Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 07-01-2021 , and ending 06-30-2022
Name of foundation
FREDRICK G AND REBEKAH B HUGHES CHARITABLE
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 0634
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI532010634
A Employer identification number

43-6265009
B Telephone number (see instructions)

(314) 418-2643
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$830,052J 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... 19,414 19,414  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 6,769
b Gross sales price for all assets on line 6a 321,112
7 Capital gain net income (from Part IV, line 2)... 6,769
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 3 3  
12 Total. Add lines 1 through 11........ 26,186 26,186  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 17,366 15,630   1,737
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)....... Click to see attachment 1,500 0 0 1,500
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,778 246   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.......... 20,644 15,876 0 3,237
25 Contributions, gifts, grants paid....... 45,700 45,700
26 Total expenses and disbursements. Add lines 24 and 25 66,344 15,876 0 48,937
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -40,158
b Net investment income (if negative, enter -0-) 10,310
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......... 2,221 10,476 10,476
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)....... 594,141 Click to see attachment170,264 211,040
c Investments—corporate bonds (attach schedule)....... 206,829    
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 37,715 Click to see attachment620,002 608,536
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) 840,906 800,742 830,052
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........ 840,906 800,742
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)..... 840,906 800,742
30 Total liabilities and net assets/fund balances (see instructions). 840,906 800,742
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
840,906
2
Enter amount from Part I, line 27a .....................
2
-40,158
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
800,748
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
800,742
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 24. JP MORGAN CHASE & CO COM   2020-05-27 2021-07-27
b 14. MICROSOFT CORP COM   2016-07-08 2021-07-27
c 14. TARGET CORP   2020-01-24 2021-07-27
d 231. AMERICAN BEACON STEPHENS MID CAP GR   2019-05-30 2021-09-08
e 229. ISHARES MIDCAP INDEX FD     2021-09-08
18. EDWARDS LIFESCIENCES CORP COM   2019-02-28 2021-09-20
26. TRANSUNION     2021-09-20
10. AMERICAN TOWER CORP     2021-10-12
6. COSTCO WHOLESALE CORP COM     2021-10-12
3. INTUIT INC COMMON STOCK   2020-05-27 2021-10-12
17. ISHARES CORE U.S. AGGREGATE BOND ETF   2021-09-08 2021-10-12
62. ISHARES RUSSELL MIDCAP VALUE ETF     2021-10-12
5. NVIDIA CORP   2021-03-18 2021-10-28
29. SCHWAB US REIT ETF   2019-05-30 2021-10-28
109. ISHARES MIDCAP INDEX FD   2020-09-14 2021-11-23
781.2 AMERICAN CENTURY HIGH INCOME FD Y CL   2021-04-16 2021-11-30
4826.565 AMERICAN CENTURY HIGH INCOME FD Y CL     2021-11-30
8. APPLE COMPUTER INC COM   2020-09-14 2021-11-30
36. BANK OF AMERICA CORP   2020-09-14 2021-11-30
9. CENTENE CORP COM   2020-08-14 2021-11-30
8. COSTCO WHOLESALE CORP COM     2021-11-30
5. HOME DEPOT INC COM   2021-09-08 2021-11-30
3. INTUIT INC COMMON STOCK   2020-05-27 2021-11-30
56. ISHARES CORE U.S. AGGREGATE BOND ETF     2021-11-30
18. ISHARES CORE U.S. AGGREGATE BOND ETF     2021-11-30
49. ISHARES MIDCAP INDEX FD   2020-09-14 2021-11-30
21. ISHARES CORE MSCI EAFE ETF   2021-10-12 2021-11-30
12. ISHARES CORE MSCI EAFE ETF   2020-09-17 2021-11-30
169. CLEARBRIDGE INTERNATIONAL GROWTH     2021-11-30
11. MARATHON PETROLEUM CORP   2021-10-12 2021-11-30
4. MICROSOFT CORP COM   2020-09-14 2021-11-30
22. SCHWAB US REIT ETF   2019-05-30 2021-11-30
3. TARGET CORP   2020-09-14 2021-11-30
3. TYLER TECHNOLOGIES INC   2018-12-11 2021-11-30
14. ISHARES RUSSELL MIDCAP VALUE ETF   2019-05-30 2022-01-19
86. ISHARES MSCI EAFE VALUE ETF   2018-10-10 2022-01-19
33. ISHARES CORE MSCI EAFE ETF     2022-01-19
21. RINGCENTRAL INC     2022-01-19
24. SCHWAB US REIT ETF   2019-05-30 2022-01-19
19. TELADOC INC   2020-08-14 2022-01-19
49. TELADOC INC     2022-01-19
5. AIRBNB INC CL A   2021-03-18 2022-06-17
6. ALBEMARLE CORP   2021-03-18 2022-06-17
1. ALPHABET INC CL A   2021-10-12 2022-06-17
40. AMAZON COM INC COM     2022-06-17
4. AMERICAN TOWER CORP   2018-01-12 2022-06-17
24. APPLE COMPUTER INC COM     2022-06-17
19. APPLE COMPUTER INC COM     2022-06-17
550. ARTISAN HIGH INCOME FUND   2021-11-30 2022-06-17
30. BANK OF AMERICA CORP     2022-06-17
83. CENTENE CORP COM     2022-06-17
7. COPART INC COM   2020-09-14 2022-06-17
2. COSTCO WHOLESALE CORP COM   2021-03-26 2022-06-17
17. COUPA SOFTWARE INC     2022-06-17
27. COUPA SOFTWARE INC     2022-06-17
4. ECOLAB INC COM   2020-01-24 2022-06-17
34. EXACT SCIENCES CORPORATION     2022-06-17
11. GILEAD SCIENCES INC COM   2019-12-06 2022-06-17
1. HOME DEPOT INC COM   2021-03-18 2022-06-17
1. HOME DEPOT INC COM   2021-09-08 2022-06-17
1. INTUIT INC COMMON STOCK   2021-03-18 2022-06-17
12. ISHARES RUSSELL MIDCAP VALUE ETF   2021-11-30 2022-06-17
16. ISHARES MSCI EAFE VALUE ETF   2021-09-08 2022-06-17
127. ISHARES CORE MSCI EAFE ETF   2021-03-18 2022-06-17
8. JP MORGAN CHASE & CO COM   2021-10-12 2022-06-17
4. JP MORGAN CHASE & CO COM   2020-09-14 2022-06-17
68. MARATHON PETROLEUM CORP     2022-06-17
3. MASTERCARD INC   2022-01-19 2022-06-17
10. MATCH GROUP INC NEW   2021-10-12 2022-06-17
36. MATCH GROUP INC NEW     2022-06-17
1. MICROSOFT CORP COM   2020-09-14 2022-06-17
12. MICROSOFT CORP COM     2022-06-17
53. MICRON TECHNOLOGY INC     2022-06-17
5. NVIDIA CORP   2021-03-18 2022-06-17
11. PAYPAL HOLDINGS INC     2022-06-17
163. PGIM TOTAL RETURN BOND CL R6     2022-06-17
16. RINGCENTRAL INC     2022-06-17
5. RINGCENTRAL INC   2021-09-20 2022-06-17
2. ROPER INDS INC   2021-03-18 2022-06-17
5. SALESFORCE COM INC   2021-09-08 2022-06-17
16. SCHWAB CHARLES CORP COM NEW   2019-05-30 2022-06-17
44. SCHWAB US REIT ETF   2019-05-30 2022-06-17
2. SQUARE INC A   2021-11-30 2022-06-17
3. TARGET CORP   2021-10-12 2022-06-17
7. TRADE DESK INC THE CLASS A   2021-06-11 2022-06-17
2. TRANSDIGM GROUP INC   2021-10-12 2022-06-17
8. TRANSUNION   2021-03-18 2022-06-17
5. TYLER TECHNOLOGIES INC     2022-06-17
445. VIATRIS INC     2022-06-17
5. WAL MART STORES INC COM     2022-06-17
10. ZILLOW GROUP INC   2021-11-30 2022-06-17
16. MEDTRONIC PLC   2022-01-19 2022-06-17
4. APTIV PLC   2021-03-18 2022-06-17
2. CHUBB LTD   2020-09-14 2022-06-17
1. ADOBE SYS INC   2022-06-17 2022-06-24
4. AIRBNB INC CL A   2021-03-18 2022-06-24
3. ALBEMARLE CORP   2021-03-18 2022-06-24
1. ALPHABET INC CL A   2020-09-14 2022-06-24
8. AMAZON COM INC COM   2020-09-21 2022-06-24
3. AMERICAN TOWER CORP   2018-01-12 2022-06-24
11. APPLE COMPUTER INC COM     2022-06-24
76. ARTISAN HIGH INCOME FUND   2021-11-30 2022-06-24
14. BANK OF AMERICA CORP   2020-06-23 2022-06-24
6. CENTENE CORP COM   2019-05-30 2022-06-24
4. COPART INC COM   2020-09-14 2022-06-24
1. COSTCO WHOLESALE CORP COM   2021-03-26 2022-06-24
3. ECOLAB INC COM   2020-01-24 2022-06-24
3. EDWARDS LIFESCIENCES CORP COM   2021-03-18 2022-06-24
1. EQUINIX INC   2022-06-17 2022-06-24
4. ETSY INC   2022-06-21 2022-06-24
3. EXACT SCIENCES CORPORATION   2021-09-20 2022-06-24
8. GILEAD SCIENCES INC COM   2019-12-06 2022-06-24
2. HOME DEPOT INC COM   2021-03-18 2022-06-24
1. INTUIT INC COMMON STOCK   2021-03-18 2022-06-24
23. ISHARES CORE U.S. AGGREGATE BOND ETF     2022-06-24
7. ISHARES 1 3 YEAR TREASURY BOND ETF   2022-06-17 2022-06-24
22. ISHARES RUSSELL MIDCAP VALUE ETF   2021-11-30 2022-06-24
57. ISHARES MIDCAP INDEX FD   2021-03-18 2022-06-24
18. ISHARES RUSSELL 2000 INDEX FUND     2022-06-24
31. ISHARES MSCI EAFE VALUE ETF     2022-06-24
37. ISHARES CORE MSCI EAFE ETF   2021-03-18 2022-06-24
43. ISHARES CORE MSCI EMERGING MKTS ETF   2021-07-27 2022-06-24
5. JP MORGAN CHASE & CO COM   2020-09-14 2022-06-24
10. MARATHON PETROLEUM CORP     2022-06-24
2. MASTERCARD INC   2022-01-19 2022-06-24
4. MATCH GROUP INC NEW   2020-02-07 2022-06-24
7. MICROSOFT CORP COM   2020-09-14 2022-06-24
2. MICRON TECHNOLOGY INC   2021-07-27 2022-06-24
2. MICRON TECHNOLOGY INC   2019-12-19 2022-06-24
1. MOTOROLA SOLUTIONS INC   2022-06-17 2022-06-24
6. NEXTERA ENERGY INC   2022-06-17 2022-06-24
3. NVIDIA CORP   2021-03-18 2022-06-24
1. PALO ALTO NETWORKS INC   2022-06-17 2022-06-24
1. PAYPAL HOLDINGS INC   2020-09-14 2022-06-24
4. PAYPAL HOLDINGS INC   2022-01-19 2022-06-24
66. PGIM TOTAL RETURN BOND CL R6   2021-11-30 2022-06-24
4. ROPER INDS INC   2021-03-18 2022-06-24
3. SALESFORCE COM INC   2021-09-08 2022-06-24
1. SALESFORCE COM INC   2020-09-14 2022-06-24
9. SCHWAB CHARLES CORP COM NEW     2022-06-24
121. SCHWAB US REIT ETF   2019-05-30 2022-06-24
1. SQUARE INC A   2021-11-30 2022-06-24
2. TARGET CORP   2021-10-12 2022-06-24
1. TARGET CORP   2020-09-14 2022-06-24
6. TRADE DESK INC THE CLASS A   2021-06-11 2022-06-24
2. TRANSDIGM GROUP INC   2020-09-14 2022-06-24
4. TRANSUNION   2021-03-18 2022-06-24
4. WAL MART STORES INC COM   2019-05-30 2022-06-24
4. ZILLOW GROUP INC   2021-11-30 2022-06-24
8. MEDTRONIC PLC   2022-01-19 2022-06-24
2. APTIV PLC   2021-03-18 2022-06-24
1. CHUBB LTD   2020-09-14 2022-06-24
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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 3,629   2,394 1,235
b 3,986   733 3,253
c 3,586   1,603 1,983
d 9,702   5,807 3,895
e 18,644   12,830 5,814
2,115   1,026 1,089
2,989   1,921 1,068
2,652   2,239 413
2,700   2,049 651
1,591   832 759
1,942   1,967 -25
7,199   5,562 1,637
1,238   650 588
1,427   1,275 152
9,060   6,307 2,753
7,507   7,640 -133
46,383   44,918 1,465
1,306   907 399
1,598   935 663
653   583 70
4,367   2,247 2,120
2,014   1,646 368
1,985   832 1,153
6,423   6,594 -171
2,065   2,077 -12
3,923   2,835 1,088
1,523   1,555 -32
870   743 127
11,455   9,601 1,854
657   713 -56
1,321   823 498
1,074   967 107
730   444 286
1,566   552 1,014
1,677   1,182 495
4,544   4,362 182
2,440   2,037 403
3,588   5,263 -1,675
1,184   1,055 129
1,486   3,562 -2,076
3,832   8,373 -4,541
501   976 -475
1,258   940 318
2,151   2,724 -573
4,263   6,011 -1,748
942   532 410
3,186   2,969 217
2,522   2,825 -303
4,857   5,434 -577
958   773 185
6,381   5,149 1,232
743   725 18
901   693 208
923   4,231 -3,308
1,466   4,565 -3,099
595   792 -197
1,280   3,781 -2,501
645   743 -98
274   284 -10
274   329 -55
373   380 -7
1,196   1,391 -195
695   840 -145
7,373   9,281 -1,908
907   1,325 -418
453   411 42
5,854   4,241 1,613
936   1,100 -164
698   1,580 -882
2,511   3,264 -753
250   206 44
3,000   3,562 -562
2,953   4,507 -1,554
796   650 146
808   2,388 -1,580
2,018   2,388 -370
847   2,410 -1,563
265   1,145 -880
751   811 -60
828   1,313 -485
977   680 297
895   967 -72
118   414 -296
422   692 -270
332   420 -88
1,024   1,271 -247
619   708 -89
1,570   1,638 -68
4,636   7,011 -2,375
595   581 14
301   528 -227
1,418   1,743 -325
350   609 -259
379   245 134
382   364 18
415   781 -366
675   470 205
2,343   1,529 814
922   1,162 -240
781   399 382
1,544   1,234 310
672   751 -79
452   352 100
497   341 156
449   414 35
480   347 133
475   594 -119
289   239 50
688   638 50
332   299 33
133   314 -181
501   540 -39
562   568 -6
413   380 33
2,324   2,324  
578   577 1
2,294   2,551 -257
3,802   4,271 -469
3,139   3,900 -761
1,369   1,534 -165
2,211   2,704 -493
2,134   2,642 -508
586   513 73
855   546 309
656   733 -77
311   309 2
1,856   1,440 416
116   146 -30
116   110 6
217   203 14
466   432 34
507   390 117
507   478 29
77   185 -108
309   705 -396
819   961 -142
1,626   1,621 5
556   788 -232
185   246 -61
581   376 205
2,599   2,659 -60
71   207 -136
300   461 -161
150   148 2
296   360 -64
1,077   1,017 60
324   354 -30
496   409 87
142   211 -69
720   872 -152
193   305 -112
194   122 72
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
      3,449
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       1,235
b       3,253
c       1,983
d       3,895
e       5,814
      1,089
      1,068
      413
      651
      759
      -25
      1,637
      588
      152
      2,753
      -133
      1,465
      399
      663
      70
      2,120
      368
      1,153
      -171
      -12
      1,088
      -32
      127
      1,854
      -56
      498
      107
      286
      1,014
      495
      182
      403
      -1,675
      129
      -2,076
      -4,541
      -475
      318
      -573
      -1,748
      410
      217
      -303
      -577
      185
      1,232
      18
      208
      -3,308
      -3,099
      -197
      -2,501
      -98
      -10
      -55
      -7
      -195
      -145
      -1,908
      -418
      42
      1,613
      -164
      -882
      -753
      44
      -562
      -1,554
      146
      -1,580
      -370
      -1,563
      -880
      -60
      -485
      297
      -72
      -296
      -270
      -88
      -247
      -89
      -68
      -2,375
      14
      -227
      -325
      -259
      134
      18
      -366
      205
      814
      -240
      382
      310
      -79
      100
      156
      35
      133
      -119
      50
      50
      33
      -181
      -39
      -6
      33
       
      1
      -257
      -469
      -761
      -165
      -493
      -508
      73
      309
      -77
      2
      416
      -30
      6
      14
      34
      117
      29
      -108
      -396
      -142
      5
      -232
      -61
      205
      -60
      -136
      -161
      2
      -64
      60
      -30
      87
      -69
      -152
      -112
      72
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 6,769
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........................... 3 143
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- ..... 5 143
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,022
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,022
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 10 879
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet144 RefundedBullet 11 735
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)
    bulletMO
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletUS BANK NA Telephone no.bullet (417) 625-3202

    Located atbulletPO BOX 387ST LOUISMO ZIP+4bullet63166
    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
    US BANK NA TRUSTEE
    1     		16,766    
    PO BOX 387
    ST LOUIS,MO63166
    MATTHEW TAYLOR AWARDS COMMITTEE
    0     		150    
    232 WILEY BOTTOM ROAD
    SAVANNAH,GA31411
    MICHAEL G PENCE AWARDS COMMITTEE
    0     		150    
    4015 JAKES CIRCLE
    JOPLIN,MO64804
    MARY JANE HUGHES RIGGS AWARDS COMMITTEE
    0     		150    
    409 E RUDONDO DR
    WEBB CITY,MO64870
    ALEXANDER B CURCHIN AWARDS COMMITTEE
    0     		150    
    3515 CEDAR RIDGE ROAD
    JOPLIN,MO64808
    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
    1,054,336
    b
    Average of monthly cash balances.......................
    1b
    6,922
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,061,258
    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
    1,061,258
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    15,919
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,045,339
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    52,267
    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
    52,267
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    143
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    143
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    52,124
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    52,124
    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
    52,124
    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 52,124
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 9,455
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 9,455
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 48,937
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 48,937
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 3,187 3,187
    (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 6,268
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		6,268
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 6,268
    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 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
    MAIN STREET JOPLIN DBA--
    1615 S GLENSTONE AVE
    SPRINGFIELD,MO658041505     		NONE PC GENERAL OPERATING 5,000
    BRIGHT FUTURES JOPLIN
    1615 S GLENSTONE AVE
    SPRINGFIELD,MO658041505     		NONE PC GENERAL OPERATING 3,000
    LIFE CHOICES
    1615 S GLENSTONE AVE
    SPRINGFIELD,MO658041505     		NONE PC GENERAL OPERATING 3,000
    JOPLIN FAMILY YMCA
    3404 W MCINTOSH CIRCLE DRIVE
    JOPLIN,MO64804     		NONE PC GENERAL OPERATING 1,500
    MERCY HEALTH OF JOPLIN
    1615 S GLENSTONE AVE
    SPRINGFIELD,MO658041505     		NONE PC GENERAL OPERATING 5,000
    PROMUSICA
    1615 S GLENSTONE AVE
    SPRINGFIELD,MO658041505     		NONE PC GENERAL OPERATING 3,000
    CHILDRENS CENTER OF SW MISSOURI
    921 EAST 34TH STREET SUITE A
    JOPLIN,MO64804     		NONE PC GENERAL OPERATING 3,000
    OZARKS PUBLIC TELEVISION
    ATTN NORMA SCOTT
    P O BOX 1226
    JOPLIN,MO648021226     		NONE PC GENERAL OPERATING 3,000
    LAFAYETTE HOUSE
    PO BOX 1765
    JOPLIN,MO64802     		NONE PC GENERAL OPERATING 1,600
    MISSOURI SOUTHERN FOUNDATION
    3950 NEWMAN RD
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 10,000
    JOPLIN NALA READ
    PO BOX 447
    JOPLIN,MO64802     		NONE PC GENERAL OPERATING 2,100
    REGIONAL HEALTH AND WELFARE ASSOC
    PO BOX 8182
    Joplin,MO64802     		NONE PC GENERAL OPERATING 5,000
    JASPER COUNTY CASA
    420 GRAND AVENUE STE 159B
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 500
    Total .................................bullet 3a 45,700
    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 6,769  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INCOME     		    1 3  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   26,186  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    26,186
    (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:
    FREDRICK G AND REBEKAH B HUGHES CHARITABLE
    EIN:
    43-6265009
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,500     1,500

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    FREDRICK G AND REBEKAH B HUGHES CHARITABLE
    EIN:
    43-6265009
    Name of Bond End of Year Book Value End of Year Fair Market Value
    74440B884 PGIM TOTAL RETURN BO    
    024932154 AMERICAN CENTURY HIG    
    72369L107 PIONEER ILS INTERVAL    
    464287226 ISHARES CORE U.S. AG    
    861729101 STONE RIDGE REINSUR    

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    FREDRICK G AND REBEKAH B HUGHES CHARITABLE
    EIN:
    43-6265009
    Name of Stock End of Year Book Value End of Year Fair Market Value
    594918104 MICROSOFT CORP 3,330 17,208
    46625H100 J P MORGAN CHASE CO 4,401 5,293
    H1467J104 CHUBB LTD 857 1,376
    893641100 TRANSDIGM GROUP INC 4,285 4,830
    03027X100 AMERICAN TOWER CORP 2,192 4,601
    060505104 BANK OF AMERICA CORP 3,697 4,950
    N59465109 MYLAN NV    
    037833100 APPLE INC 6,394 15,449
    023135106 AMAZON.COM INC 8,142 9,771
    91324P102 UNITED HEALTH GROUP 2,428 5,136
    56585A102 MARATHON PETROLEUM C 5,690 9,208
    375558103 GILEAD SCIENCES INC 5,368 5,130
    57636Q104 MASTERCARD INC 5,643 5,048
    02079K305 ALPHABET INC CL A 3,179 6,538
    931142103 WAL MART STORES INC 4,155 5,593
    78409V104 S P GLOBAL INC 1,932 2,359
    278865100 ECOLAB INC 4,952 3,998
    G6095L109 APTIV PLC 1,559 1,692
    848637104 SPLUNK INC    
    28176E108 EDWARDS LIFESCIENCES 3,715 4,184
    15135B101 CENTENE CORP COM 3,520 5,077
    464287473 ISHARES RUSSELL MIDC    
    464288877 ISHARES MSCI EAFE VA    
    902252105 TYLER TECHNOLOGIES I    
    808513105 SCHWAB CHARLES CORP 3,065 5,939
    524686524 CLEARBRIDGE INTERNAT    
    46432F842 ISHARES CORE MSCI EA    
    012653101 ALBEMARLE CORP 2,309 6,478
    808524847 SCHWAB US REIT ETF    
    46434G103 ISHARES CORE MSCI EM    
    81762P102 SERVICENOW INC 2,261 3,329
    464287499 ISHARES RUSSELL MID    
    024524217 AMERICAN BEACON STEP    
    76680R206 RINGCENTRAL INC    
    89400J107 TRANSUNION 2,625 3,040
    285512109 ELECTRONIC ARTS INC    
    30303M102 FACEBOOK INC A 6,901 5,321
    70450Y103 PAYPAL HOLDINGS INC 6,275 3,422
    22160K105 COSTCO WHSL CORP 2,439 3,834
    G5960L103 MEDTRONIC PLC 7,763 6,911
    87612E106 TARGET CORP 3,357 3,390
    097023105 BOEING CO    
    595112103 MICRON TECHNOLOGY IN 2,087 2,101
    57665R106 MATCH GROUP INC    
    79466L302 SALESFORCE COM INC 5,337 4,621
    461202103 INTUIT INC 1,856 1,927
    217204106 COPART INC COM 3,583 4,346
    88339J105 TRADE DESK INC THE C 1,794 2,388
    127097103 CABOT OIL GAS CORP C    
    57667L107 MATCH GROUP INC NEW 3,170 2,857
    009066101 AIRBNB INC CL A 5,159 2,940
    437076102 HOME DEPOT INC 2,841 2,743
    92556V106 VIATRIS INC    
    87918A105 TELADOC INC    
    776696106 ROPER INDS INC 4,051 3,947
    22266L106 COUPA SOFTWARE INC    
    67066G104 NVIDIA CORP 2,916 3,487
    65339F101 NEXTERA ENERGY INC 4,972 5,345
    30063P105 EXACT SCIENCES CORPO 3,458 1,300
    852234103 SQUARE INC A 2,690 799
    29786A106 ETSY INC 1,418 1,391
    620076307 MOTOROLA SOLUTIONS I 2,234 2,306
    00724F101 ADOBE SYS INC 4,007 4,027
    98954M101 ZILLOW GROUP INC 2,428 1,463
    29444U700 EQUINIX INC 1,915 1,971
    697435105 PALO ALTO NETWORKS I 1,914 1,976

    TY 2021 InvestmentsOtherSchedule2
    Name:
    FREDRICK G AND REBEKAH B HUGHES CHARITABLE
    EIN:
    43-6265009
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    46090E103 INVESCO QQQ TRUST ET      
    464287655 ISHARES RUSSELL 2000 AT COST 38,130 40,985
    74440B884 PGIM TOTAL RETURN BO AT COST 40,452 33,792
    56064L298 MAINSTAY CBRE GLOBAL AT COST 11,000 11,188
    464287457 ISHARES 1 3 YEAR TRE AT COST 25,311 25,417
    464287473 ISHARES RUSSELL MIDC AT COST 28,950 33,010
    808524847 SCHWAB US REIT ETF AT COST 31,476 33,175
    464288877 ISHARES MSCI EAFE VA AT COST 37,581 33,201
    524686524 CLEARBRIDGE INTERNAT AT COST 37,182 35,793
    464287499 ISHARES RUSSELL MID AT COST 47,351 57,418
    464287226 ISHARES CORE U.S. AG AT COST 101,561 93,444
    024524217 AMERICAN BEACON STEP AT COST 36,012 35,588
    46434G103 ISHARES CORE MSCI EM AT COST 60,714 58,480
    04314H568 ARTISAN HIGH INCOME AT COST 47,481 41,570
    72369L107 PIONEER ILS INTERVAL AT COST 34,000 33,809
    46432F842 ISHARES CORE MSCI EA AT COST 42,801 41,666

    TY 2021 OtherDecreasesSchedule
    Name:
    FREDRICK G AND REBEKAH B HUGHES CHARITABLE
    EIN:
    43-6265009
    Description Amount
    ROUNDING 6


    TY 2021 OtherIncomeSchedule2
    Name:
    FREDRICK G AND REBEKAH B HUGHES CHARITABLE
    EIN:
    43-6265009
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 3 3  


    TY 2021 TaxesSchedule
    Name:
    FREDRICK G AND REBEKAH B HUGHES CHARITABLE
    EIN:
    43-6265009
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 161 161   0
    FEDERAL TAX PAYMENT - PRIOR YE 510 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,022 0   0
    FOREIGN TAXES ON NONQUALIFIED 85 85   0