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
Bob & Felicia Burger Family Foundation
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

84-3082035
B Telephone number (see instructions)

(800) 839-1754
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$1,242,679J 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) 0
2 Check bullet.............
3 Interest on savings and temporary cash investments 86 86  
4 Dividends and interest from securities... 18,040 18,040  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 359,723
b Gross sales price for all assets on line 6a 1,360,363
7 Capital gain net income (from Part IV, line 2)... 390,467
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........ 377,849 408,593  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 8,157 8,157    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,544 744    
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 7,656 254   7,402
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 17,357 9,155   7,402
25 Contributions, gifts, grants paid....... 83,200 83,200
26 Total expenses and disbursements. Add lines 24 and 25 100,557 9,155   90,602
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 277,292
b Net investment income (if negative, enter -0-) 399,438
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 35,612 27,615 27,615
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)....... 875,054 Click to see attachment1,160,343 1,215,064
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)..........      
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) 910,666 1,187,958 1,242,679
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 910,666 1,187,958
29 Total net assets or fund balances (see instructions)..... 910,666 1,187,958
30 Total liabilities and net assets/fund balances (see instructions). 910,666 1,187,958
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
910,666
2
Enter amount from Part I, line 27a .....................
2
277,292
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
1,187,958
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
1,187,958
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      
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 1,360,363   969,896 390,467
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       390,467
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 2 390,467
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 5,552
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 5,552
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 604
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 5,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 5,604
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 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 52
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet52 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)
    bulletDE
    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 ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    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
    Robert R Burger Dir, Pres, Sec, Treas
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    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
     
    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
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    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
    1,120,694
    b
    Average of monthly cash balances.......................
    1b
    49,048
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,169,742
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,169,742
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    17,546
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,152,196
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    57,610
    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
    57,610
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    5,552
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,552
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    52,058
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    52,058
    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
    52,058
    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 52,058
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:2019, 2018, 2017  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020...... 90,412
    f Total of lines 3a through e ........ 90,412
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 90,602
    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..... 52,058
    e Remaining amount distributed out of corpus 38,544
    5 Excess distributions carryover applied to 2021.    
    (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 5 128,956
    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) ...     		 
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		128,956
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020.... 90,412
    e Excess from 2021.... 38,544
    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).)
    Robert R Burger
    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
    40 DAYS FOR LIFE
    4112 E 29TH ST
    BRYAN,TX77802     		N/A PC General & Unrestricted 500
    ALL GODS CHILDREN INTERNATIONAL
    1400 NE 136TH AVE
    VANCOUVER,WA98684     		N/A PC General & Unrestricted 1,000
    ARA PARSEGHIAN MEDICAL RESEARCH FOUNDATION
    5050 N VIA DE LA GRANJA
    TUCSON,AZ85718     		N/A PC General & Unrestricted 100
    ARCHDIOCESE OF CINCINNATI
    100 EAST 8TH ST
    CINCINNATI,OH45202     		N/A PC Archdiocese of Cincinnati Mission Office, under the direction of Mike Gable 500
    ARCHDIOCESE OF CINCINNATI
    100 EAST 8TH ST
    CINCINNATI,OH45202     		N/A PC Mission Office of the Archdiocese of Cincinnati to the Society for the Propagation of the Faith, under the direction of Mr. Mike Gable 500
    BADIN HIGH SCHOOL
    571 NEW LONDON RD
    HAMILTON,OH45013     		N/A PC Robert and Mary Louise Mense Scholarship Fund in honor and in memory of Jim Mense 100
    BAYLEY SENIOR CARE
    990 BAYLEY DR
    CINCINNATI,OH45233     		N/A PC General & Unrestricted 200
    CARDINAL NEWMAN SOCIETY FOR THE PRESERVATION OF CA
    PO BOX 1879
    MERRIFIELD,VA22116     		N/A PC General & Unrestricted 500
    CATHOLIC RELIEF SERVICES INC
    228 W LEXINGTON ST
    BALTIMORE,MD21201     		N/A PC General & Unrestricted 1,000
    CATHOLICS UNITED FOR THE POOR
    PO BOX 14548
    CINCINNATI,OH45250     		N/A PC General & Unrestricted 500
    CENTER FOR CHRISTIAN VIRTUE
    PO BOX 2945
    COLUMBUS,OH43216     		N/A PC General & Unrestricted 500
    CHRISTENDOM EDUCATIONAL CORPORATION
    134 CHRISTENDOM DR
    FRONT ROYAL,VA22630     		N/A PC General & Unrestricted 500
    CINCINNATI RIGHT TO LIFE EDUCATION FOUNDATION
    1802 W GALBRAITH RD
    CINCINNATI,OH45239     		N/A PC General & Unrestricted 2,200
    CINCINNATI SYMPHONY ORCHESTRA
    1241 ELM ST
    CINCINNATI,OH45202     		N/A PC The Music Library 100
    CISE
    100 EAST EIGHTH ST
    CINCINNATI,OH45202     		N/A PC General & Unrestricted 650
    COMBONI MISSIONARIES OF THE HEART OF JESUS INC
    1318 NAGEL RD
    CINCINNATI,OH45255     		N/A PC General & Unrestricted 500
    CONGREGATION OF HOLY CROSS UNITED STATES PROVINCE
    PO BOX 1064
    NOTRE DAME,IN46556     		N/A PC General & Unrestricted 1,100
    CONGREGATION OF HOLY CROSS UNITED STATES PROVINCE
    PO BOX 1064
    NOTRE DAME,IN46556     		N/A PC Memorial Mass be said for Robert Sagers, Sr. 50
    COUPLE TO COUPLE LEAGUE INTERNATIONAL INC
    5440 MOELLER AVE
    CINCINNATI,OH45212     		N/A PC General & Unrestricted 300
    DE PAUL CRISTO REY HIGH SCHOOL
    1133 CLIFTON HILLS AVE
    CINCINNATI,OH45220     		N/A PC General & Unrestricted 1,000
    DELTA GAMMA FOUNDATION
    DELTA GAMMA FRATERNITY- ALPHA TAU
    INDIANAPOLIS,IN46208     		N/A PC General & Unrestricted 100
    ELDER HIGH SCHOOL
    3900 VINCENT AVE
    CINCINNATI,OH45205     		N/A PC Kneflin Scholarship Fund 100
    FAMILY RESEARCH COUNCIL INC
    801 G ST NW
    WASHINGTON,DC20001     		N/A PC General & Unrestricted 1,000
    FELLOWSHIP OF CATHOLIC UNIVERSITY STUDENTS
    PO BOX 17408
    DENVER,CO80217     		N/A PC General & Unrestricted 500
    FOCUS ON THE FAMILY
    8605 EXPLORER DR
    COLORADO SPRINGS,CO80920     		N/A PC General & Unrestricted 300
    FRIARS CLUB INC
    4300 VINE ST
    CINCINNATI,OH45217     		N/A PC General & Unrestricted 500
    GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI
    625 EDEN PARK DRIVE 7TH FL
    CINCINNATI,OH45202     		N/A PC 2022 Gala Event 1,000
    HOLY FAMILY SCHOOL OF FAITH
    13240 CRAIG ST
    OVERLAND PARK,KS66213     		N/A PC Cincinnati area 5,000
    HOME MISSIONERS OF AMERICA
    4119 GLENMARY TRACE
    FAIRFIELD,OH45014     		N/A PC General & Unrestricted 300
    HOPE FOR KABINGO INC
    PO BOX 54744
    CINCINNATI,OH45254     		N/A PC Bridge to Sustainability program 1,000
    INDIANA UNIVERSITY FOUNDATION
    PO BOX 6460
    INDIANAPOLIS,IN46204     		N/A PC Indiana University School of Nursing 200
    KAREN CARNS FOUNDATION
    4600 N MASON MONTGOMERY RD
    MASON,OH45040     		N/A PC Support of KCF Private Grade School 2,000
    LA SALLE HIGH SCHOOL
    3091 N BEND ROAD
    CINCINNATI,OH45239     		N/A PC General & Unrestricted 100
    LA SALLE HIGH SCHOOL
    3091 N BEND ROAD
    CINCINNATI,OH45239     		N/A PC Father Stan Doerger Scholarship Fund at LaSalle, Campus Ministry 200
    LA SALLE HIGH SCHOOL
    3091 N BEND ROAD
    CINCINNATI,OH45239     		N/A PC Campus Ministry 250
    LA SALLE HIGH SCHOOL
    3091 N BEND ROAD
    CINCINNATI,OH45239     		N/A PC to the justin brown memorial scholarship fund 200
    LIFE FORWARD PREGNANCY CARE OF CINCINNATI INC
    2415 AUBURN AVE
    CINCINNATI,OH45219     		N/A PC General & Unrestricted 500
    LIFE ISSUES INSTITUTE
    2800 SHIRLINGTON RD STE 1200
    ARLINGTON,VA22206     		N/A PC General & Unrestricted 500
    LITTLE SISTERS OF THE POOR OF CINCINNATI
    476 RIDDLE RD
    CINCINNATI,OH45220     		N/A PC General & Unrestricted 600
    MAGNIFIED GIVING
    9940 READING RD
    EVENDALE,OH45241     		N/A PC General & Unrestricted 300
    MARY FOUNDATION
    19524 CENTER RIDGE RD STE 4
    ROCKY RIVER,OH44116     		N/A PC General & Unrestricted 500
    MERCY MCAULEY HIGH SCHOOL
    6000 OAKWOOD AVE
    CINCINNATI,OH45224     		N/A PC General & Unrestricted 500
    MOUNT ST JOSEPH UNIVERSITY
    5701 DELHI RD
    CINCINNATI,OH45233     		N/A PC The building an outdoor recreation space for Mount St. Joseph students 5,000
    MT ST MARY SEMINARY OF THE WEST ATHENAEUM OF OHIO
    6616 BEECHMONT AVE
    CINCINNATI,OH45230     		N/A PC General & Unrestricted 10,000
    NET MINISTRIES
    110 CRUSADER AVE W
    WEST ST PAUL,MN55118     		N/A PC General & Unrestricted 1,000
    OUR DAILY BREAD
    1730 RACE ST
    CINCINNATI,OH45202     		N/A PC General & Unrestricted 1,000
    OUR LADY OF THE HOLY SPIRIT CENTER
    5440 MOELLER AVE
    NORWOOD,OH45212     		N/A PC General & Unrestricted 500
    PREGNANCY CENTER EAST INC
    4760 MADISON RD
    CINCINNATI,OH45227     		N/A PC General & Unrestricted 500
    PREGNANCY CENTER WEST INC
    4900 GLENWAY AVE
    CINCINNATI,OH45238     		N/A PC General & Unrestricted 1,000
    RUAH WOODS
    6675 WESSELMAN RD
    CINCINNATI,OH45248     		N/A PC Ruah Woods 2021 Annual Dinner 1,000
    SACRED HEART RADIO INC
    100 E EIGHTH ST
    CINCINNATI,OH45202     		N/A PC General & Unrestricted 1,000
    SAINT JOHN INSTITUTE
    4775 S PEARL ST
    ENGLEWOOD,CO80113     		N/A PC General & Unrestricted 10,000
    SANTA MARIA COMMUNITY SERVICES
    617 STEINER ST
    CINCINNATI,OH45204     		N/A PC General & Unrestricted 300
    SISTERS OF NOTRE DAME DENAMUR OHIO PROVINCE CHARIT
    701 E COLUMBIA AVE
    CINCINNATI,OH45215     		N/A PC General & Unrestricted 500
    SISTERS OF ST FRANCIS COMMUNITY SUPPORT TRUST
    PO BOX 100 22143 MAIN ST
    OLDENBURG,IN47036     		N/A PC General & Unrestricted 50
    SOCIETY OF ST PHILIP NERI
    123 E 13TH ST
    CINCINNATI,OH45202     		N/A PC General & Unrestricted 700
    SOCIETY OF ST VINCENT DEPAUL PARTICULAR COUNCIL OF
    1125 BANK ST
    CINCINNATI,OH45214     		N/A PC General & Unrestricted 500
    SOUTHERN INDIANA CHAPTER NATIONAL FOOTBALL FOUNDAT
    433 LAS COLINAS BLVD E STE 1130
    IRVING,TX75039     		N/A PC National Scholar-Athlete Alumni Association 750
    ST ANGELA MERICI PARISH
    PO BOX 279
    FAYETTEVILLE,OH45118     		N/A PC 2020 ministry donation 250
    ST IGNATIUS OF LOYOLA CATHOLIC CHURCH
    5222 N BEND RD
    CINCINNATI,OH45247     		N/A PC General & Unrestricted 13,000
    ST LEO THE GREAT CHURCH
    2573 SAINT LEO PL
    CINCINNATI,OH45225     		N/A PC General & Unrestricted 500
    ST RITA SCHOOL FOR THE DEAF
    1720 GLENDALE MILFORD RD
    CINCINNATI,OH45215     		N/A PC General & Unrestricted 400
    TEEPE FAMILY FOUNDATION
    8989 CROOKED STICK CT
    NAPLES,FL34113     		N/A PC General & Unrestricted 1,000
    THE UNIVERSITY OF TENNESSEE FOUNDATION INC
    1525 UNIVERSITY AVE
    KNOXVILLE,TN37921     		N/A PC University of Tennessee School of Nursing 200
    UNIVERSITY OF CINCINNATI FOUNDATION
    PO BOX 19970
    CINCINNATI,OH45219     		N/A PC University of Cincinnati College of Medicine 500
    UNIVERSITY OF NOTRE DAME DU LAC
    511 MAIN BLDG
    NOTRE DAME,IN46556     		N/A PC University of Notre Dame Center for Ethics & Culture 1,000
    XAVIER UNIVERSITY
    3800 VICTORY PKWY
    CINCINNATI,OH45207     		N/A PC Xavier golf program facilities 5,000
    XAVIER UNIVERSITY
    3800 VICTORY PKWY
    CINCINNATI,OH45207     		N/A PC Roy & Rita Kluener Scholarship Fund 100
    Total .................................bullet 3a 83,200
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 86  
    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 ............     		    18 359,723  
    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) ..   377,849  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    377,849
    (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

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 DepreciationSchedule
    Name:
    Bob & Felicia Burger Family Foundation
    EIN:
    84-3082035
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    Bob & Felicia Burger Family Foundation
    EIN:
    84-3082035
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBVIE INC 42,318 49,285
    AMERICAN EXPRESS CO 42,299 39,755
    AMERICAN TOWER REIT INC 42,054 46,800
    AMGEN INC 36,184 39,820
    ANTHEM INC 36,035 39,864
    APPLE INC 42,241 47,234
    AUTOMATIC DATA PROCESSING INC 36,258 37,480
    BLACKROCK INC 41,455 41,200
    BROADCOM INC 42,217 49,239
    CHARLES SCHWAB CORP 42,246 44,489
    COMCAST CORP 42,260 40,818
    CROWN CASTLE INTL 42,291 48,010
    EASTMAN CHEMICAL CO 24,186 25,875
    EATON CORP PLC 24,150 24,195
    HOME DEPOT INC 36,113 36,936
    JOHNSON & JOHNSON 36,282 38,320
    JP MORGAN CHASE 36,204 35,629
    LOCKHEED MARTIN CORP 42,033 43,715
    LOWES COMPANIES INC 36,247 37,738
    MCDONALD'S CORP 36,185 38,602
    MEDTRONIC PLC 36,226 31,966
    MERCK & CO INC 36,210 34,105
    MICROSOFT CORP 42,152 41,367
    PAYCHEX 36,160 39,312
    PROCTER GAMBLE CO 36,132 40,077
    QUALCOMM INC 42,225 41,877
    STARBUCKS CORP COM 42,289 44,800
    SYNCHRONY FINANCIAL 24,162 23,149
    TRANE TECHNOLOGIES PLC 42,198 43,841
    UNITED PARCEL SERVICE 21,280 21,863
    UNITEDHEALTH GROUP INC 42,051 47,703

    TY 2021 OtherExpensesSchedule
    Name:
    Bob & Felicia Burger Family Foundation
    EIN:
    84-3082035
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 7,377     7,377
    Bank Charges 254 254    
    State or Local Filing Fees 25     25


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Bob & Felicia Burger Family Foundation
    EIN:
    84-3082035
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 8,157 8,157    


    TY 2021 TaxesSchedule
    Name:
    Bob & Felicia Burger Family Foundation
    EIN:
    84-3082035
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2021 600      
    990-PF Extension for 2020 200      
    Foreign Tax Paid 744 744