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 07-01-2021 , and ending 06-30-2022
Name of foundation
CODY MEDICAL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1432 SHERIDAN AVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CODY, WY82414
A Employer identification number

83-6006491
B Telephone number (see instructions)

(307) 587-9030
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$1,585,396J 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) 25,993
2 Check bullet.............
3 Interest on savings and temporary cash investments 32 32 32
4 Dividends and interest from securities... 43,409 43,409 43,409
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 6,436
b Gross sales price for all assets on line 6a 2,622,441
7 Capital gain net income (from Part IV, line 2)... 2,628
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 3,235 3,185 3,235
12 Total. Add lines 1 through 11........ 79,105 49,254 46,676
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 45,000 4,950 17,550 22,500
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 12,563 379 1,343 1,721
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 2,207 2,207 2,207  
c Other professional fees (attach schedule).... Click to see attachment 12,053 12,053 12,053  
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 157 157 157  
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 960      
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 10,377     5,268
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 83,317 19,746 33,310 29,489
25 Contributions, gifts, grants paid....... 24,585 24,585
26 Total expenses and disbursements. Add lines 24 and 25 107,902 19,746 33,310 54,074
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -28,797
b Net investment income (if negative, enter -0-) 29,508
c Adjusted net income (if negative, enter -0-)... 13,366
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............. 33,455 13,994 13,994
2 Savings and temporary cash investments......... 315,035 569,917 569,917
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)....... 1,172,990 Click to see attachment908,417 961,631
c Investments—corporate bonds (attach schedule)....... 42,745 Click to see attachment42,745 39,854
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 bullet1,029
Less: accumulated depreciation (attach schedule) bullet1,029      
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,564,225 1,535,073 1,585,396
Liabilities 17 Accounts payable and accrued expenses.......... 1,039 1,048
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)......... 1,039 1,048
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........... 1,563,186 1,534,025
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,563,186 1,534,025
30 Total liabilities and net assets/fund balances (see instructions). 1,564,225 1,535,073
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
1,563,186
2
Enter amount from Part I, line 27a .....................
2
-28,797
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
1,534,389
5
Decreases not included in line 2 (itemize) bullet
5
364
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,534,025
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 3D SYSTEMS CORP P 2021-06-07 2021-07-06
b BOOT BARN HOLDINGS P 2021-03-18 2021-08-19
c CINTAS CORP P 2021-06-23 2021-11-05
d PROGRESS SOFTWARE CO P 2021-11-18 2020-12-20
e MAIN STREET CAPITAL P 2021-11-17 2022-01-21
VALVOLINE INC P 2021-11-18 2022-01-28
MICROSECTORS FANG+ INDEX P 2022-05-24 2022-06-13
ADVANCED MICRO DEVIC P 2021-06-29 2021-08-04
BHP GROUP PLC P 2021-08-04 2021-11-03
SPDR S&P OIL & GAS EXPLORATION & PRO P 2021-11-03 2021-12-10
GRAYSCALE ETHEREUM COM P 2021-11-16 2022-01-13
WESTERN ALLIANCE BNC P 2021-10-05 2022-01-26
FIRST INTST BANCSYST P 2021-10-05 2022-03-02
ISHARES SILVER TRUST P 2018-02-21 2021-10-04
TECHNOLOGY SELECT SECTOR P 2019-12-04 2022-03-10
TECHNOLOGY SELECT SECTOR P 2019-12-04 2022-03-10
VILLAGE FARMS INTL P 2021-01-21 2021-07-08
PERSHING SQUARE TONTINE CLASS P 2021-01-14 2021-09-01
ADVANCED MICRO DEVIC P 2021-08-23 2021-11-08
SPDR S&P REGIONAL BANKING ETF P 2021-11-03 2020-12-20
ISHARES US HOME P 2021-12-29 2022-01-24
ACADEMY SPORTS & OUTDOOR P 2021-03-09 2022-02-10
PROSHARES ULTRAPRO SHORT P 2022-05-24 2022-06-13
JINKOSOLAR HOLDINGS COM P 2021-02-08 2021-08-12
BOEING CO P 2021-08-12 2021-11-03
D C P MIDSTREAM PARTN LP P 2021-01-21 2021-12-13
NUTRIEN LTD P 2021-11-01 2022-01-13
ALERIAN MLP ETF P 2021-11-03 2022-01-27
VALVOLINE INC P 2021-11-18 2022-03-16
VANECK GOLD MINERS P 2018-02-21 2021-10-07
TECHNOLOGY SELECT SECTOR P 2019-12-04 2022-04-20
TECHNOLOGY SELECT SECTOR P 2019-12-04 2022-04-20
VILLAGE FARMS INTL P 2021-02-22 2021-07-08
PEABODY ENERGY CORPORATION P 2021-08-09 2021-09-02
PALANTIR TECHNOLOGIES INC P 2021-06-23 2021-11-12
FIRST WATCH RESTAURANT P 2021-10-20 2021-12-21
ISHARES US HOME P 2022-01-06 2022-01-24
BUCKLE INC P 2021-08-12 2022-02-15
DIREXION DAILY SMALL CAPBEAR P 2022-05-24 2022-06-14
LUMINAR TECHNOLOGIES INC P 2021-02-04 2021-08-13
COMMUNICATION SVC SLCT SEC SPDR P 2021-04-13 2021-11-03
SM ENERGY CO P 2021-08-12 2021-12-14
NUTRIEN LTD P 2021-11-03 2022-01-13
ALERIAN MLP ETF P 2021-11-03 2022-01-27
ENERGY SELECT SECTOR P 2022-02-22 2022-04-11
VANECK GOLD MINERS P 2019-09-18 2021-10-07
ISHARES SILVER TRUST P 2018-02-21 2021-10-04
BONANZA CREEK ENERGY P 2021-05-11 2021-07-15
LENNAR CORP P 2021-08-25 2021-09-30
HOME DEPOT INC P 2021-06-29 2021-11-15
CINTAS CORP P 2021-06-23 2021-12-22
ACADEMY SPORTS & OUTDOOR P 2021-03-09 2022-01-26
FORD MOTOR CO P 2021-12-29 2022-02-15
MICROSECTORS FANG+ INDEX P 2022-05-24 2022-06-14
DIGITAL TURBINE INC P 2020-12-03 2021-08-16
PAYPAL HOLDINGS INCORP P 2020-12-14 2021-11-03
CHILDREN'S PLACE INC P 2021-08-12 2021-12-17
WEST FRASER TIMBER P 2021-10-05 2022-01-13
BUCKLE INC P 2021-08-12 2022-01-27
DIGITAL TURBINE INC P 2021-11-15 2022-04-29
VERIZON COMMUNICATIONS P 2019-02-04 2021-10-07
VANECK GOLD MINERS P 2019-09-18 2021-10-07
SPDR S&P OIL & GAS EXPLORATION & PRO P 2021-03-18 2021-07-15
ETFMG PRIME JUNIOR SILVER MINERS P 2021-02-02 2021-10-04
TURQUOISE HILL RESOURCES P 2021-04-14 2021-11-17
CROWDSTRIKE HLDGS INC P 2021-06-30 2022-01-05
INNOVATIVE INDUSTRIAL PRREIT P 2021-09-13 2022-01-26
INNOVATIVE INDUSTRIAL PRREIT P 2021-09-13 2022-02-28
PROSHARES ULTRAPRO SHORT P 2022-05-24 2022-06-14
DIGITAL TURBINE INC P 2021-02-24 2021-08-16
SNAP INC P 2020-11-23 2021-11-03
PENN NTNL GAMING P 2021-06-29 2021-12-17
DENBURY RES INC P 2021-11-03 2022-01-19
FORD MOTOR CO P 2021-12-29 2022-01-27
DIREXION DAILY SMALL CAPBEAR P 2022-05-17 2022-05-20
SILVERCORP METALS P 2019-09-18 2021-12-15
VERIZON COMMUNICATIONS P 2019-02-04 2021-10-07
ON SEMICONDUCTOR CO P 2021-03-15 2021-07-19
SPROTT PHYS SILVER P 2021-02-22 2021-10-04
CAMECO CORP P 2021-10-05 2021-12-09
DUTCH BROS INC P 2021-10-07 2022-01-05
REAL ESTATE SELECT SCTR SPDR P 2022-01-06 2022-01-26
SPDR S&P SEMICONDUCTOR EFT P 2021-12-29 2022-02-28
SELECT SECTOR UTI P 2022-01-06 2022-06-28
SCHWAB US SMALL CAP P 2020-11-20 2021-08-16
SNAP INC P 2021-06-23 2021-11-03
PENN NTNL GAMING P 2021-09-01 2021-12-17
MATADOR RESOURCES CO P 2021-11-03 2022-01-19
TECHTARGET INC P 2021-06-23 2022-01-27
MICROSECTORS FANG+ INDEX P 2022-05-16 2022-05-20
CEDAR REALTY 7.25% P 2018-12-04 2022-01-27
SILVERCORP METALS P 2019-09-18 2021-12-15
CANADIAN NATURAL RES P 2021-03-18 2021-07-20
DUTCH BROS INC P 2021-10-07 2021-10-19
PEABODY ENERGY CORPORATION P 2021-09-28 2021-12-09
DUTCH BROS INC P 2021-11-18 2022-01-05
SPDR S&P SEMICONDUCTOR EFT P 2021-12-29 2022-01-26
ENERGY SELECT SECTOR P 2022-02-22 2022-03-02
SPDR FUND CONSUMER P 2022-03-09 2022-06-28
POLARIS INDUSTRIES P 2021-05-11 2021-08-18
ADVANCED MICRO DEVIC P 2021-08-23 2021-11-05
COTERRA ENERGY INC P 2021-11-17 2020-12-20
BANK OF MONTREAL P 2021-08-24 2022-01-21
WESTERN ALLIANCE BNC P 2021-10-05 2022-01-27
PROSHARES ULTRAPRO SHORT P 2022-05-16 2022-05-20
CEDAR REALTY 7.25% P 2020-04-29 2022-01-27
CEDAR REALTY 7.25% P 2018-12-04 2022-01-27
AVEPOINT INC P 2020-12-23 2021-08-03
SM ENERGY CO P 2021-08-12 2021-11-01
STEEL DYNAMICS INC P 2021-09-28 2021-12-09
RAMBUS INC P 2021-11-17 2022-01-10
TECHTARGET INC P 2021-06-23 2022-01-26
FIRST INTST BANCSYST P 2021-10-05 2022-03-02
3D SYSTEMS CORP P 2021-06-07 2021-07-06
BOOT BARN HOLDINGS P 2021-03-18 2021-08-19
CINTAS CORP P 2021-06-23 2021-11-05
PROGRESS SOFTWARE CO P 2021-11-18 2020-12-20
MAIN STREET CAPITAL P 2021-11-17 2022-01-21
VALVOLINE INC P 2021-11-18 2022-01-28
DIREXION DAILY SMALL CAPBEAR P 2022-05-24 2022-06-13
JPMORGAN CHASE & CO P 2011-01-12 2022-01-27
CEDAR REALTY 7.25% P 2020-04-29 2022-01-27
ADVANCED MICRO DEVIC P 2021-06-29 2021-08-04
BHP GROUP PLC P 2021-08-04 2021-11-03
SPDR S&P OIL & GAS EXPLORATION & PRO P 2021-11-03 2021-12-10
GRAYSCALE ETHEREUM COM P 2021-11-16 2022-01-13
WESTERN ALLIANCE BNC P 2021-10-05 2022-01-26
VALVOLINE INC P 2021-11-18 2022-03-16
VILLAGE FARMS INTL P 2021-01-21 2021-07-08
PERSHING SQUARE TONTINE CLASS P 2021-01-14 2021-09-01
ADVANCED MICRO DEVIC P 2021-08-23 2021-11-08
SPDR S&P REGIONAL BANKING ETF P 2021-11-03 2020-12-20
ISHARES US HOME P 2021-12-29 2022-01-24
ACADEMY SPORTS & OUTDOOR P 2021-03-09 2022-02-10
MICROSECTORS FANG+ INDEX P 2022-05-24 2022-06-13
MP MATERIALS CORP P 2021-01-21 2022-01-27
JPMORGAN CHASE & CO P 2011-01-12 2022-01-27
JINKOSOLAR HOLDINGS COM P 2021-02-08 2021-08-12
BOEING CO P 2021-08-12 2021-11-03
D C P MIDSTREAM PARTN LP P 2021-01-21 2021-12-13
NUTRIEN LTD P 2021-11-01 2022-01-13
ALERIAN MLP ETF P 2021-11-03 2022-01-27
ENERGY SELECT SECTOR P 2022-02-22 2022-04-11
VILLAGE FARMS INTL P 2021-02-22 2021-07-08
PEABODY ENERGY CORPORATION P 2021-08-09 2021-09-02
PALANTIR TECHNOLOGIES INC P 2021-06-23 2021-11-12
FIRST WATCH RESTAURANT P 2021-10-20 2021-12-21
ISHARES US HOME P 2022-01-06 2022-01-24
BUCKLE INC P 2021-08-12 2022-02-15
PROSHARES ULTRAPRO SHORT P 2022-05-24 2022-06-13
NUSTAR ENERGY P 2018-12-04 2022-02-03
MP MATERIALS CORP P 2021-01-21 2022-01-27
LUMINAR TECHNOLOGIES INC P 2021-02-04 2021-08-13
COMMUNICATION SVC SLCT SEC SPDR P 2021-04-13 2021-11-03
SM ENERGY CO P 2021-08-12 2021-12-14
NUTRIEN LTD P 2021-11-03 2022-01-13
ALERIAN MLP ETF P 2021-11-03 2022-01-27
DIGITAL TURBINE INC P 2021-11-15 2022-04-29
BONANZA CREEK ENERGY P 2021-05-11 2021-07-15
LENNAR CORP P 2021-08-25 2021-09-30
HOME DEPOT INC P 2021-06-29 2021-11-15
CINTAS CORP P 2021-06-23 2021-12-22
ACADEMY SPORTS & OUTDOOR P 2021-03-09 2022-01-26
FORD MOTOR CO P 2021-12-29 2022-02-15
DIREXION DAILY SMALL CAPBEAR P 2022-05-24 2022-06-14
MP MATERIALS CORP P 2021-01-21 2022-02-09
MP MATERIALS CORP P 2021-01-21 2022-02-09
DIGITAL TURBINE INC P 2020-12-03 2021-08-16
PAYPAL HOLDINGS INCORP P 2020-12-14 2021-11-03
CHILDREN'S PLACE INC P 2021-08-12 2021-12-17
WEST FRASER TIMBER P 2021-10-05 2022-01-13
BUCKLE INC P 2021-08-12 2022-01-27
DIREXION DAILY SMALL CAPBEAR P 2022-05-17 2022-05-20
SPDR S&P OIL & GAS EXPLORATION & PRO P 2021-03-18 2021-07-15
ETFMG PRIME JUNIOR SILVER MINERS P 2021-02-02 2021-10-04
TURQUOISE HILL RESOURCES P 2021-04-14 2021-11-17
CROWDSTRIKE HLDGS INC P 2021-06-30 2022-01-05
INNOVATIVE INDUSTRIAL PRREIT P 2021-09-13 2022-01-26
TECHTARGET INC P 2021-06-23 2022-02-16
MICROSECTORS FANG+ INDEX P 2022-05-24 2022-06-14
AGNICO EAGLE MINES P 2019-09-18 2022-02-10
AGNICO EAGLE MINES P 2019-09-18 2022-02-10
DIGITAL TURBINE INC P 2021-02-24 2021-08-16
SNAP INC P 2020-11-23 2021-11-03
PENN NTNL GAMING P 2021-06-29 2021-12-17
DENBURY RES INC P 2021-11-03 2022-01-19
FORD MOTOR CO P 2021-12-29 2022-01-27
MICROSECTORS FANG+ INDEX P 2022-05-16 2022-05-20
ON SEMICONDUCTOR CO P 2021-03-15 2021-07-19
SPROTT PHYS SILVER P 2021-02-22 2021-10-04
CAMECO CORP P 2021-10-05 2021-12-09
DUTCH BROS INC P 2021-10-07 2022-01-05
REAL ESTATE SELECT SCTR SPDR P 2022-01-06 2022-01-26
INNOVATIVE INDUSTRIAL PRREIT P 2021-09-13 2022-02-28
PROSHARES ULTRAPRO SHORT P 2022-05-24 2022-06-14
AMAZON.COM INC P 2019-02-27 2022-02-17
AMAZON.COM INC P 2019-02-27 2022-02-17
SCHWAB US SMALL CAP P 2020-11-20 2021-08-16
SNAP INC P 2021-06-23 2021-11-03
PENN NTNL GAMING P 2021-09-01 2021-12-17
MATADOR RESOURCES CO P 2021-11-03 2022-01-19
TECHTARGET INC P 2021-06-23 2022-01-27
PROSHARES ULTRAPRO SHORT P 2022-05-16 2022-05-20
CANADIAN NATURAL RES P 2021-03-18 2021-07-20
DUTCH BROS INC P 2021-10-07 2021-10-19
PEABODY ENERGY CORPORATION P 2021-09-28 2021-12-09
DUTCH BROS INC P 2021-11-18 2022-01-05
SPDR S&P SEMICONDUCTOR EFT P 2021-12-29 2022-01-26
SPDR S&P SEMICONDUCTOR EFT P 2021-12-29 2022-02-28
SELECT SECTOR UTI P 2022-01-06 2022-06-28
MICROSOFT CORP P 2016-02-05 2022-03-10
MICROSOFT CORP P 2016-02-05 2022-03-10
POLARIS INDUSTRIES P 2021-05-11 2021-08-18
ADVANCED MICRO DEVIC P 2021-08-23 2021-11-05
COTERRA ENERGY INC P 2021-11-17 2020-12-20
BANK OF MONTREAL P 2021-08-24 2022-01-21
WESTERN ALLIANCE BNC P 2021-10-05 2022-01-27
DIREXION DAILY SMALL CAPBEAR P 2022-05-24 2022-06-13
AVEPOINT INC P 2020-12-23 2021-08-03
SM ENERGY CO P 2021-08-12 2021-11-01
STEEL DYNAMICS INC P 2021-09-28 2021-12-09
RAMBUS INC P 2021-11-17 2022-01-10
TECHTARGET INC P 2021-06-23 2022-01-26
ENERGY SELECT SECTOR P 2022-02-22 2022-03-02
SPDR FUND CONSUMER P 2022-03-09 2022-06-28
MICROSOFT CORP P 2020-04-30 2022-03-10
MICROSOFT CORP P 2020-04-30 2022-03-10
(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 16,407   14,380 2,027
b 18,062   14,647 3,415
c 11,115   9,399 1,716
d 17,521   20,213 -2,692
e 13,701   14,983 -1,282
6,408   7,308 -900
2,055   2,360 -305
33,516   25,073 8,443
19,272   24,738 -5,466
11,630   12,709 -1,079
11,337   17,214 -5,877
7,980   7,973 7
11,386   12,207 -821
13,599   10,266 3,333
20,080   11,938 8,142
17,606   10,467 7,139
5,576   7,280 -1,704
9,470   14,224 -4,754
12,835   9,199 3,636
21,628   24,638 -3,010
23,696   28,868 -5,172
9,623   6,547 3,076
2,762   2,612 150
7,118   8,638 -1,520
14,618   16,435 -1,817
19,191   16,589 2,602
8,244   8,199 45
8,556   8,251 305
7,070   8,477 -1,407
1,033   761 272
20,523   11,852 8,671
17,976   10,381 7,595
5,585   9,572 -3,987
13,671   9,434 4,237
16,353   19,106 -2,753
6,986   9,978 -2,992
7,921   9,258 -1,337
8,018   9,681 -1,663
6,652   6,542 110
6,729   12,708 -5,979
17,798   17,034 764
9,759   6,335 3,424
8,818   8,414 404
8,566   8,286 280
10,750   9,316 1,434
17,717   16,058 1,659
10,461   7,898 2,563
9,990   9,700 290
16,276   18,738 -2,462
22,313   19,018 3,295
10,555   9,399 1,156
9,309   6,573 2,736
8,213   9,448 -1,235
5,567   6,988 -1,421
6,675   5,329 1,346
16,322   15,944 378
8,812   12,634 -3,822
18,740   15,985 2,755
4,166   8,677 -4,511
6,638   13,376 -6,738
17,768   17,713 55
15,377   13,938 1,439
20,081   19,709 372
10,970   14,558 -3,588
10,084   14,612 -4,528
13,923   19,245 -5,322
7,515   9,353 -1,838
7,538   9,353 -1,815
6,303   6,136 167
9,185   13,533 -4,348
8,893   7,741 1,152
9,592   16,720 -7,128
6,954   8,618 -1,664
6,677   8,443 -1,766
3,614   3,204 410
9,650   12,226 -2,576
15,601   15,553 48
17,449   19,630 -2,181
11,747   15,086 -3,339
14,572   13,857 715
3,886   3,457 429
17,095   18,500 -1,405
11,794   14,194 -2,400
18,349   18,396 -47
19,167   15,437 3,730
6,683   8,280 -1,597
3,898   7,355 -3,457
8,535   8,533 2
7,707   8,189 -482
3,887   3,577 310
15,856   15,047 809
8,467   10,728 -2,261
15,218   14,700 518
14,630   10,154 4,476
9,767   14,650 -4,883
13,114   15,131 -2,017
11,350   14,194 -2,844
11,717   10,858 859
21,617   21,949 -332
15,087   16,831 -1,744
10,225   8,117 2,108
11,888   12,828 -940
22,626   24,387 -1,761
7,861   7,864 -3
3,948   3,537 411
11,398   7,218 4,180
13,931   13,220 711
7,961   11,531 -3,570
14,108   7,300 6,808
13,963   14,333 -370
22,119   20,550 1,569
9,734   9,625 109
12,956   13,890 -934
14,285   12,521 1,764
15,784   12,800 2,984
9,781   8,271 1,510
15,018   17,326 -2,308
11,804   12,909 -1,105
7,466   8,514 -1,048
1,949   1,902 47
11,841   3,621 8,220
10,030   6,351 3,679
38,562   28,848 9,714
22,201   28,498 -6,297
13,419   14,664 -1,245
13,057   19,824 -6,767
9,183   9,174 9
6,095   7,308 -1,213
4,869   6,357 -1,488
8,269   12,420 -4,151
11,325   8,117 3,208
18,727   21,333 -2,606
20,311   24,744 -4,433
8,453   5,751 2,702
1,739   1,997 -258
5,383   4,887 496
10,361   3,168 7,193
8,135   9,872 -1,737
16,948   19,055 -2,107
21,985   19,004 2,981
9,678   9,625 53
9,850   9,499 351
12,451   10,791 1,660
4,879   8,361 -3,482
11,869   8,191 3,678
14,225   16,619 -2,394
6,065   8,662 -2,597
6,770   7,913 -1,143
6,992   8,443 -1,451
2,377   2,248 129
23,485   20,959 2,526
4,700   4,268 432
7,727   14,593 -6,866
20,363   19,489 874
11,215   7,281 3,934
10,180   9,714 466
9,856   9,534 322
7,657   15,429 -7,772
8,756   8,502 254
14,112   16,247 -2,135
19,710   16,799 2,911
9,288   8,271 1,017
8,145   5,751 2,394
7,101   8,169 -1,068
5,709   5,614 95
5,582   4,853 729
4,869   4,233 636
6,675   5,326 1,349
18,816   18,380 436
10,133   14,529 -4,396
21,404   18,257 3,147
7,693   9,727 -2,034
4,163   3,690 473
17,560   17,235 325
9,557   12,684 -3,127
8,820   12,781 -3,961
12,091   16,713 -4,622
6,599   8,213 -1,614
8,651   8,393 258
4,772   5,990 -1,218
2   3 -1
7   9 -2
10,467   15,421 -4,954
10,209   8,886 1,323
11,038   19,239 -8,201
8,040   9,965 -1,925
8,911   9,468 -557
4,479   4,121 358
15,298   17,210 -1,912
10,277   13,198 -2,921
12,721   12,097 624
3,643   3,241 402
14,758   15,971 -1,213
6,619   8,213 -1,594
5,429   5,285 144
12,364   6,561 5,803
12,364   6,562 5,802
22,077   17,780 4,297
7,683   9,519 -1,836
4,468   8,430 -3,962
9,822   9,819 3
9,888   9,625 263
4,616   4,136 480
13,312   12,859 453
12,451   8,642 3,809
8,452   12,678 -4,226
11,171   12,890 -1,719
9,980   12,481 -2,501
10,167   12,236 -2,069
15,837   15,878 -41
36,796   6,695 30,101
25,474   4,634 20,840
17,242   19,236 -1,994
11,725   9,308 2,417
13,694   14,778 -1,084
26,037   28,064 -2,027
9,062   9,065 -3
2,234   2,181 53
5,307   7,700 -2,393
12,244   6,335 5,909
12,142   12,464 -322
19,188   17,827 1,361
8,488   8,393 95
10,054   9,316 738
18,653   18,940 -287
11,322   7,142 4,180
9,907   6,249 3,658
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       2,027
b       3,415
c       1,716
d       -2,692
e       -1,282
      -900
      -305
      8,443
      -5,466
      -1,079
      -5,877
      7
      -821
      3,333
      8,142
      7,139
      -1,704
      -4,754
      3,636
      -3,010
      -5,172
      3,076
      150
      -1,520
      -1,817
      2,602
      45
      305
      -1,407
      272
      8,671
      7,595
      -3,987
      4,237
      -2,753
      -2,992
      -1,337
      -1,663
      110
      -5,979
      764
      3,424
      404
      280
      1,434
      1,659
      2,563
      290
      -2,462
      3,295
      1,156
      2,736
      -1,235
      -1,421
      1,346
      378
      -3,822
      2,755
      -4,511
      -6,738
      55
      1,439
      372
      -3,588
      -4,528
      -5,322
      -1,838
      -1,815
      167
      -4,348
      1,152
      -7,128
      -1,664
      -1,766
      410
      -2,576
      48
      -2,181
      -3,339
      715
      429
      -1,405
      -2,400
      -47
      3,730
      -1,597
      -3,457
      2
      -482
      310
      809
      -2,261
      518
      4,476
      -4,883
      -2,017
      -2,844
      859
      -332
      -1,744
      2,108
      -940
      -1,761
      -3
      411
      4,180
      711
      -3,570
      6,808
      -370
      1,569
      109
      -934
      1,764
      2,984
      1,510
      -2,308
      -1,105
      -1,048
      47
      8,220
      3,679
      9,714
      -6,297
      -1,245
      -6,767
      9
      -1,213
      -1,488
      -4,151
      3,208
      -2,606
      -4,433
      2,702
      -258
      496
      7,193
      -1,737
      -2,107
      2,981
      53
      351
      1,660
      -3,482
      3,678
      -2,394
      -2,597
      -1,143
      -1,451
      129
      2,526
      432
      -6,866
      874
      3,934
      466
      322
      -7,772
      254
      -2,135
      2,911
      1,017
      2,394
      -1,068
      95
      729
      636
      1,349
      436
      -4,396
      3,147
      -2,034
      473
      325
      -3,127
      -3,961
      -4,622
      -1,614
      258
      -1,218
      -1
      -2
      -4,954
      1,323
      -8,201
      -1,925
      -557
      358
      -1,912
      -2,921
      624
      402
      -1,213
      -1,594
      144
      5,803
      5,802
      4,297
      -1,836
      -3,962
      3
      263
      480
      453
      3,809
      -4,226
      -1,719
      -2,501
      -2,069
      -41
      30,101
      20,840
      -1,994
      2,417
      -1,084
      -2,027
      -3
      53
      -2,393
      5,909
      -322
      1,361
      95
      738
      -287
      4,180
      3,658
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 2,628
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 -133,443
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........................... 3 410
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- ..... 5 410
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c 410
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 410
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   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)
    bulletWY
    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 ofbulletMARTY COE Telephone no.bullet (307) 587-9030

    Located atbullet721 SHERIDAN AVENUECODYWY ZIP+4bullet82414
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
    Yes
     
    (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
     
    No
    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
    HENRY HR COE TRUSTEE
    0.50     		0 0 0
    PO BOX 1088
    CODY,WY82414
    EDWARD WEBSTER VICE PRESIDE
    0.50     		0 0 0
    1226 11TH STREET
    CODY,WY82414
    ANNE HAYES TRUSTEE
    0.50     		0 0 0
    620 17TH STREET
    CODY,WY82414
    MATTHEW HALL TRUSTEE
    0.50     		0 0 0
    1332 BLEISTEIN
    CODY,WY82414
    HENRY HR COE III PRESIDENT
    1.00     		0 0 0
    1050 PARK AVE
    CODY,WY82414
    DR KATHLEEN DIVENCENZO TRUSTEE
    0.50     		0 0 0
    4201 PAT OHARA MOUNTAIN DR
    CODY,WY82414
    STEVE SIMONTON TRUSTEE
    0.50     		0 0 0
    1222 11TH
    CODY,WY82414
    JOE TILDEN TRUSTEE
    0.50     		0 0 0
    PO BOX 1658
    CODY,WY82414
    MARTY COE EXECUTIVE SE
    15.00     		45,000 0 0
    155 BELFRY HWY
    CODY,WY82414
    KEVEN BUSS TRUSTEE
    0.50     		0 0 0
    1502 ALGER
    CODY,WY82414
    FRED BRONNENBERG TRUSTEE
    0.50     		0 0 0
    32 ROAD 3CXS
    CODY,WY82414
    PETER KUYPER TRUSTEE
    0.50     		0 0 0
    PO BOX 430
    CODY,WY82414
    PEGGY ROHRBACH TRUSTEE
    0.50     		0 0 0
    333 SKYLINE DR
    CODY,WY82414
    ROB COE TRUSTEE
    0.50     		0 0 0
    183 N FORK HWY
    CODY,WY82414
    ANGIE JOHNSON TRUSTEE
    0.50     		0 0 0
    PO BOX 38
    MEETEETSE,WY82433
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 SECOND INSTALLMENT IN DONATION TOWARDS THE PURCHASE OF A TMS MACHINE 10,000
    2 SCHOLARSHIP TO HIGH SCHOOL GRADUATE 3,000
    3 SCHOLARSHIP TO HIGH SCHOOL GRADUATE 3,000
    4 SCHOLARSHIP TO HIGH SCHOOL GRADUATE 3,000
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,321,986
    b
    Average of monthly cash balances.......................
    1b
    434,082
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,756,068
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,756,068
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    26,341
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,729,727
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    86,486
    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
    86,486
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    410
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    410
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    86,076
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    86,076
    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
    86,076
    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 86,076
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 8,488
    b From 2017......  
    c From 2018......  
    d From 2019...... 13,814
    e From 2020...... 24,124
    f Total of lines 3a through e ........ 46,426
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 54,074
    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..... 54,074
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2021. 32,002 32,002
    (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 14,424
    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 ......     		14,424
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020.... 14,424
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    MARTY COE-EXECUTIVE DIRECTOR
    721 SHERIDAN AVENUE
    CODY,WY82414
    (307) 587-9030
    bThe form in which applications should be submitted and information and materials they should include:
    NO FORMAL APPLICATION- LETTER ADDRESSED TO FOUNDATION BOARD
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    PARK COUNTY WYOMING-RELATED TO THE MEDICAL FIELD
    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
    WEST PARK HOSPITAL
    707 SHERIDAN AVE
    CODY,WY82414     		RELATED ORG.   SECOND INSTALLMENT FOR TMS MACHINE 10,000
    CALEB PRYOR
    CODY
    CODY,WY82414     		NO RELATIONSHIP   SCHOLARSHIP 3,000
    KINLEY BOLLINGER
    CODY
    CODY,WY82414     		NO RELATIONSHIP   SCHOLARSHIP 3,000
    KENNEDY JOHNSON
    CODY
    CODY,WY82414     		NO RELATIONSHIP   SCHOLARSHIP 3,000
    TEAGAN THOMPSON
    CODY
    CODY,WY82414     		NO RELATIONSHIP   SCHOLARSHIP 1,000
    ERIC ANDERSON
    CODY
    CODY,WY82414     		NO RELATIONSHIP   SCHOLARSHIP 1,000
    LESLIE COUTURE
    CODY
    CODY,WY82414     		NO RELATIONSHIP   SCHOLARSHIP 1,000
    TAYLOR THOMPSON
    CODY
    CODY,WY82414     		NO RELATIONSHIP   SCHOLARSHIP 1,000
    SADEY WHITLOCK
    CODY
    CODY,WY82414     		NO RELATIONSHIP   SCHOLARSHIP 1,000
    Total .................................bullet 3a 24,000
    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 32  
    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 ............     		        6,436
    9 Net income or (loss) from special events:     1    
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aMISCELLANEOUS     		        50
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   46,626 6,486
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    53,112
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,207 2,207 2,207  

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

    TY 2021 DepreciationSchedule
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    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
    COMPUTER 2007-01-09 2,280 2,280 S/L 3.0000        
    COMPUTER - YCS 2012-01-19 1,029 1,029 S/L 5.0000        

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

    TY 2021 GainLossSaleOtherAssetsSch
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    COMPUTER 2007-01 PURCHASE 2021-07     2,280       2,280

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ORACLE CORP 42,745 39,854

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3D SYSTEMS CORP    
    ACADEMY SPORTS & OUTDOOR    
    AT&T 31,941 34,165
    AGNICO EAGLE MINES 47,828 40,223
    ALERIAN MLP ETF 46,043 39,962
    AMAZON 11,482 14,869
    AMERICAN ELECTRIC POWER 13,821 21,107
    APEX TECHNOLOGY ACQUISTION    
    APPLE INC 13,731 60,157
    BONANZA CREEK ENERGY    
    BOOT BANK HOLDINGS    
    CANADIAN NATURAL RES    
    CEDAR REALTY    
    CINTAS CORP    
    COMMUNICATION SVS SLCT SEC    
    COSTCO WHOLESALE 2,622 43,135
    DCP MAINSTREAM PARTN LP    
    DIGITAL TURBINE INC    
    EFTMG PRIME JUNIOR    
    FRANCO NEVADA CORP 48,854 41,579
    INVESCO DB US DOLLAR 74,775 75,800
    INVESCO DYNAMIC ENERGY 36,909 33,923
    ISHARES SILVER TRUST    
    ISHARES US HEALTHCARE 8,667 28,097
    ISHARES 1-3 YEAR TREASRY 74,862 74,511
    ISHARES 20 PLS YEAR 115,807 94,768
    JINKOSOLAR HOLDING COM    
    JPMORGAN CHASE & CO COM    
    JPMORGAN EQUITY PREMIUM 44,523 38,815
    KIRKLAND LAKE GOLD    
    LUMINAR TECHNOLOGIES INC    
    MICRON TECHNOLOGY 34,777 20,177
    MICROSECTORS FANG+ INDEX 18,478 16,172
    MICROSOFT CORP    
    MP MATERIALS CORP    
    NORTHROP GRUMMAN CORP COM 4,248 33,500
    NUSTAR ENERG 7.625% PFD    
    ON SEMICONDUCTOR CO    
    PALANITR TECHNOLOGIES    
    PAYPAL HOLDINGS INC    
    PERSHING SQUARE TONTINE    
    POLARIS INDUSTRIES    
    PROSHARES ULTRAPRO SHORT 14,382 16,416
    QUADRATIC DEFLATION ETF 83,646 73,771
    SCHWAB US SMALL CAP ETF    
    SELECT SECTOR HEALTH 8,447 12,824
    SILVERCORP METALS    
    SMITH & WESSON BRANDS 33,877 20,233
    SNAP INC    
    SPDR GOLD SHARE ETF 65,674 64,015
    SPDR S&P OIL & GAS    
    SPROTT PHYS SILVER TR F    
    TECHNOLOGY SELECT SECTOR    
    TECHTARGET INC    
    TURQUOISE HILL RESOURCE    
    VANECK GOLD MINERS ETF 73,023 63,412
    VANECK VECTORS GOLD    
    VERIZON    
    VILLAGE FARMS INTL    

    TY 2021 LandEtcSchedule2
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    COMPUTER 1,029 1,029    


    TY 2021 OtherExpensesSchedule
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ANNUAL DINNER & CONCERT        
    GIFTS        
    MISCELLANEOUS        
    BECK LAKE CHALLENGE        
    FEES        
    EXPENSES        
    ADVERTISING 859      
    BOARD EXPENSE 1,629      
    FUNDRAISING EXPENSE 2,890     2,890
    INSURANCE 2,593      
    OFFICE 1,238     1,238
    TELEPHONE 827     827
    BANK CHARGES 28      
    VITAL SIGNS BALL 313     313


    TY 2021 OtherIncomeSchedule2
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    NET ROYALTIES 3,185 3,185 3,185
    MISCELLANEOUS 50   50


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 12,053 12,053 12,053  


    TY 2021 TaxesSchedule
    Name:
    CODY MEDICAL FOUNDATION
    EIN:
    83-6006491
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAXES 157 157 157