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
ANZALONE CHARITABLE TRUST 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

32-6574081
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$6,770,319
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) 1,940,625
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 112,269 111,983  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 524,421
b Gross sales price for all assets on line 6a 3,563,498
7 Capital gain net income (from Part IV, line 2)... 524,421
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........ 2,577,315 636,404  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 66,287 59,658   6,629
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 4,100 0 0 4,100
b Accounting fees (attach schedule)....... 969 0 0 969
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 9,760 2,372   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)....... 19 19    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 81,135 62,049 0 11,698
25 Contributions, gifts, grants paid....... 227,932 227,932
26 Total expenses and disbursements. Add lines 24 and 25 309,067 62,049 0 239,630
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,268,248
b Net investment income (if negative, enter -0-) 574,355
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 441,210 115,871 115,871
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)....... 1,053,283 Click to see attachment5,162,673 5,888,777
c Investments—corporate bonds (attach schedule).......   Click to see attachment777,758 765,671
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,373,651   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) 3,868,144 6,056,302 6,770,319
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........ 3,868,144 6,056,302
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)..... 3,868,144 6,056,302
30 Total liabilities and net assets/fund balances (see instructions). 3,868,144 6,056,302
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
3,868,144
2
Enter amount from Part I, line 27a .....................
2
2,268,248
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
6,136,392
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
80,090
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
6,056,302
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 10. ALIGN TECHNOLOGY INC     2021-01-07
b 10. DANAHER CORP   2020-08-06 2021-01-07
c 5. META PLATFORMS INC   2020-11-04 2021-01-07
d 55. ACTIVISION BLIZZARD INC     2021-01-28
e 30. APPLE INC   2020-11-04 2021-01-28
80. TRIMBLE NAV LTD   2020-11-04 2021-01-28
25. ZENDESK INC   2020-11-04 2021-01-28
3066.775 DOUBLELINE TOTAL RET BD-I 2040   1950-01-01 2021-02-09
1565. GOLDMAN SACHS ACTIVEBETA INT ETF     2021-02-09
280.474 VANGUARD INTL GRTH FD-ADM 581   1950-01-01 2021-02-09
20. HOME DEPOT INC     2021-03-04
45. PRA HEALTH SCIENCES INC   2021-01-28 2021-03-04
2050. GOLDMAN SACHS ACTIVEBETA INT ETF   2020-05-07 2021-03-24
100. INVESCO OPTIMUM YIELD DIVERSIF ETF   2020-08-05 2021-03-24
4638.219 PIMCO COMMODITY REAL RET STRAT-I45   2020-11-04 2021-03-24
24947.132 PGIM HIGH YIELD-Q 1067     2021-03-24
745.454 T ROWE PRICE BLUE CHIP-I #429   1950-01-01 2021-03-24
293. VANGUARD MIDCAP VIPER   2020-12-17 2021-03-24
145. ACTIVISION BLIZZARD INC     2021-04-01
38. ALIGN TECHNOLOGY INC     2021-04-01
5. ALPHABET INC CL C   2020-11-04 2021-04-01
29. AMAZON COM INC COM     2021-04-01
113. APPLE INC   2020-11-04 2021-04-01
78. ARISTA NETWORKS INC     2021-04-01
566. BOSTON SCIENTIFIC CORP COM     2021-04-01
11. BROADCOM INC   2020-11-04 2021-04-01
54. CANADIAN PAC RY LTD     2021-04-01
308. CENTENE CORP DEL     2021-04-01
10. CHIPOTLE MEXICAN GRILL INC     2021-04-01
67. CONSTELLATION BRANDS INC     2021-04-01
89. DANAHER CORP     2021-04-01
70. DEXCOM INC     2021-04-01
55. ECOLAB INC     2021-04-01
206. META PLATFORMS INC     2021-04-01
36. FIDELITY NATL INFORMATION SVCS INC   2020-08-06 2021-04-01
85. FLEETCOR TECHNOLOGIES INC     2021-04-01
243. FORTUNE BRANDS HOME & SECURITY     2021-04-01
52. HOME DEPOT INC     2021-04-01
198. INTERCONTINENTAL EXCHANGE INC     2021-04-01
80. ESTEE LAUDER COMPANIES INC     2021-04-01
33. ELI LILLY & CO COM   2020-07-30 2021-04-01
45. LULULEMON ATHLETICA INC     2021-04-01
22. MICROSOFT CORP   2020-11-04 2021-04-01
375. MORGAN STANLEY     2021-04-01
39. NETFLIX.COM INC     2021-04-01
62. NVIDIA CORP     2021-04-01
126. PRA HEALTH SCIENCES INC     2021-04-01
75. PALO ALTO NETWORKS INC     2021-04-01
67. POOL CORPORATION     2021-04-01
59. S&P GLOBAL INC     2021-04-01
159. SALESFORCE INC     2021-04-01
43. SERVICENOW INC     2021-04-01
86. TELADOC HEALTH INC     2021-04-01
139. TRACTOR SUPPLY CO COM     2021-04-01
24. TRANSDIGM GROUP INC     2021-04-01
261. TRIMBLE NAV LTD     2021-04-01
49. ULTA BEAUTY INC     2021-04-01
67. VERTEX PHARMACEUTICALS INC COM     2021-04-01
91. VISA INC-CLASS A SHRS     2021-04-01
151. XPO LOGISTICS INC     2021-04-01
130. ZENDESK INC     2021-04-01
95. ACCENTURE PLC     2021-04-01
338. NORWEGIAN CRUISE LINE HOLDING     2021-04-01
673. AT & T INC   2021-04-01 2021-04-08
20. JPMORGAN CHASE & CO   2021-04-01 2021-04-08
5. LAM RESEARCH CORP COM   2021-04-01 2021-04-08
15. MICROSOFT CORP   2020-11-04 2021-04-08
45. SYSCO CORP   2021-04-01 2021-04-08
23. ORGANON & CO   2021-04-01 2021-06-14
12. TARGET CORP   2021-04-01 2021-06-14
.7 ORGANON & CO   2021-04-01 2021-06-28
15. ELI LILLY & CO COM   2021-06-30 2021-07-06
17. UNITEDHEALTH GROUP INC     2021-07-06
5000. INVESCO OPTIMUM YIELD DIVERSIF ETF     2021-07-26
500. INVESCO OPTIMUM YIELD DIVERSIF ETF   2020-08-05 2021-07-26
900.99849 ISHARES CORE U.S. AGGREGATE ETF     2021-07-26
600.00151 ISHARES CORE U.S. AGGREGATE ETF     2021-07-26
422. ISHARES RUSSELL 2000 ETF     2021-07-26
60. ISHARES CORE TOTAL BOND ETF   2020-08-05 2021-07-26
472. VANGUARD MIDCAP VIPER   2021-06-30 2021-07-26
33. BLACKSTONE INC   2021-07-26 2021-08-30
90. CISCO SYSTEMS INC     2021-08-30
29. GARMIN LTD     2021-08-30
501.092 IVY GLOBAL GROWTH FUND-I 481   1950-01-01 2021-09-20
1418.483 IVY GLOBAL EQUITY INCOME-I 459   1950-01-01 2021-09-20
704.534 IVY LARGE CAP GROWTH-I 489   1950-01-01 2021-09-20
478.198 IVY MID CAP GROWTH FUND-I 490   1950-01-01 2021-09-20
4702.971 IVY MUNICIPAL HIGH INC-I 465   1950-01-01 2021-09-20
1877.848 IVY ASSET STRATEGY FUND CLASS I 473   1950-01-01 2021-09-20
3410. ISHARES CORE TOTAL BOND ETF     2021-09-28
1773. ISHARES CORE TOTAL BOND ETF     2021-09-28
2975. ISHARES CORE U.S. AGGREGATE ETF     2021-10-04
386. ISHARES CORE U.S. AGGREGATE ETF     2021-10-04
3580.308 IVY MUNICIPAL BOND-I 492   1950-01-01 2021-10-12
2. ALPHABET INC CL C   2021-07-26 2021-10-13
80. AMGEN INC     2021-10-13
30. APPLE INC   2021-07-26 2021-10-13
23. CELANESE CORP   2021-07-26 2021-10-13
25. MICROSOFT CORP   2021-07-26 2021-10-13
801.348 IVY VALUE FUND-I #482   1950-01-01 2021-10-14
276.248 IVY SCIENCE & TECHNOLOGY-I 474   1950-01-01 2021-10-14
1000. ISHARES CORE MSCI EMERGING ETF     2021-10-18
3596. GOLDMAN ACTIVEBETA US LC ETF   2021-09-20 2021-10-19
1955. ISHARES CORE MSCI EMERGING ETF     2021-10-19
1450. ISHARES CORE MSCI EMERGING ETF   2021-02-09 2021-10-19
5. VISA INC-CLASS A SHRS   2021-10-19 2021-10-20
25. ADYEN NV-UNSPON ADR   2021-10-19 2021-10-21
73. BLACKSTONE INC     2021-10-21
20. DIAGEO PLC - ADR   2021-06-30 2021-10-21
5. NVIDIA CORP   2021-10-19 2021-10-22
4. TARGET CORP   2021-10-19 2021-10-22
1. SHOPIFY INC - A W/I   2021-10-19 2021-10-26
5. BLOCK INC   2021-10-19 2021-10-26
4. CARVANA CO   2021-10-19 2021-10-27
7. META PLATFORMS INC   2021-10-19 2021-10-28
7. PAYPAL HOLDINGS INC   2021-10-19 2021-10-28
9. TWILIO INC   2021-10-19 2021-10-29
10. VISA INC-CLASS A SHRS   2021-10-19 2021-11-01
4. BLOCK INC   2021-10-19 2021-11-02
2. META PLATFORMS INC   2021-10-19 2021-11-03
3. VISA INC-CLASS A SHRS   2021-10-19 2021-11-03
7. VISA INC-CLASS A SHRS   2021-10-19 2021-11-17
3. NVIDIA CORP   2021-10-19 2021-11-18
7. TRADE DESK INC/THE   2021-10-19 2021-11-18
2. ALPHABET INC CL C   2021-07-26 2021-11-19
871. FLEXTRONICS INTL LTD     2021-11-19
2. ADOBE SYS INC   2021-10-19 2021-12-02
22. DOCUSIGN INC   2021-10-19 2021-12-03
7. META PLATFORMS INC   2021-10-19 2021-12-08
9. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2021-10-19 2021-12-15
1. ADOBE SYS INC   2021-10-19 2021-12-16
11. CARVANA CO   2021-10-19 2021-12-17
2. META PLATFORMS INC   2021-10-19 2021-12-20
6. BLACKROCK INC   2021-06-30 2021-12-22
40. BLACKSTONE INC   2021-04-01 2021-12-22
25. MICROSOFT CORP   2021-07-26 2021-12-22
38. NIKE INC CL B     2021-12-22
5. TWILIO INC   2021-10-19 2021-12-27
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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 5,530   4,088 1,442
b 2,409   2,046 363
c 1,344   1,439 -95
d 5,003   4,592 411
e 4,173   3,450 723
5,468   4,235 1,233
3,568   3,076 492
32,784   1 32,783
51,552   42,145 9,407
49,823   1 49,822
5,009   5,604 -595
6,432   5,638 794
67,407   50,020 17,387
1,738   1,396 342
30,102   25,000 5,102
137,209   138,267 -1,058
122,046   1 122,045
64,130   60,897 3,233
13,816   10,913 2,903
20,695   9,766 10,929
10,650   8,780 1,870
91,279   82,757 8,522
13,859   12,993 866
23,958   18,154 5,804
21,776   20,581 1,195
5,239   4,029 1,210
20,644   14,004 6,640
19,358   19,647 -289
14,425   11,004 3,421
15,355   11,451 3,904
20,018   15,706 4,312
25,311   27,228 -1,917
11,882   10,766 1,116
61,406   50,274 11,132
5,161   5,256 -95
23,584   21,421 2,163
23,515   17,370 6,145
16,006   12,857 3,149
22,542   18,779 3,763
23,454   15,652 7,802
6,115   5,048 1,067
13,670   12,924 746
5,320   4,772 548
29,280   17,595 11,685
21,006   18,220 2,786
34,332   23,891 10,441
19,721   12,814 6,907
24,523   17,543 6,980
23,507   19,607 3,900
21,392   19,289 2,103
34,670   32,140 2,530
21,772   18,646 3,126
15,732   17,671 -1,939
24,401   17,660 6,741
14,485   10,067 4,418
21,118   12,339 8,779
15,373   10,387 4,986
14,276   17,693 -3,417
19,684   17,759 1,925
19,191   11,761 7,430
18,070   13,322 4,748
26,259   20,018 6,241
9,339   4,844 4,495
20,181   20,459 -278
3,100   3,070 30
3,325   3,188 137
3,785   3,254 531
3,607   3,520 87
699   844 -145
2,781   2,409 372
21   26 -5
3,514   3,443 71
6,933   6,727 206
100,213   60,423 39,790
10,021   6,978 3,043
104,714   107,590 -2,876
69,732   70,720 -988
93,125   96,903 -3,778
3,230   3,305 -75
112,799   112,003 796
4,136   3,678 458
5,312   4,938 374
5,167   4,390 777
31,048   19,192 11,856
19,462   19,154 308
26,117   12,969 13,148
22,054   11,177 10,877
24,220   24,465 -245
49,350   41,650 7,700
181,582   184,221 -2,639
94,412   95,559 -1,147
341,888   349,940 -8,052
44,359   45,117 -758
42,355   42,801 -446
5,490   5,522 -32
16,302   19,742 -3,440
4,187   4,447 -260
3,651   3,560 91
7,357   7,222 135
23,071   17,412 5,659
31,332   15,605 15,727
63,705   62,936 769
324,029   314,108 9,921
125,496   129,810 -4,314
93,079   98,785 -5,706
1,159   1,162 -3
781   786 -5
9,669   6,857 2,812
3,986   3,829 157
1,129   1,109 20
1,027   1,011 16
1,401   1,499 -98
1,342   1,277 65
1,182   1,171 11
2,192   2,378 -186
1,638   1,903 -265
2,567   3,310 -743
2,135   2,324 -189
1,012   1,022 -10
655   679 -24
622   697 -75
1,426   1,627 -201
959   665 294
747   575 172
6,033   5,522 511
15,550   15,896 -346
1,338   1,273 65
3,055   6,041 -2,986
2,320   2,378 -58
1,058   1,048 10
579   636 -57
2,329   3,219 -890
649   679 -30
5,489   5,241 248
5,164   2,983 2,181
8,272   7,222 1,050
6,265   6,122 143
1,323   1,839 -516
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
      650
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       1,442
b       363
c       -95
d       411
e       723
      1,233
      492
      32,783
      9,407
      49,822
      -595
      794
      17,387
      342
      5,102
      -1,058
      122,045
      3,233
      2,903
      10,929
      1,870
      8,522
      866
      5,804
      1,195
      1,210
      6,640
      -289
      3,421
      3,904
      4,312
      -1,917
      1,116
      11,132
      -95
      2,163
      6,145
      3,149
      3,763
      7,802
      1,067
      746
      548
      11,685
      2,786
      10,441
      6,907
      6,980
      3,900
      2,103
      2,530
      3,126
      -1,939
      6,741
      4,418
      8,779
      4,986
      -3,417
      1,925
      7,430
      4,748
      6,241
      4,495
      -278
      30
      137
      531
      87
      -145
      372
      -5
      71
      206
      39,790
      3,043
      -2,876
      -988
      -3,778
      -75
      796
      458
      374
      777
      11,856
      308
      13,148
      10,877
      -245
      7,700
      -2,639
      -1,147
      -8,052
      -758
      -446
      -32
      -3,440
      -260
      91
      135
      5,659
      15,727
      769
      9,921
      -4,314
      -5,706
      -3
      -5
      2,812
      157
      20
      16
      -98
      65
      11
      -186
      -265
      -743
      -189
      -10
      -24
      -75
      -201
      294
      172
      511
      -346
      65
      -2,986
      -58
      10
      -57
      -890
      -30
      248
      2,181
      1,050
      143
      -516
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 524,421
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 7,984
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 7,984
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 3,694
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 7,269
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 10,963
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,979
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet2,979 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)
    bulletCA
    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. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care 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)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WELLS FARGO BANK N A TRUSTEE
    1
    66,287    
    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
    4,313,319
    b
    Average of monthly cash balances.......................
    1b
    464,187
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,777,506
    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
    4,777,506
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    71,663
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    4,705,843
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    235,292
    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
    235,292
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    7,984
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,984
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    227,308
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    227,308
    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
    227,308
    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 7 227,308
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 107,706
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 239,630
    a Applied to 2020, but not more than line 2a 107,706
    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..... 131,924
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    95,384
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or 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
    AMERICAN CANCER SOCIETY INC
    8400 SILVER CROSSING
    OKLAHOMA CITY,OK731720366
    NONE PC GENERAL OPERATING 45,587
    OAHU SPCA
    823 OLIVE AVENUE
    WAHIAWA,HI967868563
    NONE PC GENERAL OPERATING 22,793
    SAN FRANCISCO SPCA
    201 ALABAMA ST
    SAN FRANCISCO,CA94103
    NONE PC GENERAL OPERATING 22,793
    MEALS ON WHEELS OF SAN FRANCISCO INC
    1375 FAIRFAX AVENUE
    SAN FRANCISCO,CA94124
    NONE PC GENERAL OPERATING 22,793
    PROJECT OPEN HAND
    730 POLK STREET
    SAN FRANCISCO,CA94109
    NONE PC GENERAL OPERATING 22,793
    ON LOK INC
    1333 BUSH STREET
    SAN FRANCISCO,CA94109
    NONE PC GENERAL OPERATING 22,793
    HONOLULU ACADEMY OF ARTS
    900 SOUTH BERETANIA STREET
    HONOLULU,HI96814
    NONE PC GENERAL OPERATING 22,793
    LANAKILA PACIFIC
    1809 BACHELOT STREET
    HONOLULU,HI96817
    NONE PC GENERAL OPERATING 45,587
    Total .................................bullet 3a 227,932
    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 ............
        18 524,421  
    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) ..   636,690  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    636,690
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    ANZALONE CHARITABLE TRUST MAIN
     
    Employer identification number

    32-6574081
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    ANZALONE CHARITABLE TRUST MAIN
     
    Employer identification number
    32-6574081
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    ANZALONE JOHN A POST 645 TRUST
    100 N MAIN ST MAC D4001-117
     
    WINSTON SALEM, NC27101

    $ 1,940,625


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

    $  


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

    $  


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

    $  


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

    $  


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

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    ANZALONE CHARITABLE TRUST MAIN
     
    Employer identification number

    32-6574081
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    1
    VARIOUS PUBLICLY TRADED SECURITIES $ 276,816 2021-09-02
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    ANZALONE CHARITABLE TRUST MAIN
     
    Employer identification number

    32-6574081
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 969     969

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Name of Bond End of Year Book Value End of Year Fair Market Value
    25389JAR7 DIGITAL REALTY TRUST 16,798 16,255
    693475AZ8 PNC FINANCIAL SERVIC 15,649 15,420
    912828M56 US TREASURY NOTE 42,403 41,662
    46625HRV4 JPMORGAN CHASE & CO 21,432 21,113
    78016EZQ3 ROYAL BANK OF CANADA 14,914 14,734
    29444UBL9 EQUINIX INC 14,692 14,428
    9128286A3 US TREASURY NOTE 26,908 26,435
    110122DP0 BRISTOL-MYERS SQUIBB 19,748 19,548
    06367WMQ3 BANK OF MONTREAL 15,741 15,469
    00206RDC3 AT&T INC 16,263 16,011
    9128285M8 US TREASURY NOTE 28,164 27,788
    91282CBL4 US TREASURY NOTE 24,295 24,263
    912828WJ5 US TREASURY NOTE 2.5 26,355 25,971
    606822BA1 MITSUBISHI UFJ FIN 15,895 15,643
    00287YAQ2 ABBVIE INC 16,237 15,951
    59156RBH0 METLIFE INC 3.600% 4 16,113 15,832
    06051GGA1 BANK OF AMERICA CORP 16,218 15,966
    256677AC9 DOLLAR GENERAL CORP 15,518 15,362
    912828V23 US TREASURY NOTE 36,478 36,049
    61746BEF9 MORGAN STANLEY 16,548 16,262
    867914BS1 SUNTRUST BANKS INC 22,019 21,580
    14040HBN4 CAPITAL ONE FINANCIA 16,643 16,239
    42824CBJ7 HP ENTERPRISE CO 15,261 15,096
    912828U24 US TREASURY NOTE 2.0 26,443 25,860
    38148LAE6 GOLDMAN SACHS GROUP 21,679 21,344
    126650DM9 CVS HEALTH CORP 14,859 14,541
    9128286T2 US TREASURY NOTE 2.3 26,913 26,646
    961214DW0 WESTPAC BANKING CORP 22,179 21,728
    9128283W8 US TREASURY NOTE 27,421 27,020
    036752AB9 ANTHEM INC 16,663 16,456
    548661DY0 LOWE'S COS INC 14,382 14,251
    254687FL5 WALT DISNEY COMPANY/ 20,208 19,894
    166764BW9 CHEVRON CORP 20,530 20,170
    9128286X3 US TREASURY NOTE 26,408 25,967
    912828N30 US TREASURY NOTE 2.1 25,614 25,415
    9128284F4 US TREASURY NOTE 26,723 26,274
    20030NCT6 COMCAST CORP 17,444 17,028

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Name of Stock End of Year Book Value End of Year Fair Market Value
    278865100 ECOLAB INC    
    69354M108 PRA HEALTH SCIENCES    
    34964C106 FORTUNE BRANDS HOME    
    78409V104 S&P GLOBAL INC 4,950 5,191
    02079K107 ALPHABET INC CL C 108,678 162,041
    00507V109 ACTIVISION BLIZZARD    
    31620M106 FIDELITY NATL INFORM 32,955 28,925
    G1151C101 ACCENTURE PLC    
    81762P102 SERVICENOW INC    
    73278L105 POOL CORPORATION    
    983793100 XPO LOGISTICS INC    
    550021109 LULULEMON ATHLETICA 7,093 6,655
    252131107 DEXCOM INC 4,961 4,833
    697435105 PALO ALTO NETWORKS I    
    594918104 MICROSOFT CORP 126,542 185,649
    67066G104 NVIDIA CORP 25,056 33,234
    339041105 FLEETCOR TECHNOLOGIE    
    90384S303 ULTA BEAUTY INC    
    09857L108 BOOKING HOLDINGS INC 22,768 31,190
    892356106 TRACTOR SUPPLY CO CO    
    98936J101 ZENDESK INC    
    13645T100 CANADIAN PAC RY LTD    
    11135F101 BROADCOM INC 25,451 49,906
    101137107 BOSTON SCIENTIFIC CO    
    617446448 MORGAN STANLEY    
    30303M102 META PLATFORMS INC 27,994 28,926
    016255101 ALIGN TECHNOLOGY INC    
    92826C839 VISA INC-CLASS A SHR 40,447 42,475
    040413106 ARISTA NETWORKS INC    
    21036P108 CONSTELLATION BRANDS    
    437076102 HOME DEPOT INC 7,305 8,300
    037833100 APPLE INC 118,974 190,533
    G66721104 NORWEGIAN CRUISE LIN    
    893641100 TRANSDIGM GROUP INC    
    92532F100 VERTEX PHARMACEUTICA    
    79466L302 SALESFORCE INC 17,084 14,994
    169656105 CHIPOTLE MEXICAN GRI 13,047 12,238
    235851102 DANAHER CORP 6,806 7,238
    518439104 ESTEE LAUDER COMPANI 10,055 11,846
    15135B101 CENTENE CORP DEL    
    45866F104 INTERCONTINENTAL EXC    
    532457108 ELI LILLY & CO COM 31,022 48,615
    87918A105 TELADOC HEALTH INC    
    64110L106 NETFLIX INC 18,553 17,471
    896239100 TRIMBLE INC    
    023135106 AMAZON COM INC COM 37,827 36,678
    150870103 CELANESE CORP 35,973 39,998
    46625H100 JPMORGAN CHASE & CO 62,634 64,607
    771049103 ROBLOX CORP 3,232 4,230
    874039100 TAIWAN SEMICONDUCTOR 6,406 6,617
    57667L107 MATCH GROUP INC NEW 7,709 6,348
    654106103 NIKE INC CL B 35,068 41,668
    904767704 UNILEVER PLC - ADR 18,007 17,213
    90353T100 UBER TECHNOLOGIES IN 11,723 10,902
    571903202 MARRIOTT INTERNATION 4,676 4,792
    883556102 THERMO FISHER SCIENT 19,953 28,691
    09247X101 BLACKROCK INC 38,156 44,862
    192446102 COGNIZANT TECH SOLUT 32,223 35,932
    872540109 TJX COMPANIES INC 5,809 6,757
    48251W104 KKR & CO INC -A 1,799 1,863
    907818108 UNION PACIFIC CORP 29,087 33,255
    00287Y109 ABBVIE INC 28,570 35,204
    871829107 SYSCO CORP 24,459 24,586
    502441306 LVMH MOET HENNESSY U 10,261 11,254
    285512109 ELECTRONIC ARTS INC 30,971 29,282
    852234103 BLOCK INC 12,005 7,591
    867224107 SUNCOR ENERGY INC NE 27,416 30,637
    833445109 SNOWFLAKE INC 6,995 6,775
    70450Y103 PAYPAL HOLDINGS INC 8,971 6,223
    57636Q104 MASTERCARD INC 9,747 9,702
    90138F102 TWILIO INC 5,517 3,950
    25243Q205 DIAGEO PLC - ADR 28,595 36,984
    609207105 MONDELEZ INTERNATION 29,016 32,293
    911312106 UNITED PARCEL SERVIC 32,904 39,224
    22160K105 COSTCO WHOLESALE COR 7,412 9,083
    98980F104 ZOOMINFO TECHNOLOGIE 2,455 2,375
    87612E106 TARGET CORP 37,663 39,808
    88339J105 TRADE DESK INC/THE 5,253 5,865
    464288281 ISHARES JP MORGAN US 371,061 365,787
    679295105 OKTA INC 2,864 2,466
    H84989104 TE CONNECTIVITY LTD 29,364 33,075
    17275R102 CISCO SYSTEMS INC 34,108 41,571
    722005667 PIMCO COMMODITY REAL 192,136 193,104
    381430107 GOLDMAN SACHS ACTIVE 132,466 132,827
    922908629 VANGUARD MIDCAP VIPE 741,293 1,054,238
    G06242104 ATLASSIAN CORP PLC-C 11,614 10,676
    512807108 LAM RESEARCH CORP CO 33,244 37,396
    38141G104 GOLDMAN SACHS GROUP 6,069 5,738
    891160509 TORONTO DOMINION BK 35,393 40,947
    460690100 INTERPUBLIC GROUP CO 27,097 33,518
    L8681T102 SPOTIFY TECHNOLOGY S 2,096 1,638
    00724F101 ADOBE INC 19,088 17,012
    46429B366 ISHARES CMBS ETF 32,208 31,553
    464287655 ISHARES RUSSELL 2000 367,791 407,751
    98138H101 WORKDAY INC 4,145 4,098
    46434G103 ISHARES CORE MSCI EM 487,242 509,169
    172967424 CITIGROUP INC. 53,564 44,870
    126650100 CVS HEALTH CORPORATI 25,626 34,765
    464287804 ISHARES CORE S&P SMA 132,888 141,878
    83304A106 SNAP INC 11,377 6,960
    88160R101 TESLA INC 35,747 43,328
    82509L107 SHOPIFY INC - A W/I 26,821 24,793
    91324P102 UNITEDHEALTH GROUP I 52,817 70,300
    09260D107 BLACKSTONE INC 18,942 32,736
    58933Y105 MERCK & CO INC NEW 31,814 31,499
    94106L109 WASTE MANAGEMENT INC 34,383 43,394
    46120E602 INTUITIVE SURGICAL I 3,087 3,234
    517834107 LAS VEGAS SANDS CORP 32,759 21,455
    G5960L103 MEDTRONIC PLC 21,538 18,828
    H2906T109 GARMIN LTD 28,366 28,868
    492089107 KERINGIUNSPONSORED A 6,546 6,924
    254687106 WALT DISNEY CO 36,942 30,823
    009066101 AIRBNB INC 7,394 7,159
    418056107 HASBRO INC 20,879 22,188
    09075V102 BIONTECH SE-ADR 3,161 3,094
    464288588 ISHARES MBS ETF 32,508 32,229
    56501R106 MANULIFE FINANCIAL C 43,782 39,723
    75513E101 RAYTHEON TECHNOLOGIE 34,264 37,006
    405217100 HAIN CELESTIAL GROUP 17,217 16,661
    89151E109 TOTALENERGIES SE -SP 28,100 29,280
    74440Y884 PGIM HIGH YIELD-Q 10 487,388 497,536
    G29183103 EATON CORP PLC 35,427 43,032
    097023105 BOEING CO 26,748 21,541
    443573100 HUBSPOT INC 5,652 4,614
    81141R100 SEA LTD-ADR 6,269 3,803
    00783V104 ADYEN NV-UNSPON ADR 12,667 10,607
    22788C105 CROWDSTRIKE HOLDINGS 10,488 7,576

    TY 2021 InvestmentsOtherSchedule2
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    258620103 DOUBLELINE TOTAL RET      
    46434V613 ISHARES CORE TOTAL B      
    922908629 VANGUARD MIDCAP VIPE      
    77954Q403 T ROWE PRICE BLUE CH      
    464287226 ISHARES CORE U.S. AG      
    464288281 ISHARES JP MORGAN US      
    464287655 ISHARES RUSSELL 2000      
    46090F100 INVESCO OPTIMUM YIEL      
    74440Y884 PGIM HIGH YIELD-Q 10      
    381430107 GOLDMAN SACHS ACTIVE      
    722005667 PIMCO COMMODITY REAL      
    46434G103 ISHARES CORE MSCI EM      
    921910501 VANGUARD INTL GRTH F      

    TY 2021 LegalFeesSchedule
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - PRINCIPAL (ALLOCA 4,100     4,100


    TY 2021 OtherDecreasesSchedule
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Description Amount
    MUTUAL FUND TIMING ADJ 1,236
    PURCHASE OF ACCRUED INTEREST CARRYOVER 849
    FMV OVER BASIS OF ASSETS CONTRIBUTED 72,392
    COST BASIS ADJUSTMENT 5,613


    TY 2021 OtherExpensesSchedule
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES - ADR FEES 19 19   0


    TY 2021 SubstantialContributorsSch
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Name Address
    ANZALONE JOHN A POST 645 TRUST 100 N MAIN ST MAC D4001-117
    WINSTON SALEM,NC27101


    TY 2021 TaxesSchedule
    Name:
    ANZALONE CHARITABLE TRUST MAIN
    EIN:
    32-6574081
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,669 1,669   0
    FEDERAL TAX PAYMENT - PRIOR YE 3,833 0   0
    FEDERAL ESTIMATES - PRINCIPAL 3,555 0   0
    FOREIGN TAXES ON NONQUALIFIED 703 703   0