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
CLERMONT FOUNDATION
C/O MARTHA H KEITH
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 500
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LEXINGTON, MA02420
A Employer identification number

22-3177379
B Telephone number (see instructions)

(781) 862-1845
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$12,441,499J 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) 264,126
2 Check bullet.............
3 Interest on savings and temporary cash investments 34 34  
4 Dividends and interest from securities... 179,809 168,213  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 110,376
b Gross sales price for all assets on line 6a 1,038,018
7 Capital gain net income (from Part IV, line 2)... 110,376
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)....... Click to see attachment 283,439 283,439  
12 Total. Add lines 1 through 11........ 837,784 562,062  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 24,300 19,440   4,860
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,288 4,288   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 816 408   408
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 29,404 24,136   5,268
25 Contributions, gifts, grants paid....... 595,550 595,550
26 Total expenses and disbursements. Add lines 24 and 25 624,954 24,136   600,818
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 212,830
b Net investment income (if negative, enter -0-) 537,926
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............. 219,766 94,423 94,423
2 Savings and temporary cash investments......... 221,496 552,438 552,438
3 Accounts receivable bullet2,233
Less: allowance for doubtful accounts bullet   2,233 2,233 2,233
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,641,489 Click to see attachment5,166,323 9,688,944
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment2,300,332 Click to see attachment1,899,979 Click to see attachment2,103,461
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,385,316 7,715,396 12,441,499
Liabilities 17 Accounts payable and accrued expenses.......... 31,500 148,750
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)......... 31,500 148,750
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........ 2,285,339 2,285,339
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 5,068,477 5,281,307
29 Total net assets or fund balances (see instructions)..... 7,353,816 7,566,646
30 Total liabilities and net assets/fund balances (see instructions). 7,385,316 7,715,396
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
7,353,816
2
Enter amount from Part I, line 27a .....................
2
212,830
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
7,566,646
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
7,566,646
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   P    
b SCHWAB 2707 -PUBLICLY TRADED SECURITIES LONG TERM P    
c SCHWAB 2707 -PUBLICLY TRADED SECURITIES SHORT TERM P    
d SCHWAB 3627 -PUBLICLY TRADED SECURITIES LONG TERM P    
e SCHWAB 3936 -PUBLICLY TRADED SECURITIES LONG TERM P    
SCHWAB 4262 -PUBLICLY TRADED SECURITIES LONG TERM P    
SCHWAB 4262 -PUBLICLY TRADED SECURITIES SHORT TERM P    
SCHWAB 7255 -PUBLICLY TRADED SECURITIES LONG TERM P    
SCHWAB 8967 -PUBLICLY TRADED SECURITIES LONG TERM P    
SEABRIDGE ASIA REDUX - LOSS ON LLC DISPOSITION P    
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       0
b 41,575   31,678 9,897
c 7,036   4,278 2,758
d 9,478   4,724 4,754
e 626,332   647,354 -21,022
7,439   4,515 2,924
649   667 -18
214,572   161,649 52,923
67,149   52,402 14,747
    20,375 -20,375
63,788     63,788
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       0
b       9,897
c       2,758
d       4,754
e       -21,022
      2,924
      -18
      52,923
      14,747
      -20,375
      63,788
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 2 110,376
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 7,477
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 7,477
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 40,374
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 40,374
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 32,897
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet32,897 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletMARTHA KEITHTTEE Telephone no.bullet (781) 862-1845

    Located atbulletPO BOX 500LEXINGTONMA ZIP+4bullet02420
    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
    MARTHA H KEITH TRUSTEE
    0.50     		0 0 0
    PO BOX 500
    LEXINGTON,MA02420
    GARNETT L KEITH JR TRUSTEE
    0.00     		0 0 0
    PO BOX 500
    LEXINGTON,MA02420
    GEOFFREY L KEITH TRUSTEE
    0.50     		0 0 0
    10 DIAMOND ROAD
    LEXINGTON,MA02420
    SUZANNE K COLON TRUSTEE
    0.00     		0 0 0
    602 WEST STORY STREET
    BOZEMAN,MT59715
    SUSANNE MOREL SECRETARY
    0.00     		0 0 0
    PO BOX 500
    LEXINGTON,MA02420
    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
    11,407,821
    b
    Average of monthly cash balances.......................
    1b
    675,873
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    12,083,694
    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
    12,083,694
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    181,255
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    11,902,439
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    595,122
    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
    595,122
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    7,477
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,477
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    587,645
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    587,645
    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
    587,645
    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 7 587,645
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 70,547
    b From 2017...... 58,319
    c From 2018......  
    d From 2019...... 52,186
    e From 2020...... 90,115
    f Total of lines 3a through e ........ 271,167
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 600,818
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 587,645
    e Remaining amount distributed out of corpus 13,173
    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 5 284,340
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		70,547
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		213,793
    10 Analysis of line 9:
    a Excess from 2017.... 58,319
    b Excess from 2018....  
    c Excess from 2019.... 52,186
    d Excess from 2020.... 90,115
    e Excess from 2021.... 13,173
    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).)
    MARTHA H KEITH
    GARNETT L KEITH JR
    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
    ACLU
    125 BROAD ST 18TH FLOOR
    NEW YORK,NY10033     		NONE EXEMPT CIVIL LIBERTIES ADVOCACY 1,000
    AGNES SCOTT COLLEGE
    141 EAST COLLEGE AVE
    DECATUR,GA300303770     		NONE EXEMPT EDUCATION 50,000
    AMERICAN HEART ASSOCIATION
    1777 S HARRISON ST STE 500
    DENVER,CO80210     		NONE EXEMPT HEALTH, MEDICAL 5,000
    AMERICAN RED CROSS NEW JERSEY CROSSROADS
    695 SPRINGFIELD AVE
    SPRINGFIELD,NJ07901     		NONE EXEMPT HEALTH, MEDICAL 3,000
    AMNESTY INTERNATIONAL USA
    5 PENN PLAZA
    NEW YORK,NY100011810     		NONE EXEMPT HEALTH, MEDICAL 1,000
    BARTON COLLEGE
    PO BOX 5000
    WILCON,NC27893     		NONE EXEMPT EDUCATION 10,000
    BETA PSI FOUNDATION
    6400 POWERS FERRY RD STE 400
    ATLANTA,GA30339     		NONE EXEMPT EDUCATION 1,000
    BLACK VOTERS MATTER
    PO BOX 7444
    CAROL STREAM,IL601977444     		NONE EXEMPT SOCIAL SERVICE 5,000
    BOSTON RESCUE MISSION
    PO BOX 849100
    BOSTON,MA022849100     		NONE EXEMPT SOCIAL SERVICE 1,000
    BOZEMAN DHARMA CENTER
    PO BOX 964
    BOZEMAN,MT59771     		NONE EXEMPT RELIGIOUS 15,000
    BRENNAN CENTER FOR JUSTICE
    120 BROADWAY STE 1750
    NEW YORK,NJ10271     		NONE EXEMPT SOCIAL SERVICES 15,000
    CARY MEMORIAL LIBRARY FOUNDATION
    1874 MASSACHUSETTS AVENUE
    LEXINGTON,MA02420     		NONE EXEMPT EDUCATION 1,500
    CHATTOOGA CONSERVANCY
    9 SEQUOIA HILLS LANE
    CLAYTON,GA30525     		NONE EXEMPT EDUCATION 3,000
    COMPASSION PROJECT
    PO OBX 11046
    BOZEMAN,MT59719     		NONE EXEMPT SOCIAL SERVICES 1,000
    COMUNIDAD CONNECT
    3105 MT OLIVE DR
    DECATUR,GA30033     		NONE EXEMPT SOCIAL SERVICES 5,000
    CROSSCUT MOUNTAIN SPORTS CENTER
    PO BOX 6400
    BOZEMAN,MT59771     		NONE EXEMPT EDUCATION 5,000
    CROSSROADS COMMUNITY CHURCH
    147 EAST MAIN STREET
    SOMERVILLE,NJ08876     		NONE EXEMPT RELIGIOUS 5,000
    DIRECT RELIEF INTERNATIONAL
    27 S LA PATERA LN
    SANTA BARBARA,CA93107     		NONE EXEMPT HEALTH, MEDICAL 5,000
    DUKE UNIVERSITY (CLASS OF 1960)
    PO BOX 90581
    DURHAM,NC277080581     		NONE EXEMPT EDUCATION 5,000
    EARTH JUSTICE
    50 CALIFORNIA ST STE 500
    SAN FRANCISCO,CA94111     		NONE EXEMPT ENVIRONMENT 5,000
    ENVIRONMENTAL DEFENSE FUND
    257 PARK AVE S
    NEW YORK,NY10010     		NONE EXEMPT ENVIRONMENT 8,000
    FOUNDATION FOR RELIGIOUS LITERACY
    100 SUMMER ST 25TH FLOOR
    NEW YORK,NY10010     		NONE EXEMPT EDUCATION,RELIGIOUS 5,000
    FRANCISCAN MISSION SERVICE OF NORTH AMERICA
    415 MICHIGAN AVE NE STE 104
    WASHINGTON,DC20017     		NONE EXEMPT RELIGIOUS 300
    FRIENDS OF MATENWA
    91 ABERDEEN AVE
    CAMBRIDGE,MA02138     		NONE EXEMPT SOCIAL SERVICE 35,000
    GEORGIA TECH FOUNDATION
    760 SPRING ST NW STE 400
    ATLANTA,GA30308     		NONE EXEMPT EDUCATION 20,250
    GREATER FOUR CORNER ACTION COALITION EASTERN SERVICE WORKERS ASSN
    247 BOWDOIN ST
    DORCHESTER,MA02122     		NONE EXEMPT SOCIAL SERVICE 6,000
    GREATER GALLATIN UNITED WAY
    945 TECHNOLOGY BLVD STE 101F
    BOZEMAN,MT597186859     		NONE EXEMPT SOCIAL SERVICES 10,000
    GUADALUPE CENTER
    509 HOPE CIRCLE
    IMMOKALE,FL34142     		NONE EXEMPT SOCIAL SERVICES 1,000
    HABITAT FOR HUNANITY OF COLLIER COUNTY
    1145 TAMIAMI TRAIL E
    NAPLES,FL43113     		NONE EXEMPT SOCIAL SERVICES 1,000
    HANDEL & HAYDN SOCIETY
    9 HARCOURT ST
    BOSTON,MA02116     		NONE EXEMPT SOCIAL SERVICES 6,000
    HARVARD BUSINESS SCHOOL FUND
    SOLDIERS FIELD RD
    BOSTON,MA021639904     		NONE EXEMPT EDUCATION 5,000
    HAVEN
    PO BOX 752
    BOZEMAN,MT59771     		NONE EXEMPT SOCIAL SERVICE 5,000
    HRDC CENTER OF DISTRICT 9
    32 S TRACY AVE
    BOZEMAN,MT59715     		NONE EXEMPT COMMUNITY 15,000
    INTERNATIONAL RESCUE COMMITTEE
    122 EAST 42ND ST
    NEW YORK,NY10168     		NONE EXEMPT SOCIAL SERVICE 10,000
    JACOBS PATHWAY FOUNDATION
    4820 WILLOW COVE WAY
    MARIETTA,GA30066     		NONE EXEMPT COMMUNITY 15,000
    LEGION OF CHRIST
    30 MANSELL CT STE 103
    ROSWELL,GA30076     		NONE EXEMPT RELIGIOUS 1,000
    LEXINGTON FARMERS' MARKET
    70 EAST ST
    LEXINGTON,MA02420     		NONE EXEMPT SOCIAL SERVICE 4,000
    LEXINGTON HISTORICAL SOCIETY
    13 DEPOT SQ PO BOX 514
    LEXINGTON,MA02420     		NONE EXEMPT EDUCATION 1,500
    LEXINGTON SYMPHONY
    PO BOX 194
    LEXINGTON,MA024200002     		NONE EXEMPT ARTS 1,000
    LOOMIS CHAFFEE SCHOOL
    4 BATCHELDER RD PO BOX 600
    WINDSOR,CT060959956     		NONE EXEMPT EDUCATION 6,000
    LOOP LAB
    872 MASSACHUSETTS AVE APT 1-5
    CAMBRIDGE,MA02139     		NONE EXEMPT COMMUNITY 35,000
    MAYO FOUNDATION
    200 FIRST ST SW
    ROCHESTER,MN55905     		NONE EXEMPT HEALTH, MEDICAL 5,000
    MGH FUND
    125 NASHUA STREET STE 540
    BOSTON,MA02114     		NONE EXEMPT COMMUNITY 1,000
    MONTANA RACIAL EQUITY PROJECT
    PO BOX 11885
    BOZEMAN,MT59719     		NONE EXEMPT HEALTH, ADVOCACY 5,000
    MR TOM'S HEART
    24 WATERFORD CT
    ATLANTA,GA30328     		NONE EXEMPT SOCIAL SERVICE 1,000
    MT MINDFULNESS PROJECT
    47 LARCH LANE
    BOZEMAN,MT59717     		NONE EXEMPT HEALTH 10,000
    MUCH MINISTRIES INC
    PO BOX 24599
    SAINT SIMONS ISLAND,GA31522     		NONE EXEMPT SOCIAL SERVICES 15,000
    MUSEUM OF FINE ARTS BOSTON
    465 HUNTINGTON AVE
    BOSTON,MA02115     		NONE EXEMPT ARTS 500
    NATURAL RESOURCES DEFENSE COUNCIL
    40 WEST 20TH STREET
    NEW YORK,NY10011     		NONE EXEMPT ENVIRONMENTAL 8,000
    NEWARK MUSEUM
    49 WASHINGTON STREET
    NEWARK,NJ071023176     		NONE EXEMPT ARTS 2,000
    NURSE-FAMILY PARTNERSHIP
    1900 GRANT ST STE 400
    DENVER,CO802034304     		NONE EXEMPT HEALTH, MEDICAL 5,000
    OPAL COMMUNITY LAND TRUST
    PO BOX 1133
    EAST SOUND,WA98245     		NONE EXEMPT ENVIRONMENT 15,000
    ORCAS COMMUNITY RESOURCE CENTER
    PO BOX 931
    EAST SOUND,WA98245     		NONE EXEMPT COMMUNITY 10,000
    ORCAS ISLAND COMMUNITY FOUNDATION
    PO BOX 1496
    EAST SOUND,WA98245     		NONE EXEMPT COMMUNITY 20,000
    PARK LAKE PRESBYTERIAN CHURCH
    309 E COLONIAL DR
    ORLANDO,FL328011286     		NONE EXEMPT RELIGIOUS 10,000
    PARTNERS IN HEALTH
    800 BOYLSTON ST STE 300
    BOSTON,MA02199     		NONE EXEMPT HEALTH, MEDICAL 2,000
    PLANNED PARENTHOOLD FEDERATION OF AMERICA
    434 WEST 33RD ST
    NEW YORK,NY10001     		NONE EXEMPT HEALTH, MEDICAL 22,000
    SAVE THE CHILDREN
    PO BOX 97132
    WASHINGTON,DC20090     		NONE EXEMPT HEALTH, MEDICAL 4,000
    SCHOLARSHIP FUND FOR INNER CITY CHILDREN
    PO BOX 9500
    NEWARK,NJ07104     		NONE EXEMPT SOCIAL SERVICES 1,500
    SEE
    939 STEPHENS AVENUE STE C
    MISSOULA,MT59801     		NONE EXEMPT SOCIAL SERVICES 10,000
    SHALLOWFORD PRESBYTERIAN CHURCH
    2375 SHALLOWFORD RD NE
    ATLANTA,GA30345     		NONE EXEMPT RELIGIOUS 12,000
    SIGMA CHI FOUNDATION
    1714 HINMAN AVE
    EVANSTON,IL60201     		NONE EXEMPT EDUCATION 5,000
    SPIRIT ROCK MEDITATION CENTER
    PO BOX 169 5000 SIR FRANCIS DRAKE
    BLVD
    WOODACRE,CA94973     		NONE EXEMPT EDUCATION 5,000
    THICH NHAT HANH FOUNDATION
    2499 MELRU LN
    ESCONDIDO,CA92026     		NONE EXEMPT HEALTH, MEDICAL 1,000
    TUFTS UNIVERSITY
    BALLOU HALL
    MEDFORD,MA02115     		NONE EXEMPT EDUCATION 5,000
    UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038     		NONE EXEMPT COMMUNITY 10,000
    UNIVERSITY OF IDAHO FOUNDATION CHEMICAL ENGINEERING
    875 PERIMETER DR PO BOX 443147
    MOSCOW,ID838443147     		NONE EXEMPT EDUCATION 6,000
    UPAYA INSTITUTE & ZEN CENTER
    1404 CERRO GORDO RD
    SANTA FE,NM87501     		NONE EXEMPT RELIGIOUS 5,000
    VILLAGE HEALTH WORKS
    45 WEST 36TH ST 8TH FL
    NEW YORK,NY10018     		NONE EXEMPT HEALTH, MEDICAL 25,000
    VOTE AMERICA
    1213 WALNUT STREET 2402
    PHILADELPHIA,PA19107     		NONE EXEMPT EDUCATION 5,000
    WENDELL HISTORICAL SOCIETY
    PO BOX 426
    WENDELL,NC27591     		NONE EXEMPT EDUCATION 5,000
    WGBH
    ONE GUEST STREETPO BOX 55875
    BOSTON,MA022055875     		NONE EXEMPT EDUCATION 1,500
    WOMEN'S VOICES FOR THE EARTH
    PO BOX 8743
    MISSOULA,MT59807     		NONE EXEMPT ENVIRONMENT 5,000
    WORLD FOOD PROGRAMME
    1725 I ST NW STE 510
    WASHINGTON,DC20006     		NONE EXEMPT SOCIAL SERVICES 10,000
    WOUNDED WARRIOR PROJECT
    PO BOX 78540
    TOPEKA,KS666758540     		NONE EXEMPT HEALTH, MEDICAL 1,000
    WUCF ORLANDO
    12461 RESEARCH PKWY 550
    ORLANDO,FL32826     		NONE EXEMPT SOCIAL SERVICES 1,500
    YOUTH COUNSELING CONNECTION
    FIRST PARISH CHURCH 7 HARRINGTON RD
    LEXINGTON,MA02421     		NONE EXEMPT SOCIAL SERVICES 12,000
    Total .................................bullet 3a 595,550
    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 34  
    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 ............     		    18 110,376  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 573,658 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    573,658
    (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
    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
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH
    Employer identification number

    22-3177379
    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
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number
    22-3177379
    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
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 3,304


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 1,202


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 12,293


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 2,466


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 1,944


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 1,140


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number
    22-3177379
    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
    7
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 45,441


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 33,865


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 14,509


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 6,156


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 11,023


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    12
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 7,512


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number
    22-3177379
    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
    13
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 13,522


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    14
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 5,528


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    15
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 4,489


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    16
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 1,007


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    17
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 868


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    18
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 2,083


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number
    22-3177379
    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
    19
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 312


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    20
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 2,291


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    21
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 3,471


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    22
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 2,916


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    23
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 3,471


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    24
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 555


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number
    22-3177379
    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
    25
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 382


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    26
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 12,820


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    27
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 12,447


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    28
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 254


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    29
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 9,760


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    30
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 21,279


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number
    22-3177379
    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
    31
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 3,654


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    32
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 79


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    33
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 1,350


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    34
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 2,860


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    35
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 3,576


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    36
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 8,143


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number
    22-3177379
    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
    37
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 1,724


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    38
    GARNETT L KEITH JR AND MARTHA H KEITH
     
    PO BOX 500
     
    LEXINGTON, MA02420

    		$ 4,428


    (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.)
    (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
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number

    22-3177379
    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
    1
    		 11 SHARES ALPHABET INC $ 22,462 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    2
    		 4 SHARES ALPHABET INC $ 8,168 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    3
    		 23 SHARES ALPHABET INC $ 46,966 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    4
    		 9 SHARES ALPHABET INC $ 18,378 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    5
    		 7 SHARES ALPHABET INC $ 14,294 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    6
    		 4 SHARES ALPHABET INC $ 8,168 2021-02-23
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number

    22-3177379
    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
    7
    		 40 SHARES ALPHABET INC $ 81,681 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    8
    		 20 SHARES AMAZON COM $ 62,983 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    9
    		 300 SHARES APPLE INC $ 36,765 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    10
    		 400 SHARES TENCENT HOLDINGS LTD $ 36,602 2021-02-23
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    11
    		 100 SHARES HOME DEPOT INC $ 30,980 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    12
    		 200 SHARES JP MORGAN CHASE & CO $ 32,026 2021-06-11
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number

    22-3177379
    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
    13
    		 200 SHARES LOWE'S COS INC $ 38,099 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    14
    		 200 SHARES TAIWAN SEMICONDUCTOR SP ADR $ 23,558 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    15
    		 100 SHARES BLACKSTONE GROUP $ 9,460 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    16
    		 29 SHARES BLACKSTONE GROUP $ 2,743 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    17
    		 25 SHARES BLACKSTONE GROUP $ 2,365 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    18
    		 60 SHARES BLACKSTONE GROUP $ 5,676 2021-06-11
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number

    22-3177379
    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
    19
    		 9 SHARES BLACKSTONE GROUP $ 851 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    20
    		 66 SHARES BLACKSTONE GROUP $ 6,244 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    21
    		 100 SHARES BLACKSTONE GROUP $ 9,460 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    22
    		 84 SHARES BLACKSTONE GROUP $ 7,946 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    23
    		 100 SHARES BLACKSTONE GROUP $ 9,460 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    24
    		 16 SHARES BLACKSTONE GROUP $ 1,514 2021-06-11
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number

    22-3177379
    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
    25
    		 11 SHARES BLACKSTONE GROUP $ 1,041 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    26
    		 2000 SHARES COVETRUS INC $ 55,230 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    27
    		 49 SHARES ARISTA NETWORKS INC $ 17,919 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    28
    		 1 SHARE ARISTA NETWORKS INC $ 366 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    29
    		 50 SHARES ARISTA NETWORKS INC $ 18,285 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    30
    		 100 SHARES ARISTA NETWORKS INC $ 36,570 2021-06-11
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number

    22-3177379
    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
    31
    		 46 SHARES CROWDSTRIKE HOLDINGS INC $ 10,502 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    32
    		 1 SHARE CROWDSTRIKE HOLDINGS INC $ 228 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    33
    		 17 SHARES CROWDSTRIKE HOLDINGS INC $ 3,881 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    34
    		 36 SHARES CROWDSTRIKE HOLDINGS INC $ 8,219 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    35
    		 61.48 SHARES LIBERTY BROADBAND CLRP CL C $ 9,943 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    36
    		 146.16 SHARES LIBERTY BROADBAND CLRP CL C $ 23,637 2021-06-11
    Schedule B (Form 990) (2021)
    Name of organization
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number

    22-3177379
    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
    37
    		 23.16 SHARES LIBERTY BROADBAND CLRP CL C $ 3,745 2021-06-11
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    38
    		 52.2 SHARES LIBERTY BROADBAND CLRP CL C $ 8,442 2021-06-11
    (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
    CLERMONT FOUNDATION
    C/O MARTHA H KEITH         		Employer identification number

    22-3177379
    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 InvestmentsOtherSchedule2
    Name:
    CLERMONT FOUNDATION
     
    C/O MARTHA H KEITH
    EIN:
    22-3177379
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    FIDELITY - T. ROWE PRICE GLOBAL GR STOCK INVESTOR CL AT COST 118,503 167,925
    FIDELITY - T. ROWE PRICE GLOBAL STOCK AT COST 262,187 353,522
    FIDELITY - T. ROWE PRICE NEW ASIA AT COST 235,146 259,794
    SCHWAB 1924 - ADVANTECH CO LTD AT COST 12,484 14,298
    SCHWAB 1924 - AIA GROUP LTD AT COST 9,105 8,065
    SCHWAB 1924 - AIDC/AEROSPACE IND AT COST 5,167 5,292
    SCHWAB 1924 - AMANDA CO LTD AT COST 9,287 8,658
    SCHWAB 1924 - ASCOTT RESIDENCE T AT COST 7,720 7,561
    SCHWAB 1924 - ASM PACIFIC TECH AT COST 8,729 8,645
    SCHWAB 1924 - BANGKOK BANK PUB C ORDF AT COST 6,939 6,707
    SCHWAB 1924 - BANK OF THE PHILIP ORDF AT COST 6,112 6,054
    SCHWAB 1924 - BROADCOM INC AT COST 4,529 5,989
    SCHWAB 1924 - C K HUTCHISON HOLDINGS AT COST 6,703 6,420
    SCHWAB 1924 - CHROMA ATE INC ORD AT COST 13,498 14,458
    SCHWAB 1924 - CITICORP INC AT COST 9,004 7,851
    SCHWAB 1924 - CLEANAWAY CO LTD ORD AT COST 7,567 8,440
    SCHWAB 1924 - CPALL PUBLIC CO LT ORDF AT COST 8,421 7,396
    SCHWAB 1924 - DBS GROUP HOLDINGS ORD F AT COST 9,383 9,690
    SCHWAB 1924 - ELAN MICROELECTRON ORD F AT COST 11,884 12,289
    SCHWAB 1924 - FAIRWOOD HLDGS AT COST 8,670 7,952
    SCHWAB 1924 - FANUC LTD JAPAN AT COST 4,457 4,471
    SCHWAB 1924 - FISHER & PAY HLTHC ORDF AT COST 4,561 4,704
    SCHWAB 1924 - FORTUNE REIT ORD AT COST 9,320 9,247
    SCHWAB 1924 - HSBC HLDGS PLC AT COST 8,007 8,141
    SCHWAB 1924 - IBM CORP AT COST 6,675 6,683
    SCHWAB 1924 - IFAST CORP LTD AT COST 5,069 4,360
    SCHWAB 1924 - JOHNSON ELEC HLDGS AT COST 8,933 8,476
    SCHWAB 1924 - KMC KUEI MENG INTL ORDF AT COST 7,409 7,122
    SCHWAB 1924 - KYNDRYL HLDGS INC AT COST 239 145
    SCHWAB 1924 - L OCCITANE INTL ORDF AT COST 7,122 8,093
    SCHWAB 1924 - LINK REAL ESTATE I ORDF AT COST 13,243 13,208
    SCHWAB 1924 - NTNL AUSTRALIA BANK F AT COST 6,739 6,752
    SCHWAB 1924 - PACIFIC HOSPTL SPL ORDF AT COST 4,696 5,465
    SCHWAB 1924 - PUREGOLD PRICE CLUB ORDF AT COST 7,937 7,167
    SCHWAB 1924 - SINGAPORE TECH ENG ORDF AT COST 8,122 7,806
    SCHWAB 1924 - SM PRIME HLDGS INC ORDF AT COST 7,148 6,582
    SCHWAB 1924 - SPORTON INTL INC ORD F AT COST 8,033 7,843
    SCHWAB 1924 - STANDARD CHARTERED ORD F AT COST 6,467 6,229
    SCHWAB 1924 - STARHILL GLOBAL RE ORDF AT COST 8,924 8,888
    SCHWAB 1924 - SUNTEC REAL ESTATE ORDF AT COST 7,845 7,726
    SCHWAB 1924 - TAIWAN CEMENT CORP ORDF AT COST 5,317 5,193
    SCHWAB 1924 - TAIWAN SEMICONDUCTR F AT COST 5,751 6,015
    SCHWAB 1924 - TECHTRONIC INDUSTR ORDF AT COST 10,420 9,953
    SCHWAB 1924 - TENCENT HOLDINGS ORDF AT COST 12,733 11,718
    SCHWAB 1924 - VENTURE CORP LTD ORDF AT COST 7,196 6,789
    SCHWAB 1924 - ISHARES MSCI SOUTH KOREA AT COST 9,562 9,344
    SCHWAB 2707 - ANGI HOMESERVICES INC AT COST 9,994 9,486
    SCHWAB 2707 - AGNICO EAGLE MINES AT COST 26,604 26,570
    SCHWAB 2707 - ALPHABET INC AT COST 70,166 332,763
    SCHWAB 2707 - AMAZON.COM AT COST 39,210 90,027
    SCHWAB 2707 - APPLE INC AT COST 51,918 220,897
    SCHWAB 2707 - ARISTA NETWORKS INC AT COST 43,741 115,000
    SCHWAB 2707 - BANK OF AMERICA CORP AT COST 5,822 21,355
    SCHWAB 2707 - BECTON DICKINSON & CO AT COST 15,834 15,089
    SCHWAB 2707 - BROADCOM INC AT COST 18,440 133,082
    SCHWAB 2707 - CIMPRESS PLC AT COST 12,039 9,309
    SCHWAB 2707 - COMCAST CORP AT COST 28,543 30,198
    SCHWAB 2707 - COVETRUS INC AT COST 12,820 39,940
    SCHWAB 2707 - CPALL PUBLIC CO LT ORDF AT COST 14,418 12,040
    SCHWAB 2707 - CROWDSTRIKE HLDGS INC AT COST 7,944 20,475
    SCHWAB 2707 - DOLLAR TREE INC AT COST 17,378 29,509
    SCHWAB 2707 - ESTEE LAUDER CO INC AT COST 21,203 116,243
    SCHWAB 2707 - EXPRO GROUP HLDGS AT COST 14,424 15,656
    SCHWAB 2707 - FOX CORP AT COST 20,703 25,017
    SCHWAB 2707 - HDFC BANK LTD AT COST 5,633 12,624
    SCHWAB 2707 - JD HEALTH INTERNTN ORDF AT COST 27,912 19,311
    SCHWAB 2707 - LIBERTY BROADBAND CO AT COST 63,707 155,462
    SCHWAB 2707 - LIBERTY LATIN AMER AT COST 30,947 34,200
    SCHWAB 2707 - LIBERTY MEDIA CORP AT COST 28,993 74,117
    SCHWAB 2707 - LYFT AT COST 19,851 33,329
    SCHWAB 2707 - MERSEN ORDF AT COST 16,932 17,627
    SCHWAB 2707 - MICROSOFT CORP AT COST 13,222 81,053
    SCHWAB 2707 - MOHAWK INDUSTRIES AT COST 18,458 31,882
    SCHWAB 2707 - NVR INC AT COST 8,764 23,635
    SCHWAB 2707 - NEWMONT CORP AT COST 18,862 31,010
    SCHWAB 2707 - NOW INC AT COST 8,480 16,311
    SCHWAB 2707 - PAYPAL HOLDINGS INC AT COST 27,734 105,605
    SCHWAB 2707 - POST HOLDINGS INC AT COST 19,309 47,347
    SCHWAB 2707 - SPOTIFY TECH AT COST 35,751 57,571
    SCHWAB 2707 - SYSCO CORP AT COST 7,137 10,212
    SCHWAB 2707 - TAIWAN SEMICONDUCTR AT COST 20,183 87,826
    SCHWAB 2707 - TENCENT HOLDINGS ORDG AT COST 8,194 46,873
    SCHWAB 2707 - THERMO FISHER SCIENTFIC AT COST 3,305 40,702
    SCHWAB 2707 - TWITTER INC AT COST 13,667 18,585
    SCHWAB 2707 - UNITED RENTALS INC AT COST 16,754 38,213
    SCHWAB 2707 - DIGITAL REALTY TRUST AT COST 6,943 24,939
    SCHWAB 3627 - ADVANCE AUTO PARTS AT COST 19,341 38,381
    SCHWAB 3627 - BANK OF AMERICA CORP AT COST 5,940 21,044
    SCHWAB 3627 - BERKSHIRE HATHAWAY CLASS B AT COST 33,757 50,830
    SCHWAB 3627 - CAL MAINE FOODS INC AT COST 18,855 16,941
    SCHWAB 3627 - CIMPRESS PLC AT COST 12,607 10,813
    SCHWAB 3627 - COLFAX CORP AT COST 17,298 28,088
    SCHWAB 3627 - COMCAST CORP AT COST 28,368 37,093
    SCHWAB 3627 - DOLLAR GENERAL CORP AT COST 5,704 18,631
    SCHWAB 3627 - DOLLAR TREE INC AT COST 22,783 35,130
    SCHWAB 3627 - EXPEDIA GROUP INC AT COST 9,634 18,614
    SCHWAB 3627 - EXPRO GROUP HLDGS NV F AT COST 21,851 13,073
    SCHWAB 3627 - FOX CORP AT COST 28,639 28,581
    SCHWAB 3627 - JD COM INC AT COST 11,178 28,028
    SCHWAB 3627 - JD HEALTH INTERNTN ORDF AT COST 17,142 11,035
    SCHWAB 3627 - KROGER CO AT COST 16,784 32,768
    SCHWAB 3627 - LIBERTY BROADBAND CO AT COST 18,842 43,980
    SCHWAB 3627 - LIBERTY LATIN AMER AT COST 72,557 37,848
    SCHWAB 3627 - LIBERTY MEDIA CORP AT COST 12,008 30,482
    SCHWAB 3627 - LYFT INC AT COST 12,216 20,510
    SCHWAB 3627 - MOHAWK INDUSTRIES AT COST 22,371 33,885
    SCHWAB 3627 - N V R INC AT COST 10,955 29,544
    SCHWAB 3627 - NOW INC AT COST 16,812 12,776
    SCHWAB 3627 - POST HOLDINGS INC AT COST 30,472 44,641
    SCHWAB 3627 - SPOTIFY TECHNOLOGY F AT COST 19,158 32,062
    SCHWAB 3627 - T MOBILE US INC AT COST 16,796 15,889
    SCHWAB 3627 - TENCENT HOLDINGS AT COST 20,020 20,988
    SCHWAB 3627 - TWITTER INC AT COST 17,050 22,907
    SCHWAB 3627 - UNITED RENTALS INC AT COST 9,584 22,928
    SCHWAB 4262 - SCHWAB US TREASURY MONEY INV AT COST 3,100 3,100
    SCHWAB 4262 - AIA GROUP LTD AT COST 1,024 1,008
    SCHWAB 4262 - ALPHABET INC CLASS A AT COST 1,096 5,794
    SCHWAB 4262 - AMGEN-SCHWAB AT COST 1,996 2,925
    SCHWAB 4262 - APPLE INC AT COST 957 5,327
    SCHWAB 4262 - ARES CAPITAL CORP AT COST 1,629 2,119
    SCHWAB 4262 - B&M EUROPEAN VALUE AT COST 529 691
    SCHWAB 4262 - BANK OF AMERICA AT COST 310 801
    SCHWAB 4262 - CARLYLE GROUP INC AT COST 745 1,098
    SCHWAB 4262 - CDW CORP AT COST 542 614
    SCHWAB 4262 - COCA-COLA EUROPACIFIC AT COST 614 559
    SCHWAB 4262 - HOME DEPOT AT COST 865 4,565
    SCHWAB 4262 - HONEYWELL INTL AT COST 1,184 3,128
    SCHWAB 4262 - INTERCONTINENTAL EXC AT COST 779 957
    SCHWAB 4262 - INVESCO VARIABLE RATE AT COST 1,034 1,037
    SCHWAB 4262 - ISHARES HIGH YIELD AT COST 2,343 2,265
    SCHWAB 4262 - ISHARES 1-3 YEARS US TREAS AT COST 1,021 1,026
    SCHWAB 4262 - LOWES COMPANIES INC AT COST 1,085 4,136
    SCHWAB 4262 - MASCO CORP AT COST 594 913
    SCHWAB 4262- MONDELEZ INTL AT COST 580 663
    SCHWAB 4262 - PACCAR INC AT COST 607 618
    SCHWAB 4262 - RESIDEO TECHNOLOGIES INC AT COST 86 156
    SCHWAB 4262- SPDR DOUBLELINE TTL RTN AT COST 2,504 2,367
    SCHWAB 4562 - SPDR SHORT TERM AT COST 1,565 1,549
    SCHWAB 4262 - THERMO FISHER SCIENTIFIC AT COST 272 3,336
    SCHWAB 7255 - AIA GROUP LTD AT COST 68,356 112,914
    SCHWAB 7255 - ALPHABET INC CL A AT COST 12,609 249,145
    SCHWAB 7255 - ALPHABET INC CL C AT COST 15,083 69,446
    SCHWAB 7255 - AMGEN INC AT COST 92,896 119,234
    SCHWAB 7255 - APPLE INC AT COST 18,758 282,691
    SCHWAB 7255 - ARES CAPITAL CORP AT COST 57,123 78,403
    SCHWAB 7255 - ASCENDAS REAL ESTATE ORDF AT COST 89,459 106,966
    SCHWAB 7255 - AXALTA COATING SYSTE F AT COST 45,473 53,323
    SCHWAB 7255 - B&M EUROPEAN VALUE AT COST 46,543 60,808
    SCHWAB 7255 - BANK OF AMERICA CORP AT COST 32,607 90,760
    SCHWAB 7255 - BECTON DICKINSON & CO AT COST 118,508 113,166
    SCHWAB 7255 - BERKSHIRE HATHAWAY AT COST 69,812 98,670
    SCHWAB 7255 - BLACKSTONE INC AT COST 21,363 77,634
    SCHWAB 7255 - CARLYLE GROUP INC AT COST 89,971 124,074
    SCHWAB 7255 - CDW CORP AT COST 54,238 61,434
    SCHWAB 7255 - COCA-COLA EUROPACIFIC F AT COST 83,584 78,302
    SCHWAB 7255 - COMCAST CORP CL A AT COST 97,381 106,700
    SCHWAB 7255 - COSTCO WHOLESALE CO AT COST 10,298 213,455
    SCHWAB 7255 - GILEAD SCIENCES INC AT COST 81,319 71,884
    SCHWAB 7255 - HOME DEPOT INC AT COST 55,899 241,121
    SCHWAB 7255 - HONEYWELL INTL INC AT COST 44,595 129,485
    SCHWAB 7255 - INTERCONTINENTAL EXC AT COST 128,393 154,550
    SCHWAB 7255 - JPMORGAN CHASE & CO AT COST 36,849 170,226
    SCHWAB 7255 - KENNEDY WILSON HLDGS AT COST 58,654 88,117
    SCHWAB 7255 - LOWES COMPANIES INC AT COST 96,442 332,147
    SCHWAB 7255 - MASCO CORP AT COST 64,003 98,308
    SCHWAB 7255 - MICROSOFT CORP AT COST 32,870 208,518
    SCHWAB 7255 - MONDELEZ INTL AT COST 73,525 82,224
    SCHWAB 7255 - NESTLE S A AT COST 64,331 120,718
    SCHWAB 7255 - PACCAR INC AT COST 68,520 69,725
    SCHWAB 7255 - PFIZER INC AT COST 62,004 112,195
    SCHWAB 7255 - PIGEON CORP AT COST 11,613 28,628
    SCHWAB 7255 - RESIDEO TECHNOLOGIES INC AT COST 1,318 2,655
    SCHWAB 7255 - SINGAPORE TECH ENG ORD F AT COST 79,792 81,133
    SCHWAB 7255 - SIXTH STREET SPECIALTY L AT COST 46,687 54,733
    SCHWAB 7255 - STRYKER CORP AT COST 55,566 98,945
    SCHWAB 7255 - TAIWAN SEMICONDUCTR F AT COST 53,472 232,800
    SCHWAB 7255 - TCW STRATEGIC INC CF AT COST 46,272 48,237
    SCHWAB 7255 - THERMO FISHER SCNTFC AT COST 16,250 200,172
    SCHWAB 7255 - VIATRIS INC AT COST 3,390 3,180
    SCHWAB 7255 - FRANKLIN FTSE CHINA STF AT COST 21,759 24,820
    SCHWAB 7255 - INVESCO VARIABLE RATE AT COST 95,590 95,904
    SCHWAB 7255 - ISHARES HIGH YIELD AT COST 103,096 99,886
    SCHWAB 7255 - ISHARES TR IS 1-5 YR IN AT COST 97,150 98,061
    SCHWAB 7255 - SPDR DOUBLELINE TTL RTRN AT COST 2,504 2,367
    SCHWAB 7255 - CROWN CASTLE INTL CO AT COST 65,787 160,730
    SCHWAB 7255 - GRANITE REAL ESTATE INVT REIT AT COST 46,237 66,648
    SCHWAB 7255 - WP CAREY INC REIT AT COST 82,852 89,434
    T. ROWE - T. ROWE PRICE INT'L DISCOVER AT COST 64,837 129,810

    TY 2021 OtherAssetsSchedule
    Name:
    CLERMONT FOUNDATION
     
    C/O MARTHA H KEITH
    EIN:
    22-3177379
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    SEABRIDGE ASIA REDUX LLC 356,956    
    JASPER RIDGE PRIV OPPORTUNITIES TS LP 306,042 267,805 350,000
    JASPER RIDGE PRIV OPPORTUNITIES II(TE) LP 590,643 483,429 650,000
    10TALENTS PRIVATE FUND I LP 506,496 503,831 460,064
    10TALENTS PRIVATE FUND II LP 224,566 295,772 294,255
    10TALENTS PRIVATE FUND IV LP 315,629 349,142 349,142


    TY 2021 OtherExpensesSchedule
    Name:
    CLERMONT FOUNDATION
     
    C/O MARTHA H KEITH
    EIN:
    22-3177379
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOUNDATION EXPENSES & OTHER FEES 816 408   408


    TY 2021 OtherIncomeSchedule2
    Name:
    CLERMONT FOUNDATION
     
    C/O MARTHA H KEITH
    EIN:
    22-3177379
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PARTNERSHIP NET INCOME 283,439 283,439 283,439


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    CLERMONT FOUNDATION
     
    C/O MARTHA H KEITH
    EIN:
    22-3177379
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    2020 TAX PREPARATION & ACCOUNTING FEES 24,300 19,440   4,860


    TY 2021 TaxesSchedule
    Name:
    CLERMONT FOUNDATION
     
    C/O MARTHA H KEITH
    EIN:
    22-3177379
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 4,288 4,288   0