Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 07-01-2021 , and ending 06-30-2022
Name of foundation
GENE KAUFFMAN SCHOLARSHIP FOUNDATION
TRUST CITIZENS BANK & TRUST TRUSTEE
Number and street (or P.O. box number if mail is not delivered to street address)515 WASHINGTON ST PO BOX 50
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHILLICOTHE, MO64601
A Employer identification number

43-6801146
B Telephone number (see instructions)

(660) 646-8500
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$4,611,883
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      
4 Dividends and interest from securities... 89,609 89,609  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 181,562
b Gross sales price for all assets on line 6a 1,477,982
7 Capital gain net income (from Part IV, line 2)... 181,562
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........ 271,171 271,171  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 69,635 62,671   6,964
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,814 907   907
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 18,472 3,333   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 89,921 66,911   7,871
25 Contributions, gifts, grants paid....... 270,652 285,497
26 Total expenses and disbursements. Add lines 24 and 25 360,573 66,911   293,368
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -89,402
b Net investment income (if negative, enter -0-) 204,260
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......... 298,347 204,537 204,599
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) 1,459,161 Click to see attachment1,587,901 1,504,833
b Investments—corporate stock (attach schedule)....... 1,843,842 Click to see attachment1,844,212 2,393,664
c Investments—corporate bonds (attach schedule)....... 682,443 Click to see attachment557,741 508,787
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) 4,283,793 4,194,391 4,611,883
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 4,283,793 4,194,391
29 Total net assets or fund balances (see instructions)..... 4,283,793 4,194,391
30 Total liabilities and net assets/fund balances (see instructions). 4,283,793 4,194,391
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
4,283,793
2
Enter amount from Part I, line 27a .....................
2
-89,402
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,194,391
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
4,194,391
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 PUBLICLY TRADED SECURITIES P    
b PUBLICLY TRADED SECURITIES P    
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 333,763   355,391 -21,628
b 1,144,219   941,029 203,190
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       -21,628
b       203,190
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 2 181,562
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 2,839
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 2,839
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 8,320
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 8,320
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 5,481
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet5,481 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)
    bulletMO
    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 addressbulletNONE
    14
    The books are in care ofbulletCITIZENS BANK & TRUST Telephone no.bullet (660) 646-8500

    Located atbullet515 WASHINGTON ST PO BOX 50CHILLICOTHEMO ZIP+4bullet646010050
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    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
    CITIZENS BANK TRUST TRUSTEE
    4.00
    69,635 0 0
    515 WASHINGTON ST PO BOX 50
    CHILLICOTHE,MO646010050
    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
    5,045,556
    b
    Average of monthly cash balances.......................
    1b
    224,814
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,270,370
    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
    5,270,370
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    79,056
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    5,191,314
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    259,566
    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
    259,566
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    2,839
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,839
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    256,727
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    256,727
    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
    256,727
    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 7 256,727
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 24,503
    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$ 293,368
    a Applied to 2020, but not more than line 2a 24,503
    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..... 256,727
    e Remaining amount distributed out of corpus 12,138
    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 12,138
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    12,138
    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.... 12,138
    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
    GENE KAUFFMAN SCHOLARSHIP FOUNDATION INC - 43-1825689
    PO BOX 113
    PRINCETON,MO64673
    NONE 501(C)(3) FOR SCHOOL SCHOLARSHIPS 135,326
    GENE KAUFFMAN SCHOLARSHIP FOUNDATION INC - 43-1825689
    PO BOX 113
    PRINCETON,MO64673
    NONE 501(C)(3) FOR SCHOOL SCHOLARSHIPS 135,326
    Total .................................bullet 3a 270,652
    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 ............
        18 181,562  
    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) .. 0 271,171 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    271,171
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    GENE KAUFFMAN SCHOLARSHIP FOUNDATION
     
    TRUST CITIZENS BANK & TRUST TRUSTEE
    EIN:
    43-6801146
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    HARDEN, CUMMINS, MOSS & MILLER, LLC 1,814 907   907

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    GENE KAUFFMAN SCHOLARSHIP FOUNDATION
     
    TRUST CITIZENS BANK & TRUST TRUSTEE
    EIN:
    43-6801146
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ALTRIA GROUP INC 4.80% DUE 02/14/2029 56,697 47,601
    BAT CAP CORP SGN 3.557% 08/15/2027 51,615 45,811
    CONAGRA BRANDS INC SGN 7.125% 10/01/2026 59,492 54,894
    HUNT JB TRANS SVCS 3.3% 08/15/2022 25,047 25,014
    INTERNATNL FLAVOR & FRAGRANC1.832% 10/15/2027 25,119 21,573
    INTERSTATE PWR CO 3.25% 12/01/2024 25,026 24,715
    J P MORGAN CHASE 3.25%, DUE 09/23/22 29,309 30,046
    LENNOX INTL INC 3% 11/15/2023 25,384 24,748
    NATIONAL RURAL UTIL 2.45% DUE 08/15/2022 25,000 24,942
    OSHKOSH CORP SR GLBL NT 3.10% 03/01/2030 46,809 42,917
    PACKAGING CORP AMER 3.00% DUE 12/15/2029 53,150 44,789
    SPIRIT REALTY LP SR GLBL NT 2.10% 03/15/2028 50,187 41,977
    SUNOCO LOGISTICS PTNS 3.45% 01/15/2023 25,131 24,926
    UNION PACIFIC RR CO 3.227% 05/14/2026 25,368 24,919
    WESTROCK CO SR GLBL DEB 7.95% DUE 02/15/2031 34,407 29,915

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    GENE KAUFFMAN SCHOLARSHIP FOUNDATION
     
    TRUST CITIZENS BANK & TRUST TRUSTEE
    EIN:
    43-6801146
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ADIDAS AG 2,784 3,810
    ADOBE SYSTEMS INCORPORATED COM 20,330 28,553
    ALASKA AIR GROUP INC COM 2,902 2,002
    ALPHABET INC CAP STK CL A 43,071 78,453
    AMAZON COM INC COM 30,184 55,229
    AMERICAN TOWER CORP NEW COM 2,482 5,623
    ANI PHARMACEUTICALS INC COM 2,455 1,572
    AP MOLLER - MAERSK UNSP ADR 5,592 3,974
    APPLE COMPUTER INC 71,617 122,775
    ARES MANAGEMENT CORPORATION CL A COM STK 2,434 1,763
    ASBURY AUTOMOTIVE GROUP INC COM 1,375 1,355
    ASHTEAD GP PLC UNSP ADR 5,116 6,373
    ASML HOLDING N V N Y REGISTRY SHS 8,140 5,710
    ASTELLAS PHARMA INC ADR 10,671 10,690
    ATLAS AIR WORLDWIDE HOLDINGS INC NEW 1,604 1,728
    AXA SPONS ADR 15,447 13,879
    BAKER HUGHES COMPANY CL A 15,766 19,516
    BANK OZK COM 2,330 2,477
    BELDEN INC COM 2,135 2,504
    BIO-TECHNE CORP COM 1,757 2,773
    BJS WHOLESALE CLUB HLDGS INC 1,804 2,742
    BLACKROCK INC 13,409 23,144
    BLUELINX HLDGS INC COM NEW 1,277 2,138
    BNP PARIBAS SPONSORED ADR 12,680 8,592
    BRIGHAM MINERALS INC CL A COM 1,759 1,699
    BRIGHT HORIZONS FAM SOL IN DCOM 1,908 1,268
    BROADCOM INC COM 17,912 44,695
    BRT APARTMENTS CORP COM 2,107 2,128
    CACI INTL INC CL A 1,791 2,254
    CANADIAN PACIFIC RAILWAY LTD 7,840 10,057
    CAPGEMINI S E UNSPONSORED ADR 4,910 7,084
    CHECK POINT SOFTWARE TECH LTORD 4,596 6,211
    CHEMED CORP NEW COM 2,347 2,347
    CHEVRONTEXACO CORP 32,078 45,750
    CISCO SYSTEMS INC 17,054 17,568
    CLEVELAND-CLIFFS INC NEW COM 1,860 3,243
    COMCAST CORP 24,836 29,195
    COMFORT SYS USA INC COM 1,352 2,827
    COMPAGNIE DE ST GOBAIN UNSPONSORD ADR 7,633 6,763
    CRH PLC ADR 8,115 8,879
    CRISPR THERAPEUTICS AG NAMEN AKT 1,637 1,398
    CVR ENERGY INC COM 1,939 3,585
    CVS CORP 22,180 29,559
    DAIWA HOUSE IND LTD ADR 7,941 5,939
    DANAHER CORP 9,678 31,436
    DEERE & COMPANY 27,811 22,760
    DEUTSCHE POST AG SPONSORED ADR 7,797 6,759
    DISNEY WALT COMPANY 28,298 21,901
    DOUGLAS DYNAMICS INC COM 2,529 1,983
    EMCOR GROUP INC COM 1,772 2,265
    ENEL SOCIETA PER AZIONI ADR 6,063 5,619
    ENGIE SPON ADR 7,062 4,931
    ENTEGRIS INC COM 643 1,658
    EQUINIX INC COM 5,322 5,256
    EXPERIAN PLC SPONSORED ADR 7,315 8,802
    F M C CORP COM NEW 20,023 21,830
    FARMERS & MERCHANTS BANCORP IN COM 1,758 1,726
    FEDEX CORPORATION 27,308 28,565
    FISERV INC COM 11,447 25,801
    FORTESCUE METAL GROUP LTD SPONSORED ADR 14,982 10,228
    FOX FACTORY HLDG CORP COM 781 1,208
    FREEPORT MCMORAN COPPER & GOLD INC CL B 16,894 14,396
    GENERAL MTRS CO COM 21,390 11,719
    GLADSTONE COMMERCIAL CORP COM 2,537 2,336
    H & E EQUIPMENT SERVICES INCCOM 1,911 2,752
    HITACHI LTD ADR 10 COM 7,775 7,655
    HOLCIM LTD NEW 11,899 9,574
    HOME BANCSHARES INC COM 2,540 2,472
    HONDA MOTOR CO 13,535 10,578
    HORIZON THERAPEUTICS PUB L SHS 955 2,792
    HUNTINGTON INGALLS INDS INC COM 1,298 1,307
    IBERDROLA SA SPON ADR 5,606 7,157
    INTERCONTINENTAL EXCHANGE INCOM 21,444 27,272
    INTUIT INC 13,341 15,803
    J P MORGAN CHASE & CO 20,883 31,306
    JANUS HENDERSON GROUP PLC ORD SHS 3,570 3,503
    JBS S A SPONSORED ADR 11,880 11,882
    JOHNSON & JOHNSON COM 24,165 39,407
    JULIUS BAER GRUPPE AG 7,871 6,786
    KENNEDY WILSON HOLDINGS INC 2,294 2,330
    KONINKLIJKE AHOLD DELHAIZE NSPONSORED ADR NE 10,291 11,658
    L3HARRIS TECHNOLOGIES INC COM 31,828 36,013
    LAM RESEARCH CORP COM 8,054 31,535
    LGI HOMES INC COM 1,635 2,086
    LHC GROUP INC COM 2,910 3,426
    LIGAND PHARMACEUTICALS INC COM NEW 1,841 1,249
    LITHIA MTRS INC COM 810 2,198
    LOWES COMPANIES INC 12,692 16,943
    LPL FINL HLDGS INC COM 1,010 2,583
    LVMH MOET HENNESSY LOU VUITTADR 3,925 6,844
    MACQUARIE GROUP LTD ADR 7,662 11,469
    MAGNA INTL INC COM 9,951 9,717
    MARRIOTT INTERNATIONAL CL A 21,304 18,633
    MARRIOTT VACATIONS WRLDWDE CCOM 2,747 1,859
    MASTERCARD INCORPORATED CL A 10,860 35,649
    MEDTRONIC PLC SHS 15,185 19,386
    MERCK & CO INC COM 19,166 30,998
    META PLATFORMS INC 20,283 19,673
    MICROSOFT CORP 52,861 103,759
    MITSUBISHI UFJ FINL 6,095 4,972
    MOELIS & CO CL A 2,023 1,928
    MORGAN STANLEY, DEAN WITTER & CO 12,584 28,751
    MORNINGSTAR INC 1,442 1,935
    NECESSITY RTL REIT 2,133 1,718
    NESTLE-SA SPONS ADR 12,013 12,570
    NEXSTAR MEDIA GROUP INC CL A 2,135 2,117
    NEXTERA ENERGY INC COM 24,574 35,089
    NICE SYS LTD SPONSORED ADR 7,920 10,200
    NIKE INC CL B 13,158 13,286
    NIPPON TELEG & TEL CORP SPONSORED ADR 10,671 13,953
    NN GROUP N V UNSPONSOD ADR 6,055 5,259
    NORFOLK SOUTHERN CORP 34,927 32,048
    NOVARTIS AG-ADR 9,648 9,890
    NOVO-NORDISK A S ADR 5,797 9,694
    NVIDIA CORP 15,751 17,281
    OKTA INC CL A 2,105 1,718
    OREILLY AUTOMOTIVE INC COM 10,089 32,852
    ORIX 10,448 12,203
    OSHKOSH CORP COM 1,702 1,725
    OTIS WORLDWIDE CORP COM 18,072 19,434
    PARAMOUNT GLOBAL 21,785 12,636
    PATRICK INDS INC COM 1,615 1,763
    PEPSICO, INC 15,540 24,666
    PERFORMANCE FOOD GROUP CO COM 1,652 2,437
    PINNACLE FINL PARTNERS INC COM 1,698 2,242
    PIONEER NAT RES CO COM 20,318 20,300
    POWER INTEGRATIONS INC COM 848 1,950
    PRIMERICA INC COM 1,424 2,154
    PROCTER & GAMBLE CO 16,601 29,333
    PROGRESS SOFTWARE CORP COM 2,030 1,948
    PROLOGIS, INC. 31,665 34,942
    PULTE HOMES 11,117 18,666
    QUIDELORTHO CORP COM 2,125 1,555
    RIO TINTO 10,277 12,017
    RLJ LODGING TR COM 3,309 2,702
    ROCHE HOLDINGS LTD 14,895 15,016
    S&P GLOBAL INC COM 19,966 19,549
    SANOFI SPONSORED ADR 8,607 8,655
    SCHNEIDER ELECTRIC SE ADR 6,664 6,959
    SEKISUI HOUSE 8,960 7,674
    SFL CORPORATION LTD SHS 2,138 1,746
    SHELL PLC NPV ADR 10,054 10,040
    SOFTBANK GROUP CORP UNSPONSORED ADR 9,633 8,213
    SONY CORP ADR NEW 8,025 8,995
    SOUTHWEST AIRLINES 16,783 12,714
    SOUTHWEST GAS HLDGS INC COM 1,529 2,003
    SPIRE INC COM 1,609 1,636
    SPROUT SOCIAL INC COM CL A 971 1,161
    STEEL DYNAMICS INC COM 20,430 33,869
    SUMITOMO MITSUI FINANCIAL GP 16,974 14,154
    SVB FINANCIAL GROUP COM 9,690 18,565
    TAIWAN SEMICONDUCTOR 5,017 6,050
    TAYLOR MORRISON HOME CORP CL A 1,841 1,448
    TD SYNNEX CORPORATION COM 1,136 1,549
    TELEDYNE TECHNOLOGIES INC COM 13,070 19,131
    TESLA INC 32,909 22,223
    THE ALLSTATE CORP 12,519 19,770
    THERMO FISHER SCIENTIFIC INCCOM 8,661 38,030
    TJX COS INC NEW COM 19,697 16,811
    TOTAL SA-SPON ADR 18,616 19,319
    TRITON INTL LTD CL A 1,265 2,053
    TYSON FOOD INC CL A 30,174 32,445
    UBS AG-REG 7,792 7,510
    ULTRA CLEAN HLDGS INC COM 1,543 2,054
    UNILEVER PLC SPON ADR NEW 11,617 11,641
    UNITED HEALTH GROUP INC 17,029 46,740
    VANGUARD INTL EQUITY INDEX FFTSE EMR MKT ETF 10,067 9,829
    VERINT SYS INC COM 1,909 2,244
    VIPER ENERGY PARTNERS LP COM UNT RP INT 2,258 2,988
    VOLKSWAGEN AG UNSPN ADS 7,221 5,101
    VOLVO AB UNSPONSORD ADR 7,052 7,559
    WAL MART STORES INC COM 23,032 33,191
    WELLS FARGO & COMPANY 27,569 19,389
    WESTERN ALLIANCE BANCORP COM 1,197 1,906
    WILLIAMS SONOMA INC COM 1,088 1,775
    WINGSTOP INC COM 1,991 1,421
    ZOETIS INC CL A 13,119 33,347

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    GENE KAUFFMAN SCHOLARSHIP FOUNDATION
     
    TRUST CITIZENS BANK & TRUST TRUSTEE
    EIN:
    43-6801146
    US Government Securities - End of Year Book Value:

    1,587,901
    US Government Securities - End of Year Fair Market Value:

    1,504,833
    State & Local Government Securities - End of Year Book Value:


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


    0


    TY 2021 TaxesSchedule
    Name:
    GENE KAUFFMAN SCHOLARSHIP FOUNDATION
     
    TRUST CITIZENS BANK & TRUST TRUSTEE
    EIN:
    43-6801146
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX 3,333 3,333   0
    SEC 4940 ESTIMATED NET INVESTMENT INCOME TAX 8,320 0   0
    SEC 4940 BALANCE DUE NET INVESTMENT INCOME TAX 6,819 0   0