TY 2021 Form 990PF

- TIN:

Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

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

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

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021

Name of foundation
THE PETERMAN FOUNDATION INC

Number and street (or P.O. box number if mail is not delivered to street address)364 PATTESON DRIVE 265
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
MORGANTOWN, WV26505

A Employer identification number

27-1332412

B Telephone number (see instructions)

(304) 598-8000

C If exemption application is pending, check here bullet

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

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

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

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

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

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

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

$5,278,029J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	214,717
2	Check .............
3	Interest on savings and temporary cash investments	47,764		29,936
4	Dividends and interest from securities...	39,237		39,237
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		279,696
b	Gross sales price for all assets on line 6a 1,824,741
7	Capital gain net income (from Part IV, line 2)...			34,639
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	581,414		103,812
13	Compensation of officers, directors, trustees, etc.
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........		4,666		4,666
b	Accounting fees (attach schedule).......
c	Other professional fees (attach schedule)....		34,342	34,342
17	Interest...............
18	Taxes (attach schedule) (see instructions)...
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		21,279	567	3,731
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	60,287		34,909	8,397
25	Contributions, gifts, grants paid.......	244,500			247,000
26	Total expenses and disbursements. Add lines 24 and 25	304,787		34,909	255,397
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	276,627
b	Net investment income (if negative, enter -0-)			68,903
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2021)

Form 990-PF (2021)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	28,786
	2	Savings and temporary cash investments.........	71,424	290,810
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	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).......	1,944,236	2,029,657	2,737,684
	c	Investments—corporate bonds (attach schedule).......	2,518,556	2,519,162	2,540,345
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	4,563,002	4,839,629	5,278,029
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	4,563,002	4,839,629
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	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).....	4,563,002	4,839,629
	30	Total liabilities and net assets/fund balances (see instructions).	4,563,002	4,839,629

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............

4,563,002

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

276,627

Other increases not included in line 2 (itemize) bullet

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

4,839,629

Decreases not included in line 2 (itemize) bullet

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

4,839,629

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.)
1a
b
c
d
e

(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
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(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
b
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	34,639
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

Form 990-PF (2021)

Page 4

Part V

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2...........................	3	958
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	958
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	4,272
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	4,272
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	3,314
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax3,314	Refunded	11

Part VI-A

Statements Regarding Activities

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

Yes

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

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

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

If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

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

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

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

on foundation managers. bullet

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

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

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....

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

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

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

If "Yes," attach the statement required by General Instruction T.

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),

and Part XIV..................................

Yes

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

If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If "No," attach explanation .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.

If "Yes," complete Part XIII .............................

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

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

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement. See instructions.................

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

Yes

Website address bullet

N/A

The books are in care of bullet

THOMAS A VORBACH ESQ Telephone no. bullet

(304) 598-8112

Located at bullet

1000 SWISS PINE WAY SUITE 200PO BOX 1616MORGANTOWNWV ZIP+4 bullet

265071616

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........

1a(1)

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

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

1a(2)

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

1a(3)

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

1a(4)

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)? ......................

1a(5)

(6) Agree to pay money or property to a government official? (Exception. Check "No"

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.) ...............

1a(6)

If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........

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

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2021? .............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2021, did the foundation have any undistributed income (lines 6d

and 6e, Part XII) for tax year(s) beginning before 2021?....................

If "Yes," list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement—see instructions.) ..............

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

20, 20, 20, 20

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

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

If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2021.) .....................

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

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..

Form 990-PF (2021)

Page 6

Part VI-B

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

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

Yes

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

5a(1)

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive? ....................

5a(2)

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

5a(3)

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

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

5a(4)

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals? .............

5a(5)

If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........

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

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant? .................

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

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

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

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

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

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

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

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .........................

Part VII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation. See instructions

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
THOMAS A VORBACH	PRESIDENT 1.00	0	0	0
5009 LAKE LYNN DRIVE MORGANTOWN,WV26508	PRESIDENT 1.00	0	0	0
LAURIE C BARBE	VICE PRES. 1.00	0	0	0
651 KILARNEY DRIVE MORGANTOWN,WV26505	VICE PRES. 1.00	0	0	0
SHERI O SMITH	SEC./TREAS. 1.00	0	0	0
845 MALLARD LANDING BLVD CLEMMONS,NC27012	SEC./TREAS. 1.00	0	0	0

2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."


(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
NONE









Total number of other employees paid over $50,000...................

Form 990-PF (2021)

Page 7

Part VII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part VIII-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1	N/A
2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2021)

Page 8

Part IX

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

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

purposes:

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

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

170,460

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

4,689,998

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

4,860,458

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

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

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

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

4,860,458

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

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

72,907

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

4,787,551

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

239,378

Part X

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

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

239,378

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

958

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

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

958

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

238,420

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

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

238,420

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

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

238,420

Part XI

Qualifying Distributions (see instructions)

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

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

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

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

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

Amounts set aside for specific charitable projects that satisfy the:

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

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

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

Form 990-PF (2021)

Page 9

Part XII

Undistributed Income (see instructions)

	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7		238,420
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......	212,540
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2021:
a From 2016......
b From 2017......
c From 2018......
d From 2019......
e From 2020......
f Total of lines 3a through e ........
4Qualifying distributions for 2021 from Part
XI, line 4: $ 255,397
a Applied to 2020, but not more than line 2a	212,540
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........
d Applied to 2021 distributable amount.....		42,857
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2021.
(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
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........
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......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........		195,563
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) .......
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......
10 Analysis of line 9:
a Excess from 2017....
b Excess from 2018....
c Excess from 2019....
d Excess from 2020....
e Excess from 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 4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total

b 85% (0.85) of line 2a .........
c Qualifying distributions from Part XI, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part IX, line 6 for each year listed ..
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XIV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

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

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

aThe name, address, and telephone number or e-mail 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:

SEE ATTACHED.

cAny submission deadlines:

SEE ATTACHED.

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

SEE ATTACHED.

Form 990-PF (2021)

Page 11

Part XIV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
MOUNTAINEER SPAY NEUTER ASSIST PRO 1216 PHILLIP ST MORGANTOWN,WV26501	NONE	501C3	SPAYING AND NEUTERING ANIMALS	50,000
PRESTON COUNTY HUMANE SOCIETY 116 BROWN AVENUE KINGWOOD,WV26537	NONE	501C3	SPAYING AND NEUTERING ANIMALS	10,000
HOMEWARD BOUND WV INC PO BOX 80 ARTHURDALE,WV26520	NONE	501C3	SPAYING AND NEUTERING ANIMALS	20,000
PET HELPERS INC 726 EAST PARK AVE PMB 31 FAIRMONT,WV26554	NONE	501C3	SPAYING AND NEUTERING ANIMALS	50,000
ANIMAL FRIENDS OF NORTH CENTRAL WV 252 BREWER ROAD MORGANTOWN,WV26508	NONE	501C3	SPAYING AND NEUTERING ANIMALS	50,000
MARION COUNTY HUMANE SOCIETY PO BOX 905 FAIRMONT,WV26554	NONE	501C3	SPAYING AND NEUTERING ANIMALS	25,000
MOUNTAINEERS FOR MUTTS 2002 WHITEHALL COURT MORGANTOWN,WV26508	NONE	501C3	SPAYNG AND NEUTERING ANIMALS	18,500
STEPPING STONES 400 MYLAN PARK MORGANTOWN,WV26501	NONE	501C3	HELPING DISABLED INDIVIDUALS	16,000
MON COUNTY HUMANE SOCIETY PO BOX 390 MORGANTOWN,WV265070390	NONE	501(C)(3)	SPAYING AND NEUTERING	2,500
APPALACHIAN PEACE PAWS RESCUE 120 OHIO AVENUE WESTOVER,WV26501		NONE	SPAYING AND NEUTERING	5,000
Total ................................. 3a				247,000

bApproved for future payment

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

Form 990-PF (2021)

Page 12

Part XV-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........			14	47,764
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 ............			14	34,639	245,057
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..				121,640	245,057

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

366,697

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

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)

Form 990-PF (2021)

Page 13

Part XVI

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

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

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

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

1a(1)

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

1a(2)

Other transactions:

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

1b(1)

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

1b(2)

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

1b(3)

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

1b(4)

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

1b(5)

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

1b(6)

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

If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

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

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2021 AmortizationSchedule

Name:

THE PETERMAN FOUNDATION INC

EIN:

27-1332412

Description of Amortized Expenses	Date Acquired, Completed, or Expended	Amount Amortized	Deduction for Prior Years	Amortization Method	Current Year Amortization	Net Investment Income	Adjusted Net Income	Total Amount of Amortization
AMORTIZATION ON 50,000 UNITS OF MARSHALL CNTY WVA			423					423

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2021 GainLossSaleOtherAssetsSch

Name:

THE PETERMAN FOUNDATION INC

EIN:

27-1332412

Name	How Acquired	Gross Sales Price	Basis	Total (net)
FNB S-T (SEE ATTACHED)	PURCHASE	121,244	94,859	26,385
HUNTINGTON S-T (SEE ATTACHED)	PURCHASE	718,130	688,433	29,697
FNB L-T (SEE ATTACHED)	PURCHASE	411,177	342,036	69,141
HUNTINGTON L-T (SEE ATTACHED)	PURCHASE	539,551	419,717	119,834

- TIN:

TY 2021 InvestmentsCorpBondsSchedule

Name:

THE PETERMAN FOUNDATION INC

EIN:

27-1332412

Name of Bond	End of Year Book Value	End of Year Fair Market Value
FEDERATED INTRMD CORP BD FD	79,590	81,796
VANGUARD INTER TERM INV GRADE ADMIRA
FIDELITY NEW MARKETS INCOME FUND
VANGUARD INFLATION PROTECTED	61,255	67,721
JPMORGAN CHASE & CO 2.2%
INTEL CORP 2.45%
ORACLE CORPORATION 3.625%	50,408	51,828
SYSCO CORP 2.6%
VANGUARD SHORT TERM CORP BOND
FIDELITY SPARTAN INTMD TREASURY BOND	133,814	138,850
FIDELITY SPARTAN SHORT TERM
MERCK & CO INC 2.35%
STATE ST. CORP 2.65%	49,536	52,563
JP MORGAN CHASE & CO 2.4%
PIMCO INV GRAD BOND
OPPENHEIMER INTL BOND
COSTCO WHOLESALE 2.75%`	50,250	51,927
IBM CORP 3.375%
BANK OF NEW YORK MELLON	50,408	52,524
COSTCO WHOLESALE 2.75%
INTERNCONTINENTAL EXCHANGE 2.5%
IBM CORP 3.3%	50,546	53,642
US BANCORP SERIES MTN 3.9%	50,279	56,017
FEDERATED ULTRA SHORT BD - IS 108
IVY HIGH INCOME FUND CLASS N
JPMORGAN CORE PLUS BOND FUND	53,558	54,425
PIMCO LOW DURATION INC_INST
VANGUARD SHORT-TERM FED-ADM 549
VANGUARD SHORT TERM CORP BOND 1945	306,416	312,558
FIDELITY S-T TREASURY 3049	399,069	402,053
FHLB 1.84%
FHLB 1.54%
FHLB 3.24%
FHLB 1.8%
FFCB 3.22%
FREDDIE MAC SERIES 0004 2%
FHLMC SERIES 0000 2%
FNMA SERIES 0002 1.6%
US TRESURY NB 2.375%
US TREASURY NB 2.75%
BANK OF AMERICA CORP GMTN 2.65%
FEDERATED INSTITUTIONAL HIGH YIELD B
FEDERATED TOTAL RETURN BOND
GOLDMAN SACHS INFLATION PROTECT
GUGGENHEIM LIMITED DURATION CL
LORD ABBETT /SHORT DURATION INOCME
METROPOLITAN WEST UNC BD
PIMCO INCOME FUND
PIMCO LONG DURATION TOTAL RETURN FD
FEDERATED INST HIGH YIELD BOND R6
GOLDMAN SACHS INFLATION SEC FUND
LORD ABBETT SHORT DUR INC FUND CL 1
METROPOLITAN WEST UNC BD-1
EVERSOURCE ENERGY 2.9%	51,278	51,726
FHLB .875%	15,024	14,604
FFCB 1.3% 5/13/2030	24,670	23,534
FNMA .875% 8/5/2030
JP MORGAN CHASE 2.95%	51,650	52,799
NVR 3.95% 9/15/2022
PROLOGIS 3.75% 11/1/2025
US TREAS 2.875% 8/15/2028	27,442	27,234
US TREAS 1.75% 6/30/2024	51,862	51,086
US TREAS 1.625% 10/31/2026	52,373	50,852
WESTERN UNION 3.6%
US TREAS 1.625% 8/31/2022	45,162	43,726
US TREAS 2.875% 5/15/2028	17,135	16,341
US TREAS 2.875% 8/15/2028	17,261	16,383
US TREAS 2.5% 2/15/2022	53,165	51,906
US TREAS 2.125% 5/15/2022
US TREAS 2.375% 8/15/2024
US TREAS 2% 2/15/2025	21,185	20,597
US TREAS 2.25% 11/15/2025	42,982	41,663
US TREAS 2.125% 12/31/2022	10,195	10,167
US TREAS 1.625% 2/15/2026	21,095	20,341
US TREAS 2.25% 2/15/2027	7,607	7,349
US TREAS 2.5% 8/15/2023	52,314	51,492
US TREAS 2.75% 6/30/2025	33,567	32,763
US TREAS 1.625% 10/31/2026	5,134	5,061
US TREAS 1.25% 8/15/2021	4,846	4,886
US TREAS 1.375% 11/15/2031	4,887	4,934
US TREAS 1.25% 2/15/2031	4,846	4,852
US TREAS 1.25% 3/31/2028	19,901	19,825
US TREAS 2.25% 2/15/2027	16,416	15,710
US TREAS 1.625% 2022	35,532	35,312
US TREAS 2.875% 2028	99,705	98,297
US TREAS 2.375% 2029	52,562	53,297
US TREAS 2.25% 2024	52,403	51,531
US TREAS 2.75% 2025`	70,391	68,697
50,000 US TREAS 1.625%	52,579	50,844
25,000 US TREAS 1.5% 2030	25,518	25,121
15,000 US TREAS 1.125% 2031	14,517	14,555
25,000 US TREAS 1.125%	24,887	24,746
AMAZON .45% 5/12/2024	24,963	24,740
GENERAL DYNAMICS 2.375% 2024	26,053	25,802
ROYAL BANK OF CANADA 2.55% 2024	52,926	51,668

- TIN:

TY 2021 InvestmentsCorpStockSchedule

Name:

THE PETERMAN FOUNDATION INC

EIN:

27-1332412

Name of Stock	End of Year Book Value	End of Year Fair Market Value
60-0041-01-6-EQUITIES (SEE ATTACHED)	930,550	1,160,998
6091000094-MUT FUND (SEE ATTACHED)	115,804	130,247
6091000469-EQUITIES (SEE ATTACHED)	476,756	791,575
6091000469-MUTUAL FD (SEE ATTACHED)	312,228	356,506
6091000094 EQUITIES (SEE ATTACHED)	194,319	298,358

- TIN:

TY 2021 LegalFeesSchedule

Name:

THE PETERMAN FOUNDATION INC

EIN:

27-1332412

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
STEPTOE & JOHNSON PLLC	4,666			4,666

- TIN:

TY 2021 OtherExpensesSchedule

Name:

THE PETERMAN FOUNDATION INC

EIN:

27-1332412

Description	Revenue and Expenses per Books	Net Investment Income	Disbursements for Charitable Purposes
EXPENSES
INVESTMENT/MANAGEMENT FEES
FOREIGN TAXES PAID	567	567
ADVERTISING	3,731		3,731
BANK SERVICE CHARGE/WIRE FEES	36
BOND ACCRETION

- TIN:

TY 2021 OtherProfessionalFeesSchedule

Name:

THE PETERMAN FOUNDATION INC

EIN:

27-1332412

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT FEES	34,342	34,342