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 01-01-2021 , and ending 12-31-2021
Name of foundation
SMITH GEN WA TR UW - ITEM XXII
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 919798
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLANDO, FL328919798
A Employer identification number

56-6042630
B Telephone number (see instructions)

(704) 954-1125
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$6,139,695
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) 79,208
2 Check bullet.............
3 Interest on savings and temporary cash investments 17 17  
4 Dividends and interest from securities... 125,198 124,828  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 275,690
b Gross sales price for all assets on line 6a 1,624,725
7 Capital gain net income (from Part IV, line 2)... 275,690
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)....... 195 195  
12 Total. Add lines 1 through 11........ 480,308 400,730  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 63,968 31,984   31,984
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)....... 400 0 0 400
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 2,596 675   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)....... 25 25    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 66,989 32,684 0 32,384
25 Contributions, gifts, grants paid....... 253,407 253,407
26 Total expenses and disbursements. Add lines 24 and 25 320,396 32,684 0 285,791
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 159,912
b Net investment income (if negative, enter -0-) 368,046
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............. 118 106 106
2 Savings and temporary cash investments......... 87,596 171,088 171,088
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)....... 852,739 Click to see attachment1,046,560 1,880,786
c Investments—corporate bonds (attach schedule)....... 2,757,173 Click to see attachment2,186,068 2,223,426
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 684,563 Click to see attachment1,148,049 1,864,289
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) 4,382,189 4,551,871 6,139,695
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........ 4,382,189 4,551,871
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)..... 4,382,189 4,551,871
30 Total liabilities and net assets/fund balances (see instructions). 4,382,189 4,551,871
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
4,382,189
2
Enter amount from Part I, line 27a .....................
2
159,912
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
10,420
4
Add lines 1, 2, and 3 ..........................
4
4,552,521
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
650
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,551,871
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 58000. U.S. TREASURY NOTES 0.625% 8/15/30     2021-01-06
b 25000. INVESCO FINANCE PLC DTD 11/08/2012 3.125   2015-07-28 2021-01-07
c 75000. WILLIAMSON CNTY TX TXBL REF LIMITED TAX GO DTD 12/01/2012 2% 02   2012-12-04 2021-02-15
d 28000. FED NATL MTG ASSN DTD 02/05/2016 1.375%     2021-02-26
e 115. CBRE GROUP INC   2013-11-15 2021-03-12
150. CISCO SYSTEMS   2011-03-16 2021-03-12
2000. CONSTELLATION BRANDS 4.650% 11/15/28   2019-03-21 2021-03-12
335. DISCOVERY COMMUNICATIONS INC SER C     2021-03-12
4000. ERP OPERATING-LP 3.000% 4/15/23   2017-06-23 2021-03-12
120. FLIR SYSTEMS INC COMMON   2020-10-13 2021-03-12
3000. KEYCORP MTN 2.550% 10/01/29   2020-04-30 2021-03-12
3000. MORGAN STANLEY MTN 4.000% 7/23/25   2019-01-29 2021-03-12
175. NASDAQ OMX GROUP INC   2017-05-03 2021-03-12
150. PHILLIPS 66   2018-11-28 2021-03-12
115. STARBUCKS CORPORATIONS COMMON   2018-02-22 2021-03-12
18000. U.S. TREASURY NOTES 2.500% 5/15/24   2019-08-30 2021-03-12
50. APTIV PLC     2021-03-12
25. ALBEMARLE CORP COMMON   2019-05-16 2021-03-29
188.685 FIDELITY S/T TRSRY BND-INS PR   2019-07-11 2021-04-01
85. ISHARES MSCI EMERGING MKTS INDEX FUND     2021-04-01
21. ISHARES S&P MIDCAP 400 INDEX FUND   2015-08-25 2021-04-01
6. ISHARES RUSSELL 2000     2021-04-01
75.432 PIMCO FDS PAC INVT MGMT REAL RETURN BD FD INSTL CL   2020-01-13 2021-04-01
499.272 PGIM INVESTMENTS TTL RETURN BOND R6     2021-04-01
111. VANGUARD FTSE DEVELOPED MARKETS ETF     2021-04-01
27000. VIRGINIA ELEC & PWR 2.950% 1/15/22   2018-09-04 2021-04-09
30000. U.S. TREASURY NOTES 0.625% 5/15/30   2020-07-02 2021-04-16
58000. U S TREASURY NOTES 3.125% 05/15/21   2021-01-06 2021-05-13
25. BROADRIDGE FINANCIAL SOLUTIONS INC   2020-05-04 2021-05-25
125. CDK GLOBAL INC   2018-11-28 2021-05-25
30. HOME DEPOT INCORPORATED   2019-03-07 2021-05-25
65. LENNAR CORPORATION COMMON     2021-05-25
95. NASDAQ OMX GROUP INC   2017-05-03 2021-05-25
20. NXP SEMICONDUCTORS N V   2018-11-28 2021-05-25
40000. FHLB 3.250% 11/16/28   2019-02-28 2021-06-08
30000. FED HOME LN MTG CORP 2.375% 01/13/22   2014-12-02 2021-06-30
28000. BANK OF MONTREAL MTN 2.500% 6/28/24   2019-06-25 2021-08-10
2000. HOLLYFRONTIER CORP 5.875% 4/01/26   2017-05-22 2021-08-12
145. BOSTON SCIENTIFIC   2020-05-04 2021-08-23
25. BROADRIDGE FINANCIAL SOLUTIONS INC   2020-05-04 2021-08-23
40. CAPITAL ONE FINL CORP   2013-07-02 2021-08-23
170. CERNER CORP     2021-08-23
40. CISCO SYSTEMS   2020-10-13 2021-08-23
150. DICKS SPORTING GOODS INC   2021-03-12 2021-08-23
100. DISCOVER FINL SVCS   2015-06-24 2021-08-23
125. ENCOMPASS HEALTH CORP   2020-10-13 2021-08-23
85. GILEAD SCIENCES INC     2021-08-23
15. INTUIT INC COMMON   2010-05-17 2021-08-23
125. ISHARES TR S&P MIDCAP 400/BARRA GROWTH     2021-08-23
95. ISHARES TR S&P MIDCAP 400/BARRA VALUE     2021-08-23
25. MICROSOFT CORPORATION   2011-12-27 2021-08-23
47. ORGANON & CO     2021-08-23
125. PHILLIPS 66   2018-11-28 2021-08-23
9000. PRUDENTIAL FINL MTN 3.878% 3/27/28   2019-06-12 2021-08-30
2000. HOLLYFRONTIER CORP 5.875% 4/01/26   2017-05-22 2021-09-10
2000. HOLLYFRONTIER CORP 5.875% 4/01/26   2017-05-22 2021-09-13
27000. TD AMERITRADE 3.625% 4/01/25   2021-01-07 2021-09-27
17000. PRUDENTIAL FINL MTN 3.878% 3/27/28   2019-06-12 2021-09-30
30000. SUMITOMO MITSUI FINL 2.846% 1/11/22   2018-01-02 2021-10-26
21000. ENERGY TRAN PTNR 5.200% 2/01/22   2018-10-04 2021-11-01
25000. KIMCO REALTY CORP 3.400% 11/01/22   2017-08-10 2021-11-04
29000. COCA-COLA CO 1.450% 6/01/27   2020-04-29 2021-11-12
3000. AT&T INC 2.300% 6/01/27   2020-11-20 2021-11-16
4000. ABBVIE INC 4.250% 11/14/28   2019-03-28 2021-11-16
4000. AMERICAN ELECTRIC 3.200% 11/13/27   2019-06-10 2021-11-16
4000. BAT CAPITAL CORP 3.557% 8/15/27   2020-02-03 2021-11-16
5000. CVS HEALTH CORP 2.875% 6/01/26   2020-02-11 2021-11-16
4000. CAPITAL ONE FINL 3.200% 2/05/25   2019-12-26 2021-11-16
4000. DUKE ENERGY CORP 3.950% 10/15/23   2020-04-15 2021-11-16
3000. FEDERAL REALTY INVT 3.500% 6/01/30   2020-10-05 2021-11-16
4000. FIDELITY NATL FI 2.450% 3/15/31   2021-09-30 2021-11-16
5000. GEN MOTORS FINL CO 4.150% 6/19/23   2020-12-16 2021-11-16
3000. GOLDMAN SACHS GROUP 2.600% 2/07/30   2020-08-28 2021-11-16
6000. JPMORGAN CHASE & CO 3.200% 01/25/23   2017-11-15 2021-11-16
3000. KEYCORP MTN 2.550% 10/01/29   2020-04-30 2021-11-16
4000. KINDER MORGAN INC 4.300% 3/01/28   2020-06-09 2021-11-16
2000. LOWE'S COS INC 2.500% 4/15/26   2020-08-26 2021-11-16
50000. MARYLAND ST ECON 2.800% 6/01/22   2012-10-17 2021-11-16
3000. MERCK & CO INC 1.450% 6/24/30   2020-06-16 2021-11-16
2000. MITSUBISHI UFJ FINL 3.677% 2/22/27   2018-06-13 2021-11-16
2000. MORGAN STANLEY MTN 4.000% 7/23/25   2019-01-29 2021-11-16
5000. NVIDIA CORP 2.850% 4/01/30   2020-03-31 2021-11-16
4000. OWL ROCK CAPITAL 2.875% 6/11/28   2021-08-10 2021-11-16
28000. PNC FUNDING CORP 3.300% 3/08/22   2019-09-10 2021-11-16
4000. PIONEER NAT RES CO 1.125% 1/15/26   2021-01-14 2021-11-16
6000. REGIONS FINL CORP 2.250% 5/18/25   2020-05-13 2021-11-16
3000. ROYAL BK CA MTN CONV 2.300% 11/03/31   2021-10-26 2021-11-16
2000. RYDER SYSTEM INC MTN 3.875% 12/01/23   2018-10-30 2021-11-16
4000. CHARLES SCHWAB CORP 3.625% 4/01/25   2021-09-27 2021-11-16
4000. SHELL INTL FIN 2.375% 11/07/29   2019-11-04 2021-11-16
3000. SHERWIN-WILLIAMS CO 3.450% 6/01/27   2017-05-02 2021-11-16
3000. TORONTO DOM BANK MTN 2.650% 6/12/24   2019-06-20 2021-11-16
3000. U.S. TREASURY NOTES 2.875% 8/15/28   2021-11-12 2021-11-16
25000. U.S. TREASURY NOTES 2.375% 5/15/29   2019-11-29 2021-11-16
4000. U.S. TREASURY NOTES 2.125% 6/30/22   2021-05-13 2021-11-16
30000. U.S. TREASURY NOTES 2.125% 6/30/22     2021-11-16
5000. U.S. TREASURY NOTES 1.625% 5/15/31   2021-08-31 2021-11-16
28000. U.S. TREASURY NOTES 1.625% 5/15/31   2021-06-30 2021-11-16
3000. VENTAS REALTY LP 4.400% 1/15/29   2019-04-30 2021-11-16
5000. WELLS FARGO & COMPAN 3.000% 10/23/26   2019-06-11 2021-11-16
27000. COMCAST CORP 3.600% 3/01/24   2019-06-12 2021-12-03
5392. I SHARES EAFE INDEX FUND     2021-12-16
15. ISHARES CORE MSCI EMERGING MKTS ETF   2021-04-06 2021-12-30
CAPITAL GAIN DIVIDENDS P    
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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 55,870   57,417 -1,547
b 26,273   25,027 1,246
c 75,000   75,000  
d 28,000   27,993 7
e 9,057   2,640 6,417
7,311   2,564 4,747
2,313   2,088 225
19,942   10,448 9,494
4,182   4,017 165
6,576   4,427 2,149
3,050   2,910 140
3,333   3,031 302
25,142   11,851 13,291
13,216   13,830 -614
12,312   6,374 5,938
19,206   18,608 598
7,585   2,874 4,711
3,655   1,735 1,920
2,025   1,977 48
4,588   3,001 1,587
5,530   2,853 2,677
1,340   998 342
912   853 59
7,190   7,067 123
5,512   4,840 672
27,360   26,825 535
27,711   29,867 -2,156
58,009   58,005 4
3,988   2,846 1,142
6,568   6,254 314
9,487   5,492 3,995
6,328   2,811 3,517
15,707   6,434 9,273
4,108   1,645 2,463
45,596   40,704 4,892
30,369   30,027 342
29,427   27,996 1,431
2,301   2,089 212
6,355   5,177 1,178
4,339   2,846 1,493
6,798   2,557 4,241
13,270   9,681 3,589
2,342   1,594 748
16,695   11,386 5,309
12,832   5,917 6,915
9,617   8,401 1,216
6,196   7,021 -825
8,270   538 7,732
10,107   2,281 7,826
10,017   3,492 6,525
7,602   653 6,949
1,552   1,160 392
8,595   11,525 -2,930
10,523   9,498 1,025
2,295   2,088 207
2,296   2,088 208
29,273   29,435 -162
19,247   17,928 1,319
30,156   30,001 155
21,000   21,000  
25,578   25,147 431
28,727   28,965 -238
3,046   3,145 -99
4,491   4,065 426
4,259   4,006 253
4,210   4,152 58
5,235   5,113 122
4,211   4,086 125
4,206   4,140 66
3,201   3,209 -8
3,918   3,989 -71
5,239   5,237 2
3,023   3,166 -143
6,186   6,027 159
3,068   2,917 151
4,451   4,458 -7
2,076   2,138 -62
50,542   50,041 501
2,854   2,974 -120
2,182   1,974 208
2,171   2,018 153
5,272   5,211 61
3,914   3,996 -82
28,172   28,075 97
3,904   3,999 -95
6,158   5,982 176
2,978   2,997 -19
2,113   1,999 114
4,275   4,350 -75
4,071   3,972 99
3,236   2,989 247
3,122   3,015 107
3,266   3,276 -10
26,492   26,016 476
4,051   4,051  
30,381   30,039 342
5,016   5,154 -138
28,090   28,441 -351
3,386   3,112 274
5,259   4,968 291
28,707   28,707  
419,211   283,490 135,721
900   985 -85
      2,511
      2,511
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      2,511
      2,511
      2,511
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      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
      2,511
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       -1,547
b       1,246
c        
d       7
e       6,417
      4,747
      225
      9,494
      165
      2,149
      140
      302
      13,291
      -614
      5,938
      598
      4,711
      1,920
      48
      1,587
      2,677
      342
      59
      123
      672
      535
      -2,156
      4
      1,142
      314
      3,995
      3,517
      9,273
      2,463
      4,892
      342
      1,431
      212
      1,178
      1,493
      4,241
      3,589
      748
      5,309
      6,915
      1,216
      -825
      7,732
      7,826
      6,525
      6,949
      392
      -2,930
      1,025
      207
      208
      -162
      1,319
      155
       
      431
      -238
      -99
      426
      253
      58
      122
      125
      66
      -8
      -71
      2
      -143
      159
      151
      -7
      -62
      501
      -120
      208
      153
      61
      -82
      97
      -95
      176
      -19
      114
      -75
      99
      247
      107
      -10
      476
       
      342
      -138
      -351
      274
      291
       
      135,721
      -85
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 275,690
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 5,116
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 5,116
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,820
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 5,850
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,670
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 2,554
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet2,554 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNC
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
    Yes
     
    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 ofbulletTRUIST BANK Telephone no.bullet (704) 954-1125

    Located atbulletPO BOX 919798ORLANDOFL ZIP+4bullet32891
    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
    TRUIST BANK TRUSTEE
    12
    56,768    
    PO BOX 919798
    ORLANDO,FL32891
    JOE E GADDY DIRECTOR
    12
    2,400    
    207 WHITE STORE AVENE
    WADESBORO,NC28170
    JOANNE HUNTLEY DIRECTOR
    12
    2,400    
    216 LEAH AVENUE
    WADESBORO,NC28170
    FRANK F MILLS DIRECTOR
    12
    0    
    704 PEACH STREET
    WADESBORO,NC28170
    JERRY JOHNSON DIRECTOR
    12
    2,400    
    406 EAST VIEW ST
    WADESBORO,NC28170
    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
    5,886,917
    b
    Average of monthly cash balances.......................
    1b
    98,148
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,985,065
    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
    5,985,065
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    89,776
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    5,895,289
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    294,764
    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
    294,764
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    5,116
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,116
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    289,648
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    9,320
    5
    Add lines 3 and 4............................
    5
    298,968
    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
    298,968
    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 7 298,968
    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...... 25,898
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 62,032
    e From 2020...... 63,656
    f Total of lines 3a through e ........ 151,586
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 285,791
    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)........
    Click to see attachment79,208
    d Applied to 2021 distributable amount..... 206,583
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 92,385 92,385
    (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 5 138,409
    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) .......
    79,208
    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 ......
    59,201
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 59,201
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    TRUIST BANK
    PO BOX 919798
    ORLANDO,FL32891
    (704) 954-1125
    bThe form in which applications should be submitted and information and materials they should include:
    NO SPECIFIC REQUIREMENTS
    cAny submission deadlines:
    DECEMBER 31
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    ANSON COUNTY SCHOOLS
    PO BOX 513 HWY 74W
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 23,000
    BSA CENTRAL NC COUNCIL
    ATTN GREG GRAHAM
    PO BOX 250
    ALBEMARLE,NC28002
    NONE PC GENERAL OPERATING 2,500
    AMERICAN RED CROSS
    UNION COUNTY CHAPTER
    608 E FRANKLIN STREET
    MONROE,NC28112
    NONE PC GENERAL OPERATING 2,500
    ANSON COUNTY HOMES OF HOPE
    415 LEE AVE
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 26,000
    ANSON UNITED WAY
    3447 HWY 74
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 10,000
    CALVARY EPISCOPAL CHURCH
    PO BOX 942
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 40,000
    ANSON CRISIS MINISTRY
    117 NORTH RUTHERFORD ST
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 5,000
    ANSON COUNTY PARTNERSHIP FOR
    CHILDREN
    303 EAST VIEW STREET
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 500
    UPTOWN WADESBORO INC
    107 EAST WADE STREET
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 2,000
    ANSON COOPERATIVE EXTENSION
    C/O ROSHUNDA TERRY
    PO BOX 633
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 500
    TOWN OF WADESBORO FIRE DEPT
    PO BOX 697
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 15,000
    CALVARY EPISCOPAL CHURCH
    PO BOX 942
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 120,000
    ANSON COUNTY HISTORICAL SOCIETY
    206 E WADE ST
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 5,000
    ALL SOULS EPISCOPAL CHURCH
    C/O JENNIE THOMAS
    211 CAMDEN RD
    WADESBORO,NC28170
    NONE PC GENERAL OPERATING 1,407
    Total .................................bullet 3a 253,407
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
        14 17  
    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 ............
        18 275,690  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INCOME
          195  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   401,100  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    401,100
    (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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    SMITH GEN WA TR UW - ITEM XXII
     
    Employer identification number

    56-6042630
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    SMITH GEN WA TR UW - ITEM XXII
     
    Employer identification number
    56-6042630
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    SMITH GENERAL WA TUW
    C/O TRUIST BANK
    PO BOC 919798
     
    ORLANDO, FL32891

    $ 79,208


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    SMITH GEN WA TR UW - ITEM XXII
     
    Employer identification number

    56-6042630
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    SMITH GEN WA TR UW - ITEM XXII
     
    Employer identification number

    56-6042630
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 400     400

    TY 2021 DistributionFromCorpusElection
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Election:
    Pursuant to Internal Revenue Code 4942(h)(2) and Treas. Reg. 53.4942(a)-3(d)(2), the above referenced foundation hereby elects to treat the current qualifying distributions in excess of the immediately preceding year's undistributed income as being made out of corpus: For tax year 2021 in the amount of $79,208.

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Name of Bond End of Year Book Value End of Year Fair Market Value
    258620103 DOUBLELINE TOTAL RET    
    64128K751 NEUBERGER BERMAN STA    
    74440B884 PGIM TOTAL RETURN BD    
    85918D624 STERLING CAPITAL TOT    
    31635V216 FIDELITY SHORT TERM    
    592905764 METROPOLITAN WEST TO 5,834 5,932
    6933691104 PIMCO REAL RETURN F    
    3130AFFX0 FED HOME LOAN BANK D    
    3134G0J20 FED NATL MTG ASSN DT    
    3135G0K36 FEDERAL NATIONAL MOR 53,525 57,034
    3135G0T94 FEDERAL NATIONAL MOR 29,890 30,614
    3135G0ZR7 FEDERAL NATIONAL MOR 45,153 47,074
    3137EADB2 FEDERAL HOME LOAN MO 54,819 55,036
    9128282A7 UNITED STATES TREASU 40,260 40,453
    9128285T3 UNITED STATES TREASU 28,303 29,606
    9128286T2 US TREASURY NOTE DTD    
    912828B66 UNITED STATES TREASU 28,747 29,163
    912828D56 UNITED STATES TREASU 41,101 41,533
    912828N30 UNITED STATES TREASU 87,120 87,428
    912828UN8 UNITED STATES TREASU 8,978 9,155
    912828VS US TREASURY NOTE DTD    
    912828WJ5 UNITED STATES TREASU 66,198 67,524
    912828XG0 UNITED STATES TREASU 49,501 49,456
    912828ZQ6 US TREASURY DTD 5/15    
    91282CAE1 US TREASURY NOTES DT    
    167593S86 CHICAGO ILLINOIS O'H 30,000 30,039
    347622CW0 FORT LAUDERDALE FLOR 30,296 29,643
    54438CRJ3 LOS ANGELES CALIFORN 35,312 36,277
    57420PGN0 MARYLAND ST ECON DEV    
    5946107Z4 MICHIGAN STATE 30,113 30,322
    64971WF70 NEW YORK CITY NEW YO 31,674 31,192
    6500354T0 NEW YORK ST URBAN DE    
    658289J95 NORTH CAROLINA STATE 35,785 34,830
    79467BDD4 SALES TAX SECURITIZA 30,206 30,694
    969887H27 WILLIAMSON CNTY TX T    
    975680EX3 WINSTON SALEM NORTH 40,000 42,221
    00206RJX1 AT&T INC 25,150 24,416
    00287YBF5 ABBVIE INC 22,359 24,877
    025537AJ0 AMERICAN ELECTRIC PO 23,033 24,278
    05526DBB0 BAT CAPITAL CORP 23,876 24,122
    06051GEU9 BANK OF AMERICA CORP 26,133 26,712
    06406RAE7 BANK OF NY MELLON CO 25,801 26,574
    126650CU2 CVS HEALTH CORP 23,517 24,021
    14040HBG9 CAPITAL ONE FINANCIA 23,497 24,100
    142339AG5 CARLISLE COS INC 25,021 26,366
    172967HT1 CITIGROUP INC 24,838 26,522
    191216CU2 THE COCA COLA CO DTD    
    20030NBJ9 COMCAST CORP DTD 2/2    
    21036PBC1 CONSTELLATION BRANDS 24,976 27,590
    22822VAR2 CROWN CASTLE INTL CO 29,164 27,425
    26441CAL9 DUKE ENERGY CORP 23,807 24,010
    26884ABA0 ERP OPERATING LP 25,919 26,590
    29273RAQ2 ENERGY TRANSFER PART    
    313747BA4 FEDERAL REALTY INVT 24,596 24,513
    337738AT5 FISERV INC 25,030 26,433
    37045XCL8 GENERAL MOTORS FINL 24,030 23,921
    38141GXG4 GOLDMAN SACHS GROUP 25,331 24,402
    436106AA6 HOLLYFRONTIER CORP 4,174 4,486
    446150AM6 HUNTINGTON BANCSHARE 24,922 26,889
    46625HJH4 JPMORGAN CHASE & CO 24,108 24,651
    49326EEJ8 KEYCORP 23,342 24,572
    49446RAN9 KIMCO REALTY CORP DT    
    49456BAP6 KINDER MORGAN INC 24,517 24,446
    548661DM6 LOWE'S COS INC 25,652 24,982
    58933YAZ8 MERCK & CO INC 25,777 24,893
    6174468C6 MORGAN STANLEY 23,204 24,926
    670346AP0 NUCOR CORP 14,978 16,541
    67066GAF1 NVIDIA CORP 23,969 24,429
    693476BN2 PNC FUNDING CORP DTD    
    74432QCC7 PRUDENTIAL FINANCIAL    
    7591EPAQ3 REGIONS FINANCIAL CO 23,927 24,470
    78355HKK4 RYDER SYSTEM INC 22,986 24,154
    824348AW6 SHERWIN-WILLIAMS CO 22,917 24,883
    913017CY3 UNITED TECHNOLOGIES 25,853 26,845
    92277GAN7 VENTAS REALTY LP 22,818 24,968
    927804FK5 VIRGINIA ELEC & POWE    
    06367WMQ3 BANK OF MONTREAL DTD    
    46132FAA8 INVESCO FINANCE PLC    
    606822AN4 MITSUBISHI UFJ FINL 22,703 24,926
    822582CD2 SHELL INTERNATIONAL 23,831 24,513
    86562MAM2 SUMITOMO MITSUI FINL    
    89114QCA4 TORONTO-DOMINION BAN 24,114 24,894
    85917K744 STERLING CAPITAL QUA    
    949746SH5 WELLS FARGO & COMPAN 22,854 24,164
    24917DBE2 DENVER COLORADO CITY 56,221 54,697
    25470DAR0 DISCOVERY COMMUNICAT 25,026 24,996
    258620566 DOUBLELINE TOTAL RET 11,552 11,105
    31620RAK1 FIDELITY NATL FINANC 24,933 24,533
    436106AC2 HOLLYFRONTIER CORP 6,463 6,462
    529055DH5 LEXINGTON CNTY SOUTH 30,735 30,579
    6500354T2 NEW YORK STATE URBAN 30,958 30,725
    69121KAG9 OWL ROCK CAPITAL COR 24,975 24,540
    723787AT4 PIONEER NAT RES CO 25,045 24,275
    74460DAH2 PUBLIC STORAGE 26,988 26,905
    78016EYH4 ROYAL BANK CANADA 24,971 25,117
    808513BV6 CHARLES SCHWAB CORP 25,013 24,505
    9128284V9 UNITED STATES TREASU 25,112 25,119
    912828VS6 UNITED STATES TREASU 55,312 56,646
    91282CAG6 UNITED STATES TREASU 46,022 45,960
    91282CCB5 UNITED STATES TREASU 51,206 50,633
    92343VGG3 VERIZON COMMUNICATIO 19,997 19,899

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Name of Stock End of Year Book Value End of Year Fair Market Value
    002824100 ABBOTT LABS 11,848 63,333
    00287Y109 ABBVIE INC 9,407 38,589
    00507V109 ACTIVISION BLIZZARD 3,575 8,982
    00971T101 AKAMAI TECHNOLOGIES 11,189 21,067
    012653101 ALBEMARLE CORP COMMO    
    02079K107 ALPHABET INC CL C 26,277 52,085
    032654105 ANALOG DEVICES INC 28,620 57,125
    036752103 ANTHEM INC 15,398 52,380
    058498106 BALL CORP 14,935 18,291
    101137107 BOSTON SCIENTIFIC CO 1,964 2,336
    110122108 BRISTOL MYERS SQUIBB 11,845 12,782
    11133T103 BROADRIDGE FINANCIAL    
    12504L109 CBRE GROUP INC 2,755 13,021
    12508E101 CDK GLOBAL INC COMMO    
    126650100 CVS HEALTH CORP 33,049 46,422
    14040H105 CAPITAL ONE FINANCIA 4,155 9,431
    156782104 CERNER CORP COMMON    
    17275R102 CISCO SYSTEMS INC 14,748 28,517
    172967424 CITIGROUP INC 19,478 21,137
    191216100 COCA COLA CO 16,320 19,243
    20030N101 COMCAST CORP-CL A 3,016 17,112
    219350105 CORNING INC 24,608 32,576
    22822V101 CROWN CASTLE INTL CO    
    235851102 DANAHER CORP 6,981 27,966
    254709108 DISCOVER FINL SVCS 20,110 43,913
    25470F302 DISCOVERY INC C COMM    
    26875P101 EOG RESOURCES INC 10,738 24,428
    29261A100 ENCOMPASS HEALTH COR    
    302445101 FLIR SYSTEMS INC COM    
    31428X106 FEDEX CORPORATION 10,935 16,036
    315616102 F5 INC 10,146 19,577
    337738108 FISERV INC 18,053 17,748
    375558103 GILEAD SCIENCES, INC    
    38141G104 GOLDMAN SACHS GROUP 17,386 38,255
    40412C101 HCA HEALTHCARE INC 5,714 26,463
    436440101 HOLOGIC INC 8,175 16,078
    437076102 HOME DEPOT INC 24,713 56,026
    438516106 HONEYWELL INTERNATIO 17,520 38,574
    461202103 INTUIT INC 6,937 28,302
    478160104 JOHNSON & JOHNSON 21,509 37,635
    502431109 L3 HARRIS TECHNOLOGI 18,725 23,456
    526057104 LENNAR CORP-CL A 3,863 11,035
    58933Y105 MERCK & CO INC 23,487 36,021
    594918104 MICROSOFT CORP 29,313 87,443
    620076307 MOTOROLA SOLUTIONS, 7,678 14,944
    631103108 NASDAQ INC COMMON    
    665859104 NORTHERN TR CORP 14,837 23,922
    69370C100 PTC INC 7,871 13,327
    713448108 PEPSICO INC 17,952 44,296
    718546104 PHILLIPS 66 COMMON    
    750102105 RACKSPACE TECHNOLOGY 9,116 6,264
    808513105 CHARLES SCHWAB CORP 6,997 14,718
    855244109 STARBUCKS CORP 11,640 24,564
    902494103 TYSON FOODS INC CL A 16,451 26,148
    911312106 UNITED PARCEL SERVIC 18,242 50,370
    91324P102 UNITEDHEALTH GROUP I 3,145 29,124
    92343V104 VERIZON COMMUNICATIO 28,114 31,176
    92345Y106 VERISK ANALYTICS INC 5,206 19,442
    76131D103 RESTAURANT BRANDS IN 25,122 24,272
    G02602103 AMDOCS LTD 15,924 20,207
    G1151C101 ACCENTURE PLC CL A 12,934 72,546
    G5960L103 MEDTRONIC PLC 25,008 33,104
    G6095L109 APTIV PLC 3,987 11,547
    H1467J104 CHUBB LTD 27,505 40,595
    N6596X109 NXP SEMICONDUCTORS N 8,638 23,917
    85918D640 STERLING CAPITAL SPE    
    85918D657 STERLING CAPITAL EQT    
    007903107 ADVANCED MICRO DEVIC 1,947 2,015
    00832J102 AFTERPAY LTD UNSPONS 1,357 1,318
    023135106 AMAZON.COM INC 23,743 23,340
    032095101 AMPHENOL CORP 5,241 6,122
    037833100 APPLE INC 14,265 14,561
    053332102 AUTOZONE INC 6,346 10,482
    09857L108 BOOKING HOLDINGS INC 2,182 2,399
    125523100 CIGNA CORP 878 919
    127097103 COTERRA ENERGY INC 17,740 22,800
    169656105 CHIPOTLE MEXICAN GRI 1,681 1,748
    172908105 CINTAS CORP 1,372 1,330
    231021106 CUMMINS INC 33,805 29,449
    25809K105 DOORDASH INC CL A 729 745
    30303M102 META PLATFORMS INC C 12,800 12,781
    30744W107 FARFETCH LTD CL A 716 802
    368736104 GENERAC HOLDINGS INC 1,060 1,056
    369550108 GENERAL DYNAMICS COR 7,011 8,339
    37940X102 GLOBAL PAYMENTS INC 13,667 11,490
    46120E602 INTUITIVE SURGICAL I 4,051 4,312
    517834107 LAS VEGAS SANDS CORP 1,212 1,280
    532457108 LILLY ELI & CO 2,533 2,486
    550021109 LULULEMON ATHLETICA 1,567 1,566
    571748102 MARSH & MCLENNAN COS 14,712 21,728
    57636Q104 MASTERCARD INC CL A 2,459 2,515
    57667L107 MATCH GROUP INC 1,247 1,323
    60937P106 MONGODB INC CL A 1,458 1,588
    64110L106 NETFLIX INC 3,560 3,615
    654106103 NIKE INC-CLASS B 1,980 2,000
    67066G104 NVIDIA CORP 3,156 3,235
    70450Y103 PAYPAL HOLDINGS INC 954 943
    75886F107 REGENERON PHARMACEUT 7,012 9,473
    76954A103 RIVIAN AUTOMOTIVE IN 14,848 13,998
    771049103 ROBLOX CORP CL A 1,237 1,341
    776696106 ROPER TECHNOLOGIES I 1,952 1,967
    778296103 ROSS STORES INC 2,870 2,971
    78409V104 S&P GLOBAL INC 7,065 8,967
    79466L302 SALESFORCE COM INC 2,797 2,795
    81141R100 SEA LTD SPONSORED 3,847 4,027
    81762P102 SERVICENOW INC 3,086 3,246
    83304A106 SNAP INC CL A 3,307 3,480
    863667101 STRYKER CORPORATION 2,278 2,407
    874039100 TAIWAN SEMICONDUCTOR 1,520 1,564
    879360105 TELEDYNE TECHNOLOGIE 1,750 1,748
    89400J107 TRANSUNION 8,755 11,858
    90364P105 UIPATH INC CL A 922 992
    92826C839 VISA INC CL A 15,458 14,953
    98980L101 ZOOM VIDEO COMMUNICA 897 920
    L8681T102 SPOTIFY TECHNOLOGY S 1,804 1,872
    N07059210 ASML HOLDING NV SPON 3,805 3,981
    N3167Y103 FERRARI NV 2,062 2,071

    TY 2021 InvestmentsOtherSchedule2
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    464287465 ISHARES MSCI EAFE ET AT COST 6,527 7,317
    464287606 ISHARES S&P MIDCAP 4 AT COST 57,629 308,215
    464287630 ISHARES RUSSELL 2000 AT COST 60,383 132,840
    464287705 ISHARES S&P MIDCAP 4 AT COST 80,020 313,778
    464287887 ISHARES S&P SMALLCAP AT COST 37,139 145,740
    46434G103 ISHARES CORE MSCI EM AT COST 145,704 157,133
    464287234 ISHARES MSCI EMERGIN      
    464287465 ISHARES MSCI EAFE IN      
    464287507 ISHARES CORE S&P MID AT COST 2,038 4,246
    464287655 ISHARES RUSSELL 2000 AT COST 1,951 3,559
    921943858 VANGUARD FTSE DEVELO AT COST 200,253 200,155
    22822V101 CROWN CASTLE INTERNA AT COST 14,378 34,442
    27826A730 EATON VANCE FLOATING AT COST 2,000 2,000
    46653M849 JOHCM INTERNATIONAL AT COST 200,000 204,627
    64128K751 NEUBERGER BERMAN STR AT COST 11,276 11,217
    85917K744 STERLING CAPITAL QUA AT COST 293,160 291,108
    85918D624 STERLING CAPITAL TOT AT COST 11,368 11,435
    85918D640 STERLING CAPITAL SPE AT COST 12,601 17,361
    85918D657 STERLING CAPITAL EQU AT COST 11,622 19,116

    TY 2021 OtherDecreasesSchedule
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Description Amount
    2021 TRANSACTION POSTED IN 2022 565
    2021 SALES POSTED IN 2022 85


    TY 2021 OtherExpensesSchedule
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSE (NON-DEDUCTIBLE 25 25   0


    TY 2021 OtherIncomeSchedule2
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 195 195  


    TY 2021 OtherIncreasesSchedule
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Description Amount
    2020 TRANSACTION POSTED IN 2021 637
    CAPITAL ACTION PROCEEDS 27
    ACCRUED INTEREST PAID 238
    AMORTIZATION ADJUSTMENT 184
    RECOVERY OF PRIOR YEAR GRANTS 9,320
    ROUNDING 14


    TY 2021 TaxesSchedule
    Name:
    SMITH GEN WA TR UW - ITEM XXII
    EIN:
    56-6042630
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 162 162   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,010 0   0
    FEDERAL ESTIMATES - PRINCIPAL 911 0   0
    FOREIGN TAXES ON QUALIFIED FOR 324 324   0
    FOREIGN TAXES ON NONQUALIFIED 189 189   0