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
DAVID & JANIS LARSON FOUNDATION
C/O FIRST TRUST COMPANY LLC
Number and street (or P.O. box number if mail is not delivered to street address)250 MARQUETTE AVENUE 520
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MINNEAPOLIS, MN55401
A Employer identification number

41-1957525
B Telephone number (see instructions)

(651) 330-5910
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$208,203,209
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 488 488  
4 Dividends and interest from securities... 3,646,649 3,636,128  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 13,859,683
b Gross sales price for all assets on line 6a 36,588,863
7 Capital gain net income (from Part IV, line 2)... 13,859,683
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)....... 117,232 117,232  
12 Total. Add lines 1 through 11........ 17,624,052 17,613,531  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 202,354 0   202,354
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 81,277 0   81,277
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 78,305 78,305   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 647,066 647,041   25
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,009,002 725,346   283,656
25 Contributions, gifts, grants paid....... 7,525,000 7,525,000
26 Total expenses and disbursements. Add lines 24 and 25 8,534,002 725,346   7,808,656
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 9,090,050
b Net investment income (if negative, enter -0-) 16,888,185
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.............      
2 Savings and temporary cash investments......... 3,296,421 1,541,145 1,541,145
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) 5,310,728 Click to see attachment5,968,026 5,733,018
b Investments—corporate stock (attach schedule)....... 57,620,652 Click to see attachment81,542,863 123,482,949
c Investments—corporate bonds (attach schedule)....... 6,264,722 Click to see attachment6,728,905 6,952,353
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 55,038,132 Click to see attachment44,666,860 70,493,744
14 Land, buildings, and equipment: basis bullet2,045
Less: accumulated depreciation (attach schedule) bullet2,045      
15 Other assets (describe bullet) Click to see attachment3,732,346 Click to see attachment42,382 Click to see attachment0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 131,263,001 140,490,181 208,203,209
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........ 140,129,269 140,266,399
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds -8,866,268 223,782
29 Total net assets or fund balances (see instructions)..... 131,263,001 140,490,181
30 Total liabilities and net assets/fund balances (see instructions). 131,263,001 140,490,181
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
131,263,001
2
Enter amount from Part I, line 27a .....................
2
9,090,050
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
144,616
4
Add lines 1, 2, and 3 ..........................
4
140,497,667
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
7,486
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
140,490,181
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 181 SHS. ALIBABA   2020-12-31 2021-01-04
b 172 SHS. COGNEX   2020-04-17 2021-03-17
c 272 SHS. DANAHER   2021-02-25 2021-06-30
d 8,849 SHS. IBM   2021-01-26 2021-08-12
e 1,300 SHS. ISHARES BIOTECH ETF   2020-12-31 2021-03-17
69,685 ISHARES SML CP ETF   2020-05-20 2021-01-25
495 SHS. KANSAS CITY SOUTHERN MRG   2021-01-26 2021-12-13
174 SHS. ESTEE LAUDER   2020-12-31 2021-04-08
2,080 SHS. MASTERCARD   2020-12-24 2021-11-10
$150,000 MICROSOFT NOTE   2020-11-04 2021-09-08
104 SHS. O'REILLY AUTO   2020-12-31 2021-01-27
378 SHS. OLD DOMINION FREIGHT   2020-12-31 2021-03-17
783.8 SHS. ORGANON   2020-12-31 2021-06-08
1,005 SHS. PAPA JOHNS   2020-12-31 2021-03-04
963 SHS. PROGRESSIVE   2020-12-31 2021-03-17
1,019 SHS. QUALCOMM   2021-08-09 2021-12-15
526 SHS. ROPER TECH   2020-12-31 2021-03-04
529 SHS. SPDR S&P BIO TECH ETF   2020-12-31 2021-10-04
40,074 SHS. SCHWAB STRAT. REIT ETF   2020-05-20 2021-02-23
2,826 SHS. WALGREENS   2021-01-26 2021-12-13
78,369 SHS. WISDOMTREE EMG MKTS SMCAP   2020-04-15 2021-01-25
1,500 SHS. AT&T   2019-02-07 2021-05-19
4,725 SHS. ABBVIE   2019-06-25 2021-12-15
133 SHS. ALIBABA   2019-02-07 2021-01-04
91 SHS. ALIGN TECH   2019-02-07 2021-08-05
$290,000 ALPHABET NOTE   2019-02-07 2021-03-12
ALPHABET NOTE ACCRUED MARKET DISCOUNT   2019-02-07 2021-03-12
273 SHS. AMERCO   2019-02-07 2021-12-15
662 SHS. APPLIED MATERIALS   2019-02-07 2021-12-15
522 SHS. AVERY DENNISON   2019-02-07 2021-12-15
$340,000 BLACKROCK NOTE   2019-02-07 2021-09-08
2,359 SHS. CSX   2019-02-07 2021-12-13
.3 SHS. CANADIAN PACIFIC RAILWAY   2020-03-12 2021-12-23
$285,000 CAPITAL ONE NOTE   2019-02-07 2021-07-15
243 SHS. CHARLES RIVER LAB   2019-02-07 2021-08-05
572 SHS. CHEVRON   2019-02-07 2021-12-31
721 SHS. COGNEX   2019-02-07 2021-03-17
481 SHS. CURTISS-WRIGHT   2020-03-06 2021-12-15
9,020 SHS. DUPONT DE NEMOURS   2019-02-07 2021-05-05
521 SHS. EDWARDS LIFESCIENCES   2019-02-07 2021-08-05
2,856 SHS. HILLENBRAND   2019-02-07 2021-12-15
$385,000 INTEL NOTE   2019-02-07 2021-04-28
2,468 SHS. IBM   2019-02-07 2021-08-09
2,813 SHS. ISHARES MSCI EMKT ETF   2020-04-15 2021-12-15
2,798 SHS. ISHARES MSCI INTL ETF   2020-03-18 2021-12-15
2,580 SHS. KANSAS CITY SOUTHERN MRG   2019-02-07 2021-12-14
286 SHS. ESTEE LAUDER   2019-02-07 2021-04-08
59 SHS. MSCI INC.   2020-01-13 2021-08-05
290 SHS. MCDONALD'S   2019-02-07 2021-12-13
$315,000 MORGAN STANLEY NOTE   2019-02-07 2021-07-28
892 SHS. NVIDIA   2019-02-07 2021-11-09
84 SHS. O'REILLY AUTO   2019-02-07 2021-01-27
448 SHS. OLD DOMINION FREIGHT   2019-02-07 2021-03-17
467.90 SHS. ORGANON   2019-02-07 2021-06-08
446 SHS. PAPA JOHNS   2019-02-07 2021-03-04
689 SHS. PROGRESSIVE   2019-02-07 2021-03-17
$315,000 RIO TINTO NOTE   2019-02-07 2021-12-03
138 SHS. ROPER TECH   2019-02-07 2021-03-04
3,064 SHS. SPDR S&P 400 MID CAP   2020-03-18 2021-12-15
3,300 SHS. SPDR S&P 500 ETF   2020-03-18 2021-12-15
396 SHS. SPDR S&P BIOTECH ETF   2020-03-18 2021-10-04
3,438 SHS. SPDR S&P 600 SM CAP   2020-04-15 2021-12-15
894 SHS. SCHWAB CORP   2020-11-09 2021-12-13
1,822 SHS. SCHWAB STRAT. SML CAP ETF   2020-05-06 2021-12-15
2,716 SHS. SCHWAB STAT. REIT ETF   2020-05-20 2021-12-15
99 SHS. SHERMAN WILLIAMS   2019-02-07 2021-03-17
$1,050,000 US TREASURY NOTES   2019-02-07 2021-08-15
US TREASURY NOTES ACCRUED MARKET DISCOUNT   2019-02-07 2021-08-15
1,568 SHS. UNITEDHEALTH GROUP   2020-04-02 2021-12-15
2,988 SHS. VANGUARD DEV MKT ETF   2020-04-15 2021-12-15
6,060 SHS. VIACOMCBS   2019-02-07 2021-02-23
11,380 SHS. WALGREENS BOOTS ALLIANCE   2019-02-07 2021-12-13
814 SHS. WASTE MANAGEMENT   2019-02-07 2021-12-15
508 SHS. EATON CORP   2019-02-07 2021-12-13
1,069 SHS. ALPHABET   2015-06-30 2021-12-13
588 SHS. APPLE   2015-01-28 2021-12-15
350 SHS. CATERPILLAR   2015-06-30 2021-12-13
2,613 SHS. CISCO SYSTEMS   2016-09-12 2021-12-15
11,435 SHS. WALT DISNEY   2015-01-28 2021-05-04
9,826 SHS. HOME DEPOT   2015-02-10 2021-02-25
4,275 SHS. INTEL   2019-02-07 2021-02-23
1,816 SHS. ISHARES S&P SCP ETF   2015-02-10 2021-12-15
744 SHS. JP MORGAN CHASE   2015-10-22 2021-12-13
7,231 SHS. MICROSOFT   2015-06-30 2021-12-15
388 SHS. SPDR MIDCAP 400 ETF   2015-06-30 2021-12-15
12,187 SHS. VISA   2015-06-30 2021-04-08
1,779 SHS. ZILLOW   2020-12-31 2021-11-04
OKABENA PRIVATE MARKETS K-1 STCL      
OKABENA PRIVATE MARKETS K-1 LTCG      
OKABENA PRIVATE MARKETS K-1 1231 GAIN      
CAPITAL GAINS DIVIDENDS P    
(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 41,098   37,068 4,030
b 14,171   8,108 6,063
c 72,869   60,520 12,349
d 1,258,606   1,075,684 182,922
e 197,109   194,148 2,961
4,833,971   3,554,433 1,279,538
44,550   5,029 39,521
51,675   31,202 20,473
760,403   678,099 82,304
159,394   162,888 -3,494
45,038   43,057 1,981
85,696   71,001 14,695
22,813   29,463 -6,650
85,666   94,649 -8,983
87,382   83,492 3,890
185,839   149,976 35,863
197,873   215,712 -17,839
65,336   81,104 -15,768
1,547,127   1,327,251 219,876
138,888   137,298 1,590
3,807,115   2,738,926 1,068,189
43,545   43,977 -432
541,827   362,787 179,040
30,199   21,757 8,442
63,809   25,021 38,788
300,805   275,822 24,983
      -3,515
192,828   101,819 91,009
96,751   26,425 70,326
108,411   53,872 54,539
364,626   348,061 16,565
84,971   53,533 31,438
22   13 9
285,000   285,000 0
98,728   35,413 63,315
66,600   67,513 -913
59,404   33,974 25,430
63,715   57,734 5,981
698,241   611,857 86,384
59,493   34,494 24,999
140,344   122,249 18,095
398,894   386,556 12,338
348,321   337,012 11,309
165,628   117,657 47,971
184,145   108,367 75,778
232,200     232,200
84,939   51,597 33,342
36,660   16,020 20,640
76,549   50,834 25,715
315,000   315,000 0
268,740   33,452 235,288
36,377   32,801 3,576
101,566   46,841 54,725
13,624   18,563 -4,939
38,017   21,280 16,737
62,520   52,804 9,716
344,380   324,165 20,215
51,913   49,399 2,514
147,202   71,322 75,880
180,576   92,264 88,312
48,910   37,305 11,605
148,518   76,358 72,160
71,068   40,230 30,838
179,660   104,437 75,223
136,185   89,954 46,231
70,862   48,764 22,098
1,053,737   1,043,782 9,955
      -5,217
642,745   368,145 274,600
151,040   101,472 49,568
383,636   293,638 89,998
559,331   682,065 -122,734
132,969   78,608 54,361
86,441   38,653 47,788
2,619,517   580,280 2,039,237
101,597   16,951 84,646
70,596   29,944 40,652
153,978   82,018 71,960
2,064,045   1,059,681 1,004,364
2,628,393   1,085,253 1,543,140
257,584   134,778 122,806
200,109   102,944 97,165
117,730   47,206 70,524
1,647,832   318,993 1,328,839
194,046   106,282 87,764
2,638,662   816,997 1,821,665
121,567   223,097 -101,530
      -6,920
      352,696
      7,974
18,916     18,916
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       4,030
b       6,063
c       12,349
d       182,922
e       2,961
      1,279,538
      39,521
      20,473
      82,304
      -3,494
      1,981
      14,695
      -6,650
      -8,983
      3,890
      35,863
      -17,839
      -15,768
      219,876
      1,590
      1,068,189
      -432
      179,040
      8,442
      38,788
      24,983
      -3,515
      91,009
      70,326
      54,539
      16,565
      31,438
      9
      0
      63,315
      -913
      25,430
      5,981
      86,384
      24,999
      18,095
      12,338
      11,309
      47,971
      75,778
      232,200
      33,342
      20,640
      25,715
      0
      235,288
      3,576
      54,725
      -4,939
      16,737
      9,716
      20,215
      2,514
      75,880
      88,312
      11,605
      72,160
      30,838
      75,223
      46,231
      22,098
      9,955
      -5,217
      274,600
      49,568
      89,998
      -122,734
      54,361
      47,788
      2,039,237
      84,646
      40,652
      71,960
      1,004,364
      1,543,140
      122,806
      97,165
      70,524
      1,328,839
      87,764
      1,821,665
      -101,530
      -6,920
      352,696
      7,974
      18,916
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 13,859,683
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........................... 3 234,746
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- ..... 5 234,746
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 52,102
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 190,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 242,102
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 7,356
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet7,356 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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletMN
    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 ofbulletJOEL BLACK FIRST TRUST COMPANY TR Telephone no.bullet (651) 330-5910

    Located atbullet250 MARQUETTE AVENUE SUITE 520MINNEAPOLISMN ZIP+4bullet55401
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    JANIS L LARSON PRES., SECT'Y, TREAS., TRU
    2.00
    0 0 0
    581 NORTH STREAM ROAD
    WAYZATA,MN55391
    D LANCE LARSON TRUSTEE
    2.00
    0 0 0
    8416 ENSLEY LANE
    LEAWOOD,KS66206
    REID M LARSON TRUSTEE
    2.00
    0 0 0
    11800 28TH AVENUE NORTH
    PLYMOUTH,MN55441
    FIRST TRUST CO LLC TRUSTEE
    10.00
    202,354 0 0
    250 MARQUETTE AVENUE SUITE 520
    MINNEAPOLIS,MN55401
    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
    196,789,887
    b
    Average of monthly cash balances.......................
    1b
    2,813,309
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    199,603,196
    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
    199,603,196
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    2,994,048
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    196,609,148
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    9,830,457
    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
    9,830,457
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    234,746
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
    20,469
    c
    Add lines 2a and 2b............................
    2c
    255,215
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    9,575,242
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    9,575,242
    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
    9,575,242
    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 9,575,242
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 7,513,235
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 7,808,656
    a Applied to 2020, but not more than line 2a 7,513,235
    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..... 295,421
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    9,279,821
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    CENTRAL SQUARE CULTURAL AND CIVIC CENTER
    105 SECOND AVE NE STE 111
    GLENWOOD,MN56334
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 350,000
    COLLEGE POSSIBLE TWIN CITIES
    540 FAIRVIEW AVE N STE 201
    ST PAUL,MN55104
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 368,750
    FOOD FOR HUNGRY MINDS
    3108 CHICAGO AVE
    MINNEAPOLIS,MN55407
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 50,000
    GUTHRIE THEATER FOUNDATION
    818 SOUTH SECOND STREET
    MINNEAPOLIS,MN55415
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 75,000
    KANSAS UNIVERSITY ENDOWMENT ASSOCIATION
    PO BOX 928
    LAWRENCE,KS66044
      SCHOOL LARSON FOUNDATION SCHOLARSHIP FUND 1,291,250
    PINKY SWEAR FOUNDATION
    5555 W78TH ST STE E
    EDINA,MN55439
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 2,130,000
    POPE COUNTY HISTORICAL SOCIETY
    809 S LAKESHORE DR
    GLENWOOD,MN56334
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 220,000
    REDWOOD HISTORICAL SOCIETY
    913 W BRIDGE STREET
    REDWOOD FALLS,MN56283
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 200,000
    RIDGEDALE YMCA
    12301 RIDGEDALE DR
    MINNETONKA,MN55305
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 50,000
    ST CROIX VALLEY FOUNDATION
    516 2ND STREET STE 214A
    HUDSON,WI54016
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 300,000
    UNIVERSITY OF MINNESOTA FOUNDATION
    200 SE OAK ST STE 500
    MINNEAPOLIS,MN55455
      SCHOOL DAVE LARSON SCHOLARSHIP FUND, JANIS LARSON SCHOLARSHIP FUND, LARSON FAMILY ENDOWMENT FOR CLA LEARNING 275,000
    VOYAGEUR OUTWARD BOUND SCHOOL
    179 ROBIE ST STE 295
    ST PAUL,MN55107
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 1,330,000
    ST AGNES CHURCH
    548 LAFOND AVENUE
    ST PAUL,MN55103
      CHURCH GENERAL CHARITABLE PURPOSES 10,000
    YMCA OF THE NORTH
    PO BOX 1450
    MINNEAPOLIS,MN55485
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 350,000
    KANSAS UNIVERSITY ENDOWMENT ASSOCIATION
    PO BOX 928
    LAWRENCE,KS66044
      SCHOOL KU LEADS 250,000
    THE GRIEF CLUB OF MINNESOTA
    2025 COULTER BLVD STE 100
    CHANHASSEN,MN55317
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 25,000
    KANSAS CITY CHRISTIAN SCHOOL
    4801 W 70TH STREET
    PRAIRIE VILLAGE,KS66208
      SCHOOL GENERAL CHARITABLE PURPOSES 10,000
    BIG BROTHERS AND BIG SISTERS
    2550 UNIVERSITY AVENUE W STE 410N
    ST PAUL,MN55114
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 50,000
    CHILDREN'S MERCY HOSPITAL
    2401 GILLHAM ROAD
    KANSAS CITY,MO64108
      PUBLIC CHARITY GENERAL CHARITABLE PURPOSES 150,000
    ST ANN'S CATHOLIC SCHOOL
    200 HAMEL ROAD
    HAMEL,MN55340
      SCHOOL GENERAL CHARITABLE PURPOSES 20,000
    ROCKHURST HIGH SCHOOL
    9301 STATE LINE ROAD
    KANSAS CITY,MO64114
      SCHOOL GENERAL CHARITABLE PURPOSES 20,000
    Total .................................bullet 3a 7,525,000
    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 ...........
        14 488  
    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 13,859,683  
    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 17,624,052 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    17,624,052
    (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:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AMERICAN EXPRESS CO 3% 10/30/2024 (025816BR9) 263,332 279,187
    AMERICAN INTERNATIONA 3.9% 4/1/2026 (026874DH7) 313,728 339,768
    AMGEN INC 3.625% 5/22/2024 (031162BV1) 396,336 412,703
    AON PLC 3.875% 12/15/2025 (00185AAK0) 246,122 260,057
    BANK OF AMERICA C 3.248% 10/21/2027 (06051GGA1) 403,710 434,948
    GENERAL MOTORS FINAN 1.7% 8/18/2023 (37045XCZ7) 310,368 309,940
    GOLDMAN SACHS GROUP I 2.6% 2/7/2030 (38141GXG4) 276,859 272,855
    JPMORGAN CHASE & CO 3.25% 9/23/2022 (46625HJE1) 346,274 355,106
    LOWE'S COMPANIES INC 3.1% 5/3/2027 (548661DP9) 323,994 354,262
    ORACLE CORP 2.65% 7/15/2026 (68389XBM6) 278,142 296,795
    PAYPAL HOLDINGS INC 2.85% 10/1/2029 (70450YAE3) 341,906 360,629
    SALESFORCE.COM INC 3.7% 4/11/2028 (79466LAF1) 367,347 397,251
    STARBUCKS CORP 2.25% 3/12/2030 (855244AW9) 318,869 316,644
    VMWARE INC 2.95% 8/21/2022 (928563AB1) 321,233 327,797
    WALT DISNEY CO 2% 9/1/2029 (254687FL5) 190,969 185,529
    WELLS FARGO & CO 3.55% 9/29/2025 (94974BGP9) 446,250 474,018
    AT&T GLBL NOTES 2.3% 06/01/2027 307,451 306,437
    BROADCOM SR GLBL NOTE 4.75% 04/15/2029 258,179 264,374
    CITIGROUP SR GLBL NOTE 3.2% 10/21/2026 326,095 320,126
    INTERCONTINENTAL EXCHANGE SR GLBL NOTE 2.1% 06/15/2030 324,042 318,460
    VERIZON SR GLBL NOTE 1.45% 03/20/2026 367,699 365,467

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBVIE INC (ABBV) 2,118,010 2,999,922
    ADOBE INC (ADBE) 716,702 918,070
    ALIGN TECH INC (ALGN) 310,301 471,855
    ALPHABET INC-CL A (GOOGL) 1,149,760 3,157,774
    ALPHABET INC-CL C (GOOG) 274,582 590,292
    AMAZON COM INC (AMZN) 1,903,863 4,891,477
    AMERCO (UHAL) 573,630 1,089,345
    AMERICAN TOWER CORPORATION (AMT) 503,556 645,548
    AMGEN INC (AMGN) 491,247 596,171
    AMPHENOL CORP CL A (APH) 93,188 172,996
    APPLE INC (AAPL) 2,300,987 9,452,229
    APPLIED MATERIALS INC (AMAT) 845,793 1,848,980
    AT&T INC (T) 931,521 726,832
    ATLASSIAN CORPORATION PLC - (TEAM) 292,817 385,103
    AVERY DENNISON CORP (AVY) 609,771 1,082,850
    BAXTER INTERNATIONAL INC (BAX) 521,792 584,656
    CARVANA CO (CVNA) 134,915 123,544
    CASEYS GEN STORES INC (CASY) 348,572 493,572
    CATERPILLAR INC (CAT) 598,225 1,372,960
    CHARLES RIVER LABS (CRL) 401,803 528,999
    CHARLES SCHWAB CORP (SCHW) 688,838 1,160,580
    CHEVRON CORP (CVX) 1,037,172 1,232,175
    CHIPOTLE MEXICAN GRILL INC (CMG) 96,571 208,042
    CHUBB LTD (CB) 1,353,243 1,820,400
    CHURCH & DWIGHT INC (CHD) 1,143,248 1,578,910
    CINTAS CORP (CTAS) 335,296 491,032
    COCA COLA CO (KO) 949,241 1,145,181
    COGNEX CORP (CGNX) 202,370 198,910
    CONAGRA BRANDS INC (CAG) 807,675 1,088,702
    COSTCO WHOLESALE CORP (COST) 354,758 585,866
    CSX CORP (CSX) 809,922 1,203,200
    CURTISS WRIGHT CORP (CW) 893,249 1,178,695
    DATADOG INC CL A (DDOG) 105,808 237,777
    DEERE & CO (DE) 755,015 1,140,109
    DENTSPLY SIRONA INC (XRAY) 654,962 861,621
    DOCUSIGN INC (DOCU) 187,545 142,258
    DRAFTKINGS INC CL A (DKNG) 27,555 27,607
    EATON CORPORATION PLC (ETN) 550,043 935,820
    EDWARDS LIFESCIENCES CORPOR (EW) 311,285 481,019
    ELI LILLY & CO (LLY) 331,443 654,365
    EMERSON ELEC CO (EMR) 1,228,020 1,512,622
    ENBRIDGE INC (ENB) 900,246 1,003,301
    ENTERGY CORP (ETR) 933,272 1,196,568
    META PLATFORMS INC. CL A (FB) 815,111 1,052,103
    FOX CORPORATION CL A (FOXA) 1,372,439 1,543,121
    GLAXOSMITHKLINE PLC ADS (GSK) 671,968 734,794
    HILLENBRAND INC (HI) 704,328 1,039,800
    HOME DEPOT INC (HD) 37,686 140,688
    HORMEL FOODS CORP (HRL) 769,794 898,104
    HUNTINGTON BANCSHARES INC (HBAN) 930,096 1,058,799
    INTEL CORP (INTC) 1,401,188 2,061,957
    INTERCONTINENTAL EXCHANGE I (ICE) 70,453 106,134
    INTUIT (INTU) 265,460 499,782
    INTUITIVE SURGICAL INC (ISRG) 415,115 649,974
    JP MORGAN CHASE & CO (JPM) 1,253,428 2,847,608
    LAB CORP AMER HLDGS (LH) 876,482 1,402,633
    LAM RESH CORP (LRCX) 432,781 622,784
    LEGGETT & PLATT INC (LEG) 977,008 961,415
    LKQ CORP OC COM (LKQ) 733,761 1,643,981
    LOWES COS INC (LOW) 548,252 838,251
    LULULEMON ATHLETICA INC (LULU) 375,954 502,230
    MAGNA INTERNATIONAL INC CL (MGA) 420,369 547,964
    MATCH GROUP INC (MTCH) 368,935 381,409
    MCDONALDS CORP (MCD) 625,075 873,372
    MERCK & CO INC (MRK) 990,461 991,952
    MICROSOFT CORP (MSFT) 2,435,809 6,921,129
    MSCI INC CL A (MSCI) 209,331 332,078
    NETFLIX INC (NFLX) 803,777 872,333
    NOVARTIS AG SPONS ADR (NVS) 436,690 456,856
    NVIDIA CORPORATION (NVDA) 633,558 1,461,138
    OLD DOMINION FREIGHT LINE I (ODFL) 260,683 444,750
    PAYPAL HOLDINGS INC (PYPL) 917,443 860,491
    PHILIP MORRIS INTERNATIONAL (PM) 1,301,378 1,567,310
    PROCTER & GAMBLE CO (PG) 650,238 886,440
    PROGRESSIVE CORP (PGR) 209,131 234,350
    RAYTHEON TECHNOLOGIES CORPO (RTX) 815,036 1,155,786
    REGIONS FINANCIAL CORP (RF) 713,474 959,898
    S&P GLOBAL INC (SPGI) 216,257 327,519
    SCHLUMBERGER LTD (SLB) 818,501 711,941
    SERVICENOW INC (NOW) 635,027 877,597
    SHERWIN WILLIAMS CO (SHW) 413,090 627,549
    SHOPIFY INC A (SHOP) 60,291 119,833
    SONOCO PRODS CO (SON) 599,382 634,359
    SOUTHERN COMPANY (SO) 697,486 943,318
    STARBUCKS CORP (SBUX) 134,476 184,111
    STRYKER CORP (SYK) 110,366 152,429
    SYNOPSYS INC (SNPS) 183,606 298,854
    TEVA PHARMACEUTICAL INDUSTR (TEVA) 528,435 408,510
    THE TRADE DESK INC - A (TTD) 335,889 508,602
    TRAVELERS COS INC (TRV) 1,247,202 1,434,307
    UNITED PARCEL SERVICE INC C (UPS) 743,337 1,333,623
    UNITEDHEALTH GRP INC (UNH) 1,055,143 1,835,824
    US BANCORP (USB) 1,128,853 1,269,610
    VERIZON COMM (VZ) 1,516,430 1,388,683
    PARAMOUNT GLOBAL CL B/VIACOM 865,125 781,058
    VISA INC (V) 800,234 953,090
    WALMART INC (WMT) 878,700 1,055,948
    WALT DISNEY CO (DIS) 1,358,250 1,756,298
    WASTE MANAGEMENT INC (WM) 887,665 1,335,200
    WILLIAMS COS INC (WMB) 1,120,561 1,297,417
    ZOETIS INC (ZTS) 540,474 880,216
    ZOOM VIDEO COMMUNICATIONS I (ZM) 267,887 136,461
    CISCO SYSTEMS INC. 1,574,659 2,700,893
    AIRBNB CL A 140,607 131,194
    AMERIPRISE FINANCIAL 43,680 57,315
    BOOKING HLDGS INC 128,845 131,958
    BOOZ ALLEN HAMILTON HLDGS CL A 1,109,604 1,187,060
    BROADCOM INC 139,042 201,619
    CONOCOPHILLIPS 54,361 72,757
    CONSTELLATION BRANDS CL A 461,904 508,214
    DANAHER CORP 89,920 125,682
    DOW INC 102,664 93,134
    ECOLABS 143,572 155,299
    EXXON MOBIL 113,991 121,340
    FORD MOTOR COMPANY 32,727 55,954
    FORTIVE CORP 32,726 37,306
    HONEYWELL INTL INC 69,727 66,515
    INTL FLAVORS & FRAGRANCES INC 334,675 377,228
    KEYCORP 43,325 47,324
    MIDDLEBY CORP 362,533 370,893
    NORTHRUP GRUMMAN CORP 66,760 84,768
    PNC FINANCIAL SERVICES GROUP 55,198 61,961
    PEPSICO INC 138,136 177,879
    PINNACLE WEST 523,523 423,540
    ROKU INC CL A 227,551 136,464
    SALESFORCE INC 122,476 135,705
    SNAP INC 210,582 153,788
    BLOCK INC CL A 502,219 304,931
    TESLA MOTORS INC 1,088,568 1,475,265
    THERMO FISHER SCIENTIFIC 180,487 264,227
    UNION PACIFIC 127,373 150,150
    CANADIAN PACIFIC RAILWAY 425,074 637,964
    MEDTRONIC PLC 124,531 106,347
    TE CONNECTIVITY 99,189 123,586
    QUALCOMM INC. 1,309,463 1,782,983

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    US Government Securities - End of Year Book Value:

    5,968,026
    US Government Securities - End of Year Fair Market Value:

    5,733,018
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BERKSHIRE HATHAWAY INC CL B (BRK.B) AT COST 1,297,512 1,797,588
    ISHARES CORE MSCI DEV MKTS (IDEV) AT COST 8,636,790 15,065,880
    ISHARES CORE MSCI EMERGING (IEMG) AT COST 8,720,742 12,480,810
    ISHARES CORE S&P SMALL CAP (IJR) AT COST 1,651,754 3,263,535
    ISHARES CORE U.S. AGGREGATE (AGG) AT COST 3,216,741 3,380,304
    LAUDER ESTEE COS INC CL A (EL) AT COST 239,217 367,979
    SCHWAB US REIT (SCHH) AT COST 2,368,080 3,767,335
    SCHWAB US SMALL CAP ETF (SCHA) AT COST 3,295,900 5,888,000
    SPDR PORTFOLIO S&P 400 MID (SPMD) AT COST 556,881 1,218,630
    SPDR PORTFOLIO S&P 500 ETF (SPLG) AT COST 2,166,816 4,326,825
    SPDR PORTFOLIO S&P 600 SMAL (SPSM) AT COST 199,821 402,210
    SPDR S&P MIDCAP 400 ETF TR (MDY) AT COST 4,055,955 7,351,056
    VANGUARD FTSE DEVELOPED MKT (VEA) AT COST 1,681,020 2,527,470
    VANGUARD INTERMEDIATE TERM (VCIT) AT COST 2,689,367 2,868,696
    OKABENA PRIVATE MARKETS AT COST 3,834,706 5,715,263
    DIGITAL REALTY TRUST AT COST 55,558 72,163

    TY 2021 LegalFeesSchedule
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MOSS & BARNETT 43,437 0   43,437
    CIRESI CONLIN 9,434 0   9,434
    STINSON 7,222 0   7,222
    MASER 21,184 0   21,184


    TY 2021 OtherAssetsSchedule
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    2020 MIDWEST TRUST DIVIDEND RECEIVED 2021 43 0  
    2020 FIRST TRUST DIVIDEND RECEIVED 2021 4 0  
    CASH RECEIVABLE FROM LIQUIDATION OF OKABENA SPECIAL OPPORTUNITY FUND 3,696,023 0  
    2020 AMERITRADE FCI DIVIDEND RECEIVED 2021 36,276 0  
    2021 AMERITRADE FCI DIVIDEND RECEIVED 2022 0 42,382  


    TY 2021 OtherDecreasesSchedule
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Description Amount
    OKABENA PRIVATE MARKETS ADJUSTMENT FOR NONDEDUCTIBLE PASSTHROUGH CHARITABLE 346
    OKABENA PRIVATE MARKETS ADJUSTMENT FOR NONDEDUCTIBLE OTHER EXPENSES 1,354
    OKABENA PRIVATE MARKETS ADJUSTMENT TO BASIS RE EXCESS BUSINESS INT EXP 4,359
    PAYMENT PURSUANT TO REFUNDING AGREEMENT 1,427


    TY 2021 OtherExpensesSchedule
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE OF MINNESOTA 25 0   25
    OKABENA PRIVATE MARKETS K-1 INTEREST EXPENSE 5,777 5,777   0
    OKABENA PRIVATE MARKETS K-1 PORTFOLIO EXPENSES 105,981 105,981   0
    OKABENA PRIVATE MARKETS K-1 ROYALTY DEDUCTIONS 16,228 16,228   0
    OKABENA PRIVATE MARKETS K-1 SECTION 59(E)(2) EXPENSES 94,345 94,345   0
    OKABENA PRIVATE MARKETS K-1 OTHER PORTFOLIO EXPENSES 707 707   0
    OKABENA PRIVATE MARKETS K-1 SECTION DEPLETION 12,315 12,315   0
    AMERITRADE FCI FEES 377,289 377,289   0
    CREATIVE PLANNING FEES 32,214 32,214   0
    ADR FEES 476 476   0
    OKABENA PRIVATE MARKETS K-1 OTHER DEDUCTION 1,709 1,709   0


    TY 2021 OtherIncomeSchedule2
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OKABENA PRIVATE MARKETS K-1 PFIC 12 12 12
    OKABENA PRIVATE MARKETS K-1 SUBPART F 3,068 3,068 3,068
    OKABENA PRIVATE MARKETS K-1 SECTION 1256 CONTRACTS 21,111 21,111 21,111
    OKABENA PRIVATE MARKETS FUND K-1 TRADER INCOME 2,341 2,341 2,341
    OKABENA PRIVATE MARKETS FUND K-1 CANCELLATION OF DEBT 4,480 4,480 4,480
    OKABENA PRIVATE MARKETS FUND K-1 OTHER PORTFOLIO INCOME -1,286 -1,286 -1,286
    OKABENA PRIVATE MARKETS K-1 FUND RENTAL -14,253 -14,253 -14,253
    OKABENA PRIVATE MARKETS FUND K-1 ORD BUSINESS INCOME 10,936 10,936 10,936
    OKABENA PRIVATE MARKETS FUND K-1 ROYALTY 33,991 33,991 33,991
    OKABENA PRIVATE MARKETS FUND SECTION 988 LOSS -1,137 -1,137 -1,137
    OKABENA PRIVATE MARKETS FUND OTHER RENTAL 5 5 5
    OKABENA PRIVATE MARKETS FUND K-1 RECAPTURE GAIN 43,753 43,753 43,753
    DIGITAL REALTY TRUST DEFERRED INCOME 342 342 342
    MISCELLANEOUS 13,869 13,869 13,869


    TY 2021 OtherIncreasesSchedule
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Description Amount
    FEDERAL TAX REFUND RECEIVED 47,920
    FCI RETURN OF CAPITAL (BASIS ADJUSTMENTS IN 2022) 96,696


    TY 2021 TaxesSchedule
    Name:
    DAVID & JANIS LARSON FOUNDATION
     
    C/O FIRST TRUST COMPANY LLC
    EIN:
    41-1957525
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    AMERITRADE FCI FOREIGN TAX PAID 69,028 69,028   0
    OKABENA PRIVATE MARKETS K-1 FOREIGN TAX PAID 9,277 9,277   0