATION
    EIN:
    25-6035748
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 4,247,486 4,300,665

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    PHILO & SARAH BLAISDELL FOUNDATION
    EIN:
    25-6035748
    Name of Stock End of Year Book Value End of Year Fair Market Value
    EQUITIES 4,589,010 8,765,657

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    PHILO & SARAH BLAISDELL FOUNDATION
    EIN:
    25-6035748
    US Government Securities - End of Year Book Value:

    587,315
    US Government Securities - End of Year Fair Market Value:

    586,718
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2021 OtherExpensesSchedule
    Name:
    PHILO & SARAH BLAISDELL FOUNDATION
    EIN:
    25-6035748
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    OFFICE EXPENSES 5,408     5,408
    TELEPHONE 3,217     3,217
    INSURANCE 4,771     4,771
    INTERNET 1,638     1,638
    DUES & SUBSCRIPTIONS 5,340     5,340
    MEALS & ENTERTAINMENT 1,697     1,697
    MARKETING 5,183     5,183
    BANK SERVICE CHARGES 26     26


    TY 2021 OtherLiabilitiesSchedule
    Name:
    PHILO & SARAH BLAISDELL FOUNDATION
    EIN:
    25-6035748
    Description Beginning of Year - Book Value End of Year - Book Value
    PAYROLL LIABILITIES 681 737
    DEPOSITS BELONGING TO OTHERS 14,347 16,830


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    PHILO & SARAH BLAISDELL FOUNDATION
    EIN:
    25-6035748
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 98,886 98,886    
    PAYROLL EXPENSES 44     44


    TY 2021 TaxesSchedule
    Name:
    PHILO & SARAH BLAISDELL FOUNDATION
    EIN:
    25-6035748
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 251 251    
    EXCISE TAX 8,508