TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021

Name of foundation
FLORENCE BULLOCK RAGAN FAMILY FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)POBOX 1532 AFT
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
PENNINGTON, NJ08534

A Employer identification number

87-0903217

B Telephone number (see instructions)

(888) 866-3275

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$484,757J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	12,639		12,217
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		110,330
b	Gross sales price for all assets on line 6a 590,381
7	Capital gain net income (from Part IV, line 2)...			110,330
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........	122,969		122,547
13	Compensation of officers, directors, trustees, etc.
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).......		2,500	0	0	2,500
c	Other professional fees (attach schedule)....		4,488	2,693		1,795
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		783			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).......
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	7,771		2,693	0	4,295
25	Contributions, gifts, grants paid.......	270,500				270,500
26	Total expenses and disbursements. Add lines 24 and 25	278,271		2,693	0	274,795
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-155,302
b	Net investment income (if negative, enter -0-)			119,854
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	693	393	393
	2	Savings and temporary cash investments.........	25,227	43,473	43,473
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts 0
	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).......	110,047	78,136	107,015
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	464,074	322,436	333,876
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	600,041	444,438	484,757
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		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
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	600,041	444,438
	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).....	600,041	444,438
	30	Total liabilities and net assets/fund balances (see instructions).	600,041	444,438

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

600,041

Enter amount from Part I, line 27a .....................

-155,302

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

444,739

Decreases not included in line 2 (itemize) bullet

301

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

444,438

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	86.73 AQR DIVERSIFIED ARBITRAGE FUND		2020-06-10	2021-11-10
b	1398.17 AQR DIVERSIFIED ARBITRAGE FUND		2020-03-23	2021-11-10
c	1. AT&T INC		2020-06-10	2021-11-10
d	108. AT&T INC		2020-03-30	2021-11-10
e	7. ABBOTT LABORATORIES		2021-11-10	2021-12-02
	5. ABBOTT LABORATORIES		2021-11-10	2021-12-08
	50.55 EDGEWOOD GROWTH FUND		2021-11-10	2021-12-02
	52.9 EDGEWOOD GROWTH FUND		2021-11-10	2021-12-08
	1. ALPHABET INC SHS CL A		2019-12-10	2021-11-10
	1. ALPHABET INC SHS CL A		2019-12-10	2021-12-08
	1. AMAZON COM INC		2018-09-24	2021-11-10
	1. AMAZON COM INC		2020-03-23	2021-12-02
	1. AMAZON COM INC		2020-03-23	2021-12-08
	105.41 AMERICAN BALANCED FUND		2019-07-26	2021-12-02
	93.23 AMERICAN BALANCED FUND		2019-07-26	2021-12-08
	34. AMERICAN ELECTRIC POWER CO INC		2020-12-14	2021-11-10
	15. AMERICAN TOWER REIT INC		2018-09-24	2021-11-10
	1. ANTHEM INC		2021-11-10	2021-12-02
	2. ANTHEM INC		2021-11-10	2021-12-08
	6. APPLE INC		2017-11-13	2021-12-02
	11. APPLE INC		2017-11-09	2021-12-02
	4. APPLE INC		2020-03-23	2021-12-08
	4. APPLE INC		2018-09-24	2021-12-08
	2. APPLE INC		2017-11-13	2021-12-08
	30. BALL CORP		2020-12-14	2021-11-10
	41.89 BLACKROCK MID CAP GRWTH		2018-09-24	2021-12-02
	51.93 BLACKROCK MID CAP GRWTH		2018-09-24	2021-12-08
	1. BLACKROCK INC CL A		2017-11-13	2021-12-02
	1. BLACKROCK INC CL A		2018-09-24	2021-12-08
	743.33 BLACKROCK STRATEGIC		2020-03-23	2021-12-02
	559.87 BLACKROCK STRATEGIC		2020-03-23	2021-12-08
	5. BROADCOM INC		2020-03-23	2021-11-10
	4. BROADCOM INC		2018-09-24	2021-11-10
	3. CAPITAL ONE FINANCIAL CORPORATION		2021-11-10	2021-12-02
	5. CAPITAL ONE FINANCIAL CORPORATION		2021-11-10	2021-12-08
	15. CARRIER GLOBAL CORP REG		2021-11-10	2021-12-02
	11. CARRIER GLOBAL CORP REG		2021-11-10	2021-12-08
	6. CHEVRON CORP		2020-12-14	2021-12-02
	6. CHEVRON CORP		2020-12-14	2021-12-08
	13. CISCO SYSTEMS INCORPORATED		2019-12-10	2021-11-10
	13. CISCO SYSTEMS INCORPORATED		2019-12-10	2021-12-02
	10. CISCO SYSTEMS INCORPORATED		2019-12-10	2021-12-08
	14. CITIGROUP INC		2018-09-24	2021-12-02
	11. CITIGROUP INC		2020-03-23	2021-12-08
	1. CITIGROUP INC		2018-09-24	2021-12-08
	308.04 COLUMBIA STRATEGIC INCOME FUND		2018-09-24	2021-12-02
	238.09 COLUMBIA STRATEGIC INCOME FUND		2018-09-24	2021-12-08
	6. CONOCOPHILLIPS		2021-11-10	2021-12-02
	7. CONOCOPHILLIPS		2021-11-10	2021-12-08
	11. COSTCO WHSL CORP NEW		2020-03-23	2021-11-10
	2. COSTCO WHSL CORP NEW		2020-03-23	2021-12-02
	1. COSTCO WHSL CORP NEW		2020-03-23	2021-12-08
	3. DANAHER CORP		2021-11-10	2021-12-02
	2. DANAHER CORP		2021-11-10	2021-12-08
	262.79 DELAWARE EMERGING MARKETS FUND		2018-09-24	2021-11-10
	4. DISNEY (WALT) CO COM STK		2018-09-24	2021-11-10
	2. DISNEY (WALT) CO COM STK		2018-09-24	2021-12-02
	1. DISNEY (WALT) CO COM STK		2020-03-23	2021-12-08
	4. DISNEY (WALT) CO COM STK		2018-09-24	2021-12-08
	33. EDWARDS LIFESCIENCES CORP		2020-12-14	2021-11-10
	9. EQUITY RESIDENTIAL		2021-11-10	2021-12-02
	7. EQUITY RESIDENTIAL		2021-11-10	2021-12-08
	1. EXPEDIA GROUP INC		2021-11-10	2021-12-02
	2. EXPEDIA GROUP INC		2021-11-10	2021-12-08
	11. EXXON MOBIL CORPORATION		2020-12-14	2021-11-10
	9. EXXON MOBIL CORPORATION		2020-12-14	2021-12-02
	10. EXXON MOBIL CORPORATION		2020-12-14	2021-12-08
	150. FIRST TRUST CAPITAL STRENGTH ETF		2020-06-10	2021-11-10
	73. FRT TRT VAL INDX		2019-12-10	2021-11-10
	62. FRT TRT VAL INDX		2019-12-10	2021-12-02
	52. FRT TRT VAL INDX		2019-12-10	2021-12-08
	33. FIRST TRUST LOW DURATION		2020-03-23	2021-11-10
	124. FIRST TRUST LOW DURATION		2020-03-23	2021-12-02
	90. FIRST TRUST LOW DURATION		2020-03-23	2021-12-08
	304.21 GUGGENHEIM- TOTAL RETURN BOND FUND		2019-12-10	2021-03-22
	323.19 GUGGENHEIM- TOTAL RETURN BOND FUND		2019-12-10	2021-12-02
	233.79 GUGGENHEIM- TOTAL RETURN BOND FUND		2019-12-10	2021-12-08
	16.84 HARBOR LARGE CAP VALUE FUND		2020-12-14	2021-11-10
	672.95 HARBOR LARGE CAP VALUE FUND		2020-06-10	2021-11-10
	42.97 HARTFORD GROWTH OPPORTUNITIES FUND/THE		2019-12-10	2021-11-10
	17.3 HARTFORD GROWTH OPPORTUNITIES FUND/THE		2019-12-10	2021-12-02
	26.21 HARTFORD GROWTH OPPORTUNITIES FUND/THE		2019-12-10	2021-12-08
	251.63 HARTFORD BALANCED INCOME FUND/THE		2017-11-09	2021-12-02
	1. HARTFORD BALANCED INCOME FUND/THE		2017-11-13	2021-12-08
	105.14 HARTFORD BALANCED INCOME FUND/THE		2017-11-13	2021-12-08
	117.53 HARTFORD BALANCED INCOME FUND/THE		2017-11-09	2021-12-08
	334.55 HARTFORD SCHRODERS EMERG		2020-06-10	2021-11-10
	4. HILTON WORLDWIDE HOLDINGS INC		2021-11-10	2021-12-02
	4. HILTON WORLDWIDE HOLDINGS INC		2021-11-10	2021-12-08
	3. HOME DEPOT INC/THE		2021-11-10	2021-12-02
	2. HOME DEPOT INC/THE		2021-11-10	2021-12-08
	4. HONEYWELL INTERNATIONAL INC		2017-11-09	2021-12-02
	5. HONEYWELL INTERNATIONAL INC		2017-11-09	2021-12-08
	33. INVESCO QQQ TRUST SERIES 1		2020-03-23	2021-11-10
	6. J P MORGAN CHASE & CO COM		2017-11-09	2021-12-02
	3. J P MORGAN CHASE & CO COM		2017-11-09	2021-12-08
	2. J P MORGAN CHASE & CO COM		2017-11-13	2021-12-08
	124. JPMORGAN ULTRA-SHORT INCOME ETF		2021-03-23	2021-12-02
	89. JPMORGAN ULTRA-SHORT INCOME ETF		2021-03-23	2021-12-08
	151. JOHN HANCOCK MULTI-FACTOR MID CAP ETF		2019-12-10	2021-11-10
	1512.51 JP MORGAN STRATEGIC		2019-12-10	2021-11-10
	57.93 JP MORGAN STRATEGIC		2021-03-22	2021-11-10
	224.47 JP MORGAN STRATEGIC		2020-06-10	2021-11-10
	238.18 JPMORGAN SMALL CAP GROWTH FUND		2020-06-10	2021-11-10
	2. L3HARRIS TECHNOLOGIES INC		2021-11-10	2021-12-02
	2. L3HARRIS TECHNOLOGIES INC		2021-11-10	2021-12-08
	3. LOCKHEED MARTIN CORPORATION		2018-09-24	2021-11-10
	1. LOCKHEED MARTIN CORPORATION		2017-11-13	2021-11-10
	6. LOCKHEED MARTIN CORPORATION		2017-11-09	2021-11-10
	209.2 LORD ABBETT GROWTH		2020-06-10	2021-11-10
	10.73 LORD ABBETT GROWTH		2020-12-14	2021-11-10
	1508.16 LORD ABBETT SHORT DURATION INCOME FUND		2019-12-10	2021-12-02
	1077.17 LORD ABBETT SHORT DURATION INCOME FUND		2019-12-10	2021-12-08
	944.17 LORD ABBETT BOND-DEBENTURE FUND INC		2021-11-10	2021-12-02
	765.36 LORD ABBETT BOND-DEBENTURE FUND INC		2021-11-10	2021-12-08
	10. LOWES COMPANIES INC COM		2019-12-10	2021-11-10
	11. LOWES COMPANIES INC COM		2020-03-23	2021-11-10
	129.05 MFS VALUE FUND		2019-12-10	2021-11-10
	30.22 MFS VALUE FUND		2019-12-10	2021-12-02
	31.3 MFS VALUE FUND		2019-12-10	2021-12-08
	9. MARVELL TECH INC		2021-11-10	2021-12-02
	16. MARVELL TECH INC		2021-11-10	2021-12-08
	41. MERCK AND CO INC SHS		2019-12-10	2021-11-10
	8. MICROSOFT CORPORATION		2020-03-23	2021-12-02
	6. MICROSOFT CORPORATION		2020-03-23	2021-12-08
	10. MICROCHIP TECHNOLOGY INC COM		2021-11-10	2021-12-02
	7. MICROCHIP TECHNOLOGY INC COM		2021-11-10	2021-12-08
	98.31 MORGAN STANLEY GROWTH		2020-06-10	2021-11-10
	44.48 AMERICAN NEW PERSPECTIVE FUND		2019-12-10	2021-12-02
	44.98 AMERICAN NEW PERSPECTIVE FUND		2019-12-10	2021-12-08
	2. NEXTERA ENERGY INC		2019-12-10	2021-11-10
	11. NEXTERA ENERGY INC		2019-12-10	2021-12-02
	7. NEXTERA ENERGY INC		2019-12-10	2021-12-08
	12. NORTHROP GRUMMAN CORP		2019-12-10	2021-11-10
	3. NVIDIA CORP		2021-11-10	2021-12-02
	2. NVIDIA CORP		2021-11-10	2021-12-08
	.1 ORGANON AND CO REG SHS		2019-12-10	2021-06-08
	4. ORGANON AND CO REG SHS		2019-12-10	2021-11-10
	75. PACER BENCHMARK DATA AND		2020-12-14	2021-12-02
	60. PACER BENCHMARK DATA AND		2020-12-14	2021-12-08
	4. PEPSICO INCORPORATED		2020-12-14	2021-12-02
	4. PEPSICO INCORPORATED		2020-12-14	2021-12-08
	87.51 PIMCO INTERNATIONAL BOND FD (USD HEDGED) I2		2021-03-22	2021-11-10
	218.3 PIMCO INTERNATIONAL BOND FD (USD HEDGED) I2		2020-06-10	2021-11-10
	1576.38 PIMCO INTERNATIONAL BOND FD (USD HEDGED) I2		2019-12-10	2021-11-10
	425.66 PRINCIPAL PREFERRED SECURITIES FUND		2019-12-10	2021-12-02
	333.61 PRINCIPAL PREFERRED SECURITIES FUND		2019-12-10	2021-12-08
	25. PROCTER & GAMBLE CO/THE		2020-03-23	2021-11-10
	36. PROGRESSIVE CORP OHIO COM		2019-12-10	2021-11-10
	25. ROSS STORES INC		2020-12-14	2021-11-10
	24. SPDR S&P 600 SMALL CAP GROWTH ETF		2021-11-10	2021-12-02
	28. SPDR S&P 600 SMALL CAP GROWTH ETF		2021-11-10	2021-12-08
	42. SCHWAB US DIVIDEND EQUITY ETF		2019-12-10	2021-12-02
	33. SCHWAB US DIVIDEND EQUITY ETF		2019-12-10	2021-12-08
	60. HEALTH CARE SELECT SPDR		2020-03-23	2021-11-10
	2541.18 TCW TOTAL RETURN BOND FUND		2020-06-10	2021-03-22
	19. TJX COMPANIES INCORPORATED NEW		2019-12-10	2021-11-10
	32. TJX COMPANIES INCORPORATED NEW		2020-03-23	2021-11-10
	2. THERMO FISHER SCIENTIFIC INC		2018-09-24	2021-11-10
	2. THERMO FISHER SCIENTIFIC INC		2018-09-24	2021-12-02
	12. TRUIST FINL CORP		2021-11-10	2021-12-02
	11. TRUIST FINL CORP		2021-11-10	2021-12-08
	6. UNION PACIFIC CORP		2017-11-09	2021-12-02
	3. UNION PACIFIC CORP		2017-11-13	2021-12-08
	1. UNION PACIFIC CORP		2017-11-09	2021-12-08
	8. UNITEDHEALTH GROUP INC		2020-12-14	2021-11-10
	15. VANGUARD DIVIDEND APPRECIATION ETF		2021-11-10	2021-12-02
	13. VANGUARD DIVIDEND APPRECIATION ETF		2021-11-10	2021-12-08
	75. VANGUARD SHORT-TERM CORPORATE BOND ETF		2019-01-30	2021-12-02
	56. VANGUARD SHORT-TERM CORPORATE BOND ETF		2019-01-30	2021-12-08
	8. VANGUARD MID-CAP ETF		2020-06-10	2021-12-02
	7. VANGUARD MID-CAP ETF		2020-06-10	2021-12-08
	6. VISA INC		2017-11-09	2021-12-02
	6. VISA INC		2017-11-09	2021-12-08
	132.06 VIRTUS GLOBAL		2019-12-10	2021-12-02
	153.4 VIRTUS GLOBAL		2019-12-10	2021-12-08
	31. WALMART INC		2020-03-23	2021-11-10
	14. WALMART INC		2018-09-24	2021-11-10
	3. WALMART INC		2020-03-23	2021-12-02
	4. WALMART INC		2020-03-23	2021-12-08
	38.99 WELLS FARGO SPECIAL SMALL CAP VALUE FUND		2020-06-10	2021-12-02
	55. WELLS FARGO SPECIAL SMALL CAP VALUE FUND		2020-06-10	2021-12-08
	291.79 WELLS FARGO CORE PLUS BOND FUND		2019-12-10	2021-03-22
	501.65 WELLS FARGO CORE PLUS BOND FUND		2019-12-10	2021-11-10
	467.93 WELLS FARGO CORE PLUS BOND FUND		2019-12-10	2021-12-02
	334.89 WELLS FARGO CORE PLUS BOND FUND		2019-12-10	2021-12-08
	44.24 WESTERN ASSET CORE PLUS BOND FUND		2019-12-10	2021-03-22
	2059.7 WESTERN ASSET CORE PLUS BOND FUND		2019-12-10	2021-11-10
	5. ZOETIS INC		2018-09-24	2021-11-10
	3. ZOETIS INC		2018-09-24	2021-12-02
	3. ZOETIS INC		2018-09-24	2021-12-08
	1. GARMIN LTD		2021-11-10	2021-12-02
	3. GARMIN LTD		2021-11-10	2021-12-08
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
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	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
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	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P
	CAPITAL GAIN DIVIDENDS	P

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,069	809	260
b	17,239	11,566	5,673
c	25	32	-7
d	2,704	3,233	-529
e	898	889	9
	657	635	22
	3,180	3,272	-92
	3,442	3,423	19
	2,930	1,345	1,585
	2,930	1,345	1,585
	3,540	1,921	1,619
	3,434	1,864	1,570
	3,502	1,864	1,638
	3,518	2,929	589
	3,155	2,591	564
	2,847	2,821	26
	4,150	2,193	1,957
	401	426	-25
	827	853	-26
	980	261	719
	1,797	481	1,316
	694	220	474
	694	220	474
	347	87	260
	2,733	2,755	-22
	2,007	1,165	842
	2,511	1,444	1,067
	920	462	458
	920	482	438
	7,597	6,764	833
	5,739	5,095	644
	2,770	920	1,850
	2,216	991	1,225
	432	474	-42
	743	790	-47
	831	822	9
	617	602	15
	692	541	151
	708	541	167
	754	574	180
	734	574	160
	570	441	129
	897	1,030	-133
	688	387	301
	63	74	-11
	7,479	7,134	345
	5,802	5,514	288
	429	443	-14
	518	517	1
	5,561	3,154	2,407
	1,054	574	480
	532	287	245
	949	903	46
	630	602	28
	6,583	4,777	1,806
	703	450	253
	294	225	69
	152	83	69
	607	450	157
	3,941	2,794	1,147
	770	772	-2
	610	601	9
	162	186	-24
	342	373	-31
	706	468	238
	552	383	169
	625	426	199
	12,137	8,958	3,179
	3,047	2,598	449
	2,532	2,207	325
	2,163	1,851	312
	1,659	1,626	33
	6,214	6,109	105
	4,503	4,434	69
	8,646	8,281	365
	9,350	8,797	553
	6,740	6,364	376
	400	324	76
	15,969	11,131	4,838
	2,925	1,751	1,174
	1,100	705	395
	1,726	1,068	658
	4,152	3,724	428
	17	15	2
	1,751	1,552	199
	1,957	1,739	218
	6,751	5,169	1,582
	560	589	-29
	578	589	-11
	1,227	1,108	119
	824	739	85
	817	558	259
	1,019	697	322
	12,912	5,580	7,332
	974	585	389
	482	293	189
	321	195	126
	6,264	6,294	-30
	4,496	4,517	-21
	8,438	5,806	2,632
	17,424	17,349	75
	667	668	-1
	2,586	2,552	34
	7,164	4,959	2,205
	424	449	-25
	429	449	-20
	1,017	1,009	8
	339	313	26
	2,034	1,864	170
	11,381	7,420	3,961
	584	486	98
	6,259	6,334	-75
	4,470	4,524	-54
	7,912	8,035	-123
	6,437	6,513	-76
	2,335	1,169	1,166
	2,569	730	1,839
	7,080	5,704	1,376
	1,618	1,336	282
	1,714	1,384	330
	640	650	-10
	1,487	1,155	332
	3,424	3,494	-70
	2,640	1,095	1,545
	1,987	821	1,166
	845	808	37
	607	566	41
	10,573	6,482	4,091
	3,085	2,094	991
	3,181	2,118	1,063
	170	117	53
	981	645	336
	629	411	218
	4,370	4,140	230
	966	892	74
	636	595	41
	3	4	-1
	147	168	-21
	3,040	2,591	449
	2,471	2,073	398
	646	581	65
	659	581	78
	946	956	-10
	2,360	2,345	15
	17,041	17,608	-567
	4,380	4,427	-47
	3,440	3,470	-30
	3,668	2,481	1,187
	3,457	2,633	824
	2,976	2,796	180
	2,150	2,286	-136
	2,582	2,667	-85
	3,234	2,407	827
	2,553	1,891	662
	8,010	4,534	3,476
	25,615	26,549	-934
	1,318	1,149	169
	2,219	1,105	1,114
	1,252	480	772
	1,257	480	777
	728	773	-45
	659	708	-49
	1,448	703	745
	737	348	389
	246	117	129
	3,665	2,711	954
	2,464	2,501	-37
	2,172	2,167	5
	6,098	5,899	199
	4,552	4,405	147
	1,975	1,360	615
	1,770	1,190	580
	1,193	668	525
	1,246	668	578
	2,901	2,273	628
	3,476	2,640	836
	4,624	3,576	1,048
	2,088	1,334	754
	409	346	63
	546	461	85
	1,747	1,152	595
	2,545	1,625	920
	3,860	3,764	96
	6,732	6,471	261
	6,280	6,036	244
	4,481	4,320	161
	528	534	-6
	24,737	24,881	-144
	1,084	446	638
	670	268	402
	682	268	414
	134	142	-8
	414	427	-13
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648
			5,648

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			260
b			5,673
c			-7
d			-529
e			9
			22
			-92
			19
			1,585
			1,585
			1,619
			1,570
			1,638
			589
			564
			26
			1,957
			-25
			-26
			719
			1,316
			474
			474
			260
			-22
			842
			1,067
			458
			438
			833
			644
			1,850
			1,225
			-42
			-47
			9
			15
			151
			167
			180
			160
			129
			-133
			301
			-11
			345
			288
			-14
			1
			2,407
			480
			245
			46
			28
			1,806
			253
			69
			69
			157
			1,147
			-2
			9
			-24
			-31
			238
			169
			199
			3,179
			449
			325
			312
			33
			105
			69
			365
			553
			376
			76
			4,838
			1,174
			395
			658
			428
			2
			199
			218
			1,582
			-29
			-11
			119
			85
			259
			322
			7,332
			389
			189
			126
			-30
			-21
			2,632
			75
			-1
			34
			2,205
			-25
			-20
			8
			26
			170
			3,961
			98
			-75
			-54
			-123
			-76
			1,166
			1,839
			1,376
			282
			330
			-10
			332
			-70
			1,545
			1,166
			37
			41
			4,091
			991
			1,063
			53
			336
			218
			230
			74
			41
			-1
			-21
			449
			398
			65
			78
			-10
			15
			-567
			-47
			-30
			1,187
			824
			180
			-136
			-85
			827
			662
			3,476
			-934
			169
			1,114
			772
			777
			-45
			-49
			745
			389
			129
			954
			-37
			5
			199
			147
			615
			580
			525
			578
			628
			836
			1,048
			754
			63
			85
			595
			920
			96
			261
			244
			161
			-6
			-144
			638
			402
			414
			-8
			-13

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	110,330
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 ...................		3

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 and enter “N/A" on line 1.
	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	1,666
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	1,666
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	632
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	632
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.......		9	1,034
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax0	Refunded	11	0

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

The books are in care of bullet

BANK OF AMERICA NA Telephone no. bullet

(888) 866-3275

Located at bullet

PO BOX 1532 AFTPENNINGTONNJ ZIP+4 bullet

08534

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

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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? .............

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)):

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?....................

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

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.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

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? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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? .........................

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
JOANN BULLOCK LOSEE	DIRECTOR 2	0
3923 NORTH RIVERWOOD DRIVE PROVO,UT84604	DIRECTOR 2	0
NICOLAS A ALORD	DIRECTOR 1	0
3923 NORTH RIVERWOOD DRIVE PROVO,UT84604	DIRECTOR 1	0
MICHAEL W STRATTON	DIRECTOR 1	0
3923 NORTH RIVERWOOD DRIVE PROVO,UT84604	DIRECTOR 1	0
WARREN B STRATTON	DIRECTOR 1	0
3923 NORTH RIVERWOOD DRIVE PROVO,UT84604	DIRECTOR 1	0

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...................				0

Form 990-PF (2021)

Page 7

Part VII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part VIII-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2021)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

676,667

Average of monthly cash balances.......................

31,446

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

708,113

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

708,113

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

10,622

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

697,491

Minimum investment return. Enter 5% (0.05) of line 5................

34,875

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.)

Minimum investment return from Part IX, line 6..................

34,875

Tax on investment income for 2021 from Part V, line 5.......

1,666

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

1,666

Distributable amount before adjustments. Subtract line 2c from line 1............

33,209

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

33,209

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

33,209

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

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					33,209
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......	167,526
b From 2017......	135,370
c From 2018......	134,341
d From 2019......	159,871
e From 2020......	176,272
f Total of lines 3a through e ........		773,380
4Qualifying distributions for 2021 from Part
XI, line 4: $ 274,795
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.....					33,209
e Remaining amount distributed out of corpus		241,586
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		1,014,966
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) ...		167,526
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		847,440
10 Analysis of line 9:
a Excess from 2017....	135,370
b Excess from 2018....	134,341
c Excess from 2019....	159,871
d Excess from 2020....	176,272
e Excess from 2021....	241,586

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 4942(j)(3) or4942(j)(5)

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	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

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)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
CIRQUE LODGE FOUNDATION 777 N PALISADES DRIVE OREM,UT84097	N/A	PC	UNRESTRICTED GENERAL	50,000
AMERICAN NATIONAL RED CROSS 431 18TH STREET NW WASHINGTON,DC20006	N/A	PC	UNRESTRICTED GENERAL	50,000
CROSSNORE SCHOOL INC PO BOX 249 CROSSNORE,NC28616	N/A	PC	UNRESTRICTED GENERAL	1,000
UNIVERSITY OF NORTH CAROLINA-CHAPEL HILL PO BOX 309 CHAPEL HILL,NC27599	N/A	PC	UNRESTRICTED GENERAL	2,500
INTERMOUNTAIN HEALTHCARE FOUNDATION INC 36 S STATE STREET STE 2200 PROVO,UT84111	N/A	PC	UNRESTRICTED GENERAL	20,000
ROCKY MOUNTAIN ELK FOUNDATION INC 5705 GRANT CREEK ROAD MISSOULA,MT59808	N/A	PC	UNRESTRICTED GENERAL	50,000
SUNSHINE ACRES CHILDREN'S HOME INC 3405 N HIGLEY ROAD MESA,AZ85215	N/A	PC	UNRESTRICTED GENERAL	2,000
UTAH FOOD BANK 3150 SOUTH 900 WEST SALT LAKE CITY,UT84119	N/A	PC	UNRESTRICTED GENERAL	10,000
BRIGHAM YOUNG UNIVERSITY PO BOX 21128 PROVO,UT84602	N/A	PC	UNRESTRICTED GENERAL	10,000
CHURCH OF JESUS CHRIST OF LDS 120 N 200 W SALT LAKE CITY,UT84103	N/A	PC	UNRESTRICTED GENERAL	50,000
CENTER FOR WOMEN AND CHILDREN IN CRISIS 1073 E 1200 N OREM,UT84097	N/A	PC	UNRESTRICTED GENERAL	10,000
FRIENDS OF UTAH COUNTY CHILDREN'S JUSTICE CENTER 315 S 100 EAST PROVO,UT84606	N/A	PC	UNRESTRICTED GENERAL	10,000
JUAN DIEGO CATHOLIC HIGH SCHOOL 300 E 11800 S DRAPER,UT84020	N/A	PC	UNRESTRICTED GENERAL	5,000
Total ................................. 3a				270,500

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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	110,330
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) ..				122,969

13Total. Add line 12, columns (b), (d), and (e)..................

122,969

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

Name of Stock	End of Year Book Value	End of Year Fair Market Value
254687106 WALT DISNEY CO/THE	1,571	2,943
780259107 ROYAL DUTCH SHELL PL
22160K105 COSTCO WHSL CORP NEW	1,147	2,271
907818108 UNION PACIFIC CORP	2,962	4,031
438516106 HONEYWELL INTERNATIO	3,767	3,962
037833100 APPLE INC	2,282	5,860
92826C839 VISA INC	4,314	4,768
539830109 LOCKHEED MARTIN CORP
46625H100 J P MORGAN CHASE & C	2,175	3,325
594918104 MICROSOFT CORP COM	4,641	8,072
09247X101 BLACKROCK INC	1,154	2,747
883556102 THERMO FISHER SCIENT	961	2,669
03027X100 AMERICAN TOWER REIT
871829107 SYSCO CORP
11135F101 BROADCOM INC
036752103 ANTHEM INC	2,132	2,318
30231G102 EXXON MOBIL CORP	1,532	2,203
98978V103 ZOETIS INC	906	2,440
023135106 AMAZON COM INC	3,729	6,669
931142103 WAL MART STORES INC	2,016	2,460
172967424 CITIGROUP INC	2,657	3,261
743315103 PROGRESSIVE CORP/THE
126650100 CVS HEALTH CORP
58933Y105 MERCK AND CO INC SHS
02079K305 ALPHABET INC SHS	2,385	5,794
548661107 LOWES COMPANIES INC
89151E109 TOTAL FINA ELF S.A.
65339F101 NEXTERA ENERGY INC	1,359	2,334
235851102 DANAHER CORP	2,107	2,303
43300A203 HILTON WORLDWIDE HOL	2,357	2,496
824348106 SHERWIN-WILLIAMS CO/
872540109 TJX COS INC/THE
666807102 NORTHROP GRUMMAN COR
74144T108 T ROWE PRICE GROUP I
17275R102 CISCO SYSTEMS INC	1,765	2,535
28176E108 EDWARDS LIFESCIENCES
778296103 ROSS STORES INC
00206R102 AT&T INC
166764100 CHEVRONTEXACO CORP	1,712	2,230
058498106 BALL CORP
742718109 PROCTER & GAMBLE CO/
91324P102 UNITEDHEALTH GROUP I
713448108 PEPSICO INC	2,089	2,432
025537101 AMERICAN ELECTRIC PO
H2906T109 GARMIN LTD	1,139	1,089
595017104 MICROCHIP TECHNOLOGY	2,101	2,264
20825C104 CONOCOPHILLIPS	1,698	1,660
30212P303 EXPEDIA GROUP INC	1,304	1,265
502431109 L3HARRIS TECHNOLOGIE	1,797	1,706
573874104 MARVELL TECH INC	1,733	2,100
002824100 ABBOTT LABORATORIES	2,158	2,393
89832Q109 TRUIST FINL CORP	3,026	2,752
14448C104 CARRIER GLOBAL CORP	2,191	2,170
67066G104 NVIDIA CORP	2,082	2,059
14040H105 CAPITAL ONE FINANCIA	2,370	2,176
29476L107 EQUITY RESIDENTIAL	2,231	2,353
437076102 HOME DEPOT INC/THE	2,586	2,905

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
518416102 HARTFORD MULTIFACTOR
41664M821 HARTFORD BALANCED IN	AT COST	13,319	13,007
81369Y209 HEALTH CARE SELECT S
33734X192 FIRST TRUST CLOUD CO
33733E302 FIRST TR EXCHANGE TR
19765L694 COLUMBIA STRATEGIC I	AT COST	22,570	22,293
245914817 DELAWARE EMERGING MA
92206C409 VANGUARD SHORT-TERM	AT COST	18,021	18,040
091928861 BLACKROCK MID CAP GR	AT COST	6,251	9,068
922908629 VANGUARD MID-CAP ETF	AT COST	5,375	6,879
922908751 VANGUARD SMALL-CAP E
47803W406 JOHN HANCOCK DISCIPL
74253Q416 PRINCIPAL PREFERRED	AT COST	13,688	13,572
46138E198 INVESCO S&P MIDCAP L
4812A4351 JP MORGAN STRATEGIC
552983694 MFS VALUE FUND	AT COST	4,566	5,642
94987W760 WELLS FARGO ADV STR
648018828 AMERICAN NEW PERSPEC	AT COST	9,656	10,611
92828W775 VIRTUS GLOBAL	AT COST	9,047	9,517
40168W525 GUGGENHEIM- TOTAL RE	AT COST	26,270	26,772
024071821 AMERICAN BALANCED FU	AT COST	10,520	11,159
72201M784 PIMCO FOREIGN BOND
78464A763 SPDR S&P DIVIDEND ET
543916464 LORD ABBETT SHORT DU	AT COST	18,145	18,079
808524797 SCHWAB US DIVIDEND E	AT COST	9,758	10,670
94984B694 WELLS FARGO CORE PLU	AT COST	17,526	17,890
957663503 WESTERN ASSET CORE P
336920103 FIRST TRUST US EQUIT
33734H106 FRT TRT VAL INDX	AT COST	6,751	8,178
47804J206 JOHN HANCOCK MULTI-F
416641207 HARTFORD GROWTH OPPO	AT COST	3,636	4,553
61744J861 MORGAN STANLEY GROWT
00203H602 AQR DIVERSIFIED ARBI
09260B382 BLACKROCK STRATEGIC	AT COST	22,342	22,378
543915292 LORD ABBETT GROWTH
87234N880 TCW TOTAL RETURN BON
33733E104 FIRST TRUST CAPITAL
33739Q200 FIRST TRUST LOW DURA	AT COST	18,440	18,046
411511603 HARBOR LARGE CAP VAL
41665H847 HARTFORD SCHRODERS E
69374H741 PACER BENCHMARK DATA	AT COST	8,254	9,478
4812C0571 JPMORGAN SMALL CAP G
94975P447 WELLS FARGO SPECIAL	AT COST	6,529	7,526
46090E103 INVESCO QQQ TRUST SE
0075W0759 EDGEWOOD GROWTH FUND	AT COST	11,338	10,597
544004609 LORD ABBETT BOND-DEB	AT COST	25,124	24,681
46641Q837 JPMORGAN ULTRA-SHORT	AT COST	18,141	18,072
921908844 VANGUARD DIVIDEND AP	AT COST	7,836	8,072
78464A201 SPDR S&P 600 SMALL C	AT COST	9,333	9,096

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
EXCISE TAX - PRIOR YEAR	151	0		0
EXCISE TAX ESTIMATES	632	0		0