Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
THE RAYONIER ADVANCED MATERIALS
FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)1301 RIVERPLACE BLVD SUITE 2300
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
JACKSONVILLE, FL32207
A Employer identification number

47-2564002
B Telephone number (see instructions)

(904) 357-4600
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$5,886,114J 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) 5,197
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 98,749 98,749  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 248,035
b Gross sales price for all assets on line 6a 1,449,961
7 Capital gain net income (from Part IV, line 2)... 248,035
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 351,981 346,784  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 14,152 14,152   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 14,152 14,152   0
25 Contributions, gifts, grants paid....... 451,329 451,329
26 Total expenses and disbursements. Add lines 24 and 25 465,481 14,152   451,329
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -113,500
b Net investment income (if negative, enter -0-) 332,632
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 153,424 51,374 51,374
2 Savings and temporary cash investments.........   114,920 114,920
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 3,383,278 Click to see attachment3,148,264 4,109,431
c Investments—corporate bonds (attach schedule)....... 1,481,447 Click to see attachment1,590,091 1,610,389
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,018,149 4,904,649 5,886,114
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 5,018,149 4,904,649
29 Total net assets or fund balances (see instructions)..... 5,018,149 4,904,649
30 Total liabilities and net assets/fund balances (see instructions). 5,018,149 4,904,649
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
5,018,149
2
Enter amount from Part I, line 27a .....................
2
-113,500
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,904,649
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,904,649
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 SECURITIES      
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,449,961   1,201,926 248,035
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       248,035
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 248,035
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 4,624
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 4,624
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 8,104
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 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,104
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,480
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet3,480 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletFL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletMICHAEL H WALSH Telephone no.bullet (904) 357-4600

    Located atbullet1301 RIVERPLACE BLVD STE 2300JACKSONVILLEFL ZIP+4bullet32207
    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)
    Yes
     
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    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
    WILLIAM R MANZER DIRECTOR
    0.25     		0 0 0
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    PAUL G BOYNTON CHAIRMAN
    0.25     		0 0 0
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    JAMES L POSZE JR PRESIDENT
    0.25     		0 0 0
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    MICHAEL H WALSH TREASURER
    0.25     		0 0 0
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    CLAYTON W BETHEA DIRECTOR
    0.25     		0 0 0
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    MARK J HOMANS DIRECTOR
    0.25     		0 0 0
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    MARCUS J MOELTNER DIRECTOR
    0.25     		0 0 0
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    BRENDA K DAVIS SECRETARY
    0.25     		0 0 0
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    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.........................bullet0
    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
    5,632,162
    b
    Average of monthly cash balances.......................
    1b
    166,575
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,798,737
    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
    5,798,737
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    86,981
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    5,711,756
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    285,588
    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
    285,588
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,624
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,624
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    280,964
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    280,964
    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
    280,964
    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 7 280,964
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:2019, 2018, 2017 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 365,891
    b From 2017...... 227,375
    c From 2018...... 73,968
    d From 2019...... 165,796
    e From 2020...... 107,531
    f Total of lines 3a through e ........ 940,561
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 451,329
    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..... 280,964
    e Remaining amount distributed out of corpus 170,365
    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 1,110,926
    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) ...     		365,891
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		745,035
    10 Analysis of line 9:
    a Excess from 2017.... 227,375
    b Excess from 2018.... 73,968
    c Excess from 2019.... 165,796
    d Excess from 2020.... 107,531
    e Excess from 2021.... 170,365
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    JANE RORICK
    1301 RIVERPLACE BLVD SUITE 2300
    JACKSONVILLE,FL32207
    (904) 357-4600
    bThe form in which applications should be submitted and information and materials they should include:
    N/A
    cAny submission deadlines:
    N/A
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    DONATION MUST ALIGN WITH THE FOUNDATION MISSION AND BE APPROVED BY THE FOUNDATION PRESIDENT.
    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
    ACTION PACT INC
    2100 RIVERSIDE AVE
    WAYCROSS,GA31501     		  PC SENIOR NUTRITION PROGRAM AT WAYNE COUNTY SENIOR CENTER 9,500
    ALTAMAHA RIVER PARTNERSHIP
    239 N EAST PARK AVE SUITE E
    BAXLEY,GA31513     		  PC AD CAMPAIGN 2,500
    AMELIA ISLAND BOOK FESTIVAL
    PO BOX 15286
    FERNANDINA BEACH,FL32035     		  PC SHORT STORY WRITING CONTEST 2,000
    AMELIA ISLAND CHAMBER MUSIC FESTIVAL INC
    1405 PARK AVENUE SUITE 101
    FERNANDINA BEACH,FL32034     		  PC COMMUNITY CONCERT SERIES 1,000
    AMELIA ISLAND JAZZ FESTIVAL INC
    PO BOX 16684
    FERNANDINA BEACH,FL32035     		  PC JAZZ IN THE SCHOOLS & SENIORS LIVE 2,000
    AMELIA ISLAND MUSEUM OF HISTORY
    233 S THIRD STREET
    FERNANDINA BEACH,FL32034     		  PC VETERANS HISTORY & HERITAGE KEEPERS 2,000
    AMERICA'S SECOND HARVEST OF COASTAL GEORGIA
    2501 EAST PRESIDENT STREET
    SAVANNAH,GA31404     		  PC MOBILE FOOD PANTRY 2,500
    ARTHUR WILLIAMS MIDDLE SCHOOL
    1175 HWY 301 SOUTH
    JESUP,GA31546     		  GOV LET'S GET REAL PROGRAM 3,000
    ARTHUR WILLIAMS MIDDLE SCHOOL
    1175 HWY 301 SOUTH
    JESUP,GA31546     		  GOV DIVERSE CLASSROOM LIBRARY 2,000
    ARTHUR WILLIAMS MIDDLE SCHOOL
    1175 HWY 301 SOUTH
    JESUP,GA31546     		  GOV SENSORY ROOM ITEMS 1,000
    AUTHENTIC IMPACT
    95707 AMELIA CONCOURSE
    FERNANDINA BEACH,FL32034     		  PC FAMILIES AT RISK INITIATIVES 2,500
    BARNABAS CENTER INC
    1301 JASMINE STREET
    FERNANDINA BEACH,FL32034     		  PC HEALTH SERVICES 19,500
    BIG BROTHERS BIG SISTERS OF WAYNE COUNTY
    660 N 4TH STREET
    JESUP,GA31545     		  PC SERVING THE COMMUNITY 4,000
    BOYS AND GIRLS CLUB OF NE FL NASSAU
    942259 OLD NASSAUVILLE ROAD
    FERNANDINA BEACH,FL32034     		  PC 2021 GRANT 4,000
    CAREGIVERS RESOURCE AND SUPPORT SYSTEM
    PO BOX 489
    SCREVEN,GA31560     		  PC CAREGIVING 1,500
    CATS ANGELS INC SPCA
    709 8TH STREET
    FERNANDINA BEACH,FL32034     		  PC SPAY NASSAU 1,500
    CITY OF JESUP
    162 E CHERRY STREET
    JESUP,GA31546     		  GOV CHRISTMAS TOY DRIVE 1,500
    CITY RESCUE MISSION
    426 S MCDUFF AVE
    JACKSONVILLE,FL32254     		  PC OPERATION CODE BLUE 1,500
    CITY RESCUE MISSION
    426 S MCDUFF AVE
    JACKSONVILLE,FL32254     		  PC OPERATIONS 1,500
    COALITION FOR THE HOMELESS OF NASSAU COUNTY
    PO BOX 16123
    FERNANDINA BEACH,FL32035     		  PC EMERGENCY SHELTER & DAY DROP CENTER 10,000
    COASTAL GEORGIA AREA CAA INC
    724 N 4TH STREET
    JESUP,GA31545     		  PC PLAYGROUND EQUIPMENT 2,500
    COASTAL PINES TECHNICAL FOUNDATION
    1777 W CHERRY ST
    JESUP,GA31545     		  PC STEM SCHOLARSHIPS 1,000
    COMMUNITY HOSPICE & PALLATIVE CARE
    4266 SUNBEAN ROAD
    JACKSONVILLE,FL32257     		  PC COMMUNITY HOSPICE & PALLIATIVE CARE 2,500
    CROSS THE LINE FOUNDATION
    1101 SOUTH 19TH STREET
    FERNANDINA BEACH,FL32034     		  PC HELP END VETERAN SUICIDE PROGRAM 5,000
    CUMMER MUSEUM OF ARTS AND GARDENS
    829 RIVERSIDE AVENUE
    JACKSONVILLE,FL32204     		  PC NASSAU COUNTY AGENCY PARTNERSHIPS 1,000
    DEVELOPING OUR TEENS FOUNDATION INC
    667 MELANIE STREET
    JESUP,GA31545     		  PC MENTORING GROUP 2,000
    DREAMS COME TRUE OF JACKSONVILLE INC
    6803 SOUTHPOINT PKWY
    JACKSONVILLE,FL32216     		  PC DREAM SUPPORT PROGRAM 2,500
    ELM STREET SPORTSMAN ASSOCIATION (ESSA)
    PO BOX 16484
    FERNANDINA BEACH,FL32035     		  PC YOUTH STARS PROGRAM 8,000
    FACE TO FACE RECOVERY COMMUNITY ORGANIZATION INC
    181 N BRUNSWICK ST
    JESUP,GA31546     		  PC RE-ENTRY PROGRAM 2,000
    FAMILY SUPPORT SERVICES OF NORTH FLORIDA INC
    96016 LOFTON SQUARE COURT
    YULEE,FL32097     		  PC TEAM NASSAU INITIATIVE 2,000
    FERNANDINA BEACH POLICE FOUNDATION INC
    1525 LIME STREET
    FERNANDINA BEACH,FL32034     		  PC SHOP WITH COPS 1,500
    FLORIDA PROJECT LEARNING TREE
    PO BOX 110410
    GAINESVILLE,FL32611     		  PC FLORIDA EDUCATORS PROGRAM 2,500
    FOUNDATION FOR PRIVATE ENTERPRISE EDUCATION
    PO BOX 1170
    RENTON,WA98057     		  PC 2021 VIRTUAL PROGRAMS 2,500
    FREEHART INC
    446 W PLUM ST
    JESUP,GA31545     		  PC OPERATIONS 4,500
    FRIENDS OF FERNANDINA AVIATION (FOFA)
    PO BOX 15561
    FERNANDINA BEACH,FL32034     		  PC STEM ENRICHMENT & AVIATION PROGRAM 2,000
    FRIENDS OF NASSAU COUNTY LIBRARY INC
    PO BOX 17155
    FERNANDINA BEACH,FL32035     		  PC READ MORE PROGRAM 1,500
    GEORGIA NATURAL RESOURCES FOUNDATION
    2 MARTIN LUTHER KING JR DR SE STE
    1252 EAST
    ATLANTA,GA30334     		  PC WEEKEND FOR WILDLIFE AT SEA ISLAND 12,516
    GEORGIA RIVER NETWORK
    E3 126 S MILLEDGE AVE
    ATHENS,GA30605     		  PC ALTAMAHA RIVER USER GUIDE & TRAIL APP 5,000
    GIRL SCOUTS OF GATEWAY COUNCIL INC
    1000 SHEARER AVE
    JACKSONVILLE,FL32205     		  PC STEM PROGRAM 2,500
    GIRL SCOUTS OF HISTORIC GEORGIA INC
    330 DRAYTON STREET
    SAVANNAH,GA31401     		  PC STEM CAREERS PROGRAM 2,500
    GRACIE'S KITCHEN INC
    6 KOEN LN
    YULEE,FL32097     		  PC PROJECT TAKE DINNER HOME 3,500
    GRAYS HARBOR YOUTH WORKS INC
    PO BOX 1786
    OCEAN SHORES,WA98569     		  PC WISHKAH PROJECT 2,500
    HOSPICE OF SOUTH GEORGIA INC
    1625 SUNSET BLVD
    JESUP,GA31545     		  PC CAMP HOPE 5,000
    HUBBARD HOUSE INC
    6629 BEACH BLVD
    JACKSONVILLE,FL32216     		  PC EMERGENCY SHELTER & SERVICES PROGRAM 2,500
    INSTITUTE FOR ENTERPRISE INC
    27 N 3RD ST
    FERNANDINA BEACH,FL32034     		  PC CLASSES FOR STUDENTS IN NASSAU COUNTY 2,000
    JACKSONVILLE SYMPHONY ASSOCIATION
    300 WATER ST 200
    JACKSONVILLE,FL32202     		  PC VIRTUAL MUSIC PROGRAMS NASSAU COUNTY 1,000
    JAMES E BACON ELEMENTARY
    1425 WEST ORANGE STREET
    JESUP,GA31545     		  GOV COMMUNITY BASED INSTRUCTION 2,000
    JESUP ELEMENTARY SCHOOL
    1155 US HWY 301 SOUTH
    JESUP,GA31546     		  GOV LITERACY STEM CARTS 2,500
    JOY TO THE CHILDREN INC
    PO BOX 16404
    FERNANDINA BEACH,FL32035     		  PC CHRISTMAS DAY EVENT 2,500
    JUNIOR ACHIEVEMENT OF GEORGIA
    6001 CHATHAM CENTER DRIVE SUITE 150
    SAVANNAH,GA31405     		  PC PROGRAMS IN WAYNE COUNTY SCHOOLS 5,000
    KEEP NASSAU BEAUTIFUL INC
    PO BOX 16244
    FERNANDINA BEACH,FL32035     		  PC PLANTING NASSAU'S FUTURE 2,000
    LEADERSHIP JACKSONVILLE INC
    40 E ADAMS ST STE 230
    JACKSONVILLE,FL32202     		  PC OPERATIONS 1,500
    LONG COUNTY PUBLIC LIBRARY
    270 SOUTH MAIN STREET
    LUDOWICI,GA31316     		  GOV SUMMER READING PROGRAM 2,500
    LUTHERAN SOCIAL SERVICES OF NORTHEAST FLORID INC
    4615 PHILIPS HWY
    JACKSONVILLE,FL32207     		  PC NOURISHMENT NETWORK MARKET PROGRAM 2,500
    MARTHA PUCKETT MIDDLE SCHOOL
    475 DURRENCE ROAD
    JESUP,GA31545     		  GOV CHARGING FORWARD TO THE FUTURE PROGRAM 1,500
    MARTHA PUCKETT MIDDLE SCHOOL
    475 DURRENCE ROAD
    JESUP,GA31545     		  GOV LOST AND FOUND 500
    MASASHANE'S CRIB
    1303 S 1ST STREET
    JESUP,GA31545     		  PC ACCESS TO RECOVERY PROGRAM 6,792
    MCARTHUR FAMILY YMCA
    1915 CITRONA DRIVE
    FERNANDINA BEACH,FL32034     		  PC 2021 GRANT 3,000
    MICAH'S PLACE
    PO BOX 16287
    FERNANDINA BEACH,FL32035     		  PC HEALTHY RELATIONSHIPS PROGRAM 2,500
    NASSAU COUNTY COUNCIL ON AGING INC
    1901 ISLAND WALK WAY
    FERNANDINA BEACH,FL32034     		  PC 2021 GRANT 18,500
    NASSAU COUNTY HUMANE SOCIETY
    641 AIRPORT ROAD
    FERNANDINA BEACH,FL32034     		  PC 2021 GRANT 1,000
    NASSAU EDUCATION FOUNDATION
    PO BOX 17272
    FERNANDINA BEACH,FL32035     		  PC 2021 GRANT 11,000
    NASSAU HABITAT FOR HUMANITY INC
    516 S 10TH STREET SUITE 115
    FERNANDINA BEACH,FL32034     		  PC AFFORDABLE HOUSING PROGRAM 2,000
    NATUREBRIDGE
    1033 FORT CRONKHITE
    SAUSALITO,CA94965     		  PC ENVIRONMENTAL EDUCATION 2,500
    PACIFIC EDUCATION INSTITUTE
    724 COLUMBIA ST NW STE 255
    OLYMPIA,WA98501     		  PC TRAINING & SUPPORT PROGRAM 2,500
    PROJECT CHANCE
    23525 BAHAMA POINT UNIT 1612
    FERNANDINA BEACH,FL32034     		  PC VET CARE FOR SERVICE DOGS 1,000
    REGIONAL FOOD BANK OF NORTHEAST FLORIDA INC
    116 EDGEWOOD AVENUE N UNITS D/E
    JACKSONVILLE,FL32254     		  PC FEEDING NORTHEAST FLORIDA MOBILE PANTRY 10,000
    SAFE KIDS WAYNE COUNTY
    155 NORTH WAYNE STREET
    JESUP,GA31545     		  PC RAYONIER FOCUSES ON SAFE KIDS 650
    SCREVEN ELEMENTARY SCHOOL MEDIA CENTER
    414 SCHOOL STREET
    SCREVEN,GA31560     		  GOV BOOK FOR EVERYONE PROGRAM 600
    SMILEY ELEMENTARY SCHOOL
    1530 GA-57
    LUDOWICI,GA31316     		  GOV SENSORY LIGHT TABLE 2,400
    SMILEY ELEMENTARY SCHOOL
    1530 GA-57
    LUDOWICI,GA31316     		  GOV POSITIVE BEHAVIOR INTERVENTION SUPPORT 500
    STARTING POINT BEHAVIORAL HEALTH CARE
    463142 STATE RD 200
    YULEE,FL32097     		  PC TEEN MENTAL HEALTH 3,000
    TABITHAS PLACE
    247 SOUTH 2ND STREET
    JESUP,GA31545     		  PC SOUP KITCHEN & BATHHOUSE 16,500
    TAKE STOCK IN CHILDREN OF NASSAU INC
    76346 WILLIAM BURGESS BLVD
    YULEE,FL32097     		  PC HIGH SCHOOL MENTORING PROGRAM 2,500
    TEAM FERNANDINA STINGRAYS
    PO BOX 14
    FERNANDINA BEACH,FL32035     		  PC SCHOLARSHIPS FOR CHILDREN IN NEED 555
    THE 1000 DOLLAR STARTUPS CONSORTIUM
    527 TARPON AVE
    FERNANDINA BEACH,FL32034     		  PC ENTREPRENEURSHIP & FINANCIAL TRAINING 1,000
    THE ARC OF NASSAU
    86051 HAMILTON STREET
    YULEE,FL32097     		  PC OUTDOOR EXPERIENCE CENTER 3,000
    THE BOYS AND GIRLS CLUB OF THE ALTAMAHA AREA
    550 E ORANGE ST
    JESUP,GA31546     		  PC BGCAA READS PROGRAM 21,000
    THE GOOD SAMARITAN CENTER OF WAYNE COUNTY
    PO BOX 1464
    JESUP,GA31598     		  PC THE GOOD SAMARITAN CENTER 7,000
    THE SALVATION ARMY HOPE HOUSE
    410 SOUTH 9TH STREET
    FERNANDINA BEACH,FL32034     		  PC EMERGENCY TRAVEL FUND 2,500
    UGA EXTENSION WAYNE COUNTY ANR PROGRAM
    PO BOX 510
    JESUP,GA31598     		  GOV FORESTRY EDUCATION RESEARCH PROGRAM 500
    UNITED WAY OF NORTHEAST FLORIDA
    JESSE BALL DU PONT CENTER 40 E
    ADAMS STREET 200
    JACKSONVILLE,FL32202     		  PC NASSAU COUNTY 6,000
    UNITED WAY OF NORTHEAST FLORIDA
    JESSE BALL DU PONT CENTER 40 E
    ADAMS STREET 200
    JACKSONVILLE,FL32202     		  PC UNITED WAY SUPPORT 50,799
    UNITED WAY OF SOUTH GEORGIA
    211 W 4TH ST
    TIFTON,GA31794     		  PC EMPLOYEE MATCH 12,355
    WAYNE COUNTY 4-H
    PO BOX 510
    JESUP,GA31598     		  PC SUMMER CAMP 1,500
    WAYNE COUNTY BOARD OF EDUCATION
    710 W PINE STREET
    JESUP,GA31545     		  GOV TEACHER OF THE YEAR PROGRAM 2,000
    WAYNE COUNTY BOARD OF EDUCATION
    710 W PINE STREET
    JESUP,GA31545     		  GOV CAMP CURIOSITY 700
    WAYNE COUNTY BOARD OF EDUCATION
    710 W PINE STREET
    JESUP,GA31545     		  GOV FIELD TRIP FUND 4,604
    WAYNE COUNTY EDUCATION FOUNDATION
    1 JACKET DRIVE
    JESUP,GA31546     		  PC CLASSROOM MINI-GRANTS 10,000
    WAYNE COUNTY EMERGENCY MEDICAL SERVICE
    201 HINSON ROAD
    JESUP,GA31545     		  GOV OPERATION CODE BLUE 4,000
    WAYNE COUNTY EXCHANGE CLUB
    PO BOX 1222
    JESUP,GA31598     		  PC SHOP WITH A COP 5,000
    WAYNE COUNTY FAMILY CONNECTION
    PO BOX 1052
    JESUP,GA31598     		  PC MENTAL HEALTH INITIATIVES 3,000
    WAYNE COUNTY FARMERS MARKET
    621 N CHURCH ST
    ODUM,GA31555     		  PC FARMERS MARKET 2,500
    WAYNE COUNTY HIGH SCHOOL
    1 JACKET DRIVE
    JESUP,GA31546     		  GOV ASSISTIVE TECHNOLOGY 4,858
    WAYNE COUNTY HIGH SCHOOL
    1 JACKET DRIVE
    JESUP,GA31546     		  GOV MATH & CTAW DEPTS 5,000
    WAYNE COUNTY HIGH SCHOOL
    1 JACKET DRIVE
    JESUP,GA31546     		  GOV SPRING FIELD DAY 2,500
    WAYNE COUNTY HIGH SCHOOL
    1 JACKET DRIVE
    JESUP,GA31546     		  GOV RANDOM ACTS OF KINDNESS PROGRAM 1,500
    WAYNE COUNTY LIBRARY
    759 SUNSET BLVD
    JESUP,GA31545     		  GOV STEAMING AHEAD 2,500
    WAYNE COUNTY PROTECTIVE AGENCY INC
    PO B 1153
    JESUP,GA31598     		  PC FARMERS MARKET 2,000
    WAYNE COUNTY PROTECTIVE AGENCY INC
    PO B 1153
    JESUP,GA31598     		  PC DOMESTIC VIOLENCE SHELTER & SERVICES 12,000
    WAYNE COUNTY RECREATION DEPARTMENT
    400 HINSON MOSLEY ROAD
    JESUP,GA31545     		  GOV BATTING CAGES REMODEL 2,500
    WAYNE COUNTY SHERIFF'S OFFICE
    266 EAST WALNUT STREET
    JESUP,GA31546     		  GOV ACTIVE SHOOTER TRAINING 4,500
    WAYNE READS LITERACY TEAM
    710 WEST PINE STREET
    JESUP,GA31545     		  PC WELCOME TO THE WORLD PROGRAM 4,000
    WAYNE SERVICE CENTER
    1848 S SUNSET BLVD
    JESUP,GA31545     		  GOV CUSTODIAL MAINTENANCE 3,000
    WILD AMELIA NATURE FESTIVAL INC
    PO BOX 15434
    FERNANDINA BEACH,FL32035     		  PC DIGITAL NATURE LIBRARY 2,500
    Total .................................bullet 3a 451,329
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ............     		    18 248,035  
    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) .. 0 346,784 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    346,784
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE RAYONIER ADVANCED MATERIALS
     
    FOUNDATION INC
    EIN:
    47-2564002
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FIDELITY U.S. BOND INDEX 1,590,091 1,610,389

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE RAYONIER ADVANCED MATERIALS
     
    FOUNDATION INC
    EIN:
    47-2564002
    Name of Stock End of Year Book Value End of Year Fair Market Value
    FIDELITY GLOBAL EX US INDEX FUND 1,469,992 1,754,884
    FIDELITY LARGE CAP GROWTH INDEX 327,743 577,761
    FIDELITY LARGE CAP VALUE INDEX FUND 441,524 587,172
    FIDELITY REAL ESTATE INDEX FUND 462,486 600,810
    FIDELITY SMALL CAP INDEX PREMIUM 446,519 588,804

    TY 2021 OtherExpensesSchedule
    Name:
    THE RAYONIER ADVANCED MATERIALS
     
    FOUNDATION INC
    EIN:
    47-2564002
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK FEES 14,152 14,152   0