Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
THE DAVIS & SMITH FAMILY FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)2261 WOODLARK CIRCLE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BETHLEHEM, PA18017
A Employer identification number

84-3207370
B Telephone number (see instructions)

(484) 379-8230
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$18,828,004
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 110,279 110,279  
4 Dividends and interest from securities... 204,999 204,999  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 240,701
b Gross sales price for all assets on line 6a 4,662,127
7 Capital gain net income (from Part IV, line 2)... 240,701
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)....... 545 13  
12 Total. Add lines 1 through 11........ 556,524 555,992  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 100,000 0   100,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 18,770 0   18,770
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 12,200 12,200   0
c Other professional fees (attach schedule).... 91,111 91,111   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 13,586 5,542   8,044
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 995 0   995
22 Printing and publications.......... 1,000 0   1,000
23 Other expenses (attach schedule)....... 5,996 0   5,996
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 243,658 108,853   134,805
25 Contributions, gifts, grants paid....... 559,000 559,000
26 Total expenses and disbursements. Add lines 24 and 25 802,658 108,853   693,805
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -246,134
b Net investment income (if negative, enter -0-) 447,139
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............. 17,855 28,939 28,939
2 Savings and temporary cash investments......... 235,211 264,856 264,856
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) 1,106,189 Click to see attachment1,204,295 1,208,707
b Investments—corporate stock (attach schedule)....... 9,659,403 Click to see attachment9,647,197 14,209,906
c Investments—corporate bonds (attach schedule)....... 3,478,957 Click to see attachment3,106,140 3,115,596
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) 14,497,615 14,251,427 18,828,004
Liabilities 17 Accounts payable and accrued expenses.......... 2,377 2,323
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)......... 2,377 2,323
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 14,495,238 14,249,104
29 Total net assets or fund balances (see instructions)..... 14,495,238 14,249,104
30 Total liabilities and net assets/fund balances (see instructions). 14,497,615 14,251,427
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
14,495,238
2
Enter amount from Part I, line 27a .....................
2
-246,134
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
14,249,104
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
14,249,104
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 195 SHS ABBOTT LABS   2020-01-10 2021-03-05
b 10,000 SHS ABBVIE INC   2019-12-17 2021-01-27
c 26 SHS ACTIVISION BLIZZARD INC   2020-01-10 2021-01-20
d 331 SHS ACTIVISION BLIZZARD INC   2020-01-10 2021-12-20
e 14 SHS ADOBE INC   2020-01-10 2021-01-20
42 SHS ADOBE INC   2020-01-10 2021-03-05
18,000 SHS AERCAP IRELAND CAP/GLOBA   2020-09-23 2021-08-24
3,000 SHS AERCAP IRELAND CAP/GLOBA   2020-09-23 2021-08-24
4,000 SHS AERCAP IRELAND CAP/GLOBA   2020-09-24 2021-08-24
4,000 SHS AERCAP IRELAND CAP/GLOBA   2020-09-24 2021-08-24
4,000 SHS AERCAP IRELAND CAP/GLOBA   2020-09-24 2021-08-24
12,000 SHS AERCAP IRELAND CAP/GLOBA   2020-09-30 2021-08-24
3,000 SHS AERCAP IRELAND CAP/GLOBA   2020-10-01 2021-08-24
2,000 SHS AERCAP IRELAND CAP/GLOBA   2020-10-01 2021-08-24
5 SHS ALPHABET INC SHS CL A   2020-01-10 2021-01-20
4 SHS AMAZON COM INC   2020-10-05 2021-01-20
23 SHS AMERICAN WTR WKS CO INC   2020-01-10 2021-01-20
138 SHS AMERICAN WTR WKS CO INC   2020-01-10 2021-12-20
183 SHS APPLE INC   2020-10-05 2021-01-20
3 SHS ASML HLDG NV NY REG SHS   2020-12-21 2021-01-20
35,000 SHS AT&T INC   2020-07-28 2021-03-08
13,000 SHS AT&T INC   2020-07-28 2021-03-08
2,000 SHS AT&T INC   2020-07-28 2021-03-08
50,000 SHS BANK OF MONTREAL   2019-12-19 2021-10-25
15 SHS BAXTER INTERNTL INC   2020-05-05 2021-01-20
189 SHS BAXTER INTERNTL INC   2020-05-05 2021-03-05
32 SHS BERKSHIRE HATHAWAYINC   2020-01-10 2021-01-20
6 SHS BLACKROCK INC   2020-01-10 2021-01-20
6,000 SHS BOEING CO   2020-02-07 2021-03-12
6,000 SHS BOEING CO   2020-02-10 2021-03-22
3,000 SHS BOEING CO   2020-02-10 2021-03-22
1,000 SHS BOEING CO   2020-02-07 2021-03-31
1,000 SHS BOEING CO   2020-02-10 2021-03-31
7,000 SHS BOEING CO   2020-02-07 2021-04-06
2,000 SHS BOEING CO   2020-02-13 2021-04-06
5,000 SHS BOEING CO   2020-02-13 2021-04-07
60 SHS BOSTON SCIENTIFIC CORP   2020-01-10 2021-01-20
12 SHS BROADCOM INC   2020-01-10 2021-01-20
45 SHS CARMAX INC   2020-10-05 2021-01-20
91 SHS CARMAX INC   2020-06-05 2021-07-12
95 SHS CARMAX INC   2020-10-05 2021-07-12
64 SHS CARMAX INC   2020-10-05 2021-07-12
122 SHS CARMAX INC   2020-06-05 2021-07-13
212 SHS CARMAX INC   2020-06-23 2021-07-13
24 SHS CATERPILLAR INC DEL   2020-01-10 2021-01-20
86 SHS CHEVRON CORP   2020-01-10 2021-01-20
70 SHS CHEVRON CORP   2019-12-11 2021-05-10
16 SHS CHEVRON CORP   2019-12-11 2021-05-10
468 SHS CHEVRON CORP   2020-01-10 2021-05-10
133 SHS CHEVRON CORP   2020-12-21 2021-05-10
67 SHS CISCO SYSTEMS INC   2020-01-10 2021-01-20
99 SHS CITIGROUP INC COM NEW   2020-01-10 2021-01-20
102 SHS COCA COLA COM   2020-01-10 2021-01-20
65,000 SHS COMCAST CORP   2019-12-19 2021-07-12
87 SHS COMCAST CORP NEW CL A   2020-01-10 2021-01-20
13 SHS COSTCO WHOLESALE CRP DEL   2020-01-10 2021-01-20
4 SHS CROWN CASTLE REIT INC   2020-05-05 2021-01-20
19,000 SHS CVS HEALTH CORP   2019-12-19 2021-08-24
7,000 SHS CVS HEALTH CORP   2019-12-19 2021-09-21
6,000 SHS CVS HEALTH CORP   2019-12-19 2021-09-21
13 SHS DEERE CO   2020-01-10 2021-01-20
17 SHS DISNEY (WALT) CO COM STK   2020-01-10 2021-01-20
9,000 SHS DOW CHEMICAL CO/THE   2021-02-09 2021-11-18
6,000 SHS DOW CHEMICAL CO/THE   2021-02-09 2021-11-18
5,000 SHS DOW CHEMICAL CO/THE   2021-02-10 2021-11-18
44 SHS DUPONT DE NEMOURS INC   2020-01-10 2021-01-20
48 SHS EATON CORP PLC   2020-01-10 2021-01-20
12 SHS ELECTRONIC ARTS INC   2020-01-10 2021-01-20
8,000 SHS ENTERPRISE PRODUCTS OPER   2021-02-11 2021-05-07
13,000 SHS ENTERPRISE PRODUCTS OPER   2021-02-04 2021-05-10
10,000 SHS ENTERPRISE PRODUCTS OPER   2021-02-04 2021-05-10
1,000 SHS ENTERPRISE PRODUCTS OPER   2021-02-04 2021-05-10
8,000 SHS ENTERPRISE PRODUCTS OPER   2021-02-09 2021-05-10
2,000 SHS ENTERPRISE PRODUCTS OPER   2021-02-11 2021-05-10
70,000 SHS EOG RESOURCES INC   2020-01-02 2021-06-25
3 SHS EQUINIX INC   2020-05-05 2021-01-20
13,000 SHS FEDEX CORP   2021-02-08 2021-10-05
3,245.67 SHS FHLMC SB 8089 02%2036   2021-11-10 2021-11-30
717.94 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-03-31
1,033.94 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-04-30
1,047.23 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-05-31
1,209.39 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-06-30
1,400.45 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-07-31
2,223.07 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-08-31
2,553.71 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-09-30
2,149.79 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-10-31
1,767.95 SHS FHLMC SB 8098 02%2036   2021-03-09 2021-11-30
9,443.88 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-01-31
9,443.01 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-02-28
9,135.2 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-03-31
6,140.86 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-04-30
4,597.03 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-05-31
4,768.19 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-06-30
4,240.12 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-07-31
4,341.42 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-08-31
4,168.98 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-09-30
3,828.21 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-10-31
3,295.95 SHS FHLMC SD 8036 03%2050   2020-01-06 2021-11-30
1,753.14 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-01-31
5,777.05 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-02-28
8,728.27 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-03-31
5,961.34 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-04-30
2,153.15 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-05-31
1,973.85 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-06-30
3,533.54 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-07-31
3,197.7 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-08-31
3,926.93 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-09-30
1,909.26 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-10-31
3,006.94 SHS FNMA PAK0592 03 50%2042   2020-01-15 2021-11-30
664.51 SHS FNMA PBQ3712 02%2050   2020-10-02 2021-01-31
23,1380.546 SHS FNMA PBQ3712 02%2050   2020-10-02 2021-02-25
4,648.81 SHS FNMA PBQ3712 02%2050   2020-10-02 2021-02-28
295.5 SHS FNMA PBQ5934 02%2050   2020-10-14 2021-01-31
14,1776.013 SHS FNMA PBQ5934 02%2050   2020-10-14 2021-02-25
809.29 SHS FNMA PBQ5934 02%2050   2020-10-14 2021-02-28
604.36 SHS FNMA PBT1279 02%2036   2021-06-15 2021-06-30
731.26 SHS FNMA PBT1279 02%2036   2021-06-15 2021-07-31
1,228.3 SHS FNMA PBT1279 02%2036   2021-06-15 2021-08-31
1,160.67 SHS FNMA PBT1279 02%2036   2021-06-15 2021-09-30
658.34 SHS FNMA PBT1279 02%2036   2021-06-15 2021-10-31
2,216.69 SHS FNMA PBT1279 02%2036   2021-06-15 2021-11-30
1,430.47 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-01-31
1,975.14 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-02-28
3,020.74 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-03-31
835.23 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-04-30
1,728.09 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-05-31
1,411.07 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-06-30
1,682.35 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-07-31
2,137.9 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-08-31
2,608.28 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-09-30
1,595.36 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-10-31
1,595.32 SHS FNMA PCA5701 02 50%2050   2020-07-22 2021-11-30
3,055.71 SHS FNMA PCA6423 03%2050   2021-01-12 2021-01-31
3,975.31 SHS FNMA PCA6423 03%2050   2021-01-12 2021-02-28
6,200.99 SHS FNMA PCA6423 03%2050   2021-01-12 2021-03-31
2,811.76 SHS FNMA PCA6423 03%2050   2021-01-12 2021-04-30
1,770.04 SHS FNMA PCA6423 03%2050   2021-01-12 2021-05-31
1,897.47 SHS FNMA PCA6423 03%2050   2021-01-12 2021-06-30
2,788.97 SHS FNMA PCA6423 03%2050   2021-01-12 2021-07-31
3,345.55 SHS FNMA PCA6423 03%2050   2021-01-12 2021-08-31
3,812.58 SHS FNMA PCA6423 03%2050   2021-01-12 2021-09-30
2,957.77 SHSFNMA PCA6423 03%2050   2021-01-12 2021-10-31
3,107.48 SHS FNMA PCA6423 03%2050   2021-01-12 2021-11-30
4,965.76 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-01-31
4,931.86 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-02-28
5,639.12 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-03-31
4,661.38 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-04-30
4,351.98 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-05-31
4,530.48 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-06-30
3,948.56 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-07-31
3,998.83 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-08-31
3,944.22 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-09-30
3,816.4 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-10-31
3,406.93 SHS FNMA PFM1155 02 50%2032   2020-01-08 2021-11-30
1,391.51 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-01-31
2148.96 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-02-28
2,734.67 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-03-31
1,887.61 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-04-30
1,694.75 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-05-31
2,149.95 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-06-30
2,490.24 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-07-31
2,755.6 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-08-31
4,199.71 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-09-30
2,957.78 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-10-31
3,871.75 SHS FNMA PFM4226 02 50%2050   2020-09-09 2021-11-30
10,458.26 SHS FNMA PMA3937 03%2050   2020-01-13 2021-01-31
10,677.35 SHS FNMA PMA3937 03%2050   2020-01-13 2021-02-28
10,584.75 SHS FNMA PMA3937 03%2050   2020-01-13 2021-03-31
6,659.83 SHS FNMA PMA3937 03%2050   2020-01-13 2021-04-30
5,045.67 SHS FNMA PMA3937 03%2050   2020-01-13 2021-05-31
5,040.07 SHS FNMA PMA3937 03%2050   2020-01-13 2021-06-30
4,479.35 SHS FNMA PMA3937 03%2050   2020-01-13 2021-07-31
4,577.5 SHS FNMA PMA3937 03%2050   2020-01-13 2021-08-31
4,511.1 SHS FNMA PMA3937 03%2050   2020-01-13 2021-09-30
4,120.03 SHS FNMA PMA3937 03%2050   2020-01-13 2021-10-31
3,344.22 SHS FNMA PMA3937 03%2050   2020-01-13 2021-11-30
680.88 SHS FNMA PMA4303 02%2036   2021-03-09 2021-03-31
977.42 SHS FNMA PMA4303 02%2036   2021-03-09 2021-04-30
1,048.11 SHS FNMA PMA4303 02%2036   2021-03-09 2021-05-31
1,151.25 SHS FNMA PMA4303 02%2036   2021-03-09 2021-06-30
1,200.63 SHS FNMA PMA4303 02%2036   2021-03-09 2021-07-31
2,156.4 SHS FNMA PMA4303 02%2036   2021-03-09 2021-08-31
2,298.67 SHS FNMA PMA4303 02%2036   2021-03-09 2021-09-30
2,166.77 SHS FNMA PMA4303 02%2036   2021-03-09 2021-10-31
1,840.84 SHS FNMA PMA4303 02%2036   2021-03-09 2021-11-30
5,945.92 SHS FORD CREDIT AUT ABS 2017   2019-12-20 2021-02-14
9,671.48 SHS FORD CREDIT AUT ABS 2017   2019-12-20 2021-03-14
11,935.47 SHS FORD CREDIT AUT ABS 2017   2019-12-20 2021-04-14
10,139.91 SHS FORD CREDIT AUT ABS 2017   2019-12-20 2021-05-14
9,013.13 SHS FORD CREDIT AUT ABS 2017   2019-12-20 2021-06-14
8,985.22 SHS FORD CREDIT AUT ABS 2017   2019-12-20 2021-07-14
34,308.87 SHS FORD CREDIT AUT ABS 2017   2019-12-20 2021-08-16
31 SHS FORTIVE CORP   2020-06-23 2021-01-20
67 SHS GENERAL MOTORS CO   2020-12-21 2021-01-20
44 SHS HILL ROM HLDGS   2020-01-13 2021-01-20
290 SHS HILL ROM HLDGS   2020-01-13 2021-12-14
281 SHS HILL ROM HLDGS   2020-03-13 2021-12-14
1 SHS HILL ROM HLDGS   2020-05-05 2021-12-14
34 SHS HOME DEPOT INC   2020-01-10 2021-01-20
82 SHS HOME DEPOT INC   2020-01-10 2021-07-12
22 SHS HONEYWELL INTL INC DEL   2020-01-10 2021-01-20
13 SHS IDEXX LAB INC DEL $0.10   2020-01-13 2021-01-20
9 SHS ILLINOIS TOOL WORKS INC   2020-01-10 2021-01-20
31 SHS INTERCONTINENTAL   2020-01-10 2021-01-20
2,000 SHS ISHARES RUSSELL MIDCAP   2020-02-13 2021-01-20
850 SHS ISHARES TR ISHARES 1-5   2020-08-07 2021-06-02
1,000 SHS ISHARES TR ISHARES 1-5   2020-08-07 2021-08-13
2,000 SHS ISHARES TR ISHARES 5-10   2020-08-07 2021-11-04
700 SHS ISHARES TR ISHARES 5-10   2020-08-07 2021-12-02
0 SHS ISHARES TR ISHARES 5-10   2021-01-01 2021-12-07
24 SHS JOHNSON AND JOHNSON COM   2020-01-10 2021-01-20
57 SHS JPMORGAN CHASE & CO   2020-01-10 2021-01-20
22 SHS LYONDELLBASELL INDUSTRIE   2020-01-10 2021-01-20
14 SHS L3HARRIS TECHNOLOGIES   2020-04-01 2021-01-20
81 SHS MARVELL TECHNOLOGY GROUP   2020-01-10 2021-01-20
14 SHS MCDONALDS CORP   2020-01-10 2021-01-20
182 SHS MCDONALDS CORP   2020-01-10 2021-05-10
10 SHS META PLATFORMS INC   2020-01-10 2021-01-20
39 SHS MICROSOFT CORP   2020-01-10 2021-01-20
47 SHS MICROSOFT CORP   2020-10-05 2021-01-20
89 SHS MONDELEZ INTERNATIONAL   2020-01-10 2021-01-20
220 SHS MONDELEZ INTERNATIONAL   2020-01-10 2021-12-20
112 SHS MORGAN STANLEY   2020-01-10 2021-01-20
8,000 SHS NEXTERA ENERGY CAPIT CLD   2020-04-02 2021-12-22
1,000 SHS NEXTERA ENERGY CAPIT CLD   2020-04-02 2021-12-22
28,000 SHS NEXTERA ENERGY CAPIT CLD   2021-04-23 2021-12-22
27,000 SHS NEXTERA ENERGY CAPIT CLD   2021-04-30 2021-12-22
16 SHS NEXTERA ENERGY INC SHS   2020-10-05 2021-01-20
6 SHS NEXTERA ENERGY INC SHS   2020-10-05 2021-01-20
24 SHS NIKE INC CL B   2020-01-10 2021-01-20
13 SHS NVIDIA   2020-01-10 2021-01-20
36 SHS NVIDIA   2020-01-10 2021-03-05
29,000 SHS ORACLE CORP   2020-06-16 2021-04-08
36,000 SHS ORACLE CORP   2020-06-16 2021-04-12
30.9 SHS ORGANON AND CO REG SHS   2021-03-05 2021-07-12
14 SHS ORGANON AND CO REG SHS   2021-05-10 2021-07-12
5.1 SHS ORGANON AND CO REG SHS   2021-05-10 2021-07-12
0.6 SHS ORGANON AND CO REG SHS   2021-03-05 2021-08-26
16 SHS PALO ALTO NETWORKS INC   2020-03-13 2021-01-20
30 SHS PAYPAL HOLDINGS INC SHS   2020-01-10 2021-01-20
34 SHS PROLOGIS INC   2020-01-10 2021-01-20
41 SHS REPLIGEN CORP COM   2020-01-13 2021-01-20
89 SHS REPLIGEN CORP COM   2020-01-13 2021-03-05
36 SHS REPLIGEN CORP COM   2020-01-13 2021-03-05
176 SHS REPLIGEN CORP COM   2020-01-10 2021-05-10
19 SHS REPLIGEN CORP COM   2020-01-13 2021-05-10
22 SHS REPLIGEN CORP COM   2020-01-10 2021-05-11
9 SHS REPLIGEN CORP COM   2020-01-10 2021-05-11
8 SHS REPLIGEN CORP COM   2020-01-10 2021-05-11
36 SHS REPLIGEN CORP COM   2020-03-13 2021-05-11
5,000 SHS REPUBLIC SERVICES INC   2021-02-04 2021-11-18
7,000 SHS REPUBLIC SERVICES INC   2021-02-09 2021-11-18
8,000 SHS REPUBLIC SERVICES INC   2021-02-11 2021-11-18
8,000 SHS REPUBLIC SERVICES INC   2021-02-04 2021-12-08
7,000 SHS REPUBLIC SERVICES INC   2021-02-08 2021-12-08
51 SHS ROCHE HLDG LTD SPN ADR   2020-01-10 2021-01-20
304 SHS ROCHE HLDG LTD SPN ADR   2020-01-10 2021-03-05
354 SHS ROCHE HLDG LTD SPN ADR   2020-01-10 2021-05-10
72,000 SHS ROYAL BANK OF CANADA   2020-10-21 2021-04-26
3,000 SHS ROYAL BANK OF CANADA   2020-10-22 2021-04-26
31 SHS SALESFORCE COM INC   2020-01-10 2021-01-20
90 SHS SALESFORCE COM INC   2020-01-10 2021-03-05
3 SHS SHOPIFY INC CL A   2020-03-13 2021-01-20
41 SHS SPDR S P BIOTECH   2020-01-10 2021-01-20
166 SHS SPDR S P BIOTECH   2020-01-10 2021-03-05
62,000 SHS SUNTRUST BANK   2020-06-03 2021-09-24
44 SHS TARGET CORP   2020-01-10 2021-01-20
191 SHS TARGET CORP   2020-01-10 2021-02-01
65 SHS TARGET CORP   2020-01-10 2021-02-22
25 SHS TELADOC HEALTH INC   2020-01-10 2021-01-20
321 SHS TELADOC HEALTH INC   2020-01-10 2021-05-10
95 SHS TENCENT HOLDINGS LTD ADR   2020-01-13 2021-01-20
179 SHS TENCENT HOLDINGS LTD ADR   2020-01-10 2021-08-04
285 SHS TENCENT HOLDINGS LTD ADR   2020-01-13 2021-08-04
301 SHS TENCENT HOLDINGS LTD ADR   2020-01-10 2021-12-20
6,000 SHS TRUIST FINANCIAL CORP   2020-06-02 2021-09-20
2,000 SHS TRUIST FINANCIAL CORP   2020-06-02 2021-09-20
41 SHS TRUIST FINL CORP   2020-01-10 2021-01-20
10,000 SHS U.S. TREASURY BOND   2020-04-22 2021-01-28
15,000 SHS U.S. TREASURY BOND   2020-08-17 2021-01-28
15,000 SHS U.S. TREASURY BOND   2020-11-30 2021-01-28
35,000 SHS U.S. TREASURY BOND   2019-12-16 2021-02-10
5,000 SHS U.S. TREASURY BOND   2020-11-30 2021-02-10
10,000 SHS U.S. TREASURY BOND   2020-08-17 2021-03-16
15,000 SHS U.S. TREASURY BOND   2021-03-10 2021-03-16
10,000 SHS U.S. TREASURY BOND   2020-08-11 2021-11-10
5,000 SHS U.S. TREASURY BOND   2020-12-28 2021-11-10
20,000 SHS U.S. TREASURY BOND   2021-03-10 2021-11-10
15,000 SHS U.S. TREASURY BOND   2021-07-12 2021-11-10
50,000 SHS U.S. TREASURY NOTE   2019-12-19 2021-01-28
25,000 SHS U.S. TREASURY NOTE   2019-12-19 2021-01-28
75,000 SHS U.S. TREASURY NOTE   2019-12-23 2021-01-28
45,000 SHS U.S. TREASURY NOTE   2020-04-22 2021-01-28
40,000 SHS U.S. TREASURY NOTE   2020-04-28 2021-01-28
35,000 SHS U.S. TREASURY NOTE   2020-05-03 2021-01-28
10,000 SHS U.S. TREASURY NOTE   2020-05-18 2021-01-28
35,000 SHS U.S. TREASURY NOTE   2020-07-08 2021-01-28
25,000 SHS U.S. TREASURY NOTE   2020-10-26 2021-01-28
45,000 SHS U.S. TREASURY NOTE   2020-11-02 2021-01-28
25,000 SHS U.S. TREASURY NOTE   2020-03-26 2021-02-10
200,000 SHS U.S. TREASURY NOTE   2021-02-25 2021-03-10
5,000 SHS U.S. TREASURY NOTE   2020-03-11 2021-03-11
20,000 SHS U.S. TREASURY NOTE   2020-04-02 2021-03-11
5,000 SHS U.S. TREASURY NOTE   2020-04-02 2021-03-11
65,000 SHS U.S. TREASURY NOTE   2021-02-25 2021-03-11
30,000 SHS U.S. TREASURY NOTE   2021-02-25 2021-03-12
10,000 SHS U.S. TREASURY NOTE   2021-02-25 2021-03-16
5,000 SHS U.S. TREASURY NOTE   2020-02-18 2021-03-17
20,000 SHS U.S. TREASURY NOTE   2020-03-11 2021-03-17
10,000 SHS U.S. TREASURY NOTE   2021-02-25 2021-04-29
60,000 SHS U.S. TREASURY NOTE   2021-02-25 2021-06-16
40,000 SHS U.S. TREASURY NOTE   2021-08-25 2021-09-14
25,000 SHS U.S. TREASURY NOTE   2020-03-11 2021-09-22
45,000 SHS U.S. TREASURY NOTE   2021-01-28 2021-09-28
50,000 SHS U.S. TREASURY NOTE   2020-03-11 2021-10-15
50,000 SHS U.S. TREASURY NOTE   2020-08-17 2021-11-10
25,000 SHS U.S. TREASURY NOTE   2020-11-19 2021-11-10
40,000 SHS U.S. TREASURY NOTE   2021-01-28 2021-11-10
17 SHS UNION PACIFIC CORP   2020-01-10 2021-01-20
14 SHS UNITED PARCEL SVC CL B   2020-12-21 2021-01-20
6 SHS UNITEDHEALTH GROUP INC   2020-12-21 2021-01-20
14,000 SHS USD AMERICA MOVIL SA   2020-01-06 2021-12-23
36,000 SHS USD AMERICA MOVIL SA   2020-01-10 2021-12-23
270 SHS VANGUARD 500 INDEX FUND   2020-02-28 2021-01-20
50,000 SHS VERIZON COMMUNICATIONS   2020-07-29 2021-02-17
73 SHS VERIZON COMMUNICATNS COM   2020-01-10 2021-01-20
10,212.38 SHS VERIZON OWNER T ABS 2019   2019-12-20 2021-11-19
9,282.58 SHS VERIZON OWNER T ABS 2019   2019-12-20 2021-12-19
45 SHS VISA INC CL A SHRS   2020-01-10 2021-01-20
107 SHS VISA INC CL A SHRS   2020-01-10 2021-05-10
19 SHS VULCAN MATERIALS CO   2020-01-10 2021-01-20
1,052.63 SHS WFRBS COMMERCIA CMO 2013   2019-12-19 2021-08-31
3,251.55 SHS WFRBS COMMERCIA CMO 2013   2019-12-19 2021-09-30
612.88 SHS WFRBS COMMERCIA CMO 2013   2019-12-19 2021-10-31
75 SHS ABBOTT LABS   2020-01-10 2021-01-20
CAPITAL GAINS DIVIDENDS P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 22,752   16,945 5,807
b 12,397   10,809 1,588
c 2,469   1,534 935
d 20,445   19,534 911
e 6,494   4,792 1,702
18,343   14,377 3,966
18,773   17,896 877
3,129   2,983 146
4,172   3,978 194
4,172   3,978 194
4,172   3,978 194
12,515   11,928 587
3,129   2,981 148
2,086   1,988 98
9,242   7,134 2,108
12,886   12,682 204
3,703   2,820 883
25,218   16,921 8,297
23,917   21,135 2,782
1,655   1,411 244
30,318   35,692 -5,374
11,261   13,190 -1,929
1,732   2,028 -296
52,041   50,521 1,520
1,194   1,344 -150
14,627   16,931 -2,304
7,485   7,306 179
4,401   3,086 1,315
6,216   6,433 -217
5,906   6,230 -324
2,953   3,116 -163
990   1,038 -48
990   1,038 -48
6,978   7,264 -286
1,994   2,072 -78
4,997   5,178 -181
2,196   2,750 -554
5,568   3,628 1,940
5,408   4,428 980
12,315   8,733 3,582
12,856   9,313 3,543
8,661   6,297 2,364
16,133   11,708 4,425
28,034   19,527 8,507
4,592   3,539 1,053
8,177   8,177 0
7,753   7,612 141
1,775   1,740 35
51,833   54,928 -3,095
14,756   11,497 3,259
3,041   3,177 -136
6,224   7,902 -1,678
4,943   5,685 -742
84,656   80,540 4,116
4,261   3,934 327
4,636   3,893 743
637   639 -2
22,080   20,758 1,322
8,058   7,648 410
6,903   6,555 348
3,869   2,301 1,568
2,979   2,467 512
8,804   9,094 -290
5,870   6,064 -194
4,891   5,066 -175
3,700   2,689 1,011
6,031   4,586 1,445
1,719   1,300 419
8,685   9,085 -400
14,110   14,536 -426
10,860   11,180 -320
1,085   1,118 -33
8,683   9,015 -332
2,171   2,271 -100
78,816   77,338 1,478
2,176   2,070 106
17,183   17,513 -330
3,246   3,337 -91
718   742 -24
1,034   1,068 -34
1,047   1,082 -35
1,209   1,250 -41
1,400   1,447 -47
2,223   2,297 -74
2,554   2,639 -85
2,150   2,221 -71
1,768   1,827 -59
9,444   9,612 -168
9,443   9,611 -168
9,135   9,298 -163
6,141   6,250 -109
4,597   4,679 -82
4,768   4,853 -85
4,240   4,316 -76
4,341   4,419 -78
4,169   4,243 -74
3,828   3,896 -68
3,296   3,355 -59
1,753   1,851 -98
5,777   6,100 -323
8,728   9,217 -489
5,961   6,295 -334
2,153   2,274 -121
1,974   2,084 -110
3,534   3,731 -197
3,198   3,377 -179
3,927   4,147 -220
1,909   2,016 -107
3,007   3,175 -168
665   691 -26
231,959   240,672 -8,713
4,649   4,835 -186
296   307 -11
142,130   147,070 -4,940
809   840 -31
604   625 -21
731   756 -25
1,228   1,270 -42
1,161   1,200 -39
658   681 -23
2,217   2,292 -75
1,430   1,513 -83
1,975   2,089 -114
3,021   3,194 -173
835   883 -48
1,728   1,827 -99
1,411   1,492 -81
1,682   1,779 -97
2,138   2,261 -123
2,608   2,758 -150
1,595   1,687 -92
1,595   1,687 -92
3,056   3,222 -166
3,975   4,191 -216
6,201   6,538 -337
2,812   2,965 -153
1,770   1,866 -96
1,897   2,001 -104
2,789   2,941 -152
3,346   3,527 -181
3,813   4,020 -207
2,958   3,119 -161
3,107   3,276 -169
4,966   5,050 -84
4,932   5,015 -83
5,639   5,734 -95
4,661   4,740 -79
4,352   4,425 -73
4,530   4,607 -77
3,949   4,015 -66
3,999   4,066 -67
3,944   4,011 -67
3,816   3,881 -65
3,407   3,464 -57
1,392   1,475 -83
2,149   2,278 -129
2,735   2,898 -163
1,888   2,001 -113
1,695   1,796 -101
2,150   2,279 -129
2,490   2,639 -149
2,756   2,921 -165
4,200   4,451 -251
2,958   3,135 -177
3,872   4,103 -231
10,458   10,638 -180
10,677   10,861 -184
10,585   10,767 -182
6,660   6,775 -115
5,046   5,133 -87
5,040   5,127 -87
4,479   4,557 -78
4,578   4,656 -78
4,511   4,589 -78
4,120   4,191 -71
3,344   3,402 -58
681   703 -22
977   1,010 -33
1,048   1,083 -35
1,151   1,189 -38
1,201   1,240 -39
2,156   2,228 -72
2,299   2,375 -76
2,167   2,239 -72
1,841   1,902 -61
5,946   5,959 -13
9,671   9,693 -22
11,935   11,963 -28
10,140   10,163 -23
9,013   9,034 -21
8,985   9,006 -21
34,309   34,387 -78
2,175   1,811 364
3,714   2,766 948
4,522   5,080 -558
45,240   33,485 11,755
43,836   23,879 19,957
156   107 49
9,275   7,631 1,644
26,334   18,403 7,931
4,580   3,951 629
6,442   3,672 2,770
1,839   1,622 217
3,537   2,929 608
143,027   123,440 19,587
46,610   46,785 -175
54,720   55,041 -321
119,407   123,181 -3,774
41,435   43,113 -1,678
169     169
3,923   3,502 421
7,758   7,799 -41
2,060   1,982 78
2,670   2,474 196
4,459   2,126 2,333
2,950   2,910 40
43,268   37,831 5,437
2,647   2,189 458
8,693   6,342 2,351
10,476   9,828 648
5,052   4,832 220
14,235   11,943 2,292
8,432   5,844 2,588
8,342   8,013 329
1,043   1,002 41
29,197   29,888 -691
28,154   28,790 -636
1,330   1,152 178
499   432 67
3,394   2,442 952
6,921   3,210 3,711
17,766   8,890 8,876
29,994   32,428 -2,434
37,054   40,255 -3,201
919   1,075 -156
416   527 -111
152   192 -40
20   21 -1
5,914   2,265 3,649
7,443   3,394 4,049
3,352   3,038 314
9,058   4,035 5,023
16,461   8,758 7,703
6,693   3,543 3,150
30,833   17,162 13,671
3,329   1,870 1,459
3,862   2,145 1,717
1,577   878 699
1,401   780 621
6,306   3,442 2,864
4,621   4,814 -193
6,469   6,751 -282
7,394   7,720 -326
7,434   7,703 -269
6,505   6,733 -228
2,293   2,099 194
12,285   12,509 -224
14,707   14,567 140
72,177   71,955 222
3,007   3,000 7
6,912   5,589 1,323
18,846   16,226 2,620
3,632   1,108 2,524
6,398   3,947 2,451
22,539   15,980 6,559
65,866   66,832 -966
8,172   5,476 2,696
35,099   23,772 11,327
12,249   8,090 4,159
6,245   2,142 4,103
45,344   27,502 17,842
8,353   4,976 3,377
10,504   9,182 1,322
16,724   14,928 1,796
16,513   15,441 1,072
6,066   6,006 60
2,022   2,003 19
2,113   2,298 -185
12,595   14,061 -1,466
18,184   19,238 -1,054
18,893   19,631 -738
42,596   39,218 3,378
6,085   6,085 0
10,764   10,764 0
16,147   16,529 -382
11,504   13,080 -1,576
6,119   6,132 -13
24,475   22,695 1,780
17,256   17,162 94
51,633   49,599 2,034
26,488   25,304 1,184
79,465   75,814 3,651
47,679   48,057 -378
40,859   41,094 -235
35,752   35,953 -201
10,215   10,264 -49
36,143   36,334 -191
25,537   25,601 -64
46,470   46,545 -75
27,806   27,806 0
198,820   199,000 -180
5,400   5,400 0
21,600   21,600 0
5,400   5,811 -411
64,678   64,675 3
29,823   29,850 -27
9,945   9,950 -5
5,348   5,825 -477
21,394   23,677 -2,283
9,954   9,950 4
59,801   59,700 101
39,848   39,802 46
27,209   28,579 -1,370
44,712   45,366 -654
53,400   57,158 -3,758
51,836   54,357 -2,521
23,392   24,496 -1,104
41,469   43,027 -1,558
3,690   3,039 651
2,219   2,437 -218
2,097   2,015 82
14,214   14,348 -134
36,551   36,976 -425
94,680   71,911 22,769
54,622   57,358 -2,736
4,150   4,322 -172
10,212   10,201 11
9,283   9,272 11
9,212   8,730 482
24,435   20,759 3,676
3,032   2,673 359
1,053   1,069 -16
3,252   3,303 -51
613   623 -10
8,461   6,517 1,944
198     198
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       5,807
b       1,588
c       935
d       911
e       1,702
      3,966
      877
      146
      194
      194
      194
      587
      148
      98
      2,108
      204
      883
      8,297
      2,782
      244
      -5,374
      -1,929
      -296
      1,520
      -150
      -2,304
      179
      1,315
      -217
      -324
      -163
      -48
      -48
      -286
      -78
      -181
      -554
      1,940
      980
      3,582
      3,543
      2,364
      4,425
      8,507
      1,053
      0
      141
      35
      -3,095
      3,259
      -136
      -1,678
      -742
      4,116
      327
      743
      -2
      1,322
      410
      348
      1,568
      512
      -290
      -194
      -175
      1,011
      1,445
      419
      -400
      -426
      -320
      -33
      -332
      -100
      1,478
      106
      -330
      -91
      -24
      -34
      -35
      -41
      -47
      -74
      -85
      -71
      -59
      -168
      -168
      -163
      -109
      -82
      -85
      -76
      -78
      -74
      -68
      -59
      -98
      -323
      -489
      -334
      -121
      -110
      -197
      -179
      -220
      -107
      -168
      -26
      -8,713
      -186
      -11
      -4,940
      -31
      -21
      -25
      -42
      -39
      -23
      -75
      -83
      -114
      -173
      -48
      -99
      -81
      -97
      -123
      -150
      -92
      -92
      -166
      -216
      -337
      -153
      -96
      -104
      -152
      -181
      -207
      -161
      -169
      -84
      -83
      -95
      -79
      -73
      -77
      -66
      -67
      -67
      -65
      -57
      -83
      -129
      -163
      -113
      -101
      -129
      -149
      -165
      -251
      -177
      -231
      -180
      -184
      -182
      -115
      -87
      -87
      -78
      -78
      -78
      -71
      -58
      -22
      -33
      -35
      -38
      -39
      -72
      -76
      -72
      -61
      -13
      -22
      -28
      -23
      -21
      -21
      -78
      364
      948
      -558
      11,755
      19,957
      49
      1,644
      7,931
      629
      2,770
      217
      608
      19,587
      -175
      -321
      -3,774
      -1,678
      169
      421
      -41
      78
      196
      2,333
      40
      5,437
      458
      2,351
      648
      220
      2,292
      2,588
      329
      41
      -691
      -636
      178
      67
      952
      3,711
      8,876
      -2,434
      -3,201
      -156
      -111
      -40
      -1
      3,649
      4,049
      314
      5,023
      7,703
      3,150
      13,671
      1,459
      1,717
      699
      621
      2,864
      -193
      -282
      -326
      -269
      -228
      194
      -224
      140
      222
      7
      1,323
      2,620
      2,524
      2,451
      6,559
      -966
      2,696
      11,327
      4,159
      4,103
      17,842
      3,377
      1,322
      1,796
      1,072
      60
      19
      -185
      -1,466
      -1,054
      -738
      3,378
      0
      0
      -382
      -1,576
      -13
      1,780
      94
      2,034
      1,184
      3,651
      -378
      -235
      -201
      -49
      -191
      -64
      -75
      0
      -180
      0
      0
      -411
      3
      -27
      -5
      -477
      -2,283
      4
      101
      46
      -1,370
      -654
      -3,758
      -2,521
      -1,104
      -1,558
      651
      -218
      82
      -134
      -425
      22,769
      -2,736
      -172
      11
      11
      482
      3,676
      359
      -16
      -51
      -10
      1,944
      198
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 2 240,701
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 6,215
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 6,215
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 26,179
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 26,179
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 19,964
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet19,964 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)
    bulletPA
    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 addressbulletWWW.DSFAM.ORG
    14
    The books are in care ofbulletKELLY J MILLER Telephone no.bullet (484) 379-8230

    Located atbullet2261 WOODLARK CIRCLEBETHLEHEMPA ZIP+4bullet18017
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    KELLY J MILLER EXECUTIVE DIRECTOR & BOARD MEMBER
    40.00
    100,000 18,770 0
    2261 WOODLARK CIRCLE
    BETHLEHEM,PA18017
    DAVID T DAVIS PRESIDENT & BOARD MEMBER
    2.00
    0 0 0
    2261 WOODLARK CIRCLE
    BETHLEHEM,PA18017
    JOANNE S DAVIS VICE-PRESIDENT & BOARD MEMBER
    2.00
    0 0 0
    2261 WOODLARK CIRCLE
    BETHLEHEM,PA18017
    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
    17,834,518
    b
    Average of monthly cash balances.......................
    1b
    255,737
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    18,090,255
    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
    18,090,255
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    271,354
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    17,818,901
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    890,945
    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
    890,945
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    6,215
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    6,215
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    884,730
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    884,730
    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
    884,730
    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 7 884,730
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 388,626
    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$ 693,805
    a Applied to 2020, but not more than line 2a 388,626
    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..... 305,179
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    579,551
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    DAVID T DAVIS
    JOANNE S DAVIS
    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
    EQUI-LIBRIUM INC
    524 FEHR ROAD
    NAZARETH,PA18064
      PUBLIC 501(C)(3) GENERAL SUPPORT 50,000
    HOMELAND HEROES FOUNDATION
    10 DELAWARE DR SUITE 1
    NORTH SALEM,NH03079
      PUBLIC 501(C)(3) GENERAL SUPPORT 24,000
    MEALS ON WHEELS OF THE GREATER LEHIGH VALLEY
    4240 FRITCH DR
    BETHLEHEM,PA18020
      PUBLIC 501(C)(3) GENERAL SUPPORT 25,000
    TAILS OF VALOR PAWS OF HONOR PROGRAM INC
    PO BOX 127
    COOPERSBURG,PA18036
      PUBLIC 501(C)(3) GENERAL SUPPORT 75,000
    THE LITERACY CENTER
    1132 W HAMILTON ST STE 300
    ALLENTOWN,PA18101
      PUBLIC 501(C)(3) GENERAL SUPPORT 30,000
    YOUNG WOMENS CHRISTIAN ASSOCIATION OF BETHLEHEM PA
    3895 ADLER PLACE BUILDING A SUITE
    180
    BETHLEHEM,PA18017
      PUBLIC 501(C)(3) GENERAL SUPPORT 50,000
    WADE'S ARMY
    PO BOX 215
    SKILLMAN,NJ08558
      PUBLIC 501(C)(3) GENERAL SUPPORT 50,000
    RED FEATHER DEVELOPMENT GROUP
    PO BOX 907
    BOZEMAN,MT59771
      PUBLIC 501(C)(3) GENERAL SUPPORT 75,000
    THORN
    1240 ROSECRANS AVENUE NO 120
    MANHATTAN BEACH,CA90266
      PUBLIC 501(C)(3) GENERAL SUPPORT 5,000
    CAMP FREEDOM INC
    284 NUMBER 7 RD
    CARBONDALE,PA18407
      PUBLIC 501(C)(3) GENERAL SUPPORT 100,000
    POCONO WILDLIFE REHABILITATION & EDUCATION CENTER
    1161 CHERRY DR
    STROUDSBURG,PA18360
      PUBLIC 501(C)(3) GENERAL SUPPORT 10,000
    VICTORY HOUSE OF LEHIGH VALLEY
    314 FILLMORE ST
    BETHLEHEM,PA18015
      PUBLIC 501(C)(3) GENERAL SUPPORT 65,000
    Total .................................bullet 3a 559,000
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
        14 110,279  
    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 ............
        18 240,701  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL EXCISE TAX REFUND
        01 532  
    bINTERNAL REVENUE SERVICE - INTEREST     14 13  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 556,524 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    556,524
    (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:
    THE DAVIS & SMITH FAMILY FOUNDATION INC
    EIN:
    84-3207370
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARARATION & CONSULTING 12,200 12,200   0

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE DAVIS & SMITH FAMILY FOUNDATION INC
    EIN:
    84-3207370
    Name of Bond End of Year Book Value End of Year Fair Market Value
    VERIZON OWNER TRUST 2019-C DTD 10/08/19 1.940% DUE 04/22/24 70,428 70,988
    CNH EQUIPMENT T ABS 2019 C A4 02.120%JUL15 25 130,054 127,554
    BP CAP MARKETS AMERICA COMP GUARNT SER * GLB 03.119% MAY 04 2026 76,024 74,044
    WORLD FINL NETWORK CR CARD DTD 09/18/19 2.210% DUE 07/15/26 90,127 91,052
    PNC FINL SVCS GROUP INC DTD 07/23/19 2.600% DUE 07/23/26 71,296 67,994
    NEXTERA ENERGY CAP HLDGS INC DTD 04/06/20 2.750% DUE 05/01/25 42,989 43,255
    GOLDMAN SACHS GROUP INC UNSECD DTD 01/26/17 3.850% DUE 01/26/27 39,763 37,636
    GENERAL MTRS FINL CO INC DTD 08/20/20 2.700% DUE 08/20/27 27,171 27,482
    GENERAL MTRS CO DTD 05/12/20 6.800% DUE 10/01/27 22,150 22,107
    CITIGROUP INC DTD 01/10/17 3.887% DUE 01/10/28 59,255 59,665
    LOWE'S COS INC GLB 01.700% SEP 15 2028 50,013 49,037
    UNITED TECHNOLOGIES CORP GLB 04.125% NOV 16 2028 62,497 61,569
    BOEING CO DTD 07/31/19 2.950% DUE 02/01/30 24,730 24,476
    FEDERAL NATL MTG ASSN DTD 06/01/19 2.500% DUE 06/01/32 121,332 123,621
    FEDERAL HOME LN MTG CORP DTD 12/01/19 3.000% DUE 01/01/50 145,684 145,263
    FHLMC SB 8098 02%2036 114,587 113,686
    FNMA PMA4303 02%2036 115,172 114,283
    FNMA PBT1279 02%2036 118,261 117,670
    JPMORGAN CHASE & CO UNSECD SR DTD 07/24/17 3.882% DUE 07/24/38 77,880 79,620
    THERMO FISHER SCIENTIFIC GLB 02.800% OCT 15 2041 54,997 55,802
    FEDERAL NATL MTG ASSN DTD 12/01/11 3.500% DUE 01/01/42 83,081 84,900
    WFRBS COML MTG TR 2013-C13 DTD 05/01/13 2.749% DUE 05/15/45 104,257 104,092
    WFRBS COML MTG TR 2012-C10 DTD 12/01/12 2.875% DUE 12/15/45 126,772 126,413
    ABBVIE INC DTD 05/12/16 04.450% DUE 05/14/46 48,639 54,594
    MORGAN STANLEY DTD 01/20/17 4.375% DUE 01/22/47 60,505 63,018
    CVS HEALTH CORP GLB 05.050% MAR 25 2048 53,415 52,468
    LOUISVILLE GAS & ELEC CO DTD 04/01/19 4.250% DUE 04/01/49 37,182 39,131
    FHLMC SD 8036 03%2050 71,024 72,348
    FEDERAL NATL MTG ASSN DTD 01/01/20 3.000% DUE 02/01/50 70,648 72,007
    FEDERAL NATL MTG ASSN DTD 04/01/20 2.500% DUE 05/01/50 94,982 92,347
    ENERGY TRANSFER OPER LP DTD 01/22/20 5.000% DUE 05/15/50 61,828 69,267
    BALTIMORE GAS & ELEC CO DTD 06/05/20 2.900% DUE 06/15/50 7,867 7,980
    FNMA PCA6423 03%2050 47,287 46,497
    FEDERAL NATL MTG ASSN DTD 08/01/20 2.500% DUE 09/01/50 165,571 160,378
    VERIZON COMMUNICATIONS GLB 03.550% MAR 22 2051 54,371 59,451
    LYB INT FINANCE III COMPANY GUARNT GLB 03.625% APR 01 2051 26,235 26,570
    AT&T INC DTD 08/04/20 3.300% DUE 02/01/52 49,886 54,069
    ENTERPRISE PRODUCTS OPER COMPANY GUARNT SER D VAR%AUG 16 2077 53,708 51,561
    ISHARES INTERMEDIATE-TERM CORP BD ETF 36,954 35,562
    CREDIT SUISSE NEW YORK SER FXD GLB 00.520% AUG 09 2023 70,099 69,509
    BANK MONTREAL UNSECD DTD 06/28/19 2.500% DUE 06/28/24 30,312 30,943
    BANK OF NOVA SCOTIA SENIOR UNSECURED 01.350% JUN 23 2023 64,973 64,265
    TAKEDA PHARMACEUTICAL GLB 02.050% MAR 31 2030 50,953 49,016
    USD CANADIAN PACIFIC 2.450% DEC 02 2031 55,362 56,054
    AERCAP IRELAND CAP/GLOBA COMPANY GUARNT GLB 03.300 % JAN 30 2032 65,819 66,352

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE DAVIS & SMITH FAMILY FOUNDATION INC
    EIN:
    84-3207370
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOT LABS 67,344 109,073
    ADOBE INC 44,843 74,285
    ALPHABET INC 163,344 257,836
    AMAZON COM INC 119,668 210,063
    APPLE INC 128,800 421,196
    BERKSHIRE HATHAWAY INC DEL 95,207 124,683
    BLACKROCK INC 41,141 73,245
    BOSTON SCIENTIFIC CORP 35,568 32,964
    BROADCOM INC 45,958 101,142
    CATERPILLAR INC 46,599 65,330
    CHEVRON CORP 47,800 65,951
    CISCO SYS INC 40,776 54,498
    CITIGROUP INC 102,488 77,541
    COCA COLA CO 69,623 78,098
    COMCAST CORP 51,048 56,822
    CONOCOPHILLIPS 50,870 63,013
    COSTCO WHSL CORP NEW 51,211 97,077
    CROWN CASTLE REIT INC SHS 9,983 13,151
    CVS HEALTH CORP 73,870 94,288
    DEERE & CO 28,143 54,519
    DISNEY WALT CO 57,292 58,084
    EQUINIX INC 23,456 28,759
    FREEPORT-MCMORAN INC 24,645 28,794
    GENERAL MTRS CO 29,983 52,826
    HOME DEPOT INC 81,243 150,234
    HONEYWELL INTL INC 52,626 61,093
    IDEXX LABS INC 47,175 111,280
    ILLINOIS TOOL WKS INC 22,884 31,344
    INTERCONTINENTAL EXCHANGE INC 37,888 54,845
    JOHNSON & JOHNSON 45,234 53,032
    J P MORGAN CHASE & CO 100,706 116,546
    KKR & CO INC CL A 26,881 30,769
    L3HARRIS TECHNOLOGIES INC 33,216 40,089
    MARVELL TECHNOLOGY GROUP LTD 27,459 91,515
    MERCK AND CO INC SHS 36,238 38,780
    META PLATFORMS INC CLASS A COMMON STOCK 26,706 41,035
    MICROSOFT CORP 180,333 372,979
    MONDELEZ INTL INC 49,558 62,066
    MORGAN STANLEY 75,759 142,528
    NEXTERA ENERGY INC 45,116 52,095
    NIKE INC 31,950 52,334
    NVIDIA CORP 34,326 163,525
    PALO ALTO NETWORKS INC 41,931 130,839
    PAYPAL HOLDINGS INC 45,250 75,432
    PROLOGIS INC 38,606 72,731
    SALESFORCE COM INC 54,990 77,510
    TARGET CORP 39,080 72,672
    THERMO FISHER SCIENTIFIC INC 37,294 53,379
    TRUIST FINL CORP 56,793 59,487
    UNION PAC CORP 39,144 55,173
    UNITED PARCEL SVC INC 33,475 42,011
    UNITEDHEALTH GROUP INC 57,283 80,844
    VANGUARD GROWTH 345,472 817,653
    VERIZON COMMUNICATIONS INC 54,947 48,894
    VISA INC 92,346 103,154
    WALMART INC 45,440 47,314
    AMERICAN WTR WKS CO INC 19,373 29,840
    DEVON ENERGY CORP NEW 59,345 87,175
    DUPONT DE NEMOURS INC 33,406 46,206
    ELECTRONIC ARTS INC 17,448 21,236
    FORTIVE CORP 23,231 30,592
    HILTON WORLDWIDE HOLDINGS INC REG 35,184 44,769
    ISHARES RUSSELL MID-CAP ETF 2,043,690 3,103,744
    LIVE NATION ENT INC 26,573 36,745
    MGM RESORTS INTERNATIONL SHS 46,557 54,709
    REPLIGEN CORP 12,812 35,489
    VALERO ENERGY CORP NEW 25,212 23,434
    VULCAN MATLS CO 34,190 50,442
    ENVISTA HOLDINGS CORP REG 23,519 24,558
    ISHARES RUSSELL 2000 ETF 1,490,997 2,038,754
    SPDR S&P BIOTECH 35,232 40,977
    ASML HOLDINGS NV 42,067 67,672
    EATON CORP PLC 58,375 105,593
    LVMH MOET HENNESSY ADR 49,929 53,622
    LYONDELLBASELL INDUSTRIES NV 24,950 25,548
    SHOPIFY INC 13,671 50,963
    VANGUARD FTSE DEVELOPED MARKETS 1,721,900 2,061,037
    TENCENT HLDGS LTD 23,392 26,585
    VANGUARD FTSE EMERGING MKTS ETF 399,135 453,796

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    THE DAVIS & SMITH FAMILY FOUNDATION INC
    EIN:
    84-3207370
    US Government Securities - End of Year Book Value:

    1,204,295
    US Government Securities - End of Year Fair Market Value:

    1,208,707
    State & Local Government Securities - End of Year Book Value:


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


    0


    TY 2021 OtherExpensesSchedule
    Name:
    THE DAVIS & SMITH FAMILY FOUNDATION INC
    EIN:
    84-3207370
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WORKERS COMPENSATION INSURANCE 3,162 0   3,162
    OFFICE EXPENSE 2,549 0   2,549
    WEBSITE EXPENSE 285 0   285


    TY 2021 OtherIncomeSchedule2
    Name:
    THE DAVIS & SMITH FAMILY FOUNDATION INC
    EIN:
    84-3207370
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL EXCISE TAX REFUND 532   532
    INTERNAL REVENUE SERVICE - INTEREST 13 13 13


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE DAVIS & SMITH FAMILY FOUNDATION INC
    EIN:
    84-3207370
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNT MANAGEMENT FEES 91,111 91,111   0


    TY 2021 TaxesSchedule
    Name:
    THE DAVIS & SMITH FAMILY FOUNDATION INC
    EIN:
    84-3207370
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER TAXES AND LICENSES 25 0   25
    PAYROLL TAXES 8,019 0   8,019
    FOREIGN TAX WITHHELD 5,542 5,542   0