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
WILLIAM VANDERHOUT TRUST 42C129014
 
Number and street (or P.O. box number if mail is not delivered to street address)5 COMMERCE PARK NORTH-WEALTH
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BEDFORD, NH03110
A Employer identification number

04-6753154
B Telephone number (see instructions)

(877) 773-1229
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,483,213
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 32,999 32,999  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 95,400
b Gross sales price for all assets on line 6a 590,484
7 Capital gain net income (from Part IV, line 2)... 95,400
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........ 128,399 128,399  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 25,208 16,808    
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)....... 850 567 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 3,472 207   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)....... 35 23    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 29,565 17,605 0 0
25 Contributions, gifts, grants paid....... 40,000 40,000
26 Total expenses and disbursements. Add lines 24 and 25 69,565 17,605 0 40,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 58,834
b Net investment income (if negative, enter -0-) 110,794
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.............      
2 Savings and temporary cash investments......... 57,996 57,249 57,249
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) 349,572 Click to see attachment380,298 366,503
b Investments—corporate stock (attach schedule)....... 727,827 Click to see attachment796,865 938,580
c Investments—corporate bonds (attach schedule)....... 168,682 Click to see attachment130,160 120,881
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
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) 1,304,077 1,364,572 1,483,213
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........ 1,304,077 1,364,572
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)..... 1,304,077 1,364,572
30 Total liabilities and net assets/fund balances (see instructions). 1,304,077 1,364,572
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
1,304,077
2
Enter amount from Part I, line 27a .....................
2
58,834
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,667
4
Add lines 1, 2, and 3 ..........................
4
1,364,578
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
6
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,364,572
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 10000. US TREASURY NOTE 1.875% 09/30/2022 DTD 10/02/2017   2020-01-29 2021-08-25
b 3000. US TREASURY NOTE 2.25% 11/15/2024 DTD 11/17/2014   2020-01-29 2021-08-25
c 1000. U.S. TREASURY NOTE 1.625% 08/15/2029 DTD 08/15/2019   2019-11-21 2021-08-25
d 93. LAS VEGAS SANDS CORP COM   2021-05-28 2021-09-17
e 293. LAS VEGAS SANDS CORP COM   2019-12-27 2021-09-17
2000. WALMART INC 3.05% 07/08/2026 DTD 04/23/2019   2020-07-31 2021-09-24
24. EMERSON ELECTRIC CO   2013-12-05 2021-09-27
47. J P MORGAN CHASE & CO   2020-06-24 2021-09-27
21. AMEREN CORP   2020-12-15 2021-09-30
239. AMEREN CORP   2020-03-20 2021-09-30
20. APPLE COMPUTER, INC   2013-06-06 2021-09-30
4. KLA-TENCOR CORP   2020-04-24 2021-09-30
53. MICROSOFT CORPORATION   2020-03-20 2021-09-30
145. PFIZER   2019-02-26 2021-09-30
47. REPUBLIC SVCS INC COM   2021-05-28 2021-09-30
30. TRUIST FINANCIAL CORP   2019-05-10 2021-09-30
3000. US TREASURY NOTE 1.875% 09/30/2022 DTD 10/02/2017   2021-06-29 2021-10-26
11000. US TREASURY NOTE 1.875% 09/30/2022 DTD 10/02/2017   2020-09-16 2021-10-26
2000. US TREASURY N/B 0.625% 08/15/2030 DT D 02/15/2021   2020-08-24 2021-10-26
9. BLACKROCK INC CL A   2020-06-24 2021-11-23
118. ENTERGY CORP COMMON NEW   2020-12-15 2021-11-23
190. EVERSOURCE ENERGY   2014-01-29 2021-11-23
34. LOCKHEED MARTIN CORP   2020-11-03 2021-11-23
451. PFIZER   2020-02-25 2021-11-23
15. REPUBLIC SVCS INC COM   2020-12-15 2021-11-23
28. TARGET CORP COM   2021-09-30 2021-11-23
2000. JP MORGAN CHASE 3.25% 09/23/2022 DTD 09/24/2012   2019-02-21 2021-11-24
1000. JP MORGAN CHASE 3.25% 09/23/2022 DTD 09/24/2012   2021-03-29 2021-11-24
2000. ONTARIO PROVINCE 2.2% 10/03/2022 DTD 10/03/2017   2021-03-29 2021-11-24
11000. ONTARIO PROVINCE 2.2% 10/03/2022 DTD 10/03/2017   2019-02-25 2021-11-24
3000. U.S. TREASURY NOTE 0.125% 09/30/2022 DTD 09/30/2020   2020-09-29 2021-11-24
138. APPLE COMPUTER, INC   2013-06-06 2021-12-27
9. BROADCOM INC   2021-09-30 2021-12-27
6. LOCKHEED MARTIN CORP   2020-12-15 2021-12-27
25. MICROSOFT CORPORATION   2020-12-15 2021-12-27
28. PHILIP MORRIS INTL INC COM   2014-04-10 2021-12-27
32. PROCTER & GAMBLE CO   2006-05-16 2021-12-27
32. REPUBLIC SVCS INC COM   2020-12-15 2021-12-27
16. ABBVIE INC   2019-12-27 2021-12-28
18. AMERICAN ELECTRIC POWER CO   2020-12-15 2021-12-28
12. BROADCOM INC   2021-09-30 2021-12-28
25. COCA COLA CO   2019-08-26 2021-12-28
83. EMERSON ELECTRIC CO   2020-11-03 2021-12-28
21. HASBRO INC   2021-06-11 2021-12-28
14. NEXTERA ENERGY INC COM   2021-05-28 2021-12-28
9. PPG INDUSTRIES   2020-12-15 2021-12-28
14. PHILIP MORRIS INTL INC COM   2014-04-10 2021-12-28
54. US BANCORP DEL NEW   2017-06-22 2021-12-28
3. UNITEDHEALTH GROUP INC COM   2021-12-27 2021-12-28
17. WEC ENERGY GROUP INC   2016-01-22 2021-12-28
16. WAL MART STORES INC   2020-12-15 2021-12-28
37. MEDTRONIC PLC   2019-08-26 2021-12-28
5000. BANK OF MONTREAL 2.55% 11/06/2022 DTD 11/06/2012   2020-12-28 2022-01-26
4000. U.S. TREASURY NOTE 0.125% 04/30/2023 DTD 04/30/2021   2021-05-12 2022-01-26
33. ABBVIE INC   2019-12-27 2022-02-02
53. J P MORGAN CHASE & CO   2020-06-24 2022-02-02
27. PNC BANK CORP   2021-12-27 2022-02-02
183. WEC ENERGY GROUP INC   2016-01-22 2022-02-02
8000. U.S. TREASURY NOTE 0.125% 04/30/2023 DTD 04/30/2021   2021-05-12 2022-02-28
19. CHEVRONTEXACO CORP   2019-12-13 2022-03-07
11. LOCKHEED MARTIN CORP   2018-12-17 2022-03-07
16. ELI LILLY & CO.   2021-12-27 2022-03-28
1000. BERKSHIRE HATHAWAY 2.75% 03/15/2023 DTD 03/15/2016   2021-06-29 2022-03-30
5000. BERKSHIRE HATHAWAY 2.75% 03/15/2023 DTD 03/15/2016   2019-02-21 2022-03-30
103. MERCK & CO INC NEW COM   2020-02-25 2022-03-30
115. METLIFE INC   2020-11-24 2022-03-30
4000. ROYAL BK OF CANADA 1.6% 04/17/2023 DTD 04/17/2020   2020-12-28 2022-03-30
7000. U.S. TREASURY NOTE 0.125% 05/15/2023 DTD 05/15/2020   2021-03-24 2022-04-28
3000. U.S. TREASURY NOTE 0.5% 05/31/2027 DTD 06/01/2020   2020-07-31 2022-04-28
1000. U.S. TREASURY NOTE 0.125% 04/30/2023 DTD 04/30/2021   2021-12-29 2022-04-28
3000. U.S. TREASURY NOTE 1.625% 05/15/2031 DTD 05/17/2021   2021-08-25 2022-04-28
10. UNITEDHEALTH GROUP INC COM   2021-12-27 2022-05-03
497. ALLY FINL INC COM   2022-02-02 2022-05-25
17. TARGET CORP COM   2022-03-28 2022-05-25
88. TARGET CORP COM   2020-12-15 2022-05-25
9000. US TREASURY BOND 2.5% 08/15/2023 DTD 08/15/2013   2021-03-29 2022-05-26
2000. U.S. TREASURY NOTE 0.125% 05/15/2023 DTD 05/15/2020   2022-03-31 2022-05-26
5000. U.S. TREASURY NOTE 0.125% 05/15/2023 DTD 05/15/2020   2021-03-24 2022-05-26
1000. U.S. TREASURY NOTE 0.625% 05/15/2030 DTD 05/15/2020   2020-09-16 2022-05-26
2000. U.S. TREASURY NOTE 1.625% 05/15/2031 DTD 05/17/2021   2021-08-25 2022-05-26
10. BLACKROCK INC CL A   2020-06-24 2022-06-21
213. EMERSON ELECTRIC CO   2021-05-28 2022-06-21
115. REPUBLIC SVCS INC COM   2020-12-15 2022-06-21
5000. BANK OF AMERICA 3.004% 12/20/2023 DTD 05/22/2018   2020-12-28 2022-06-28
13000. US TREASURY BOND 2.5% 08/15/2023 DTD 08/15/2013   2019-12-10 2022-06-28
1000. APPLE INC 3.45% 05/06/2024 DTD 05/06/2014   2020-12-28 2022-07-06
1000. BK OF NOVA SCOTIA 2.7% 08/03/2026 DTD 07/29/2019   2020-06-30 2022-07-06
1000. BRISTOL-MYERS SQB 3.4% 07/26/2029 DTD 07/15/2020   2019-07-26 2022-07-06
1000. CITIGROUP INC 2.666% 01/29/2031 DTD 01/29/2020 VARIABLE   2020-01-29 2022-07-06
1000. MICROSOFT CORP 2.4% 08/08/2026 DTD 08/08/2016   2020-12-28 2022-07-06
1000. SHELL INTL FIN 2.5% 09/12/2026 DTD 09/12/2016   2020-03-06 2022-07-06
1000. TOTAL CAP INTL SA 3.455% 02/19/2029 DTD 02/19/2019   2019-07-26 2022-07-06
1000. US TREASURY NOTE 2.75% 02/15/2028 DTD 2/15/2018   2021-03-29 2022-07-06
2000. U.S. TREASURY BOND 2.875% 08/15/2028 DTD 08/15/2018   2020-06-23 2022-07-06
1000. U.S. TREASURY NOTE 2.625% 02/15/2029 DTD 02/15/2019   2020-03-17 2022-07-06
3000. US TREASURY NOTE 2.25% 11/15/2024 DTD 11/17/2014   2020-12-28 2022-07-06
3000. US TREASURY NOTE 2.250 11/15/2025 DTD 11/15/2015   2020-12-28 2022-07-06
3000. US TREASURY NOTE 2.250% 12/31/2023 DTD 01/03/2017   2020-12-28 2022-07-06
2000. US TREASURY BOND 2.5% 08/15/2023 DTD 08/15/2013   2021-06-29 2022-07-06
1000. US TREASURY BOND 2.5% 05/15/2024 DTD 05/15/2014   2022-06-28 2022-07-06
2000. U.S. TREASURY NOTE 2.375% 05/15/2027 DTD 05/15/2017   2020-12-28 2022-07-06
1000. US TREASURY N/B 0.625% 08/15/2030 DT D 02/15/2021   2020-09-29 2022-07-06
1000. U.S. TREASURY NOTE 0.125% 09/15/2023 DTD 09/15/2020   2020-09-29 2022-07-06
1000. U.S. TREASURY NOTE 0.375% 09/30/2027 DTD 09/30/2020   2020-09-29 2022-07-06
1000. U.S. TREASURY NOTE 0.25% 09/30/2025 DTD 09/30/2020   2020-09-29 2022-07-06
1000. US TREAS N/T 1.125% 02/15/2031 DTD 02/16/2021   2021-03-24 2022-07-06
2000. U.S. TREASURY NOTE 0.375% 04/15/2024 DTD 04/15/2021   2021-05-12 2022-07-06
1000. U.S. TREASURY NOTE 0.75% 04/30/2026 DTD 04/30/2021   2021-05-12 2022-07-06
1000. U.S. TREASURY NOTE 1.625% 05/15/2031 DTD 05/17/2021   2021-06-25 2022-07-06
1000. U.S. TREASURY NOTE 1.25% 08/15/2031 DTD 08/16/2021   2021-12-29 2022-07-06
1000. U.S. TREASURY NOTE 1.375% 11/15/2031 DTD 11/15/2021   2022-01-26 2022-07-06
1000. US TREAS NOTE 1.875% 02/15/2032 DTD 02/15/2022   2022-02-28 2022-07-06
16. ELI LILLY & CO.   2021-12-27 2022-07-21
105. MERCK & CO INC NEW COM   2021-06-07 2022-07-21
140. TRUIST FINANCIAL CORP   2019-05-10 2022-07-21
8000. US TREASURY BOND 2.5% 08/15/2023 DTD 08/15/2013   2018-05-15 2022-07-28
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(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 10,196   10,050 146
b 3,168   3,078 90
c 1,032   989 43
d 3,498   5,381 -1,883
e 11,020   19,799 -8,779
2,196   2,222 -26
2,333   1,594 739
7,815   4,477 3,338
1,713   1,643 70
19,493   14,408 5,085
2,856   314 2,542
1,357   646 711
15,171   3,626 11,545
6,319   5,922 397
5,705   4,950 755
1,797   1,497 300
3,049   3,049  
11,179   10,983 196
1,846   1,997 -151
8,322   4,854 3,468
12,522   11,751 771
16,181   8,127 8,054
11,796   10,900 896
23,112   17,296 5,816
2,060   1,439 621
6,922   6,487 435
2,046   2,003 43
1,023   1,024 -1
2,030   2,033 -3
11,166   10,948 218
2,998   3,000 -2
24,721   2,164 22,557
6,041   4,402 1,639
2,101   2,052 49
8,517   3,638 4,879
2,604   2,374 230
5,178   1,795 3,383
4,369   3,070 1,299
2,145   1,426 719
1,587   1,505 82
8,069   5,728 2,341
1,470   1,329 141
7,720   4,980 2,740
2,085   2,027 58
1,288   1,034 254
1,542   1,289 253
1,314   1,187 127
3,066   2,769 297
1,508   1,494 14
1,635   910 725
2,278   2,325 -47
3,862   3,950 -88
5,066   5,002 64
3,968   3,998 -30
4,538   2,439 2,099
7,878   5,048 2,830
5,632   5,419 213
17,554   9,801 7,753
7,902   7,997 -95
3,036   2,244 792
5,179   3,357 1,822
4,632   4,461 171
1,007   1,021 -14
5,035   4,998 37
8,496   7,949 547
8,231   5,499 2,732
3,974   4,049 -75
6,858   6,997 -139
2,661   3,017 -356
981   997 -16
2,706   3,077 -371
5,014   4,521 493
19,978   23,952 -3,974
2,658   3,849 -1,191
13,761   15,125 -1,364
9,038   9,203 -165
1,964   1,983 -19
4,911   4,998 -87
850   998 -148
1,823   2,051 -228
6,092   4,426 1,666
17,194   14,223 2,971
14,196   11,032 3,164
4,983   5,008 -25
12,923   13,040 -117
1,009   1,055 -46
946   1,067 -121
972   1,033 -61
858   1,007 -149
971   1,066 -95
956   1,030 -74
958   1,045 -87
989   1,078 -89
1,989   2,273 -284
981   1,102 -121
2,954   3,141 -187
2,932   3,187 -255
2,970   3,092 -122
1,991   2,025 -34
992   989 3
1,948   2,165 -217
837   998 -161
967   1,000 -33
876   997 -121
917   1,000 -83
868   961 -93
1,912   2,002 -90
921   996 -75
902   1,008 -106
869   976 -107
876   965 -89
915   1,001 -86
5,238   4,461 777
9,451   7,685 1,766
6,743   6,986 -243
7,964   7,979 -15
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
      72
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       146
b       90
c       43
d       -1,883
e       -8,779
      -26
      739
      3,338
      70
      5,085
      2,542
      711
      11,545
      397
      755
      300
       
      196
      -151
      3,468
      771
      8,054
      896
      5,816
      621
      435
      43
      -1
      -3
      218
      -2
      22,557
      1,639
      49
      4,879
      230
      3,383
      1,299
      719
      82
      2,341
      141
      2,740
      58
      254
      253
      127
      297
      14
      725
      -47
      -88
      64
      -30
      2,099
      2,830
      213
      7,753
      -95
      792
      1,822
      171
      -14
      37
      547
      2,732
      -75
      -139
      -356
      -16
      -371
      493
      -3,974
      -1,191
      -1,364
      -165
      -19
      -87
      -148
      -228
      1,666
      2,971
      3,164
      -25
      -117
      -46
      -121
      -61
      -149
      -95
      -74
      -87
      -89
      -284
      -121
      -187
      -255
      -122
      -34
      3
      -217
      -161
      -33
      -121
      -83
      -93
      -90
      -75
      -106
      -107
      -89
      -86
      777
      1,766
      -243
      -15
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 95,400
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 1,540
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 1,540
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,032
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 2,032
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 10 492
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet492 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)
    bulletMA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (877) 773-1229

    Located atbullet5 COMMERCE PARK NORTHBEDFORDNH ZIP+4bullet03110
    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
    TD Bank NA Trustee
    1
    25,208    
    5 Commerce Park North
    Bedford,NH03110
    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
    1,477,831
    b
    Average of monthly cash balances.......................
    1b
    45,611
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,523,442
    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
    1,523,442
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    22,852
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,500,590
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    75,030
    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
    75,030
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,540
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,540
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    73,490
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    73,490
    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
    73,490
    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 73,490
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 44,002
    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$ 40,000
    a Applied to 2020, but not more than line 2a 40,000
    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..... 0
    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 .............
    4,002
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    73,490
    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).)
    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
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    PRINCIPAL NAUSET REGIONAL HIGH SCH
    PO BOX 1887
    NORTH EASTHAM,MA02654
    (508) 255-1505
    bThe form in which applications should be submitted and information and materials they should include:
    IN WRITING TO THE PRINCIPAL, GIVEN TO THE GUIDANCE SECRETARY
    cAny submission deadlines:
    APRIL 15 EACH YEAR
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NAUSET REGIONAL HS GRADS RESIDING IN MA TOWNS OF BREWSTER, EASTHAM, ORLEANS OR WELLFLEET WHO ARE PURSUING A BA OR EQUIVALENT DEGREE
    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
    Shay Lyn Risk
    C/O NRHS PO BOX 1887
    NORTH EASTHAM,MA026511887
    NONE NONE SCHOLARSHIP 10,000
    Lauren Velie
    C/O NRHS PO BOX 1887
    NORTH EASTMAN,MA026511887
    NONE NONE SCHOLARSHIP 10,000
    Miriam Caldwell
    C/O NRHS PO BOX 1887
    NORTH EASTMAN,MA026511887
    NONE NONE SCHOLARSHIP 10,000
    Francesca Galazzi
    C/O NRHS PO BOX 1887
    NORTH EASTHAM,MA026511887
    NONE NONE SCHOLARSHIP 10,000
    Total .................................bullet 3a 40,000
    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 95,400  
    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) ..   128,399  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    128,399
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    WILLIAM VANDERHOUT TRUST 42C129014
    EIN:
    04-6753154
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 850 567    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    WILLIAM VANDERHOUT TRUST 42C129014
    EIN:
    04-6753154
    Name of Bond End of Year Book Value End of Year Fair Market Value
    2000 ABBOTT LABORATORIES 1.4% 2,043 1,736
    5000 AMAZON.COM INC 3.15% 5,467 4,999
    6000 APPLE INC 3.45% 6,066 6,054
    1000 AUTO DATAPROCESS 1.25% 999 850
    3000 BANK OF AMERICA 3.248% 3,025 2,897
    3000 BK OF AMERICA 2.496% 3,053 2,619
    2000 BK OF AMERICA 1.319% 2,019 1,845
    7000 BK OF NY MELLON 1.6% 7,081 6,650
    4000 BK OF NOVA SCOTIA 2.7% 4,268 3,832
    2000 BERKSHIRE HATHAWAY 1.85% 2,010 1,769
    4000 BRISTOL-MYERS SQB 3.4% 4,120 3,961
    3000 CANADIAN IMPER BK 2.25% 3,096 2,894
    4000 CITIGROUP INC 2.666% 3,949 3,529
    1000 COCA COLA CO 3.45% 1,120 1,004
    4000 COMCAST CORP 2.35% 4,197 3,830
    2000 DUKE ENERGY CAROLIN 2.45% 2,057 1,827
    3000 EQUINOR ASA 2.875% 3,115 2,970
    6000 EXXON MOBIL 2.019% 6,070 5,871
    1000 HOME DEPOT INC 2.5% 1,045 971
    7000 JPMORGAN CHASE & CO 3.2% 7,094 6,911
    3000 JPMORGAN CHASE CO 2.522% 3,009 2,632
    3000 JOHNSON & JOHNSON 0.95% 3,003 2,743
    1000 KIMBERLY-CLARK 3.1% 1,099 969
    3000 MANULIFE FINANCIAL 4.15% 3,168 3,020
    3000 MERCK CO INC 0.75% 3,029 2,781
    6000 MICROSOFT CORP 2.4% 6,291 5,883
    3000 MORGAN STANLEY 3.125% 3,125 2,935
    3000 PEPSICO INC 2.75% 3,224 2,860
    3000 PROCTER & GAMBLE 3% 3,369 2,943
    3000 ROYAL BNK CANADA 1.15% 3,026 2,800
    4000 SHELL INTL FIN 2.5% 4,084 3,881
    3000 STATE STREET CORP 3.55% 3,123 3,018
    4000 TOTAL CAP INTL SA 3.455% 4,158 3,926
    1000 TOYOTA MOTOR CR 1.9% 1,007 914
    3000 TRUIST FINANCIAL 1.267% 2,987 2,734
    3000 US BANCORP 3.15% 3,068 2,958
    4000 WELLS FARGO 3% 4,220 3,879
    3000 WELLS FARGO 4.15% 3,276 2,986

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    WILLIAM VANDERHOUT TRUST 42C129014
    EIN:
    04-6753154
    Name of Stock End of Year Book Value End of Year Fair Market Value
    131 CUMMINS INC 28,391 28,992
    306 HASBRO INC 29,393 24,088
    425 COCA COLA CO 15,245 27,272
    267 PHILIP MORRIS INTL INC COM 23,343 25,939
    177 PROCTER & GAMBLE CO 9,926 24,587
    195 WAL MART STORES INC 28,242 25,750
    200 CHEVRON CORPORATION 22,333 32,756
    28 BLACKROCK INC CL A 10,527 18,737
    124 GALLAHER ARTHUR J & CO 20,634 22,195
    986 KEYCORP 17,339 18,044
    640 METLIFE INC 28,264 40,480
    111 PNC BANK CORP 21,238 18,419
    190 TRUIST FINANCIAL CORP 9,412 9,589
    557 US BANCORP DEL NEW 27,282 26,290
    325 MEDTRONIC PLC 33,867 30,069
    220 ABBVIE INC 13,034 31,572
    62 ELI LILLY & CO 17,285 20,441
    395 MERCK & CO INC NEW 31,438 35,289
    55 UNITEDHEALTH GROUP INC 22,320 29,829
    206 EMERSON ELECTRIC CO 15,838 18,554
    41 LOCKHEED MARTIN CORP 13,940 16,966
    247 MSC INDUSTRIAL DIRECT CO-A 20,685 20,417
    49 UNITED PARCEL SERVICE CL B 9,192 9,550
    180 ANALOG DEVICES INC 30,111 30,953
    67 BROADCOM INC 32,107 35,877
    365 CISCO SYSTEMS INC 10,641 16,560
    536 IRON MOUNTAIN INC 13,290 25,991
    43 KLA-TENCOR CORP 6,945 16,492
    61 MICROSOFT CORPORATION 1,574 17,125
    82 LINDE PLC 24,636 24,764
    196 PPG INDUSTRIES 28,189 25,341
    621 COMCAST CORP NEW CL A 28,430 23,300
    338 VERIZON COMMUNICATIONS 12,746 15,612
    321 AMERICAN ELECTRIC POWER CO 27,005 31,638
    1104 ENTERPRISE PRODS PARTNERS 24,222 29,510
    294 EVERGY INC 19,953 20,068
    342 NEXTERA ENERGY INC COM 25,447 28,896
    494 NISOURCE INC 12,701 15,018
    222 J P MORGAN CHASE & CO 29,700 25,610

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    WILLIAM VANDERHOUT TRUST 42C129014
    EIN:
    04-6753154
    US Government Securities - End of Year Book Value:

    380,298
    US Government Securities - End of Year Fair Market Value:

    366,503
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2021 OtherDecreasesSchedule
    Name:
    WILLIAM VANDERHOUT TRUST 42C129014
    EIN:
    04-6753154
    Description Amount
    ROUNDING & RETURN OF CAPITAL ADJUSTMENT 6


    TY 2021 OtherExpensesSchedule
    Name:
    WILLIAM VANDERHOUT TRUST 42C129014
    EIN:
    04-6753154
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 35 23   0


    TY 2021 OtherIncreasesSchedule
    Name:
    WILLIAM VANDERHOUT TRUST 42C129014
    EIN:
    04-6753154
    Description Amount
    ENTERPRISE PRODUCTS ADJUSTMENT 1,667


    TY 2021 TaxesSchedule
    Name:
    WILLIAM VANDERHOUT TRUST 42C129014
    EIN:
    04-6753154
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 207 207   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,233 0   0
    FEDERAL ESTIMATES - PRINCIPAL 2,032 0   0