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 08-01-2021 , and ending 07-31-2022
Name of foundation
BERTHA MCQUEEN FORTUNE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 919798
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLANDO, FL328919798
A Employer identification number

58-6386865
B Telephone number (see instructions)

(252) 246-4722
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$843,707J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 27 27  
4 Dividends and interest from securities... 19,028 18,907  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 97,905
b Gross sales price for all assets on line 6a 466,678
7 Capital gain net income (from Part IV, line 2)... 97,905
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 116,960 116,839  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 14,270 7,135   7,135
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,187 85   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 1 1    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 16,458 7,221 0 7,135
25 Contributions, gifts, grants paid....... 37,212 37,212
26 Total expenses and disbursements. Add lines 24 and 25 53,670 7,221 0 44,347
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 63,290
b Net investment income (if negative, enter -0-) 109,618
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 438 -29,452 -29,452
2 Savings and temporary cash investments......... 18,997 19,409 19,409
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 101,199 Click to see attachment300,673 292,046
c Investments—corporate bonds (attach schedule)....... 205,151 Click to see attachment264,638 234,934
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 503,439 Click to see attachment336,849 326,770
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) 829,224 892,117 843,707
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 829,224 892,117
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)..... 829,224 892,117
30 Total liabilities and net assets/fund balances (see instructions). 829,224 892,117
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
829,224
2
Enter amount from Part I, line 27a .....................
2
63,290
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
383
4
Add lines 1, 2, and 3 ..........................
4
892,897
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
780
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
892,117
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 98.626 INVESCO DEVELOPING MARKETS FUND     2021-09-08
b 164.091 INVESCO DEVELOPING MARKETS FUND   2020-06-18 2021-09-08
c 2. ABBOTT LABORATORIES   2021-06-14 2021-09-08
d 1. ANALOG DEVICES INC   2021-06-14 2021-09-08
e 1. AUTODESK, INC. COMMON   2020-10-21 2021-09-08
2. CVS CORP COMMON   2021-06-14 2021-09-08
5. CERNER CORP     2021-09-08
4. CISCO SYSTEMS   2021-06-14 2021-09-08
2. CITIGROUP INC   2021-06-14 2021-09-08
2. COLGATE PALMOLIVE COMPANY   2019-05-31 2021-09-08
4. CORNING INCORPORATED   2021-06-14 2021-09-08
1. CROWN CASTLE INC REIT   2021-06-14 2021-09-08
2. DEERE & COMPANY   2020-10-21 2021-09-08
1. DEERE & COMPANY   2020-03-13 2021-09-08
1. DISNEY WALT COMPANY   2021-02-24 2021-09-08
7. DISCOVER FINL SVCS   2021-06-14 2021-09-08
4. EXPEDITORS INTERNATIONAL     2021-09-08
1. FACTSET RESH SYS INC   2017-08-03 2021-09-08
1. HOME DEPOT INCORPORATED   2021-06-14 2021-09-08
2. HONEYWELL INTERNATIONAL INC   2021-06-14 2021-09-08
943. ISHARES US TREASURY BOND ETF   2020-06-18 2021-09-08
41.804 JOHCM INTERNATIONAL SEL-INST   2020-06-18 2021-09-08
1. JOHNSON & JOHNSON   2021-06-14 2021-09-08
1. L3 HARRIS TECHNOLOGIES INC   2021-06-14 2021-09-08
1. MARSH & MCLENNAN COMPANIES INC COMMON   2021-06-14 2021-09-08
2. MERCK & CO INC   2021-06-14 2021-09-08
1. MICROSOFT CORPORATION   2021-06-14 2021-09-08
3. MONSTER BEVERAGE CORP   2020-10-21 2021-09-08
4. NORTHERN TRUST GROUP   2021-06-14 2021-09-08
1. NOVO-NORDISK A S ADR   2017-08-03 2021-09-08
1. NVIDIA CORP COMMON   2020-10-21 2021-09-08
4. ORACLE SYSTEM CORPORATION   2020-10-21 2021-09-08
.3 ORGANON & CO   2020-10-21 2021-09-08
1.7 ORGANON & CO     2021-09-08
1. PEPSICO INCORPORATED   2021-06-14 2021-09-08
1. QUALCOMM INC COMMON   2020-10-21 2021-09-08
4. ROCHE HLDG LTD SPONS ADR   2020-10-21 2021-09-08
1. ROCHE HLDG LTD SPONS ADR   2020-01-17 2021-09-08
1. SEI INVESTMENTS CO   2020-10-21 2021-09-08
1. SEI INVESTMENTS CO   2017-11-07 2021-09-08
3. STARBUCKS CORPORATIONS COMMON     2021-09-08
2. VERIZON COMMUNICATIONS INC   2021-06-14 2021-09-08
2. VISA INC   2020-10-21 2021-09-08
1. YUM! BRANDS, INC. COMMON   2017-08-03 2021-09-08
2. MEDTRONIC PLC   2021-06-14 2021-09-08
249.87 INVESCO DEVELOPING MARKETS FUND     2021-12-06
6. ABBOTT LABORATORIES   2021-06-14 2021-12-06
17. ABBOTT LABORATORIES     2021-12-06
6. ABBVIE INC   2021-06-14 2021-12-06
17. ABBVIE INC     2021-12-06
11. ALIBABA GROUP HLDG LTD     2021-12-06
5. ANALOG DEVICES INC   2021-06-14 2021-12-06
17. ANALOG DEVICES INC     2021-12-06
2. ELEVANCE HEALTH INC   2021-06-14 2021-12-06
7. ELEVANCE HEALTH INC     2021-12-06
9. AUTODESK, INC. COMMON     2021-12-06
2. AUTOMATIC DATA PROCESSING INC   2017-11-07 2021-12-06
11. BOEING COMPANY     2021-12-06
3. BOOZ ALLEN HAMILTON HOLDING CL A   2021-09-08 2021-12-06
9. CVS CORP COMMON   2021-06-14 2021-12-06
26. CVS CORP COMMON     2021-12-06
7. CERNER CORP     2021-12-06
8. CISCO SYSTEMS   2021-06-14 2021-12-06
45. CISCO SYSTEMS     2021-12-06
7. CITIGROUP INC   2021-06-14 2021-12-06
23. CITIGROUP INC     2021-12-06
13. COCA COLA COMPANY     2021-12-06
20. COCA COLA COMPANY     2021-12-06
9. COLGATE PALMOLIVE COMPANY   2018-06-04 2021-12-06
5. CORNING INCORPORATED   2021-06-14 2021-12-06
58. CORNING INCORPORATED     2021-12-06
10. CUMMINS ENGINE CO INC COMMON     2021-12-06
5. DEERE & COMPANY   2017-08-03 2021-12-06
4. DISCOVER FINL SVCS   2021-06-14 2021-12-06
26. DISCOVER FINL SVCS     2021-12-06
7. EOG RESOURCES INC   2021-06-14 2021-12-06
19. EOG RESOURCES INC   2020-10-21 2021-12-06
9. ENCOMPASS HEALTH CORP   2020-10-21 2021-12-06
10. EXPEDITORS INTERNATIONAL   2017-08-03 2021-12-06
2. FACTSET RESH SYS INC   2017-08-03 2021-12-06
2. GOLDMAN SACHS GROUP COMMON   2021-06-14 2021-12-06
6. GOLDMAN SACHS GROUP COMMON     2021-12-06
3. ILLUMINA INC     2021-12-06
3. L3 HARRIS TECHNOLOGIES INC     2021-12-06
7. L3 HARRIS TECHNOLOGIES INC   2020-10-21 2021-12-06
20. MONSTER BEVERAGE CORP     2021-12-06
3. MOTOROLA SOLUTIONS INC   2021-06-14 2021-12-06
1. MOTOROLA SOLUTIONS INC   2020-10-21 2021-12-06
1. NORTHERN TRUST GROUP   2021-06-14 2021-12-06
15. NORTHERN TRUST GROUP     2021-12-06
7. NOVO-NORDISK A S ADR   2017-08-03 2021-12-06
19. NVIDIA CORP COMMON     2021-12-06
31. ORACLE SYSTEM CORPORATION     2021-12-06
4. PEPSICO INCORPORATED   2021-06-14 2021-12-06
14. PEPSICO INCORPORATED     2021-12-06
3. REGENERON PHARMACEUTICALS INC     2021-12-06
11. RESTAURANT BRANDS INTERNATIONAL INC     2021-12-06
22. RESTAURANT BRANDS INTERNATIONAL INC     2021-12-06
30. ROCHE HLDG LTD SPONS ADR     2021-12-06
13. SEI INVESTMENTS CO     2021-12-06
9. SALESFORCE INC   2020-06-03 2021-12-06
7. SCHLUMBERGER LTD   2021-02-24 2021-12-06
23. SCHLUMBERGER LTD     2021-12-06
25. STARBUCKS CORPORATIONS COMMON     2021-12-06
7. TYSON FOODS, INC. COMMON   2021-06-14 2021-12-06
19. TYSON FOODS, INC. COMMON     2021-12-06
4. UNITED PARCEL SERVICES B   2021-06-14 2021-12-06
13. UNITED PARCEL SERVICES B     2021-12-06
589.941 VAN ECK EMERGING MARKETS-I   2020-10-21 2021-12-06
8. VERIZON COMMUNICATIONS INC   2021-06-14 2021-12-06
31. VERIZON COMMUNICATIONS INC     2021-12-06
1. VERTEX PHARMACEUTICALS INC   2021-09-08 2021-12-06
3. WORKDAY INC-CLASS A   2020-06-03 2021-12-06
6. YUM! BRANDS, INC. COMMON   2017-08-03 2021-12-06
9. YUM CHINA HOLDINGS INC   2017-08-03 2021-12-06
5. AMDOCS LTD ORD   2021-06-14 2021-12-06
17. AMDOCS LTD ORD     2021-12-06
3. ACCENTURE PLC IRELAND SHS   2021-06-14 2021-12-06
6. ACCENTURE PLC IRELAND SHS     2021-12-06
5. MEDTRONIC PLC   2021-06-14 2021-12-06
17. MEDTRONIC PLC     2021-12-06
5. CHUBB LTD   2021-06-14 2021-12-06
9. CHUBB LTD     2021-12-06
6. ABBOTT LABORATORIES   2017-08-03 2022-01-13
3. MOTOROLA SOLUTIONS INC   2020-06-03 2022-01-13
139.715 VANGUARD 500 INDEX ADMIRAL FUND     2022-01-13
3. ACCENTURE PLC IRELAND SHS   2017-08-03 2022-01-13
5. CHUBB LTD     2022-01-13
82.652 ARTISAN INTL VALUE FUND-INS   2021-06-14 2022-02-10
10. MARSH & MCLENNAN COMPANIES INC COMMON     2022-02-10
14. VANGUARD INDEX FUNDS REIT ETF   2021-07-14 2022-02-10
82.845 VANGUARD 500 INDEX ADMIRAL FUND   2018-02-07 2022-02-10
.5744 ADVANCED MICRO DEVICES, INC COMMON   2021-12-06 2022-02-24
228.959 INVESCO DEVELOPING MARKETS FUND     2022-03-18
172.581 ARTISAN INTL VALUE FUND-INS     2022-03-18
94.978 BLACKROCK EVENT DRIVEN EQ-IS   2021-06-14 2022-03-18
88. COTERRA ENERGY INC     2022-03-18
5. DICKS SPORTING GOODS INC   2021-06-14 2022-03-18
10. DICKS SPORTING GOODS INC   2021-02-24 2022-03-18
42.703 EATON VANCE-ATLANTA SMID-R6   2021-12-06 2022-03-18
.752 EATON VANCE-ATLANTA SMID-R6   2020-06-18 2022-03-18
673.7 EATON VANCE FLOATING RATE-R6     2022-03-18
14. FACEBOOK INC CL A     2022-03-18
11. FACEBOOK INC CL A   2016-10-07 2022-03-18
276. INVESCO S&P 500 EQUAL WEIGHT ETF     2022-03-18
11. CEF ISHARES TR S&P   2021-12-06 2022-03-18
150.034 JOHCM INTERNATIONAL SEL-INST   2022-02-10 2022-03-18
170.739 JOHCM INTERNATIONAL SEL-INST   2020-06-18 2022-03-18
441.555 BRANDYWINEGLOBAL CORP CREDIT FD-IS   2021-07-14 2022-03-18
412. VANGUARD SHORT TERM BOND ETF     2022-03-18
5. VANGUARD INDEX FUNDS REIT ETF   2021-07-14 2022-03-18
18.915 VANGUARD 500 INDEX ADMIRAL FUND   2018-02-07 2022-03-18
225.215 BLACKROCK EVENT DRIVEN EQ-IS   2021-06-14 2022-07-08
5. NOVARTIS AG   2022-03-18 2022-07-08
19. NOVARTIS AG     2022-07-08
8. QUANTA SERVICES INC COMMON   2022-03-18 2022-07-08
111.099 VANGUARD 500 INDEX ADMIRAL FUND     2022-07-08
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(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 5,329   5,566 -237
b 8,866   6,885 1,981
c 259   221 38
d 163   167 -4
e 289   255 34
172   168 4
379   318 61
234   215 19
140   150 -10
155   139 16
155   165 -10
196   196  
737   478 259
368   135 233
185   198 -13
834   842 -8
492   244 248
390   165 225
330   307 23
448   447 1
25,220   26,319 -1,099
1,374   1,029 345
172   165 7
230   222 8
159   139 20
150   150  
299   258 41
289   239 50
457   464 -7
101   43 58
223   135 88
358   239 119
11   11  
60   45 15
156   148 8
142   130 12
194   165 29
48   42 6
60   56 4
60   65 -5
353   312 41
110   114 -4
460   397 63
130   75 55
270   247 23
12,518   10,388 2,130
796   662 134
2,255   1,107 1,148
727   689 38
2,059   583 1,476
1,349   1,739 -390
906   836 70
3,080   1,626 1,454
808   767 41
2,827   1,667 1,160
2,384   1,123 1,261
464   225 239
2,254   1,854 400
259   248 11
833   758 75
2,408   1,653 755
510   429 81
455   431 24
2,559   1,625 934
438   524 -86
1,440   1,114 326
713   706 7
1,097   958 139
706   565 141
188   206 -18
2,184   1,727 457
2,200   2,463 -263
1,781   647 1,134
449   481 -32
2,919   1,457 1,462
617   592 25
1,675   685 990
547   599 -52
1,261   592 669
916   330 586
779   743 36
2,336   1,248 1,088
1,058   995 63
643   635 8
1,501   1,196 305
1,713   1,129 584
751   634 117
250   170 80
119   116 3
1,778   1,165 613
753   298 455
5,706   951 4,755
2,749   1,596 1,153
666   592 74
2,330   1,615 715
1,882   1,096 786
632   737 -105
1,264   1,280 -16
1,487   1,106 381
796   731 65
2,327   1,574 753
211   205 6
693   1,559 -866
2,839   1,466 1,373
586   539 47
1,590   1,003 587
807   802 5
2,622   1,409 1,213
11,710   11,822 -112
409   456 -47
1,583   1,495 88
204   192 12
806   545 261
773   449 324
457   332 125
351   403 -52
1,195   980 215
1,088   853 235
2,175   1,115 1,060
551   617 -66
1,874   1,449 425
937   828 109
1,687   1,195 492
785   295 490
767   438 329
60,100   39,134 20,966
1,120   390 730
997   610 387
3,587   3,890 -303
1,561   1,254 307
1,490   1,458 32
34,480   20,537 13,943
63   71 -8
8,998   7,993 1,005
7,155   7,919 -764
944   980 -36
2,194   1,543 651
554   489 65
1,108   748 360
1,700   1,703 -3
30   26 4
5,814   5,944 -130
2,898   4,576 -1,678
2,277   1,415 862
42,952   42,061 891
1,195   1,245 -50
3,884   4,117 -233
4,420   4,202 218
4,782   5,232 -450
32,322   33,852 -1,530
532   521 11
7,815   4,689 3,126
2,198   2,324 -126
421   430 -9
1,600   1,518 82
1,058   999 59
40,000   26,323 13,677
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
      8,420
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       -237
b       1,981
c       38
d       -4
e       34
      4
      61
      19
      -10
      16
      -10
       
      259
      233
      -13
      -8
      248
      225
      23
      1
      -1,099
      345
      7
      8
      20
       
      41
      50
      -7
      58
      88
      119
       
      15
      8
      12
      29
      6
      4
      -5
      41
      -4
      63
      55
      23
      2,130
      134
      1,148
      38
      1,476
      -390
      70
      1,454
      41
      1,160
      1,261
      239
      400
      11
      75
      755
      81
      24
      934
      -86
      326
      7
      139
      141
      -18
      457
      -263
      1,134
      -32
      1,462
      25
      990
      -52
      669
      586
      36
      1,088
      63
      8
      305
      584
      117
      80
      3
      613
      455
      4,755
      1,153
      74
      715
      786
      -105
      -16
      381
      65
      753
      6
      -866
      1,373
      47
      587
      5
      1,213
      -112
      -47
      88
      12
      261
      324
      125
      -52
      215
      235
      1,060
      -66
      425
      109
      492
      490
      329
      20,966
      730
      387
      -303
      307
      32
      13,943
      -8
      1,005
      -764
      -36
      651
      65
      360
      -3
      4
      -130
      -1,678
      862
      891
      -50
      -233
      218
      -450
      -1,530
      11
      3,126
      -126
      -9
      82
      59
      13,677
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 97,905
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: 2020-03-11(attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,524
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,524
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,232
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,232
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 292
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletSC
    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 addressbullet  
    14
    The books are in care ofbulletTRUST BANK Telephone no.bullet (252) 246-4722

    Located atbulletPO BOX 919798ORLANDOFL ZIP+4bullet32891
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    TRUIST BANK TRUSTEE
    12     		14,270    
    PO BOX 919798
    ORLANDO,FL32891
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    914,778
    b
    Average of monthly cash balances.......................
    1b
    22,502
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    937,280
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    937,280
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    14,059
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    923,221
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    46,161
    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
    46,161
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,524
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,524
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    44,637
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    44,637
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    44,637
    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 44,637
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 37,212
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 44,347
    a Applied to 2020, but not more than line 2a 37,212
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 7,135
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		37,502
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ANDERSON UNIVERSITY
    316 BLVD
    ANDERSON,SC29621     		NONE PC SCHOLARSHIPS 37,212
    Total .................................bullet 3a 37,212
    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 27  
    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 97,905  
    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) ..   116,960  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    116,960
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    BERTHA MCQUEEN FORTUNE FOUNDATION
    EIN:
    58-6386865
    Name of Bond End of Year Book Value End of Year Fair Market Value
    258620103 DOUBLELINE TOTAL RET    
    46429B267 ISHARES US TREASURY 151,601 136,487
    921937827 VANGUARD SHORT TERM    
    258620566 DOUBLELINE TOTAL RET 52,982 46,903
    464288653 ISHARES 10-20 YEAR T 4,286 4,444
    722005816 PIMCO INVESTMENT GRA 55,769 47,100

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    BERTHA MCQUEEN FORTUNE FOUNDATION
    EIN:
    58-6386865
    Name of Stock End of Year Book Value End of Year Fair Market Value
    002824100 ABBOTT LABS    
    00287Y109 ABBVIE INC    
    01609W102 ALIBABA GROUP HOLDIN    
    02079K107 ALPHABET INC CL C 9,436 9,331
    02079K305 ALPHABET INC CL A 6,306 6,979
    023135106 AMAZON.COM INC 10,777 10,796
    032654105 ANALOG DEVICES INC 2,653 3,095
    036752103 ELEVANCE HEALTH INC 3,385 3,340
    052769106 AUTODESK INC    
    053015103 AUTOMATIC DATA PROCE    
    097023105 BOEING CO    
    126650100 CVS HEALTH CORP    
    127097103 CABOT OIL & GAS CORP    
    156782104 CERNER CORP    
    17275R102 CISCO SYSTEMS INC    
    172967424 CITIGROUP INC    
    191216100 COCA COLA CO    
    194162103 COLGATE PALMOLIVE CO    
    219350105 CORNING INC    
    231021106 CUMMINS INC    
    244199105 DEERE & CO    
    253393102 DICKS SPORTING GOODS    
    254687106 DISNEY WALT CO NEW 5,044 3,820
    254709108 DISCOVER FINL SVCS    
    26875P101 EOG RESOURCES INC    
    29261A100 ENCOMPASS HEALTH COR    
    302130109 EXPEDITORS INTL WASH    
    30303M102 FACEBOOK INC-A    
    303075105 FACTSET RESEARCH SYS    
    38141G104 GOLDMAN SACHS GROUP    
    437076102 HOME DEPOT INC 7,397 7,223
    438516106 HONEYWELL INTERNATIO 1,785 3,079
    452327109 ILLUMINA INC    
    46120E602 INTUITIVE SURGICAL I 3,684 2,992
    478160104 JOHNSON & JOHNSON 4,795 5,410
    502431109 L3 HARRIS TECHNOLOGI    
    571748102 MARSH & MCLENNAN COS    
    58933Y105 MERCK & CO INC 3,063 4,110
    594918104 MICROSOFT CORP 18,036 21,336
    61174X109 MONSTER BEVERAGE COR    
    620076307 MOTOROLA SOLUTIONS,    
    665859104 NORTHERN TR CORP    
    66987V109 NOVARTIS AG SPONSORE    
    670100205 NOVO NORDISK AS SPON    
    67066G104 NVIDIA CORP    
    68389X105 ORACLE CORPORATION    
    68622V106 ORGANON & CO    
    713448108 PEPSICO INC    
    747525103 QUALCOMM INC 4,137 4,352
    75886F107 REGENERON PHARMACEUT    
    76131D103 RESTAURANT BRANDS IN    
    771195104 ROCHE HOLDING LTD SP    
    784117103 SEI INVESTMENTS COMP    
    79466L302 SALESFORCE COM INC    
    806857108 SCHLUMBERGER LTD    
    855244109 STARBUCKS CORP    
    902494103 TYSON FOODS INC CL A    
    911312106 UNITED PARCEL SERVIC    
    92343V104 VERIZON COMMUNICATIO    
    92826C839 VISA INC CL A 3,713 5,091
    98138H101 WORKDAY INC-CLASS A    
    988498101 YUM! BRANDS INC    
    98850P109 YUM CHINA HOLDINGS I    
    G02602103 AMDOCS LTD    
    G1151C101 ACCENTURE PLC CL A    
    G5960L103 MEDTRONIC PLC    
    H1467J104 CHUBB LTD    
    00724F101 ADOBE INC 5,993 4,511
    007903107 ADVANCED MICRO DEVIC 4,240 3,401
    025537101 AMERICAN ELEC PWR IN 4,556 4,731
    031162100 AMGEN INC 3,567 3,960
    037833100 APPLE INC 23,725 23,239
    038222105 APPLIED MATERIALS IN 5,901 4,239
    05722G100 BAKER HUGHES CO 3,141 2,929
    060505104 BANK OF AMERICA CORP 7,456 5,579
    09247X101 BLACKROCK INC 4,311 3,346
    110122108 BRISTOL MYERS SQUIBB 3,739 3,689
    14040H105 CAPITAL ONE FINANCIA 4,871 3,624
    142339100 CARLISLE COS INC 4,132 5,034
    166764100 CHEVRON CORP 4,023 5,077
    174610105 CITIZENS FINANCIAL G 4,047 3,038
    20825C104 CONOCOPHILLIPS 2,539 2,825
    22052L104 CORTEVA INC 2,783 3,223
    22160K105 COSTCO WHOLESALE COR 6,413 6,496
    237266101 DARLING INGREDIENTS 2,080 2,425
    260557103 DOW INC 3,375 3,246
    26614N102 DUPONT DE NEMOURS IN 4,098 3,184
    345370860 FORD MOTOR CO DEL 5,202 3,878
    40412C101 HCA HEALTHCARE INC 2,270 2,761
    45687V106 INGERSOLL-RAND INC 5,175 4,482
    458140100 INTEL CORP 5,755 4,067
    46266C105 IQVIA HOLDINGS INC 4,024 3,844
    46625H100 JP MORGAN CHASE & CO 6,497 4,730
    499049104 KNIGHT-SWIFT TRANSN 4,597 4,341
    617446448 MORGAN STANLEY 4,270 3,625
    65339F101 NEXTERA ENERGY INC 3,283 3,211
    654106103 NIKE INC-CLASS B 5,879 4,367
    67103H107 O'REILLY AUTOMOTIVE 3,952 4,222
    693475105 PNC FINL SVCS GROUP 5,786 4,646
    718546104 PHILLIPS 66 1,755 1,869
    723787107 PIONEER NATURAL RESO 4,642 5,450
    74762E102 QUANTA SERVICES INC 3,835 4,717
    883556102 THERMO FISHER SCIENT 7,300 7,181
    892356106 TRACTOR SUPPLY CO 4,853 4,021
    90384S303 ULTA BEAUTY INC 2,687 2,722
    907818108 UNION PAC CORP 4,507 4,091
    91324P102 UNITEDHEALTH GROUP I 8,072 9,220
    931142103 WALMART INC 4,970 4,622
    G0450A105 ARCH CAPITAL GROUP L 2,643 2,620
    G6564A105 NOMAD FOODS LTD 2,732 2,102
    G8994E103 TRANE TECHNOLOGIES P 4,227 3,381
    N6596X109 NXP SEMICONDUCTORS N 2,559 3,126

    TY 2021 InvestmentsOtherSchedule2
    Name:
    BERTHA MCQUEEN FORTUNE FOUNDATION
    EIN:
    58-6386865
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    00143W859 INVESCO DEVELOPING M      
    04314H857 ARTISAN INTERNATIONA AT COST 22,186 26,058
    09250J734 BLACKROCK EVENT DRIV AT COST 25,536 24,676
    22822V101 CROWN CASTLE INTERNA AT COST 2,712 3,252
    25264S866 DIAMOND HILL CORPORA      
    277902235 EATON VANCE ATLANTA AT COST 18,773 20,895
    27826A730 EATON VANCE FLOATING AT COST 16,344 15,423
    46137V357 INVESCO S&P 500 EQUA      
    464287804 ISHARES CORE S&P SMA AT COST 31,333 28,750
    464288620 ISHARES BROAD USD IN AT COST 53,949 48,031
    46653M849 JOHCM INTERNATIONAL AT COST 29,608 25,999
    722005816 PIMCO INVESTMENT GRA      
    921075438 VAN ECK EMERGING MAR      
    92206C755 VANGUARD MORTGAGE-BA AT COST 58,515 53,646
    922908553 VANGUARD REAL ESTATE AT COST 16,908 16,032
    922908710 VANGUARD 500 INDEX F AT COST 12,585 20,931
    253868103 DIGITAL REALTY TRUST AT COST 2,504 2,119
    464287457 ISHARES BARCLAYS 1-3 AT COST 6,772 6,810
    52472T767 BRANDYWINEGLOBAL COR AT COST 39,124 34,148

    TY 2021 OtherDecreasesSchedule
    Name:
    BERTHA MCQUEEN FORTUNE FOUNDATION
    EIN:
    58-6386865
    Description Amount
    RETURN OF CAPITAL ADJUSTMENT 11
    2021 TRANSACTION POSTED IN 2022 615
    COST BASIS ADJUSTMENT 146
    ROUNDING 8


    TY 2021 OtherExpensesSchedule
    Name:
    BERTHA MCQUEEN FORTUNE FOUNDATION
    EIN:
    58-6386865
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSE (NON-DEDUCTIBLE 1 1   0


    TY 2021 OtherIncreasesSchedule
    Name:
    BERTHA MCQUEEN FORTUNE FOUNDATION
    EIN:
    58-6386865
    Description Amount
    2020 TRANSACTION POSTED IN 2021 365
    ADJUSTMENT TO INCOME 18


    TY 2021 TaxesSchedule
    Name:
    BERTHA MCQUEEN FORTUNE FOUNDATION
    EIN:
    58-6386865
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 26 26   0
    FEDERAL TAX PAYMENT - PRIOR YE 870 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,232 0   0
    FOREIGN TAXES ON QUALIFIED FOR 54 54   0
    FOREIGN TAXES ON NONQUALIFIED 5 5   0