TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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
JAMES K AND DANA B GULLEY MEMORIAL

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 919798
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
ORLANDO, FL328919798

A Employer identification number

35-7257917

B Telephone number (see instructions)

(804) 273-7445

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$0J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments	231		231
4	Dividends and interest from securities...	2,508		2,501
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		483,732
b	Gross sales price for all assets on line 6a 1,511,942
7	Capital gain net income (from Part IV, line 2)...			483,732
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).......
12	Total. Add lines 1 through 11........	486,471		486,464
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).........		10,264	0	0	10,264
b	Accounting fees (attach schedule).......
c	Other professional fees (attach schedule)....					0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)...		8,041	29		0
19	Depreciation (attach schedule) and depletion...		0	0
20	Occupancy..............
21	Travel, conferences, and meetings.......			0	0
22	Printing and publications..........			0	0
23	Other expenses (attach schedule).......		64	9		55
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	18,369		38	0	10,319
25	Contributions, gifts, grants paid.......	1,549,656				1,549,656
26	Total expenses and disbursements. Add lines 24 and 25	1,568,025		38	0	1,559,975
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-1,081,554
b	Net investment income (if negative, enter -0-)			486,426
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	13
	2	Savings and temporary cash investments.........	52,334
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts 0
	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).......	421,165
	c	Investments—corporate bonds (attach schedule).......	469,244
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	137,810		0
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	1,080,566	0	0
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		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
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	1,080,566	0
	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).....	1,080,566	0
	30	Total liabilities and net assets/fund balances (see instructions).	1,080,566	0

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

1,080,566

Enter amount from Part I, line 27a .....................

-1,081,554

Other increases not included in line 2 (itemize) bullet

989

Add lines 1, 2, and 3 ..........................

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

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	45. CHINA MOBILE HONG KONG LTD		2019-09-25	2021-01-08
b	112. AIA GROUP LTD SPONS ADR			2021-02-10
c	131. ABBOTT LABORATORIES			2021-02-10
d	8.66 ABBVIE INC		2020-05-11	2021-02-10
e	66.34 ABBVIE INC			2021-02-10
	16. ADIDAS AG ADR			2021-02-10
	23. ADOBE SYS INC			2021-02-10
	50. L'AIR LIQUIDE UNSPONS ADR			2021-02-10
	41. AIR LEASE CORP			2021-02-10
	6. AIR PRODUCTS AND CHEMICALS INC			2021-02-10
	30. ALASKA AIR GROUP INC			2021-02-10
	21. ALEXANDRIA REAL ESTATE EQ REIT			2021-02-10
	13. ALEXION PHARMACEUTICALS INC			2021-02-10
	69. ALFA LAVAL AB UNSPONS ADR			2021-02-10
	34. ALIBABA GROUP HLDG LTD			2021-02-10
	175. ALLIANZ SE UNSPONS ADR			2021-02-10
	5. ALPHABET INC CL C			2021-02-10
	25. AMADEUS IT GROUP SA UNSPONS ADR		2019-09-25	2021-02-10
	9. AMAZON INC COMMON			2021-02-10
	456. AMBEV SA SPONS ADR			2021-02-10
	28. AMEREN CORPORATION COMMON			2021-02-10
	22. AMERISOURCEBERGEN CORP. COMMON			2021-02-10
	25. AMETEK INC COMMON			2021-02-10
	55. ANALOG DEVICES INC			2021-02-10
	21. ELEVANCE HEALTH INC			2021-02-10
	140. APPLE COMPUTER CORPORATION COMMON			2021-02-10
	14. APPLIED MATERIALS		2019-09-25	2021-02-10
	21. ASPEN TECHNOLOGY INC			2021-02-10
	108. ATLAS COPCO AB SP ADR			2021-02-10
	19. AUTODESK, INC. COMMON			2021-02-10
	19. BAIDU INC SPON ADR			2021-02-10
	25. BALL CORPORATION COMMON		2019-09-25	2021-02-10
	540. BANCO BILBAO VIZCAYA ARGENTA SPONSORED ADR			2021-02-10
	6. BIO-RAD LABS CLASS A			2021-02-10
	25. BIOMARIN PHARMACEUTICAL INC			2021-02-10
	5. BOEING COMPANY		2018-07-13	2021-02-10
	99. BOSTON SCIENTIFIC			2021-02-10
	27. CDW CORP		2015-08-17	2021-02-10
	97. CVS CORP COMMON			2021-02-10
	30. CANADIAN NATL RY CO		2011-12-27	2021-02-10
	110. CARNIVAL CORP PAIRED CTF 1 COM			2021-02-10
	2. CARRIER GLOBAL CORP			2021-02-10
	24. CARVANA CO CL A		2018-12-13	2021-02-10
	17. CASEY'S GENERAL STORES, INC. COMMON			2021-02-10
	29. CHAMPIONX CORP			2021-02-10
	168. CHUGAI PHARMACEUTICAL CO UNSPONS ADR			2021-02-10
	7. CINTAS CORP			2021-02-10
	157. CORNING INCORPORATED		2019-09-25	2021-02-10
	65. CROWN CASTLE INC REIT			2021-02-10
	48. DBS GROUP HOLDINGS LTD SPONS ADR			2021-02-10
	11. DTE ENERGY CO FKA DETROIT EDISION CO			2021-02-10
	28. DXC TECHNOLOGY CO		2019-09-25	2021-02-10
	30. DANAHER CORP COMMON			2021-02-10
	14. DASSAULT SYS S A SPONS ADR		2011-12-27	2021-02-10
	94. DELTA AIR LINES INC			2021-02-10
	2. DEXCOM		2019-09-25	2021-02-10
	15. DIAGEO PLC SPONSORED ADR		2019-03-19	2021-02-10
	18. DISNEY WALT COMPANY			2021-02-10
	89. DISCOVER FINL SVCS			2021-02-10
	3159.332 DODGE & COX INCOME FUND			2021-02-10
	23. DOLLAR TREE INC			2021-02-10
	4160.653 DOUBLELINE TOTL RET BND-I			2021-02-10
	151. ENBRIDGE INC			2021-02-10
	139. EPIROC AKTIEBOLAG UNSPONS ADR			2021-02-10
	33. EVERSOURCE ENERGY			2021-02-10
	17. EXPEDIA INC COMMON			2021-02-10
	46. FACEBOOK INC CL A			2021-02-10
	68. FANUC CORP ADR			2021-02-10
	2619.004 FEDERATED HERMES INSTL HIYD BD			2021-02-10
	24. FIDELITY NATL INFORMATION SERVICES		2019-09-25	2021-02-10
	24. FIRST REPUBLIC BANK COMMON			2021-02-10
	22. FOMENTO ECON MEXICANO SPONS ADR			2021-02-10
	37. FOOT LOCKER INC. COMMON			2021-02-10
	120. FUCHS PETROLUB SE PFD ADR			2021-02-10
	3. GW PHARMACEUTICALS SPONS ADR		2018-12-13	2021-02-10
	162. GENERAL MOTORS CO			2021-02-10
	26. HDFC BANK LTD ADR			2021-02-10
	42. HARTFORD FINL SVCS GROUP INC COMMON			2021-02-10
	23. HASBRO INC			2021-02-10
	43. HOME DEPOT INCORPORATED			2021-02-10
	49. HONEYWELL INTERNATIONAL INC			2021-02-10
	9. IPG PHOTONICS			2021-02-10
	162. ICICI BANK LTD ADR			2021-02-10
	2. ILLUMINA INC		2017-05-09	2021-02-10
	217. INFINEON TECHNOLOGIES AG SPON ADR			2021-02-10
	22. INGERSOLL-RAND INC			2021-02-10
	28. INTERCONTINENTAL EXCHANGE INC			2021-02-10
	1. INTUITIVE SURGICAL INC		2018-12-13	2021-02-10
	1654. ISHARES MSCI EMERGING MKTS INDEX FUND			2021-02-10
	800. CEF ISHARES TR S&P			2021-02-10
	685. ISHARES TR MSCI SMALL CAP ETF			2021-02-10
	168. ITA UNIBANCO HOLDINGS SPON ADR PFD		2015-12-30	2021-02-10
	35. JOHNSON & JOHNSON			2021-02-10
	10. JONES LANG LASALLE INC		2017-05-09	2021-02-10
	19. KEYSIGHT TECHNOLOGIES INC		2019-09-25	2021-02-10
	44. KOMATSU LTD SPON ADR			2021-02-10
	26. KUBOTA SPONS ADR			2021-02-10
	67. L'OREAL CO UNSPONS ADR			2021-02-10
	20. L3 HARRIS TECHNOLOGIES INC			2021-02-10
	16. LAM RESH CORP		2018-12-13	2021-02-10
	14. LAS VEGAS SANDS CORP		2019-09-25	2021-02-10
	35. LIVE NATION ENTERTAINMENT INC		2017-10-26	2021-02-10
	84. LONZA GROUP AG UNSPONS ADR			2021-02-10
	3. LULULEMON ATHLETICA INC		2018-12-13	2021-02-10
	24. MASONITE INTERNATIONAL CORP			2021-02-10
	74. MAXIM INTEGRATED PRODUCTS INC COMON			2021-02-10
	1. MCDONALDS CORPORATION		2011-08-19	2021-02-10
	86. MERCK & CO INC			2021-02-10
	4300.202 METROPOLITAN WEST T/R BD-PLN			2021-02-10
	172. MICROSOFT CORPORATION			2021-02-10
	9. MICRON TECHNOLOGY INCORPORATED COMMON		2019-09-25	2021-02-10
	132. MORGAN STANLEY DEAN WITTER DIS CO			2021-02-10
	19. NCR CORPORATION - W/I		2019-09-25	2021-02-10
	47. NASDAQ OMX GROUP INC			2021-02-10
	54. NESTLE SA ADR			2021-02-10
	3. NETFLIX INC			2021-02-10
	27. NIKE INCORPORATED CLASS B		2019-09-25	2021-02-10
	5. NOVARTIS AG		2019-09-25	2021-02-10
	25. NOVOZYMES A/S UNSPONS ADR			2021-02-10
	4. NVIDIA CORP COMMON		2019-09-25	2021-02-10
	1. O'REILLY AUTOMOTIVE INC		2019-09-25	2021-02-10
	99. OCCIDENTAL PETE CORP			2021-02-10
	12. OCCIDENTAL PETROLEUM - WTS 8/03/27		2020-08-03	2021-02-10
	13. OLD DOMINION FREIGHT LINE INC			2021-02-10
	1. OTIS WORLDWIDE CORP			2021-02-10
	4584.465 PIMCO PIMS FOREIGN BOND FUND			2021-02-10
	25. LUKOIL PJSC SPONS ADR		2019-09-25	2021-02-10
	4. PALO ALTO NETWORKS INC		2018-12-13	2021-02-10
	30. PAYPAL HOLDINGS INC			2021-02-10
	52. PEPSICO INCORPORATED			2021-02-10
	72. PFIZER INCORPORATED		2011-08-19	2021-02-10
	61. PHILLIPS 66			2021-02-10
	104. PING AN INSURANCE GROUP COMPANY OF CHINA		2019-09-25	2021-02-10
	15. PIONEER NAT RES CO COMMON			2021-02-10
	62. PROGESSIVE CORP., OHIO COMMON			2021-02-10
	20. PROLOGIS INC REIT			2021-02-10
	60. PROSUS NV SPONS ADR		2019-09-17	2021-02-10
	4340.274 PGIM SHRT TRM CORP BND-Q			2021-02-10
	2. RAYTHEON TECHNOLOGIES CORP			2021-02-10
	22. RIO TINTO PLC SPONSORED ADR		2019-09-25	2021-02-10
	164. ROCHE HLDG LTD SPONS ADR			2021-02-10
	9. ROCKWELL INTERNATIONAL CORP NEW			2021-02-10
	26. ROSS STORES INC COM			2021-02-10
	32. ROYAL DUTCH SHELL PLC SPONS ADR B		2016-05-09	2021-02-10
	7. S&P GLOBAL INC			2021-02-10
	53. SALESFORCE INC			2021-02-10
	43. SAP AKTIENGESELLSCHAFT			2021-02-10
	9. SAREPTA THERAPEUTICS INC			2021-02-10
	61. SCHLUMBERGER LTD			2021-02-10
	3. SERVICENOW INC		2019-09-25	2021-02-10
	52. SGS SA UNSPONS ADR		2019-09-25	2021-02-10
	5. SHERWIN WILLIAMS			2021-02-10
	45. SONOVA HOLDING AG UNSPONS ADR			2021-02-10
	58. STARBUCKS CORPORATIONS COMMON			2021-02-10
	20744.02 STERLING CAP TTL RTRN BND-R6			2021-02-10
	83. SYMRISE AG UNSPONS ADR			2021-02-10
	51. SYSMEX CORP UNSPONS ADR			2021-02-10
	16. T-MOBILE US INC		2018-12-13	2021-02-10
	146. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR			2021-02-10
	32. TENCENT HOLDINGS LIMITED LTD UNSPONS ADR			2021-02-10
	7. THERMO ELECTRON COMMON		2018-12-13	2021-02-10
	3. TRANSDIGM GROUP INC		2019-09-25	2021-02-10
	193. UNICHARM CORP SPONS ADR			2021-02-10
	40. UNILEVER PLC-SPONSORED ADR			2021-02-10
	9. UNION PACIFIC CORP			2021-02-10
	48. UNITED PARCEL SERVICES B			2021-02-10
	13. UNITED HEALTH GROUP INC		2016-05-09	2021-02-10
	10. VAIL RESORTS COMMON		2019-03-19	2021-02-10
	13. VARIAN MED SYS INC			2021-02-10
	113. VERIZON COMMUNICATIONS INC			2021-02-10
	13. VERTEX PHARMACEUTICALS INC			2021-02-10
	8. VIATRIS INC		2011-08-19	2021-02-10
	53. VISA INC			2021-02-10
	17. VORNADO REALTY TRUST			2021-02-10
	8. WAL MART STORES INCORPORATED		2019-09-25	2021-02-10
	95. WELLS FARGO & CO NEW			2021-02-10
	30. WESTERN DIGITAL CORP COM		2019-09-25	2021-02-10
	3. WORKDAY INC-CLASS A		2019-03-19	2021-02-10
	25. WORLD WRESTLING ENTERTAINMENT, INC		2019-09-25	2021-02-10
	45. XILINX INC			2021-02-10
	13. ZOETIS INC		2019-09-25	2021-02-10
	20. AMDOCS LTD ORD		2011-08-19	2021-02-10
	67. ARCH CAPITAL GROUP LTD			2021-02-10
	34. ACCENTURE PLC IRELAND SHS			2021-02-10
	13. LINDE PLC			2021-02-10
	69. MEDTRONIC PLC			2021-02-10
	8. APTIV PLC			2021-02-10
	40. CHUBB LTD			2021-02-10
	60. ARDAGH GROUP SA			2021-02-10
	36. CHECKPOINT SOFTWARE TECHNOLOGY COMMON			2021-02-10
	18. CORE LABORATORIES N V			2021-02-10
	27. NXP SEMICONDUCTORS N V		2019-09-25	2021-02-10
	40. YANDEX N V SHS CLASS A			2021-02-10
	48. SERVICE CORP INTL COM			2021-02-11
	14. SPLUNK INC			2021-02-11
	123. STARWOOD PROPERTY TRUST INC REIT			2021-02-11
	28. SYNEOS HEALTH INC CL A			2021-02-11
	7. TELEDYNE TECHNOLOGIES INC		2014-10-09	2021-02-11
	21. WASTE CONNECTIONS INC			2021-02-11
	48. WESTERN ALLIANCE BANCORPORATION			2021-02-11
	11. ICON PLC			2021-02-11
	34. APTIV PLC			2021-02-11
	25. TRANE TECHNOLOGIES PLC			2021-02-11
	17. ALTABA INC ESCROWED CUSIP			2021-08-09
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	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		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,225	1,865	-640
b	5,921	1,511	4,410
c	16,383	5,497	10,886
d	903	735	168
e	6,916	2,878	4,038
	2,716	1,883	833
	11,330	4,378	6,952
	1,632	930	702
	1,775	1,447	328
	1,529	850	679
	1,714	2,230	-516
	3,613	2,130	1,483
	2,006	1,633	373
	2,059	1,107	952
	9,127	5,494	3,633
	4,146	2,052	2,094
	10,454	2,487	7,967
	1,662	1,789	-127
	29,435	7,180	22,255
	1,277	2,029	-752
	2,059	1,606	453
	2,341	1,053	1,288
	3,021	1,482	1,539
	8,428	5,087	3,341
	6,266	2,937	3,329
	18,930	2,524	16,406
	1,486	728	758
	3,307	762	2,545
	6,096	2,714	3,382
	5,749	1,219	4,530
	5,890	2,446	3,444
	2,243	1,838	405
	2,857	3,656	-799
	3,796	1,681	2,115
	2,134	1,808	326
	1,056	1,738	-682
	3,833	3,224	609
	4,225	1,074	3,151
	7,141	6,823	318
	3,190	1,162	2,028
	2,304	6,233	-3,929
	74	42	32
	7,154	819	6,335
	3,529	910	2,619
	496	986	-490
	4,155	1,935	2,220
	2,441	1,236	1,205
	5,801	4,445	1,356
	10,619	6,435	4,184
	3,757	2,058	1,699
	1,338	1,194	144
	718	871	-153
	7,131	3,002	4,129
	3,212	552	2,660
	4,033	4,843	-810
	799	308	491
	2,478	2,439	39
	3,400	2,257	1,143
	8,331	5,156	3,175
	46,189	42,465	3,724
	2,548	2,420	128
	44,561	45,733	-1,172
	5,422	4,350	1,072
	2,799	1,461	1,338
	2,851	1,729	1,122
	2,522	2,156	366
	12,474	6,587	5,887
	1,854	1,019	835
	26,295	25,985	310
	3,200	3,201	-1
	3,766	1,757	2,009
	1,554	1,982	-428
	1,896	1,419	477
	1,763	1,111	652
	643	362	281
	8,915	5,309	3,606
	2,101	1,220	881
	2,115	1,956	159
	2,119	2,061	58
	11,967	7,181	4,786
	9,883	5,067	4,816
	2,208	637	1,571
	2,844	1,335	1,509
	908	369	539
	8,950	4,917	4,033
	977	509	468
	3,102	1,962	1,140
	789	512	277
	94,549	61,361	33,188
	85,196	38,276	46,920
	49,059	38,105	10,954
	862	665	197
	5,819	3,615	2,204
	1,551	1,233	318
	2,818	1,893	925
	1,311	1,025	286
	3,131	1,956	1,175
	5,059	1,694	3,365
	3,739	2,246	1,493
	8,476	2,219	6,257
	781	798	-17
	2,794	1,482	1,312
	5,623	2,436	3,187
	1,030	357	673
	2,631	1,600	1,031
	6,762	2,304	4,458
	215	87	128
	6,416	5,116	1,300
	44,765	42,249	2,516
	41,655	8,181	33,474
	744	446	298
	9,828	5,013	4,815
	664	607	57
	6,670	3,210	3,460
	6,077	3,394	2,683
	1,668	483	1,185
	3,835	2,448	1,387
	458	428	30
	1,603	1,273	330
	2,357	715	1,642
	456	395	61
	2,513	5,843	-3,330
	137	68	69
	2,728	1,309	1,419
	66	65	1
	50,704	49,747	957
	1,897	2,075	-178
	1,576	751	825
	8,517	2,628	5,889
	7,132	4,329	2,803
	2,504	1,216	1,288
	4,638	5,546	-908
	2,422	2,400	22
	1,984	2,087	-103
	5,304	3,348	1,956
	2,158	996	1,162
	1,501	920	581
	49,696	48,728	968
	144	148	-4
	1,836	1,143	693
	7,169	4,241	2,928
	2,204	1,097	1,107
	3,127	792	2,335
	1,150	1,620	-470
	2,322	1,159	1,163
	12,528	5,497	7,031
	5,571	3,052	2,519
	846	458	388
	1,612	3,942	-2,330
	1,772	778	994
	1,588	1,279	309
	3,573	2,059	1,514
	2,391	1,035	1,356
	6,123	3,257	2,866
	233,578	214,337	19,241
	2,582	1,191	1,391
	2,875	1,060	1,815
	1,996	1,059	937
	19,634	2,765	16,869
	3,123	1,499	1,624
	3,406	1,686	1,720
	1,721	1,586	135
	1,762	1,387	375
	2,169	1,425	744
	1,833	1,288	545
	7,985	4,581	3,404
	4,322	1,734	2,588
	2,866	2,127	739
	2,289	1,396	893
	6,212	4,799	1,413
	2,766	1,286	1,480
	147	62	85
	10,954	3,610	7,344
	652	1,290	-638
	1,154	949	205
	3,162	4,979	-1,817
	1,823	1,838	-15
	823	574	249
	1,171	1,775	-604
	6,427	2,526	3,901
	2,092	1,622	470
	1,557	528	1,029
	2,336	934	1,402
	8,735	2,988	5,747
	3,290	2,084	1,206
	8,102	5,604	2,498
	1,187	727	460
	6,597	5,291	1,306
	1,125	1,325	-200
	4,255	2,862	1,393
	648	1,889	-1,241
	5,065	2,915	2,150
	2,868	1,158	1,710
	2,580	1,524	1,056
	2,385	1,487	898
	2,601	2,667	-66
	2,231	1,021	1,210
	2,723	649	2,074
	2,066	1,663	403
	3,698	1,830	1,868
	2,312	1,341	971
	5,244	2,448	2,796
	3,756	1,761	1,995
	127		127
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			39

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			-640
b			4,410
c			10,886
d			168
e			4,038
			833
			6,952
			702
			328
			679
			-516
			1,483
			373
			952
			3,633
			2,094
			7,967
			-127
			22,255
			-752
			453
			1,288
			1,539
			3,341
			3,329
			16,406
			758
			2,545
			3,382
			4,530
			3,444
			405
			-799
			2,115
			326
			-682
			609
			3,151
			318
			2,028
			-3,929
			32
			6,335
			2,619
			-490
			2,220
			1,205
			1,356
			4,184
			1,699
			144
			-153
			4,129
			2,660
			-810
			491
			39
			1,143
			3,175
			3,724
			128
			-1,172
			1,072
			1,338
			1,122
			366
			5,887
			835
			310
			-1
			2,009
			-428
			477
			652
			281
			3,606
			881
			159
			58
			4,786
			4,816
			1,571
			1,509
			539
			4,033
			468
			1,140
			277
			33,188
			46,920
			10,954
			197
			2,204
			318
			925
			286
			1,175
			3,365
			1,493
			6,257
			-17
			1,312
			3,187
			673
			1,031
			4,458
			128
			1,300
			2,516
			33,474
			298
			4,815
			57
			3,460
			2,683
			1,185
			1,387
			30
			330
			1,642
			61
			-3,330
			69
			1,419
			1
			957
			-178
			825
			5,889
			2,803
			1,288
			-908
			22
			-103
			1,956
			1,162
			581
			968
			-4
			693
			2,928
			1,107
			2,335
			-470
			1,163
			7,031
			2,519
			388
			-2,330
			994
			309
			1,514
			1,356
			2,866
			19,241
			1,391
			1,815
			937
			16,869
			1,624
			1,720
			135
			375
			744
			545
			3,404
			2,588
			739
			893
			1,413
			1,480
			85
			7,344
			-638
			205
			-1,817
			-15
			249
			-604
			3,901
			470
			1,029
			1,402
			5,747
			1,206
			2,498
			460
			1,306
			-200
			1,393
			-1,241
			2,150
			1,710
			1,056
			898
			-66
			1,210
			2,074
			403
			1,868
			971
			2,796
			1,995
			127

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	483,732
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 ...................		3

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 and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2...........................	3	6,761
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4	0
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	6,761
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	7,816
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	7,816
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.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	1,055
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax0	Refunded	11	1,055

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

Yes

If "Yes," attach the statement required by General Instruction T. Click to see attachment

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

The books are in care of bullet

TRUIST BANK Telephone no. bullet

(804) 273-7445

Located at bullet

PO BOX 919798ORLANDOFL ZIP+4 bullet

328919798

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

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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? .............

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)):

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?....................

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

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.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

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? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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? .........................

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
TRUIST BANK	TRUSTEE 1	0
P O BOX 919798 ORLANDO,FL328919798	TRUSTEE 1	0

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...................				0

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............. bullet

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)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

181,632

Average of monthly cash balances.......................

139,134

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

320,766

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

320,766

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

4,811

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

315,955

Minimum investment return. Enter 5% (0.05) of line 5................

15,798

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.)

Minimum investment return from Part IX, line 6..................

15,798

Tax on investment income for 2021 from Part V, line 5.......

6,761

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

6,761

Distributable amount before adjustments. Subtract line 2c from line 1............

9,037

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

9,037

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

9,037

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

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					9,037
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				50,604
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: $ 1,559,975
a Applied to 2020, but not more than line 2a				50,604
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.....					9,037
e Remaining amount distributed out of corpus		1,500,334
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		1,500,334
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 ......		1,500,334
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....	1,500,334

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 4942(j)(3) or4942(j)(5)

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	(e) Total

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).)

NONE

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.

NONE

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

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)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
SAINT PAUL UNITED METHODIST CHURCH 204 EAST CHESTNUT STREET GOLDSBORO,NC27530	NONE	PC	GENERAL OPERATING	516,552
FIRST BAPTIST CHURCH OF GOLDSBORO 125 SOUTH JOHN STREET GOLDSBORO,NC27530	NONE	PC	GENERAL OPERATING	516,552
PINE FOREST UNITED METHODIST CHURCH 867 NC 581 HWY S GOLDSBORO,NC27530	NONE	PC	GENERAL OPERATING	516,552
Total ................................. 3a				1,549,656

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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	231
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	483,732
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) ..				486,471

13Total. Add line 12, columns (b), (d), and (e)..................

486,471

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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? ...........Yes No

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.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

Name of Bond	End of Year Book Value	End of Year Fair Market Value
256210105 DODGE & COX INCOME F
258620103 DOUBLELINE TOTAL RET
31420B847 FEDERATED INST HI YL
74441R607 PGIM SH/TRM CORP BD-
85918D624 STERLING CAPITAL TOT
592905764 METROPOLITAN WEST T/
693390882 PIMCO INTERNATIONAL

Name of Stock	End of Year Book Value	End of Year Fair Market Value
002824100 ABBOTT LABORATORIES
00287Y109 ABBVIE INC COMMON
00724F101 ADOBE SYSTEM INC COM
00912X302 AIR LEASE CORP COMMO
009158106 AIR PRODUCTS AND CHE
011659109 ALASKA AIR GROUP INC
015271109 ALEXANDRIA REAL ESTA
015351109 ALEXION PHARMACEUTIC
02079K107 ALPHABET INC -CL C C
021ESC017 ESCROW ALTEGRITY INC
023135106 AMAZON.COM INC COMMO
023608102 AMEREN CORPORATION C
03073E105 AMERISOURCEBERGEN CO
031100100 AMETEK INC COMMON
032654105 ANALOG DEVICES INC.
36752103 ANTHEM INC COMMON
037833100 APPLE INC COMMON
038222105 APPLIED MATERIALS CO
045327103 ASPEN TECH COMMON
052769106 AUTODESK INC COMMON
058498106 BALL CORPORATION COM
090572207 BIO-RAD LABS CLASS A
09061G101 BIOMARIN PHARMACEUTI
097023105 THE BOEING COMPANY C
101137107 BOSTON SCIENTIFIC CO
12514G108 CDW CORP OF DELAWARE
126650100 CVS COMMON
14448C104 CARRIER GLOBAL CORP
146869102 CARVANA CO COMMON
147528103 CASEY'S GENERAL STOR
15872M104 CHAMPIONX CORPORATIO
172908105 CINTAS CORPORATION C
219350105 CORNING INC COMMON
22822V101 CROWN CASTLE INTL CO
233331107 DTE ENERGY COMPANY C
23355L106 DXC TECHNOLOGY CO CO
235851102 DANAHER CORP COMMON
247361702 DELTA AIR LINES INC
252131107 DEXCOM INC COMMON
254687106 THE WALT DISNEY COMP
254709108 DISCOVER FINANCIAL S
256746108 DOLLAR TREE INC COMM
30040W108 EVERSOURCE ENERGY CO
30212P303 EXPEDIA INC COMMON
30303M102 FACEBOOK INC-A COMMO
31620M106 FIDELITY NATL INFO S
33616C100 FIRST REPUBLIC BANK
344849104 FOOT LOCKER INC. COM
37045V100 GENERAL MOTORS CO. C
416515104 HARTFORD FINL SVCS G
418056107 HASBRO INC COMMON
437076102 HOME DEPOT INC COMMO
438516106 HONEYWELL INTERNATIO
44980X109 IPG PHOTONICS CORP C
452327109 ILLUMINA INC COM
45687V106 INGERSOLL-RAND INC C
45866F104 INTERCONTINENTALEXCH
46120E602 INTUITIVE SURGICAL I
478160104 JOHNSON & JOHNSON CO
48020Q107 JONES LANG LA SALLE
49338L103 KEYSIGHT TECHNOLOGIE
502431109 L3HARRIS TECHNOLOGIE
512807108 LAM RESEARCH CORP CO
517834107 LAS VEGAS SANDS CORP
538034109 LIVE NATION COMMON
550021109 LULULEMON ATHLETICA
57772K101 MAXIM INTEGRATED PRO
580135101 MCDONALDS CORP. COMM
58933Y105 MERCK & CO INC COMMO
594918104 MICROSOFT CORP COMMO
595112103 MICRON TECHNOLOGY IN
617446448 MORGAN STANLEY COMMO
62886E108 NCR CORP COMMON
631103108 NASDAQ INC COMMON
64110L106 NETFLIX INC COMMON
654106103 NIKE INC CLASS B
67066G104 NVIDIA CORP COMMON
67103H107 O'REILLY AUTOMOTIVE
674599105 OCCIDENTAL PETROLEUM
679580100 OLD DOMINION FREIGHT
68902V107 OTIS WORLDWIDE CORP
697435105 PALO ALTO NETWORKS I
70450Y103 PAYPAL HOLDINGS INC
713448108 PEPSICO INC COMMON
717081103 PFIZER INC COMMON
718546104 PHILLIPS 66 COMMON
723787107 PIONEER NATURAL RESO
743315103 PROGRESSIVE CORP COM
74340W103 PROLOGIS INC. COMMON
75513E101 RAYTHEON TECHNOLOGIE
773903109 ROCKWELL AUTOMATION
778296103 ROSS STORES, INC. CO
78409V104 S&P GLOBAL INC COMMO
79466L302 SALESFORCE.COM INC I
803607100 SAREPTA THERAPEUTICS
817565104 SERVICE CORP INTL CO
81762P102 SERVICENOW INC COMMO
824348106 SHERWIN-WILLIAMS CO
848637104 SPLUNK, INC. COMMON
855244109 STARBUCKS CORP COMMO
85571B105 STARWOOD PROPERTY TR
87166B102 SYNEOS HEALTH INCH C
872590104 T-MOBILE US INC COMM
879360105 TELEDYNE TECHNOLOGIE
883556102 THERMO FISHER SCIENT
893641100 TRANSDIGM GROUP INC
907818108 UNION PACIFIC CORP C
911312106 UNITED PARCEL SERVIC
91324P102 UNITEDHEALTH GROUP I
91879Q109 VAIL RESORTS COMMON
92220P105 VARIAN MED SYS INC C
92343V104 VERIZON COMMUNICATIO
92532F100 VERTEX PHARMACEUTICA
92556V106 VIATRIS INC COM
92826C839 VISA INC CLASS A SHA
929042109 VORNADO REALTY TRUST
931142103 WALMART INC COMMON
949746101 WELLS FARGO & CO COM
957638109 WESTERN ALLIANCE BAN
958102105 WESTERN DIGITAL CORP
98138H101 WORKDAY INC COMMON
98156Q108 WORLD WRESTLING ENTE
983919101 XILINX INC COMMON
98978V103 ZOETIS INC COMMON
001317205 AIA GROUP LTD
00687A107 ADIDAS AG
009126202 AIR LIQUIDE COMMON
015393101 ALFA LAVAL AB -UNSPO
01609W102 ALIBABA GROUP HOLDIN
018820100 ALLIANZ SOCIETAS EUR
02263T104 AMADEUS IT HOLDINGS
02319V103 AMBEV SA-ADR
049255706 ATLAS COPCO AB SPONS
056752108 BAIDU INC
5946K101 BANCO BILBAO VIZCAYA
136375102 CANADIAN NATL RY CO
143658300 CARNIVAL CORP CORP C
16941M109 CHINA MOBILE HK LTD
171269103 CHUGAI PHARMACEUTIC
23304Y100 DBS GROUP HLDGS LTD
237545108 DASSAULT SYSTEMS
25243Q205 DIAGEO PLC SPONSORED
29250N105 ENBRIDGE INC
29429L105 EPIROC AB -UNSP ADR
307305102 FANUC LTD ADR
344419106 FOMENTO ECONOMICO ME
35952Q106 FUCHS PETROLU SE-PRE
36197T103 GW PHARMACEUTICALS -
40415F101 HDFC BANK LTD ADR
45104G104 ICICI BANK LIMITED S
45662N103 INFINEON TECHNOLOGY
465562106 ITAU UNIBANCO BANCO
500458401 KOMATSU LTD
501173207 KUBOTA CORPORATION
502117203 L'OREAL UNSPONSORED
54338V101 LONZA GROUP AG ADR
575385109 MASONITE INTERNATION
641069406 NESTLE SA ADR
66987V109 NOVARTIS A G ADR
670108109 NOVOZYMES A/S UNSPON
69343P105 LUKOIL PJSC-SPON ADR
72341E304 PING AN INSURANCE GR
74365P108 PROSUS N V SPON ADR
767204100 RIO TINTO PLC ADR
771195104 ROCHE HOLDING LTD AD
780259107 ROYAL DUTCH SHELL PL
803054204 SAP SE ADR
806857108 SCHLUMBERGER LTD COM
818800104 SGS SA UNSPONSORED A
83569C102 SONOVA HOLDING AG
87155N109 SYMRISE AG ADR
87184P109 SYSMEX CORP
874039100 TAIWAN SEMICONDUCTOR
88032Q109 TENCENT HOLDINGS LIM
90460M204 UNICHARM CORP
904767704 UNILEVER PLC-SPONSOR
94106B101 WASTE CONNECTIONS IN
G02602103 AMDOCS LTD SC COMMON
G0450A105 ARCH CAPITAL GROUP L
G1151C101 ACCENTURE PLC IRELAN
G4705A100 ICON PLC
G5494J103 LINDE PLC
G5960L103 MEDTRONIC PLC COMMON
G6095L109 APTIV PLC APTIV PLC
G8994E103 TRANE TECHNOLOGIES P
H1467J104 CHUBB LIMITED PROSPE
L0223L101 ARDAGH GROUP SA
M22465104 CHECKPOINT SOFTWARE
N22717107 CORE LABORATORIES N.
N6596X109 NXP SEMICONDUCTORS N
N97284108 YANDEX NV-A

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
464287234 ISHARES MSCI EMERGIN
464287804 ISHARES S&P SMALLCAP
464288273 ISHARES MSCI EAFE SM
674599162 OCCIDENTAL PETROLEUM

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
LEGAL FEES - INCOME (ALLOCABLE	10,000			10,000
NON-ALLOCABLE LEGAL FEES	264			264

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
OTHER ALLOCABLE EXPENSE-PRINCI	55	0		55
OTHER EXPENSE (NON-DEDUCTIBLE	9	9		0

Category	Amount	Net Investment Income
FOREIGN TAXES	29	29
FEDERAL TAX PAYMENT - PRIOR YE	354	0
FEDERAL ESTIMATES - PRINCIPAL	7,658	0