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
COUTTS MEMORIAL MUSEUM OF ART INC
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
EL DORADO, KS670420001
A Employer identification number

23-7160423
B Telephone number (see instructions)

(316) 321-1212
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$7,029,174
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) 64,760
2 Check bullet.............
3 Interest on savings and temporary cash investments 1,051 1,051 1,051
4 Dividends and interest from securities... 103,158 103,158 103,158
5a Gross rents............ 3,020 3,020 3,020
b Net rental income or (loss) -496
6a Net gain or (loss) from sale of assets not on line 10 295,479
b Gross sales price for all assets on line 6a 863,238
7 Capital gain net income (from Part IV, line 2)... 295,479
8 Net short-term capital gain......... 2,314
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)....... 1,365 0 1,365
12 Total. Add lines 1 through 11........ 468,833 402,708 110,908
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 60,000 0 0 60,000
14 Other employee salaries and wages...... 48,360 0 0 48,360
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 3,827 0 0 3,827
c Other professional fees (attach schedule).... 25,213 25,043 25,043 170
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 7,990 1,027 1,027 6,963
19 Depreciation (attach schedule) and depletion... 15,686 2,717 15,686
20 Occupancy.............. 41,185 731 731 40,454
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 20,135 0 0 20,135
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 222,396 29,518 42,487 179,909
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 222,396 29,518 42,487 179,909
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 246,437
b Net investment income (if negative, enter -0-) 373,190
c Adjusted net income (if negative, enter -0-)... 68,421
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............. 41,181 44,439 44,439
2 Savings and temporary cash investments......... 720,576 731,936 731,936
3 Accounts receivable bullet38,886
Less: allowance for doubtful accounts bullet     38,886 38,886
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.......... 2,355 2,355 2,355
10a Investments—U.S. and state government obligations (attach schedule) 1,748 Click to see attachment824 865
b Investments—corporate stock (attach schedule)....... 346,953 Click to see attachment419,014 819,829
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet114,442
Less: accumulated depreciation (attach schedule) bullet56,146 61,013 Click to see attachment58,296 58,296
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,744,113 Click to see attachment2,887,666 3,433,473
14 Land, buildings, and equipment: basis bullet641,414
Less: accumulated depreciation (attach schedule) bullet288,718 305,944 Click to see attachment352,696 352,696
15 Other assets (describe bullet) Click to see attachment1,546,399 Click to see attachment1,546,399 Click to see attachment1,546,399
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,770,282 6,082,511 7,029,174
Liabilities 17 Accounts payable and accrued expenses.......... 2,332  
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......   60,000
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 2,332 60,000
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 914,524 914,524
28 Retained earnings, accumulated income, endowment, or other funds 4,853,426 5,107,987
29 Total net assets or fund balances (see instructions)..... 5,767,950 6,022,511
30 Total liabilities and net assets/fund balances (see instructions). 5,770,282 6,082,511
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
5,767,950
2
Enter amount from Part I, line 27a .....................
2
246,437
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
8,124
4
Add lines 1, 2, and 3 ..........................
4
6,022,511
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
6,022,511
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 COMMERCE TRUST LT GAINS P    
b COMMERCE TRUST ST GAINS P    
c CAPITAL GAINS DIVIDENDS P    
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 695,224   498,369 196,855
b 71,704   69,390 2,314
c 96,310     96,310
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       196,855
b       2,314
c       96,310
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 2 295,479
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 2,314
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 5,187
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 5,187
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
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 0
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 5,187
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
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.Click to see attachment
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)
    bulletKS
    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
    Yes
     
    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 addressbulletWWW.COUTTSMUSEUM.ORG
    14
    The books are in care ofbulletTHEA HOWARD Telephone no.bullet (316) 321-1212

    Located atbullet110 N MAIN STEL DORADOKS ZIP+4bullet67042
    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
    THEA HOWARD EXECUTIVE DIRECTOR
    40.00
    60,000 0 0
    110 N MAIN
    EL DORADO,KS67042
    STEVE WORRELL PRESIDENT/TREASURER
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    LAUREN DAVIS VICE PRESIDENT
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    JOSH ANDREWS SECRETARY
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    BRANDON DEMO DIRECTOR
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    MARK UTECH DIRECTOR
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    JENNIFER CALLAWAY DIRECTOR
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    WARREN MARTIN DIRECTOR
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    LINDSEY DEMO DIRECTOR
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    VICKI BAILEY DIRECTOR
    1.00
    0 0 0
    110 N MAIN
    EL DORADO,KS67042
    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 OPERATION OF ART MUSEUM FOR DISPLAY OF ART OBJECTS TO THE GENERAL PUBLIC 89,954
    2 OPERATION AS AN ARTS CENTER PROVIDING ARTS CLASSES, STUDIO SPACE, AND SALES VENUE FOR THE GENERAL PUBLIC AND ARTISTS 89,955
    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
    3,978,866
    b
    Average of monthly cash balances.......................
    1b
    758,509
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,737,375
    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
    4,737,375
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    71,061
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    4,666,314
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    233,316
    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
     
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
     
    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  
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    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 ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$  
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2021.    
    (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  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    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......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
     
    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) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
     
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
     
    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
    68,421 49,825 49,232 70,673 238,151
    b 85% (0.85) of line 2a ......... 58,158 42,351 41,847 60,072 202,428
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
    179,909 185,880 173,571 257,059 796,419
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
    0 0 0 0 0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
    179,909 185,880 173,571 257,059 796,419
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......         0
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
            0
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
    155,544 138,218 135,273 122,649 551,684
    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) ....
            0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
            0
    (3) Largest amount of support
    from an exempt organization
            0
    (4) Gross investment income         0
    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
    Total .................................bullet 3a 0
    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 1,051  
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 -496  
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 295,479  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aGIFT SHOP
            1,365
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 399,192 1,365
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    400,557
    (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.)
    11A THE GIFT SHOP SUPPORTS LOCAL ARTISTS BY INTRODUCING ARTISTS TO NEW AUDIENCES AND FACILITATING THE SALES OF THEIR ARTWORK. ARTISTS GIVE THE MUSEUM A PORTION OF THEIR SALES. THE MUSEUM OFFERS STUDIO SPACE TO ARTISTS AT A REDUCED FEE, GIVING THEM A PLACE TO CREATE THEIR ART.
    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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    COUTTS MEMORIAL MUSEUM OF ART INC
     
    Employer identification number

    23-7160423
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    COUTTS MEMORIAL MUSEUM OF ART INC
     
    Employer identification number
    23-7160423
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    US SMALL BUSINESS ADMINISTRATION
     
    409 3RD ST
     
    SW WASHINGTON, DC20416

    $ 22,669


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
    STONE FAMILY FOUNDATION
     
    320 S BOSTON 19TH FLOOR
     
    TULSA, OK74103

    $ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
    KANSAS CREATIVE ARTS INDUSTRIES COMMISSION
     
    1000 SW JACKSON ST STE 100
     
    TOPEKA, KS66612

    $ 12,100


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    COUTTS MEMORIAL MUSEUM OF ART INC
     
    Employer identification number

    23-7160423
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    COUTTS MEMORIAL MUSEUM OF ART INC
     
    Employer identification number

    23-7160423
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADAMS BROWN CPA 3,827 0 0 3,827

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 DepreciationSchedule
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    BUILDING AND IMPROVEMENTS - 112 N. MAIN 1998-09-01 44,582 24,980 SL 40.000000000000 1,115 1,115 1,115  
    GUTTERING, DANCE FLOOR, FURNACE, FIXTURES 1998-10-15 4,947 4,928 SL 10.000000000000 0 0 0  
    BUILDING FRONT, AWNING, & WINDOWS 1999-06-03 20,533 11,066 SL 40.000000000000 513 513 513  
    FURNACE AND A/C 2000-02-22 4,804 2,500 SL 40.000000000000 120 120 120  
    HOT WATER HEATER 2000-02-22 785 785 SL 10.000000000000 0 0 0  
    IMPROVEMENTS - 112 N. MAIN 2003-08-05 4,000 1,742 SL 40.000000000000 100 100 100  
    FRONT GLASS-112 N MAIN 2006-10-17 772 269 SL 40.000000000000 19 19 19  
    HEATING AND A/C UNIT-112 N MAIN 2006-05-30 3,585 1,312 SL 40.000000000000 90 90 90  
    AWNING 2008-03-20 784 255 SL 40.000000000000 20 20 20  
    IMPROVEMENTS 2008-02-20 2,361 757 SL 40.000000000000 59 59 59  
    AWNING 2008-04-04 2,166 689 SL 40.000000000000 54 54 54  
    AIR CONDITIONER 2008-05-05 3,419 1,077 SL 40.000000000000 85 85 85  
    ELECTRICAL REWORK 2014-07-17 4,200 674 SL 40.000000000000 105 105 105  
    HVAC SYSTEM 2014-07-31 5,926 950 SL 40.000000000000 148 148 148  
    ROOF - 112 N. MAIN 2015-12-28 11,578 1,445 SL 40.000000000000 289 289 289  
    BUILDING - 110 N. MAIN 1990-01-01 90,000 69,750 SL 40.000000000000 2,250 0 2,250  
    IMPROVEMENTS - 110 N. MAIN 1990-01-01 23,823 18,471 SL 40.000000000000 596 0 596  
    MISC OFFICE EQUIPMENT AND FURNITURE 1990-06-30 10,256 10,256 SL 12.000000000000 0 0 0  
    CARPETING 1990-04-15 8,969 8,969 SL 10.000000000000 0 0 0  
    SHELVES AND PANELLING 1990-02-08 804 620 SL 40.000000000000 20 0 20  
    ART BASES, SIGN, AND SOUND SYSTEM 1991-09-24 3,552 3,552 SL 12.000000000000 0 0 0  
    MEZZANINE IMPROVEMENT AND WIRING 1991-06-01 1,595 1,179 SL 40.000000000000 40 0 40  
    CARPETING 1992-01-10 4,426 4,426 SL 10.000000000000 0 0 0  
    HEATING AND A/C UNITS 1992-12-29 13,022 9,115 SL 10.000000000000 0 0 0  
    HANDICAP RESTROOMS 1992-04-14 4,718 3,392 SL 40.000000000000 118 0 118  
    KITCHEN 1992-04-14 3,809 2,734 SL 40.000000000000 95 0 95  
    IMPROVEMENTS 1993-11-11 16,366 11,113 SL 40.000000000000 409 0 409  
    MISC OFFICE EQUIPMENT 1993-06-30 1,031 1,031 SL 5.000000000000 0 0 0  
    TABLE AND DISPLAY CASE 1993-08-23 455 455 SL 12.000000000000 0 0 0  
    MISC OFFICE EQUIPMENT 1994-05-24 3,190 3,190 SL 5.000000000000 0 0 0  
    OUTDOOR LIGHTS 1995-09-22 4,338 2,733 SL 40.000000000000 108 0 108  
    MISC OFFICE EQUIPMENT 1996-05-05 2,202 2,202 SL 5.000000000000 0 0 0  
    FOLDING ROUND TABLE 1996-09-19 59 59 SL 12.000000000000 0 0 0  
    WIRING AND BASEMENT DOOR 1996-09-19 4,503 2,752 SL 40.000000000000 113 0 113  
    PLAQUE, STAND, AND SIGN 1998-06-30 4,066 3,973 SL 12.000000000000 0 0 0  
    THIRD FLOOR IMPROVEMENTS 1998-06-01 15,466 8,738 SL 40.000000000000 387 0 387  
    WINDOW TREATMENTS 1998-07-13 2,469 2,469 SL 10.000000000000 0 0 0  
    LAND - 112 N. MAIN 1998-07-09 10,000   L   0 0 0  
    EMERGENCY EXIT LIGHTS 1999-06-08 8,621 4,660 SL 40.000000000000 216 0 216  
    CARPETING 2001-01-19 13,926 13,926 SL 10.000000000000 0 0 0  
    DESKS 2001-10-26 676 673 SL 12.000000000000 0 0 0  
    COMPUTER 2003-01-16 3,673 3,673 SL 5.000000000000 0 0 0  
    AIR CONDITIONER 2004-03-30 2,922 1,223 SL 40.000000000000 73 0 73  
    AIR CONDITIONER-3RD FLOOR 2004-05-13 2,200 917 SL 40.000000000000 55 0 55  
    4 TABLES 2004-07-30 358 358 SL 10.000000000000 0 0 0  
    CORDLESS MICROPHONE 2004-12-28 317 317 SL 5.000000000000 0 0 0  
    EQUIPMENT 2001-07-10 185 142 SL 10.000000000000 0 0 0  
    BUILDING IMPROVEMENTS 2001-07-24 24,233 10,302 SL 40.000000000000 606 0 606  
    LAND-110 N MAIN 1990-01-01 15,000   L   0 0 0  
    CHAIRS/BOOKSHELF 2005-12-29 100 100 SL 10.000000000000 0 0 0  
    2 AIR CONDITIONERS 2009-07-08 3,270 943 SL 40.000000000000 82 0 82  
    HOT WATER HEATER 2010-12-30 342 342 SL 10.000000000000 0 0 0  
    ELEVATOR 2011-06-23 233,223 55,394 SL 40.000000000000 5,831 0 5,831  
    MAC COMPUTER 2011-01-28 1,700 1,700 SL 5.000000000000 0 0 0  
    MAC COMPUTER 2011-07-22 1,518 1,518 SL 5.000000000000 0 0 0  
    SECURITY CAMERA 2011-09-16 1,452 1,452 SL 5.000000000000 0 0 0  
    MAC COMPUTER 2011-12-01 1,200 1,200 SL 5.000000000000 0 0 0  
    RESTORATION WORK 2014-12-04 26,026 3,960 SL 40.000000000000 651 0 651  
    RESTORATION WORK 2014-12-04 11,630 1,770 SL 40.000000000000 291 0 291  
    HVAC SYSTEM 2021-12-01 53,455   SL 15.000000000000 297 0 297  
    SECURITY SYSTEM 2021-06-10 6,268   SL 5.000000000000 731 0 731  

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS 8,010 10,274
    ALLY FINANCIAL INC 6,797 8,427
    ALPHABET INC CLASS A 6,558 46,353
    AMAZON COM INC 11,640 33,343
    AMETEK AEROSPACE PRODS INC 5,066 8,822
    ANTHEM INC 10,118 16,224
    APPLE INC 6,676 47,589
    BAXTER INTERNATIONAL INC 12,170 12,704
    BECTON DICKINSON & CO 8,481 10,059
    BLACKROCK INC. 10,370 15,565
    BROADRIDGE FINANCIAL SOL 5,796 7,678
    CHARTER COMMUNICATONS INC A 5,073 7,824
    COOPER COS INC 1,960 6,284
    CROWN CASTLE INTL CORP 6,435 10,437
    DANAHER CORP 418 11,515
    DOLLAR TREE INC 5,694 8,853
    EATON CORP PLC 4,878 14,690
    EURONET SVCS INC 6,303 7,746
    FIRST REPUBLIC BANK/SAN FRAN 6,373 12,391
    FLEETCOR TECHNOLOGIES INC 14,661 12,759
    HANESBRANDS INC 10,795 8,628
    HONEYWELL INTL INC 4,764 10,008
    INTERPUBLIC 5,825 13,070
    ISHARES NASDAQ BIOTECHNOLOGY 9,015 13,736
    JOHNSON AND JOHNSON 3,462 10,264
    JP MORGAN CHASE & CO 5,953 21,377
    KEYSIGHT TECHNOLGIES INC 4,382 12,804
    LOWES COMPANIES INC 1,633 16,801
    MATERIALS SELECT SECTOR 13,679 14,769
    MCDONALDS CORP 8,545 13,404
    META PLATFORMS INC 10,985 20,517
    MICROSOFT CORP 8,397 53,811
    MONDELEZ INTL INC 4,116 10,941
    MORGAN STANLEY DEAN WITTER & CO 9,680 20,712
    MOTORAL SOLUTIONS INC 7,059 11,140
    NASDAQ INC 5,411 15,541
    NEXTERA ENERGY INC 2,820 8,496
    NVENT ELECTRIC PLC 13,070 13,414
    NVIDIA CORP 16,018 17,941
    P P G INDS INC. 6,342 7,587
    PARKER-HANNIFIN CP 6,832 6,999
    PEPSICO INC 5,342 12,160
    PIONEER NAT RES CO 14,521 16,187
    PROCTER & GAMBLE CO 4,126 10,633
    PROLOGIS INC 7,235 9,765
    PULTE HOMES INC 8,635 10,746
    RAYTHEON TECHNOLOGIES CORP 8,849 8,520
    REGAL REXNORD COPORATION 6,898 13,614
    STRYKER CORP 6,159 6,953
    TEXAS INSTRUMENTS INC 7,608 13,193
    THERMO FISHER CORP 2,193 11,343
    T-MOBILE US INC 11,142 11,598
    TRUIST FINANCIAL CORP 8,060 11,125
    UBER TECHNOLOGIES 6,430 8,847
    UNION PACIFIC CORP 1,310 10,077
    VALVOLINE INC 10,243 14,804
    VERTIV HOLDING LLC 6,364 8,365
    VISA INC CLASS A SHARES 1,639 10,402

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    US Government Securities - End of Year Book Value:

    824
    US Government Securities - End of Year Fair Market Value:

    865
    State & Local Government Securities - End of Year Book Value:


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


    0


    TY 2021 InvestmentsLandSchedule2
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    BUILDING AND IMPROVEMENTS - 112 N. MAIN 44,582 26,095 18,487  
    GUTTERING, DANCE FLOOR, FURNACE, FIXTURES 4,947 4,928 19  
    BUILDING FRONT, AWNING, & WINDOWS 20,533 11,579 8,954  
    FURNACE AND A/C 4,804 2,620 2,184  
    HOT WATER HEATER 785 785 0  
    IMPROVEMENTS - 112 N. MAIN 4,000 1,842 2,158  
    FRONT GLASS-112 N MAIN 772 288 484  
    HEATING AND A/C UNIT-112 N MAIN 3,585 1,402 2,183  
    AWNING 784 275 509  
    IMPROVEMENTS 2,361 816 1,545  
    AWNING 2,166 743 1,423  
    AIR CONDITIONER 3,419 1,162 2,257  
    ELECTRICAL REWORK 4,200 779 3,421  
    HVAC SYSTEM 5,926 1,098 4,828  
    ROOF - 112 N. MAIN 11,578 1,734 9,844  

    TY 2021 InvestmentsOtherSchedule2
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ARTISAN MIDCAP FUNDS AT COST 69,572 87,634
    BAIRD AGGREGATE BOND FUND IS AT COST 180,685 186,299
    BLACKROCK HIGH YIELD PORT K AT COST 25,700 26,583
    CAUSEWAY EMERGING MKTS FUND AT COST 35,551 35,026
    CLEARBRIDGE SMALL CAP GROWTH FUND AT COST 60,987 68,214
    COHEN & STEERS PREF SEC INC FD AT COST 12,071 12,685
    COMMERCE BOND FUND 333 AT COST 620,357 650,013
    DFA INTL SMALL CO PORT AT COST 63,859 73,505
    DFA US LARGE CAP VALUE PORT AT COST 100,098 139,796
    DFA US TARGETED VALUE PORT AT COST 96,770 114,721
    DODGE & COX INCOME FUND AT COST 110,157 113,527
    FIDELITY EMERGIN MARKETS INDEX FUND-FAI AT COST 38,131 43,118
    FIDELITY MID CAP VALUE INDEX FUND AT COST 224,083 354,329
    GOLDMAN SACHS HIGH FIELD INS AT COST 26,150 26,424
    HARTFORD FLOATING RATE FUND F AT COST 12,200 12,705
    JPMORGAN HEDGED EQUITY FUND R6 AT COST 181,200 201,255
    MFS RESEARCH INTL FUND R6 AT COST 81,575 137,594
    PGIM JENNISON MIDCAP GROWTH Q AT COST 149,742 135,680
    PRINCIPAL GLOBAL MULTI-STRATEGY FD AT COST 86,363 95,000
    T ROWE PRICE GROWTH STOCK FUND I AT COST 80,101 130,764
    T ROWE PRICE NEW HORIZONS FUND I AT COST 76,444 87,892
    T ROWE PRICE OVERSEAS STOCK FUND-I AT COST 76,947 93,503
    TIAA-CREF LARGE CAP GROWTH IND FD AT COST 61,342 140,763
    TIAA-CREF LARGE CAP VALUE IND FD AT COST 98,903 140,732
    VANGUARD HIGH YLD CORP FUND ADM AT COST 26,350 26,591
    VANGUARD INTERM TERM INV GRD FD ADM AT COST 223,078 227,101
    AMERICAN CENTURY SMALL CAP GROWTH FUND-Y AT COST 43,500 46,367
    FIDELITY ADVISOR FLOATING RATE HIGH INCOME FUND-Z AT COST 13,250 13,334
    FIDELITY NEW MARKETS INCOME FUND-Z AT COST 12,500 12,318

    TY 2021 LandEtcSchedule2
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    BUILDING - 110 N. MAIN 90,000 72,000 18,000  
    IMPROVEMENTS - 110 N. MAIN 23,823 19,067 4,756  
    MISC OFFICE EQUIPMENT AND FURNITURE 10,256 10,256 0  
    CARPETING 8,969 8,969 0  
    SHELVES AND PANELLING 804 640 164  
    ART BASES, SIGN, AND SOUND SYSTEM 3,552 3,552 0  
    MEZZANINE IMPROVEMENT AND WIRING 1,595 1,219 376  
    CARPETING 4,426 4,426 0  
    HEATING AND A/C UNITS 13,022 9,115 3,907  
    HANDICAP RESTROOMS 4,718 3,510 1,208  
    KITCHEN 3,809 2,829 980  
    IMPROVEMENTS 16,366 11,522 4,844  
    MISC OFFICE EQUIPMENT 1,031 1,031 0  
    TABLE AND DISPLAY CASE 455 455 0  
    MISC OFFICE EQUIPMENT 3,190 3,190 0  
    OUTDOOR LIGHTS 4,338 2,841 1,497  
    MISC OFFICE EQUIPMENT 2,202 2,202 0  
    FOLDING ROUND TABLE 59 59 0  
    WIRING AND BASEMENT DOOR 4,503 2,865 1,638  
    PLAQUE, STAND, AND SIGN 4,066 3,973 93  
    THIRD FLOOR IMPROVEMENTS 15,466 9,125 6,341  
    WINDOW TREATMENTS 2,469 2,469 0  
    LAND - 112 N. MAIN 10,000 0 10,000  
    EMERGENCY EXIT LIGHTS 8,621 4,876 3,745  
    CARPETING 13,926 13,926 0  
    DESKS 676 673 3  
    COMPUTER 3,673 3,673 0  
    AIR CONDITIONER 2,922 1,296 1,626  
    AIR CONDITIONER-3RD FLOOR 2,200 972 1,228  
    4 TABLES 358 358 0  
    CORDLESS MICROPHONE 317 317 0  
    EQUIPMENT 185 142 43  
    BUILDING IMPROVEMENTS 24,233 10,908 13,325  
    LAND-110 N MAIN 15,000 0 15,000  
    CHAIRS/BOOKSHELF 100 100 0  
    2 AIR CONDITIONERS 3,270 1,025 2,245  
    HOT WATER HEATER 342 342 0  
    ELEVATOR 233,223 61,225 171,998  
    MAC COMPUTER 1,700 1,700 0  
    MAC COMPUTER 1,518 1,518 0  
    SECURITY CAMERA 1,452 1,452 0  
    MAC COMPUTER 1,200 1,200 0  
    RESTORATION WORK 26,026 4,611 21,415  
    RESTORATION WORK 11,630 2,061 9,569  
    HVAC SYSTEM 53,455 297 53,158  
    SECURITY SYSTEM 6,268 731 5,537  


    TY 2021 OtherAssetsSchedule
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ART OBJECTS 1,331,399 1,331,399 1,331,399
    COMMERCIAL OFFICE BUILDING 215,000 215,000 215,000


    TY 2021 OtherExpensesSchedule
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADVERTISING 847 0 0 847
    DUES AND SUBSCRIPTIONS 2,043 0 0 2,043
    EXHIBIT EXPENSE 1,978 0 0 1,978
    INSURANCE 1,308 0 0 1,308
    OFFICE EXPENSE 2,723 0 0 2,723
    REPAIR AND MAINTENANCE 4,219 0 0 4,219
    FUNDRAISING 527 0 0 527
    BOARD/STAFF DEVELOPMENT 1,597 0 0 1,597
    AFTER SCHOOL PROGRAM 468 0 0 468
    SUNDRY PROGRAM EXPENSES 1,336 0 0 1,336
    BROWN BAG CONCERT SERIES 2,238 0 0 2,238
    ART OF VINO APPRECIATION 851 0 0 851


    TY 2021 OtherIncomeSchedule2
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    GIFT SHOP 1,365   1,365


    TY 2021 OtherIncreasesSchedule
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Description Amount
    PRIOR PERIOD ADJUSTMENT 8,124


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    COMMERCE TRUST COMPANY 25,043 25,043 25,043 0
    PROFESSIONAL FEES 170 0 0 170


    TY 2021 TaxesSchedule
    Name:
    COUTTS MEMORIAL MUSEUM OF ART INC
    EIN:
    23-7160423
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 6,963 0 0 6,963
    FOREIGN TAX 959 959 959 0
    PROPERTY TAXES 68 68 68 0