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
GEORGE W HASLET TESTAMENTARY TRUST XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)5 COMMERCE PARK NORTH-WEALTH
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BEDFORD, NH03110
A Employer identification number

02-6004817
B Telephone number (see instructions)

(877) 773-1229
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$669,995J 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      
4 Dividends and interest from securities... 12,999 12,999  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 85,715
b Gross sales price for all assets on line 6a 291,374
7 Capital gain net income (from Part IV, line 2)... 85,715
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........ 98,714 98,714  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 12,562 12,562    
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)....... Click to see attachment 850 850 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,036 107   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 160 160    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 15,608 13,679 0 0
25 Contributions, gifts, grants paid....... 36,817 36,817
26 Total expenses and disbursements. Add lines 24 and 25 52,425 13,679 0 36,817
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 46,289
b Net investment income (if negative, enter -0-) 85,035
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.............      
2 Savings and temporary cash investments......... 31,200 27,376 27,376
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)....... 274,751 Click to see attachment336,124 357,180
c Investments—corporate bonds (attach schedule)....... 325,726 Click to see attachment313,781 285,439
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
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) 631,677 677,281 669,995
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........ 631,677 677,281
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)..... 631,677 677,281
30 Total liabilities and net assets/fund balances (see instructions). 631,677 677,281
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
631,677
2
Enter amount from Part I, line 27a .....................
2
46,289
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
677,966
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
685
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
677,281
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 5. JONES LANG LASALLE INC COM   2019-07-30 2021-08-05
b 30. MORGAN STANLEY GROUP INC. DEAN   2017-05-19 2021-08-05
c 6. JONES LANG LASALLE INC COM   2019-07-24 2021-08-17
d 1. LAM RESEARCH CORPORATION   2020-05-13 2021-08-20
e 40. DOLLAR TREE INC COM   2020-03-19 2021-08-30
1. TEXAS PACIFIC LAND CORP   2020-03-19 2021-09-01
1. TEXAS PACIFIC LAND CORP   2020-03-19 2021-09-08
3. BROADCOM INC   2018-02-09 2021-09-10
5. ADOBE SYSTEMS INC   2021-03-31 2021-09-14
5. ARISTA NETWORKS INC   2019-09-12 2021-09-22
6. FACEBOOK INC-A   2019-10-28 2021-09-24
28. LAMB WESTON HOLDINGS INC   2020-09-16 2021-09-24
11. MICROSOFT CORPORATION   2010-11-18 2021-09-24
44.566 NEUBERGER BERMAN EQUITY SER GENESIS INSTL   2020-01-16 2021-09-24
58. SCHLUMBERGER LTD   2021-06-21 2021-09-24
5. DANAHER CORP   2011-04-25 2021-09-29
9. BANK AMER CORP COM   2017-01-13 2021-10-08
10. DANAHER CORP   2012-01-24 2021-10-08
10. SIGNATURE BANK   2020-12-21 2021-10-20
3. BROADCOM INC   2018-02-09 2021-10-22
7. NORFOLK SOUTHERN CORP COMMON   2017-08-08 2021-10-22
19. BANK AMER CORP COM   2017-01-13 2021-10-29
3. JONES LANG LASALLE INC COM   2020-09-17 2021-10-29
11. NORFOLK SOUTHERN CORP COMMON   2017-08-08 2021-10-29
3. UNITEDHEALTH GROUP INC COM   2013-11-29 2021-10-29
4. JONES LANG LASALLE INC COM   2020-09-17 2021-11-02
3. ARISTA NETWORKS INC   2019-06-25 2021-11-03
4. JONES LANG LASALLE INC COM   2020-09-17 2021-11-03
6. BROADCOM INC   2020-03-20 2021-11-04
1. UNITEDHEALTH GROUP INC COM   2013-11-29 2021-11-04
3. AMETEK AEROSPACE PRODUCTS INC   2018-05-21 2021-11-08
35. BANK AMER CORP COM   2017-01-13 2021-11-08
8. THERMO ELECTRON CORPORATION   2020-04-07 2021-11-08
4. UNITED RENTALS INC   2021-04-07 2021-11-08
6. UNITEDHEALTH GROUP INC COM   2013-11-29 2021-11-08
16. BANK AMER CORP COM   2017-01-13 2021-11-12
7. METLIFE INC   2017-04-11 2021-11-12
1. UNITEDHEALTH GROUP INC COM   2013-11-29 2021-11-12
8. WESTERN ALLIANCE BANCORP   2021-08-05 2021-11-12
1. WESTERN ALLIANCE BANCORP   2019-07-31 2021-11-12
36. METLIFE INC   2018-08-01 2021-11-17
19. TJX COMPANIES INC.   2013-02-04 2021-11-17
16. BANK AMER CORP COM   2017-01-13 2021-11-23
4. MICROSOFT CORPORATION   2010-11-18 2021-11-23
23. AMETEK AEROSPACE PRODUCTS INC   2018-05-21 2021-11-24
10. ARISTA NETWORKS INC   2019-06-25 2021-11-29
28. BANK AMER CORP COM   2020-03-20 2021-11-29
10. ARISTA NETWORKS INC   2019-06-25 2021-11-30
4. LINDE PLC   2019-04-18 2021-11-30
2. UNITEDHEALTH GROUP INC COM   2013-11-29 2021-12-03
31. RYMAN HOSPITALITY PROPERTIES   2021-03-08 2021-12-08
42. TJX COMPANIES INC.   2013-02-04 2021-12-09
3. UNITEDHEALTH GROUP INC COM   2013-11-29 2021-12-09
8. SYNEOS HEALTH INC   2021-05-12 2021-12-15
8. LINDE PLC   2018-10-30 2021-12-21
33. RAYTHEON TECHNOLOGIES   2021-05-26 2021-12-22
1. ALPHABET INC CL-C   2015-07-21 2021-12-27
1. AMAZON.COM INC   2021-11-08 2021-12-27
7. FACEBOOK INC-A   2021-10-29 2021-12-27
8. MICROSOFT CORPORATION   2010-11-18 2021-12-27
20.924 NEUBERGER BERMAN EQUITY SER GENESIS INSTL   2021-12-21 2021-12-27
2. PIONEER NAT RES CO   2021-03-08 2021-12-27
8. MICROSOFT CORPORATION   2010-11-18 2021-12-30
7. NORTHRUP GRUMMAN CORPORATION   2020-12-04 2021-12-30
29. SYNEOS HEALTH INC   2021-05-12 2022-01-05
38. NEXTERA ENERGY PARTNERS LP   2020-12-04 2022-01-07
2. NORTHRUP GRUMMAN CORPORATION   2021-02-03 2022-01-07
1. NORTHRUP GRUMMAN CORPORATION   2020-12-04 2022-01-07
12. VISA INC. - CL A   2013-11-29 2022-01-07
3. NORTHRUP GRUMMAN CORPORATION   2021-02-03 2022-01-10
12. MICRON TECHNOLOGY INC COM   2019-08-07 2022-01-11
22. MICRON TECHNOLOGY INC COM   2019-06-28 2022-01-12
11. ELECTRONIC ARTS COM   2020-03-19 2022-01-19
2. LAM RESEARCH CORPORATION   2020-05-13 2022-01-19
14. MICRON TECHNOLOGY INC COM   2019-06-28 2022-01-20
6. MIDDLEBY CORP   2021-10-20 2022-01-20
1. MIDDLEBY CORP   2019-07-18 2022-01-20
5. ELECTRONIC ARTS COM   2020-03-19 2022-01-21
14. MICRON TECHNOLOGY INC COM   2019-06-28 2022-01-21
4. NEXSTAR MEDIA GROUP INC - CL A   2020-03-19 2022-01-21
21. CAPITAL ONE FINANCIAL CORP   2021-04-06 2022-01-26
22. EQUITABLE HOLDINGS INC   2018-07-06 2022-01-28
7. UNITED RENTALS INC   2021-03-05 2022-01-31
45. CITRIX SYS INC COM   2021-11-24 2022-02-01
11. CITRIX SYS INC COM   2021-01-21 2022-02-01
13. WAL MART STORES INC   2020-03-20 2022-02-02
88. EQUITABLE HOLDINGS INC   2019-02-06 2022-02-04
6. NEXSTAR MEDIA GROUP INC - CL A   2020-03-19 2022-02-04
16. NEXSTAR MEDIA GROUP INC - CL A   2020-03-19 2022-02-07
21. ELECTRONIC ARTS COM   2020-03-19 2022-02-09
66. AMERICAN INTL GROUP INC COM NEW   2019-02-06 2022-02-14
19. PIONEER NAT RES CO   2021-04-21 2022-02-23
12. PIONEER NAT RES CO   2021-09-08 2022-02-24
5. ZOOM VIDEO COMMUNICATIONS-A   2022-01-31 2022-02-25
6. ZIMMER HLDGS INC   2022-02-01 2022-02-28
28. CENTENE CORP   2021-12-09 2022-03-21
3. ASPEN TECHNOLOGY INC   2021-08-17 2022-03-25
25. ASPEN TECHNOLOGY INC   2020-08-20 2022-03-25
5. BERKSHIRE HATHAWAY INC DEL CL B NEW   2021-12-09 2022-03-29
10. FACEBOOK INC-A   2022-02-04 2022-03-29
4. SALESFORCE COM INC   2021-12-30 2022-03-29
50. SCHLUMBERGER LTD   2021-11-08 2022-03-29
186.807 VANGUARD SHORT-TERM FED-ADM #549   2020-12-22 2022-03-29
8. VERTEX PHARMACEUTICALS INC   2021-07-23 2022-03-29
27. T-MOBILE US INC   2020-09-29 2022-04-12
13. VERTEX PHARMACEUTICALS INC   2021-07-07 2022-04-27
28. ECHOSTAR CORP-A   2021-11-17 2022-04-29
50. RESTAURANT BRANDS INTERNATIONAL INC   2020-08-10 2022-05-06
11. MERCK & CO INC NEW COM   2021-12-22 2022-05-16
4. MERCK & CO INC NEW COM   2020-04-23 2022-05-16
5. MERCK & CO INC NEW COM   2021-12-22 2022-05-20
13. MERCK & CO INC NEW COM   2020-06-18 2022-05-20
10. MERCK & CO INC NEW COM   2020-06-18 2022-05-20
5. VMWARE INC CL A   2021-10-22 2022-05-23
38. VMWARE INC CL A   2021-12-30 2022-05-25
19. MERCK & CO INC NEW COM   2020-06-18 2022-05-27
76. SCHLUMBERGER LTD   2021-11-24 2022-06-01
51. LAS VEGAS SANDS CORP COM   2021-11-08 2022-06-02
40. LAS VEGAS SANDS CORP COM   2021-02-19 2022-06-02
7. SCHLUMBERGER LTD   2021-07-23 2022-06-08
5. HUMANA INC   2022-02-01 2022-06-16
5. UNITED THERAPEUTICS CORP   2021-08-09 2022-06-28
7. VERTEX PHARMACEUTICALS INC   2021-11-24 2022-06-28
5. VERTEX PHARMACEUTICALS INC   2021-06-15 2022-06-28
120.084 METROPOLITAN WEST FDS #512 TOTAL RET CL I   2020-06-19 2022-06-29
249.212 PIMCO INVESTMENT GRADE CORP BOND FUND CLASS I   2010-11-18 2022-06-29
309.653 VANGUARD INTERMEDIATE TERM TREASURY ADMIRAL   2020-12-22 2022-06-29
710.368 VANGUARD SHORT-TERM FED-ADM #549   2020-12-22 2022-06-29
64. INTEL CORP COM   2022-03-25 2022-07-15
129. NOV INC   2022-06-08 2022-07-15
254. SABRE CORP   2021-05-26 2022-07-15
108. SABRE CORP   2021-11-24 2022-07-15
21. ALPHABET INC CL-C   2022-06-29 2022-07-25
19. AMAZON.COM INC   2021-11-08 2022-07-25
5. BERKSHIRE HATHAWAY INC DEL CL B NEW   2022-05-25 2022-07-25
8. CENTENE CORP   2021-11-08 2022-07-25
10. CITIGROUP INC.   2022-01-07 2022-07-25
13. COMCAST CORP CL A   2021-11-23 2022-07-25
11. FACEBOOK INC-A   2022-02-04 2022-07-25
6. JACOBS ENGR GROUP INC DEL   2021-04-07 2022-07-25
12. MICROSOFT CORPORATION   2022-06-29 2022-07-25
17. OCCIDENTAL PETROLEUM CO   2022-01-26 2022-07-25
17.167 INVESCO INTL GROWTH-Y   2020-12-21 2022-07-26
205.828 FIDELITY SPARTAN HIGH INCOME   2020-01-16 2022-07-26
189.05 METROPOLITAN WEST FDS #512 TOTAL RET CL I   2020-12-22 2022-07-26
34.678 NEUBERGER BERMAN EQUITY SER GENESIS INSTL   2021-12-21 2022-07-26
402.323 PIMCO INVESTMENT GRADE CORP BOND FUND CLASS I   2010-11-18 2022-07-26
138.132 VANGUARD INTERMEDIATE TERM TREASURY ADMIRAL   2020-12-22 2022-07-26
137.488 VANGUARD SHORT-TERM FED-ADM #549   2020-06-19 2022-07-26
4. CENTENE CORP   2021-11-08 2022-07-27
20. WAL MART STORES INC   2020-04-02 2022-07-27
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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 1,238   720 518
b 2,928   1,256 1,672
c 1,426   863 563
d 565   251 314
e 3,649   2,686 963
1,333   330 1,003
1,228   330 898
1,516   700 816
3,245   2,401 844
1,765   1,244 521
2,083   1,117 966
1,695   1,781 -86
3,271   285 2,986
3,535   2,494 1,041
1,692   1,890 -198
1,532   201 1,331
399   207 192
3,007   399 2,608
3,086   1,331 1,755
1,549   700 849
2,004   822 1,182
911   437 474
782   318 464
3,247   948 2,299
1,368   224 1,144
1,035   424 611
1,535   739 796
1,059   424 635
3,284   1,199 2,085
453   75 378
419   229 190
1,667   805 862
4,942   2,311 2,631
1,582   1,257 325
2,762   448 2,314
752   368 384
446   330 116
458   75 383
940   766 174
117   50 67
2,289   1,673 616
1,423   432 991
756   368 388
1,342   104 1,238
3,285   1,739 1,546
1,256   616 640
1,267   589 678
1,240   616 624
1,266   690 576
894   149 745
2,558   2,311 247
3,113   955 2,158
1,420   224 1,196
783   683 100
2,650   1,319 1,331
2,774   2,848 -74
2,958   670 2,288
3,401   3,515 -114
2,430   2,280 150
2,725   207 2,518
1,563   1,513 50
369   328 41
2,730   200 2,530
2,701   2,241 460
2,782   2,477 305
2,954   2,272 682
800   601 199
400   307 93
2,615   613 2,002
1,200   902 298
1,125   509 616
2,077   857 1,220
1,498   1,045 453
1,335   502 833
1,249   545 704
1,147   1,052 95
191   138 53
696   456 240
1,177   545 632
622   240 382
3,063   2,788 275
693   467 226
2,237   2,068 169
4,595   5,042 -447
1,123   1,407 -284
1,826   1,499 327
2,953   1,735 1,218
1,002   359 643
2,710   958 1,752
2,802   1,845 957
3,881   3,130 751
4,282   2,970 1,312
2,711   1,755 956
623   747 -124
758   741 17
2,441   2,084 357
471   380 91
3,922   2,485 1,437
1,786   1,429 357
2,261   2,685 -424
872   1,028 -156
2,081   1,663 418
1,954   2,064 -110
2,034   1,601 433
3,575   3,071 504
3,495   2,500 995
661   817 -156
2,636   1,896 740
1,013   839 174
368   310 58
467   382 85
1,214   938 276
928   722 206
579   661 -82
4,483   4,250 233
1,759   1,372 387
3,548   2,438 1,110
1,798   2,306 -508
1,410   2,322 -912
344   198 146
2,109   1,942 167
1,193   1,059 134
1,963   1,293 670
1,402   956 446
1,142   1,382 -240
2,213   2,875 -662
3,208   3,756 -548
7,331   7,816 -485
2,433   3,089 -656
1,816   2,652 -836
1,425   3,291 -1,866
606   967 -361
2,262   2,365 -103
2,292   3,340 -1,048
1,434   1,549 -115
735   593 142
525   660 -135
549   680 -131
1,825   2,534 -709
779   784 -5
3,095   3,245 -150
1,089   641 448
372   545 -173
1,554   1,851 -297
1,830   2,162 -332
2,123   2,508 -385
3,637   4,642 -1,005
1,449   1,674 -225
1,423   1,512 -89
370   296 74
2,501   2,282 219
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
      13,764
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       518
b       1,672
c       563
d       314
e       963
      1,003
      898
      816
      844
      521
      966
      -86
      2,986
      1,041
      -198
      1,331
      192
      2,608
      1,755
      849
      1,182
      474
      464
      2,299
      1,144
      611
      796
      635
      2,085
      378
      190
      862
      2,631
      325
      2,314
      384
      116
      383
      174
      67
      616
      991
      388
      1,238
      1,546
      640
      678
      624
      576
      745
      247
      2,158
      1,196
      100
      1,331
      -74
      2,288
      -114
      150
      2,518
      50
      41
      2,530
      460
      305
      682
      199
      93
      2,002
      298
      616
      1,220
      453
      833
      704
      95
      53
      240
      632
      382
      275
      226
      169
      -447
      -284
      327
      1,218
      643
      1,752
      957
      751
      1,312
      956
      -124
      17
      357
      91
      1,437
      357
      -424
      -156
      418
      -110
      433
      504
      995
      -156
      740
      174
      58
      85
      276
      206
      -82
      233
      387
      1,110
      -508
      -912
      146
      167
      134
      670
      446
      -240
      -662
      -548
      -485
      -656
      -836
      -1,866
      -361
      -103
      -1,048
      -115
      142
      -135
      -131
      -709
      -5
      -150
      448
      -173
      -297
      -332
      -385
      -1,005
      -225
      -89
      74
      219
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 85,715
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,182
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 1,182
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 964
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.............. 7 964
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 9 218
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)
    bulletNH
    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 ofbulletTD Bank NA Telephone no.bullet (877) 773-1229

    Located atbullet5 COMMERCE PARK NORTHBEDFORDNH ZIP+4bullet03110
    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
    TD Bank NA Trustee
    1     		12,562    
    5 Commerce Park North
    Bedford,NH03110
    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
    708,418
    b
    Average of monthly cash balances.......................
    1b
    37,380
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    745,798
    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
    745,798
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    11,187
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    734,611
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    36,731
    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
    36,731
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,182
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,182
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    35,549
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    35,549
    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
    35,549
    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 35,549
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 442
    c From 2018...... 395
    d From 2019...... 279
    e From 2020...... 1,116
    f Total of lines 3a through e ........ 2,232
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 36,817
    a Applied to 2020, but not more than line 2a 0
    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..... 35,549
    e Remaining amount distributed out of corpus 1,268
    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 3,500
    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 ..........     		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) .......     		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 ......     		3,500
    10 Analysis of line 9:
    a Excess from 2017.... 442
    b Excess from 2018.... 395
    c Excess from 2019.... 279
    d Excess from 2020.... 1,116
    e Excess from 2021.... 1,268
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    HILLSBORO-DEERING COOPERATIVE
    SCHOOL DISTRICT
    SAU 34
    HILLSBORO,NH03244     		NONE 501(C)(3) DAILY OPERATIONS 36,817
    Total .................................bullet 3a 36,817
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 85,715  
    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) ..   98,714  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    98,714
    (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:
    GEORGE W HASLET TESTAMENTARY TRUST XXX-XX-XXXX
    EIN:
    02-6004817
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 850 850    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    GEORGE W HASLET TESTAMENTARY TRUST XXX-XX-XXXX
    EIN:
    02-6004817
    Name of Bond End of Year Book Value End of Year Fair Market Value
    5164.241 FIDELITY HIGH INCOME 44,476 39,558
    4636.571 METROPOLITAN WEST FDS 48,640 45,392
    9556.708 PIMCO INVESTMENT GRAD 102,662 87,539
    3974.345 VANGUARD INTM TERM TR 44,706 42,088
    6820.164 VANGUARD SHORT-TERM F 73,297 70,862

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    GEORGE W HASLET TESTAMENTARY TRUST XXX-XX-XXXX
    EIN:
    02-6004817
    Name of Stock End of Year Book Value End of Year Fair Market Value
    89 AMAZON.COM INC 12,486 12,011
    41 CARMAX INC 3,361 4,081
    129 LIBERTY SIRIUSXM GROUP 5,235 5,141
    7 NIKE INC CLASS B 736 804
    32 POLARIS INDS INC 3,856 3,753
    44 STARBUCKS CORP 3,394 3,730
    164 WARNER BROS DISCOVERY INC 4,127 2,460
    9 BOSTON BEER COMPANY 3,564 3,424
    18 CASEY'S GENERAL STORES INC 3,596 3,648
    19 CONSTELLATION BRANDS CL A 4,109 4,680
    66 OCCIDENTAL PETROLEUM CO 2,237 4,340
    88 SCHLUMBERGER LTD 2,429 3,259
    94 ESSENT GROUP LTD 4,423 3,925
    36 BERKSHIRE HATHAWAY INC DEL 10,355 10,822
    2 BLACKROCK INC CL A 1,478 1,338
    80 CITIGROUP INC 5,212 4,152
    45 FIDELITY NATL INFORMATION S 5,437 4,597
    87 KKR & CO INC - A 2,966 4,825
    247 MACERICH CO COM 4,811 2,621
    85 VENTAS INC COM REIT 4,511 4,571
    98 WELLS FARGO & CO NEW 4,414 4,299
    50 WESTERN ALLIANCE BANCORP 2,820 3,819
    9 ALIGN TECHNOLOGY INC 2,183 2,529
    19 BIOGEN INC 4,233 4,086
    75 BOSTON SCIENTIFIC 3,146 3,079
    73 CENTENE CORP 3,618 6,787
    75 GILEAD SCIENCES INC 4,838 4,481
    31 MODERNA INC 4,228 5,087
    16 UNITED THERAPEUTICS CORP 3,299 3,697
    34 UNIVERSAL HLTH SVCS INC CL 4,631 3,824
    54 SENSATA TECHNOLOGIES HOLDIN 3,316 2,401
    59 BERRY PLASTICS GROUP INC 4,135 3,401
    22 BOEING CO 3,935 3,505
    13 EQUIFAX INC COM 2,960 2,716
    7 GENERAC HLDGS INC 1,959 1,878
    67 GENERAL ELECTRIC CO 6,793 4,952
    23 JACOBS ENGR GROUP INC DEL 1,430 3,158
    16 MIDDLEBY CORP 884 2,315
    1 NVR INC 4,764 4,393
    13 UNIVERSAL DISPLAY CORP COM 1,358 1,501
    8 ADOBE SYSTEMS INC 3,683 3,281
    2 BROADCOM INC 1,022 1,071
    54 COTERRA ENERGY 1,426 1,652
    170 DROPBOX INC - CLASS A 3,278 3,866
    7 LAM RESEARCH CORPORATION 2,053 3,504
    47 MICROSOFT CORPORATION 3,727 13,195
    42 PAYPAL HOLDINGS INC 4,463 3,634
    38 SS&C TECHNOLOGIES HOLDINGS 2,630 2,248
    25 SALESFORCE COM INC 5,609 4,601
    23 SKYWORKS SOLUTIONS INC 3,607 2,504
    23 SPLUNK INC 2,616 2,390
    9 AIR PRODUCTS & CHEMICALS INC 2,169 2,234
    8 ECOLAB INC 1,272 1,321
    99 ALPHABET INC CL-C 4,819 11,547
    84 COMCAST CORP NEW CL-A 4,104 3,152
    54 FACEBOOK INC-A 9,183 8,591
    22 T-MOBILE US INC 2,393 3,147
    1326.642 INVESCO INTL GROWTH-Y 35,714 30,022
    968.943 OAKMARK INTERNATIONAL 19,635 22,673
    386 ISHARES CORE MSCI EMERGING 19,221 18,937
    835.464 NEUBERGER BERMAN EQUIT 46,233 53,520

    TY 2021 OtherDecreasesSchedule
    Name:
    GEORGE W HASLET TESTAMENTARY TRUST XXX-XX-XXXX
    EIN:
    02-6004817
    Description Amount
    ROUNDING ADJUSTMENT 71
    RETURN OF CAPITAL ADJUSTMENT 614


    TY 2021 OtherExpensesSchedule
    Name:
    GEORGE W HASLET TESTAMENTARY TRUST XXX-XX-XXXX
    EIN:
    02-6004817
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 80 80   0
    OTHER NON-ALLOCABLE EXPENSE - 80 80   0


    TY 2021 TaxesSchedule
    Name:
    GEORGE W HASLET TESTAMENTARY TRUST XXX-XX-XXXX
    EIN:
    02-6004817
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 12 12   0
    FEDERAL TAX PAYMENT - PRIOR YE 965 0   0
    FEDERAL ESTIMATES - PRINCIPAL 964 0   0
    FOREIGN TAXES ON QUALIFIED FOR 67 67   0
    FOREIGN TAXES ON NONQUALIFIED 28 28   0