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
HOLDEN CLARENCE CHARITABLE TR-MAIN
 
Number and street (or P.O. box number if mail is not delivered to street address)6325 S RAINBOW BLVD STE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89118
A Employer identification number

20-8014086
B Telephone number (see instructions)

(888) 730-4933
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$4,432,518
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 70,125 69,665  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 81,749
b Gross sales price for all assets on line 6a 307,258
7 Capital gain net income (from Part IV, line 2)... 81,749
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 151,874 151,414  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 53,826 48,443   5,383
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)....... 970 0 0 970
c Other professional fees (attach schedule).... 488 488   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 837 837   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)....... 26 1   25
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 56,147 49,769 0 6,378
25 Contributions, gifts, grants paid....... 194,921 194,921
26 Total expenses and disbursements. Add lines 24 and 25 251,068 49,769 0 201,299
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -99,194
b Net investment income (if negative, enter -0-) 101,645
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............. 3,570    
2 Savings and temporary cash investments......... 41,373 74,944 74,944
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)....... 717,844 Click to see attachment2,383,640 4,357,574
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,799,510   0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,562,297 2,458,584 4,432,518
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........ 2,562,297 2,458,584
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)..... 2,562,297 2,458,584
30 Total liabilities and net assets/fund balances (see instructions). 2,562,297 2,458,584
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
2,562,297
2
Enter amount from Part I, line 27a .....................
2
-99,194
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
5,715
4
Add lines 1, 2, and 3 ..........................
4
2,468,818
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
10,234
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,458,584
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 17. MTS SYS CORP   2018-08-21 2021-01-11
b 34. HMS HLDGS CORP   2020-05-14 2021-01-21
c 2. LITTELFUSE INC COM   2018-08-21 2021-01-25
d 1. LITTELFUSE INC COM   2018-08-21 2021-01-29
e .27 PIONEER NAT RES CO COM   2020-09-11 2021-01-29
3. TETRA TECH INC NEW   2018-08-21 2021-01-29
71. APPLE INC   2007-05-08 2021-02-03
152. FORTIVE CORP   2005-10-07 2021-02-03
35. HOME DEPOT INC   2012-12-06 2021-02-03
134. TRIMBLE NAV LTD   2020-10-23 2021-02-03
2. TETRA TECH INC NEW   2018-08-21 2021-02-05
7666.291 JOHN HANCOCK II-ABSLT RTRN-I 3643   2018-07-27 2021-02-17
6. STANDARD MTR PRODS INC   2018-08-21 2021-03-04
8. TETRA TECH INC NEW   2018-08-21 2021-03-04
145. ACTIVISION BLIZZARD INC   2018-11-27 2021-03-05
85. APPLE INC   2007-05-08 2021-03-05
20. NETFLIX.COM INC   2017-06-05 2021-03-05
4. LITTELFUSE INC COM   2018-08-21 2021-03-15
2.86 PIONEER NAT RES CO COM   2020-09-11 2021-03-18
9.14 PIONEER NAT RES CO COM   2020-03-17 2021-03-18
3. NEXSTAR BROADCASTING GROUP INC   2020-11-17 2021-03-26
1. NEXSTAR BROADCASTING GROUP INC   2018-08-21 2021-03-26
6. STIFEL FINANCIAL CORP   2018-08-21 2021-03-26
7. UMB FINL CORP COM   2018-08-21 2021-03-26
26. STANDARD MTR PRODS INC   2018-08-21 2021-03-30
9. STIFEL FINANCIAL CORP   2018-08-21 2021-04-22
2. AMN HEALTHCARE SERVICES INC   2018-08-21 2021-05-11
1. CACI INTL INC FORMERLY CACI INC TO   2020-10-30 2021-06-04
1. FORWARD AIR CORP   2018-08-21 2021-06-04
5. K.FORCE, INC.   2021-01-28 2021-06-04
13. STIFEL FINANCIAL CORP   2018-08-21 2021-06-04
2. BOOT BARN HOLDINGS INC   2019-12-18 2021-06-15
28. SYKES ENTERPRISES INC COM   2018-08-21 2021-06-18
84. OLD NATL BANCORP   2018-08-13 2021-06-23
127. PRA HEALTH SCIENCES INC   2018-01-31 2021-07-01
63. PRA HEALTH SCIENCES INC   2018-03-13 2021-07-01
11. AMN HEALTHCARE SERVICES INC   2018-08-21 2021-07-27
13. BOOT BARN HOLDINGS INC   2019-12-18 2021-07-27
4. OMNICELL INC   2018-08-21 2021-07-27
4. STIFEL FINANCIAL CORP   2018-08-21 2021-08-16
5. SILICON MOTION TECHNOL-ADR   2018-08-21 2021-08-18
5. STIFEL FINANCIAL CORP   2018-08-21 2021-08-27
.375 ICON PLC   2021-07-01 2021-08-30
30. OLD NATL BANCORP   2021-03-30 2021-08-31
35. OLD NATL BANCORP   2018-08-21 2021-08-31
4. SILICON MOTION TECHNOL-ADR   2018-08-21 2021-09-03
2. MOVADO GROUP INC COM   2019-05-16 2021-09-08
19. SILICON MOTION TECHNOL-ADR   2018-08-21 2021-09-17
4. AMBARELLA INC   2018-08-21 2021-09-24
4. EXLSERVICE HOLDINGS INC   2018-08-21 2021-10-19
1. MEDPACE HOLDINGS INC   2019-06-26 2021-10-19
2. OMNICELL INC   2018-08-21 2021-10-19
4. BOOT BARN HOLDINGS INC   2020-02-18 2021-10-21
3. MEDPACE HOLDINGS INC   2019-06-26 2021-10-26
1. OMNICELL INC   2018-08-21 2021-10-26
7. MARCUS & MILLICHAP INC   2021-08-18 2021-11-03
1. MEDPACE HOLDINGS INC   2019-06-26 2021-11-12
9. MOVADO GROUP INC COM   2019-05-16 2021-11-12
1. OMNICELL INC   2018-08-21 2021-11-12
3. MEDPACE HOLDINGS INC   2019-06-26 2021-11-19
2. OMNICELL INC   2018-08-21 2021-11-19
4. AMN HEALTHCARE SERVICES INC   2018-08-21 2021-11-24
2. AMBARELLA INC   2018-08-21 2021-11-24
4. K.FORCE, INC.   2018-08-21 2021-11-29
1. K.FORCE, INC.   2021-01-28 2021-11-29
4. KORN FERRY   2021-01-13 2021-11-29
2. OMNICELL INC   2018-08-21 2021-12-01
783. ISHARES CORE U.S. AGGREGATE ETF   2019-12-27 2021-12-06
2. BOOT BARN HOLDINGS INC   2020-02-18 2021-12-15
4. MOVADO GROUP INC COM   2019-05-16 2021-12-15
2. AMBARELLA INC   2018-08-21 2021-12-15
3. FORWARD AIR CORP   2018-08-21 2021-12-22
7. ONTO INNOVATION INC   2019-09-23 2021-12-22
4. BOOT BARN HOLDINGS INC   2020-06-01 2021-12-29
5. MOVADO GROUP INC COM   2019-04-30 2021-12-29
3. ONTO INNOVATION INC   2019-09-23 2021-12-29
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
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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 1,003   886 117
b 1,249   1,102 147
c 545   445 100
d 246   223 23
e 33   20 13
370   210 160
9,560   265 9,295
10,066   4,430 5,636
9,606   2,295 7,311
9,458   6,707 2,751
268   140 128
77,430   68,000 9,430
260   306 -46
1,004   545 459
13,183   7,342 5,841
10,089   317 9,772
10,121   6,630 3,491
1,082   717 365
471   214 257
1,506   357 1,149
423   327 96
141   80 61
386   217 169
652   539 113
1,106   1,265 -159
601   325 276
185   117 68
257   207 50
94   64 30
310   221 89
869   470 399
147   87 60
1,497   825 672
1,503   1,707 -204
20,989   11,567 9,422
10,412   5,801 4,611
1,087   641 446
1,080   502 578
599   261 338
273   145 128
358   301 57
351   181 170
96   78 18
499   596 -97
582   624 -42
300   241 59
64   75 -11
1,401   1,141 260
651   153 498
501   244 257
188   63 125
330   130 200
399   132 267
636   188 448
171   65 106
320   272 48
222   63 159
326   338 -12
177   65 112
691   188 503
366   130 236
455   233 222
360   77 283
315   170 145
79   44 35
301   194 107
362   130 232
89,953   91,797 -1,844
236   55 181
152   150 2
392   77 315
343   193 150
670   230 440
499   89 410
211   184 27
300   99 201
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
      3,840
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       117
b       147
c       100
d       23
e       13
      160
      9,295
      5,636
      7,311
      2,751
      128
      9,430
      -46
      459
      5,841
      9,772
      3,491
      365
      257
      1,149
      96
      61
      169
      113
      -159
      276
      68
      50
      30
      89
      399
      60
      672
      -204
      9,422
      4,611
      446
      578
      338
      128
      57
      170
      18
      -97
      -42
      59
      -11
      260
      498
      257
      125
      200
      267
      448
      106
      48
      159
      -12
      112
      503
      236
      222
      283
      145
      35
      107
      232
      -1,844
      181
      2
      315
      150
      440
      410
      27
      201
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 81,749
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,413
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,413
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 356
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 1,057
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,413
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  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 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)
    bulletMN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (888) 730-4933

    Located atbullet100 N MAIN ST MAC D4001-117WINSTON SALEMNC ZIP+4bullet27101
    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)
    Yes
     
    (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
     
    No
    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
    Yes
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment
    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
    WELLS FARGO BANK N A TRUSTEE
    1
    53,826    
    100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101
    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
    4,153,035
    b
    Average of monthly cash balances.......................
    1b
    134,238
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,287,273
    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
    4,287,273
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    64,309
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    4,222,964
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    211,148
    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
    211,148
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,413
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,413
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    209,735
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    209,735
    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
    209,735
    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 7 209,735
    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...... 7,782
    b From 2017...... 0
    c From 2018...... 9,131
    d From 2019...... 10,005
    e From 2020...... 0
    f Total of lines 3a through e ........ 26,918
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 201,299
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 201,299
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 8,436 8,436
    (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 18,482
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    18,482
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 8,477
    c Excess from 2019.... 10,005
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    SHRINERS HOSPITALS FOR CHILDREN
    PO BOX 31356
    BRAINERD,MN564013505
    NONE PC GENERAL OPERATING 10,259
    ESSENTIA HEALTH FOUNDATION
    502 EAST SECOND STREET
    DULUTH,MN55805
    NONE PC GENERAL OPERATING 10,259
    THE SALVATION ARMY
    ATTN LEGAL DEPARTMENT
    HOFFMAN ESTATES,IL60192
    NONE PC GENERAL OPERATING 10,259
    CMC INC BOY SCOUTS OF AMERICA
    1191 SCOUT DR
    SARTELL,MN56377
    NONE PC GENERAL OPERATING 10,259
    CHILDRENS HOME SOCIETY & FMLY SERV
    1605 EUSTIS STREET
    SAINT PAUL,MN55108
    NONE PC GENERAL OPERATING 10,259
    CONCORDIA COLLEGE CORPORATION
    901 8TH STREET S
    MOORHEAD,MN56562
    NONE PC SCHOLARSHIPS 10,259
    TRINITY LUTHERAN CHURCH
    1420 SOUTH 6TH STREET
    BRAINERD,MN56401
    NONE PC GENERAL OPERATING 10,259
    LEGIONVILLE SCHOOL SAFETY PATROL-INC
    9544 LEGIONVILLE ROAD
    BRAINERD,MN56401
    NONE PC GENERAL OPERATING 10,259
    MN ELKS YOUTH CAMP
    508 SW 10TH STREET
    WILLMAR,MN56201
    NONE PC GENERAL OPERATING 10,259
    LUTHERAN SOCIAL SERVICE OF MINNESOTA
    2485 COMO AVENUE
    SAINT PAUL,MN55108
    NONE PC GENERAL OPERATING 30,777
    CROW WING COUNTY HISTORICAL SOCIETY
    PO BOX 722
    BRAINERD,MN56401
    NONE PC GENERAL OPERATING 10,259
    LUTHER CREST BIBLE CAMP
    8231 COUNTY ROAD NE
    ALEXANDRIA,MN56308
    NONE PC GENERAL OPERATING 10,259
    RONALD MCDONALD HOUSE CHARITIES
    818 FULTON STREET SE
    MINNEAPOLIS,MN55414
    NONE PC GENERAL OPERATING 10,259
    LUTHERAN CHURCH OF THE CROSS
    PO BOX 29
    NISSWA,MN564680029
    NONE PC GENERAL OPERATING 10,259
    HEARTLAND ANIMAL RESCUE TEAM
    15494 DELLWOOD DRIVE
    BRAINERD,MN56401
    NONE PC GENERAL OPERATING 10,259
    CITY OF BRAINERD
    501 LAUREL STREET
    BRAINERD,MN56401
    NONE GOV GENERAL OPERATING 10,259
    BRAINERD LIONS CLUB
    PO BOX 217
    BRAINERD,MN564013505
    NONE NC CHARITABLE PURPOSE 10,259
    Total .................................bullet 3a 194,921
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 81,749  
    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) ..   151,874  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    151,874
    (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)
    Yes
     
    (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
    1a(1) 10,259 BRAINERD LIONS CLUB CASH GRANT FOR CHARITABLE PURPOSE
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 970     970

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

    TY 2021 ExpenditureResponsibilityStmt
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    Brainerd Lions Club
     
    406 West Washington Street Suite 5
    Brainerd,MN56401
    2021-12-20 10,259 CHARITABLE PURPOSES HELP CHILDREN & ADULTS WITH VISION EXAM 10,259   9/7/2022    

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Name of Stock End of Year Book Value End of Year Fair Market Value
    34959J108 FORTIVE CORP    
    G66721104 NORWEGIAN CRUISE LIN 13,683 5,890
    023135106 AMAZON COM INC COM 15,519 146,711
    101137107 BOSTON SCIENTIFIC CO 12,867 30,543
    067806109 BARNES GROUP INC COM 2,120 1,817
    553777103 MTS SYS CORP    
    816300107 SELECTIVE INS GROUP 2,711 3,441
    67066G104 NVIDIA CORP 14,450 116,468
    69354M108 PRA HEALTH SCIENCES    
    451107106 IDACORP INC 1,970 2,266
    681116109 OLLIE'S BARGAIN OUTL 1,441 1,382
    36237H101 G-III APPAREL GROUP 2,099 1,935
    339041105 FLEETCOR TECHNOLOGIE 27,272 23,727
    169656105 CHIPOTLE MEXICAN GRI 8,636 33,217
    73278L105 POOL CORPORATION 15,601 59,996
    550021109 LULULEMON ATHLETICA 14,308 29,359
    90384S303 ULTA BEAUTY INC 13,239 23,916
    030506109 AMERICAN WOODMARK CO 1,923 1,500
    853666105 STANDARD MTR PRODS I    
    92532F100 VERTEX PHARMACEUTICA 17,713 23,278
    09857L108 BOOKING HOLDINGS INC 12,650 38,388
    11135F101 BROADCOM INC 19,842 61,883
    15135B101 CENTENE CORP DEL 19,852 38,975
    87918A105 TELADOC HEALTH INC 21,302 9,549
    88162G103 TETRA TECH INC NEW    
    701877102 PARSLEY ENERGY INC-C    
    840441109 SOUTHSTATE CORP 2,410 2,724
    483007704 KAISER ALUMINUM CORP 1,794 1,879
    566324109 MARCUS & MILLICHAP I 2,078 2,779
    81762P102 SERVICENOW INC 20,769 38,947
    00507V109 ACTIVISION BLIZZARD 10,443 14,370
    909907107 UNITED BANKSHARES IN 1,638 1,705
    680033107 OLD NATL BANCORP    
    254543101 DIODES INC 1,080 2,196
    493732101 K.FORCE, INC. 994 2,181
    457985208 INTEGRA LIFESCIENCES 2,452 2,948
    587376104 MERCANTILE BANK CORP 1,333 1,296
    78463M107 SPS COMMERCE INC 493 1,139
    165303108 CHESAPEAKE UTILS COR 1,022 1,604
    29275Y102 ENERSYS 1,338 1,897
    037833100 APPLE INC 4,183 213,794
    191098102 COCA-COLA CONSOLIDAT 1,897 4,334
    896239100 TRIMBLE INC 18,591 32,696
    21036P108 CONSTELLATION BRANDS 14,172 26,603
    016255101 ALIGN TECHNOLOGY INC 5,686 40,088
    64110L106 NETFLIX INC 9,736 35,544
    913259107 UNITIL CORP 1,108 1,012
    695127100 PACIRA BIOSCIENCES I 1,141 1,203
    78409V104 S&P GLOBAL INC 8,484 44,833
    30303M102 META PLATFORMS INC 14,000 95,860
    594918104 MICROSOFT CORP 24,582 200,783
    08160H101 BENCHMARK ELECTRS IN 1,971 2,033
    624580106 MOVADO GROUP INC COM 1,427 2,217
    892356106 TRACTOR SUPPLY CO CO 2,349 47,481
    02079K107 ALPHABET INC CL C 39,857 182,296
    860372101 STEWART INFORMATION 1,111 2,232
    902788108 UMB FINL CORP COM 924 1,273
    349853101 FORWARD AIR CORP 1,416 2,664
    60786M105 MOELIS & CO 1,039 2,250
    683344105 ONTO INNOVATION INC 887 2,834
    099406100 BOOT BARN HOLDINGS I 398 2,215
    04911A107 ATLANTIC UNION BANKS 2,464 2,387
    126402106 CSW INDUSTRIALS INC 844 1,571
    65336K103 NEXSTAR BROADCASTING 1,522 2,869
    50187A107 LHC GROUP INC 2,494 2,745
    252131107 DEXCOM INC 11,053 42,419
    235851102 DANAHER CORP 3,597 49,352
    437076102 HOME DEPOT INC 7,132 46,066
    518439104 ESTEE LAUDER COMPANI 5,002 38,871
    617446448 MORGAN STANLEY 30,922 53,694
    92826C839 VISA INC-CLASS A SHR 19,778 56,128
    45866F104 INTERCONTINENTAL EXC 8,933 42,125
    057665200 BALCHEM CORP CLASS B 1,670 2,698
    353514102 FRANKLIN ELEC INC CO 1,342 2,553
    040413106 ARISTA NETWORKS INC 21,250 51,750
    27616P103 EASTERLY GOVERNMENT 1,323 1,650
    40425J101 HMS HLDGS CORP    
    258278100 DORMAN PRODUCTS INC 1,850 2,712
    79466L302 SALESFORCE COM INC 15,309 58,704
    697435105 PALO ALTO NETWORKS I 19,435 61,244
    278865100 ECOLAB INC 2,939 22,051
    532457108 ELI LILLY & CO COM 32,008 51,653
    126501105 CTS CORP 1,415 1,579
    199908104 COMFORT SYS USA INC 1,138 2,869
    466032109 J & J SNACK FOODS CO 1,228 1,422
    537008104 LITTELFUSE INC COM    
    98936J101 ZENDESK INC 12,705 13,558
    500643200 KORN FERRY 1,245 2,272
    860630102 STIFEL FINANCIAL COR 615 1,197
    82706C108 SILICON MOTION TECHN    
    58506Q109 MEDPACE HOLDINGS INC 375 1,306
    14808P109 CASS INFORMATION SYS 946 1,022
    302081104 EXLSERVICE HOLDINGS 1,039 2,461
    44925C103 ICF INTERNATIONAL IN 2,059 2,769
    983793100 XPO LOGISTICS INC 6,730 15,254
    34964C106 FORTUNE BRANDS HOME 15,781 33,246
    31620M106 FIDELITY NATL INFORM 11,665 21,939
    893641100 TRANSDIGM GROUP INC 7,300 26,087
    127190304 CACI INTL INC FORMER 957 1,346
    505336107 LA-Z-BOY INC 1,054 1,707
    G1151C101 ACCENTURE PLC 6,710 48,088
    871237103 SYKES ENTERPRISES IN    
    001744101 AMN HEALTHCARE SERVI 768 2,324
    G037AX101 AMBARELLA INC 230 1,217
    374297109 GETTY RLTY CORP COM 979 1,252
    68213N109 OMNICELL INC 450 1,263
    09227Q100 BLACKBAUD INC 1,728 1,896
    922042858 VANGUARD FTSE EMERGI 53,165 70,233
    464287234 ISHARES MSCI EMERGIN 119,556 146,550
    921937819 VANGUARD INTERMEDIAT 167,701 176,204
    872365713 TCW EMRG MRKTS INC-P 141,671 136,332
    36262G101 GXO LOGISTICS INC 4,661 17,894
    12653C108 CNX RESOURCES CORP 2,871 2,819
    G17766109 CAMBIUM NETWORKS COR 2,225 1,768
    27830W108 EV GL MACR ABS RTRN 30,639 31,098
    703343103 PATRICK INDUSTRIES I 1,483 1,452
    05350V106 AVANOS MEDICAL INC 2,112 2,080
    45826H109 INTEGER HOLDINGS COR 2,077 1,883
    868459108 SUPERNUS PHARMACEUTI 1,045 1,108
    78463X863 SPDR DJ WILSHIRE INT 34,012 33,001
    101388106 BOTTOMLINE TECHNOLOG 1,952 2,315
    639050103 NATUS MEDICAL INC 1,750 1,566
    867892101 SUNSTONE HOTEL INVS 1,421 1,455
    464287655 ISHARES RUSSELL 2000 71,677 108,333
    G4705A100 ICON PLC 16,123 24,157
    811707801 SEACOAST BANKING COR 1,398 1,486
    74440Y884 PGIM HIGH YIELD-Q 10 278,000 291,195
    008492100 AGREE RLTY CORP COM 1,222 1,570
    50187T106 LGI HOMES INC 1,215 1,545
    13645T100 CANADIAN PAC RY LTD 17,512 17,985
    256206103 DODGE & COX INTL STO 140,980 196,064
    693391559 PIMCO EMERG MKTS BD- 73,143 76,509
    464287705 ISHARES S&P MID-CAP 34,429 52,462
    74256W485 PRINCIPAL PREFERRED 25,000 25,319
    464287606 ISHARES S&P MID-CAP 34,324 63,774
    464287226 ISHARES CORE U.S. AG 314,482 318,511
    256210105 DODGE & COX INCOME F 95,809 97,439

    TY 2021 InvestmentsOtherSchedule2
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    74256W485 PRINCIPAL PREFERRED      
    87234N765 TCW EMRG MKTS INCM-I      
    78463X863 SPDR DJ WILSHIRE INT      
    008492100 AGREE RLTY CORP COM      
    68213N109 OMNICELL INC      
    922042858 VANGUARD FTSE EMERGI      
    256206103 DODGE & COX INTL STO      
    464287606 ISHARES S&P MID-CAP      
    693391559 PIMCO EMERG MKTS BD-      
    464287234 ISHARES MSCI EMERGIN      
    921937819 VANGUARD INTERMEDIAT      
    256210105 DODGE & COX INCOME F      
    47803M168 JOHN HANCOCK II-ABSL      
    464287705 ISHARES S&P MID-CAP      
    GTC996442 CORBIN MULTI STRATEG      
    464287226 ISHARES CORE U.S. AG      
    464287655 ISHARES RUSSELL 2000      
    374297109 GETTY RLTY CORP COM      
    27830W108 EV GL MACR ABS RTRN      
    74440Y884 PGIM HIGH YIELD-Q 10      

    TY 2021 OtherDecreasesSchedule
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Description Amount
    PY PENDING SALES ADJ 7,931
    PY RETURN OF CAPITAL ADJ 2,167
    COST BASIS ADJUSTMENT 136


    TY 2021 OtherExpensesSchedule
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FILING FEE/STATE TAX 25 0   25
    INVESTMENT EXPENSES - ADR FEES 1 1   0


    TY 2021 OtherIncreasesSchedule
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Description Amount
    MUTUAL FUND TIMING ADJ 5,715


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 488 488    


    TY 2021 TaxesSchedule
    Name:
    HOLDEN CLARENCE CHARITABLE TR-MAIN
    EIN:
    20-8014086
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 410 410   0
    FOREIGN TAXES ON QUALIFIED FOR 72 72   0
    FOREIGN TAXES ON NONQUALIFIED 355 355   0