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 08-01-2021 , and ending 07-31-2022
Name of foundation
JOE & HELEN M CLEMENTS FOUNDATION XXXXX9005
 
Number and street (or P.O. box number if mail is not delivered to street address)10 S DEARBORN IL1-0111
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60603
A Employer identification number

74-6245117
B Telephone number (see instructions)

(800) 496-2583
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$2,080,475J 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      
4 Dividends and interest from securities... 71,488 71,474  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 26,111
b Gross sales price for all assets on line 6a 329,871
7 Capital gain net income (from Part IV, line 2)... 26,111
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)....... Click to see attachment 2 2  
12 Total. Add lines 1 through 11........ 97,601 97,587  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 29,928 17,418   12,510
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,377 902   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).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 32,305 18,320 0 12,510
25 Contributions, gifts, grants paid....... 96,296 96,296
26 Total expenses and disbursements. Add lines 24 and 25 128,601 18,320 0 108,806
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -31,000
b Net investment income (if negative, enter -0-) 79,267
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............. 1,323 1,514 1,514
2 Savings and temporary cash investments......... 25,652 15,668 15,668
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)....... 964,906 Click to see attachment973,354 1,283,393
c Investments—corporate bonds (attach schedule)....... 746,298 Click to see attachment717,994 677,920
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 105,259 Click to see attachment103,660 101,980
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,843,438 1,812,190 2,080,475
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........ 1,843,438 1,812,190
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)..... 1,843,438 1,812,190
30 Total liabilities and net assets/fund balances (see instructions). 1,843,438 1,812,190
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
1,843,438
2
Enter amount from Part I, line 27a .....................
2
-31,000
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
7
4
Add lines 1, 2, and 3 ..........................
4
1,812,445
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
255
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,812,190
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 4. COMCAST CORP NEW CL A     2021-08-03
b 1. REPUBLIC SERVICES INC   2015-04-29 2021-08-03
c 1. AMERICAN EXPRESS CO   2020-11-25 2021-08-04
d 1. ANALOG DEVICES INC   2011-05-03 2021-08-04
e 2. ENTERGY CORP NEW     2021-08-04
2. HASBRO INC     2021-08-04
1. JOHNSON & JOHNSON   2008-05-07 2021-08-04
1. MICROSOFT CORP   2009-07-17 2021-08-04
2. MORGAN STANLEY DEAN WITTER & CO NEW     2021-08-04
1. ORGANON & CO   2021-06-04 2021-08-04
1. REPUBLIC SERVICES INC   2015-04-29 2021-08-04
3. US BANCORP DEL NEW   2011-05-13 2021-08-04
1. TRANE TECHNOLOGIES PLC   2020-03-12 2021-08-04
1. DEERE & CO   2019-03-07 2021-08-12
1. DOVER CORP   2016-10-04 2021-08-12
1. EATON CORP PLC   2020-07-01 2021-08-12
1. EATON CORP PLC   2020-07-01 2021-08-12
1. HOME DEPOT INC   2009-07-17 2021-08-30
1. V F CORP   2021-05-04 2021-09-20
1. V F CORP   2021-05-04 2021-09-20
1. V F CORP   2021-01-27 2021-09-21
1. REPUBLIC SERVICES INC   2015-07-07 2021-09-30
1. V F CORP   2021-01-27 2021-10-13
1. V F CORP   2021-05-21 2021-10-13
1. SCHWAB CHARLES CORP NEW   2020-11-25 2021-10-15
2. SCHWAB CHARLES CORP NEW     2021-10-15
1. CONOCOPHILLIPS   2021-05-04 2021-10-18
1. SCHWAB CHARLES CORP NEW   2020-11-30 2021-10-18
1. CONOCOPHILLIPS   2021-05-04 2021-10-19
1. CONOCOPHILLIPS   2021-05-04 2021-10-19
1. CONOCOPHILLIPS   2016-11-18 2021-10-19
750. ISHARES CORE MSCI EMERGING     2021-10-20
1. BEST BUY INC   2020-08-06 2021-11-05
1. KYNDRYL HOLDINGS INC     2021-11-05
1. BEST BUY INC   2020-12-15 2021-11-08
.4 KYNDRYL HOLDINGS INC     2021-11-09
.6 KYNDRYL HOLDINGS INC     2021-11-09
1. STANLEY BLACK & DECKER,INC.   2016-02-24 2021-11-16
1. STANLEY BLACK & DECKER,INC.   2016-02-24 2021-11-17
. ORION OFFICE REIT INC     2021-11-30
1. REPUBLIC SERVICES INC   2015-07-06 2021-11-30
1. MICROSOFT CORP   2009-07-17 2021-12-08
2. VORNADO RLTY TR   2019-10-01 2021-12-17
2. VORNADO RLTY TR   2019-10-01 2021-12-17
1. MEDTRONIC PLC   2021-06-18 2021-12-17
1. MEDTRONIC PLC   2021-06-18 2021-12-17
1. STANLEY BLACK & DECKER,INC.   2016-02-24 2021-12-23
1. STANLEY BLACK & DECKER,INC.   2016-01-28 2021-12-23
1. STANLEY BLACK & DECKER,INC.   2016-01-28 2021-12-28
1. CHEVRON CORP   2016-01-13 2022-01-03
1. DOVER CORP   2016-11-21 2022-01-03
1. FIDELITY NATL INFORMATION SVCS INC   2021-05-07 2022-01-03
1. FIDELITY NATL INFORMATION SVCS INC   2021-05-07 2022-01-03
1. REALTY INCOME CORP   2020-03-12 2022-01-03
1. VALERO REFNG & MARKETING CO   2016-08-03 2022-01-03
2. CHEVRON CORP   2015-10-01 2022-01-04
1. DOVER CORP   2016-11-21 2022-01-04
1. FIDELITY NATL INFORMATION SVCS INC   2021-04-08 2022-01-04
1. HASBRO INC   2018-06-13 2022-01-04
1. HASBRO INC   2018-06-15 2022-01-04
1. REALTY INCOME CORP   2020-06-02 2022-01-04
1. VALERO REFNG & MARKETING CO   2016-08-03 2022-01-04
2. EATON CORP PLC     2022-01-04
1. CHEVRON CORP   2015-09-30 2022-01-05
1. REALTY INCOME CORP   2020-06-02 2022-01-05
1. VALERO REFNG & MARKETING CO   2016-08-03 2022-01-05
1. EATON CORP PLC   2020-05-28 2022-01-05
1. TRANE TECHNOLOGIES PLC   2020-05-14 2022-01-05
1. REALTY INCOME CORP   2020-06-02 2022-01-06
1. LILLY ELI & CO   2018-02-05 2022-01-12
1. TRANE TECHNOLOGIES PLC   2020-05-13 2022-01-12
1. CHEVRON CORP   2015-09-30 2022-01-20
1. VALERO REFNG & MARKETING CO   2016-08-03 2022-01-21
1. VALERO REFNG & MARKETING CO   2016-08-03 2022-01-21
1. CME GROUP INC   2012-04-26 2022-01-24
1. CHEVRON CORP   2015-09-30 2022-01-24
1. VALERO REFNG & MARKETING CO   2016-08-03 2022-01-24
1. HASBRO INC   2018-06-19 2022-01-26
346. VANGUARD BD INDEX FD INC   2021-07-28 2022-01-26
314. VANGUARD BD INDEX FD INC     2022-01-26
1. HASBRO INC   2018-06-19 2022-01-27
1. HASBRO INC   2018-06-19 2022-01-28
1. FIDELITY NATL INFORMATION SVCS INC   2021-04-08 2022-02-04
1. FIDELITY NATL INFORMATION SVCS INC   2013-03-20 2022-02-04
1. V F CORP   2021-05-21 2022-02-04
1. V F CORP   2018-12-04 2022-02-04
1. V F CORP   2009-08-28 2022-02-07
1. V F CORP   2009-08-28 2022-02-08
1. HASBRO INC   2018-06-19 2022-02-11
1. HASBRO INC   2018-06-19 2022-02-11
1. HASBRO INC   2018-06-19 2022-02-15
2. HASBRO INC   2019-01-04 2022-02-16
1. HASBRO INC   2019-01-04 2022-02-17
2275.025 SIX CIRCLES CREDIT OPPORT     2022-02-23
200. VANGUARD BD INDEX FD INC     2022-02-23
1. CONOCOPHILLIPS   2016-06-22 2022-03-01
1. CONOCOPHILLIPS   2016-06-22 2022-03-01
1. CONOCOPHILLIPS   2016-06-22 2022-03-01
1. CONOCOPHILLIPS   2016-06-22 2022-03-01
1. CONOCOPHILLIPS   2016-06-22 2022-03-01
1. CONOCOPHILLIPS   2016-06-22 2022-03-02
1. CONOCOPHILLIPS   2016-06-22 2022-03-02
2. CONOCOPHILLIPS     2022-03-02
1. CONOCOPHILLIPS   2016-06-22 2022-03-02
1. GAP INC   2021-05-17 2022-03-07
1. GAP INC   2021-05-14 2022-03-07
11. GAP INC     2022-03-07
2. GAP INC   2021-07-15 2022-03-07
1. CONOCOPHILLIPS   2016-06-22 2022-03-08
1. CONOCOPHILLIPS   2016-06-22 2022-03-08
2. GAP INC   2021-07-15 2022-03-08
2. GAP INC   2021-07-15 2022-03-08
1. PNC FINL SVCS GROUP INC   2013-03-04 2022-03-09
3. CHEVRON CORP   2015-09-30 2022-03-10
1. INTEL CORP   2021-01-21 2022-03-10
2. INTEL CORP     2022-03-10
2. INTEL CORP   2021-01-22 2022-03-10
1. PNC FINL SVCS GROUP INC   2013-03-04 2022-03-10
2. CHEVRON CORP     2022-03-11
1800. ISHARES US TREASURY BOND ETF   2021-04-30 2022-04-07
370. VANGUARD MORTGAGE-BACKED SEC     2022-04-07
1. AMERICAN EXPRESS CO   2020-04-09 2022-04-08
1. CME GROUP INC   2012-04-26 2022-04-08
1. EMBECTA CORP     2022-04-08
1. AMERICAN EXPRESS CO   2020-04-09 2022-04-11
1. AMERICAN EXPRESS CO   2020-04-07 2022-04-11
1. CME GROUP INC   2012-04-26 2022-04-11
1. AMERICAN EXPRESS CO   2020-04-07 2022-04-12
1. CME GROUP INC   2012-04-26 2022-04-12
2. SCHWAB CHARLES CORP NEW     2022-04-14
1. SCHWAB CHARLES CORP NEW   2020-11-03 2022-04-18
. EMBECTA CORP     2022-04-19
1. GAP INC   2021-07-15 2022-04-19
1. TEXAS INSTRS INC   2013-03-13 2022-04-19
2. ENTERGY CORP NEW     2022-04-20
2. GAP INC     2022-04-20
1. GAP INC   2021-04-01 2022-04-21
1. GAP INC   2021-03-26 2022-04-21
1. GAP INC   2021-03-26 2022-04-21
1. V F CORP   2009-08-28 2022-04-22
1. GAP INC   2021-03-26 2022-04-25
1. GAP INC   2021-03-26 2022-04-25
10. GAP INC     2022-04-25
3. GAP INC   2021-03-29 2022-04-25
1. V F CORP   2009-08-28 2022-04-25
1. V F CORP   2009-08-28 2022-04-25
3. V F CORP   2009-08-28 2022-04-25
1. FIDELITY NATL INFORMATION SVCS INC   2013-03-20 2022-05-03
1. FIDELITY NATL INFORMATION SVCS INC   2013-03-20 2022-05-03
1. FIDELITY NATL INFORMATION SVCS INC   2013-03-20 2022-05-03
2. V F CORP   2009-08-28 2022-05-04
1. V F CORP   2009-08-28 2022-05-04
1. NORTHROP GRUMMAN CORP   2021-09-29 2022-05-10
1. NORTHROP GRUMMAN CORP   2021-09-24 2022-05-10
1. CHEVRON CORP   2010-01-26 2022-05-17
1. CHEVRON CORP   2010-01-26 2022-05-17
1. CONOCOPHILLIPS   2016-06-22 2022-06-08
1. CONOCOPHILLIPS   2016-06-22 2022-06-08
1. CONOCOPHILLIPS   2016-05-11 2022-06-08
200. ISHARES MISCI EAFE INDEX FUND   2016-02-02 2022-06-08
457. JPMORGAN BETABUILDERS EUROPE ETF     2022-06-08
18. JPMORGAN BETABUILDERS EUROPE ETF   2021-04-30 2022-06-08
4. FIDELITY NATL INFORMATION SVCS INC   2013-03-20 2022-06-16
425. VANGUARD MORTGAGE-BACKED SEC   2022-02-23 2022-06-16
75. VANGUARD MORTGAGE-BACKED SEC     2022-06-16
1. LILLY ELI & CO   2016-05-17 2022-06-29
150.15 BLACKSTONE ALT MULTI-STRAT-Y   2018-11-14 2022-07-01
636.132 LORD ABBETT SHRT DUR INC-F3   2021-10-20 2022-07-01
25. SPDR TR UNIT SER 1     2022-07-01
1370.614 SIX CIRCLES GLOBAL BOND   2020-11-05 2022-07-01
1. MCDONALDS CORP   2022-03-08 2022-07-05
2. SYSCO CORP   2022-03-01 2022-07-05
1. SYSCO CORP   2021-05-04 2022-07-05
1. NORTHERN TR CORP   2012-12-19 2022-07-11
2. TEXAS INSTRS INC   2013-03-13 2022-07-11
2. NORTHERN TR CORP   2012-12-19 2022-07-12
1. UNITEDHEALTH GROUP INC   2021-06-10 2022-07-15
1. BECTON DICKINSON & CO   2021-03-11 2022-07-28
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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    
(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 233   144 89
b 120   40 80
c 168   120 48
d 173   40 133
e 207   223 -16
199   182 17
174   68 106
287   24 263
193   83 110
29   34 -5
120   40 80
166   75 91
201   100 101
385   157 228
172   58 114
166   87 79
166   87 79
327   25 302
68   89 -21
68   89 -21
67   81 -14
121   40 81
72   81 -9
72   79 -7
81   50 31
161   99 62
75   52 23
81   49 32
75   52 23
75   52 23
75   44 31
48,259   41,215 7,044
129   102 27
24   30 -6
130   102 28
9   10 -1
13   17 -4
197   93 104
194   93 101
8     8
132   40 92
333   24 309
82   126 -44
82   126 -44
101   124 -23
102   124 -22
182   93 89
181   91 90
186   91 95
119   81 38
178   57 121
114   153 -39
113   152 -39
71   67 4
77   54 23
243   161 82
182   57 125
114   149 -35
104   91 13
104   91 13
72   54 18
79   54 25
342   172 170
123   78 45
72   54 18
79   54 25
171   85 86
195   77 118
71   54 17
253   78 175
195   76 119
128   78 50
80   54 26
79   54 25
221   54 167
124   78 46
76   54 22
92   89 3
27,673   28,508 -835
25,115   25,865 -750
89   89  
87   89 -2
113   149 -36
113   38 75
63   79 -16
63   77 -14
63   17 46
63   17 46
95   89 6
95   89 6
97   89 8
194   163 31
101   82 19
22,500   23,043 -543
15,831   16,465 -634
97   44 53
97   44 53
97   44 53
96   44 52
96   44 52
99   44 55
99   44 55
197   89 108
99   44 55
14   36 -22
14   36 -22
161   376 -215
28   61 -33
102   44 58
103   44 59
30   61 -31
29   61 -32
187   64 123
511   235 276
47   60 -13
93   119 -26
93   118 -25
184   64 120
342   152 190
44,145   47,451 -3,306
18,195   20,050 -1,855
184   95 89
243   54 189
29   16 13
179   95 84
179   90 89
239   54 185
177   90 87
237   54 183
167   92 75
74   43 31
13     13
15   30 -15
178   35 143
252   217 35
29   60 -31
14   30 -16
15   29 -14
14   29 -15
55   17 38
12   29 -17
12   29 -17
121   267 -146
36   87 -51
54   17 37
54   17 37
160   50 110
100   38 62
100   38 62
100   38 62
103   33 70
51   17 34
450   364 86
450   355 95
174   74 100
174   74 100
122   44 78
123   44 79
123   44 79
13,855   10,831 3,024
23,760   26,884 -3,124
936   1,031 -95
363   154 209
19,905   21,692 -1,787
3,513   4,036 -523
322   77 245
1,500   1,599 -99
2,500   2,659 -159
9,530   4,904 4,626
12,500   13,994 -1,494
252   224 28
170   172 -2
85   83 2
95   50 45
307   71 236
192   99 93
529   402 127
244   233 11
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
      18,099
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       89
b       80
c       48
d       133
e       -16
      17
      106
      263
      110
      -5
      80
      91
      101
      228
      114
      79
      79
      302
      -21
      -21
      -14
      81
      -9
      -7
      31
      62
      23
      32
      23
      23
      31
      7,044
      27
      -6
      28
      -1
      -4
      104
      101
      8
      92
      309
      -44
      -44
      -23
      -22
      89
      90
      95
      38
      121
      -39
      -39
      4
      23
      82
      125
      -35
      13
      13
      18
      25
      170
      45
      18
      25
      86
      118
      17
      175
      119
      50
      26
      25
      167
      46
      22
      3
      -835
      -750
       
      -2
      -36
      75
      -16
      -14
      46
      46
      6
      6
      8
      31
      19
      -543
      -634
      53
      53
      53
      52
      52
      55
      55
      108
      55
      -22
      -22
      -215
      -33
      58
      59
      -31
      -32
      123
      276
      -13
      -26
      -25
      120
      190
      -3,306
      -1,855
      89
      189
      13
      84
      89
      185
      87
      183
      75
      31
      13
      -15
      143
      35
      -31
      -16
      -14
      -15
      38
      -17
      -17
      -146
      -51
      37
      37
      110
      62
      62
      62
      70
      34
      86
      95
      100
      100
      78
      79
      79
      3,024
      -3,124
      -95
      209
      -1,787
      -523
      245
      -99
      -159
      4,626
      -1,494
      28
      -2
      2
      45
      236
      93
      127
      11
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 26,111
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 1,102
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 1,102
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,132
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 2,132
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,030
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,030 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)
    bulletTX
    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 addressbullet  
    14
    The books are in care ofbulletJ P MORGAN CHASE BANK NA Telephone no.bullet (800) 496-2583

    Located atbullet10 S DEARBORN ST MC IL-0111CHICAGOIL ZIP+4bullet60603
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    J P MORGAN CHASE BANK NA TRUSTEE
    2     		29,928    
    10 S DEARBORN ST MC IL 1-0111
    CHICAGO,IL60603
    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
    2,233,880
    b
    Average of monthly cash balances.......................
    1b
    58,522
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,292,402
    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
    2,292,402
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    34,386
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,258,016
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    112,901
    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
    112,901
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,102
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,102
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    111,799
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    111,799
    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
    111,799
    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 7 111,799
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 96,297
    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$ 108,806
    a Applied to 2020, but not more than line 2a 96,297
    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..... 12,509
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		99,290
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    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
    FATHER FLANAGANS BOYS' HOME
    C/O ESTATE ADMINISTRATION C/O ESTATE ADM
    14100 CRAWFORD ST
    BOYS TOWN,NE680107520     		NONE PC GENERAL 24,074
    CAL FARLEY'S BOYS RANCH
    ATTN DIEDRE SCHULER BALLOU CPA
    PO BOX 1890
    AMARILLO,TX791740001     		NONE PC GENERAL 24,074
    WEST TEXAS BOYS RANCH
    ATTN BILL GHOLSON EXEC DIR
    10223 BOYS RANCH RD
    SAN ANGELO,TX769043665     		NONE PC GENERAL 24,074
    NEW MEXICO BOYS RANCH FDTN
    6209 HENDRIX RD NE
    ALBUQUERQUE,NM871101334     		NONE PC GENERAL 24,074
    Total .................................bullet 3a 96,296
    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 ...........     		         
    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 26,111  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEE ADJUSTMENT     		    1 2  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   97,601  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    97,601
    (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 InvestmentsCorpBondsSchedule
    Name:
    JOE & HELEN M CLEMENTS FOUNDATION XXXXX9005
    EIN:
    74-6245117
    Name of Bond End of Year Book Value End of Year Fair Market Value
    92203J308 VANGUARD TTL INTL BN 201,050 187,745
    921937827 VANGUARD SHORT-TERM    
    4812C0100 JPM CORE BD FD - USD 47,821 47,536
    464287440 ISHARES 7-10 YEAR TR 62,922 64,049
    54401E143 LORD ABBETT SHRT DUR 42,369 40,294
    72201F490 PIMCO INCOME FUND-IN 25,360 23,336
    83002G108 SIX CIRCLES ULTR SHR 19,577 19,166
    46429B267 ISHARES US TREASURY    
    83002G702 SIX CIRCLES GLOBAL B 225,386 205,529
    83002G884 SIX CIRCLES CREDIT O 44,707 42,419
    92206C771 VANGUARD MORTGAGE-BA    
    921937835 VANGUARD TOTAL BOND 22,483 22,301
    92203J407 VANGUARD TOTAL INTL 26,319 25,545

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    JOE & HELEN M CLEMENTS FOUNDATION XXXXX9005
    EIN:
    74-6245117
    Name of Stock End of Year Book Value End of Year Fair Market Value
    09247X101 BLACKROCK INC 823 3,346
    12572Q105 CME GROUP INC 703 2,593
    14040H105 CAPITAL ONE FINANCIA 1,349 1,647
    20030N101 COMCAST CORP-CLASS A 2,291 3,227
    20825C104 CONOCOPHILLIPS 2,062 4,872
    31620M106 FIDELITY NATIONAL IN 191 511
    58933Y105 MERCK & CO. INC. 294 804
    59156R108 METLIFE INC 964 1,581
    65339F101 NEXTERA ENERGY INC 477 3,126
    G1151C101 ACCENTURE PLC-CL A 172 919
    H1467J104 CHUBB LTD 1,191 2,075
    363576109 ARTHUR J GALLAGHER & 356 1,790
    101121101 BOSTON PROPERTIES IN 824 638
    110122108 BRISTOL-MYERS SQUIBB 3,058 4,648
    166764100 CHEVRON CORP 846 1,965
    125896100 CMS ENERGY CORP 254 1,375
    191216100 COCA-COLA CO/THE 1,262 2,118
    260003108 DOVER CORP 994 2,406
    532457108 ELI LILLY & CO 459 1,978
    369550108 GENERAL DYNAMICS COR 1,981 3,173
    416515104 HARTFORD FINANCIAL S 425 1,418
    437076102 HOME DEPOT INC 487 2,408
    464287465 ISHARES MSCI EAFE ET    
    478160104 JOHNSON & JOHNSON 1,422 3,665
    580135101 MCDONALD'S CORP 1,452 2,634
    594918104 MICROSOFT CORP 194 2,246
    609207105 MONDELEZ INTERNATION 1,008 2,434
    655844108 NORFOLK SOUTHERN COR 727 2,512
    665859104 NORTHERN TRUST CORP 248 499
    713448108 PEPSICO INC 981 1,750
    717081103 PFIZER INC 558 1,465
    718172109 PHILIP MORRIS INTERN 2,215 3,497
    693475105 PNC FINANCIAL SERVIC 1,131 2,987
    693506107 PPG INDUSTRIES INC 914 2,586
    742718109 PROCTER & GAMBLE CO/ 1,444 2,084
    743315103 PROGRESSIVE CORP 296 1,381
    760759100 REPUBLIC SERVICES IN 355 1,248
    78462F103 SPDR S&P 500 ETF TRU 86,222 195,695
    854502101 STANLEY BLACK & DECK    
    74144T108 T ROWE PRICE GROUP I 372 1,111
    882508104 TEXAS INSTRUMENTS IN 528 2,683
    902973304 US BANCORP 755 1,463
    91913Y100 VALERO ENERGY CORP 163 332
    92343V104 VERIZON COMMUNICATIO 829 1,386
    918204108 VF CORP    
    98389B100 XCEL ENERGY INC 893 2,049
    46432F842 ISHARES CORE MSCI EA 42,825 43,435
    126650100 CVS HEALTH CORP 2,478 3,062
    315911750 FIDELITY 500 INDEX-I 258,557 339,819
    418056107 HASBRO INC    
    744573106 PUBLIC SERVICE ENTER 711 919
    855244109 STARBUCKS CORP 1,135 1,356
    929042109 VORNADO REALTY TRUST    
    G5960L103 MEDTRONIC PLC 2,194 2,406
    244199105 DEERE & CO 759 1,716
    571748102 MARSH & MCLENNAN COS 329 656
    701094104 PARKER HANNIFIN CORP 1,183 2,313
    931142103 WALMART INC 1,689 2,245
    83002G306 SIX CIRCLES US UNCON 165,146 206,401
    83002G405 SIX CIRCLES INTL UNC 163,731 159,366
    002824100 ABBOTT LABORATORIES 1,320 1,415
    009158106 AIR PRODUCTS & CHEMI 2,266 2,979
    015271109 ALEXANDRIA REAL ESTA 395 663
    025816109 AMERICAN EXPRESS CO 1,178 2,156
    03073E105 AMERISOURCEBERGEN CO 957 1,605
    031162100 AMGEN INC 936 990
    032654105 ANALOG DEVICES INC 876 3,783
    037833100 APPLE INC 95 813
    053484101 AVALONBAY COMMUNITIE 612 1,070
    060505104 BANK OF AMERICA CORP 1,500 3,482
    075887109 BECTON DICKINSON AND 432 1,466
    086516101 BEST BUY CO INC 1,181 1,001
    29364G103 ENTERGY CORP    
    459200101 INTL BUSINESS MACHIN 1,560 1,569
    617446448 MORGAN STANLEY 1,369 3,035
    666807102 NORTHROP GRUMMAN COR 1,545 2,395
    74340W103 PROLOGIS INC 1,192 1,458
    75513E101 RAYTHEON TECHNOLOGIE 3,229 4,288
    756109104 REALTY INCOME CORP    
    808513105 SCHWAB (CHARLES) COR 831 1,588
    871829107 SYSCO CORP 2,281 3,056
    872540109 TJX COMPANIES INC 1,990 2,324
    89832Q109 TRUIST FINANCIAL COR 702 1,565
    91324P102 UNITEDHEALTH GROUP I 2,558 5,423
    92276F100 VENTAS INC 921 807
    G29183103 EATON CORP PLC 1,110 2,077
    G8994E103 TRANE TECHNOLOGIES P 76 147
    00287Y109 ABBVIE INC 2,436 2,870
    00751Y106 ADVANCE AUTO PARTS I 1,610 1,549
    172967424 CITIGROUP INC 2,062 1,713
    219350105 CORNING INC 1,326 1,250
    26875P101 EOG RESOURCES INC 1,513 3,225
    364760108 GAP INC/THE    
    458140100 INTEL CORP    
    46434G103 ISHARES CORE MSCI EM    
    46641Q191 JPMORGAN BETABUILDER 38,142 37,471
    46641Q217 JPMORGAN BETABUILDER 63,322 62,612
    46641Q225 JPMORGAN BETABUILDER 20,746 26,121
    46641Q233 JPMORGAN BETABUILDER 32,683 32,195
    68622V106 ORGANON & CO    
    911312106 UNITED PARCEL SERVIC 2,750 2,923
    G7997R103 SEAGATE TECHNOLOGY H 1,226 1,280
    125523100 CIGNA CORP 1,553 1,928
    25746U109 DOMINION ENERGY INC 712 738
    30231G102 EXXON MOBIL CORP 3,694 4,750
    949746101 WELLS FARGO & CO 1,851 1,755
    N6596X109 NXP SEMICONDUCTORS N 1,709 1,839

    TY 2021 InvestmentsOtherSchedule2
    Name:
    JOE & HELEN M CLEMENTS FOUNDATION XXXXX9005
    EIN:
    74-6245117
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    09257V508 BLACKSTONE ALT MULTI AT COST 36,292 33,737
    09250J734 BLACKROCK EVNT DRVN AT COST 22,150 21,740
    64128R608 NEUBERGER BERMAN LON AT COST 21,500 24,227
    72201U638 PIMCO MRTG OPP & BND AT COST 23,718 22,276

    TY 2021 OtherDecreasesSchedule
    Name:
    JOE & HELEN M CLEMENTS FOUNDATION XXXXX9005
    EIN:
    74-6245117
    Description Amount
    ROUNDING 11
    RETURN OF CAPITAL ADJUSTMENT 209
    2021 SALES POSTED IN 2022 11
    COST BASIS ADJUSTMENT 24


    TY 2021 OtherIncomeSchedule2
    Name:
    JOE & HELEN M CLEMENTS FOUNDATION XXXXX9005
    EIN:
    74-6245117
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 2 2  


    TY 2021 OtherIncreasesSchedule
    Name:
    JOE & HELEN M CLEMENTS FOUNDATION XXXXX9005
    EIN:
    74-6245117
    Description Amount
    ADJUSTMENT TO INCOME 7


    TY 2021 TaxesSchedule
    Name:
    JOE & HELEN M CLEMENTS FOUNDATION XXXXX9005
    EIN:
    74-6245117
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 42 42   0
    FEDERAL ESTIMATES - INCOME 1,475 0   0
    FOREIGN TAXES ON QUALIFIED FOR 682 682   0
    FOREIGN TAXES ON NONQUALIFIED 178 178   0