Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 07-01-2021 , and ending 06-30-2022
Name of foundation
RALEIGH SCHOOL OF NURSE ANESTHESIA
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 29522
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RALEIGH, NC27626
A Employer identification number

56-1684241
B Telephone number (see instructions)

(704) 338-3963
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$1,899,288
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 117 117  
4 Dividends and interest from securities... 59,692 59,692  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 105,662
b Gross sales price for all assets on line 6a 1,222,543
7 Capital gain net income (from Part IV, line 2)... 105,662
8 Net short-term capital gain......... 0
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)....... 129 129  
12 Total. Add lines 1 through 11........ 165,600 165,600  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 58,534 0 0 58,534
b Accounting fees (attach schedule)....... 750 750 0 0
c Other professional fees (attach schedule).... 13,760 13,760   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 3,490 797   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings....... 355 0 0 355
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 1,651     1,651
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 78,540 15,307 0 60,540
25 Contributions, gifts, grants paid....... 187,969 187,969
26 Total expenses and disbursements. Add lines 24 and 25 266,509 15,307 0 248,509
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -100,909
b Net investment income (if negative, enter -0-) 150,293
c Adjusted net income (if negative, enter -0-)... 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............. 22,529 22,535 22,535
2 Savings and temporary cash investments......... 45,962 40,111 40,111
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
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).......... 2,078,770 Click to see attachment1,979,987 1,836,642
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) 200,000    
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,347,261 2,042,633 1,899,288
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
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........ 2,347,261 2,042,633
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 2,347,261 2,042,633
30 Total liabilities and net assets/fund balances (see instructions). 2,347,261 2,042,633
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
2,347,261
2
Enter amount from Part I, line 27a .....................
2
-100,909
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,140
4
Add lines 1, 2, and 3 ..........................
4
2,247,492
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
204,859
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,042,633
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 9.149 ARTISAN INTERNATIONAL SMALL-MID FUND INSTL #2467   2020-06-17 2021-07-07
b 14.283 BLACKROCK MID-CAP GROWTH EQUITY PORTFOLIO CLASS K #1943   2020-06-17 2021-07-07
c 73.253 CARILLON CLARIVEST CAPITAL APPRECIATION FUND CLASS I #3852   2020-06-17 2021-07-07
d 501.035 COHEN & STEERS REAL ESTATE SECURITIES FUND CLASS I #1260     2021-07-07
e 413.457 FIDELITY MID CAP GROWTH INDEX FUND #3403   2020-06-17 2021-07-07
65.97 T ROWE PRICE INSTITUTIONAL LARGE-CAP CORE GROWTH FUND #148   2020-06-17 2021-07-07
118. ISHARES RUSSELL TOP 200 GROWTH ETF   2020-06-17 2021-07-07
22.316 MAINSTAY CBRE GLOBAL INFRASTRUCTURE FUND CLASS I #5023     2021-07-07
452.43 PRINCIPAL REAL ESTATE SECURITIES FUND - R6 #4269     2021-07-07
2. PROSHARES TR DJ BROOKFIELD GLOBAL INFRASTRUCTURE ETF   2020-07-13 2021-07-07
.138 T ROWE PRICE MID-CAP GROWTH FUND CLASS I #524   2020-07-27 2021-07-07
130.449 T ROWE PRICE MID-CAP GROWTH FUND CLASS I #524   2020-06-17 2021-07-07
654.778 BAIRD INTERMEDIATE BOND FD INSTL #70     2021-10-06
77.072 BAIRD INTERMEDIATE BOND FD INSTL #70   2021-07-07 2021-10-06
29.236 ISHARES MSCI EAFE INTERNATIONAL INDEX FUND CLASS K #1804   2020-06-17 2021-10-06
132.581 COLUMBIA SELECT LARGE CAP VALUE FUND CL I3 #6674   2020-10-05 2021-10-06
110.391 DIAMOND HILL LARGE CAP FUND CLASS Y #2509   2020-10-05 2021-10-06
104.103 FEDERATED HERMES MDT SMALL CAP CORE FUND   2020-06-17 2021-10-06
147.559 FIDELITY MID CAP VALUE INDEX FUND #3404   2020-06-17 2021-10-06
11.34 T ROWE PRICE INSTITUTIONAL LARGE-CAP CORE GROWTH FUND #148   2020-07-27 2021-10-06
10.266 WCM FOCUSED INTERNATIONAL GROWTH FUND #840   2020-06-17 2021-10-06
309. ISHARES RUSSELL TOP 200 VALUE ETF   2020-10-05 2021-10-06
327.943 LAZARD INTERNATIONAL EQUITY INST #632     2021-10-06
2004.329 LAZARD INTERNATIONAL EQUITY INST #632   2020-06-17 2021-10-06
6.134 MFS MID CAP VALUE R6 #4837   2020-06-17 2021-10-06
16.162 NUVEEN GLOBAL INFRASTRUCTURE FUND CLASS I #6726   2020-07-13 2021-10-06
177.289 PIMCO STOCKSPLUS SMALL FUND - INST #1885   2020-06-17 2021-10-06
44.126 T ROWE PRICE EMERGING MARKETS STOCK FUND CLASS I #531   2021-07-07 2021-10-06
405.718 T ROWE PRICE EMERGING MARKETS STOCK FUND CLASS I #531     2021-10-06
87.112 VANGUARD EQUITY INCOME FUND ADM #565   2020-06-17 2021-10-06
31. VANGUARD SCOTTSDALE FDS VNG RUS2000IDX   2020-10-05 2021-10-06
33.301 ALLSPRING SPECIAL MID CAP VALUE FUND R6 CLASS #4662   2020-06-17 2021-10-06
119.202 ALLSPRING CORE BOND FUND R6 CLASS #4657     2021-10-06
35.06 ALLSPRING CORE BOND FUND R6 CLASS #4657   2020-07-24 2021-10-06
344.216 AMERICAN BEACON GARCIA HAMILTON QUALITY BOND FUND CL R5 #4851     2021-10-11
40.992 AMERICAN BEACON GARCIA HAMILTON QUALITY BOND FUND CL R5 #4851   2020-07-24 2021-10-11
16.554 ARTISAN INTERNATIONAL SMALL-MID FUND INSTL #2467   2020-06-17 2021-10-11
162.411 ASHMORE EMERGING MARKETS ACTIVE EQUITY FUND - INST     2021-10-11
70.969 BALLIE GIFFORD EMERGING MARKETS EQUITIES FUND CLASS K     2021-10-11
1167.075 BAIRD INTERMEDIATE BOND FD INSTL #70     2021-10-11
208.239 ISHARES MSCI EAFE INTERNATIONAL INDEX FUND CLASS K #1804   2020-06-17 2021-10-11
20.064 BLACKROCK MID-CAP GROWTH EQUITY PORTFOLIO CLASS K #1943   2020-06-17 2021-10-11
50.822 CARILLON CLARIVEST CAPITAL APPRECIATION FUND CLASS I #3852     2021-10-11
64.529 COLUMBIA SELECT LARGE CAP VALUE FUND CL I3 #6674   2020-10-05 2021-10-11
50.416 DIAMOND HILL LARGE CAP FUND CLASS Y #2509   2020-10-05 2021-10-11
27.227 FEDERATED HERMES MDT SMALL CAP CORE FUND   2020-06-17 2021-10-11
196.752 FIDELITY MID CAP VALUE INDEX FUND #3404   2020-06-17 2021-10-11
137.346 FIDELITY MID CAP GROWTH INDEX FUND #3403     2021-10-11
26.129 GOLDMAN SACHS INTERNATIONAL SMALL CAP INSIGHTS FUND CLASS R6 #4   2020-06-17 2021-10-11
86.232 GOLDMAN SACHS EMERGING MARKETS EQUITY INSIGHTS FUND CLASS R6 #4     2021-10-11
43.044 T ROWE PRICE INSTITUTIONAL LARGE-CAP CORE GROWTH FUND #148     2021-10-11
91.617 WCM FOCUSED INTERNATIONAL GROWTH FUND #840   2020-06-17 2021-10-11
146. ISHARES RUSSELL TOP 200 VALUE ETF   2020-10-05 2021-10-11
126. ISHARES RUSSELL TOP 200 GROWTH ETF   2020-10-05 2021-10-11
56.085 MFS MID CAP VALUE R6 #4837   2020-06-17 2021-10-11
22.63 MAINSTAY CBRE GLOBAL INFRASTRUCTURE FUND CLASS I #5023   2020-07-13 2021-10-11
95.825 NUANCE MID CAP VALUE FUND CLASS Z     2021-10-11
25.487 JACKSON SQUARE SMID-CAP GROWTH FUND - IS CLASS #196   2020-06-17 2021-10-11
46.604 SPYGLASS GROWTH FUND INST #4212   2021-07-07 2021-10-11
40.209 MORGAN STANLEY INST GROWTH IR #8708     2021-10-11
39.155 NUVEEN GLOBAL INFRASTRUCTURE FUND CLASS I #6726   2020-07-13 2021-10-11
18.24 PEAR TREE POLARIS FGN VAL SM CAP R6 #1046   2020-06-17 2021-10-11
206.245 PEAR TREE POLARIS FOREIGN VALUE FUND CL R6 #8896   2020-06-17 2021-10-11
409.107 PIMCO STOCKSPLUS INTERNATIONAL FUND UNHEDGED INST #321   2020-06-17 2021-10-11
83.82 PIMCO STOCKSPLUS SMALL FUND - INST #1885   2020-06-17 2021-10-11
7. PROSHARES TR DJ BROOKFIELD GLOBAL INFRASTRUCTURE ETF   2020-07-13 2021-10-11
158.904 TIAA-CREF EMERGING MARKETS EQUITY INDEX FUND INST #2245     2021-10-11
19.82 VANGUARD EQUITY INCOME FUND ADM #565   2020-06-17 2021-10-11
878.88 VANGUARD SHORT TERM BOND INDEX ADM #5132   2020-07-13 2021-10-11
28.776 VANGUARD SHORT TERM BOND INDEX ADM #5132   2020-07-13 2021-10-11
22. VANGUARD SCOTTSDALE FDS VNG RUS2000IDX     2021-10-11
15.229 ALLSPRING SPECIAL MID CAP VALUE FUND R6 CLASS #4662   2020-06-17 2021-10-11
977.564 ALLSPRING CORE BOND FUND R6 CLASS #4657     2021-10-11
43.232 FIDELITY MID CAP GROWTH INDEX FUND #3403   2020-06-17 2021-12-06
111.723 JACKSON SQUARE SMID-CAP GROWTH FUND - IS CLASS #196     2021-12-06
304.316 JACKSON SQUARE SMID-CAP GROWTH FUND - IS CLASS #196   2020-06-17 2021-12-06
23.422 BLACKROCK MID-CAP GROWTH EQUITY PORTFOLIO CLASS K #1943   2020-06-17 2022-01-11
124.174 FEDERATED HERMES MDT SMALL CAP CORE FUND   2020-06-17 2022-01-11
60.713 T ROWE PRICE INSTITUTIONAL LARGE-CAP CORE GROWTH FUND #148     2022-01-11
670.284 T ROWE PRICE INSTITUTIONAL LARGE-CAP CORE GROWTH FUND #148     2022-01-11
158.229 NUANCE MID CAP VALUE FUND CLASS Z     2022-01-11
1242.886 NUANCE MID CAP VALUE FUND CLASS Z     2022-01-11
865.044 PIMCO STOCKSPLUS SMALL FUND - INST #1885     2022-01-11
931.159 PIMCO STOCKSPLUS SMALL FUND - INST #1885   2020-06-17 2022-01-11
84.766 COLUMBIA SELECT LARGE CAP VALUE FUND CL I3 #6674   2020-10-05 2022-01-31
83. ISHARES RUSSELL TOP 200 VALUE ETF   2020-10-05 2022-01-31
32.909 MFS MID CAP VALUE R6 #4837   2020-06-17 2022-01-31
22.616 MAINSTAY CBRE GLOBAL INFRASTRUCTURE FUND CLASS I #5023   2020-07-13 2022-01-31
11.644 NUVEEN GLOBAL INFRASTRUCTURE FUND CLASS I #6726   2021-01-07 2022-01-31
19.183 VANGUARD EQUITY INCOME FUND ADM #565   2020-06-17 2022-01-31
10.98 ALLSPRING SPECIAL MID CAP VALUE FUND R6 CLASS #4662   2020-06-17 2022-01-31
38.502 INVESCO SMALL CAP VALUE FUND CLASS Y #8770   2022-01-11 2022-04-06
78.097 ISHARES MSCI EAFE INTERNATIONAL INDEX FUND CLASS K #1804   2020-06-17 2022-04-06
123.194 COLUMBIA SELECT LARGE CAP VALUE FUND CL I3 #6674   2020-10-05 2022-04-06
87.967 DELAWARE SMALL CAP GROWTH FUND INST   2022-01-11 2022-04-06
25.213 DELAWARE SMALL CAP GROWTH FUND INST   2022-01-11 2022-04-06
110.213 DIAMOND HILL LARGE CAP FUND CLASS Y #2509   2020-10-05 2022-04-06
75.391 FEDERATED HERMES MDT SMALL CAP CORE FUND   2020-06-17 2022-04-06
55.993 GOLDMAN SACHS INTERNATIONAL SMALL CAP INSIGHTS FUND CLASS R6 #4     2022-04-06
600.045 GOLDMAN SACHS INTERNATIONAL SMALL CAP INSIGHTS FUND CLASS R6 #   2020-06-17 2022-04-06
113.564 WCM FOCUSED INTERNATIONAL GROWTH FUND #840   2020-06-17 2022-04-06
207. ISHARES RUSSELL TOP 200 VALUE ETF     2022-04-06
121.33 MAINSTAY CBRE GLOBAL INFRASTRUCTURE FUND CLASS I #5023   2020-07-13 2022-04-06
166.688 SPYGLASS GROWTH FUND INST #4212   2021-07-07 2022-04-06
52.209 MORGAN STANLEY INST GROWTH IR #8708   2020-06-17 2022-04-06
156.515 NUVEEN GLOBAL INFRASTRUCTURE FUND CLASS I #6726     2022-04-06
145.872 PIMCO STOCKSPLUS INTERNATIONAL FUND UNHEDGED INST #321   2020-06-17 2022-04-06
8.339 PIMCO STOCKSPLUS INTERNATIONAL FUND UNHEDGED INST #321   2020-06-17 2022-04-06
19. PROSHARES TR DJ BROOKFIELD GLOBAL INFRASTRUCTURE ETF   2020-07-13 2022-04-06
39.899 VANGUARD EQUITY INCOME FUND ADM #565   2020-06-17 2022-04-06
63. VANGUARD SCOTTSDALE FDS VNG RUS2000IDX     2022-04-06
71.854 ARTISAN INTERNATIONAL SMALL-MID FUND INSTL #2467   2020-06-17 2022-04-07
80.566 BAIRD INTERMEDIATE BOND FD INSTL #70   2021-04-06 2022-04-07
26. ISHARES RUSSELL TOP 200 VALUE ETF   2020-06-17 2022-04-07
8.604 MAINSTAY CBRE GLOBAL INFRASTRUCTURE FUND CLASS I #5023   2020-07-13 2022-04-07
8.347 NUVEEN GLOBAL INFRASTRUCTURE FUND CLASS I #6726   2020-07-13 2022-04-07
209.358 PEAR TREE POLARIS FGN VAL SM CAP R6 #1046   2020-06-17 2022-04-07
132.491 BLACKROCK MID-CAP GROWTH EQUITY PORTFOLIO CLASS K #1943   2020-06-17 2022-05-09
215. ISHARES RUSSELL TOP 200 GROWTH ETF   2020-10-05 2022-05-09
719.646 AMERICAN BEACON GARCIA HAMILTON QUALITY BOND FUND CL R5 #4851     2022-05-18
62.906 AMERICAN BEACON GARCIA HAMILTON QUALITY BOND FUND CL R5 #4851   2020-06-17 2022-05-18
2463.482 BAIRD INTERMEDIATE BOND FD INSTL #70   2021-04-06 2022-05-18
91.967 BAIRD INTERMEDIATE BOND FD INSTL #70   2021-04-06 2022-05-18
1213.778 VANGUARD SHORT TERM BOND INDEX ADM #5132   2020-07-13 2022-05-18
31.82 VANGUARD SHORT TERM BOND INDEX ADM #5132     2022-05-18
1106.465 ALLSPRING CORE BOND FUND R6 CLASS #4657     2022-05-18
57.414 ALLSPRING CORE BOND FUND R6 CLASS #4657   2020-06-17 2022-05-18
408.814 AMERICAN BEACON GARCIA HAMILTON QUALITY BOND FUND CL R5 #4851   2020-06-17 2022-05-19
818.13 BAIRD INTERMEDIATE BOND FD INSTL #70   2021-04-06 2022-05-19
101.108 ISHARES MSCI EAFE INTERNATIONAL INDEX FUND CLASS K #1804   2020-06-17 2022-05-19
519.285 BLACKROCK MID-CAP GROWTH EQUITY PORTFOLIO CLASS K #1943     2022-05-19
150.747 BLACKROCK MID-CAP GROWTH EQUITY PORTFOLIO CLASS K #1943   2020-06-17 2022-05-19
615.948 CARILLON CLARIVEST CAPITAL APPRECIATION FUND CLASS I #3852     2022-05-19
803.687 CARILLON CLARIVEST CAPITAL APPRECIATION FUND CLASS I #3852     2022-05-19
47.204 COLUMBIA SELECT LARGE CAP VALUE FUND CL I3 #6674   2020-10-05 2022-05-19
13.932 DIAMOND HILL LARGE CAP FUND CLASS Y #2509   2020-10-05 2022-05-19
123.334 FIDELITY MID CAP VALUE INDEX FUND #3404   2020-06-17 2022-05-19
1300.673 FIDELITY MID CAP GROWTH INDEX FUND #3403     2022-05-19
1733.662 FIDELITY MID CAP GROWTH INDEX FUND #3403     2022-05-19
21. ISHARES RUSSELL TOP 200 VALUE ETF   2020-06-17 2022-05-19
17. ISHARES RUSSELL TOP 200 VALUE ETF   2021-04-07 2022-05-19
56.012 MFS MID CAP VALUE R6 #4837   2020-06-17 2022-05-19
684.42 SPYGLASS GROWTH FUND INST #4212     2022-05-19
652.737 MORGAN STANLEY INST GROWTH IR #8708     2022-05-19
372.901 MORGAN STANLEY INST GROWTH IR #8708   2020-06-17 2022-05-19
198.863 PEAR TREE POLARIS FOREIGN VALUE FUND CL R6 #8896   2020-06-17 2022-05-19
22.497 VANGUARD EQUITY INCOME FUND ADM #565   2020-06-17 2022-05-19
386.377 VANGUARD SHORT TERM BOND INDEX ADM #5132   2020-07-13 2022-05-19
26.356 ALLSPRING SPECIAL MID CAP VALUE FUND R6 CLASS #4662   2020-06-17 2022-05-19
530.12 ALLSPRING CORE BOND FUND R6 CLASS #4657   2020-06-17 2022-05-19
67.758 COLUMBIA SELECT LARGE CAP VALUE FUND CL I3 #6674     2022-05-23
872.175 COLUMBIA SELECT LARGE CAP VALUE FUND CL I3 #6674   2020-10-05 2022-05-23
63.64 DIAMOND HILL LARGE CAP FUND CLASS Y #2509     2022-05-23
690.364 DIAMOND HILL LARGE CAP FUND CLASS Y #2509   2020-10-05 2022-05-23
622.308 FIDELITY MID CAP VALUE INDEX FUND #3404     2022-05-23
3430.72 FIDELITY MID CAP VALUE INDEX FUND #3404     2022-05-23
499.555 MFS MID CAP VALUE R6 #4837     2022-05-23
651.366 MFS MID CAP VALUE R6 #4837   2020-06-17 2022-05-23
28.453 VANGUARD EQUITY INCOME FUND ADM #565     2022-05-23
258.763 VANGUARD EQUITY INCOME FUND ADM #565     2022-05-23
303.338 ALLSPRING SPECIAL MID CAP VALUE FUND R6 CLASS #4662     2022-05-23
356.489 ALLSPRING SPECIAL MID CAP VALUE FUND R6 CLASS #4662     2022-05-23
890.908 AMERICAN BEACON GARCIA HAMILTON QUALITY BOND FUND CL R5 #4851   2020-06-17 2022-06-23
30.196 AMERICAN BEACON GARCIA HAMILTON QUALITY BOND FUND CL R5 #4851   2020-06-17 2022-06-23
9.121 ARTISAN INTERNATIONAL SMALL-MID FUND INSTL #2467   2020-06-17 2022-06-23
209.524 ASHMORE EMERGING MARKETS ACTIVE EQUITY FUND - INST     2022-06-23
61.819 BALLIE GIFFORD EMERGING MARKETS EQUITIES FUND CLASS K     2022-06-23
1670.962 BAIRD INTERMEDIATE BOND FD INSTL #70   2021-04-06 2022-06-23
484.067 BAIRD INTERMEDIATE BOND FD INSTL #70   2021-04-06 2022-06-23
228.302 ISHARES MSCI EAFE INTERNATIONAL INDEX FUND CLASS K #1804   2020-06-17 2022-06-23
181.211 GOLDMAN SACHS EMERGING MARKETS EQUITY INSIGHTS FUND CLASS R6 #   2020-06-17 2022-06-23
23.784 WCM FOCUSED INTERNATIONAL GROWTH FUND #840   2021-04-07 2022-06-23
21. ISHARES RUSSELL MID-CAP VALUE ETF   2022-05-23 2022-06-23
19. ISHARES RUSSELL MID-CAP GROWTH ETF   2022-05-19 2022-06-23
152. ISHARES RUSSELL TOP 200 VALUE ETF   2020-06-17 2022-06-23
163. ISHARES RUSSELL TOP 200 GROWTH ETF   2020-10-05 2022-06-23
39.275 MAINSTAY CBRE GLOBAL INFRASTRUCTURE FUND CLASS I #5023   2020-07-13 2022-06-23
56.895 NUVEEN GLOBAL INFRASTRUCTURE FUND CLASS I #6726   2020-07-13 2022-06-23
115.222 PEAR TREE POLARIS FGN VAL SM CAP R6 #1046   2020-06-17 2022-06-23
195.082 PEAR TREE POLARIS FOREIGN VALUE FUND CL R6 #8896   2020-06-17 2022-06-23
100.078 PIMCO STOCKSPLUS INTERNATIONAL FUND UNHEDGED INST #321   2021-06-10 2022-06-23
8. PROSHARES TR DJ BROOKFIELD GLOBAL INFRASTRUCTURE ETF   2020-07-13 2022-06-23
35.149 TIAA-CREF EMERGING MARKETS EQUITY INDEX FUND INST #2245   2020-06-17 2022-06-23
174.774 TIAA-CREF EMERGING MARKETS EQUITY INDEX FUND INST #2245   2020-07-24 2022-06-23
1097.058 VANGUARD SHORT TERM BOND INDEX ADM #5132   2020-07-13 2022-06-23
16.388 VANGUARD SHORT TERM BOND INDEX ADM #5132   2020-07-13 2022-06-23
12. VANGUARD SCOTTSDALE FDS VNG RUS2000IDX   2021-04-06 2022-06-23
931.546 ALLSPRING CORE BOND FUND R6 CLASS #4657   2020-06-17 2022-06-23
263.209 ALLSPRING CORE BOND FUND R6 CLASS #4657   2020-06-17 2022-06-23
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN 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 201   143 58
b 701   475 226
c 4,686   3,723 963
d 9,981   7,144 2,837
e 12,904   8,972 3,932
4,955   3,533 1,422
18,215   12,464 5,751
291   263 28
14,387   10,624 3,763
94   79 15
17   14 3
16,343   12,190 4,153
7,504   7,564 -60
883   890 -7
459   366 93
4,289   3,354 935
3,952   3,103 849
2,994   1,782 1,212
3,717   2,622 1,095
842   647 195
278   199 79
20,334   15,994 4,340
6,838   6,954 -116
41,790   33,412 8,378
195   132 63
192   160 32
1,936   1,447 489
2,230   2,434 -204
20,501   17,257 3,244
7,989   6,066 1,923
2,731   1,951 780
1,719   1,172 547
1,566   1,683 -117
461   495 -34
3,397   3,558 -161
405   424 -19
347   258 89
2,061   1,758 303
1,853   1,535 318
13,328   13,383 -55
3,286   2,605 681
942   668 274
3,213   2,667 546
2,094   1,633 461
1,816   1,417 399
786   466 320
4,966   3,496 1,470
4,005   2,990 1,015
364   275 89
1,021   811 210
3,184   2,392 792
2,470   1,772 698
9,753   7,557 2,196
19,511   15,370 4,141
1,788   1,210 578
284   245 39
1,446   1,201 245
930   690 240
1,084   1,148 -64
4,037   2,825 1,212
464   386 78
226   166 60
2,543   1,924 619
2,336   2,205 131
917   684 233
320   277 43
2,088   1,819 269
1,820   1,380 440
9,413   9,571 -158
308   313 -5
1,971   1,345 626
792   536 256
12,767   13,713 -946
1,252   938 314
3,648   4,103 -455
9,936   8,241 1,695
1,039   779 260
3,195   2,126 1,069
4,076   4,162 -86
45,003   36,210 8,793
2,231   2,170 61
17,525   15,484 2,041
8,962   10,242 -1,280
9,647   7,598 2,049
2,771   2,145 626
5,679   4,296 1,383
1,036   710 326
294   245 49
131   128 3
1,766   1,336 430
538   386 152
797   797  
1,141   977 164
4,111   3,117 994
1,034   1,171 -137
297   336 -39
3,777   3,098 679
1,783   1,291 492
708   745 -37
7,585   6,306 1,279
2,562   2,196 366
14,361   10,477 3,884
1,678   1,315 363
2,567   4,107 -1,540
2,789   3,577 -788
1,886   1,557 329
2,217   2,359 -142
127   135 -8
955   753 202
3,709   2,779 930
5,074   3,678 1,396
1,302   1,120 182
854   923 -69
1,805   1,305 500
119   93 26
101   82 19
2,349   1,901 448
5,138   4,409 729
33,342   26,226 7,116
6,599   7,395 -796
577   645 -68
25,768   28,232 -2,464
962   1,054 -92
12,271   13,218 -947
322   347 -25
12,835   15,381 -2,546
666   797 -131
3,757   4,194 -437
8,574   9,376 -802
1,368   1,265 103
16,342   23,684 -7,342
4,744   5,017 -273
31,001   37,133 -6,132
40,450   41,184 -734
1,469   1,194 275
433   392 41
2,923   2,192 731
27,496   36,040 -8,544
36,650   38,141 -1,491
1,335   1,054 281
1,081   1,098 -17
1,635   1,209 426
8,151   14,425 -6,274
23,485   47,478 -23,993
13,417   25,547 -12,130
2,098   1,855 243
1,972   1,567 405
3,914   4,208 -294
1,215   927 288
6,160   7,363 -1,203
2,143   2,162 -19
27,587   22,066 5,521
2,010   2,239 -229
21,802   19,406 2,396
14,948   15,973 -1,025
82,406   59,444 22,962
14,802   16,075 -1,273
19,300   14,056 5,244
2,547   2,562 -15
23,167   18,003 5,164
14,220   15,257 -1,037
16,712   12,439 4,273
8,063   9,141 -1,078
273   310 -37
137   142 -5
1,540   2,131 -591
1,122   1,293 -171
17,278   19,149 -1,871
5,005   5,547 -542
2,904   2,856 48
1,466   1,598 -132
445   598 -153
2,126   2,318 -192
1,506   1,555 -49
9,369   7,632 1,737
20,511   19,883 628
487   426 61
623   562 61
1,143   1,046 97
1,904   1,820 84
1,290   2,015 -725
360   317 43
365   364 1
1,814   1,949 -135
11,014   11,947 -933
165   178 -13
819   1,094 -275
10,657   12,939 -2,282
3,011   3,656 -645
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
      41,170
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       58
b       226
c       963
d       2,837
e       3,932
      1,422
      5,751
      28
      3,763
      15
      3
      4,153
      -60
      -7
      93
      935
      849
      1,212
      1,095
      195
      79
      4,340
      -116
      8,378
      63
      32
      489
      -204
      3,244
      1,923
      780
      547
      -117
      -34
      -161
      -19
      89
      303
      318
      -55
      681
      274
      546
      461
      399
      320
      1,470
      1,015
      89
      210
      792
      698
      2,196
      4,141
      578
      39
      245
      240
      -64
      1,212
      78
      60
      619
      131
      233
      43
      269
      440
      -158
      -5
      626
      256
      -946
      314
      -455
      1,695
      260
      1,069
      -86
      8,793
      61
      2,041
      -1,280
      2,049
      626
      1,383
      326
      49
      3
      430
      152
       
      164
      994
      -137
      -39
      679
      492
      -37
      1,279
      366
      3,884
      363
      -1,540
      -788
      329
      -142
      -8
      202
      930
      1,396
      182
      -69
      500
      26
      19
      448
      729
      7,116
      -796
      -68
      -2,464
      -92
      -947
      -25
      -2,546
      -131
      -437
      -802
      103
      -7,342
      -273
      -6,132
      -734
      275
      41
      731
      -8,544
      -1,491
      281
      -17
      426
      -6,274
      -23,993
      -12,130
      243
      405
      -294
      288
      -1,203
      -19
      5,521
      -229
      2,396
      -1,025
      22,962
      -1,273
      5,244
      -15
      5,164
      -1,037
      4,273
      -1,078
      -37
      -5
      -591
      -171
      -1,871
      -542
      48
      -132
      -153
      -192
      -49
      1,737
      628
      61
      61
      97
      84
      -725
      43
      1
      -135
      -933
      -13
      -275
      -2,282
      -645
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 105,662
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 2,089
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,089
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,332
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  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,332
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 13
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 770
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
    bulletNC
    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.RSNA-EDU.ORG
    14
    The books are in care ofbulletFIRST CITIZENS BANK, ATTN ALEX YAREM Telephone no.bullet (919) 716-7629

    Located atbullet8510 COLONNADE CENTER DRIVERALEIGHNC ZIP+4bullet27615
    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)
    Yes
     
    (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
     
    No
    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
    JONATHAN W BLANK MD PRESIDENT
    1
    0    
    921 HOLT DRIVE
    RALEIGH,NC27608
    EARL CRUMPLER BOARD MEMBERS
    1
    0    
    4300 SIX FORKS ROAD
    RALEIGH,NC27609
    ROBIN TATUM JD BOARD MEMBERS
    1
    0    
    4300 SIX FORKS ROAD
    RALEIGH,NC27609
    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.........................bullet  
    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
    2,280,576
    b
    Average of monthly cash balances.......................
    1b
    58,813
    c
    Fair market value of all other assets (see instructions)................
    1c
    14,627
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,354,016
    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
    2,354,016
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    35,310
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,318,706
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    115,935
    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
    115,935
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    2,089
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,089
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    113,846
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    113,846
    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
    113,846
    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 7 113,846
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 111,969
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 248,509
    a Applied to 2020, but not more than line 2a 111,969
    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..... 113,846
    e Remaining amount distributed out of corpus 22,694
    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 22,694
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    22,694
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 22,694
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    UNIV OF NC - GREENSBORO
    1400 SPRING GARDIN ST
    GREENSBORO,NC27412
    NONE PC EDUCATION SCHOLARSHIP 187,969
    Total .................................bullet 3a 187,969
    bApproved for future payment
    Total .................................bullet 3b  
    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 ...........
        14 117  
    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 ............
        18 105,662  
    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) ..   165,600  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    165,600
    (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:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 750 750    

    TY 2021 InvestmentsOtherSchedule2
    Name:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ARTISAN INTL SMALL-MID FUND AT COST 15,231 13,045
    ASHMORE EMERG MKTS ACTIVE EQUI AT COST 31,789 23,209
    BAILLIE GIFFORD EMERG MKTS AT COST 24,814 21,544
    ISHARES MSCI EAFE INTL INDEX AT COST 54,472 53,588
    BLACKROCK MID-CAP GROWTH EQUIT      
    CARILLION CLARIVEST CAP APPREC      
    COHEN & STEERS RE SECURITIES      
    COLUMBIA SELECT LC VALUE      
    DIAMOND HILL LC      
    FEDERATED HERMES MDT SC CORE AT COST 10,535 8,736
    FIDELITY MID CAP VALUE INDEX      
    FIDELITY MID CAP GROWTH INDEX      
    GOLDMAN SACHS INTL SC INSIGHTS      
    GOLDMAN SACHS EMERG MKTS EQUIT AT COST 20,784 17,689
    T ROWE PRICE INSTL LC CORE GRO      
    WCM FOCUSED INTL GROWTH AT COST 46,862 42,514
    LAZARD INTL EQUITY      
    MFS MID CAP VALUE      
    MAINSTAY CBRE GLBL INFRA AT COST 5,092 5,853
    NUANCE MID CAP VALUE      
    JACKSON SQUARE SMID CAP GROWTH      
    MORGAN STANLEY INST GROWTH      
    NUVEEN GLBL INFRA AT COST 5,588 6,169
    PEAR TREE POLARIS FOREIGN VAL AT COST 15,472 13,869
    PEAR TREE POLARIS FOREIGN VAL AT COST 42,591 42,137
    PIMCO STOCKPLUS INTL UNHEDGED AT COST 44,622 34,215
    PIMCO STOCKPLUS SMALL FUND      
    PRINCIPAL RE SECURITIES      
    T ROWE PRICE MID CAP GROWTH      
    T ROWE PRICE EMERG MKTS STOCK      
    TIAA-CREF EMERG MKTS EQUITY IN AT COST 28,211 26,723
    VANGUARD EQUITY INCOME      
    WELLS FARGO SPECIAL MID CAP VA      
    ISHARES RUSSELL TOP 200 VALUE AT COST 163,405 178,791
    ISHARES RUSSELL TOP 200 GROWTH AT COST 369,426 356,934
    PROSHARES TR DJ BROOKFIELD GLB AT COST 2,593 2,990
    VANGUARD SCOTTSDALE FDS VNG AT COST 30,053 26,391
    AMERICAN BEACON GARCIA HAMILTO AT COST 128,731 115,198
    BAIRD INTERMEDIATE BD FD INSTL AT COST 306,408 278,225
    VANGUARD SHORT TERM BD INDEX AT COST 146,296 135,460
    WELLS FARGO CORE BD      
    INVESCO SMALL CAP VALUE FUND C AT COST 5,244 4,611
    DELAWARE SMALL CAP GROWTH FUND AT COST 6,321 3,979
    ISHARES RUSSELL MID-CAP VALUE AT COST 158,852 146,159
    ISHARES RUSSELL MID-CAP GROWTH AT COST 95,823 92,767
    ALLSPRING CORE BOND FUND R6 CL AT COST 220,772 185,846

    TY 2021 LegalFeesSchedule
    Name:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - FROM CHECKING ACC 58,534     58,534


    TY 2021 OtherDecreasesSchedule
    Name:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Description Amount
    COST BASIS ADJUSTMENT - LEASE DEPOSIT 200,000
    COST BASIS ADJUSTMENT - WASH SALE & ROC 4,012
    2021 TRANS POSTED IN 2022 847


    TY 2021 OtherExpensesSchedule
    Name:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MONTHLY CHECKING ACCT SERVICE 1,651 0   1,651


    TY 2021 OtherIncomeSchedule2
    Name:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER REVENUE 129 129  


    TY 2021 OtherIncreasesSchedule
    Name:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Description Amount
    RESIDUAL CASH FROM BROKER ACCT 429
    2020 TRANS POSTED IN 2021 711


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 13,760 13,760    


    TY 2021 TaxesSchedule
    Name:
    RALEIGH SCHOOL OF NURSE ANESTHESIA
    EIN:
    56-1684241
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 1,361 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,332 0   0
    FOREIGN TAXES ON QUALIFIED FOR 605 605   0
    FOREIGN TAXES ON NONQUALIFIED 192 192   0